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 Sterling, VA
Foods 'Visibly Spoiled," Ice Machine Substance: Ashburn, Sterling Restaurant Inspections
patch.comhttps://patch.com/virginia/ashburn/ashburn-sterling-restaurant-inspections-visibly-spoiled-foods
The Loudoun County Health Department found a pink substance in an ice machine, soiled utensils or equipment, and more violations.Emily Leayman, Patch Staff|Updated Tue, Apr 1, 2025 at 9:46 am ETASHBURN, VA — Numerous restaurants in the Ashburn and Sterling area recorded violations during health department inspections in late March.Violations at restaurants typically focus on factors that can contribute to f...
The Loudoun County Health Department found a pink substance in an ice machine, soiled utensils or equipment, and more violations.
Emily Leayman, Patch Staff
|Updated Tue, Apr 1, 2025 at 9:46 am ET
ASHBURN, VA — Numerous restaurants in the Ashburn and Sterling area recorded violations during health department inspections in late March.
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.
Here are restaurant inspection results in and around Ashburn and Sterling in late March, according to the Loudoun County Health Department. Of note, Milk & Honey had 18 violations, including "visibly spoiled" foods and an ice machine with a pink substance. At Viet Kitchen & Tea House, inspectors found 14 violations, including foods not properly dated and cleaned equipment or utensils still having debris.
Cooper's Hawk Winery & Restaurant: 19870 Belmont Chase Blvd. Ashburn, VA 20147
Find out what's happening in Ashburnfor free with the latest updates from Patch.
Last inspection: March 25
Violations:
UP Ashburn LLC: 20051 Riverside Cmns Plz #136 Ashburn, VA 20147
Last inspection: March 25
Violations: No violations found. All violations have been corrected.
China Village: 32 Pidgeon Hill Dr Sterling, VA 20165
Last inspection: March 25
Violations:
Dwaraka's Bawarchi Indian Kitchen: 21760 Beaumeade Cir #145 Ashburn, VA 20147
Last inspection: March 25
Violations: No violations found. EHS rechecked the walk in cooler. It is now functioning. Walk in freezer light bulb has been replaced. Opening date will be the first week of April.
Bebop: 20630 Ashburn Rd #172 Ashburn, VA 20147
Last inspection: March 25
Violations:
Milk & Honey: 22000 Dulles Retail Plaza, Suite 186 Sterling, VA 20166
Last inspection: March 25
Violations:
Rubino's Pizzeria: 43170 Southern Walk Plaza Ste 110-114 Ashburn, VA 20148
Last inspection: March 24
Violations:
Popeyes: 44061 Ashburn Shopping Plaza Ashburn, VA 20147
Last inspection: March 24
Violations: No violations found.
DC Prime Steakhouse: 20120 Lakeview Center Plaza Ashburn, VA 20147
Last inspection: March 24
Violations:
Viet Kitchen & Tea House: 20789 Great Falls Plaza Sterling, VA 20165
Last inspection: March 24
Violations:
Jimmy John's: 44110 Ashburn Village Blvd #134 Ashburn, VA 20147
Last inspection: March 24
Violations:
Parrandos Tex-Mex Grill: 42830 Creek View Plaza #100 Ashburn, VA 20147
Last inspection: March 24
Violations:
Carolina Brothers Pit BBQ: 20702 Ashburn Rd Ashburn, VA 20147
Last inspection: March 21
Violations:
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