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 in Prince George's County, MD
Prince George’s County admits botching snow storm response
John Domenhttps://wtop.com/prince-georges-county/2025/01/prince-georges-admits-botching-snow-storm-response/
Two weeks after a big storm dumped several inches of snow across Prince George’s County, Maryland, residents and elected leaders are still hot about the response efforts that went into clearing all the snow and ice off the roads.The man in charge of it all, Public Works and Transportation Director Michael Johnson, admitted Wednesday the county “fell short.”In...
Two weeks after a big storm dumped several inches of snow across Prince George’s County, Maryland, residents and elected leaders are still hot about the response efforts that went into clearing all the snow and ice off the roads.
The man in charge of it all, Public Works and Transportation Director Michael Johnson, admitted Wednesday the county “fell short.”
In terms of the actual snow removal, “inadequate resources” were blamed for the delay, combined with the type of storm that hit.
Johnson told the Prince George’s County Council that in some cases, the county doesn’t have enough large six and 10-wheel dump trucks that can be hooked up to plows to clear off the busier roads that the county is responsible for — while also hitting secondary and residential streets.
That’s why the county prioritized the busiest roads first, but the storm that started Jan. 5 and continued into the next day kept dropping more snow on those roads, keeping crews from hitting residential roads.
“This challenged our ability to deliver consistent outcomes across all neighborhoods,” Johnson said. “We’re not able to tackle both sets of streets, classes of streets, with our current compliment of equipment.”
But he said the county will need to start doing that during future snow events.
“It’s essential that those roads are dealt with, primary and secondary,” Johnson said. “However it’s also important that people are able to get medicine or that you’re able to get about.”
He said some of the problems were worsened by people driving on top of roads that hadn’t been treated yet, packing the snow and turning it into ice. Hiring enough contractors to plow certain areas can also be hard since private companies and other jurisdictions might pay more.
Johnson testified that county residents were failed by a plow tracking system that is supposed to keep people informed about the current state of operations online. He said that software glitch has been fixed.
And the county will keep more of a magnesium chloride salting solution, which can better melt ice on roads during extremely cold weather. However, he admitted it’s also rougher on roads and the environment.
Almost as frustrating for some members of the council was the county’s 311 response, which one resident described as “dismissive” when it was being relied on the most.
“People have talked about the lack of communication,” said District 1’s Tom Dernoga. “This is typical of 311. Not just with this. People file a 311 complaint, it gets closed out with no explanation.”
“They filed the 311 complaint, and it got closed out, no plow, no treatment, no anything, and no explanation,” Dernoga added. “Unless they’re all entering them incorrectly.”
Johnson said, sometimes, the 311 complaint filed doesn’t actually spell out a grievance.
Dernoga said it’s also a problem when complaints are filed with other agencies.
“There’s nothing more frustrating to a constituent than filing a complaint and having it closed with no explanation and your complaint is not resolved,” Dernoga said.
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John started working at WTOP in 2016 after having grown up in Maryland listening to the station as a child. While he got his on-air start at small stations in Pennsylvania and Delaware, he's spent most of his career in the D.C. area, having been heard on several local stations before coming to WTOP.
Maryland State Board of Elections Announces Critical Voting Dates for Prince George’s County Special Election
Maryland State Board of Electionshttps://thebaynet.com/prince-georges-county-special-election-2025/
PRINCE GEORGE’S COUNTY, Md. – The Maryland State Board of Elections (SBE) announced key voting information for the upcoming Prince George’s County Special Election, emphasizing the importance of understanding voting methods and deadlines to ensure a smooth and accessible voting process. The primary election will be held on March 4, 2025, with ballots being mailed to every eligible Prince George’s County voter in late January.“The Prince George’s County Special Election is a vote-by-...
PRINCE GEORGE’S COUNTY, Md. – The Maryland State Board of Elections (SBE) announced key voting information for the upcoming Prince George’s County Special Election, emphasizing the importance of understanding voting methods and deadlines to ensure a smooth and accessible voting process. The primary election will be held on March 4, 2025, with ballots being mailed to every eligible Prince George’s County voter in late January.
“The Prince George’s County Special Election is a vote-by-mail election,” said State Administrator Jared DeMarinis. “We are encouraging all Prince George’s County eligible voters to vote by mail or make a plan to vote. We encourage voters to vote by mail in this special election. 19 ballot drop boxes are conveniently located throughout the county. Additionally, our team is here to answer any questions and provide support to ensure every voter’s voice is heard. We are the trusted source of electoral information.”
Three Ways to Vote
While the primary method is vote by mail for the Special Election, voters in Prince George’s County can participate through three safe and secure methods: in-person early voting, mail-in voting, and in-person voting on Election Day.
Important Deadlines and Voting Details:
Mail-In Voting:
· Every eligible Prince George’s County voter will receive a mail in ballot that will include a postage pre-paid return envelope. A voter did not need to make any request for the ballot. It is automatically sent to the voter in a vote by mail election. Around 502,000 ballots are being sent in this election.
· Mail-in ballots returned by mail must be postmarked no later than 8 p.m. on Election Day.
· Ballots returned by hand must be delivered to a ballot drop box or the local board of elections office by 8 p.m. on Election Day. Drop box locations can be found on SBE’s website athttps://elections.maryland.gov/elections/special_elections.html
· The deadline to receive a mail-in ballot by mail to an address other than the address of record is February 25.
Vote Early In-Person:
· Early voting will be held from February 26 – March 3, 2025 at nine voting centers.
· Early voting centers will be open 10 am – 8 pm Wednesday through Saturday (and the Monday before Election Day) and 12 pm – 6 pm on Sunday. A complete list of early voting locations is available on the SBE website at https://elections.maryland.gov/elections/special_elections.html.
Vote on Election Day:
· Primary Election Day is scheduled for March 4, 2025. Nine Voting Centers will be open from 7 a.m. to 8 p.m.
· A complete list of early voting locations is available on the SBE website at https://elections.maryland.gov/elections/special_elections.html.
Register to Vote
The advanced voter registration deadline for the Special Election is February 11. Mailed registrations must be postmarked by this date. To register or check the status of your voter registration, visit SBE’s online voter registration system at https://voterservices.elections.maryland.gov/OnlineVoterRegistration/InstructionsStep1.
Same-day voter registration is also available during early voting and on Election Day. Voters registering at a voting center must bring a document that confirms their residency, such as a utility bill or bank statement.
Town of Cheverly suing Bladensburg over annexation of 'Hospital Hill'
Jillian Smithhttps://www.fox5dc.com/news/town-cheverly-suing-bladensburg-control-hospital-hill
Town of Cheverly suing Bladensburg over 'Hospital Hill' siteThe town of Cheverly has filed a lawsuit against the town of Bladensburg as the battle continues over 'Hospital Hill' — the tract of land where the old Prince George's County sits. The two towns have been fighting for control of the site, which currently belongs to Prince George’s County.The BriefPRINCE GEOREGE'S CO., Md. - The town of Cheverly has filed multiple lawsuits against the town of Bladensbu...
Town of Cheverly suing Bladensburg over 'Hospital Hill' site
The town of Cheverly has filed a lawsuit against the town of Bladensburg as the battle continues over 'Hospital Hill' — the tract of land where the old Prince George's County sits. The two towns have been fighting for control of the site, which currently belongs to Prince George’s County.
The Brief
PRINCE GEOREGE'S CO., Md. - The town of Cheverly has filed multiple lawsuits against the town of Bladensburg as the battle continues over 'Hospital Hill' — the tract of land where the old Prince George's County sits.
The two towns have been fighting for control of the site, which currently belongs to Prince George’s County. Bladensburg and Cheverly both want to annex the property, which they see as prime real estate that could see millions of dollars in new developments.
In its lawsuits, the town of Cheverly alleges that Bladensburg illegally annexed the land. In the suit, Cheverly accuses Bladensburg of:
"These actions will cause severe economic damage to the residents of Cheverly, Prince George’s County, and the State of Maryland, resulting in economic losses amounting to millions of dollars. The unlawful annexation has jeopardized a critical development project intended to serve as a gateway to Prince George’s County. As a result, the project now faces termination or significant redesign, putting its viability in question," a news release from Cheverly leaders reads.
RELATED: Bladensburg, Cheverly could head to court over 'Hospital Hill'
The lawsuits also allege that Bladensburg’s conduct was "knowing and intentional, with the purpose of harming the interests of Cheverly and its residents."
Back in December, Cheverly sent Bladensburg a cease and desist letter accusing the town of failing to meet the requirements to annex Hospital Hill. For one, they say 295 prevents Bladensburg from physically connecting to the land, which is required by law to annex.
But Bladensburg says they've got case law and other examples in Maryland on their side.
Bladensburg's attorney tells FOX 5 that, "the proposed annexation of what is often called the Hospital Hill property will create a legal enclave of unincorporated territory. It is permitted and there appears to be others like it in Maryland."
Bladensburg Mayor Takisha James previously told FOX 5 she is willing to take this all the way to the Maryland Supreme Court if she has to.
"If a house is on the market for five to 10 years and I’m admiring the dream house, I’m saving my money, I’m doing all these things because one day I want to buy that house and then you come along and you’re a motivated buyer, you have the resources and you proceed to put a contract on that house in the down payment, I can’t be upset with you because you took action," James said.
Cheverly Mayor Kayce Munyeneh has argued that Bladensburg doesn't have the right to annex the land for several reasons, including because I-295 prevents Bladensburg from physically connecting to the land, which is required by law to annex.
"The Town of Cheverly remains committed to ensuring that development and annexation processes are conducted lawfully and in the best interests of the community," Munyeneh said in Tuesday's news release. "We cannot stand by while actions that violate state law and harm our residents go unchecked. This lawsuit is a necessary step to hold Bladensburg accountable for their actions."
The Source: Town of Cheverly press release, FOX 5 reporting
Cheverly sues Bladensburg over attempt to annex Hospital Hill site
wusa9.comhttps://www.wusa9.com/article/news/politics/cheverly-sues-bladensburg-hospital-hill-annexation/65-7fe33e84-524a-4fd2-b4cc-a22cc6135922
The towns are battling over the half-billion-dollar development.More VideosCHEVERLY, Md. — The town of Cheverly is officially suing its neighbor, the town of Bladensburg, over its attempt to annex a half-billion-dollar development.It used to be the Prince George’s Hospital Center, located just off of the Balt...
The towns are battling over the half-billion-dollar development.
More Videos
CHEVERLY, Md. — The town of Cheverly is officially suing its neighbor, the town of Bladensburg, over its attempt to annex a half-billion-dollar development.
It used to be the Prince George’s Hospital Center, located just off of the Baltimore-Washington Parkway and overlooking Southeast D.C. After the hospital moved to Largo in 2021, the former location, known as Hospital Hill, became an attractive site for redevelopment.
So attractive that the leaders of two towns made plans to annex the site.
Cheverly has been talking about annexing the site since at least January 2021, before the hospital even moved locations. The town had been working toward annexation, but put the plan on pause when the Redevelopment Authority, County Council Chair and County Executive’s office asked the town to wait until after the development concluded.
But then in October 2024, Bladensburg also made a plan to make Hospital Hill a part of their town, unbeknownst to the leaders of Cheverly. When they found out ahead of a public hearing on a Bladensburg annexation in December, the town promised to sue if Bladensburg moved forward.
Now, Cheverly has filed multiple lawsuits against Bladensburg, claiming the neighboring town intentionally and illegally harmed Cheverly.
The suits allege the town failed to comply with state law requirements on notifying Cheverly; that it disregarded legal standards, improperly handling the public hearing process; illegally tried to annex federal property; illegally tried to annex non-contiguous property; and tried to create an illegal enclave.
Cheverly claims in the suits that Bladensburg’s actions have threatened the development project, alleging it now faces termination or significant redesign. The town complained the attempted annexation will cause severe economic damage to Cheverly residents, Prince George’s County and Maryland state.
Prince George’s County Councilmember Jolene Ivey says the county always planned on having Cheverly annex the development. When Bladensburg’s plans were announced, the councilmember called the move "bizarre," "out of left field" and "not expected and not welcome."
The project was designed to bring 1,300 homes, a hotel, retail complex, as well as trails and open space to Hospital Hill. It was approved by the Maryland National Capital Park and Planning Commission, is supported by Prince George's County and is being developed by county-pick Urban Atlantic.
RELATED: Bladensburg delays hearing as controversy explodes over annexation plan
RELATED: Bladensburg's mayor stands firm on annexation for 'Hospital Hill'
WSSC Water lifts essential water use order in Maryland
wusa9.comhttps://www.wusa9.com/article/news/local/maryland/wssc-water-works-to-fix-water-main-leaks-southern-maryland/65-b2592403-224f-4854-bb78-2b2c00d3b8e6
Prince George’s and Montgomery counties were under an Essential Water Use Only advisory since Sunday.PRINCE GEORGE'S COUNTY, Md. — WSSC Water crews have been crisscrossing Prince George’s and Montgomery counties all day, trying to keep up with persistent reports of broken water lines.On Monday evening, WSSC Water announced that...
Prince George’s and Montgomery counties were under an Essential Water Use Only advisory since Sunday.
PRINCE GEORGE'S COUNTY, Md. — WSSC Water crews have been crisscrossing Prince George’s and Montgomery counties all day, trying to keep up with persistent reports of broken water lines.
On Monday evening, WSSC Water announced that due to the public's water-conservation efforts the essential-water-use-only was lifted. In a statement they said the water distribution system demand and pressure have stabilize and water storage levels have returned to normal.
Earlier that day, WUSA9 spoke with neighbors in Prince George's County about the water main breaks.
Doris Baker-Ortiz has been living in her Woodlawn neighborhood in Hyattsville for more than 30 years, and she says this scene isn’t new for her.
“I came halfway out and asked 'what was the problem,' and he said water main break, and I said, again?” she said with a smile.
WSSC Water says this is usually the time of year when most water main breaks happen, however, 200 breaks have already occurred since the year started, with 166 of those happening since Wednesday.
On Monday, the company reported 69 water main breaks throughout Prince George’s and Montgomery counties.
On Sunday night, the utility company put out an Essential Water Use Only advisory to make sure enough water was in the system for potential fire protection.
“Sunday is the day of the week where our customers use the most water; that was not a surprise,” said Lyn Riggins of WSSC Water. “However, they were using a little more than they normally use, and at the same time, we had so many water main breaks and leaks that our system was losing water at the same time our customers were demanding.”
Since Doris has seen this before, she already knows what to do, she also has some advice for folks who are dealing with their water being cut off for the first time.
“If it’s yellow, it can stay around, if it’s brown, I need to flush it down, so I have jugs that I have put water in and stored them in the bathroom,” she said. “Rest. Take a nap. Sleep. It may be off for an hour, call a friend.”
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