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 Sterling, VA
Severe storms trigger tornado warnings, thunderstorm watches and warnings across DMV
Amanda Hurleyhttps://www.fox5dc.com/news/live-updates-dangerous-storm-hits-dc-area-track-severe-weather-possible-tornadoes
Several major weather alerts were issued Monday night as another line of storms moved through the D.C. area.The weather system spurred thunderstorm watches and warnings, and even some tornado warnings.FOX 5 is keeping you up to date with the latest. Check below for LIVE storm updates.The tornado warnings for Calvert County, Huntingtown, Dares Beach and Prince Frederick, Md. have expired.A tornado warning has been issued for Huntingtown, Dares Beach and Prince Frederick, Md. until 10 p.m.A tornado warning ha...
Several major weather alerts were issued Monday night as another line of storms moved through the D.C. area.
The weather system spurred thunderstorm watches and warnings, and even some tornado warnings.
FOX 5 is keeping you up to date with the latest. Check below for LIVE storm updates.
The tornado warnings for Calvert County, Huntingtown, Dares Beach and Prince Frederick, Md. have expired.
A tornado warning has been issued for Huntingtown, Dares Beach and Prince Frederick, Md. until 10 p.m.
A tornado warning has been issued for Calvert County, Md. until 10:00 p.m.
The warnings for Anne Arundel, Calvert, Charles, Prince Georges and St. Marys counties in Maryland have been extended until 9:45 p.m.
A Severe Thunderstorm Warning is in place until 9:15 p.m. in the following areas:
A Severe Thunderstorm Watch is in place until midnight in the following areas:
A Tornado Warning is in place until 8:45 p.m. for parts of Central Virginia, including
A Flood Warning is in place in the City of Fairfax, Fairfax County and Montgomery County until 6:30 p.m.
A Coastal Flood Warning is in place for Anne Arundel County until 10:00 p.m.
Wind Advisories are in place for Montgomery County and Dorchester County until early Tuesday morning.
A Tornado Watch originally in place until 7:00 p.m. has been canceled for the D.C. area.
The following areas are under a Severe Thunderstorm Warning until 2:45 p.m.
The following areas are under a Severe Thunderstorm Warning until 3:00 p.m.:
Tornado Warnings have been dropped for the Washington, D.C. region after a line of powerful storms swept through Monday morning. Tornado Watches and Severe Thunderstorm Warnings remain across the DMV.
Another round of potentially dangerous weather is expected to move into the region this afternoon.
The National Weather Service in Sterling, Va., has issued a Severe Thunderstorm Warning for:
The warning is in effect until 12:45 p.m. EDT.
At 12:05 p.m. EDT, severe thunderstorms were located along a line from 7 miles southwest of Bealeton to 13 miles east of Orange to 8 miles north of Louisa, moving northeast at 40 mph.
The National Weather Service in Sterling, Va., has issued a Tornado Warning for:
In effect until 12:15 p.m. EDT.
At 12:00 p.m. EDT, a severe thunderstorm capable of producing a tornado was located 7 miles south of Taneytown, or 8 miles west of Westminster, moving northeast at 35 mph.
Severe weather is causing major travel delays for those flying in and out of the Washington, D.C, area on Monday.
The Federal Aviation Administration (FAA) has issued a ground stop at Reagan International Airport until 12:30 p.m. Monday due to thunderstorms in the area.
Flight cancellations at the airport are nearing 200, reaching 193 as of 11:50 a.m. Delays are also on the rise at 183 flights. READ MORE
The National Weather Service in Sterling, Va., has issued a Tornado Warning for:
The warning is in effect until 12:15 p.m. EDT.
At 12:00 p.m. EDT, a severe thunderstorm capable of producing a tornado was located 7 miles south of Taneytown, or 8 miles west of Westminster, moving northeast at 35 mph.
The National Weather Service in Sterling, Va., has issued a Tornado Warning for:
The warning is in effect until noon EDT.
At 11:46 a.m. EDT, a severe thunderstorm capable of producing a tornado was located over Linganore‑Bartonsville, or near Frederick, moving northeast at 55 mph.
The National Weather Service in Sterling, Va., has issued a Tornado Warning for
At 11:40 a.m. EDT, a severe thunderstorm capable of producing a tornado was located over Boyds, or over Germantown, moving northeast at 50 mph.
Potential impacts
A tornado could produce dangerous flying debris, which poses a serious threat to anyone without shelter. Damage to roofs, siding and windows is possible. Mobile homes may be damaged or destroyed, and tree damage is likely.
A Severe Thunderstorm Warning remains in effect until 11:45 a.m. EDT for:
At 11:31 a.m. EDT, severe thunderstorms were located along a line from Municipal Stadium to near Boonsboro, Braddock Heights and Lansdowne, moving northeast at 55 mph. Hazard: 60 mph wind gusts
Locations impacted
Tornado Warning issued for parts of Maryland and Virginia
The National Weather Service in Sterling, Va., has issued a Tornado Warning for:
The warning is in effect until 11:45 a.m. EDT.
At 11:29 a.m., meteorologists said a severe thunderstorm capable of producing a tornado was located over Poolesville, moving northeast at 45 mph. The storm’s motion and intensity prompted the immediate warning for the surrounding areas.
A Severe Thunderstorm Warning remains in effect until 11:45 a.m. EDT for the following areas:
The National Weather Service in Sterling, Virginia has issued a:
Severe Thunderstorm Warning for:
The alert is in effect until noon EDT.
At 1114 AM EDT, severe thunderstorms were located along a line extending from 6 miles northeast of Bealeton to 15 miles northwest of Fredericksburg, moving northeast at 60 mph.
The National Weather Service has issued a Tornado Watch until 7 p.m. EDT for the following locations across the District, Maryland and Virginia.
District of Columbia and Baltimore City
Maryland counties included:
Virginia counties included:
Virginia independent cities included:
The National Weather Service in Sterling, Virginia has issued a Tornado Warning for:
The alert is in effect until 11:30 a.m. EDT.
Areas under Tornado Warning
The warnings were issued for:
The alert is in effect until 11 a.m. EDT.
The National Weather Service said a severe thunderstorm capable of producing a tornado was located about seven miles east of Sperryville, 12 miles northwest of Culpeper, moving northeast at 55 mph.
The National Weather Service warned that anyone in the storm’s path could face:
Tornado Warning safety guidance:
The National Weather Service urged residents to:
Big picture view:
Severe thunderstorms are rolling into the DC area, bringing the possibility of hurricane-force wind gusts and EF-2+ tornadoes.
NOAA's Storm Prediction Center has issued a 15% risk of tornadoes for Washington, D.C., and parts of central and eastern Virginia. Experts say these tornadoes could be EF-2 or stronger and have the potential to be long-track tornadoes.
Damaging wind gusts between 60–80 mph could also easily damage structures and cause widespread power outages.
The first round of storms is expected to move in around noon and intensify through 5 p.m. as a second line of storms moves in during the evening hours, before exiting the region around 9 p.m.
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