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As 2025 comes to a close, I wanted to do something different.

Instead of highlighting wins, numbers, or milestones, this episode is about the lessons that were earned the hard way. The ones that came from uncomfortable conversations, tightening systems, leading teams, protecting family time, and learning where growth actually comes from.

In this episode, I share 25 lessons 2025 taught me, spanning leadership, business, patient experience, systems, community, and personal growth. These aren’t theories. They’re reflections from a year of building Chiro180, leading multiple clinics, creating events, and being intentional about who and what gets my energy.

If you’re a business owner, leader, or someone who cares about doing meaningful work without losing yourself in the process, this episode is for you.

My hope is that one or two of these lessons land exactly when you need them and help you finish the year strong and step into 2026 with clarity, standards, and momentum.

Thanks for being part of the journey.

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What does transformation actually look like when nothing “breaks,” but something still needs to change?

In this episode, Austin Cohen shares the quiet, uncomfortable evolution from control to connection. He opens up about the early years of building his business, when everything ran through him, listening to phone calls, managing payroll hour by hour, and unintentionally limiting the growth of the people around him.

Through honest stories and reflection, Austin explores how an unhealthy version of high achievement and Enneagram 3 tendencies can shrink your world without you realizing it. He talks about the shift from being needed to building systems, from working nonstop to becoming intentional with time, and from chasing approval to choosing alignment.

Most importantly, Austin dives into what became his greatest asset: relationships. Rebuilding his circle, becoming selective with where his energy goes, and discovering that time with the right people compounds faster than any metric or milestone.

This conversation is for founders, leaders, and high performers who feel successful on paper but sense there’s another level of fulfillment waiting, if they’re willing to step out of their own way.

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Most chiropractors are working hard.
 Seeing patients. Staying busy. Hitting the surface-level numbers.

But underneath all of that, there are a handful of numbers quietly shaping everything.

In this episode, I walk through the 7 numbers most chiropractors aren’t tracking, not because they don’t care, but because no one ever showed them where to look.

These numbers reveal:
 • Where growth is leaking
 • Why retention feels harder than it should
 • How patient experience actually breaks down
 • And where clarity creates momentum

This isn’t about more hustle or more marketing.
 It’s about visibility.

If you’ve ever felt like your practice is busy but not moving the way you want, this conversation will help you see your business differently and make decisions with confidence heading into 2026.

Listen in, reflect honestly, and decide what you want to run differently next year.

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In today’s episode, I’m diving into one of the most important rhythms I’ve learned in business and in life: how you finish the year determines how you start the next one. I walk through the exact process I use every December — reviewing roles, assessing capacity for the coming year, and studying our New Patient Metrics from January until now — to get honest about where we’re aligned and where we’ve drifted.

I’ll also share what some of the great companies I study do at the end of their year. Lululemon’s vision reset… Toyota’s tune-up… Apple’s quiet sprint… Amazon’s “working backwards” approach… Ritz-Carlton’s culture reset… and Nike’s practice of closing the loop. Each one uses December as a launch pad so they enter January with momentum while the rest of the world is still warming up.

For us in chiropractic, this same rhythm matters. January isn’t just a new month — it’s the perfect moment to update Spinal Health Scores, reconnect with patient goals, tighten our frequency recommendations, and make sure our care plans are aligned with integrity.

This episode is all about finishing present, starting strong, and stepping into 2026 with clarity and congruency.

If you’re ready to build momentum now — not later — this one’s for you.

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In this episode, I share one of the biggest patterns I’ve seen in my own life and in the lives of the most successful people I know. Before anything becomes real in your world, you have to be willing to see it long before it exists. I talk about the early days of Corrective Chiropractic, when I set alarms for 3 AM and 3 PM just to remind myself of the goal I was chasing. I share how we used paper plates to track new patients, why one of my docs covered his office in Larry Bird photos, and how these simple rituals created belief and momentum. This isn’t about hoping for a handout. It’s about taking obsessive ownership over the life you want to build. If you’ve been waiting for circumstances to shift, this episode will remind you that clarity and consistent action attract the very things you’re looking for.

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In this episode, I open up about something I wish I learned a lot earlier in my career. I talk about the biggest trap chiropractors fall into… chasing shiny objects instead of strengthening the business that’s already working. I share the mistakes I made investing in gyms, yoga studios, PI clinics, and franchises, and how all of them pulled me away from the one thing that was actually producing seventy five percent of my income.

I walk through the moment everything changed for me, how I built a vertically integrated flywheel, and why every program I run today — Growth Summit, Chiro180, Adventure Summit, Empire — all work together instead of pulling me in different directions.

You’ll hear practical examples of how chiropractors can tighten their systems, elevate patient retention, increase revenue, and build new opportunities that actually support their core business rather than distract from it.

If you’ve ever felt stretched thin, burned out, or tempted by the next big idea, this episode is going to hit home. It’s a reminder that your biggest breakthrough is probably already inside your practice… you just need the structure to let it grow.

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In this episode, I’m breaking down the one word that quietly shaped the last 15 years of my life: yes.

I’ll share the real stories behind the opportunities I almost missed — walking into CrossFit Peachtree when I didn’t know a soul in Atlanta, saying yes to dinners I was too tired to attend, showing up to networking events where I felt like the smallest person in the room, and how each of those moments opened doors I never could’ve planned.

I also unpack what leaders like Richard Branson and Ryan Serhant teach us about saying yes before we feel ready, and how that mindset can completely reroute the direction of your life and business.

If you’ve been feeling stuck, hesitant, or waiting for the “right time,” this episode will hit home. Because the truth is simple:

Your next breakthrough is usually one yes away.

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In this episode, I unpack what I learned from our recent Corrective Chiropractic company retreat and why it became one of the most defining leadership moments of my year. We dug into the 6 Growth Engine Frameworks, the full team survey, and the real work that goes into building trust, communication, and alignment.

This wasn’t about checking boxes or reacting to issues. It was about slowing down, listening deeper, and recommitting to the kind of leadership that builds a legacy instead of a quick win. I share how Lencioni’s 5 Dysfunctions of a Team shaped our path forward, what I discovered about myself, and how these insights are transforming how I lead my clinics and develop my people.

If you’re a chiropractor or a leader who wants to build something that lasts, this conversation will give you a behind-the-scenes look at the mindset and the intentionality it takes to grow a strong, unified, high-performing team.

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In October 2006, I decided to do something I had never done before — run a marathon. That single decision became the catalyst for every major change that followed in my life.

From that first finish line came a series of challenges — sprint triathlons, Ironmans, swimming across Alcatraz, running 100 miles, completing Navy SEAL training, and eventually creating Adventure Summit. But what I learned along the way is that doing hard things isn’t just about the physical.

It’s about mindset, belief, and the discipline to confront what’s uncomfortable — whether it’s giving up alcohol, having tough conversations, or stepping fully into leadership.

This episode is about how one hard thing can change everything — and how every challenge, physical or not, becomes training for the life you’re meant to live.

🎧 If you’ve ever felt stuck or afraid to take the next step, this episode might be the nudge you need to start your own hard thing.

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Most chiropractors are still operating with the old-school mindset of Always Be Closing. But what if the real key to growth isn’t closing—it’s future pacing? In this episode, Dr. Austin Cohen breaks down how shifting your focus to Always Future Pacing transforms the way patients commit, engage, and stay. Learn how to create anticipation every visit, build trust through clarity, and make every touchpoint count—before, during, and after care.

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