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 Silver Spring, MD
A Visit to Maryland’s Coffee Capital
MCS Staffhttps://mocoshow.com/2025/01/22/a-visit-to-marylands-coffee-capital/
Nestled just outside Washington, D.C., downtown Silver Spring, MD has earned the title of the state’s coffee capital, thanks to its impressive array of coffee shops that cater to every taste and preference. With a vibrant mix of local roasters, cozy cafes, and specialty chains, the city offers a unique coffee culture that reflects its diverse community (video below).From artisanal brews and classic espresso drinks to innovative concoctions and inviting atmospheres, downtown Silver Spring’s coffee scene not only satisfies c...
Nestled just outside Washington, D.C., downtown Silver Spring, MD has earned the title of the state’s coffee capital, thanks to its impressive array of coffee shops that cater to every taste and preference. With a vibrant mix of local roasters, cozy cafes, and specialty chains, the city offers a unique coffee culture that reflects its diverse community (video below).
From artisanal brews and classic espresso drinks to innovative concoctions and inviting atmospheres, downtown Silver Spring’s coffee scene not only satisfies caffeine cravings but also serves as a gathering place for residents and visitors alike. As the aroma of freshly ground beans fills the air, it’s clear that Silver Spring is more than just a stop on the map– it’s a destination for coffee lovers seeking quality and variety.
In addition to nationwide chains like Einstein Bros. Bagels, PJ’s Coffee, Starbucks, Panera Bread, and Whole Foods Coffee Bar, coffee enthusiasts can get a specialty coffee at over a dozen other locally owned coffee shops, cafes, or other establishments within a five block radius.
Kefa Café (963 Bonifant St, Silver Spring, MD 20910): Owner Lene Tsegaye opened what’s considered the first “community cafe” in DTSS. Man consider Kefa Cafe “The living room of Silver Spring.”
Prime Coffee & Bakery (8750 Arliss St, Silver Spring, MD 20901): Prime Coffee & Bakery opened in December and has quickly become a hit locally. In addition to a wide selection of coffee drinks and baked goods/French pastries, the menu features a variety of breakfast and lunch options.
Black Lion Café (8240 Fenton St, Silver Spring, MD 20910): Black Lion Café, which also has a location in Rockville, sources its coffee from three regions of Ethiopia known for producing some of the best tasting coffee beans in the world. Our very own Mr. MoCo referred to Black Lion Cafe as “one of the most beautiful places in MoCo to sit and have a cup of coffee.”
Sheger Spring Café (940 Bonifant St, Silver Spring, MD 20910): Sheger’s roots come from the heart of Addis Ababa, the capital city of Ethiopia. The word “Sheger” is an Amharic word meaning “the center of the old and the new generation artistic, social and urban life style.“ Sheger Ethiopian Restaurant opened in early 2015. In addition to great coffee, they also offer Ethiopian cuisine.
Lesaac Ethiopian Café (8309 Fenton St, Silver Spring, MD 20910): Inspired by their heritage and using recipes passed down for many generations, the family-operated cafe has been serving tasty coffee and crafting Ethiopian dishes since 2012. Owner Bethlehem and her husband have four kids so family is very important to them. Everything offered is made with fresh ingredients, “just like you’d get in a real Ethiopian home.”
Fenton Café (8311 Fenton St, Silver Spring, MD 20910): Owners Goitom Tekie and Meaza Gebru provide great-tasting coffee and some of the best crepes in town.
Kaldi’s Social House (918 Silver Spring Ave. Silver Spring, MD): Owner Tsegaw Hailemariam brings modern take on coffee culture, blending Ethiopian roots with a sleek, social atmosphere and rooftop space. Kaldi’s is open for breakfast, lunch, and dinner.
Additional places to grab coffee in downtown Silver Spring:
• Zed’s Café (8225 Georgia Ave. Silver Spring, MD)
• The Breakfast Club (8240 Fenton St. Silver Spring, MD))
• Java Nation (1010 Wayne Ave. Silver Spring, MD)
• Aduli’s Coffee & Roastery (7825 Eastern Ave. Silver Spring, MD)
• Morning My Day Café (1305 Fenwick Ln. Silver Spring, MD)
• Sweeteria (8646 Colesville Rd. Silver Spring, MD)
• Bump N Grind (923 Gist Ave. Silver Spring, MD)
• Lemon Slice Café (8737 Colesville Rd. Silver Spring, MD)
• Locavino (8519 Fenton St. Silver Spring, MD)
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Riderwood Provides Unmatched Resources for Professional Growth
Silver Spring, MD Patchhttps://patch.com/maryland/silverspring/riderwood-provides-unmatched-resources-professional-growth
This post was contributed by a community member. The views expressed here are the author's own.Business & TechFrom career expos to leadership programs, team members achieve great thingsDGB, Community ContributorSilver Spring, MD - At ...
This post was contributed by a community member. The views expressed here are the author's own.
From career expos to leadership programs, team members achieve great things
DGB, Community Contributor
Silver Spring, MD - At Riderwood, an Erickson Senior Living community in Silver Spring, Md., team members enjoy more than just a job. They also enjoy opportunities and support for achieving their individual career goals including further education, professional development, advancement, and a healthy work-life balance.
In support of these efforts, this year, each Erickson Senior Living community hosted a Career Expo for current team members to meet department ambassadors, learn about current and upcoming career opportunities, map out a personal development path, and access skill-building opportunities to fuel professional growth.
“Our goal is to provide our talented and diverse team members with a meaningful work experience that matches their interests and goals,” said Nicole Walker, Chief Human Resources Officer for Erickson Senior Living. “This is why we created the 2024 Internal Career Expo Series across the enterprise. As a growth company with a bright future, we strive to be an employer of choice by providing our team members with the resources to cultivate the career they personally desire at Erickson Senior Living.”
Since beginning her Riderwood career as a high school student server in 2010, Shifali Kapoor has taken full advantage of Erickson Senior Living’s opportunities and resources for professional advancement.
“My sister also worked at Riderwood, and from everything she told me, I knew I wanted to work here too,” she says.
Find out what's happening in Silver Springfor free with the latest updates from Patch.
After two years, Shifali was promoted to a host, bartender, and peer trainer. Recognizing her strong work ethic and dedication to the Riderwood residents, her supervisor suggested she apply for the position of part-time supervisor, a promotion that accommodated her fulltime college schedule.
“Everyone was very supportive as I worked at went to school,” says Shifali. “Not only did I benefit from the student scholarship, but, as new opportunities came up, I was always encouraged to go for it. After two years as a supervisor, I became an assistant general manager of one of the community restaurants. My managers were always encouraging me, telling me I was ready. It was very validating.”
Two years ago, Shifali, now a college graduate, was encouraged to apply for the staff development manager position.
“I have a really great support system here,” she says. “My managers take the time to talk through my goals and come up with a plan for advancement.”
In her new role, Shifali represented the dining service team at this year’s Career Fair.
“The event was designed to be fun, informative, and engaging for current employees,” says Shifali. “For the dining team, we offered a huge presentation including prep and line cooks, and provided information on Erickson Senior Living’s Culinary School, a self-paced program to help employees advance in their dining career. The Career Fair was also a great opportunity to learn about other departments. My next goal is to work with human resources as either a recruiter or manager. During the Fair, I spent time with the team learning what my next steps should be. I was shown a variety of paths and discovered what makes the most sense for me.”
Looking toward the future, Shifali is confident that the support she receives will encourage further growth in her Erickson Senior Living career. As staff development manager she now enjoys the opportunity to show the same support to student employees.
“My advice is to make connections, look for opportunities, and express your interests,” she says. “There are always people ready and able to help you achieve your goals.”
Take the first step
To learn more about the career expo, career opportunities at Riderwood, or to apply online, visit www.ericksonseniorlivingcareers.com
The views expressed in this post are the author's own. Want to post on Patch?
More from Silver Spring
Some in a Silver Spring apartment complex say conditions went from unacceptable to dangerous
wusa9.comhttps://www.wusa9.com/article/news/local/maryland/silver-spring-montgomery-county-apartments/65-58933ecc-1037-4ee2-b4b1-4ca59011c618
Tenants in a Montgomery County apartment complex are demanding action after claiming months of neglect by the property owners.More VideosSILVER SPRING, Md. — Spring Parc Apartments in Silver Spring was called to the carpet Thursday morning by its own residents.Many claim that living conditions have gone from unacceptable to dangerous, but others fear retaliation if they speak out.“I’ve had several anonymous letters submitted from residents who were too afraid to speak and didn’t want to b...
Tenants in a Montgomery County apartment complex are demanding action after claiming months of neglect by the property owners.
More Videos
SILVER SPRING, Md. — Spring Parc Apartments in Silver Spring was called to the carpet Thursday morning by its own residents.
Many claim that living conditions have gone from unacceptable to dangerous, but others fear retaliation if they speak out.
“I’ve had several anonymous letters submitted from residents who were too afraid to speak and didn’t want to be identified, but are desperate for help and assistance,” said long-time resident Edwiné Lewis. “Children are sick, our pets are sick, we have residents on their way to emergency rooms as we speak.”
During a press conference held in front of the leasing office, residents say their rents are rising, all while structural damage goes unfixed, persistent mold threatens their health, and pests run rampant.
“It got to a point where I was considering a shelter,” revealed Jocelyn Clark, co-chair of the Spring Parc Tenants Association and long-time resident. “It’s unimaginable.”
Clark posted a video on her social media this past October, showing a mouse nest from a box of shoes.
She says her family was placed in that unit after she complained that her original apartment had mold, but notified the complex that signs of infestation were present in the new unit before she moved in. Clark also says dead mice could be seen on the stairs of the apartment building.
“My sons had a total of seven gaping holes in the walls, the bathroom door had been eaten up by the mice, electrical sockets, outlets, electricity had gone out,” Clark said. “I emailed them prior to moving into the unit when I did the walkthrough that it was infested.”
WUSA9 reached out to the complex’s owner, Bridge Investment Group, for a comment on the tenants’ claims, and was sent a statement that reads:
“Bridge Property Management takes great pride in its communities, and we vehemently deny any allegations of wrongdoing. We are working closely with Montgomery County, and have followed all policies and procedures outlined by the County.”
However, Montgomery County Councilmember Kristin Mink also attended the press conference, and told tenants that the complex is currently on Montgomery County’s “Troubled Property List.”
“Spring Parc is not allowed to increase rents right now because they are not up to code,” Mink said. “Every single person deserves a safe, healthy place to live, and the ability to speak up when things aren’t going right.”
Now Councilmember Mink is promising the tenants that they’re not alone.
“Some of these allegations, which include discrimination based on receiving project-based vouchers, involves all levels of government: county, state, and federal,” Mink said. “We are here with you at all levels of government, standing side by side with you, keeping an eye on these cases. We will continue to engage with management, with the county, and with the state, and with residents until a resolution is reached.”
Legendary Silver Spring seafood restaurant closing after nearly 80 years
wusa9.comhttps://www.wusa9.com/article/news/local/maryland/crisfield-seafood-closes-in-silver-spring/65-cde71615-9646-431e-a78d-94164906e23c
Owners announced Crisfield's last day of service will be Dec. 22.SILVER SPRING, Md. — The culinary landscape of downtown Silver Spring has been dealt a serious blow. Crisfield Seafood, a legendary restaurant in business for nearly 80 years, is set to close its doors for good.The restaurant first opened for business back in 1945 by Henry and Lillian Landis. The Landis family has kept the restaurant open, even through the COVID pandemic, with many patrons calling it the best seafood restaurant they have ever been to. In fac...
Owners announced Crisfield's last day of service will be Dec. 22.
SILVER SPRING, Md. — The culinary landscape of downtown Silver Spring has been dealt a serious blow. Crisfield Seafood, a legendary restaurant in business for nearly 80 years, is set to close its doors for good.
The restaurant first opened for business back in 1945 by Henry and Lillian Landis. The Landis family has kept the restaurant open, even through the COVID pandemic, with many patrons calling it the best seafood restaurant they have ever been to. In fact, Crisfield landed on a list of the 25 best restaurants in D.C. in 2024.
In a Facebook post, the owners said the last day of service would be Dec. 22.
"The Landis Family would like to express our thanks and gratitude to all of our customers, fellow teammates, and friends. A special thanks to the myriad of sons, daughters, brothers, sisters, and cousins, of our extended family who helped us build a DMV legacy," the post reads. "We have always felt that the restaurant was just another room in our house. We have been proud to welcome you [to] our home for nearly 80 years."
The announcement was met with sadness from the community, both near and far. Many comments on the post shared memories of sharing meals with family and friends, and visiting the restaurant for special occasions.
"Our family has so many happy family memories at Crisfield restaurant. It was our favorite place to go for birthdays and other celebrations," one commenter said.
"This makes me cry. So many memories with our Dad and extended family. He started coming there in 1959. We honored him with his folded flag at the head of the table after his Arlington burial ceremony. Ned was a gem. I can’t possibly count the number of times over the decades we ate there. And yes, the seafood was like nothing you could get anywhere else," shared commenter Amy Hornaday.
There is no word on what prompted the restaurant's closure.
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