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.

Weight Loss Program Silver Spring, MD

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
Fitness Program Silver Spring, MD

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%.

Weight Loss Solutions State Silver Spring, MD

Another study with similar results

Weight Loss Program Silver Spring, MD

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.

Fitness Program Silver Spring, MD
personalized program

Follow our personalized program to achieve the most Fat loss using safe and effective medications and Program therapies

medications

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.

Weight Loss Solutions State Silver Spring, MD
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.

Weight Loss Program Silver Spring, MD
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.

Fitness Program Silver Spring, MD
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.)

Weight Loss Solutions State Silver Spring, MD

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.

Weight Loss Program Silver Spring, MD
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
Fitness Program Silver Spring, MD
Visit 6

Focus on areas where patient needs most help. (Diet/Nutrition, Exercise, Sleep, Detoxification)

Weight Loss Solutions State Silver Spring, MD
Visit 7

Focus on areas where patient needs most help. (Diet/Nutrition, Exercise, Sleep, Detoxification)

Weight Loss Program Silver Spring, MD
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
Fitness Program Silver Spring, MD
Weight Loss Solutions State Silver Spring, MD

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!
Weight Loss Program Silver Spring, MD

Request a Consultation

Arrange your free consultation with one of our accountants or advisors

Latest News Near Silver Spring, MD

Maryland woman wrongfully detained by ICE reunited with her family, attorneys say

SILVER SPRING, Md. - Attorneys for a Silver Spring woman who was wrongfully detained by United States Immigration and Customs Enforcement in December say she has been reunited with her family.Dulce Consuelo Diaz Morales' case went viral in December after her attorneys took to social media alleging that she was taken into custody by ICE despite being an American citizen born in Maryland.The story was viewed millions of times online and sparked outrage across the nation.Statement from attorneys:&quo...

SILVER SPRING, Md. - Attorneys for a Silver Spring woman who was wrongfully detained by United States Immigration and Customs Enforcement in December say she has been reunited with her family.

Dulce Consuelo Diaz Morales' case went viral in December after her attorneys took to social media alleging that she was taken into custody by ICE despite being an American citizen born in Maryland.

The story was viewed millions of times online and sparked outrage across the nation.

Statement from attorneys:

"I can confirm that she reunited with family late tonight, thanks to the assistance of members of the legal team. All of her cases remain in active litigation," Sanabria & Associates tells FOX 5.

Her attorneys have consistently said they have indisputable proof she is in the country legally.

In a news conference following Diaz Morales' detainment, her lawyers stated that she has a watermarked birth certificate indicating she was born in a Laurel, Md., hospital that serves as confirmation of her citizenship, along with signed affidavits from witnesses, among other documents.

The backstory:

On Dec. 14, Diaz Morales and her sister were leaving a Baltimore Taco Bell last month when they were stopped by ICE.

She was taken into custody, and her family was unable to see her for weeks. Her attorneys also noted that they were unable to talk to her for days, and noted their frustration with the lack of access to their client.

"We have not been given any information as to why she was detained or why she has continued to be held, despite prima facie evidence proving otherwise," attorney Victoria Slatten said following the detainment.

The other side:

In a statement provided to FOX 5, ICE directly contradicted the family and attorney's assertions about Diaz Morales's citizenship and access to attorneys.

"Dulce Consuelo Madrigal Diaz is NOT a U.S. citizen—she is an illegal alien from Mexico. She did NOT provide a U.S. birth certificate or any evidence in support of her claim that she is a U.S. citizen.

On December 14, 2025, ICE arrest Dulce Consuelo Madrigal Diaz, an illegal alien from Mexico, in Baltimore, Maryland. On October 20, 2023, when CBP encountered her near Lukeville, Arizona, Madrigal-Diaz claimed she was a citizen of Mexico and was born on October 18, 2003.

Her case is being adjudicated and she is receiving full due process. Any allegation that ICE does not allow detainees to contact legal assistance is FALSE. All detainees have access to phones to communicate with lawyers."

It's not immediately clear why she was released on Wednesday, or if she will continue to face legal action from ICE.

Check back for updates on this developing story.

Virtual Networking That Works: Join Our Next Event

Networking isn’t just about swapping business cards or adding LinkedIn connections—it’s about building relationships that matter. At Rainwater Growth, we believe that meaningful connections are the foundation of personal and professional success.That’s why we host virtual networking events designed for professionals who invest in themselves. Our next event is on Wednesday, January 8, and it’s more than a video call—it’s an intentional experience.What Makes This Event Different? ✔ Stru...

Networking isn’t just about swapping business cards or adding LinkedIn connections—it’s about building relationships that matter. At Rainwater Growth, we believe that meaningful connections are the foundation of personal and professional success.

That’s why we host virtual networking events designed for professionals who invest in themselves. Our next event is on Wednesday, January 8, and it’s more than a video call—it’s an intentional experience.

What Makes This Event Different? ✔ Structured Conversations: Guided prompts like “What’s one skill you’d like to master?” help you move beyond small talk. ✔ Breakout Rooms: Connect in smaller groups for deeper dialogue. ✔ Practical Takeaways: Share your ideal client profile, celebrate wins, and learn from others.

Whether you’re a business owner, freelancer, or career professional, this event offers a space to:

Why Virtual Networking Works: It removes geographic barriers, saves time, and creates opportunities in unexpected places. As one past attendee said: “I liked getting to know some of the other people in the group a little more in depth than I have in other groups.”

Event Details: ???? Date: January 8 ???? Location: Online (Google Meet) ???? Tickets: $15 (plus fees & taxes) ???? Register on Eventbrite

Why Attend

This event is designed for professionals who invest in themselves—with a format that prioritizes genuine connection over collecting contacts. If you missed our last session, don’t miss this opportunity to experience networking with purpose.

Learn More & Prepare

Find these resources at rainwatergrowth.com to get the most from the event.

Start 2026 with intention. Join us and experience networking that goes beyond the surface.

Cushman & Wakefield Brokers $8.6M Sale and Financing of Talbot Medical in Silver Spring, Md.

Transaction underscores investor demand for value-add medical assets in high-growth healthcare corridorsWASHINGTON, D.C., January 2, 2026 – Cushman & Wakefield (NYSE: CWK) a leading global real estate services firm, announced today it brokered the $8.6 million sale of Talbot Medical, a 38,132-square-foot outpatient medical building in Silver Spring, Md., just outside Washington, D.C. The firm also arranged $5.3 million in acquisition financing for the buyer.Cushman & Wakefield’s Hea...

Transaction underscores investor demand for value-add medical assets in high-growth healthcare corridors

WASHINGTON, D.C., January 2, 2026 – Cushman & Wakefield (NYSE: CWK) a leading global real estate services firm, announced today it brokered the $8.6 million sale of Talbot Medical, a 38,132-square-foot outpatient medical building in Silver Spring, Md., just outside Washington, D.C. The firm also arranged $5.3 million in acquisition financing for the buyer.

Cushman & Wakefield’s Healthcare Capital Markets team—Travis Ives, Gino Lollio, and Tyler Morss—along with Kevin Sidney from the firm’s Washington, D.C. office represented the seller, ESJ Capital Partners, and directly sourced the buyer, Miami-based Creative Equities LLC, led by Kevin Lurie.

Talbot Medical, located at 12120 Plum Orchard Drive, is home to five healthcare-focused tenants and anchored by Fresenius Kidney Care, which occupies nearly 20 percent of the building. Originally constructed in 1989 as a single-story office/flex property, the building has been repositioned into a modern outpatient medical facility.

“As healthcare providers grapple with rising costs and static or shrinking reimbursements, it’s more important than ever to find cost-effective solutions to mitigate real estate expenses,” said Ives, Cushman & Wakefield Executive Director. “Talbot Medical is a prime example of how repositioning an existing asset can deliver quality space in a convenient location at a fraction of the cost of new construction. This approach improves outcomes for occupiers and creates attractive investment opportunities for groups like ESJ Capital and Creative Equities. We’re seeing significant interest in similar value-add medical opportunities across the U.S.”

The property’s location, near Adventist HealthCare White Oak Medical Center—a 220-bed hospital—and the planned Viva White Oak development, a $2.8 billion, 280-acre mixed-use life sciences district approved for 12 million square feet of development, positions the asset for long-term growth and value creation.

“Financing value-add medical deals requires a deep understanding of both healthcare operations and capital markets,” added Morss, Director at Cushman & Wakefield, who arranged financing for Creative Equities. “Lenders are increasingly drawn to these assets because they combine stable tenancy with clear upside potential. Our experience in structuring debt for medical properties allowed us to secure competitive terms for the buyer, ensuring they can execute their business plan and unlock the property’s full value.”

About Cushman & Wakefield Cushman & Wakefield (NYSE: CWK) is a leading global commercial real estate services firm for property owners and occupiers with approximately 52,000 employees in nearly 400 offices and 60 countries. In 2024, the firm reported revenue of $9.4 billion across its core service lines of Services, Leasing, Capital markets, and Valuation and other. Built around the belief that Better never settles, the firm receives numerous industry and business accolades for its award-winning culture. For additional information, visit www.cushmanwakefield.com.

Riderwood Offers Impressive Amenities, Predictable Finances, and Lasting Value

This post was contributed by a community member. The views expressed here are the author's own.David and Diane Bechtol found that moving to Riderwood was a smart financial decision to ensure peace of mindWhen David and Diane Bechtol moved from Frederick, Md., to Riderwood, an Erickson Senior Living community in Silver Spring, Md., they did so with their future in mind."We knew that we wanted to move to a senior living community," says Diane. "David's parents lived at Oak Crest, an Erickson Senior Living ...

This post was contributed by a community member. The views expressed here are the author's own.

David and Diane Bechtol found that moving to Riderwood was a smart financial decision to ensure peace of mind

When David and Diane Bechtol moved from Frederick, Md., to Riderwood, an Erickson Senior Living community in Silver Spring, Md., they did so with their future in mind.

"We knew that we wanted to move to a senior living community," says Diane. "David's parents lived at Oak Crest, an Erickson Senior Living community in Parkville, Md., for over twenty years. That experience helped us appreciate the community's many lifestyle and financial benefits."

With maintenance-free residences, predictable monthly expenses, and convenient access to an array of amenities, Erickson Senior Living residents spend less time stressing over unexpected repairs and finances and more time pursuing their hobbies and interests. Now, as residents at Riderwood, David and Diane are making the most of their newfound free time and enjoying retirement!

Finding the right fit

Conducting their due diligence, the Bechtols researched several retirement communities--with financial stability being their top priority.

"As we compared communities, Oak Crest was our gold standard," explains David. "When we visited Riderwood, it was clear the community offered the same high-quality amenities and a solid financial structure. With my brother living in Silver Spring, the location also made perfect sense."

Riderwood's pricing structure is made up of two components--a monthly service package and a 90% refundable entrance fee.* The monthly service package bundles the costs of utilities, home maintenance and repairs, a meal plan at on-site restaurants, regularly scheduled transportation, and more into one predictable bill.

"There is peace of mind in just picking up the phone and asking someone [on the General Services team] to fix a window lock or replace a light bulb," says Diane. "You don't have to go to the hardware store or find a contractor. It's all taken care of, and that makes a big difference."

Peace of mind

The couple's financial stability and peace of mind is further strengthened by Riderwood's industry-leading, 90% refundable entrance fee--the heart of the community's pricing structure. The entrance fee, collected as part of the residency process, will go back to you or your beneficiaries if or when you leave the community.

"We appreciate that 90% will go back to the kids when we move on," says David. "It made financial planning much clearer. We could see the path forward."

David and Diane were also impressed by the community's Home for Life promise.*

No one ever expects to run out of money, but sometimes unforeseen issues arise that can quickly deplete your hard-earned savings and put you at risk. At Riderwood, we've planned for life's uncertainties and are prepared to assist eligible residents who outlive their resources. No one will be asked to leave the community because of a genuine inability to pay.

"The Home for Life promise is very reassuring and added another financial benefit to our move," says David.

A vibrant lifestyle

Without the stress and hassle of home maintenance, residents have more time to pursue their hobbies and interests--especially since access to the community's amenities is also included in the monthly service package.

Riderwood boasts an expansive wellness and fitness center, creative arts studio, hair salons, woodshop, pickleball and shuffleboard courts, and more.

Dave likes to visit the fitness center and woodshop, while Diane participates in a weekly Bible study and spends time in the various libraries on campus. Together, they attend movies, evening events, a wine tasting class, and science and technology lectures.

"How often do you get to hear a lecture from a Nobel Prize laureate?" says Dave. "Things like that are fabulous."

He adds, "We've come to realize that, even though we have a car and can go out, everything we need is right here. There's also a shuttle to places like the mall or grocery store. Knowing that all of these services--plus a bank and medical care--are on campus gives us peace of mind."

Executive Director Dee Dee Gray-Weaver notes that Riderwood's financial strength--backed by Erickson Senior Living--creates opportunities to reinvest in community amenities and services, ensuring residents enjoy the best value, now and in the future.

"We always look for ways to refresh the clubhouses and residence buildings," says Gray-Weaver.

The right move

For David and Diane, moving to Riderwood was more than just a positive lifestyle change. It was a smart financial decision that provides stability, security, and the freedom to enjoy their retirement with confidence.

To learn more about the ways you can explore senior living, request more information today.

*Carefully read the Residence and Care Agreement for the conditions that must be satisfied before the Provider is required to pay the Entrance Fee Refund.

By Kelly Shue

The views expressed in this post are the author's own. Want to post on Patch? Register for a user account.

1,000 people forced to evacuate after burst pipe floods Wheaton apartment complex

SILVER SPRING, Md. — Roughly 1,000 people and pets were forced out of their apartments Wednesday afternoon after a burst pipe caused flooding, power outages and road closures. A spokesperson for the fire department says there is no timeline for when those living at the apartment complex in Wheaton can return to their homes.Fire and rescue crews spent several hours at the Arrive Wheaton apartments responding to what was first reported as a water issue. According to Pete Piringer, a spokesperson with Montgomery County Fire and Res...

SILVER SPRING, Md. — Roughly 1,000 people and pets were forced out of their apartments Wednesday afternoon after a burst pipe caused flooding, power outages and road closures. A spokesperson for the fire department says there is no timeline for when those living at the apartment complex in Wheaton can return to their homes.

Fire and rescue crews spent several hours at the Arrive Wheaton apartments responding to what was first reported as a water issue. According to Pete Piringer, a spokesperson with Montgomery County Fire and Rescue Services, crews first got to the scene in the 11200 block of Georgia Avenue in downtown Wheaton of around 11:30 Wednesday morning.

Once on scene, crews found an estimated 300,000 gallons of water in a sub basement from a broken water pipe on the property. The flooding caused significant utility issues, but the flooding was contained in to the large basement area.

About five or six feet of water had completely submerged utility closets in the area, so power was shut off to the building and surrounding areas out of an abundance of caution, according to Piringer.

Utility and fire crews worked to pump the water out of the building, however, a building inspector deemed the apartment complex unsafe to occupy, forcing all 500 apartment units to be evacuated. Piringer estimated roughly 1,000 people and pets were evacuated.

"Around 5:30 or so, the Housing Authority and Code Enforcement condemned the building," Piringer said in a video posted to X, formerly Twitter. "They don't have power, electricity, elevators aren't working, they don't have lights, water, heat ... Obviously people cannot sleep here tonight."

Warming buses were called in to help residents forced out of their homes. It is not clear when power will be restored to the building and when those who live at Arrive Wheaton will be able to return to their apartments.

WUSA9 has reached out to property management company for Arrive Wheaton, Redtail Residential, but have not heard back.

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