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 Sterling, VA
Trump watches fireworks alongside Melania during star-studded reception as inauguration weekend kicks off
Christopher Scarglatohttps://nypost.com/2025/01/18/us-news/trump-watches-fireworks-alongside-melania-during-star-studded-reception-as-inauguration-weekend-kicks-off/
He’s coming in with a bang.President-elect Donald Trump, alongside his wife Melania and other family members, watched as fireworks lit up the sky from the Trump National Golf Club in Sterling, Virginia, on Saturday during a star-studded reception ahead of Inauguration Day.The show went off for the crowd just before 10 p.m.Around the same time, Trump’s...
He’s coming in with a bang.
President-elect Donald Trump, alongside his wife Melania and other family members, watched as fireworks lit up the sky from the Trump National Golf Club in Sterling, Virginia, on Saturday during a star-studded reception ahead of Inauguration Day.
The show went off for the crowd just before 10 p.m.
Around the same time, Trump’s Truth Social account ripped New York Attorney General Letitia James’ case against him.
“What is going on with this totally corrupt New York Judge,” Trump said.
“He was replaced until the “bosses,” who have been after me for years, found out about it? New York Courts must be investigated!”
Shortly after, Trump posted a nearly 15-minute video showcasing the soon-to-be 47th president and first lady standing side by side on a balcony at his golf club and applauding the massive pyrotechnic display.
Afterward, Trump busted out one of his signature dance moves in front of the crowd.
President @realDonaldTrump and @MELANIATRUMP arrive at Trump National Sterling, VA! ???????? pic.twitter.com/ZCIcCJz3O6
— Margo Martin (@margomartin) January 19, 2025
The incoming commander in chief hosted a party for 500 guests — including cabinet nominees Pete Hegseth and Lee Zeldin.
Trump was also joined by his kids Don Jr, Eric, Ivanka and Tiffany.
An Elvis impersonator performed for the group earlier on in the night, Trump aide Margo Martin posted on X.
Trump and his family flew in an Air Force plane from West Palm Beach, Fla. to Washington earlier Saturday to kickstart his inauguration weekend.
Following the party, Trump will lay a wreath at Arlington National Cemetery on Sunday.
He will later hold a “Make America Great Again Victory Rally” inside the Capital One Arena in downtown Washington.
On Monday, Trump will be sworn in as United States’ 47th president at noon local time, which is set to take place in the Capital Rotunda for the first time in four decades because of extreme cold weather conditions
With Post wires
Rodent Droppings, Ice Machine Mildew Among Ashburn, Sterling Restaurant Violations
Emily Leaymanhttps://patch.com/virginia/ashburn/rodent-droppings-mildew-ashburn-sterling-restaurant-inspections
The Loudoun County Health Department found rodent droppings, a brown and green mildew on an ice machine part and more violations.Patch StaffASHBURN, VA — Numerous restaurants in the Ashburn and Sterling area recorded violations during health department inspections in the early days of 2025.Violations at restaurants typically focus on factors that can contribute to food contamination. The local health department can also perform a re-inspection to ensure that possible violations have been corrected. For every obse...
The Loudoun County Health Department found rodent droppings, a brown and green mildew on an ice machine part and more violations.
Patch Staff
ASHBURN, VA — Numerous restaurants in the Ashburn and Sterling area recorded violations during health department inspections in the early days of 2025.
Violations at restaurants typically focus on factors that can contribute to food contamination. The local health department can also perform a re-inspection to ensure that possible violations have been corrected. For every observed violation, the inspector provides a specific corrective action that can be completed to rectify the violation.
Sometimes these are simple, and violations can be corrected during the course of the inspection. Some common violations may include foods hot holding or cold holding at improper temperatures, foods without dates marked, and sanitizer with improper amounts of chroline.
Here are the January restaurant inspections in and around Ashburn and Sterling up to Jan. 9, according to the Loudoun County Health Department. The most violations were 16 at Tava Fry. Other violations included rodent droppings at Tipicos Dona Gloria Restaurant and green and brown mildew in an ice machine at Tommy's Place.
Tava Fry: 44054 Pipeline Plaza #140 Ashburn, VA 20147
Find out what's happening in Ashburnfor free with the latest updates from Patch.
Last inspection:
South Block: 20327 Exchange St Ashburn, VA 20147
Last inspection: Jan. 9
Violations:
Doughlab: 21426 Epicerie Plaza, Sterling, VA, USA #180 Sterling, VA 20164
Last inspection: Jan.8
Violations: The purpose of todays visit is to conduct a pre-opening inspection. Facility not approved at time of inspection. Facility is to call EHS when items below have been corrected.
Facility is in need of correcting the following:
MatsuPoke: 44260 Ice Rink Plaza #107 Ashburn, VA 20147
Last inspection: Jan. 8
Violations:
Running Dish: 47100 Community Plaza 134 Sterling, VA 20164
Last inspection: Jan. 8
Violations:
Capitol Grounds Coffee (MAIN TERMINAL): 1 Saarinen Cir. Dulles, VA 20166
Last inspection: Jan. 8
Violations:
Delicioso: 45665 W. Church Rd #112 Sterling, VA 20164
Last inspection: Jan. 8
Violations: No violations found.
Benihana: 21089 Dulles Town Circle Dulles, VA 20166
Last inspection: Jan. 3
Violations:
China Gourmet Inn: 20789 Great Falls Plaza #118 Sterling, VA 20165
Last inspection: Jan. 3
Violations:
La Pupusa Loca: 309 South Sterling Blvd Sterling, VA 20164
Last inspection: Jan. 3
Violations:
UP Ashburn LLC: 20051 Riverside Cmns Plz #136 Ashburn, VA 20147
Last inspection: Jan. 3
Violations: No violations found. Permit handed to person in charge.
Tipicos Dona Gloria Restaurant: 317 Enterprise St Sterling, VA 20164
Last inspection: Jan. 3
Violations:
Velocity Wings: 20789 Great Falls Plaza #162 Sterling, VA 20165
Last inspection: Jan. 3
Violations: No violations found. The purpose of today's follow-up inspection was to confirm that proper testing strips have been procured for the three basin sink. Correct testing strips have been obtained.
Hunan Village: 42920 Piccadilly Plaza #131 Ashburn, VA 20147
Last inspection: Jan. 3
Violations:
MG Food US: 47024 Leesburg Pike 104 Sterling, VA 20164
Last inspection: Jan. 2
Violations:
Ox Deli: 23035 Douglas Court #136 Sterling, VA 20166
Last inspection: Jan. 2
Violations:
Tommy's Place: 156 Enterprise Street Sterling, VA 20164
Last inspection: Jan. 2
Violations:
Chuy's: 21365 Epicerie Plaza Sterling, VA 20164
Last inspection: Jan. 2
Violations:
Mika's Pizza: 21475 Epicerie Plaza #100 Sterling, VA 20164
Last inspection: Jan. 2
Violations:
Locals Tacos & Tequila: 20789 Great Falls Plaza #176 Sterling, VA 20165
Last inspection: Jan. 2
Violations:
Shotted Specialty Coffee: 21100 Dulles Town Cir Dulles, VA 20166
Last inspection: Jan. 2
Violations: No violations found. Previous violations corrected.
Move aside pickleball: Indoor padel venue opens in Sterling
Washington Business Journalhttps://www.bizjournals.com/washington/news/2024/12/02/padel-up-sterling-virginia-sabah-alsabah.html
The fast-growing sport is a cross between tennis and squash.A fast-growing racket sport has made its way to Loudoun County — and it's not pickleball.The sport is padel and a new venue, Padel Up, has opened inside a former indoor ropes facility in Sterling. The 17,000-square-foot venue, from owner Sabah Alsabah, has four padel courts, along with a lounge where guests can order up organic smoothies, snacks and coffees.While pickleball has taken the U.S. by storm, padel — a cross between tennis and squash &mdash...
The fast-growing sport is a cross between tennis and squash.
A fast-growing racket sport has made its way to Loudoun County — and it's not pickleball.
The sport is padel and a new venue, Padel Up, has opened inside a former indoor ropes facility in Sterling. The 17,000-square-foot venue, from owner Sabah Alsabah, has four padel courts, along with a lounge where guests can order up organic smoothies, snacks and coffees.
While pickleball has taken the U.S. by storm, padel — a cross between tennis and squash — is one of the fastest-growing sports globally, played by an estimated 30 million people across 110 countries. The sport, which originated in Mexico, is also seeing modest growth in the U.S., with courts cropping up in such cities as Charlotte, Baltimore, Nashville and San Francisco.
Alsabah discovered padel a few years ago while visiting friends in the Middle East.
"My friends were playing this game that I'd never heard of before, and they convinced me to come out and play with them, and I was completely hooked," he recalled. "I came back to D.C., and looked for courts, and found they just did not exist."
So Alsabah, who has a background in marketing and consulting, set out two years ago to change that. With the aid of an outside broker, Bob Anderson at Cresa, he found the former Summit Ropes location at 44810 Old Ox Road. Summit Ropes, once hailed as one of the largest indoor ropes courses in the country, closed in the spring.
It took some time to home in on the Old Ox Road site. Most of the other venues Alsabah scouted were either too small or not zoned for recreation, but the former Summit Ropes space was an ideal fit, thanks to its 28-foot-high ceilings and columns spaced far enough apart to accommodate four, 33-foot-by-66-foot courts.
Alsabah signed the lease in July and retained a team including Powers Brown Architecture and Nova Medical Builders to design and build out the space. There were some setbacks, like a three-day port strike earlier in the fall that delayed delivery of the courts from Italy, but the courts finally arrived in October and Padel Up opened Nov. 18.
The location will be open from 3 p.m. to 11 p.m. weekdays and from 7 a.m. to 11 p.m. on weekends. Memberships start at $99 a month, but nonmembers can also book court time.
If all goes well, Alsabah might look to open additional locations in the D.C. area. But he's self-funding the business, so he's taking things slow for now.
"I'm hyperfocused on making this a success here," he said.
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Phone: (703) 822-5003 | Email: info@proactivwellnesscenters.com
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