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 Hagerstown, MD
Hitachi Rail Digital Rail Factory Grand Opening to Create More than 500 Direct Advanced Manufacturing Jobs in Maryland
maryland.govhttps://governor.maryland.gov/news/press/pages/Hitachi-Rail-Digital-Rail-Factory-Grand-Opening-to-Create-More-than-500-Direct-Advanced-Manufacturing-Jobs-in-Maryland.aspx
ANNAPOLIS, MD — Governor Wes Moore and Hitachi Rail today celebrated the grand opening of a flagship 300,000 square-foot digital production facility in Hagerstown. The factory represents a total investment of $100 million from Hitachi Rail, creating more than 500 advanced manufacturing roles, sustaining more than 1,300 local jobs, and generating approximately $350 million in annual wages throughout the region.“Today, we celebrate a major milestone in the partnership between Hitachi and the state of Maryland,” ...
ANNAPOLIS, MD — Governor Wes Moore and Hitachi Rail today celebrated the grand opening of a flagship 300,000 square-foot digital production facility in Hagerstown. The factory represents a total investment of $100 million from Hitachi Rail, creating more than 500 advanced manufacturing roles, sustaining more than 1,300 local jobs, and generating approximately $350 million in annual wages throughout the region.
“Today, we celebrate a major milestone in the partnership between Hitachi and the state of Maryland,” said Gov. Moore. “Hitachi Rail's new Hagerstown factory will not only create hundreds of jobs and power the region's transit infrastructure with railcars equipped with cutting-edge technology, but it affirms Maryland's position as a premier location for global investment in the industries of the future.”
Founded in 1910, Hitachi, Ltd. has evolved into a global leader in innovation, offering solutions in digital transformation, AI, and sustainability. Hitachi Rail’s new facility is strategically located in Washington County—a regional hub for distribution and logistics—and marks a significant business expansion for the company in North America. The next-generation train factory will immediately begin fulfilling orders to deliver fleets of railcars to metro rail systems across the continent, including D.C. Metro and Baltimore Metro SubwayLink. Each railcar will feature an AI-powered video analytics suite with innovative anti-collision and proximity alert technology to help riders reach their destinations safely.
As part of its cumulative investment, Hitachi Rail dedicated more than $30 million for digital enhancements to make its Hagerstown factory the company’s most advanced in its global network. Earlier today, Lieutenant Governor Aruna K. Miller joined Hitachi executives and public officials for the grand opening of the site, which included a tour of both the lighthouse digital factory and customer experience center.
“Governor Moore was here in 2023 when this site was a work in progress—and today it’s a workplace for progress,” said Lt. Gov. Aruna K. Miller. “This facility will build railcars that will power transit across North America and is the result of what happens when global vision meets local talent.”
Leveraging technology provided by GlobalLogic and Hitachi Digital Services, the facility will monitor manufacturing and supply chain processes automatically, providing full transparency and quality assurance for its products. These enhancements also power an immersive digital customer experience center on the site’s grounds, which uses AI to showcase the capabilities of Hitachi’s products to visitors and respond to audience feedback in real time.
Hitachi Rail has pledged to make its Hagerstown production facility carbon-neutral, obtaining energy either from solar panels installed onsite or by exclusively procuring it from renewable sources. Facility operators will closely monitor electricity and water consumption using H-Vision, an AI analytics system built by Hitachi to provide specialized energy waste management solutions. Through efficient energy use, a plan to plant more than 400 trees and trellises around the Hagerstown site, and zero landfill waste from the first day of operations, Hitachi expects to save more than 800,000 kilograms of carbon dioxide emissions each year.
“The Hagerstown factory acts as a lighthouse for the unique power and capabilities of Hitachi,” said Hitachi, Ltd. President and Chief Executive Officer Toshiaki Tokunaga. “Combining our deep strength in digital and AI with the expertise of our rail business has enabled us to deliver an evolution in manufacturing. The shared vision and collaboration across our business to deliver the technology in this facility underlines how we can deliver ever greater value to our customers and society.”
“Our $100M Hagerstown site represents a strategic investment in North America, sustaining 1,300 jobs and delivering the next generation of rail manufacturing,” said Hitachi Rail Group Chief Executive Officer Giuseppe Marino. “The site is carbon neutral and harnesses the impressive capabilities of the Hitachi Group to ensure our customers benefit from smart manufacturing powered by transformative digital and AI technologies. Able to deliver up to 20 rail cars per month, the factory will be working at full pace to deliver important railcar contracts across North America, including in the Washington D.C. region.”
During Governor Moore’s first international trade mission to Japan and the Republic of Korea in April, he joined global Hitachi leadership to discuss opportunities to further advance economic competitiveness—particularly within the clean energy and information technology sectors. Yesterday, the governor welcomed Hitachi’s leadership to Camden Yards to celebrate the Hagerstown facility opening and reaffirm the Moore-Miller Administration’s commitment to continued partnership.
In 2023, trade between Maryland and Japan reached a total value of more than $6.1 billion, supporting more than 5,500 jobs in the state. At least 33 Japanese-owned enterprises have established a presence in Maryland, investing more than $1.1 billion to build new facilities, labs, and offices in the last 20 years. These businesses continue to support roughly 4,900 Maryland-based careers, many of which are in the life sciences and manufacturing industries.
US Metro system to gain new fleet as $100M Hitachi factory opens in Hagerstown
Kelly Vaughenhttps://www.wusa9.com/article/traffic/mission-metro/hitachi-rails-hagerstown-plant-set-to-deliver-new-metro-cars-dc-maryland/65-f12bd7e1-2248-48c9-b1c8-5a36248efb91
Hitachi Rail opened a $100 million factory in Hagerstown Monday to produce new Metro rail cars for D.C. and other cities.HAGERSTOWN, Md. — D.C. is a big step closer to getting new Metro rail cars. The facility that will make the rail cars had their grand opening in Hagerstown on Monday.The $100 million Hitachi Rail factory will be making rail cars that will be delivered across the country, including Philadelphia, Baltimore, and D.C.The brand new 307,000-square-foot facility will build WMATA’s new 8000 series ...
Hitachi Rail opened a $100 million factory in Hagerstown Monday to produce new Metro rail cars for D.C. and other cities.
HAGERSTOWN, Md. — D.C. is a big step closer to getting new Metro rail cars. The facility that will make the rail cars had their grand opening in Hagerstown on Monday.
The $100 million Hitachi Rail factory will be making rail cars that will be delivered across the country, including Philadelphia, Baltimore, and D.C.
The brand new 307,000-square-foot facility will build WMATA’s new 8000 series cars.
“As a daily Metro rider myself, I'm very excited, because these vehicles are going to allow us to replace the 3000 series trains that have been around since the early 80s," said Randy Clarke, the general manager and CEO of WMATA. "Almost all of the reliability issues we have out on the system are generally a 3000 series car."
Clarke said their first order is for 256 new rail cars, with the first pilot cars coming off the line in 2027.
"We're going to hold them accountable," Clarke said. "We're spending hundreds of millions of dollars on these rail vehicles, we want them to be of the highest quality, safely made, and to work, and not have to have defects when they get there."
The facility will be able to make 20 rail cars each month. It features $30 million in digital technology like AI, 3D printing, and robots like “Spot,” a dog-like robot that works at night inspecting for defects as small as .1 millimeters.
Hitachi's president and CEO said the Hagerstown facility will benefit the entire region, creating around 200 immediate jobs, and around 460 by 2027.
"For our area this is a major investment, not just for today, but for the future," Clarke said. "If you buy a rail vehicle we might have it for 40 years."
Clarke said Maryland sub-suppliers will also be providing parts that will be used to build the trains, furthering the local economy.
Hitachi estimates the facility will generate $350 million in added value for the area.
The company said their facility is carbon neutral and will operate with zero landfill waste. It will also feature an immersive customer experience center, where visitors can learn about how the plant works.
$15 Million Great Falls Downsizing Mansion Online Auction
patch.comhttps://patch.com/maryland/hagerstown-md/calendar/event/20250904/5dfc2f4f-4289-4132-9150-616a39db29bd/15-million-great-falls-downsizing-mansion-online-auction
$15 Million Great Falls Downsizing Mansion Online AuctionSimulcast Online Auction Date & Time: Saturday, September 6 at 3:00 PM ETRegister and Start Bidding Now: https://bid.primeauctionsoluti...Prime Auction Solutions has been entrusted to present the downsizing auction from one of Great Falls’ most prestigious residences — a $15 million luxury mansion. The owners, recognized for having the first American racehorse to win the Dubai Al Quoz Sprint, assembled an impressive ...
$15 Million Great Falls Downsizing Mansion Online Auction
Simulcast Online Auction Date & Time: Saturday, September 6 at 3:00 PM ET
Register and Start Bidding Now: https://bid.primeauctionsoluti...
Prime Auction Solutions has been entrusted to present the downsizing auction from one of Great Falls’ most prestigious residences — a $15 million luxury mansion. The owners, recognized for having the first American racehorse to win the Dubai Al Quoz Sprint, assembled an impressive collection of fine art, equestrian-themed works, rare collectibles, designer furniture, tapestries, and hand-knotted rugs. Now, after downsizing from their 14,000 square foot estate, these exceptional collections are being offered to the public in this remarkable auction.This auction also includes select pieces from other fine collections.
All items are housed in a storage facility outside of Hagerstown, Maryland. Buyers will pick up at this location, and for added convenience, delivery options to the DMV area are available for this auction.Out-of-area buyers can easily arrange delivery after the auction through online marketplaces such as uShip, CitizenShipper, Shiply, or Roadie, where independent carriers bid for your shipment.
Register and Start Bidding Now: https://bid.primeauctionsoluti...
Featured Items Include:
This is a rare opportunity to purchase from one of Northern Virginia’s most distinguished private collections, with pieces that reflect both artistry and history.
Register and Start Bidding Now: https://bid.primeauctionsoluti...
Auction Pickup (Hagerstown area):
Wednesday, September 10 | 11:00 AM – 5:00 PM
Saturday, September 13 | 10:00 AM – 1:00 PM
The collection is now open for bidding – Register & Start Bidding Today
Bid Now at www.PrimeAuctionSolutions.com20% Buyer’s Premium
1-703-889-8949
Don’t miss your chance to own iconic pieces from this $15M Great Falls estate and other collections. Register and bid your price!
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