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!
Request a Consultation
Arrange your free consultation with one of our accountants or advisors
Latest News Near Silver Spring, MD
Silver Spring, MD – Injury Crash at University Blvd & E Wayne Ave
Oriana Feijoohttps://localaccidentreports.com/silver-spring-md-injury-crash-at-university-blvd-e-wayne-ave/
Silver Spring, MD (February 13, 2026) – Emergency crews responded on Thursday night to an injury crash at the intersection of University Boulevard East and East Wayne Avenue in Silver Spring.According to dispatch audio, the incident occurred at 9:29 p.m. A BLS (Basic Life Support) ambulance was requested to respond to the scene to provide medical assistance. Further details about the number of vehicles involved or the severity of the injuries remain unclear.Key DetailsWhat We Kn...
Silver Spring, MD (February 13, 2026) – Emergency crews responded on Thursday night to an injury crash at the intersection of University Boulevard East and East Wayne Avenue in Silver Spring.
According to dispatch audio, the incident occurred at 9:29 p.m. A BLS (Basic Life Support) ambulance was requested to respond to the scene to provide medical assistance. Further details about the number of vehicles involved or the severity of the injuries remain unclear.
Key Details
What We Know So Far
What’s Not Yet Confirmed
Local Context
University Boulevard and East Wayne Avenue are busy streets in Silver Spring, serving both local traffic and commuters. When accidents occur in these urban areas, emergency responders must work quickly to assess injuries, provide medical care, and clear the scene while managing traffic to prevent further incidents.
What to Do Next
FAQ
Q: What should be done if you are involved in an injury crash?
A: Check for injuries, call 911, and remain at the scene. Provide necessary information to law enforcement and emergency services.
Q: What is the difference between BLS and ALS in medical response?
A: BLS (Basic Life Support) refers to emergency care provided by paramedics and emergency medical technicians (EMTs) to stabilize patients before transport, while ALS (Advanced Life Support) involves more complex care and the use of advanced equipment.
Q: What is the purpose of an ambulance response to an injury crash?
A: Ambulances respond to injury crashes to provide on-site medical treatment, stabilize patients, and transport them to the hospital if necessary for further care.
Montgomery Co. Schools Make Schedule Decision For Feb. 2
Deb Belthttps://patch.com/maryland/bethesda-chevychase/montgomery-co-schools-make-schedule-decision-feb-2
MONTGOMERY COUNTY, MD — All Montgomery County Public Schools buildings will be closed on Monday, Feb. 2, as the county continues to dig out from last weekend storm that covered the region in snow and sleet.Offices will open on time and staff should report as on a regular non-instructional day, the district said in a notice Sunday."All schools are ready and we want our students to come back … however, we are still closed to students," the district announcement said.Snow and ice removal from this win...
MONTGOMERY COUNTY, MD — All Montgomery County Public Schools buildings will be closed on Monday, Feb. 2, as the county continues to dig out from last weekend storm that covered the region in snow and sleet.
Offices will open on time and staff should report as on a regular non-instructional day, the district said in a notice Sunday.
"All schools are ready and we want our students to come back … however, we are still closed to students," the district announcement said.
Snow and ice removal from this winter weather event has been slow, district officials said, with Monday the first day above freezing in nine days.
"MCPS crews have been working hard this past week and our facilities are ready to re-open. We know we will not have perfect conditions any time soon, but many streets and sidewalks are NOT passable for buses or safe for student walkers," the schools said. "Post-plowing snow piles are creating a safety hazard for our buses, creating poor visibility and blocking access to pass through and turn lanes. Many major roadways still have obstructions that have reduced lanes, making safe travel during peak traffic times difficult."
Why We Can’t Open Tomorrow:
Community use of school buildings may proceed as scheduled.
"Our goal is to open schools on Tuesday, but we need your help. Please help us by getting cars off the streets and sidewalks near you cleared," the district said. "This is a big job and will take all of us to get back to school as safely as possible."
How Residents Can Help:
Additional weather-related information:
The County’s 311 call center will be open regular hours from 7 a.m. to 7 p.m. on Tuesday.Contact MC311 by calling 3-1-1 or 240-777-0311. Residents can also visit them online at MC311.com.
Amazon to close all Amazon Go and Amazon Fresh stores: Full list of current locations
Andrew Weilhttps://www.wcnc.com/article/news/nation-world/amazon-closing-fresh-supermarkets-go-stores-adding-more-whole-foods-locations/507-8fca2183-c4ee-407c-b9f3-8874cfdc7c78
As part of Tuesday's announcement, Amazon said it plans to open more than 100 new Whole Foods Market stores over the next few years.WASHINGTON — Amazon announced Tuesday it plans to shutter its Amazon Fresh and Amazon Go brick-and-mortar stores."While we've seen encouraging signals in our Amazon-branded physical grocery stores, we haven't yet created a truly distinctive customer experience with the right economic model needed for large-scale expansion," the company wrote in a blog post.Some of the Fresh a...
As part of Tuesday's announcement, Amazon said it plans to open more than 100 new Whole Foods Market stores over the next few years.
WASHINGTON — Amazon announced Tuesday it plans to shutter its Amazon Fresh and Amazon Go brick-and-mortar stores.
"While we've seen encouraging signals in our Amazon-branded physical grocery stores, we haven't yet created a truly distinctive customer experience with the right economic model needed for large-scale expansion," the company wrote in a blog post.
Some of the Fresh and Go stores will be converted into Whole Foods locations, according to the company. Amazon said Tuesday it plans to open more than 100 new Whole Foods Market stores over the next few years.
There are currently 14 Amazon Go cashier-less convenience stores and more than 50 Amazon Fresh grocery stores, according to online listings.
While Tuesday's announcement is a major shift in Amazon's grocery strategy, the company said it isn't ditching the idea of brick-and-mortar stores completely.
"We will also continue inventing on behalf of customers to develop a mass physical store format that brings customers distinctive selection, value, and convenience. Over the coming years, we plan to introduce new store concepts that we think customers will be excited about," the company said.
Earlier this month, Amazon announced plans to open its largest-ever retail store. The 230,000-square-foot mega-store outside Chicago would be large enough to fit two average-size Target stores under its roof, according to the Wall Street Journal. The outlet report that more big-box stores are in the works.
"Through it all, our goal remains: to make grocery shopping easier, faster, and more affordable for customers," Amazon said in Tuesday's blog post.
Amazon Fresh stores closing: Full list of current locations
Here is a current list of Amazon Fresh stores, according to Amazon's website.
Cerritos: 11340 South St, Cerritos, CA 90703
Citrus Heights: 5425 Sunrise Blvd, Citrus Heights, CA 95610
Encino: 16325 Ventura Blvd, Encino, CA 91436
Elk Grove: 7530 Elk Grove Blvd, Elk Grove, CA 95757
Fontana: 16188 South Highland Drive, Fontana, CA 92336
Fountain Valley: 18100 Brookhurst St, Fountain Valley, CA 92708
Fullerton: 1100 S Harbor Blvd, Fullerton, CA 92832
Huntington Beach: 6911 Warner Ave, Huntington Beach, CA 92647
Irvine: 13672 Jamboree Rd, Irvine, CA 92602
Ladera Heights: 6855 S La Cienega Blvd, Los Angeles, CA 90045
Murrieta: 40485 Murrieta Hot Springs Rd, Murrieta, CA 92563
North Hollywood: 5101 Lankershim Blvd, North Hollywood, CA 91601
Northridge: 19340 Rinaldi St, Northridge, CA 91326
Pasadena: 3425 E Colorado Blvd, Pasadena, CA 91107
Poway: 14837 Pomerado Rd., Poway, CA 92064
Roseville: 6780 Stanford Ranch Road, Roseville, CA 95678
Torrance: 21035 Hawthorne Blvd, Torrance, CA 90503
Woodland Hills: 6245 Topanga Canyon Blvd, Woodland Hills, CA 91367
Upland: 235 E Foothill Blvd, Upland, CA 91786
Arlington Heights: 325 E Palatine Road, Arlington Heights, IL 60004
Bloomingdale: 404 W Army Trail Rd, Bloomingdale, IL 60108
Morton Grove: 6939 Dempster St, Morton Grove, IL 60053
Naperville: 3116 S Rt 59, Naperville, IL 60564
Norridge: 4211 N. Harlem Ave, Norridge, IL 60706
North Riverside: 7201 West 24th St, North Riverside, IL 60546
Oak Lawn: 4031 W 95th St, Oak Lawn, IL 60453
Schaumburg: 16 A East Golf Rd, Schaumburg, IL 60173
Gaithersburg: 15790 Shady Grove Rd, Gaithersburg, MD 20877
Glen Burnie: 6711 Ritchie Highway, Gaithersburg, MD 21061
Silver Spring: 12263 Prosperity Dr, Silver Spring, MD 20904
Eatontown: 137 NJ-35, Eatontown, NJ 07724
Lodi: 2 Memorial Drive, Lodi, NJ 07644
East Setauket: 4054 Nesconset Highway, East Setauket, NY 11733
Broomall: 2940 Springfield Rd, Broomall, PA 19008
Warrington: 389 Easton Rd, Warrington, PA 18976
Spring Garden: 555 Spring Garden Street, Philadelphia, PA 19123
Alexandria: 3801 Richmond Hwy, Alexandria, VA 22305
Fairfax: 10360 Fairfax Blvd, Fairfax, VA 22030
Falls Church: 5811 Crossroads Center Way, Falls Church, VA 22041
Franconia: 7005 Manchester Blvd, Franconia, VA 22310
Factoria: 3901 Factoria Square Mall SE, Bellevue, WA 98006
Nashville Warehouse - Pickup and Storefront: 410 Harding Industrial Dr, Nashville, TN 37211
Amazon Go stores closing: Full list of current locations
Amazon Go #INY4: 150 E 53rd Street, New York, NY 10022
Amazon Go #ILS4: 13209 39th Ave SE, Mill Creek, WA 98012
Amazon Go #IWA2: 15518 Meridian Ave, Puyallup, WA 98375
Amazon Go #ISE1: 2131 7th Ave, Seattle, WA 98121
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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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