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 York, PA
Many York City residents are eligible for savings on wastewater bills
York Daily Recordhttps://www.ydr.com/story/opinion/readers/2025/04/03/many-york-pa-residents-are-eligible-for-savings-on-wastewater-bills/82790403007/
York Daily RecordWith inflation still on the rise, Pennsylvanians are watching every dollar. Most of us look for savings at the grocery store or the gas pump. Recently, I was in the City of York to discuss another way residents can stretch their budgets: saving money on their utility bills.For more than 40 years, Dollar Energy Fund has been serving Pennsylvanians by providing utility assistance grants and other servic...
York Daily Record
With inflation still on the rise, Pennsylvanians are watching every dollar. Most of us look for savings at the grocery store or the gas pump. Recently, I was in the City of York to discuss another way residents can stretch their budgets: saving money on their utility bills.
For more than 40 years, Dollar Energy Fund has been serving Pennsylvanians by providing utility assistance grants and other services. Now we’re working with Pennsylvania American Water to get the word out that more than 5,000 York residents still can save money on their wastewater bills. That’s because Pennsylvania American Water customers may be eligible to participate in their H2O Help to Others assistance program, which provides a discount on wastewater bills – saving the average residential customer $40.53 to $93.12 every month. That’s money that can be put toward groceries and other important household items.
Pennsylvania American has offered this assistance to customers for more than 30 years but has recently expanded program eligibility.
The expanded program means that customers may now receive discounts of between 30% and 90% of their monthly wastewater bills. Pennsylvania American Water also increased the income eligibility for its H2O Help to Others wastewater grants, which provides up to $500 per household per year for eligible customers.
Pennsylvania American Water also created a new Arrearage Forgiveness Program, which forgives $25 of participating customers’ past-due balance when they make a current monthly bill payment in full, plus a $5 co-payment. For example, if a qualifying customer has a past-due balance of $240 and a monthly bill of $30 through the Arrearage Forgiveness Program, the customer would pay $35 each month for eight months to eliminate their past-due balance.
These programs are administered by Dollar Energy Fund, the organization that I proudly lead with a mission to improve the quality of life for households experiencing hardships by providing utility assistance and other services that lead to self-sufficiency.
The money offered through these assistance programs can make a real difference for Pennsylvania families, but only if they take advantage of it. Right now, only 4% of eligible York customers are enrolled in H2O Help to Others programs. That means more than 5,000 in York alone are leaving money on the table.
We encourage York-area customers to see if they qualify for any of these programs and share this information with friends and family who might benefit from the available assistance. To check your eligibility or to apply for Pennsylvania American Water’s H2O Help to Others grants and/or bill discounts, customers should contact Dollar Energy Fund at 1-888-282-6816 or dollarenergy.org.
This short investment of your time could result in a significant savings on your utility bill throughout the year. So take the time and see if you qualify today.
Chad Quinn is CEO of Dollar Energy Fund, a Pittsburgh-based nonprofit organization that administers utility assistance programs, including Pennsylvania American Water’s H20 Help to Others customer assistance program.
Temple and WellSpan formalize agreement to open campus in York
Temple Now | news.temple.eduhttps://news.temple.edu/news/2025-02-27/temple-and-wellspan-formalize-agreement-open-campus-york
Photography By:Joseph V. LabolitoThe Lewis Katz School of Medicine at Temple University and WellSpan Health formalized an agreement to establish a new regional campus for Temples medical school in York, Pa.Last week, the Lewis Katz School of Medicine at Temple University and WellSpan Health formalized an agreement that will establish a new regional campus for Temple’s medical school to be located in York County, Pennsylvania. The agreement comes after ...
Photography By:
Joseph V. Labolito
The Lewis Katz School of Medicine at Temple University and WellSpan Health formalized an agreement to establish a new regional campus for Temples medical school in York, Pa.
Last week, the Lewis Katz School of Medicine at Temple University and WellSpan Health formalized an agreement that will establish a new regional campus for Temple’s medical school to be located in York County, Pennsylvania. The agreement comes after the two organizations signed a memorandum of understanding (MOU) to explore the opportunity this past summer.
“This is a tremendous opportunity for Temple to partner with a renowned healthcare provider to help educate a new group of medical professionals who are committed to making a difference through their care, research and education,” said Temple President John Fry. “This new campus will ultimately lead to improved health outcomes in York County and across the commonwealth, and we are delighted to partner with WellSpan to bring a Temple education to a new part of Pennsylvania.”
The agreement is a significant step in enhancing the pipeline of future WellSpan physicians across the health system and throughout central Pennsylvania communities, as this will be the first academic medical school to reside in York County. Medical students there will receive the same world-class education that is the hallmark of Katz, along with unparalleled new opportunities to learn and grow. The first class of approximately 40 students at the new regional campus is expected to begin their studies in August 2027 and graduate in May 2031.
“We’re excited to collaborate with Temple University on this important effort to train the next generation of expert physicians and team members close to home,” said Anthony Aquilina, executive vice president and chief physician executive at WellSpan Health. “This program will have a direct benefit to our patients and the high-quality care we offer, complementing the other educational opportunities we’ve recently announced to stay ahead of the curve in addressing the nationwide shortage of healthcare professionals.”
The proposed location of the campus will be in East York at 3350 Whiteford Road, which is currently a WellSpan administrative building. WellSpan York Hospital will be home to the initial clinical site for the school, with the ability to utilize all WellSpan Health hospitals and ambulatory sites throughout the learning experience.
“This affiliation marks an exciting step forward in broadening medical education opportunities for students while strengthening the physician pipeline for Pennsylvania. We are deeply committed to training the next generation of physicians to serve our communities with compassion, skill and innovation. Through our partnership with WellSpan Health, we are building a strong foundation for the future of healthcare," said Amy J. Goldberg, the Marjorie Katz Dean of the Lewis Katz School of Medicine.
The new school further enhances the footprint of the Katz School of Medicine, which currently enrolls 880 medical students at the main Health Sciences Center campus in North Philadelphia and St. Luke’s University Health Network campus in Bethlehem, Pennsylvania.
As for WellSpan, expanded residency programs and a new school of nursing in York through an affiliation with Jersey College are providing additional educational opportunities as well.
Later this spring, Katz and WellSpan will hold a special event to celebrate the addition of the new York campus. Details are still being finalized, and more information will be shared soon.
To learn more about WellSpan’s educational opportunities, visit joinwellspan.org. More information on the Katz School of Medicine can be found here. Katz is also part of Temple Health.
Baseball Holds Off York (Pa.), 9-6
Franklin & Marshall Collegehttps://godiplomats.com/news/2025/3/4/baseball-holds-off-york-pa-9-6.aspx
Next Game: at Redlands 3/8/2025 | 5:30 PM EST (2:30 PM PST) LANCASTER, Pa. – The Franklin & Marshall baseball team (6-2) ended its five-game home stand with a 9-6 win over York (Pa.) (0-4) in Tuesday afternoon's non-conference contest at Penn Medicine Park. F&M held an early lead, but York surged back into the game with five runs in the middle innings. However, the Diplomats held on to win their sixth game this season.The Spartans struck first in the contest, plating a ...
LANCASTER, Pa. – The Franklin & Marshall baseball team (6-2) ended its five-game home stand with a 9-6 win over York (Pa.) (0-4) in Tuesday afternoon's non-conference contest at Penn Medicine Park. F&M held an early lead, but York surged back into the game with five runs in the middle innings. However, the Diplomats held on to win their sixth game this season.
The Spartans struck first in the contest, plating a run on two hits in the top of the first. Franklin & Marshall answered back in the bottom of the second as Nick Lorenzo and Matt Hollender recorded back-to-back doubles to tie the game at 1-1. Michael von Zuben then brought the go-ahead run home on an RBI-single to left field. After a single from Colin Mackenzie put runners at the corners, Mackenzie stole second during the next at-bat. As the ball was thrown to second, von Zuben came in to score and put the Diplomats ahead, 3-1.
In the bottom of the third, F&M found itself with runners at the corners with one out in the frame. Like the second inning, Lorenzo took off from first to draw a throw. As the throw went to second, Nick DiGiacomo was able to score and extend the lead to 4-1.
Franklin & Marshall continued to find success at the plate in the bottom of the fourth inning as AJ Desautels singled and Bobby Falese walked to put two runners on with two outs. DiGiacomo then ripped a double into left field to score both runners and cushion the F&M lead at 6-1.
York added two runs in the top of the sixth to cut the deficit in half, but F&M came right back in the bottom half of the frame. After Desautels reached base on an error, Falese singled through the left side of the infield to score F&M's seventh run of the game. Singles from DiGiacomo and Lorenzo allowed Falese to circle the bases and make the score 8-3.
York wouldn't go away quietly as the Spartans drove in three runs on two hits in the top of the seventh to get within two. Hollender regained the momentum in the bottom half of the inning as he cleared the left field wall for his second home run of the season and third homer of his career.
York applied pressure late as it loaded the bases in the top of the eighth, but Sebastian Holl forced a groundout to Falese to end the inning - escaping the jam without any damage.
The Spartans also threatened in the ninth, bringing the tying run to the plate with two outs in the frame. Yet another groundout to Falese ended the threat and secured the win for the Diplomats.
Lorenzo led F&M with three hits, while DiGiacomo and Hollender tallied two each. Both DiGiacomo and Hollender also notched two RBI each in the victory. On the bases, F&M stole seven bags to finish one-shy of tying the program's single-game team record. Desautels led the charge with three stolen bases, ending the game one-shy of tying the individual single-game record.
Kiernan Keller (1-0) earned his first win of the season, striking out two and allowing two earned runs in six innings-pitched. Shane Rebane claimed his second save of the year, allowing two hits and no earned runs in his one inning of relief.
Franklin & Marshall now gets set for its spring break trip to California, playing eight games on the west coast. F&M starts the week playing Redlands, a team receiving votes in the national poll, on Saturday at 5:30 p.m. EST (2:30 p.m. PST).
Crone Nets Game-Winner in Final Seconds vs. York (Pa.)
Franklin & Marshall Collegehttps://godiplomats.com/news/2025/3/1/womens-lacrosse-crone-nets-game-winner-in-final-seconds-vs-york-pa.aspx
Next Game: Messiah 3/5/2025 | 4:30 PM LANCASTER, Pa. – Devyn Crone scored with four seconds remaining to lift the third-ranked Franklin & Marshall women's lacrosse team to a 12-11 victory over No. 20 York (Pa.) on Saturday inside Shadek Stadium. The thrilling win makes the Diplomats 2-0 on the year with a pair of nationally-ranked victories.Crone's goal cam...
LANCASTER, Pa. – Devyn Crone scored with four seconds remaining to lift the third-ranked Franklin & Marshall women's lacrosse team to a 12-11 victory over No. 20 York (Pa.) on Saturday inside Shadek Stadium. The thrilling win makes the Diplomats 2-0 on the year with a pair of nationally-ranked victories.
Crone's goal came just over a minute after the Spartans had tied the game at 11-all and won the ensuing draw to look for their own heroic ending. Nevertheless, Megan Bizub had other ideas as she caused a turnover on the defensive end before passes to Lauren Pittman and Lydia Cassilly got the ball out in transition for Crone to complete the thrilling conclusion to the nationally-ranked showdown.
Crone's goal made her one of three Diplomats who finished with hat tricks as she joined Lane Lambeth (four goals) and Pittman (three goals) in pacing the attach. In addition to making the game-winning pass to find Crone, Cassilly found the back of the cage twice. Cassilly and Pittman both finished the contest with five total points on the attack.
The game started at a high pace from the opening whistle as Lambeth scored just over a minute into the contest as part of a nine-goal first quarter that saw the Spartans holding a 5-4 advantage at the end of 15 minutes. The Spartans had their largest run of the afternoon when they scored four consecutive goals during the opening quarter.
F&M and York (Pa.) were tied on five different occasions. Lambeth knotted the game at five-all with another early goal in the second quarter during a 6-1 run for the Diplomats that saw them leading 9-6 just forty seconds into the third quarter. Taking advantage of their advantage goals was huge for the Diplomats as York (Pa.) was whistled for five yellow cards throughout the contest. The Diplomats scored on four of those chances during the second quarter run.
However, the Spartans were not going to go down without a battle and they tied the contest at both 10 and 11-all during the fourth quarter. The final deadlocked score came with 1:06 remaining in regulation time before the late theatre from the home side.
Reigning national goalie of the year Bella Garabo starred for York (Pa.) in goal with 11 saves on the afternoon, but Diplomats' goalie Sara DiGiovanni was not going to be outdone as she stopped nine shots throughout the contest. That included seven saves during the second half when her team needed her the most. F&M also held a 17-10 edge in draw controls, with Pittman collecting 11 of those possessions off of the restarts. Bizub's final caused turnover was the highlight of her day, but she led F&M with three ground balls and two caused turnovers throughout the contest.
Women's lacrosse closes its three-game home stand to start the 2025 season this coming Wednesday, March 5 at 4:30 p.m. when Messiah visits Shadek Stadium in another regional matchup.
Pa. driver license centers offering Real ID days as deadline looms: PennDOT
Teresa Boeckelhttps://www.ydr.com/story/news/local/2025/04/02/pennsylvania-driver-license-centers-offer-special-hours-to-obtain-real-id/82753955007/
Still need to obtain a Real ID driver's license or photo identification card?The deadline is May 7, 2025.With the deadline looming, the state Department of Transportation will be offering special dedicated times at driver license centers across the state for individuals to obtain a Real ID, which will be required to fly on an airplane or enter some federal facilities, such as military bases.Pennsylvanians will need to show multiple forms of identification, such as a Social Security card and an original or certified copy ...
Still need to obtain a Real ID driver's license or photo identification card?
The deadline is May 7, 2025.
With the deadline looming, the state Department of Transportation will be offering special dedicated times at driver license centers across the state for individuals to obtain a Real ID, which will be required to fly on an airplane or enter some federal facilities, such as military bases.
Pennsylvanians will need to show multiple forms of identification, such as a Social Security card and an original or certified copy of a birth certificate, in order to apply. If individuals don't have the needed documents, it will take time to obtain replacements.
Here's what you need to know:
Special Real ID Days being held in Pennsylvania
PennDOT will be holding Real ID Days at driver license centers across the state in the coming weeks, according to a news release and website.
Here are the dates and times:
Here are the local driver license centers that will be offering the special Real ID hours:
For more information on all of the centers that will have special hours, visit pa.gov.
What documents do I need to get a Real ID?
Residents will need original versions or certified copies of the following documents:
Proof of identity: Original or certified copy of a birth certificate filed with the State Office of Vital Records/Statistics with a raised seal/embossed; a valid, unexpired U.S. Passport or other document.
Proof of a Social Security number: An original document must show the legal name and all nine digits of the Social Security number. It can be a Social Security card, a W-2 or a pay stub, for example.
Two proofs of current, physical address: This could be a current, unexpired Pennsylvania driver's license or identification card, vehicle registration, or a utility bill with the same name and address.
Proof of all legal name changes: This includes certified marriage certificates issued by a county court for each marriage, any court orders approving a change in legal name, or an amended birth certificate issued by the State Office of Vital Records/Statistics. (If a person's name is the same as on the proof of identity, such as a birth certificate, then no proof of legal name changes is needed.)
How much will a Real ID cost?
Drivers will need to pay a one-time fee of $30, plus a renewal fee for your driver's license or photo ID card, according to PennDOT.
It currently costs $39.50 for a four-year, non-commercial driver's license and $42.50 for a photo ID, a news release states.
The expiration date will include four years plus whatever time remains on the existing license or ID unless the individual is over 65 years old and has a two-year license.
Beyond that, residents will be charged a regular renewal fee, the department said.
Am I required to get a Real ID?
No. You still be able to get a standard issue driver's license or photo IDs from PennDOT, a news release states.
You do not need a Real ID to do the following:
Where can I get a Real ID in Pa.?
Three ways exist to get a Real ID:
Pre-verified: Residents who have been pre-verified can apply and receive a Real ID within 15 business days. This applies to individuals who obtained a learner's permit, driver's license or photo ID card after September 2003. PennDOT still must confirm that your documents are on file.
Driver license center: Residents can take their documents to a driver license center to be verified and imaged. A Real ID will be issued within 15 business days.
Real ID center: Visit one of the 15 centers around the state to get a Real ID on the spot.
The two closest locations in southcentral Pennsylvania are:
Can I get a passport instead for domestic travel?
Yes, individuals who have a valid passport do not need Real ID, according to PennDOT.
Disclaimer:
