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 Herndon, VA
Trouble Clefs "Hues in Harmony"
patch.comhttps://patch.com/virginia/herndon/calendar/event/20250328/bbb5587c-d6dc-4be0-96f2-37855e701d0c/trouble-clefs-hues-in-harmony
This post was contributed by a community member. The views expressed here are the author's own.Herndon|Local EventTrouble Clefs, NeighborFri, Mar 28, 2025 at 7:15 PMArts Herndon, 750 Center St, Herndon, VA, 20170...
This post was contributed by a community member. The views expressed here are the author's own.
Herndon|Local Event
- Fri, Mar 28, 2025 at 7:15 PM
- Arts Herndon, 750 Center St, Herndon, VA, 20170
- More info here
Kick off Spring with the Trouble Clefs! Explore connections within art, color, and music through the beautiful harmonies of popular songs from Broadway, radio, TV, and Big Band. Let our kaleidoscope of sound paint your evening in musical hues designed to open your eyes to the beauty of the world around around us.
Show starts at 7:30pm.
Tickets available online at https://trouble-clefs.square.site for $15, or at the door for $20.
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Shomari Stonehttps://www.fox5dc.com/news/tiktok-tunnel-girl-gets-permit-continue-digging-underneath-herndon-home
The BriefTikTok's tunnel girl has finally been granted a permit to continue her work.The backstory:Just over a year ago, the city of Herndon told "Kala" — on TikTok as — to stop digging a tunnel under her home. On Monday, she told FOX 5 that she now has the permit to continue the work.Some people who live in the relatively quiet neighborhood with single-family homes in Herndon say they have some concerns about this project but Kala says she’s moving forwa...
The Brief
TikTok's tunnel girl has finally been granted a permit to continue her work.
The backstory:
Just over a year ago, the city of Herndon told "Kala" — on TikTok as — to stop digging a tunnel under her home. On Monday, she told FOX 5 that she now has the permit to continue the work.
Some people who live in the relatively quiet neighborhood with single-family homes in Herndon say they have some concerns about this project but Kala says she’s moving forward now that the city has given her the green light.
"I paid the fee and my tunnel plans are approved. Finally," Kala said.
What She's Saying:
Kala says she’ll continue to work on the underground tunnel system that’s 22 feet below ground with a 30-foot entrance. Under her house, she says not under her neighbor's property.
After several rounds of plan submissions, Kala – also known on TikTok as the "Tunnel Girl" – shows what she says is the approval from Herndon, including floor and structural plans, along with construction specifications for what she says is a "storm shelter."
Dig deeper:
Kala now has half a million TikTok followers, who have viewed her project videos millions of times. She tells FOX 5 that an engineering assessment done by her engineer shows the structure of the tunnel is sufficient and stable.
"I feel relieved and celebratory. I felt from the beginning that we were making progress because in my first submission to the government, they cam back with 60 comments, and then I resolved those, and then they came back with 30 comments, and then they came back with 12 comments so I always felt that we were moving forward," she said following the inspection.
FOX 5 reached out to the city of Herndon. As of this writing, we have not yet heard back.
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8245 Boone Blvd. Suite 260 Vienna, VA 22182
Phone: (703) 822-5003 | Email: info@proactivwellnesscenters.com
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