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 McLean, VA
$15 Million McLean Mansion on the Potomac | Live Simulcast Estate Auction
patch.comhttps://patch.com/virginia/fairfaxcity/calendar/event/20260118/e29a5605-c84f-4a31-946c-2917867417b3/15-million-mclean-mansion-on-the-potomac-downsizing-online-auction
CLICK HERE TO VIEW THE AUCTION CATALOG After 50 years, one of the area's truly historic McLean mansions on the Potomac is changing hands—creating a rare opportunity to acquire refined estate furnishings and décor from a long-held private residence.This Live Simulcast Estate Auction features a curated collection of European furniture and decorative arts, showcasing timeless craftsmanship, elegant materials, and classic design. Throughout the sale you'll find period-inspired pieces, ...
CLICK HERE TO VIEW THE AUCTION CATALOG
After 50 years, one of the area's truly historic McLean mansions on the Potomac is changing hands—creating a rare opportunity to acquire refined estate furnishings and décor from a long-held private residence.
This Live Simulcast Estate Auction features a curated collection of European furniture and decorative arts, showcasing timeless craftsmanship, elegant materials, and classic design. Throughout the sale you'll find period-inspired pieces, quality Persian rugs, Venetian glass, and a strong mix of art, collectibles, and designer items thoughtfully preserved over decades in an exceptional home.
Highlights include European furniture and décor, fine rugs, art, and luxury accessories—including Chanel and Salvatore Ferragamo—along with additional designer pieces and estate treasures from multiple rooms.
Whether you're a collector, interior designer, or discerning buyer seeking authentic estate provenance, this sale brings together beauty, history, and opportunity—all available to bid live or online.
CLICK HERE TO VIEW THE AUCTION CATALOG
Featured Categories
European furniture & décor (classic, traditional, and period-inspired) • Quality Persian rugs • Venetian glass & decorative objects • Art & collectibles • Designer fashion & accessories (Chanel, Salvatore Ferragamo, and more) • Additional curated estate pieces throughout the home
Key Dates
Live Simulcast Auction: Sunday, January 18th at 1:00 PM (ET)
McLean Pickup: Saturday, January 24th | 11:00 AM – 3:00 PM (ET)
All items sold as-is. 20% Auction Premium. Please review full terms and pickup/shipping options prior to bidding.
Prime Auction Solutions703.889.8949 | primeauctionsolutions.com
Register today and start building your watchlist—this is a rare opportunity to acquire investment-quality pieces from one of the region’s most impressive private collections.
NoVA High School Students Can Apply For CFNOVA Scholarships
patch.comhttps://patch.com/virginia/mclean/nova-high-school-students-can-apply-cfnova-scholarships
High-school students from Northern Virginia may now select from more than 30 CFNOVA scholarship funds to apply.Press Release: Northern Virginia – The Community Foundation for Northern VirginiaNorthern Virginia – The Community Foundation for Northern Virginia (CFNOVA) has announced that the 2026 Scholarship Cycle is officially open, starting today January 12, 2026. High-school students from Northern Virginia may now select from over thirty CFNOVA scholarship funds to apply. Individual scholarship a...
High-school students from Northern Virginia may now select from more than 30 CFNOVA scholarship funds to apply.
Press Release: Northern Virginia – The Community Foundation for Northern Virginia
Northern Virginia – The Community Foundation for Northern Virginia (CFNOVA) has announced that the 2026 Scholarship Cycle is officially open, starting today January 12, 2026. High-school students from Northern Virginia may now select from over thirty CFNOVA scholarship funds to apply. Individual scholarship awards range from $1,200 to $5,000 for students interested in a specific field of study at the undergraduate level or with specific interests.
Some scholarships are renewable for up to four years. The deadline to apply for funding is March 5, 2026.
The Community Foundation engages dozens of dedicated volunteers to thoughtfully review scholarship applications for its managed funds, while also collaborating with school administrators and donor partners who oversee their own selection processes—ensuring transparency, fairness, and integrity every step of the way. Please see the full list of scholarship funds and learn more at www.cfnova.org.
ABOUT THE COMMUNITY FOUNDATION FOR NORTHERN VIRGINIAThe Community Foundation for Northern Virginia is building a region that works for everyoneby advancing equity through philanthropy and community leadership. Since 1978, we haveunited thousands of generous Northern Virginians with the causes they care about throughdonor-advised funds, permanent funds, giving circles, and charitable endowments. We cultivateenduring partnerships with nonprofits, foundations, government, businesses, and communitymembers, maximizing impact to drive meaningful change. Through Insight Region®, our originalresearch initiative, we deliver data-driven insights that reveal the trends and issues shapingNorthern Virginia’s future. The Community Foundation proudly serves all Northern Virginians inArlington, Fairfax, Loudoun and Prince William Counties and the Cities of Alexandria, Fairfax,Falls Church, Manassas, and Manassas Park. Learn more at cfnova.org.
Luxury watch con ends with McLean man sentenced to nearly two years in federal prison
News Traffic Weatherhttps://wtop.com/virginia/2026/01/luxury-watch-con-ends-with-mclean-man-sentenced-to-nearly-two-years-in-federal-prison/
A McLean, Virginia, resident was sentenced Thursday to a year and nine months in federal prison for mail fraud after prosecutors say he carried out a sprawling luxury watch scam.Jaivin Raj Karnani, 45, used multiple American Express accounts — including two cards under his mother’s name, according to court documents — that bilked the credit card company and a famed London retailer out of more than $1.2 million in luxury watches.“This case demonstrates how the abuse of consumer-protection systems inflicts...
A McLean, Virginia, resident was sentenced Thursday to a year and nine months in federal prison for mail fraud after prosecutors say he carried out a sprawling luxury watch scam.
Jaivin Raj Karnani, 45, used multiple American Express accounts — including two cards under his mother’s name, according to court documents — that bilked the credit card company and a famed London retailer out of more than $1.2 million in luxury watches.
“This case demonstrates how the abuse of consumer-protection systems inflicts widespread financial harm — driving up costs, eroding trust and burdening honest businesses,” Lindsey Halligan, U.S. Attorney for the Eastern District of Virginia, said in a statement.
Prosecutors said Karnani used American Express cards to buy watches from Harrods Limited, the iconic London department store known for its upscale brands.
But, once the watches were delivered to his McLean home, Karnani falsely reported to American Express that he never received them, all in order to trigger credit card disputes and erase the charges.
Karnani placed orders under his own name, as well as under aliases like “Quinn Bash” and “Steve Johnson,” and then tried to resell the watches to luxury dealers in Michigan and New York, prosecutors said.
How the scam unfolded
Between late 2022 and mid-2024, federal authorities said Karnani falsely charged roughly $1,280,648 worth of luxury watches — including brands like Rolex, Gucci, Omega, Chanel, Tudor and Porsche Design.
After disputing the charges with American Express, the disputes ultimately led to more than $850,000 in losses for the credit card company and more than $426,000 in losses for Harrods.
The scheme also included an abuse of the charge-back process tied to legal fees, which prosecutors said later resulted in civil judgments against Karnani.
In addition to his federal prison sentence, Karnani must forfeit the full amount of the fraudulent purchases — $1,280,647.99 — and 23 luxury watches seized from his McLean residence, officials said.
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