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
Severe Thunderstorm Warning and Tornado Watch Issued for Parts of Maryland and Northern Virginia
MCS Staffhttps://mocoshow.com/2026/03/16/severe-thunderstorm-warning-and-tornado-watch-issued-for-parts-of-maryland-and-northern-virginia/
A Tornado Watch has been issued for much of Maryland, including Montgomery County, as a line of severe thunderstorms moves through the region late Monday morning.The National Weather Service issued Tornado Watch 67, which remains in effect until 7pm and includes Montgomery County along with Anne Arundel, Baltimore, Frederick, Howard, Prince George’s, Washington and several other counties across the state.The watch means atmospheric conditions are favorable for the development of tornadoes and severe thunderstorms capable ...
A Tornado Watch has been issued for much of Maryland, including Montgomery County, as a line of severe thunderstorms moves through the region late Monday morning.
The National Weather Service issued Tornado Watch 67, which remains in effect until 7pm and includes Montgomery County along with Anne Arundel, Baltimore, Frederick, Howard, Prince George’s, Washington and several other counties across the state.
The watch means atmospheric conditions are favorable for the development of tornadoes and severe thunderstorms capable of producing damaging winds, large hail, and isolated tornadoes.
At the same time, the National Weather Service in Sterling also issued a Severe Thunderstorm Warning at 10:57am for portions of Montgomery and Frederick counties in Maryland, as well as areas of northern Virginia and the Eastern Panhandle of West Virginia.
Meteorologists said a line of severe storms stretching from near Inwood, West Virginia to Warrenton, Virginia was moving northeast at approximately 55 mph. Radar indicated the storms were capable of producing wind gusts up to 70 mph.
Communities in the storm’s path include Germantown, Gaithersburg, Frederick, Leesburg, Hagerstown, Ashburn, Herndon, Warrenton, Poolesville, and surrounding areas.
The primary threat with the line of storms is damaging wind that could bring down trees and large branches, potentially blocking roadways and causing localized power outages. Officials also warn that unsecured outdoor objects could become airborne projectiles in strong wind gusts.
Forecasters caution that tornadoes can sometimes develop quickly within severe thunderstorm lines. Residents are advised to remain alert and be prepared to move to a basement or small interior room on the lowest floor of a sturdy building if a tornado warning is issued.
The Tornado Watch remains in effect until 7pm as the threat for severe weather continues across the region through the afternoon and evening.
St. Patrick’s Day Parade Returns to Rio in Gaithersburg This Saturday
MCS Staffhttps://mocoshow.com/2026/03/10/st-patricks-day-parade-returns-to-rio-in-gaithersburg-this-saturday/
The City of Gaithersburg, in partnership with The Peterson Companies and Rio, will host the 24th Annual St. Patrick’s Day Parade at Rio on Saturday, March 14.The parade begins at 10am along Grand Corner Avenue at Rio, located near Rio Boulevard and Grand Corner Avenue. Free parking will be available in three garages along Washingtonian Boulevard.Dozens of units are expected to participate in the parade, including Celtic dancers, bagpipe bands, school and community groups, fire trucks, equestrian units, service organizatio...
The City of Gaithersburg, in partnership with The Peterson Companies and Rio, will host the 24th Annual St. Patrick’s Day Parade at Rio on Saturday, March 14.
The parade begins at 10am along Grand Corner Avenue at Rio, located near Rio Boulevard and Grand Corner Avenue. Free parking will be available in three garages along Washingtonian Boulevard.
Dozens of units are expected to participate in the parade, including Celtic dancers, bagpipe bands, school and community groups, fire trucks, equestrian units, service organizations, and costumed characters.
Dorothy Winder, a retired City of Gaithersburg employee who served as the parade’s lead planner for nearly 15 years, will serve as this year’s Grand Marshal. The parade will be emceed by Carolyn Muller, Director of Parks, Recreation and Culture for the City of Gaithersburg.
Following the parade, visitors can take part in Rio’s Shamrock Stroll around the lakefront, featuring one-day sales and specials at participating shops and restaurants, along with live music and activities. Participating businesses will display a large green shamrock on their doors.
Special promotions and activities include free green BurgerFi sunglasses and a shamrock necklace with the purchase of a Shamrock Shake or Luck of the Irish Green Beer at BurgerFi, a free five-count of Cinnasweeties with green frosting at Auntie Anne’s/Cinnabon with the purchase of any baked good until 2pm, and buy-one-get-one offers at Koi Sushi and Fantasticks.
California Pizza Kitchen will host a tent with BOGO offers and giveaways from 11am to 1pm, while Barnes & Noble will hold a family storytime at 11am.
Dave & Buster’s will host a “Luck of the Arcade Breakfast Bash” from 8am to 10am, followed by a Plinko prize game at its Boardwalk tent from 11am to 1pm.
Locally Crafted Workshop will offer a St. Patrick’s Day crafting workshop from 10:30am to 1pm. The activity is open to all ages and costs $15 with advance registration or $18 at the door.
Additional promotions include Amazing Lash Studio offering discounts on services, Le Macaron running a “Lucky 15” promotion where customers who buy a box of 12 macarons receive three free, and Yard House serving green beer and specialty St. Patrick’s Day cocktails.
City officials note that participation in the parade by groups or organizations other than City departments or committees does not constitute endorsement by the City of Gaithersburg.
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