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 Gaithersburg, MD
Snow totals for Washington D.C., Maryland, Virginia and West Virginia
Tucker Barneshttps://www.fox5dc.com/weather/snow-totals-washington-d-c-maryland-virginia-west-virginia
WASHINGTON - The powerful winter storm that swept across the Washington, D.C. region delivered the highest snow and ice totals of the season.Reagan National Airport recorded more than six inches of snow, while Dulles International Airport topped seven inches. Baltimore/Washington International Thurgood Marshall Airport saw the highest total, with more than 11 inches measured.Stay connected with FOX LOCAL. For 24/7 winter storm coverage—.Here’s a look a...
WASHINGTON - The powerful winter storm that swept across the Washington, D.C. region delivered the highest snow and ice totals of the season.
Reagan National Airport recorded more than six inches of snow, while Dulles International Airport topped seven inches. Baltimore/Washington International Thurgood Marshall Airport saw the highest total, with more than 11 inches measured.
Stay connected with FOX LOCAL. For 24/7 winter storm coverage—.
Here’s a look at snow and ice totals across Washington, D.C., Maryland, Virginia and West Virginia:
STORM TOTAL SNOWFALL FROM THE NATIONAL WEATHER SERVICE
DISTRICT OF COLUMBIA
Washington 3 NE — 7.5 inches (7:17 PM 1/25)
MARYLAND
Allegany CountyCumberland — 8.6 inches (7:00 PM 1/25)Frostburg 2 ENE — 7.5 inches (5:39 PM 1/25)La Vale — 6.9 inches (9:00 PM 1/25)
Anne Arundel CountyBWI Airport — 11.3 inches (12:00 AM 1/26)Crofton 1 SSE — 9.5 inches (9:47 PM 1/25)Londontowne 1 SSE — 9.4 inches (9:02 PM 1/25)Crownsville 3 SSW — 8.5 inches (9:30 PM 1/25)Pasadena 1 ENE — 8.5 inches (7:45 PM 1/25)Chelsea Beach — 7.8 inches (5:59 PM 1/25)Riva ESE — 7.2 inches (4:15 PM 1/25)
Baltimore CountyBentley Springs 6 S — 11.3 inches (7:15 PM 1/25)Edgemere SE — 10.3 inches (7:20 PM 1/25)Upper Falls 2 SW — 9.8 inches (9:00 PM 1/25)Reistertown 2 NW — 9.5 inches (10:00 PM 1/25)Middle River 1 N — 9.0 inches (8:22 PM 1/25)Bentley Springs 1 E — 8.5 inches (6:45 PM 1/25)Glyndon 1 WSW — 8.3 inches (5:50 PM 1/25)Long Green 2 NW — 8.0 inches (5:30 PM 1/25)Upper Falls 1 NNE — 7.9 inches (8:15 PM 1/25)
Baltimore CityArlington 2 ESE — 8.6 inches (6:15 PM 1/25)Arlington 2 E — 8.5 inches (8:20 PM 1/25)
Calvert CountyPrince Frederick 1 S — 5.5 inches (6:50 PM 1/25)Huntingtown — 5.0 inches (4:05 PM 1/25)Chesapeake Beach 3 S — 5.0 inches (7:18 PM 1/25)Lusby — 4.0 inches (4:06 PM 1/25)
Carroll CountyWinfield N — 11.5 inches (9:00 PM 1/25)Watersville 1 N — 9.5 inches (9:00 PM 1/25)Westminster 1 NNE — 9.0 inches (7:16 PM 1/25)Gamber 1 WNW — 8.2 inches (10:29 PM 1/25)Westminster SE — 8.0 inches (8:11 PM 1/25)Millers 4 NE — 7.9 inches (6:00 PM 1/25)Eldersburg 1 ESE — 7.5 inches (2:40 PM 1/25)Uniontown 3 N — 6.6 inches (3:22 PM 1/25)
Cecil CountyPleasant Hill 2 SE — 7.5 inches (7:30 PM 1/25)Fair Hill 1 SW — 7.5 inches (11:59 PM 1/25)Woodlawn 2 ENE — 7.2 inches (5:25 PM 1/25)Rock Springs 1 ESE — 6.5 inches (6:00 PM 1/25)
Charles CountyDentsville 1 SW — 5.0 inches (4:30 PM 1/25)
Frederick County (MD)Bloomfield 2 WSW — 10.2 inches (5:00 PM 1/25)New Market N — 9.5 inches (7:56 PM 1/25)Smithsburg 3 SE — 8.5 inches (6:42 PM 1/25)Adamstown 1 ESE — 8.3 inches (6:30 PM 1/25)Ballenger Creek W — 8.0 inches (2:30 PM 1/25)Point of Rocks 1 NE — 8.0 inches (9:30 PM 1/25)Mount Airy 1 SW — 7.9 inches (7:30 PM 1/25)Thurmont 1 NE — 7.0 inches (4:40 PM 1/25)New Market 2 NW — 7.0 inches (7:00 PM 1/25)Myersville 3 ESE — 7.0 inches (5:02 PM 1/25)
Garrett CountyGrantsville 5 W — 12.3 inches (5:00 AM 1/26)Accident 4 E — 10.7 inches (6:44 PM 1/25)Deer Park 6 NE — 10.2 inches (11:00 PM 1/25)Mount Savage 4 WNW — 9.0 inches (6:40 PM 1/25)
Harford CountyAberdeen Proving Gro — 10.1 inches (8:16 PM 1/25)Forest Hill 2 SW — 10.1 inches (7:15 PM 1/25)Abingdon 2 NW — 10.0 inches (4:25 PM 1/25)Bel Air 2 NE — 9.8 inches (7:09 PM 1/25)Chrome Hill 2 SE — 9.8 inches (8:20 PM 1/25)Bynum 1 NNE — 9.2 inches (4:57 PM 1/25)Jarrettsville — 9.0 inches (5:18 PM 1/25)Bel Air 3 SSE — 9.0 inches (5:00 PM 1/25)West Friendship 2 NW — 7.8 inches (7:05 PM 1/25)Gaither 2 SSE — 7.4 inches (6:25 PM 1/25)Scarboro 2 E — 7.0 inches (8:35 PM 1/25)
Howard CountySimpsonville — 11.3 inches (11:26 PM 1/25)Simpsonville E — 11.3 inches (7:50 PM 1/25)Clarksville 3 NE — 11.1 inches (8:37 PM 1/25)Columbia — 10.6 inches (8:00 PM 1/25)Gaither 2 SE — 9.8 inches (9:00 PM 1/25)Simpsonville 1 SSE — 9.8 inches (10:00 PM 1/25)Elkridge 2 W — 9.5 inches (7:45 PM 1/25)Clarksville 2 N — 9.2 inches (9:00 PM 1/25)Historic Ellicott Ci — 9.2 inches (9:02 PM 1/25)Laurel 1 NNE — 9.1 inches (5:30 PM 1/25)Dayton 1 NE — 9.0 inches (7:16 PM 1/25)Laurel 3 NNE — 8.8 inches (8:39 PM 1/25)Gaither 2 SSW — 8.0 inches (7:00 PM 1/25)Elkridge 2 ESE — 7.6 inches (7:08 PM 1/25)Ellicott City — 7.5 inches (7:48 PM 1/25)Simpsonville 1 W — 7.1 inches (3:10 PM 1/25)Columbia 1 ENE — 7.0 inches (5:00 PM 1/25)Elkridge 2 WSW — 7.0 inches (3:05 PM 1/25)Ilchester 1 W — 6.0 inches (9:43 PM 1/25)
Montgomery CountyClarksburg — 11.8 inches (8:36 PM 1/25)Clarksburg 2 SE — 11.6 inches (8:11 PM 1/25)Germantown — 9.2 inches (5:25 PM 1/25)Somerset 1 ENE — 9.0 inches (7:00 PM 1/25)Rockville 1 SSE — 8.8 inches (9:00 PM 1/25)Laytonsville 2 WNW — 8.8 inches (8:15 PM 1/25)White Oak 2 W — 8.5 inches (3:00 PM 1/25)Germantown 1 SE — 8.5 inches (11:27 PM 1/25)Gaithersburg 2 E — 8.5 inches (6:30 PM 1/25)Brookeville 2 NW — 8.1 inches (8:20 PM 1/25)Laytonsville — 8.0 inches (3:51 PM 1/25)Damascus 3 SSW — 8.0 inches (5:51 PM 1/25)Rockville — 7.9 inches (8:13 PM 1/25)Wheaton 1 NW — 7.9 inches (8:00 PM 1/25)Olney 1 S — 7.5 inches (8:30 PM 1/25)Gaithersburg 1 SW — 7.4 inches (8:29 PM 1/25)Bethesda 1 NNW — 7.0 inches (8:29 PM 1/25)Poolesville NE — 7.0 inches (5:06 PM 1/25)Damascus 1 SE — 7.0 inches (2:30 PM 1/25)Norbeck 1 ESE — 7.0 inches (6:30 PM 1/25)Boyds 1 SE — 6.8 inches (6:15 PM 1/25)Potomac 2 NW — 6.7 inches (4:08 PM 1/25)Garrett Park 1 WSW — 6.6 inches (9:12 PM 1/25)Silver Spring — 6.5 inches (6:17 PM 1/25)Colesville 2 WNW — 6.3 inches (4:10 PM 1/25)Colesville — 5.5 inches (3:28 PM 1/25)
Prince Georges CountyBrentwood 1 SSW — 9.0 inches (5:03 PM 1/25)Marlton 1 WSW — 7.0 inches (8:30 PM 1/25)Forestville — 7.0 inches (4:07 PM 1/25)Bowie 2 SSE — 7.0 inches (10:33 PM 1/25)Laurel 2 SSW — 6.6 inches (3:45 PM 1/25)College Park 1 S — 6.6 inches (7:00 PM 1/25)
St. Marys CountyHollywood WNW — 6.0 inches (2:48 PM 1/25)California — 4.0 inches (4:06 PM 1/25)Ridge 1 E — 3.2 inches (5:00 PM 1/25)
Washington CountySabillasville 2 NNW — 9.3 inches (7:04 PM 1/25)Boonsboro 3 NNE — 9.1 inches (7:00 PM 1/25)Boonsboro 1 SSE — 8.5 inches (6:30 PM 1/25)Funkstown 2 WSW — 8.0 inches (4:30 PM 1/25)Hancock 1 ESE — 7.8 inches (7:30 PM 1/25)
VIRGINIA
Albemarle CountyEarlysville 3 NW — 6.5 inches (9:00 PM 1/25)Charlottesville 1 WS — 6.0 inches (3:21 PM 1/25)Charlottesville 4 SW — 5.3 inches (3:17 PM 1/25)Boyd Tavern 1 S — 5.2 inches (4:30 PM 1/25)Overton 3 NW — 5.0 inches (5:25 PM 1/25)Woodridge 3 W — 3.5 inches (3:00 PM 1/25)
Arlington CountyFalls Church 1 E — 8.5 inches (6:45 PM 1/25)Ballston — 7.5 inches (4:46 PM 1/25)Reagan National Apt — 6.9 inches (12:00 AM 1/26)Baileys Crossroads 1 — 6.8 inches (8:20 PM 1/25)
City of AlexandriaAlexandria 1 W — 7.0 inches (2:30 PM 1/25)
City of CharlottesvilleNewcomb Hall 1 SW — 5.3 inches (5:51 PM 1/25)
City of WaynesboroWaynesboro 1 S — 4.5 inches (3:49 PM 1/25)Waynesboro 2 N — 4.0 inches (3:19 PM 1/25)
Clarke CountyBerryville 1 NNW — 9.8 inches (6:25 PM 1/25)
Culpeper CountyCardova 2 SSE — 6.2 inches (5:30 PM 1/25)Culpeper 1 W — 5.0 inches (4:45 PM 1/25)
Fairfax CountyRose Hill ENE — 8.5 inches (6:00 PM 1/25)Tantallon 2 W — 8.5 inches (5:01 PM 1/25)Herndon 1 NNE — 8.2 inches (7:00 PM 1/25)Chantilly 1 SE — 8.0 inches (5:25 PM 1/25)Vienna — 8.0 inches (5:15 PM 1/25)West Springfield 2 W — 7.5 inches (4:40 PM 1/25)Woolsey 4 ENE — 7.3 inches (7:38 PM 1/25)Sterling Park 2 ENE — 7.0 inches (8:57 PM 1/25)Herndon 2 ENE — 7.0 inches (12:25 AM 1/26)The I395 And I495 1 — 6.6 inches (2:25 PM 1/25)Chantilly 2 ESE — 6.6 inches (6:00 PM 1/25)Centreville W — 6.5 inches (8:55 PM 1/25)McLean — 6.0 inches (3:00 PM 1/25)Burke 2 N — 5.9 inches (2:50 PM 1/25)Fairfax Station 1 SE — 5.5 inches (8:20 PM 1/25)
Fauquier CountyWarrenton — 6.2 inches (9:40 PM 1/25)
Frederick County (VA)Cedar Grove 2 ENE — 11.8 inches (9:03 PM 1/25)Hayfield 1 N — 8.5 inches (3:52 PM 1/25)
Greene CountyRuckersville 1 WNW — 5.1 inches (6:38 PM 1/25)
Loudoun CountyAshburn 1 W — 9.8 inches (7:00 PM 1/25)Leesburg 1 ESE — 9.5 inches (7:00 PM 1/25)Leesburg — 9.1 inches (5:23 PM 1/25)Bloomery 3 ESE — 9.0 inches (6:30 PM 1/25)Leesburg 1 E — 9.0 inches (9:00 PM 1/25)Dulles International — 7.8 inches (12:00 AM 1/26)Leesburg 2 NNE — 7.0 inches (7:49 PM 1/25)Leesburg 2 E — 6.9 inches (2:48 PM 1/25)Lucketts 2 WSW — 5.5 inches (5:10 PM 1/25)
Page CountyStanley 2 WSW — 6.8 inches (7:42 PM 1/25)
Prince William CountyManassas Park 1 NNW — 9.0 inches (7:30 PM 1/25)Dumfries 1 ENE — 8.0 inches (4:03 PM 1/25)Woodbridge — 7.5 inches (8:35 PM 1/25)Manassas Park 1 W — 7.3 inches (9:07 PM 1/25)Bull Run 2 NE — 7.0 inches (5:58 PM 1/25)Woolsey 1 SW — 6.6 inches (6:35 PM 1/25)Montclair 2 WNW — 6.2 inches (6:37 PM 1/25)Haymarket — 5.8 inches (3:59 PM 1/25)Independent Hill 2 E — 4.9 inches (5:57 PM 1/25)
Rockingham CountyBroadway — 7.5 inches (6:00 PM 1/25)Bridgewater 1 N — 7.5 inches (6:42 PM 1/25)Harrisonburg — 7.0 inches (6:40 PM 1/25)Dale Enterprise 1 ES — 6.0 inches (3:00 PM 1/25)Linville 4 ENE — 5.8 inches (3:45 PM 1/25)
Shenandoah CountyMount Clifton 3 N — 8.0 inches (6:23 PM 1/25)Toms Brook 3 SSE — 7.0 inches (4:45 PM 1/25)Edinburg 2 E — 5.5 inches (6:42 PM 1/25)
Spotsylvania CountyWhite Oak 4 SSW — 4.5 inches (5:21 PM 1/25)Spotsylvania Courtho — 4.3 inches (7:59 PM 1/25)
Stafford CountyGlendie 1 N — 8.9 inches (8:30 PM 1/25)Holly Corner 2 E — 8.9 inches (7:33 PM 1/25)Ramoth 1 WSW — 4.8 inches (9:20 PM 1/25)
Warren CountyKaro 1 WSW — 7.5 inches (6:30 PM 1/25)
WEST VIRGINIA
Berkeley CountyMartinsburg 6 E — 9.4 inches (8:55 PM 1/25)Shepherdstown 4 NNW — 7.0 inches (4:35 PM 1/25)Falling Waters 2 NW — 5.8 inches (7:47 PM 1/25)
Hampshire CountyRomney SW — 7.0 inches (6:00 PM 1/25)
Hardy CountyRig NW — 7.1 inches (8:00 PM 1/25)
Pendleton CountyFranklin 1 N — 6.0 inches (7:00 PM 1/25)
STORM TOTAL ICE FROM THE NATIONAL WEATHER SERVICE
MARYLAND
Anne Arundel CountyCrofton 1 SSE — 0.06 inches (9:47 PM 1/25)Riva ESE — 0.01 inches (4:15 PM 1/25)
Baltimore CountyEdgemere SE — 0.10 inches (7:20 PM 1/25)Upper Falls 2 SW — T inches (9:00 PM 1/25)
Calvert CountyLusby — 0.15 inches (7:34 PM 1/25)Chesapeake Beach 3 S — 0.10 inches (7:18 PM 1/25)Huntingtown — 0.06 inches (7:37 PM 1/25)Chesapeake Beach — 0.06 inches (7:38 PM 1/25)Prince Frederick — 0.01 inches (5:52 PM 1/25)
Carroll CountyWinfield N — 0.05 inches (9:00 PM 1/25)
Charles CountyFaulkner — 0.06 inches (7:39 PM 1/25)
Howard CountyElkridge 2 W — T inches (7:45 PM 1/25)
Montgomery CountyOlney 1 S — T inches (8:30 PM 1/25)
Prince Georges CountyBowie 2 SSE — 0.13 inches (10:33 PM 1/25)
St. Marys CountyCalifornia 3 W — 0.11 inches (8:58 PM 1/25)California — 0.01 inches (5:55 PM 1/25)
VIRGINIA
Arlington CountyBaileys Crossroads 1 — 0.06 inches (8:20 PM 1/25)
Loudoun CountyBloomery 3 ESE — 0.10 inches (6:30 PM 1/25)
Prince William CountyWoolsey 1 SW — T inches (6:35 PM 1/25)
Spotsylvania CountyWhite Oak 4 SSW — 0.13 inches (8:18 PM 1/25)
Stafford CountyRamoth 1 WSW — 0.20 inches (9:20 PM 1/25)
Stay ahead of the snow with FOX 5’s expert meteorologists, streaming LIVE on FOX LOCAL. We’re streaming nonstop coverage with the newest forecasts, snow potential, and preparation tips—before the storm and all weekend long. for 24/7 weather coverage on your smart TV and mobile devices
The Source: Information in this article comes from the FOX 5 Weather Team and the National Weather Service.
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