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 Woodbridge, VA
Supervisors Approve Townhouses At Woodbridge Children's Sports Center
Emily Leaymanhttps://patch.com/virginia/woodbridge-va/housing-woodbridge-childrens-sports-center-destroyed-fire-approved
The Board of County Supervisors approved for-rent townhouses at the site of the Kid's Choice Sport & Fun Center that burned down.WOODBRIDGE, VA — Redevelopment of the former Kid's Choice Sport & Fun Center into rental townhouses was approved 6-0 by the Prince William Board of County Supervisors Tuesday.The site of the proposal is where a December 2024 fire started at a single-family home spread to the Kid's Choice Sport & Fun Center in Woodbridge due to high winds in the forecast. The fire burnt down the cen...
The Board of County Supervisors approved for-rent townhouses at the site of the Kid's Choice Sport & Fun Center that burned down.
WOODBRIDGE, VA — Redevelopment of the former Kid's Choice Sport & Fun Center into rental townhouses was approved 6-0 by the Prince William Board of County Supervisors Tuesday.
The site of the proposal is where a December 2024 fire started at a single-family home spread to the Kid's Choice Sport & Fun Center in Woodbridge due to high winds in the forecast. The fire burnt down the center.
The redevelopment proposal calls for 80 for-rent townhouses and 243 parking spaces with garage parking in units. Eight of the units will be affordable to households making 80 percent of the area median income. For example, that income limit is $74,800 for a household of one and $85,450 for a household of two. The proposed density of the housing is 10.25 dwelling units per acre, which sits on the lower end of the eight to 24 dwelling units per acre in the county's planning guidelines for the area.
The townhouses planned for the site include 68 of the 2,200 square foot larger units and 12 of the 1,800 smaller units. Green space proposed at the community includes a dog park, exercise stations, open play area, community gathering area, grilling stations, tot lot, gazebo, walking path and trail access. The developers are planning 72,100 square feet of tree coverage, which is above requirements.
Developers presented supervisors with a traffic estimate showing 80 townhouses could produce an 696 average weekday daily trips. That's below what developers estimate for the children's sport club use — 2,397 average weekday daily trips.
Supervisor Kenny Boddye (D-Occoquan), whose district the project is located in, addressed resident concerns such as traffic, stormwater management and density near the two-lane Devil's Reach Road. The supervisor noted the proposal has been amended over time, including cutting units from about 160 to 80.
"To the folks broader throughout the Devil's Reach community, I know this is a special piece of paradise for you," said Boddye at Tuesday's meeting. "This is literally a semi-rural road surrounded by urbanized growth and I know that's part of the reason why you care about and take such pride in your road and your neighborhood. And that character's worth protecting."
Boddye pointed to the targeted renters for the townhouses such as military service members.
"At the same time, I recognize that are others that are drawn to this convenience and this sense of place, and this proposal would open that opportunity up to more people at various life stages who need more flexibility with housing options," said Boddye.
The supervisor added that he directed staff to look at a sidewalk project on Devil's Reach Road and said grant opportunities could be available.
"You have my commitment that even as this project is going through we're going to be looking at schools, we're going to be on top of VDOT, public works as was said is going to be coming in to address a lot of the stormwater management issues, and you have our commitment that we continue to stay on top of this and ensure you are neglected no more," said Boddye.
Meeting Scheduled On Interstate 95 Interchange Project In Woodbridge
Emily Leaymanhttps://patch.com/virginia/woodbridge-va/interstate-95-interchange-project-continues-woodbridge-meeting-scheduled
The Virginia Department of Transportation has scheduled a meeting on the ongoing project addressing a bottlenecked area of I-95.WOODBRIDGE, VA — The Virginia Department of Transportation has scheduled a construction meeting on the improvement project affecting the busy Interstate 95 and Route 123 interchange in Woodbridge.The "pardon our dust" construction meeting will be held Tuesday, Sept. 9, from 5:30 p.m. to 7 p.m. in the gym of Occoquan Elementary School, 12915 Occoquan Road, Woodbridge, VA. A presentatio...
The Virginia Department of Transportation has scheduled a meeting on the ongoing project addressing a bottlenecked area of I-95.
WOODBRIDGE, VA — The Virginia Department of Transportation has scheduled a construction meeting on the improvement project affecting the busy Interstate 95 and Route 123 interchange in Woodbridge.
The "pardon our dust" construction meeting will be held Tuesday, Sept. 9, from 5:30 p.m. to 7 p.m. in the gym of Occoquan Elementary School, 12915 Occoquan Road, Woodbridge, VA. A presentation will begin at 6 p.m., and project staff will answer questions after the presentation.
VDOT announced in May it was starting construction on the project, which addresses an area of Interstate 95 experiencing frequent bottlenecks. The project at the I-95 interchange with Route 123/Gordon Boulevard will replace the northbound Route 123 loop ramp to southbound I-95 with a signalized left turn to the ramp to southbound I-95. The southbound Route 123 ramp to southbound I-95 will be widened from one to two lanes. In addition, VDOT will move the Route 123 and I-95 Express Lanes ramp intersection slightly south, realign the southbound I-95 ramp to northbound Route 123, and widen and replace the beams and deck of the southbound I-95 bridge over Occoquan Road. A shared-use path will be added along northbound Route 123 between Annapolis Way and Devil's Reach Road.
There are extended lane closures on Occoquan Road (Route 906) for the project's utility relocation, storm drainage installation and the widening of the southbound I-95 overpass. The road is reduced from two lanes to one in each direction between Hylton Avenue (Route 1209) and Devils Reach Road (Route 748). VDOT expects the lane closures to continue through late 2026.
The $76 million interchange project is receiving federal and state funding. Construction along southbound I-95 and the bridge over Occoquan Road will be completed in late 2027, while all of the interchange improvements will be finished in late 2028.
Where To Pick Apples Near Woodbridge: 2025 Guide
Emily Leaymanhttps://patch.com/virginia/woodbridge-va/where-pick-apples-near-woodbridge-2025-guide
Apple picking season is here, and there are options for pick-your-own apples and other fall activities near Woodbridge. WOODBRIDGE, VA — Fall doesn’t officially start until the autumnal equinox on Monday, Sept. 22, but the season is already underway at apple orchards near Woodbridge.There are plenty of activities at these fall attractions to appeal to all ages, especially kids.Patch has compiled a list of some of the best apple orchards and family-friendly fall attractions about an hour from Woodbridge. Bef...
Apple picking season is here, and there are options for pick-your-own apples and other fall activities near Woodbridge.
WOODBRIDGE, VA — Fall doesn’t officially start until the autumnal equinox on Monday, Sept. 22, but the season is already underway at apple orchards near Woodbridge.
There are plenty of activities at these fall attractions to appeal to all ages, especially kids.
Patch has compiled a list of some of the best apple orchards and family-friendly fall attractions about an hour from Woodbridge. Before you go, be sure to call ahead or check the orchard’s website to clarify hours of operation or to check for the availability of apples.
Details: Apples, pumpkins and other fall items for sale, plus hayrides and children's activities
Hours: 9 a.m. to 9 p.m. Fridays and Saturdays, 9 a.m. to 5 p.m. 5 p.m. Sundays to Thursdays
Address: 1524 Snowden Rd, Delaplane, VA 20144
Season dates: Late August through October
Details: Pick-your-own apples
Hours: Check the website for updated hours each week
Phone: 540-623-8854
Address: 3064 Hartland Ln, Markham, VA 22643
Season dates: Late August, September and October
Details: Apple picking for $10 a peck. Visitors are recommended to call ahead to check for any changes.
Hours: 9 a.m. to 2 p.m.
Cost: Varies, $10 a peck
Phone: 540-364-2316
Address: 11587 Poverty Hollow Ln, Markham, VA 22643
Details: Pick-your-own apples. Weekends include live music and vendors like ice cream, kettle corn, wine and hard cider.
Hours: Check the website for updates on weekly hours
Phone: 540-364-3040
Corn mazes and pumpkin patches are also open or will open soon.
Address: 11812 Bristow Rd, Bristow, VA 20136
Season dates: Season begins closer to October, dates to be announced
Details: Pick-your-own pumpkins, corn maze scavenger hunt, cow train and more farm activities
Phone: 703-618-3782
Address: 1130 Tyler St, Fredericksburg, VA 22401
Season dates: Sept. 27-Oct. 26 weekends
Details: Fall festival with corn maze, hayrides, sunflower walk, pumpkin patch, family playground, concessions and more
Phone: 540-899-9848
Address: 1410 Belvedere Dr, Fredericksburg, VA 22408
Season dates: Sept. 13-Nov. 1, Thursdays to Sundays
Details: Fall festival with Great Adventure Maize Maze, Pumpkin Mountain, Roller Bowler, Racing Slides, Little Farmer's Corral, Olde Barnyard, Silo Ropes Adventure and much more.
Hours: 10 a.m. to 2 p.m. Thursdays and Fridays, 6 p.m. to 10 p.m. Fridays except Oct. 31, 10 a.m. to 10 p.m. Saturdays, 10 a.m. to 6 p.m. Sundays
Cost: Varies, $17.95-$26.95, free for children 2 and under
Phone: 540-373-4478
Address: 15621 Braddock Rd, Centreville, VA 20120
Season dates: Sept. 20-Nov. 9, closed Tuesdays and Wednesdays
Details: Fall festival with farm activities, hayrides, fun tunnels, slides, Foamhenge, Cornundrum, Imaginature Trail, Tractor Museum, Goat Village and more
Hours: 10 a.m. to 6 p.m., last entry at 5 p.m. in September and October, 10 a.m. to 5 p.m., last entry at 4 p.m. in November
Cost: Varies, $15-$30 per person
Phone: 703-830-4121
Address: 8275 Maple Tree Ln, Warrenton, VA 20187
Season dates: Weekends from Sept. 28-Oct. 26
Details: Fall farm activities like a corn maze, butter making, puppet shows, small animals, moo bounce, cow train, Maple Tree Express and more
Hours: 10 a.m. to 4 p.m. on weekends
Cost: $15 per person plus service fee, or free for children 2 and under
Phone: 540-422-2007
Editor's note: Cows-N-Corn moved its operations to the Maple Tree Farm location.
Address: 6025 Catlett Rd, Bealeton, VA 22712
Season dates: Weekends from Sept. 20-Oct. 26 and Oct. 13
Details: Fall festival with petting zoo, corn maze, hayrides, candy cannon, barrel train, crunchkin painting, zip line and kids tattoos
Hours: 10 a.m. to 5 p.m. on open days
Cost: $15 per person, $10 for seniors, children 3 and under free
Phone: 540-439-8900
Address: 19246 James Monroe Hwy, Leesburg, VA 20176
Season dates: Sept. 20-Nov. 4
Details: Family-friendly activities like giant hill slides, moon bounces, wagon rides, petting zoo, pedal carts, the corn bin and more
Hours: 9:30 a.m. to 5 p.m. weekdays, 9:30 a.m. to 6 p.m. weekends, closed Tuesdays
Cost: Admission varies, $17.95 to $22.95, kids under 2 free
Phone: 703-433-0002
This should be a good year for apple picking, according to the 2025 forecast from the U.S. Apple Association, which estimates the harvest will be 6 percent higher than in 2024, for a total of 273 million bushels.
That estimate is based on USDA data from the top seven apple-producing states — respectively, Washington, New York, Michigan, Pennsylvania, California, Oregon and Virginia. When other states are considered, total production could be as much as 290 million bushels, the industry trade group said.
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