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
1,000 people forced to evacuate after burst pipe floods Wheaton apartment complex
Matt Pusatoryhttps://www.wusa9.com/article/news/local/housing/arrive-wheaton-flooding-issue/65-7fcaefea-f961-4909-90ca-77cb765a2fad
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.
Unit condemned and Arrive Silver Spring Apartments on notice after tenant complaints of rats, County says
Melissa Kimhttps://www.wusa9.com/article/news/local/silver-spring/county-arrive-silver-spring-apartments-on-notice-tenant-complaints-rats-montgomery-rent-lease/65-aef027f3-9c2a-499f-b6b1-8e9a859864bf
Several tenants at Arrive Silver Spring tell WUSA9 that rats are a problem in the building.SILVER SPRING, Md. — The Montgomery County Department of Housing and Community Affairs (DHCA) has placed the Arrive Apartments in Silver Spring on formal “notice” following multiple tenant complaints of a rodent infestation reported on Nov. 14, according to the agency.The designation requires the property’s management company to conduct a full search and seal of affected areas, and begin drill-and-dust treatments t...
Several tenants at Arrive Silver Spring tell WUSA9 that rats are a problem in the building.
SILVER SPRING, Md. — The Montgomery County Department of Housing and Community Affairs (DHCA) has placed the Arrive Apartments in Silver Spring on formal “notice” following multiple tenant complaints of a rodent infestation reported on Nov. 14, according to the agency.
The designation requires the property’s management company to conduct a full search and seal of affected areas, and begin drill-and-dust treatments throughout the building to address rats.
Several tenants told us they have seen rats inside their units but declined on-camera interviews, citing fear of retaliation from management. Many said they have reported problems before with little improvement.
During a visit to the complex on Monday, prospective renter Drew Layton said he arrived from Missouri for a scheduled apartment tour only to find the leasing office closed.
“The leasing office had a sign that said it would open back up at three o’clock, but our tour was supposed to be at 2:30,” Layton said.
He later learned the tour had been cancelled and heard about possible rodent issues.
“I think I dodged a bullet,” he said.
In a statement, DHCA spokesperson Matt Cournoyer confirmed that after receiving complaints and conducting inspections, the county condemned one unit in the building and ordered management to immediately address rodent issues, including rat burrows found on the property grounds.
During our visit, dozens of rodent bait boxes were seen positioned around the complex.
Matt Losack, executive director of the Montgomery County Renters Alliance, says renters have a right to prompt action when health or safety concerns arise.
"My reaction whenever I see a rat, vermin, mold, cockroaches, or bed bug infestations is: What is the response by the property management?” Losack said.
He notes that tenants are legally protected from retaliation.
“If a landlord says if you complain to us about not receiving your rights or required services, we’re going to evict you — that’s against the law,” he said.
Losack advises tenants to report issues directly to property management first and expect a timely response. If that does not happen, residents should call 311 to file a complaint with the county.
DHCA said it is providing temporary relocation assistance to affected tenants at Arrive Silver Spring. Inspectors will evaluate all 882 units beginning December 10 to ensure the property is complying with county regulations.
WUSA reached out to Arrive for comment and has not yet heard back.
Enslaved ancestors believed to be buried under Silver Spring parking lot
Megan McGrathhttps://www.nbcwashington.com/news/local/enslaved-ancestors-believed-to-be-buried-under-silver-spring-parking-lot/4012773/
Families and religious leaders in Silver Spring, Maryland, believe the remains of dozens of people are likely buried beneath the parking lot of a shopping center.The Seminary Place Shopping Center on Georgia Avenue is now home to an Aldi grocery store, a closed-down car wash and other shops. But from 1825 to 1963, dozens of people, including some formerly enslaved families, were buried there near a church.Rev. Will Ed Green of Silver Spring United Methodist Church said the remains of only six people were officially moved when t...
Families and religious leaders in Silver Spring, Maryland, believe the remains of dozens of people are likely buried beneath the parking lot of a shopping center.
The Seminary Place Shopping Center on Georgia Avenue is now home to an Aldi grocery store, a closed-down car wash and other shops. But from 1825 to 1963, dozens of people, including some formerly enslaved families, were buried there near a church.
Rev. Will Ed Green of Silver Spring United Methodist Church said the remains of only six people were officially moved when the property of the Mt. Zion Methodist Episcopal Church cemetery was sold in 1964.
Green and other church leaders believe at least 38 people's graves were never relocated.
Church leaders read the names of the missing ancestors aloud and said prayers during a reconsecration ceremony at the parking lot Wednesday morning.
"It became known to the leadership of Silver Spring that individuals have been buried here, that this had been a burial ground that had been desecrated. And the burial ground contains remains of many of those who were enslaved," Bishop Latrelle Easterling, the leader of the Baltimore-Washington Conference of the United Methodist Church, said after the ceremony.
As Methodist churches in the area worked to solve the mystery, a road improvement project along Georgia Avenue presented a unique opportunity.
The Maryland State Highway Administration (SHA) and Silver Spring United Methodist Church hired surveyors to use ground-penetrating radar devices to investigate any evidence of burials underneath the parking lot.
"We have good reason to believe that there could be people who were left behind here and that’s who we’re trying to find," said Lisa Kraus, a senior archeologist with the Maryland SHA.
"If there’s something down there, like a piece of a casket or hardware or something like that, that’s going send a little indication," said Steve Archer, assistant division chief of the cultural resources section of SHA.
Paulette Smith Dawes attended the reconsecration ceremony and believes it's possible her great-great grandfather is buried there. She said she's been searching for his grave without success.
"Just knowing that all these years, all these years, that they could very well have been just right here. Right here," she said.
Smith Dawes said if his remains are discovered, she'd be OK with letting them stay at the site of the old cemetery.
"I’m OK, I’m OK with that. It’s just the knowing and the peace. It’s like a closure," she said.
If graves are discovered on the land the state bought, surviving descendants will be able to give input on whether or not those graves should be moved.
But it's unclear what would happen if graves are discovered on the property that is privately owned.
Silver Spring parents 'shocked' about plans to close middle school, move elementary school
Kellye Lynnhttps://wjla.com/news/local/silver-spring-montgomery-county-mcps-maryland-schools-school-closure-parents-education-international-sligo-creek-elementary-community-concerns-improvements-program-construction
MONTGOMERY COUNTY, Md. (7News) — Montgomery County parents say they're shocked about a plan to close a middle school and relocate an elementary school in Silver Spring.If a plan proposed by Montgomery County Public Schools (MCPS) Superintendent Dr. Thomas Taylor goes through, Silver Spring International Middle School could be closed in five years.The superintendent wants to move students out of Sligo Creek Elementary and build a new school.A video shows what MCPS was planning for Silver Spring International. MCPS d...
MONTGOMERY COUNTY, Md. (7News) — Montgomery County parents say they're shocked about a plan to close a middle school and relocate an elementary school in Silver Spring.
If a plan proposed by Montgomery County Public Schools (MCPS) Superintendent Dr. Thomas Taylor goes through, Silver Spring International Middle School could be closed in five years.
The superintendent wants to move students out of Sligo Creek Elementary and build a new school.
A video shows what MCPS was planning for Silver Spring International. MCPS documents detail plans for an addition that would feature new gyms and locker rooms at a cost of nearly $16 million.
Now, Taylor said those plans are on hold due to infrastructure problems at the 90-year-old building that was once Blair High School.
In an email to the Sligo Creek Elementary school community, which was posted by the Parents' Coalition of Montgomery County, Maryland,
Taylor said the school system's "best attempts to upgrade the facility have been thwarted by unforeseen building conditions and structural issues that far exceeded projected costs."
Taylor plans to build a new Sligo Creek Elementary School in the fall of 2029 at another site in Silver Spring.
He wants to close Silver Spring International Middle School in August of 2030 and use both schools as holding sites for MCPS students who attend a school that's undergoing construction.
Parents told 7News they need more information about the superintendent's plans and shared their concerns with school board members at an Oct. 23 meeting.
"We really need to understand the planning, so we don't lose money, we're not in endless construction, we're not in an unsafe environment?" said Sligo Creek Elementary PTA Co-President Rosarie Tucci.
Christine Reklaitis, who serves in the same position, told board members, "The timeline is incredibly challenging. This is the densest part of the county so selecting a site in a place where you can design, landscape, build, and get community support in three and a half years might not be realistic. What does the site selection process entail?"
Megan DiNicola is President of Silver Spring International's PTA and said, "We've been advocating for these issues but we thought these were repair or replace issues, not a full closure of our community and what we want to understand is how we got to this point and is it really in the best interest of our community or not."
"We understand that we're getting a new school which is very exciting but the details of where that's going to be and the three-year timeline to get that selected and constructed also feels incredibly ambitious," said Tucci.
Taylor acknowledges that his timeline is ambitious and says a new site for Sligo Creek Elementary would need to be selected this spring.
In his message, he told the community,
"Here are our immediate next steps:
Beginning with the Board of Education work session on November 4, we will provide more details about the facility analysis that brought us to this decision, and the facility projects and supports we will implement for both schools;
We will schedule in-person school community meetings;
We will provide responses to the questions you submit in the Questions or Concerns Form; and
As we move forward, we will continue to communicate with you regularly as we make improvements to the current building and plan for any transitions."
The Board of Education has scheduled several public hearings and work sessions on the capital budget on the following dates:
Tuesday, Oct. 28, 6 p.m., Capital Budget and Capital Improvements Program (CIP) Hearing
Tuesday, Nov. 4, 10 a.m., Capital Budget and CIP Work Session
Thursday, Nov. 6, 6 p.m., Capital Budget and CIP Work Session
Tuesday, Nov. 11 (if necessary), 10 a.m., Capital Budget and CIP Work Session
Here's how MCPS answered some of our questions about parent concerns:
Q: Will MCPS provide additional information meetings beyond what is currently on the calendar to answer community and parent questions?
A: MCPS has several CIP public meetings/work sessions currently scheduled before November 20to discuss the Capital Improvements Program.
Q: Will MCPS leaders visit the two schools and walk parents and community members through your detailed plans?
A: Superintendent Taylor has already begun outreach. He held a Zoom meeting with the Silver Spring International Middle School community on October 13 to preview his recommendation for the school's closure before formally submitting it as part of the district’s 2027-2032 CIP. The Superintendent is committed to engaging further and will meet with the community again (date to be determined) to listen to their feedback and discuss the detailed plans.
Q: How do the plans align with boundary studies?
A: All proposed facility changes, including those involving closures and holding schools, are interconnected with and inform boundary studies. These studies are necessary to determine student assignments for the new or reconfigured schools.
Q: Has MCPS considered other nearby structures for holding facilities?
A: "The district has limited options for structures that are suitable and immediately available for use as school buildings.
Liliana López
Public Information Officer
Montgomery County Public Schools"
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