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!
Request a Consultation
Arrange your free consultation with one of our accountants or advisors
Latest News Near Frederick, MD
Good Eats and Scenic Views: 4 Ways to Plan the Ideal Frederick, Maryland Weekend Itinerary
Visit Frederickhttps://www.phillymag.com/sponsor-content/ideal-frederick-weekend-itinerary/
When you’re traveling, there’s certain activities you enjoy doing, so it only makes sense to make an itinerary. And when it comes to a weekend itinerary in Frederick, Maryland, there’s tons of activities to choose from to create lasting memories. To ensure you get the most out of your trip and take in Frederick has to offer, plan an overnight stay at one of its more than 20 nationally branded hotels.Here are the spots, bites and outdoor adventures not to miss when you make your way to Frederick.Gathland State ...
When you’re traveling, there’s certain activities you enjoy doing, so it only makes sense to make an itinerary. And when it comes to a weekend itinerary in Frederick, Maryland, there’s tons of activities to choose from to create lasting memories. To ensure you get the most out of your trip and take in Frederick has to offer, plan an overnight stay at one of its more than 20 nationally branded hotels.
Here are the spots, bites and outdoor adventures not to miss when you make your way to Frederick.
Gathland State Park rests atop South Mountain, which is the site of Maryland’s only state Civil War Battlefield. It’s also the home of the War Correspondents Memorial Arch, built in 1896 by author George Alfred Townsend. Plus, it happens to be the site of some tremendous hiking — the Appalachian Scenic Trail intersects the park, so you can choose your own adventure as you head north or south.
And when you need to fuel up, there’s plenty of good options — one not to miss is The Main Cup, serving up top-notch sandwiches and pastas about a 10 minute drive from the park. Want to take in the local wine scene? Orchid Cellar Meadery and Winery is renowned for its honey wines that cover a wide variety of flavor types. They age their wines anywhere from three to 36 months — see if you can guess the age of the wine in your glass! As always, drink responsibly.
The first thing you need to know about C&O Canal National Historical Park: it covers a lot of ground. Frederick County alone contains almost 16 of the 184.5 miles that the park spans. That means you have a lot of options and lots to see. For instance, you can choose a less hilly hike along the canal’s towpath and take in views of the Potomac River while learning about the tribal history of those who once lived on the land.
After working up an appetite, there’s a few great options not far from each other. Hop in the car and chow down at Beans in the Belfry, which is housed in a 100-year-old restored church serving coffee, baked goods and panini sandwiches every day of the week. Afterward, take a short walk to Smoketown Brewing Station and sample the Patsy Hazy IPA, named after country singer Patsy Cline, who was known to perform at the building above where the brewery now stands.
When you head to Catoctin Mountain Park, you’ll be traversing one of the oldest mountains in the country. Learn some history as you pick a trail — for example, the Blue Blazes Whiskey Still Trail provides an interpretation of an area where moonshiners once reigned. You can also follow trails to unique geologic landforms like Chimney Rock and Hog Rock.
To whet your appetite, nearby Carriage House Inn is a local favorite, offering a prime rib french dip sandwich and Chesapeake crab dip, while Catoctin Breeze Vineyard will put some homemade wine in your glass to give you a taste of some true local flavor.
Sometimes, if you want a reward, you have to work for it, and that’s certainly true when it comes to hiking Cunningham Falls State Park. Choose from the Lower or Cliff Trails and get some cardio as you reach Maryland’s highest cascading waterfall.
If you want something a bit less intense, the Catoctin Furnace Trail brings with it a bit of history, as it’s the site of a past iron furnace operation. The furnace business dates back to the American Revolution and went out of business at the turn of the 20th century.
And when you’re planning your Cunningham Falls State Park trip, be sure to some time for swimming — the William Houck Lake Area located within the park is open for swimming and hiking from April to October.
For some good bites, Farmhouse Exchange delivers on its name, offering local produce as well as a deli on-site for some fresh eats. Nearby is Springfield Manor Winery and Distillery, an estate that serves its locally brewed spirits and wines amidst a gorgeous mountain and woodland backdrop.
For more on how to plan your Frederick, Maryland weekend itinerary, head here.
Md. FD asks county for second ambulance crew due to increasing demand
EMS1https://www.ems1.com/fire-ems/md-fd-asks-county-for-second-ambulance-crew-due-to-increasing-demand
Walkerville EMS runs climbed to 186 last month as growth and dispatch changes expanded coverageBy Ryan MarshallThe Frederick News-PostWALKERVILLE, Md. — Walkersville’s fire company would like Frederick County to provide a second ambulance team to help it meet increased demand for its services, and would like the town to support its request.The company has one 24-hour ambulance company but needs another, Chief William Cramer told the town’s burgess and commissioners last week.The town has added ...
Walkerville EMS runs climbed to 186 last month as growth and dispatch changes expanded coverage
By Ryan MarshallThe Frederick News-Post
WALKERVILLE, Md. — Walkersville’s fire company would like Frederick County to provide a second ambulance team to help it meet increased demand for its services, and would like the town to support its request.
The company has one 24-hour ambulance company but needs another, Chief William Cramer told the town’s burgess and commissioners last week.
The town has added several new residential developments in the past several years, as well as a school for children with special needs, and other things that create more calls for service, Cramer said.
The company previously responded to about 130 calls per month, but last month, it received 186, he said.
A change in the county’s dispatch service that bases responses on the time it takes an ambulance to get to a call rather than the distance traveled has added the area on Md. 26 down to U.S. 15 to the station’s coverage area, Cramer said.
The station missed 14 calls last month while out on other calls, requiring crews from other stations, usually Woodsboro or a station on Thomas Johnson Drive in Frederick, to fill in on those second calls, he said.
According to statistics from Frederick County’s Division of Fire and Rescue Services, ambulance calls for the Walkersville station have increased from 1,512 in calendar year 2023 to a projected 1,928 for 2025, a 27.5% increase.
Walkersville Burgess Chad Weddle serves as the fire company’s chaplain.
He said the town would send a letter to Division of Fire and Rescue Services Chief Tom Coe and make a request to other county officials when the county starts its budget process.
The issue in Walkersville is clearly call volume, with both the growth in the town and the station gaining some service area, Coe said Tuesday.
Even with the increased volume, the average time for an ambulance from Walkersville to get to a call has dropped from 6 minutes and 1 second in 2023 to 4 minutes and 56 seconds this year, Coe said, a very good response time.
The average response time for any ambulance in the county to respond to calls in Walkersville’s area has gone from 6 minutes and 6 seconds in 2023 to 4 minutes and 58 seconds in 2025, according to DFRS statistics.
Walkersville submitted a request for another ambulance crew last year, which didn’t make it through the budget process, Coe said.
But the county will look at the company’s request again in the upcoming budget cycle, he said.
© 2025 The Frederick News-Post (Frederick, Md.).Visit www.fredericknewspost.com.Distributed by Tribune Content Agency, LLC.
Foster’s Grille In Prince Frederick Opens To A Hungry Crowd
Carrie Cabralhttps://thebaynet.com/fosters-grille-in-prince-frederick-opens-to-a-hungry-crowd/
PRINCE FREDERICK, Md. — Foster’s Grille opened this week to lots of anticipation and a hungry crowd ready to try the local chain’s burgers, wings and shakes. Foster’s is located at 447 Solomons Island Road North and is open 11 a.m. to 9 p.m. Sunday to Thursday, and 11 a.m. to 10 p.m. Friday and Saturday.The chain has locations in Maryland, Virginia and Florida and is best known for its “charburger.” Southern Maryland residents may be familiar with the restaurant’s Waldorf and ...
PRINCE FREDERICK, Md. — Foster’s Grille opened this week to lots of anticipation and a hungry crowd ready to try the local chain’s burgers, wings and shakes. Foster’s is located at 447 Solomons Island Road North and is open 11 a.m. to 9 p.m. Sunday to Thursday, and 11 a.m. to 10 p.m. Friday and Saturday.
The chain has locations in Maryland, Virginia and Florida and is best known for its “charburger.” Southern Maryland residents may be familiar with the restaurant’s Waldorf and La Plata locations. The Prince Frederick restaurant got its liquor license in August and opened with a full menu including sports bar classics like buffalo wings, burgers and more.
The restaurant offers a casual, family-friendly dine-in experience that many say is lacking in Calvert County. Diners have some options for sit-down restaurants, but the environment of Foster’s provides options for families to dine out together and get food everybody actually likes. As a sports bar, it’s also ideal for adults-only groups.
“We consider ourselves a fast-casual family neighborhood restaurant,” manager Mandy Knodle said, adding that they’re looking forward to being a part of the community. “We’re really excited to be in the area. We offer a lot of fundraising opportunities and we hope to work with all the amazing teams and schools here.”
Knodle also highlighted the large selection of local craft beers on tap and “all the TVs” to feature NFL games this football season.
Linelle Wallace, a Prince Frederick local and content creator, visited Foster’s on opening day. “I’ve seen firsthand how much excitement Foster’s Grille has brought to Prince Frederick,” Wallace said, adding that her Facebook video featuring the restaurant reached more than 18,000 views. Previous videos in the same shopping center of Michaels and ALDI reached well over that number.
“It’s clear people are eager to support new businesses here. On top of that, the fries at Foster’s are to die for and the customer service was amazing.”
Foster’s served an eager crowd this week and will hopefully continue to do so as more businesses open in Prince Frederick’s Armory Square.
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