PWC Max Weight Loss Program
The program described below is for patients with a minimum of 30 lbs to lose and is designed to achieve this safely with the use of lab-driven therapies that help to overcome weight loss resistance and promote fat loss.
Monthly Program
$575/
Month*first 3 months
- Initial Visit 1.0 hours (1)
- Program medications (Semaglutide or credit) (3)
- 2 x 30 minute visits per month (ND/PA)
- Visits with Medical Director $225 (30 min)
- Lumen device available for $250
Quarterly Program
$2175/
Quarter*first 3 months
- Initial Visit 1.5 hours
- Program medications (Semaglutide or credit) (3)
- Weekly visits first month, bi-weekly visits last 2 months ND/PA
- 1 x 30 minute visit with Physician included
- Free Lumen device with 6 months service included at no cost
Semaglutide
In an early study of 2,000 obese adults compared people using semaglutide plus a diet and exercise program with people who made the same lifestyle changes without semaglutide. After 68 weeks, half of the participants using semaglutide lost 15% of their body weight, and nearly a third lost 20%.
Another study with similar results
Lumen device/total metabolism tracking
The Lumen device measures carb and fat burn using a highly validated test of CO2 that is detected when patient breathes into the device. This has been validated to closely approximate real metabolism. Patients just need to breathe into the device daily to get helpful recommendations and better understand how their body burns fat.
Follow our personalized program to achieve the most Fat loss using safe and effective medications and Program therapies
Schedule of health coach visits for 12-week program (8 visits)
Visit 1
Discussion of body composition and patient goals.
Encourage patient to come to the office for bi-weekly visits if geographically feasible. Discuss role of Lumen device in terms of metabolism tracking.
Action: Advise patient to keep food diary for next week and to use the Lumen device daily.
Visit 2
Discuss food diary and make appropriate suggestions for improvement
Focusing on total caloric intake and healthy eating. Go deep here as much as time allows. Have to set the foundation for healthy eating. Explain that we do not recommend "dieting". Goal is to change our eating to a healthy eating that can be maintained well after program is over.
Action: Ask patient to keep diary of exercise for next week. If possible suggest they get an activity tracker for more accurate tracking.
Visit 3
Discuss exercise pattern from prior week and make appropriate recommendations.
Focus on anaerobic exercise for at least 30 minutes 4-5 times per week. Aerobic should be on top of this but if they only have time for one or the other, then advise anaerobic.
Action: Advise patient to get new body composition prior to next week's visit.
Visit 4
Discuss progress/lack of progress vs week 1 baseline if we have a new body composition.
Keep in mind that they are in the building stage of the medication, so we are not expecting a lot of fat loss at this point. 3-4 lbs of fat loss in the first month would be considered a success. Many patients with 75-100 lbs to lose report losing up to 25 lbs in first month. Ascertain if patient has been compliant with dietary and exercise recommendations and medication adherence.
Action: If there has been no fat loss or even fat gain, then need to discuss the case with medical director for possible additional interventions. Advise patient to track sleep for next week preferably with sleep tracking device but if not, then just manual tracking (time to bed, time waking up, how many times did they awake for the night, sleep hygiene questions.)
Medical Director Visit
Medical Director Visit
Points to consider seeking to uncover reasons for weight loss resistance. Review initial labwork looking for sub-optimal areas that could be impacting weight loss as well as sleep quality.
- Food sensitivity testing
- Micronutrient testing
- Nutrigen testing
- Sleep tracking - depending on whether weight loss is going as expected and how they answer questions about sleep.
Action: Medical director to advise what they feel is the biggest problem area(s) that require focused attention.
Visit 5
Focus of this visit is based on your assessment of biggest problem area(s).
From areas below, spend the time reinforcing needed behavior in 1-2 of the most problematic areas.
- Diet/Nutrition (appetite suppressant), Exercise, Medication compliance, Sleep, Low IGF-1 (GHRH therapy), GI issues - GI testing, Other metabolic issues
Visit 6
Focus on areas where patient needs most help. (Diet/Nutrition, Exercise, Sleep, Detoxification)
Visit 7
Focus on areas where patient needs most help. (Diet/Nutrition, Exercise, Sleep, Detoxification)
Visit 8
Assess progress vs Week 4 and baseline and make recommendations for another round or other continued intervention.
From areas below, spend the time reinforcing needed behavior in 1-2 of the most problematic areas.
- If patient ends on 1 mg Semaglutide, they can upgrade to 2mg for additional $425, total cost of $2600 for 12 weeks
- If patient wants to switch to Tirzepatide @ 5 mg, upcharge is $830, total cost for $3005 for 12 weeks.
- If they are close to meeting weight loss goals, then make age dependent recommendations for continued therapy
How to get started?
- Enroll online at https://pwc.myemedfusion.com/Newpatient.aspx
- When complete, PWC will prepared an individualized lab order
- Take lab order to Quest Diagnostics/Labcorp for insurance coverage
- When lab results are back, meet with Weight loss Program Coordinator
- Get Started - order meds - monitor - and lose weight!
Testosterone Replacement Therapy for Mitchell O-A
HRT for Tathagat Singh
TRT for Rinku Yadav
Shockwave Therapy for Vandana Panwar
ED Treatment for Ayan Subo
Weightloss Program for Robin Chris
BHRT for Manisha Mehra
Hair Rejuvenation for Gunveen Bachher
Gainswave therapy for Ashok Kohli
Testosterone Replacement Therapy for Mariya Williams
HRT for Felixify _
TRT for M Handlin
Shockwave Therapy for Denise Patton
ED Treatment for Lily Garcia Walton
Weightloss Program for Chris Prophett
BHRT for Brenda Townes
Hair Rejuvenation for Deborah Beaghler
Gainswave therapy for Emani Davis
Testosterone Replacement Therapy for Roya Delaney
HRT for Jacki Wolfe
TRT for Erik Etherly
Shockwave Therapy for Zac Wolfe
ED Treatment for David Miller
Weightloss Program for Olivia Greenberg
BHRT for Kim Anselmo
Request a Consultation
Arrange your free consultation with one of our accountants or advisors
Latest News Near Dale City, VA
Speak Into Existence Open Mic
patch.comhttps://patch.com/virginia/dalecity/calendar/event/20251020/a22ca56b-e124-49b2-b6c9-5e4acca20e47/speak-into-existence-open-mic
This post was contributed by a community member. The views expressed here are the author's own.????✨ This is Speak Into Existence Open Mic ✨????Come speak your truth, enjoy creativity, and explore the arts in a space that celebrates the arts.Speak Into Existence Open Mic is not just an open mic...It’s a whole vibe.Ask questions. Share your story. Shout out your business. Perform your heart out, or just sit back and enjoy the show....
This post was contributed by a community member. The views expressed here are the author's own.
????✨ This is Speak Into Existence Open Mic ✨????
Come speak your truth, enjoy creativity, and explore the arts in a space that celebrates the arts.
Speak Into Existence Open Mic is not just an open mic...It’s a whole vibe.Ask questions. Share your story. Shout out your business. Perform your heart out, or just sit back and enjoy the show.
The lyrical feature is Addam.
**Doors open at 6:30 and the show starts at 7 PM. **
???? Your host for the night is Kim B Miller. She’s a decorated, award-winning poet and the reigning DMV Renaissance Awards Haikuist of The Year (2023, 2022, 2021) and 2019 Southern Fried Haiku Champion. Come here her exhale on the mic.
???? This is a family-friendly open mic. Bring the kids, bring pa-pa, grandma, bring your neighbor, all are welcome.
????️ All Performers Welcome:Musicians ????Writers ✍????Spoken Word Poets ????Poets ????Comedians ????Singers ????Rappers ????Storytellers ????Public Speakers ????️If you’ve got a voice, we’ve got the mic.Any age. Any art. Bring it.
Don’t miss this electric night of expression, empowerment, and community.
Free Parking!
**No refunds. All ticket sales are final!**
Tickets:
Early Bird tickets: $9
General Admission: $12
At The Door: $15
This location is wheel chair accessible and the event takes place on the first (main) level. For those who are hearing impaired we can suggest an app for your Android that will translate and type the words visibly to your phone.
Special thank you to John Wooten and the Clearbrook Center of the Arts for having the event.
How do you get to open mic?
Put the address for Clearbrook Center of the Arts in your GPS: 2230 Tacketts Mill Dr., Lakeridge, VA. It is located on the side of the mini-mall near Hector's restaurant and the Bee Store. There is a picture of a map and how to find us in the mini mall on this page.
95 Express Lanes nighttime closure in Dale City Oct. 16
Virginia Department of Transportationhttps://vdot.virginia.gov/news-events/news/northern-virginia-district/95-express-lanes-nighttime-closure-in-dale-city-oct-16.php
DALE CITY – On Thursday night, Oct. 16, weather permitting, the southbound-running 95 Express Lanes will be closed between the exit for Dale Boulevard (Route 784 to Dale City/Rippon Landing/rest area) and the exit for Route 234/Dumfries/Manassas) for Neabsco Creek bridge-related geotechnical work, according to the Virginia Department of Transportation.The left lane of the southbound-running 95 Express Lanes just before the exit for Dale Boulevard will be closed from 9:30 p.m. to 10 p.m. Thursday, Oct. 16....
DALE CITY – On Thursday night, Oct. 16, weather permitting, the southbound-running 95 Express Lanes will be closed between the exit for Dale Boulevard (Route 784 to Dale City/Rippon Landing/rest area) and the exit for Route 234/Dumfries/Manassas) for Neabsco Creek bridge-related geotechnical work, according to the Virginia Department of Transportation.
The left lane of the southbound-running 95 Express Lanes just before the exit for Dale Boulevard will be closed from 9:30 p.m. to 10 p.m. Thursday, Oct. 16.
The southbound-running 95 Express Lanes will be fully closed from 10 p.m. Thursday, Oct. 16, to 1 a.m. Friday, Oct. 17. During that time, the following ramps will also be closed:
Southbound 95 Express Lanes traffic will be diverted to the southbound I-95 general purpose lanes via the flyover ramp that provides access to the Dale Boulevard interchange. Drivers will be able to re-enter the 95 Express Lanes via the southbound I-95 general purpose lanes flyover ramp just past the Telegraph Road (Route 637) overpass in Stafford County; this flyover ramp is located about a mile and a half beyond the Russell Road (Exit 148 to Marine Corps Base Quantico) interchange.
The 95 Express Lanes will then be closed from 1 a.m. to 3 a.m. Friday, Oct. 17, for the regularly scheduled reversal from southbound to northbound operations; the Neabsco Creek work zone will be cleared from the roadway by the time the 95 Express Lanes begin running northbound at 3 a.m. Friday, Oct. 17.
The geotechnical work is part of preparations for the I-95 southbound over Neabsco Creek bridge project. Construction is scheduled to begin in mid-2027.
Drivers are reminded to use caution when traveling in active work zones. Be alert to new traffic patterns and limit distractions.
You can get traffic, work zone and incident information online at 511.vdot.virginia.gov, via the free mobile 511Virginia app, or by calling 511 in Virginia anywhere anytime.
95 Express Lanes nighttime closure in Dale City Oct. 2
Virginia Department of Transportationhttps://vdot.virginia.gov/news-events/news/northern-virginia-district/95-express-lanes-nighttime-closure-in-dale-city-oct-2.php
DALE CITY – On Thursday night, Oct. 2, weather permitting, the southbound-running 95 Express Lanes will be closed between the exit for Dale Boulevard (Route 784 to Dale City/Rippon Landing/rest area) and the exit for Route 234/Dumfries/Manassas) for Neabsco Creek bridge-related geotechnical work, according to the Virginia Department of Transportation.The left lane of the southbound-running 95 Express Lanes just before the exit for Dale Boulevard will be closed from 9:30 p.m. to 10 p.m. Thursday, Oct. 2....
DALE CITY – On Thursday night, Oct. 2, weather permitting, the southbound-running 95 Express Lanes will be closed between the exit for Dale Boulevard (Route 784 to Dale City/Rippon Landing/rest area) and the exit for Route 234/Dumfries/Manassas) for Neabsco Creek bridge-related geotechnical work, according to the Virginia Department of Transportation.
The left lane of the southbound-running 95 Express Lanes just before the exit for Dale Boulevard will be closed from 9:30 p.m. to 10 p.m. Thursday, Oct. 2.
The southbound-running 95 Express Lanes will be fully closed from 10 p.m. Thursday, Oct. 2, to 1 a.m. Friday, Oct. 3. During that time, the following ramps will also be closed:
Southbound 95 Express Lanes traffic will be diverted to the southbound I-95 general purpose lanes via the flyover ramp that provides access to the Dale Boulevard interchange. Drivers will be able to re-enter the 95 Express Lanes via the southbound I-95 general purpose lanes flyover ramp just past the Telegraph Road (Route 637) overpass in Stafford County; this flyover ramp is located about a mile and a half beyond the Russell Road (Exit 148 to Marine Corps Base Quantico) interchange.
The 95 Express Lanes will then be closed from 1 a.m. to 3 a.m. Friday, Oct. 3, for the regularly scheduled reversal from southbound to northbound operations; the Neabsco Creek work zone will be cleared from the roadway by the time the 95 Express Lanes begin running northbound at 3 a.m. Friday, Oct. 3.
The geotechnical work is part of preparations for the I-95 southbound over Neabsco Creek bridge project. Construction is scheduled to begin in mid-2027.
Drivers are reminded to use caution when traveling in active work zones. Be alert to new traffic patterns and limit distractions.
You can get traffic, work zone and incident information online at 511.vdot.virginia.gov, via the free mobile 511Virginia app, or by calling 511 in Virginia anywhere anytime.
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Service Areas
8245 Boone Blvd. Suite 260 Vienna, VA 22182
Phone: (703) 822-5003 | Email: info@proactivwellnesscenters.com
Serving patients in Northern Virginia, Washington DC, Maryland, Pennsylvania, and throughout the U.S.
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(571) 568-8881