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 Prince George's County, MD
Prince George’s County residents raise traffic, safety concerns over proposed Hyde Landing development
Alexis Wainwrighthttps://www.wusa9.com/article/news/community/hyde-landing-development-concerns/65-bde0985c-7cc4-493d-aeb1-99e788e6eac9
Neighbors say they're not opposed to the proposed Hyde Landing subdivision but are urging developers to address growing concerns about traffic and more.CLINTON, Md. — Residents in Prince George’s County say they are raising concerns about a proposed subdivision that could bring hundreds of new homes to Steed Road in Clinton.The development, known as Hyde Landing, is planned for the site of the former Washington Executive Airport. The proposal would transform about 425 acres into a residential community featuring hun...
Neighbors say they're not opposed to the proposed Hyde Landing subdivision but are urging developers to address growing concerns about traffic and more.
CLINTON, Md. — Residents in Prince George’s County say they are raising concerns about a proposed subdivision that could bring hundreds of new homes to Steed Road in Clinton.
The development, known as Hyde Landing, is planned for the site of the former Washington Executive Airport. The proposal would transform about 425 acres into a residential community featuring hundreds of homes, along with green space, trails, community gardens, a solar farm and roughly 60,000 square feet of retail space.
Some longtime residents say they are not opposed to development but want their concerns addressed — particularly when it comes to traffic and infrastructure.
“They telling us it’s going to be an intersection here, which you talking over 500 house going to be over here. And you see the road we have now,” said Jerome Tidwell, president of the Branch Hill Neighborhood homeowners association.
Tidwell said Steed Road’s current two-lane design is already strained and should be expanded.
“Everything come down to just two lanes, and we asking them to widen this out to four lanes all the way through to help ease some of this traffic,” he said.
Other residents echoed similar concerns, saying increased development in the area has already made travel more difficult.
“As we see all these communities coming online, what we’re experiencing is just an influx of traffic on a two-lane road,” said Tamara Davis Brown. “It’s just really difficult for us to get in and out of our communities.”
Residents also worry that heavier traffic could affect emergency response times in surrounding neighborhoods.
Community members say they have met with representatives of NVR Incorporated, the project’s developer, to share their concerns but feel the project still prioritizes development over neighborhood needs.
“We’re not against development but we want it to make sense with us, make sure our community can flow and still maintain a safe environment,” Tidwell said.
In a statement presented during a February planning board meeting, the developer’s attorney, Matthew Tedesco, described Hyde Landing as “a transformative” project that would deliver “significant public benefits” after years of planning, public outreach and agency review.
According to the project website, plans include about five miles of additional roads and improvements to the intersection of Piscataway Road (MD 223) and Steed Road, including reconfigured and added turn lanes. The development also aims to expand roadway capacity and incorporate pedestrian-focused design.
Still, some residents say they feel their input has not been fully considered.
“What we see is project, after project, after project,” Davis Brown said. “They’re not taking into account our view, the holistic impact.”
Neighbors say they have also reached out to Prince George’s County Council member Sydney Harrison. However, under zoning rules, council members typically cannot comment on active land-use cases outside of public hearings or committee sessions.
The next planning board meeting on the proposal is scheduled for the 25th.
Laurel Smiles Dental Care Expands Implant and Invisalign Treatment Capacity in Prince George’s County
adminhttps://www.usatoday.com/press-release/story/28548/laurel-smiles-dental-care-expands-implant-and-invisalign-treatment-capacity-in-prince-georges-county/
LAUREL, Md. – 17th March 2026 – Laurel Smiles Dental Care has expanded its restorative and orthodontic treatment services in Laurel, Maryland, increasing access to dental implant procedures and Invisalign clear aligner therapy for patients throughout Prince George’s County and nearby communities.The expansion is intended to address growing demand for long-term tooth replacement and discreet orthodontic treatment options while continuing to support preventive and general dentistry services for patients of all a...
LAUREL, Md. – 17th March 2026 – Laurel Smiles Dental Care has expanded its restorative and orthodontic treatment services in Laurel, Maryland, increasing access to dental implant procedures and Invisalign clear aligner therapy for patients throughout Prince George’s County and nearby communities.
The expansion is intended to address growing demand for long-term tooth replacement and discreet orthodontic treatment options while continuing to support preventive and general dentistry services for patients of all ages.
“Advances in digital dentistry allow us to diagnose and treat patients with greater accuracy and efficiency,” said Dr. Armine Grigoryan, lead dentist at Laurel Smiles Dental Care. “By expanding our implant and clear aligner services, we’re able to offer patients modern treatment options that restore both function and confidence.”
Expanded Dental Implant Services
Laurel Smiles Dental Care now offers expanded dental implant treatment for patients experiencing single tooth loss, multiple missing teeth, or full-arch restoration needs.
Dental implants replace missing teeth by placing a titanium post into the jawbone, which acts as a stable foundation for crowns, bridges, or dentures. The practice uses digital imaging and 3D treatment planning technology to evaluate bone structure and assist with precise implant placement.
According to the clinic, the expanded service capacity allows the practice to accommodate more implant consultations and treatment cases for residents in Laurel and surrounding Prince George’s County communities.
Invisalign Clear Aligner Orthodontics
The practice has also expanded orthodontic treatment options using , an alternative to traditional braces that gradually repositions teeth through a series of custom-made, removable aligners.
Treatment begins with a digital scan of the patient’s teeth, allowing clinicians to create a customized treatment plan and show patients a projected tooth-movement simulation before treatment begins.
Continued Focus on Preventive and Periodontal Care
Alongside advanced procedures, Laurel Smiles Dental Care continues to emphasize preventive and periodontal care as the foundation of long-term oral health.
Services include routine dental exams, digital X-rays, oral cancer screenings, professional cleanings, and periodontal treatments such as scaling and root planing for gum disease management.
Early diagnosis and regular preventive care remain essential for maintaining overall oral health and preventing more complex dental problems.
Comprehensive Dental Services for the Laurel Community
Laurel Smiles Dental Care provides a full range of dental services including family dentistry, cosmetic treatments such as teeth whitening and veneers, restorative procedures, emergency dental care, oral surgery, and orthodontic treatment.
The clinic is located at 14440 Cherry Lane Ct., Suite 209, Laurel, Maryland, and serves residents throughout Laurel and the surrounding Prince George’s County area.
About Laurel Smiles Dental Care
Laurel Smiles Dental Care is a full-service dental practice based in Laurel, Maryland, providing general, cosmetic, restorative, and preventive dental services. The clinic emphasizes modern diagnostic technology, personalized treatment planning, and comprehensive dental care for patients of all ages.
Media Contact
Laurel Smiles Dental CareDental Admissions TeamPhone: +1 301-901-0007Email: Lsinvoices23@gmail.comWebsite: https://laurelsmilesdentalcare.com/Address: 14440 Cherry Lane Ct., Suite 209Laurel, MD 20707, United States
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Social media support saves Prince George's County spa from closing doors
Randi Hildrethhttps://www.wusa9.com/article/news/local/maryland/prince-georges-county/social-media-support-prince-georges-county-spa-closing-doors/65-019a63f3-a6b5-48a7-8037-e2ce80bb068f
Facing closure just weeks after opening, a Prince George's County wellness spa was saved by a social media call for help, highlighting community support.PRINCE GEORGE'S COUNTY, Md. — A Prince George's County business nearly closed just weeks after opening. But, the owners say a post on social media changed everything.There's a sense of relief when Nadine and Alex Vatel walk through the doors of their wellness spa today."One thing for certain, it's definitely been a journey of highs and lows," said Alex Va...
Facing closure just weeks after opening, a Prince George's County wellness spa was saved by a social media call for help, highlighting community support.
PRINCE GEORGE'S COUNTY, Md. — A Prince George's County business nearly closed just weeks after opening. But, the owners say a post on social media changed everything.
There's a sense of relief when Nadine and Alex Vatel walk through the doors of their wellness spa today.
"One thing for certain, it's definitely been a journey of highs and lows," said Alex Vatel, co-owner of Sensory Sentiments.
Sensory Sentiments has only been open for about six months now. But, it almost didn't make it.
The Vatels say the costs of bringing the space up to code were overwhelming and they nearly closed after the first few weeks.
"I don't have a Plan B. I don't have a rich uncle or auntie to write me a check. What am I going to do. I felt so low," said co-owner Nadine Vatel.
Nadine turned to social media, asking for help. She says the response was overwhelming.
Organizations like Mob the Block showing up, which highlights Black owned businesses to create visibility. Even Prince George's County government leaders highlighted the business.
"People came in here and they said you're not going to close your doors. We are wanted here in this community," said Nadine Vatel.
The Vatels say the experience showed them how quickly a message can spread online and say they've received regional recognition for their spa.
They say anchoring themselves in the community is important as Prince George's County sees big economic shifts.
"Prince George's County is going through a big transition. Commanders are going to DC. Six Flags which was a staple closed. A lot of land — and a lot of opportunity, but what happens to it," said Nadine Patel.
For now, they're focused on serving clients and expanding the business the community helped save.
Adopt and Foster Dogs and Cats - Pitbull Adoption Fees Sponsored (Arrive by 6PM)
patch.comhttps://patch.com/maryland/uppermarlboro/calendar/event/20260310/f13a31bc-0080-4bb6-9b7f-ed5573f9b299/adopt-and-foster-dogs-and-cats-pitbull-adoption-fees-sponsored-arrive-by-6pm
???? Community members - Adopters and fosters are still needed for 11 dogs on the latest urgent list by today, 3/10. Adoption fees are sponsored/waived for these pitbull type dogs 40+ pounds. Please go meet and adopt dogs and cats today. They are at full capacity with dogs and need space for more dogs coming in. Please meet and adopt them during adoption hours on Thursday, Friday, Saturday, and Tuesday. Update: See the Animal Services News (below.)As of...
???? Community members - Adopters and fosters are still needed for 11 dogs on the latest urgent list by today, 3/10. Adoption fees are sponsored/waived for these pitbull type dogs 40+ pounds. Please go meet and adopt dogs and cats today. They are at full capacity with dogs and need space for more dogs coming in. Please meet and adopt them during adoption hours on Thursday, Friday, Saturday, and Tuesday. Update: See the Animal Services News (below.)
As of 3/10 4 PM: Now 11dogs need adopters and fosters! Adoption fees are sponsored/waived for these pitbull type dogs 40+ pounds. Only Cardi B has an adoption fee.
???? Adopters: Please go to the shelter and arrive by 5:30pm or no later than 6pm. Adopters are able to meet 2 dogs and bring dogs for meet and greets. Tip: Review the new requirements and complete the Pet Parenting Certification (that takes about an hour) before going to adopt Pit Bull Terriers and specific bully-type breeds. (See below.)
???? Prospective fosters: Many dogs and cats may be available to foster temporarily through the shelter. Contact the shelter to become a foster and save a life. "Interested in Fostering: Email fosterpgcpets@co.pg.md.us " Please review the foster information. Foster Information | Prince George's County
Fosters through the shelter and rescues are needed this week for adoptable dogs on urgent list. Please apply to rescue partners, or with the shelter, to become a foster and save a life. Fostering is usually free with a rescue. Urgent dogs may now be fostered through the shelter. See the Friends' posts seeking fosters and rescues for dogs.
Full Urgent List: facebook.com/share/1CPsUrxm5y/ (see these photos of the dogs in the album and reels)
Pet Unity Project post: instagram.com/petunityproject/p/DVesFzpjmpJ/
Adoption website: 24petconnect.com/PGEOADOPT (Tip to search by ID: Click on any animal and edit the animal's ID number in the link, then go to that page.)
Prince George’s County Animal Shelter, 3750 Brown Station Road, Upper Marlboro, MD 20772
Call 301-780 -7200 (select 1, 4 - adopt, then 3 - info) with the animal ID number(s) to check availability.Adoption Hours: Tuesday to Friday 11:00am - 7:00pm, Saturday 10:00am - 4:00pm. (Arrive 1 hour before closing.)
Animal Services News
News release: https://www.princegeorgescountymd.gov/departments-offices/news-events/news/prince-georges-county-allows-legal-ownership-and-adoption-pit-bull-type-terriers-under-new-law
For more information about registration, licensing, training requirements, or to determine eligibility, residents may visit environment.mypgc.us/pitbulls.
Links: PG County Shelter adoption steps, fees, and spay/neuter https://www.princegeorgescountymd.gov/departments-offices/environment/animal-services/pet-adoption
https://www.princegeorgescountymd.gov/departments-offices/environment/animal-services/pet-care-education/spaying-neutering
Shelter posts: facebook.com/pgcpets4us/
Prince George's County Animal Shelter post: 2/12/26 7pm:
#DYK Pit bull–type terriers can now be legally owned, fostered, and adopted in Prince George’s County under a new pilot program, CB-97-2025, enacted February 2, 2026 At Prince George’s County Animal Services, we are excited to share this important step forward that expands adoption opportunities while keeping our community safe and informed. What’s changed? CB-97-2025 removes Animal Control Section 3-185.01 and allows Pit Bull–type dogs to be legally owned and adopted as long as all requirements are met.Breeds included under “Pit Bull Terrier”:• American Pit Bull Terrier• American Staffordshire Terrier• Staffordshire Bull Terrier
What’s required if you adopt or currently own a Pit Bull–type dog?
CB-97-2025 also includes updates to leash laws, definitions for “animal at large” and “dangerous dog,” and associated fines.
Learn more and read the full fact sheet here: environment.mypgc.us/pitbulls
Thinking about adopting? Interested adopters are strongly encouraged to complete the Pet Parenting Certification before visiting the shelter. The module takes about an hour and helps set everyone up for success. (located on website)"
This is a courtesy post.
Adopt and Foster Urgent Dogs - Adoption Fees Sponsored for Most Dogs (Arrive by 6PM)
patch.comhttps://patch.com/district-columbia/washingtondc/calendar/event/20260310/ea0b1f1f-2e7c-44fd-b7d9-e3ff96c194cd/adopt-and-foster-urgent-dogs-adoption-fees-sponsored-for-most-dogs-11am-7pm-arrive-by-5-30pm
???? Urgent: Community members - Adopters and fosters are needed to save 11 dogs remaining on the latest urgent list by today, 3/10. Adoption fees are sponsored/waived for these pitbull type dogs 40+ pounds. They all need to be adopted or have rescue commitment, and have to leave the shelter by today (or after spay/neuter.) If no one saves them, they will be euthanized due to being over capacity. As of 3/10 4 PM: Now 11 dogs need adopters and fosters! Adoption fees are ...
???? Urgent: Community members - Adopters and fosters are needed to save 11 dogs remaining on the latest urgent list by today, 3/10. Adoption fees are sponsored/waived for these pitbull type dogs 40+ pounds. They all need to be adopted or have rescue commitment, and have to leave the shelter by today (or after spay/neuter.) If no one saves them, they will be euthanized due to being over capacity.
As of 3/10 4 PM: Now 11 dogs need adopters and fosters! Adoption fees are sponsored/waived for these pitbull type dogs 40+ pounds. Only Cardi B has a fee. She weighs 30 pounds.
Rescues are interested in helping and need fosters to save them. Check for updates at the Facebook links.
???? Adopters: Please go to the shelter today and arrive by 5:30pm or no later than 6pm to meet and adopt urgent dogs. Adopters are able to meet 2 dogs and bring dogs for meet and greets. If anyone is going to adopt them, please comment on their pages in the linked album.
???? Prospective fosters: Fosters through the shelter and rescues are needed for these dogs. Please apply with rescue partners, or with the shelter, to become a foster and save a life. Fostering is usually free with a rescue. See the Friends' posts seeking fosters and rescues for dogs.
Contact the shelter to become a foster and save a life. "Interested in Fostering: Email fosterpgcpets@co.pg.md.us " Please review their foster information. They allow pit bull-type dogs to be fostered in Maryland.
Please see bios, photos, and videos of the urgent dogs at these links, and share posts with friends, family, neighbors, and coworkers.
Adoption website: 24petconnect.com/PGEOADOPT?at=DOG&sb=days_MaxMin (Tip to search by ID: Click on any dog and edit the dog's ID number in the link, then go to that page.)
View and share the Friends' posts & album for all 18 urgent dogs: facebook.com/people/Friends-of-PG-County-Animal-Shelter/61565594829660/
Full Urgent List: facebook.com/share/1CPsUrxm5y/ (see these photos of the dogs in the album and reels)
Prince George’s County Animal Shelter, 3750 Brown Station Road, Upper Marlboro, MD 20772
Call 301-780 -7200 (select 1, 4 - adopt, then 3 - info) with the animal ID number(s) to check availability.Adoption Hours: Tuesday to Friday 11:00am - 7:00pm, Saturday 10:00am - 4:00pm. (Arrive 1 hour before closing.)
More information: PG County Shelter adoption steps, fees, and spay/neuter https://www.princegeorgescountymd.gov/departments-offices/environment/animal-services/pet-adoption https://www.princegeorgescountymd.gov/departments-offices/environment/animal-services/pet-care-education/spaying-neutering
Shelter posts: facebook.com/pgcpets4us/
This is a courtesy post.
Disclaimer:



