In this episode, Justin sits down with Samantha to break down the real challenges she’s facing while trying to grow her HRT practice. Like many new practice owners, Samantha has already taken the leap, but now she’s dealing with the frustrating reality of low patient volume, slow growth, and uncertainty around what to focus on next.

Together, they unpack what’s likely holding her back, where her strategy may be falling short, and what she should be prioritizing to start gaining traction in a competitive HRT space. This episode is a real-world look at what happens after you launch, when things don’t grow as fast as expected, and what it actually takes to turn things around.

If you’re building an HRT or men’s/women’s health practice and feel stuck, Samantha’s situation will probably sound very familiar. 

In this episode, Justin sits down with a pediatric neurology nurse practitioner who is looking to start a women’s health and HRT practice without leaving her full-time job.

They walk through the key decisions behind getting started, including choosing a niche in a saturated market, why focusing locally can outperform a fully telemedicine approach, and how to keep startup costs low with just a few thousand dollars.

The conversation also breaks down a smarter growth strategy built on patience, community engagement, and adding just one to two new patients per week. No ads, no overwhelm, just consistent progress that can realistically grow into a ten to twenty thousand dollar per month practice over time.

For anyone trying to build something on the side without taking big risks or burning out, this episode shows what that path can actually look like.

In this episode, Justin sits down with Tarvette, a dual-certified family and psychiatric nurse practitioner who’s in the early stages of building her own practice.

After nearly a year of slow growth, she’s now making a major shift, cutting back to part-time employment, investing in a physical location, and going all-in on scaling her business. But like many new practice owners, she’s facing challenges with traction, marketing, and confidence in her next steps. Justin breaks down what’s likely holding her back, how transitioning from telemedicine to a brick-and-mortar clinic changes the game, and what she should be focusing on to actually grow.

If you’re in that phase where your practice exists but isn’t gaining momentum, this episode will help you understand what to fix, and where to focus next.

In this solo episode, Justin breaks down one of the most common operational questions new practice owners ask: how to offer lab testing inside your clinic.

He walks through the practical side of setting up lab services in an NP practice, including how providers typically obtain labs, what options are available for newer clinics, and how to do it in a way that is both efficient and financially sustainable. Justin also discusses common mistakes new practice owners make when setting up lab workflows and shares insights on newer solutions that can simplify the process.

Whether you're launching your first clinic or looking to improve your current systems, this episode provides a straightforward overview of how to incorporate lab testing into your practice without unnecessary complexity

In this episode, Erica shares her journey into NP practice ownership, what pushed her to make the leap, the uncertainty she faced, and the strategic decisions that made the difference early on.

She opens up about the realities of starting from scratch, navigating fear and doubt, and learning how to approach business ownership with intention instead of impulse. From early planning to execution, Erica breaks down what she wishes she had known sooner and what helped her move forward with confidence.

If you’re considering launching your own NP practice, or you’re in the early stages and second-guessing yourself, this conversation offers honest perspective, practical insight, and reassurance that growth doesn’t come from perfection, it comes from movement.

In this episode, Justin talks with Jose, a family nurse practitioner and co-owner of a men's health and weight loss clinic, about what really happens when your practice starts making seven figures, but hits a plateau. Jose opens up about the realities behind stalled growth, from leadership gaps and operational bottlenecks to the mindset shifts required to move past being just the primary operator.

Together, they break down why so many NP-owned practices stall around the $1M mark and what it takes to push through: developing true CEO-level leadership, learning to delegate, and building systems so the business can run without you. If your practice is profitable but chaotic, busy but not scalable, or successful yet stuck, this conversation will challenge your thinking and show you what needs to change for lasting, sustainable growth.

In this episode, Justin sits down with Carissa, a family nurse practitioner who runs two thriving practices, to talk honestly about her journey and the challenges behind the scenes. Carissa shares what it is really like to manage both a med spa and a men’s health clinic, including the pressure of making every decision and the overwhelm that comes with an endless to do list. 

Together, they explore why delegation is so difficult for so many NPs, how decision fatigue can quietly stall growth, and what it truly takes to move from being the solution to every problem to leading a business built to scale. If your practice depends on you showing up every single day, Carissa’s story offers a powerful look at what needs to change to create something sustainable and freeing.

In this episode, Justin talks with Tiana, a family nurse practitioner balancing a full-time job in rehab and nursing facilities while preparing to launch her own psych practice. They discuss the challenges of transitioning from employee to business owner, including financial preparation, juggling responsibilities, and overcoming mental roadblocks.

Justin shares actionable advice on how to start lean, avoid common pitfalls like taking unnecessary business loans, and build a practice that grows sustainably. Whether you’re just starting out or feeling stuck, this episode offers a clear roadmap to help you move forward with confidence.

In this weeks episode Justin breaks down what nurse practitioners and practice owners can realistically expect as we head into 2026. He talks honestly about economic uncertainty, income plateaus, and why slower growth does not automatically mean you are doing something wrong.

He also highlights where opportunity still exists, from longevity focused care to higher value service models, and why positioning and structure matter more than chasing volume. If you are thinking about how to protect your income, adapt your practice, or prepare for what comes next, this episode will help you think more clearly about your next move.

In this episode, Justin talks with Claire, a family nurse practitioner ready to break out of traditional employment and launch her own functional medicine practice. Like most NPs considering the leap, Claire faces imposter syndrome and fears about starting a business from scratch. Together, they cut through the uncertainty and get real about what it takes to move from employee to business owner.

You’ll hear actionable advice on structuring a lean, cash-based practice, how to price and package services without overcomplicating your offer, whether insurance is worth the headache, and why you don’t need thousands of patients to build a profitable clinic. They cover how to leverage your current skills, keep overhead low, and use your 1099 income to fund your startup smartly. Justin calls out the most common limiting beliefs, offers practical steps to get started part-time, and explains the right time to scale or bring on extra help.

If you’re stuck in overwhelm, worried you’re not “ready,” or just want a blueprint for building your practice the right way, this episode lays out a clear, honest path forward.