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!
Request a Consultation
Arrange your free consultation with one of our accountants or advisors
Latest News Near Germantown, MD
“No Kings” Demonstrations Planned Across Montgomery County This Saturday - The MoCo Show
The MoCo Showhttps://mocoshow.com/2025/10/17/no-kings-demonstrations-planned-across-montgomery-county-this-saturday/
Montgomery County residents are expected to join “No Kings” demonstrations on Saturday, October 18, as part of a nationwide day of peaceful protests promoting civic engagement, accountability, and democracy. Organizers emphasize nonviolence and lawful participation, with events planned across the county in locations including Germantown, Gaithersburg, Rockville, Olney, Bethesda, and Silver Spring.“A core principle behind all No Kings events is a commitment to nonviolent action. We expect all participants to seek to d...
Montgomery County residents are expected to join “No Kings” demonstrations on Saturday, October 18, as part of a nationwide day of peaceful protests promoting civic engagement, accountability, and democracy. Organizers emphasize nonviolence and lawful participation, with events planned across the county in locations including Germantown, Gaithersburg, Rockville, Olney, Bethesda, and Silver Spring.
“A core principle behind all No Kings events is a commitment to nonviolent action. We expect all participants to seek to de-escalate any potential confrontation with those who disagree with our values and to act lawfully at these events. Weapons of any kind, including those legally permitted, should not be brought to events.”
Below are locations and times where participants are planning to meet across Montgomery County (list may not include all locations). To view all locations and details, visit https://www.nokings.org and type in your zip code. Please note different locations have slightly different times. There is also a resource guide and facts about understanding rights as a protester here: https://www.nokings.org/kyr
Sat, Oct 18
12850 Middlebrook Road
Germantown, MD 20874
12:00 PM — 3:00 PM EDT
Sat, Oct 18
2:00 PM — 4:00 PM EDT
United Church of Christ Seneca Valley
Germantown, MD 20874
Sat, Oct 18
19701 Fisher Ave
Town flagpole
12:00 PM — 2:00 PM EDT
Sat, Oct 18
Exit 12/Watkins Mill Rd/N, I-270
Gaithersburg, MD 20879
2:00 PM — 5:00 PM EDT
NO KINGS Muddy Branch I270 Overpass Banner Drop
Saturday, October 18
2 – 5pm EDT
Muddy Branch I270 Overpass
389 Muddy Branch Rd
Gaithersburg, MD 20878
NO KINGS Rockville MD
Saturday, October 18
11am – 1pm EDT
Frederick Road & Redland Boulevard
Rockville, MD 20850
NO KINGS Olney, MD
Saturday, October 18
2 – 4:30pm EDT
Georgia Avenue & Olney Laytonsville Road
Olney, MD 20832
NO KINGS North Bethesda
Saturday, October 18
10am – 1pm EDT
Strathmore Avenue & Rockville Pike
North Bethesda, MD 20895
NO KINGS Takoma Park
Saturday, October 18
11am – 1pm EDT
New Hampshire Avenue & Sligo Creek Parkway
Takoma Park, MD 20912
NO KINGS NIH –Defend Medical Research
Saturday, October 18
10am – 12pm EDT
NIH/Medical Center Metro stop
Rockville Pike
Bethesda, MD 20814
NO KINGS Chevy Chase! Line the Streets: Connecticut Ave.
Saturday, October 18
10am – 12pm EDT
Connecticut Avenue & East-West Highway
Chevy Chase, MD 20815
Sat, Oct 18
11:00 AM — 1:00 PM EDT
Leisure World Plaza
Silver Spring, MD 20906
Zeina Davis | President 240-535-8847 www.mosaiccreativeagency.com Instagram: @mosaiccreativeagency
Governor Wes Moore Celebrates Opening of $12.5M AV Defense Facility in Germantown, Bringing 200 New Jobs - The MoCo Show
The MoCo Showhttps://mocoshow.com/2025/07/16/governor-wes-moore-celebrates-opening-of-12-5m-av-defense-facility-in-germantown-bringing-200-new-jobs/
On Wednesday, Governor Wes Moore joined AeroVironment (AV) to celebrate the grand opening of its $12.5 million defense research and manufacturing facility in Germantown, which is expected to create over 200 high-tech jobs and expand the company’s statewide workforce to 600. The project represents a major investment in Maryland’s aerospace and defense sector and received support from both state and county economic development programs.Per the news release distributed on Wednesday, July 16: “Governor Wes Moore today jo...
On Wednesday, Governor Wes Moore joined AeroVironment (AV) to celebrate the grand opening of its $12.5 million defense research and manufacturing facility in Germantown, which is expected to create over 200 high-tech jobs and expand the company’s statewide workforce to 600. The project represents a major investment in Maryland’s aerospace and defense sector and received support from both state and county economic development programs.
Per the news release distributed on Wednesday, July 16: “Governor Wes Moore today joined global defense technology leader AV, also known as AeroVironment, to mark the official grand opening of its $12.5 million next-generation defense research and manufacturing facility in Germantown, Maryland. The 57,000-square-foot facility represents a significant milestone for AV and a major investment in Maryland’s lighthouse industries, as the is expected to create more than 200 high-tech, high-paying jobs—bringing the company’s statewide employment to 600 workers.
“AV’s reinvestment in Maryland strengthens our state’s position as a global hub for aerospace and defense,” said Gov. Moore. “By expanding its footprint in Germantown, AV continues to drive innovation in cyber, aviation, and emerging tech — creating high-skilled jobs and keeping Maryland at the forefront of cutting-edge research and discovery.” AV is a defense technology leader across air, land, sea, space, and cyber. The company develops and deploys autonomous systems, advanced cyber and electronic technologies, space-based platforms, and energy systems to meet defense mission needs. With a national manufacturing footprint and a deep innovation pipeline, AV delivers future-defining defense capabilities at speed and scale, with precise operational relevance.
“We are thrilled to celebrate this grand opening alongside so many esteemed partners and stakeholders who helped make this expansion happen, most notably our dedicated team of engineers and innovators whose ingenuity supports not only AV’s growth but our nation’s security,” said AV Real Estate and Facility Operations Vice President Deane Edelman. “This facility is more than a building—it is a hub for innovation, collaboration, and mission-driven work that will shape the future of defense technology.”
The expansion is part of AV’s continued growth following its May acquisition of BlueHalo and reflects the company’s deep commitment to advancing national security capabilities through next-generation technology. The facility’s advanced engineering labs, production spaces, and collaborative environments will accelerate mission-critical technologies like its PANTHER phased array antenna for hypersonic tracking and telemetry; Argus perimeter security system; and many of its artificial intelligence solutions.
“AV is focused on addressing the Department of Defense’s highest national security priorities,” said AV Space, Cyber, and Directed Energy Segment President Trip Ferguson. “That’s why we’re not only dedicated to the development of critical defense technologies, like autonomous systems, counter-drone systems, and space capabilities, but also to strengthening U.S. defense manufacturing capabilities. This new state-of-the-art facility in Maryland is another capstone in AV’s nationwide manufacturing network and a testament to the strength of our nation’s Defense Industrial Base.”
The Moore-Miller Administration supported the project through a $1 million conditional loan from the Maryland Department of Commerce’s Advantage Maryland program and a $50,000 grant through the Partnership for Workforce Quality program. Montgomery County also provided a $100,000 conditional grant through its Economic Development Fund.
“On behalf of the State of Maryland, we are proud to support AV’s expansion in Montgomery County. This new facility’s impact on autonomous systems and cybersecurity services will keep our state competitive and thriving with cutting-edge technology,” said Maryland Department of Commerce Secretary Harry Coker, Jr. “And with the addition of 200 new highly-skilled jobs, Maryland will remain a Mid-Atlantic leader in the aerospace and defense industry.”
“As we continue to expand R&D and manufacturing in Montgomery County, especially in advanced fields like biotechnology and aerospace communications, we are excited to welcome AV to our community,” said Montgomery County Executive Marc Elrich. “We appreciate their recognition of our strong talent pool and welcome them as an employer of more than 200 high-tech workers in Germantown.”
“Montgomery County proudly celebrates innovation and investments in cutting-edge research and technologies,” said Montgomery County Council President Kate Stewart. “BlueHalo’s momentous expansion will boost our economy and bring high-paying, highly skilled jobs and attract top talent to Montgomery County.”
The new Germantown facility is AV’s seventh Maryland location, with additional offices in Annapolis Junction, Columbia, Jessup, and Stevensville—bringing the company’s statewide footprint to more than 176,000 square feet. AV employs 3,750 individuals in 30 U.S. locations across 14 states built to design, manufacture, and deliver next-generation technologies to serve the nation’s most critical missions.
“Congratulations to AV on the opening of their facility here in Germantown,” said Minkoff Development Co-President and Montgomery County Economic Development Corporation Board Member Andy Chod. “Minkoff Development is proud to have built this state-of-the-art building and MCEDC looks forward to continuing to support AV’s business needs as they transition into this new facility. Montgomery County is home to many of the top defense technology companies in the nation, and AV’s continued growth and investment in this area is a testament to the county’s dynamic and innovative business ecosystem.”
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