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 Washington, DC
Washington football in hot pursuit of highly-touted Washington D.C. running back
Roman Tomashoffhttps://uwhuskieswire.usatoday.com/story/sports/college/huskies/recruiting/2025/11/01/dajon-talley-rhodes-uw-football-scottie-graham-jedd-fisch-indiana-hoosiers/87017392007/
Washington Huskies running backs coach Scottie Graham has a very particular strategy on the recruiting trail.Usually, Graham likes to take two prospects per class: one big, physical prospect that thrives between the tackles, and a speed back that can stretch defenses laterally before turning upfield. However, in the 2027 class, Graham appears to be focusing on adding one high-end prospect who has the makings of a three-down back at the college level, like Dajon Talley-Rhodes.Talley-Rhodes, a 6-foot, 213-pound product of St. Joh...
Washington Huskies running backs coach Scottie Graham has a very particular strategy on the recruiting trail.
Usually, Graham likes to take two prospects per class: one big, physical prospect that thrives between the tackles, and a speed back that can stretch defenses laterally before turning upfield. However, in the 2027 class, Graham appears to be focusing on adding one high-end prospect who has the makings of a three-down back at the college level, like Dajon Talley-Rhodes.
Talley-Rhodes, a 6-foot, 213-pound product of St. John's College Prep in Washington, D.C., has yet to be ranked by either 247Sports or On3, but has put together an impressive offer sheet. He's received 17 scholarship offers with five other Big Ten teams: Indiana, Maryland, Minnesota, Penn State, and Wisconsin, all in pursuit.
On film, Talley-Rhodes shows off all the makings of a running back who can handle a heavy workload at the next level. He displays solid breakaway speed when he can get to the edge and strong acceleration, along with impressive contact balance that allows him to slip away even when defenders appear to have him wrapped up, rarely going down on first contact.
Combined with great vision that helps him identify and attack holes quickly, and a solid jump cut that can help him escape a heavy box, Talley-Rhodes could quickly rise up the rankings following his junior season as he continues to grow into his frame.
Check out the all new PLAY hub with puzzles, games and more!As the Huskies continue to hunt for their first commit in the 2027 class and expand their recruiting footprint, Talley-Rhodes doesn't seem close to making a decision, but if Graham is able to earn a pledge from the talented ball carrier, he would be an impressive addition for Jedd Fisch's coaching staff.
Local Commissioner advocates for FEMA Act 2025 in Washington, D.C.
Anaiya Cromartiehttps://www.wect.com/2025/10/30/local-commissioner-advocates-fema-act-2025-washington-dc/
BRUNSWICK COUNTY, N.C. (WECT) - A local Commissioner in southeastern North Carolina is pushing for a bill that would make it easier to receive Federal help after a natural disaster.North Carolina has experienced its fair share of destructive storms in recent years.Brunswick County Commissioner Frank Williams says the southeastern region is his home, and he says seeing the aftermath of devastating hurricanes is what inspires him to vouch for better preparedness and speedy recovery efforts.Williams is on a task force creat...
BRUNSWICK COUNTY, N.C. (WECT) - A local Commissioner in southeastern North Carolina is pushing for a bill that would make it easier to receive Federal help after a natural disaster.
North Carolina has experienced its fair share of destructive storms in recent years.
Brunswick County Commissioner Frank Williams says the southeastern region is his home, and he says seeing the aftermath of devastating hurricanes is what inspires him to vouch for better preparedness and speedy recovery efforts.
Williams is on a task force created by the National Association of Counties (NACo), which helps strengthen disaster mitigation, response, and recovery capabilities.
Williams and others visited Washington, D.C. this week to speak with leaders about the new Fixing Emergency Management for Americans (FEMA) Act 2025.
The bill would simplify the victim application process across federal agencies, transition the FEMA public assistance program from a reimbursement-based model to a grant-based model, and increase transparency into the status of project approval. It would also allow for interest incurred on loans to be covered by FEMA public assistance.
Williams says applications can add to the hard time storm survivors face when trying to recover.
“One of the things that I observed, you know, during Hurricane Florence was how confusing the process is for individuals,” said Williams. “One thing this act would do is create a single universal disaster application that residents could fill out if they need something from FEMA so they don’t have to guess which application is the right one.”
He explains that this act would help governments to stay afloat when paying for storm damage.
“Now you’ve got counties in the mountains who have to dip into their emergency fund at a dangerous level in order to pay bills from Helene, while they’re waiting on FEMA reimbursement. So one of those counties has $53 million in bills to contractors from Helene damage. Their whole annual budget is $42 million. So that is obviously a massive strain on them,” shares Williams.
It would also help set towns up for success in the aftermath.
“Sometimes local governments have to take out loans to pay hurricane or emergency bills, that interest is not currently reimbursable by FEMA,” said Williams.
Thankfully, he says it’s gaining support from some leaders on the hill.
“Our group from North Carolina met with Senators Tom Tillis, Senator Ted Budd, Congressman Tim Moore, and also Congresswoman Virginia Fox,” shares Williams. “We met with the top staff for Congressman Chuck Edwards, whose entire district, for the most part, was affected by Helene. And Congressman Rouser was not up here this week, but I have communicated with him directly about this.”
He tells me that their voice is being heard and considered.
“The people we met with ask a lot of questions and ask for specifics and follow-up information that the Association of County Commissioners will provide to them on numbers of what counties have had to expend and what they still are owed and that type of thing,” said Williams.
The bill was approved by the U.S. House Transportation and Infrastructure Committee with a 57 - 3 vote. It will now go before the House.
Williams believes now is the time to take action, before the Peak Atlantic Hurricane Season starts again.
“Obviously you know, to get anything done in Washington is challenging. Hopefully this will, even if it doesn’t pass in its current form, put a spotlight on some of the issues that need to be changed,” said Williams. “I’m hoping that it will come to the full floor of the House and then see some legislation in the Senate that matches.”
Click here to learn more about Williams’ work to better prepare county leaders for Hurricanes.
Dog and Cat Adoptions - Adopt for $31 - Saturday (10AM - 4PM; Arrive by 3PM)
patch.comhttps://patch.com/district-columbia/washingtondc/calendar/event/20251025/9bf00179-8639-4400-a96b-31fb22b69d4d/dog-and-cat-adoptions-adopt-for-31-saturday-10am-4pm-arrive-by-3pm
???? Adoption promotion: Adopt dogs and cats in need of forever homes for only $31 and help clear the shelter. Many of the dogs need homes outside of PG County.???? Adopters: Please go to the shelter between 11am and 7pm (arrive by 6pm) to meet and adopt animals. Adopters are able to meet 2 dogs and bring dogs for meet and greets. *In order to apply t...
???? Adoption promotion: Adopt dogs and cats in need of forever homes for only $31 and help clear the shelter. Many of the dogs need homes outside of PG County.
???? Adopters: Please go to the shelter between 11am and 7pm (arrive by 6pm) to meet and adopt animals. Adopters are able to meet 2 dogs and bring dogs for meet and greets. *In order to apply to adopt a “terrier mix”, you must provide two original documents with matching addresses as proof of residency outside of PG County (due to breed specific legislation.)
----- DC event:
???? Also on Saturday with @vindicatedpits: ???? Pittie Palooza! ????????"Join us on Saturday, October 25th from 12–5 PM at Taco Bamba City Ridge (3930 Wisconsin Ave, NW DC) for a day full of:✨ Adoptable dogs, ✨ Delicious food, ✨ Local makers market, ✨ Free training tips, ✨ Family-friendly fall fun!Bring your pups, your friends, and your love for rescue dogs. ????❤️ You won’t want to miss it!"
----- PG County event:
Please see bios, photos, and videos of the dogs and cats at the first two links and share posts at any of these links.
Adoption website: 24petconnect.com/PGEOADOPT
Follow Shelter posts: facebook.com/pgcpets4us/
Follow Friends' posts about urgent dogs: (None are urgent this week.) facebook.com/people/Friends-of-PG-County-Animal-Shelter/61565594829660/
Prince George’s County Animal Shelter, 3750 Brown Station Road, Upper Marlboro, MD 20772
Call 301-780 -7200 (select 1, 4 - adopt, then 3 - info) with the animal ID number(s) to check availability.Adoption Hours: Tuesday to Friday 11:00am - 7:00pm, Saturday 10:00am - 4:00pm. (Arrive 1 hour before closing.)
More information: PG County Shelter adoption steps, fees, and spay/neuter https://www.princegeorgescountymd.gov/departments-offices/environment/animal-services/pet-adoption https://www.princegeorgescountymd.gov/departments-offices/environment/animal-services/pet-care-education/spaying-neutering
This is a courtesy post.
A look inside The Octagon, one of Washington D.C.'s oldest – and most haunted – homes
Willie James Inmanhttps://www.cbsnews.com/news/a-look-inside-the-octagon-one-of-washington-d-c-s-oldest-and-most-haunted-homes/
The White House may be the most well-known home in Washington D.C., but just blocks away from the presidential mansion sits a lesser known home with its own piece of U.S. history.The Octagon is an approximately 10,000 square foot home designed by William Thornton, who served as the first architect of the U.S. Capitol. The building sits at the corner of New York Avenue NW and 18th Street NW in Washington, D.C., and was completed in 1801.Built as a second residence for Virginia's prominent Tayloe family who were friends of George...
The White House may be the most well-known home in Washington D.C., but just blocks away from the presidential mansion sits a lesser known home with its own piece of U.S. history.
The Octagon is an approximately 10,000 square foot home designed by William Thornton, who served as the first architect of the U.S. Capitol. The building sits at the corner of New York Avenue NW and 18th Street NW in Washington, D.C., and was completed in 1801.
Built as a second residence for Virginia's prominent Tayloe family who were friends of George Washington, the more than 200-year old building gets its name from the shape of the main room at the main entrance. Amanda Ferrario is the manager of the house, which now doubles as a museum and event space. It's owned and maintained by the Architects Foundation, the philanthropic partner of the American Institute of Architects (AIA), which purchased the property in 1902.
"The Octagon name comes from this room that we're standing in," Ferrario told CBS News during a tour of the home. "In order to build a circular room, you make the structure out of an octagonal shape and then builds it in with various building materials to give this nice smooth circle," she added.
Ferrario says the epicenter of the house was in the basement, where several enslaved people lived and worked mostly out of sight of the wealthy occupants.
"(The basement) is the absolute epicenter of all of the activity," Ferrario said. "Not only for the enslaved who would live and work here, they were sleeping here. They were working here around the clock, but also in order to operate a house of this caliber," she added.
The Octagon also served as a home for one of America's early first families. President James Madison and his wife, Dolley Madison, temporarily relocated to the home after the British burned down the White House in 1814. Ferrario says the rent for the temporary stay was about $6,000 for their 6-month stay. She also noted the specific reason why the British did not destroy the prominent home.
"But during this time, Mr. Tayloe was quite savvy, and invited a French ambassador to stay here. He knew that if there was a French flag flying, no one's going to touch this house," Ferrario said. "And it was spared, and rightfully so, because in preparation for the British coming. And Dolley Madison did send over a few of her items that meant a lot to her, so that they would be extra protected."
President Madison used the residence to conduct official business including signing the Treaty of Ghent which ended the War of 1812. He signed the document in the home's circular office, Ferrario told CBS News.
Dolley Madison brought cherished items from the White House including curtains, silverware and her pet bird. The former first lady would go on to host what became known as "squeezes" in the first floor sitting room. The events were gatherings of Washington's elite at the time.
Over the years, The Octagon was transformed for different uses including a Catholic school for girls, a federal office building and later as tenement housing.
Its storied past includes spooky and unexplained events reported by guests throughout the building's lifetime. Doors opening, lights flickering and security alarms going off without any explanation have been common occurrences in the building.
"We have an ongoing, I guess it's kind of an ongoing joke with our security monitoring company, that if the security monitors go off on the second or third floor, everything is okay. It's just our friends playing."
Ferrario also says Jackie Kennedy Onassis — then known as Jackie Bouvier — may have had her own chilling experience in the home when she was working for a local newspaper.
"She wrote about a time when she came through to the Octagon and she was standing right where you're standing," Ferrario explained to CBS News. "And she felt the overwhelming presence and a smell of lilac, which is equated to Dolley (Madison). And what she said was, it was like a former first lady looking over the shoulder of a future first lady."
The building is currently undergoing renovations to become a prominent and cohesive part of the new headquarters for the AIA later this year. The house will also play a part in America's 250th Independence celebration after receiving a National Park Service grant for restoration efforts.
Jennifer Calvert Hall serves as the Executive Director of the Architects Foundation. She hopes future visitors gain a sense of reverence for the architecture of America's early history.
"I want them to have this sense of that moment in time where our founding, sort of the people who founded the United States of America, were interested in very progressive ideas, and that those progressive ideas were reflected in its architecture. I want them to feel that," Calvert Hall said.
In:
St. John Paul II’s Legacy, Impact on Africa He Called “continent of hope”: Highlights from Washington, D.C. Celebration
ACI Africa Staffhttps://www.aciafrica.org/news/18275/st-john-paul-iis-legacy-impact-on-africa-he-called-continent-of-hope-highlights-from-washington-dc-celebration
“Isn’t Cameroon like Africa in miniature, a melting pot of many ethnic groups with rich traditions, a crossroads of all the major religions of the African continent, at the crossroads of the French-speaking and English-speaking worlds, with a remarkable demographic expansion and a very large youth population? This country has been spoken of as an island of peace,” St. John Paul II said upon arriving in Cameroon on 10 August 1985.During that first visit, Pope John Paul II presided over four Eucharistic celebrations in...
“Isn’t Cameroon like Africa in miniature, a melting pot of many ethnic groups with rich traditions, a crossroads of all the major religions of the African continent, at the crossroads of the French-speaking and English-speaking worlds, with a remarkable demographic expansion and a very large youth population? This country has been spoken of as an island of peace,” St. John Paul II said upon arriving in Cameroon on 10 August 1985.
During that first visit, Pope John Paul II presided over four Eucharistic celebrations in Cameroon’s four Metropolitan Sees, emphasizing family, unity, and faith.
A decade later, on 14 September 1995, he returned to Cameroon’s capital city, Yaoundé, to sign Ecclesia in Africa, the Post-Synodal Apostolic Exhortation that summarized the reflections of the 1994 Synod of Bishops for Africa. The exhortation laid the foundation for the “Church-as-Family of God” model that continues to shape African ecclesiology today.
African Liturgy at the Shrine
Organized under the Shrine’s mission of “worship, religious formation, and cultural renewal”, the September 13 event, which was jointly hosted by the African Catholic Association (ACA) of the Washington D.C. Metro area brought together over a dozen African Priests, women and men Religious, and Laity with Bishop Michael Bibi of Cameroon’s Buéa Diocese as main celebrant and homilist.
The Cameroonian Catholic Bishop brought personal memories of the impactful Polish-born Pontiff, who was the second-longest-serving Pope in modern history with 27 years of pontificate, and the first non-Italian Pontiff since the Dutch Pope Adrian VI in 1523.
As a young altar boy, Bishop Bibi had served at Pope John Paul II’s 1985 Mass for families on 12 August 1985 in his native Catholic Archdiocese of Bamenda.
The September 13 Eucharistic celebration that provided an opportunity to revisit St. John Paul II’s prophetic vision for Africa and renew the missionary commitment of African Catholics in the diaspora incorporated vibrant African elements — lectionary and offertory processions accompanied by rhythmic dances, and prayers rendered in multiple African languages.
The offertory featured the Congolese song Eh, Eh Eh Mfumue, first sung at St. Peter’s Basilica during the 1994 Synod opening Mass. Among those presenting the gifts was Sr. Marie Agatha Ozah of the Handmaids of the Holy Child Jesus (HHCJ), who had taken part in that very offertory procession in Rome 30 years earlier.
The colourful celebration underscored the theme of inculturation, one of the central pillars of “Ecclesia in Africa”, alongside the vocation of the family and the call to be “personally rooted in Christ” — themes highlighted in Bishop Bibi’s homily.
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