PWC Max Weight Loss Program
The program described below is for patients with a minimum of 30 lbs to lose and is designed to achieve this safely with the use of lab-driven therapies that help to overcome weight loss resistance and promote fat loss.
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!
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Latest News in Reston, VA
'Dangerous' Sub-Zero Wind Chills Grip NoVA, DC
Reston, VA Patchhttps://patch.com/virginia/reston/sub-zero-wind-chills-bring-bitter-cold-weather-nova-dc-advisory
The coldest temperatures in VA are expected Tuesday evening, with wind chills of 5 to 10 degrees below zero, according to NWS forecast.Updated Tue, Jan 21, 2025 at 10:01 am ETVIRGINIA — A cold weather advisory has been issued for Northern Virginia and the greater Washington, DC region, with wind chills between 0 degrees to 10 degrees below zero expected, according to the National Weather Service.The advisory will remain in effect until 10 a.m. on Thursday for portions of Northern and Northwest Virginia, the Distr...
The coldest temperatures in VA are expected Tuesday evening, with wind chills of 5 to 10 degrees below zero, according to NWS forecast.
Updated Tue, Jan 21, 2025 at 10:01 am ET
VIRGINIA — A cold weather advisory has been issued for Northern Virginia and the greater Washington, DC region, with wind chills between 0 degrees to 10 degrees below zero expected, according to the National Weather Service.
The advisory will remain in effect until 10 a.m. on Thursday for portions of Northern and Northwest Virginia, the District, and parts of Maryland, the forecasters say.
The frigid temperatures prompted the Fairfax County school district to start classes two hours late on Tuesday, while Loudoun County and Fauquier County school systems were closed.
“The cold wind chills as low as 10 below zero could result in hypothermia if precautions are not taken,” according to the NWS. “Frostbite and hypothermia will occur if unprotected skin is exposed to these temperatures. Wind chill values can lead to hypothermia with prolonged exposure. Very cold temperatures can lead to hypothermia with prolonged exposure.”
Scattered flurries are expected between 10 a.m. and 4 p.m. on Tuesday, followed by scattered flurries with isolated snow showers, according to NWS. Expect the thermometer to reach about 21 degrees during the day, with a 20 percent chance of precipitation.
Find out what's happening in Restonfor free with the latest updates from Patch.
"This cold snap is coming at the climatological peak of winter when historical average temperatures hit their lowest values in many parts of the country,” said AccuWeather Senior Meteorologist Adam Douty, who warned of the dangerous cold spell. "Since this is the heart of winter, record-low temperatures are near their lowest values as well. This may prevent widespread record-setting temperatures, but some record-low temperatures will likely be broken.”
The coldest temperatures are expected for Tuesday evening, with wind chills of 5 to 10 degrees below zero, NWS forecasts. Overnight wind chills for the rest of the week may be 0-5 degrees below zero, with daytime chills predicted to be in the low teens.
National Weather Services advises residents to take the following actions to protect themselves from the bitterly cold weather.
Here is the latest DC-Northern Virginia forecast from the National Weather Service.
UU Reston Insight Meditation & Mindfulness
UU Restonhttps://patch.com/virginia/reston/calendar/event/20250121/f86814fe-b360-4fb9-9843-c5952b9fc8eb/uu-reston-insight-meditation-mindfulness
This post was contributed by a community member. The views expressed here are the author's own.Reston|Local EventTue, Jan 21, 2025 at 7:30 PMUnitarian-Universalist Church, 1625 Wiehle Ave, Reston, VA, 20190More info hereJoin meditation teacher, Steve Zappalla, on...
This post was contributed by a community member. The views expressed here are the author's own.
Reston|Local Event
- Tue, Jan 21, 2025 at 7:30 PM
- Unitarian-Universalist Church, 1625 Wiehle Ave, Reston, VA, 20190
- More info here
Join meditation teacher, Steve Zappalla, on Tuesday evenings at 7:30PM in the Sanctuary at UU Reston for 1/2 hour of Vipassana guided meditation instruction, a dharma (the teachings) talk, and a discussion.
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8245 Boone Blvd. Suite 260 Vienna, VA 22182
Phone: (703) 822-5003 | Email: info@proactivwellnesscenters.com
Serving patients in Northern Virginia, Washington DC, Maryland, Pennsylvania, and throughout the U.S.
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