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 Leesburg, VA
Vino Bistro in Leesburg under new ownership, will become Falcon and Fig
Trevor Baratkohttps://www.insidenova.com/news/loudoun/vino-bistro-in-leesburg-under-new-ownership-will-become-falcon-and-fig/article_2d09a399-35c9-45d8-99d8-33085ad9ea96.html
Vino Bistro restaurant in Village at Leesburg is under new ownership and will eventually become a new Mediterranean concept named Falcon and Fig.The transition began Monday. The restaurant will continue to operate as Vino Bistro for the next several weeks before transforming into Falcon and Fig.“It has been nearly 8 years since we opened the doors of Vino Bistro in the Village at Leesburg and what an incredible 8 years it's been,” Vino Bistro Owner Michael Pearce, who also runs the The Wine House in the city of Fair...
Vino Bistro restaurant in Village at Leesburg is under new ownership and will eventually become a new Mediterranean concept named Falcon and Fig.
The transition began Monday. The restaurant will continue to operate as Vino Bistro for the next several weeks before transforming into Falcon and Fig.
“It has been nearly 8 years since we opened the doors of Vino Bistro in the Village at Leesburg and what an incredible 8 years it's been,” Vino Bistro Owner Michael Pearce, who also runs the The Wine House in the city of Fairfax, said in an email to club members. “We have been incredibly privileged to have been supported by an amazing group of Wine Club members and loyal patrons who have attended our events, from wine festivals to wine tastings and wine dinners, along with other promotions we have hosted over the years. Without such loyal support we would not have made it through the first year of business. Myself and all the team have met such great people and formed friendships with all of you.”
The move has been in the works for several months, Pearce said, adding he’ll be staying on the job for the next few months. Lori Miller, the restaurant’s manager for the past five years, will also be staying on.
According to Pearce’s message, Falcon and Fig aims to “combine elevated dining with curated experiences, including live music and special events.”
One of the new owners is Michelle Reday; several others are also involved in the new group.
“The new owners bring an incredible depth of experience and knowledge in the restaurant industry, which reassures us all of very exciting things to come in this space,” Pearce said in his message. “They will be taking over the operations of Vino Bistro as of Monday … and running all operations as normal under ‘Vino Bistro’ until such a time as they are ready to rebrand and launch their product.”
Where To Watch Baseball In Leesburg This Season
patch.comhttps://patch.com/virginia/leesburg/where-watch-baseball-leesburg-season
Baseball season is back, and fans around Portsmouth have plenty of ways to catch the action — whether that means watching the game at a neighborhood sports bar, heading to a nearby ballpark or supporting youth baseball close to home.Ready to get started? Here are a few ways to enjoy the season around Portsmouth.From lively downtown taverns to casual neighborhood hangouts, the Portsmouth area has several places where fans can grab a bite and keep an eye on the game.TJ's Food & Spirits TJ’s Food &...
Baseball season is back, and fans around Portsmouth have plenty of ways to catch the action — whether that means watching the game at a neighborhood sports bar, heading to a nearby ballpark or supporting youth baseball close to home.
Ready to get started? Here are a few ways to enjoy the season around Portsmouth.
From lively downtown taverns to casual neighborhood hangouts, the Portsmouth area has several places where fans can grab a bite and keep an eye on the game.
TJ's Food & Spirits TJ’s Food & Spirits is a longtime Portsmouth sports bar known for its many TVs, casual menu and relaxed space where fans can settle in to watch the game.
Mojo's West End Tavern Mojo’s West End Tavern is a neighborhood gathering spot with tavern-style food, drinks and a comfortable place for fans to follow the game.
Thirsty Moose Taphouse Thirsty Moose Taphouse in downtown Portsmouth offers plenty of TVs, craft beer and a lively atmosphere for catching the game with friends.
Fans around Portsmouth also have opportunities to catch live baseball within driving distance.
New Hampshire Fisher Cats The New Hampshire Fisher Cats play in nearby Manchester and give Seacoast families an easy Minor League Baseball outing during the season.
Boston Red Sox Many Seacoast baseball fans follow the Boston Red Sox, whose historic home games at Fenway Park are within driving distance of Portsmouth.
Local leagues and community programs help keep baseball active for young players around Portsmouth.
Portsmouth Recreation Tee Ball Portsmouth Recreation offers tee ball for young players, giving local children a chance to learn baseball fundamentals close to home.
Portsmouth Little League Fields New Hampshire District 2 Little League lists Portsmouth field locations including local baseball sites used for youth play in the community.
From youth baseball programs and local fields to neighborhood taverns and nearby ballparks, baseball remains an active part of life around Portsmouth each season.
However you follow the game — at a bar, a ballpark or a neighborhood field — baseball season offers plenty of ways for fans around Portsmouth to join in.
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