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 in Germantown, MD
Trump list targets DOE headquarters for ‘disposal’
Robin Bravenderhttps://www.eenews.net/articles/trump-list-targets-doe-headquarters-for-disposal/
March 4, 2025, 7:45 PM EST Editor’s note: After this story was published on March 4, more than 100 buildings were removed from the GSA list of “non-core assets” slated for sale, including the Department of Energy headquarters and Germantown, Maryland campus, and many other buildings in Washington, D.C. and Maryland. GSA and DOE did not immediately respond to requests for comment.The Trump administration has included the Energy Department’s headquarters in Washington, D.C., and offices in Maryland ...
March 4, 2025, 7:45 PM EST Editor’s note: After this story was published on March 4, more than 100 buildings were removed from the GSA list of “non-core assets” slated for sale, including the Department of Energy headquarters and Germantown, Maryland campus, and many other buildings in Washington, D.C. and Maryland. GSA and DOE did not immediately respond to requests for comment.
The Trump administration has included the Energy Department’s headquarters in Washington, D.C., and offices in Maryland on a list of properties around the country that are slated for disposal.
The list, compiled by the General Services Administration, includes 443 properties in Washington, D.C., and elsewhere around the country that are home to a range of government agencies.
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Among those properties deemed “non-core assets” that have been “designated for disposal,” are the Forrestal building in Washington — which houses the Energy Department — and a Forrestal day care. The list also includes Germantown facilities called DOE Main BLDG GTN, DOE auditorium and DOE Germantown day care.
DOE and GSA did not immediately respond to requests for comment about the DOE facilities included on its list.
The Germantown facility was initially designed to house the Atomic Energy Commission, which became part of the Energy Research and Development Administration. That was ultimately folded into the Energy Department. DOE’s Germantown site “is an annex for many administrative operations and offices,” according to a Maryland profile of the facility.
The Germantown site — about 25 miles from downtown Washington — was picked in the 1950s with the reasoning that it would be outside the blast range of the largest weapon conceivable at the time (20 megatons). The building was also designed to safeguard against a nuclear blast, according to a DOE history.
The GSA list of facilities comes as the Trump administration’s so-called Department of Government Efficiency aims to shed office space and shrink the size of the federal government.
“We are identifying buildings and facilities that are not core to government operations, or non-core properties for disposal,” GSA says on its website. “Selling ensures that taxpayer dollars are no longer spent on vacant or underutilized federal spaces. Disposing of these assets helps eliminate costly maintenance and allows us to reinvest in high-quality work environments that support agency missions.”
GSA said it plans to update its list as assessments progress.
President Donald Trump issued an executive order in February directing GSA to draft a plan to dispose of government property that agencies determine is no longer needed.
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