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!
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Latest News Near Gaithersburg, MD
Sixty Vines Sets Opening Date For MoCo Restaurant
Deb Belthttps://patch.com/maryland/gaithersburg/sixty-vines-sets-opening-date-moco-restaurant
GAITHERSBURG, MD — The wine country restaurant Sixty Vines will open its first Maryland location Monday, Oct. 13, at 231 Rio Boulevard in Gaithersburg.Guests can explore 60 wines on tap from wine regions around the world, paired with chef-driven dishes like wood-grilled steaks and hand-crafted pizzas designed to share among friends.The restaurant will span just over 9,000 square feet with a light-filled dining room, a bar that opens to the patio, and private dining spaces for more intimate gatherings, according to a news ...
GAITHERSBURG, MD — The wine country restaurant Sixty Vines will open its first Maryland location Monday, Oct. 13, at 231 Rio Boulevard in Gaithersburg.
Guests can explore 60 wines on tap from wine regions around the world, paired with chef-driven dishes like wood-grilled steaks and hand-crafted pizzas designed to share among friends.
The restaurant will span just over 9,000 square feet with a light-filled dining room, a bar that opens to the patio, and private dining spaces for more intimate gatherings, according to a news release. Seating includes a mix of banquettes, communal tables, and lounge areas.
“There’s a certain kind of magic that happens when people gather around a table to connect over great food and wine,” said Jeff Carcara, CEO of Sixty Vines, in a news release. “Sixty Vines was created for discovery. Every visit is an opportunity to experience new flavors and wines in a way that feels approachable.”
General Manager Paul Fitz and Executive Chef William Sandkuhler lead Sixty Vines’ Maryland team, welcoming guests for lunch, dinner, and weekend brunch. Spanning more than 9,000 square feet, the space includes an open dining room with communal tables and a bar. The private dining room seats 24 and can host celebrations and special occasions.
Sixty Vines’ wine-on-tap system reimagines wine culture, the company said. Each keg holds 26 bottles and can be reused roughly 1,500 times, reducing waste and ensuring every glass tastes exactly as the winemaker intended.
The restaurant menu celebrates seasonal flavors and fresh, locally sourced ingredients. Guests can build their own charcuterie boards, enjoy crisp salads and hand-tossed pizzas, or choose from entrées like Atlantic salmon, pan roasted chicken, the double cabernet burger, and wood-grilled filet.
Dessert standouts include Basque cheesecake and deviled affogato.
The menu also features handcrafted cocktails like the Tequila Fix and Frozé, local beers, and a selection of mocktails and non-alcoholic wines.
Sixty Vines will offer brunch on Saturday and Sunday until 3 p.m., along with lunch and dinner throughout the week.
The company has restaurants in Texas, Florida, North Carolina, Tennessee, Virginia, and Washington, D.C.
For more information, visit www.sixtyvines.com.
About Sixty Vines
Sixty Vines is a globally inspired, seasonally sourced restaurant that transports guests to some of the best wine regions in the world. It's innovative, eco-friendly wine-on-tap program reduces waste and delivers the closest "from the barrel" tasting experience outside the vineyard. Designed to reimagine wine culture with a relaxed, "pinkies down" approach, Sixty Vines pairs each pour with a vineyard-inspired menu meant for sharing.
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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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