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
NoVA Chef Chris Morgan Competes On National Culinary TV Show
patch.comhttps://patch.com/virginia/mclean/nova-chef-chris-morgan-competes-national-tv-culinary-show
TYSONS, VA — Chef Chris Morgan of Joon, a modern Persian restaurant located in Tysons, will make his national television debut this week, appearing on "America’s Culinary Cup," a new competitive culinary series.Hosted by Padma Lakshmi, the show will premiere Wednesday at 9:30 p.m. ET on CBS. The series highlights top chefs from across the country who go head-to-head in various high-stakes challenges.Morgan's participation brings national attention to Joon and its culinary offerings. The series aims to show...
TYSONS, VA — Chef Chris Morgan of Joon, a modern Persian restaurant located in Tysons, will make his national television debut this week, appearing on "America’s Culinary Cup," a new competitive culinary series.
Hosted by Padma Lakshmi, the show will premiere Wednesday at 9:30 p.m. ET on CBS. The series highlights top chefs from across the country who go head-to-head in various high-stakes challenges.
Morgan's participation brings national attention to Joon and its culinary offerings. The series aims to showcase diverse culinary talent.
Located in Tysons, Joon is a modern Persian restaurant, which was named as the Best Restaurant in Virginia by the readers of the Washingtonian in 2025.
Also See ...
The New York Times has recognized Joon as one of its Top 50 Favorite Restaurants in America, highlighting our role in bringing Persian cuisine to the national stage.
"America’s Culinary Cup" provides a platform for chefs to demonstrate their skills. The competition format involves challenging culinary tasks designed to test the chefs' abilities. Further details about the specific challenges Chef Morgan will face were not immediately available.
Chef Morgan's appearance on the show marks a significant moment for Joon. It also offers local residents an opportunity to support a chef from their community on a national stage. The show's focus on competitive cooking aligns with current trends in culinary television.
The series is expected to draw a significant audience due to its host and competitive nature. Chef Morgan's role on the program underscores the talent present within the local culinary scene. Community members are encouraged to tune in to watch Chef Morgan compete.
Address: Joon is located at 8045 Leesburg Pike, Suite 120, in Vienna.
Phone: (571) 378-1390
Hours:
Fairfax Legislator Expects Noise Abatement Bill To Pass VA General Assembly
patch.comhttps://patch.com/virginia/mclean/fairfax-legislator-expects-noise-abatement-bill-pass-va-general-assembly
RICHMOND, VA — A bill introduced by Del. Rip Sullivan (D-Great Falls) targeting loud vehicle mufflers is expected to pass the Virginia House of Delegates on Wednesday.Sullivan introduced the legislation in response to frequent constituent complaints about loud mufflers that significantly diminish quality of life.Some mufflers are even modified to sound like "automatic weapon fire," according to Sullivan, leading residents to call 911 fearing "gunplay" in their neighborhoods.House Bill 55 authori...
RICHMOND, VA — A bill introduced by Del. Rip Sullivan (D-Great Falls) targeting loud vehicle mufflers is expected to pass the Virginia House of Delegates on Wednesday.
Sullivan introduced the legislation in response to frequent constituent complaints about loud mufflers that significantly diminish quality of life.
Some mufflers are even modified to sound like "automatic weapon fire," according to Sullivan, leading residents to call 911 fearing "gunplay" in their neighborhoods.
House Bill 55 authorizes a pilot program for the use of noise abatement monitoring systems in specific Virginia localities. The bill amends the Code of Virginia to allow these systems to detect and help enforce exhaust system violations — specifically targeting vehicles emitting noise exceeding 95 decibels.
The legislation establishes the legal framework for how these monitoring systems operate, how the resulting data is handled, and the civil penalties that can be imposed on violators. This act is temporary and is set to expire on July 1, 2028.
Monitoring System Operations
Enforcement and Penalties
Vendor And Administrative Rules
Under the provisions of HB55, the pilot program for noise abatement monitoring is authorized for localities within four specific planning districts. Based on the 2026 regional designations, the eligible counties and cities are:
This district covers the highly populated areas near Washington, D.C.:
This district includes the Piedmont region southwest of Northern Virginia:
Also known as PlanRVA, this district encompasses the greater Richmond metropolitan area:
HB 55 originally included Planning District 15 (Richmond), which includes Charles City, Chesterfield, Goochland, Hanover, Henrico, New Kent and Powhatan counties, and the town of Ashland and the City of Richmond.
When the Senate voted to pass the legislation, it added an amendment to remov District 15. Sullivan will recommend the House accept the change when he introduces the bill for a final vote on Wednesday.
In 2025, both houses of the Virginia General Assembly passed similar noise abatement legislation, but Gov. Glenn Youngkin (R) vetoed it. Although Sullivan hasn't spoken to Gov. Abigail Spanberger (D) about HB55, he expects her to sign it.
"I'm glad that residents of Fairfax will finally have its leaders in power to help address what I think is an issue of real concern to people's quality of life," he said.
Major Luxury Department Store Chain To Shutter 2nd VA Location
Megan VerHelsthttps://patch.com/virginia/mclean/major-luxury-department-store-chain-shutter-2nd-va-location
The company said it plans to shutter 15 locations, just weeks after it announced the closing of nine other stores. The parent company of Saks Fifth Avenue and Neiman Marcus said Friday it plans to close an additional 15 locations, including one in Virginia.The stores will close by the end of May as the retail empire moves through Chapter 11 bankruptcy proceedings, a company spokesperson said.The announcement comes just weeks after Saks Global said it was closing nine locations, including eight Saks Fifth Avenue stores ...
The company said it plans to shutter 15 locations, just weeks after it announced the closing of nine other stores.
The parent company of Saks Fifth Avenue and Neiman Marcus said Friday it plans to close an additional 15 locations, including one in Virginia.
The stores will close by the end of May as the retail empire moves through Chapter 11 bankruptcy proceedings, a company spokesperson said.
The announcement comes just weeks after Saks Global said it was closing nine locations, including eight Saks Fifth Avenue stores and one Neiman Marcus store.
On Friday, Saks Global said it will close 12 more Saks Fifth Avenue stores and three more Neiman Marcus stores as it focuses on its most profitable businesses and trims debt during its bankruptcy restructuring.
The Virginia location included in the latest round of closings is the Saks Fifth Avenue store located in Tysons Galleria. The company previously announced that it planned to close the state's only other Saks Fifth Avenue store, located at Stony Point Fashion Park in Richmond.
The company's Neiman Marcus location at Tysons Galleria is expected to remain open.
The locations targeted for the first round of closings are expected to remain open until the end of April.
With plans to close a total of 24 department stores by spring, that would leave the parent company with 13 Saks Fifth Avenue stores, as well as 32 Neiman Marcus locations.
Saks Global has been shrinking its business since it filed for Chapter 11 bankruptcy in January. Last month, it said it would wind down 14 standalone Fifth Avenue Club personal styling suites, keeping three.
It also shuttered home goods retailer Horchow.com, a business that Neiman Marcus acquired in the late 1980s. As of Feb. 19, shoppers have been redirected to the home category on NeimanMarcus.com.
Additionally, the company is closing down all but 12 of its Saks Off Fifth locations. The remaining outlets will serve primarily as a selling channel for residual inventory from Saks Fifth Avenue, Neiman Marcus and Bergdorf Goodman.
The Associated Press contributed reporting.
Tysons Flore Café Celebrates Anniversary With Cherry Blossom High Tea
patch.comhttps://patch.com/virginia/mclean/tysons-flore-caf-celebrates-anniversary-cherry-blossom-high-tea
Flore Café in Tysons is collaborating with Oasis Sushi & Listening Bar to offer a special High Tea experience and cocktail.TYSONS, VA – Flore Café in Tysons will celebrate its first anniversary this spring by joining the region’s Cherry Blossom festivities. The café will launch a special edition High Tea called “Flore in Bloom” beginning March 8. This will be followed by a popup event at Oasis Sushi & Listening Bar starting March 21.The collaboration between Flore Cafe and ...
Flore Café in Tysons is collaborating with Oasis Sushi & Listening Bar to offer a special High Tea experience and cocktail.
TYSONS, VA – Flore Café in Tysons will celebrate its first anniversary this spring by joining the region’s Cherry Blossom festivities. The café will launch a special edition High Tea called “Flore in Bloom” beginning March 8. This will be followed by a popup event at Oasis Sushi & Listening Bar starting March 21.
The collaboration between Flore Cafe and Oasis Sushi & Listening Bar aims to honor D.C.’s cherry blossom season. The event will combine Flore’s botanical elegance with the modern energy of Oasis. The High Tea service will maintain its European style while incorporating a Japanese twist.
Executive Pastry Chef Oksana Chepoy will integrate the refined artistry of Oasis into the meticulous craftsmanship of Flore’s offerings. Flore Cafe will also undergo an interior transformation to become a cherry blossom sanctuary. This transformation is planned to coincide with the region’s festival.
"We wanted to celebrate our first year by bringing together the botanical elegance of Flore with the modern, rhythmic energy of Oasis," said Tammy Ditsayawathana, founder of Sisters Group, addding that the Cherry Blossom season is a time of renewal and beauty in the community. Ditsayawathana also stated that the collaboration allows them to honor that spirit through a unique cross-cultural lens.
To further acknowledge the Cherry Blossom Festival, which runs from March 20 to April 12, Sisters Tysons will debut a signature cocktail. This drink, named "The Pink Kimono," is a blend of Haku Vodka and Ozeki Nigori, sweetened with sakura syrup and topped with prosecco.
The 14-course progression features delicacies paired perfectly with Bellocq Tea Atelier teas. Highlights include:
Pricing & Reservation Details
Flore Café Tysons is the only destination in D.C. and the DMV to offer European High Tea with a signature Thai influence. It is located within Sisters Tysons’ 8,300-square-foot location at Capital One Center. The menu features pastries, crepes, and afternoon tea service with Thai-European desserts by Chef Oksana Chepoy. The café also offers an exclusive gelato collection with a Thai twist by Chef Lorenzo Franchetti.
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