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 Linton Hall, VA
Digital Core REIT leases Virginia data center to unnamed cloud provider
Dan Swinhoehttps://www.datacenterdynamics.com/en/news/digital-core-reit-leases-virginia-data-center-to-unnamed-cloud-provider/
Data center real estate investment trust (REIT) Digital Core has secured a new tenant for a data center in Prince William County, Virginia.The Digital Realty-sponsored company this week announced it has reached a 10-year agreement with an unnamed “investment grade global cloud service provider” to occupy the entire facility at 8217 Linton Hall Road in Bristow, Virginia.The agreement will commence on 1 December 2026 and is expected to generate approximately $14.8 million of annualized net property income.&ldqu...
Data center real estate investment trust (REIT) Digital Core has secured a new tenant for a data center in Prince William County, Virginia.
The Digital Realty-sponsored company this week announced it has reached a 10-year agreement with an unnamed “investment grade global cloud service provider” to occupy the entire facility at 8217 Linton Hall Road in Bristow, Virginia.
The agreement will commence on 1 December 2026 and is expected to generate approximately $14.8 million of annualized net property income.
“We are pleased that our Linton Hall facility was well-positioned to meet the needs of this strategically important customer,” said John J. Stewart, CEO of Digital Core REIT Management Pte. Ltd., the manager of Digital Core REIT. “This seamless execution is a direct reflection of the power and support of Digital Realty’s global platform, the underlying strength of data centre fundamentals in core global markets, and the high quality of Digital Core REIT’s portfolio of mission-critical facilities."
Built in 2001, the single-story data center had been occupied by the previous tenant, described as a "Fortune 50 software company," since 2005. The facility totals 207,000 sq ft (19,230 sqm) and offers around 9.6MW. Digital Core REIT last year announced that the current tenant would not be exercising its option to extend its lease on the property.
Singapore-listed Digital Core REIT was set up by Digital Realty to hold a number of its stabilized data centers. The company was seeded with a portfolio of 10 data centers from Digital Realty across the US and Canada in Northern Virginia, Northern California, Los Angeles, and Toronto, totaling more than 1.2 million sq ft (111,484 sqm) and 49MW.
The Linton Hall Road facility was acquired by Digital Realty in 2017 when it bought Dupont Fabros Technology. Previous reports suggest the site had been leased to Microsoft.
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