There’s a scene in Gladiator where Maximus destroys his enemies in the arena, throws his sword, and roars to the stunned crowd, “Are you not entertained?” That moment hits different. He wasn’t performing—he was fighting for something real while everyone else watched for blood. And honestly, that’s how I feel sometimes as an entrepreneur. There’s this constant pressure to be loud, to go viral, to entertain. And sometimes, I just want to scream the same thing.

I’m not in this game to dance for likes. Yes, I run a personal brand. Yes, I post content. But I do it with purpose and detachment. I’m not chasing vanity metrics—I’m running real companies with real teams that generate real revenue. This isn’t about clout. It’s about building something that lasts. I want to help others avoid the landmines I’ve stepped on. But I refuse to let social media dictate my value.

Because let’s be clear—content doesn’t build wealth. Operations do. Margins do. Team culture does. You want to impress me? Don’t show me your reels. Show me your systems. Show me your leadership. Social media will trick you into thinking applause means success. But I’ve seen too many people with followers and no cash flow. If you’re doing this for attention instead of execution, you’re not building—you’re just performing. And this isn’t the Coliseum.

Welcome to The Spinoso Podcast hosted by CEO, doctor, comic book geek, and car guy, Alex Spinoso. I help people and companies grow, especially in the medical business. While my experience and expertise is in scaling all types of medical businesses to 7, 8, 9-figures or more, I can be a mentor to anyone who wants to take ownership of their lives, become a better leader at home and at work, and overcome any obstacle that stands in their way.

  Building a Real Business: Introduction and Personal Journey (0:00)   The Pressure to Perform and the Importance of Authenticity (1:36)   Focusing on Real Business Building (3:08)   The Danger of Social Media and the Role of Entrepreneurs (3:47)  

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Today’s episode is something different. It’s raw, unscripted, and personal. I’m joined by my co-host, Amanda May, and our guest, Vaughn Kohler, for a conversation that starts with middle school nicknames and ends up diving deep into emotional intelligence, leadership, dating, trauma, and even AI companions. It’s hilarious, it’s human, and yeah—it gets a little weird.

We discuss what it means to lead people, what makes someone magnetic in business and life, and how humor, self-awareness, and community play significant roles in both personal healing and professional growth. There are moments of insight, moments of vulnerability, and moments where we can’t stop laughing—because sometimes the best leadership lessons come wrapped in ridiculous stories. We touch on stretch marks, Planned Parenthood STD tests, childhood bullying, and what it takes to connect in a disconnected world.

We share the stuff that shaped us, the things that humbled us, and the practices that keep us grounded. So if you’re building something meaningful, navigating the mess of leadership, or just need to laugh at how weird and beautiful this whole journey is, this episode is for you.

Welcome to The Spinoso Podcast hosted by CEO, doctor, comic book geek, and car guy, Alex Spinoso. I help people and companies grow - especially in the medical business. While my experience and expertise is in scaling all types of medical businesses to 7, 8, 9-figures or more, I can be a mentor to anyone who wants to take ownership of their lives, become a better leader at home and at work, and overcome any obstacle that stands in their way.

 

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Welcome to The Spinoso Podcast. I’m Dr. Alex Spinoso, and while I’ve built multiple businesses into the eight- and nine-figure range, this podcast isn’t about theory or fluff. It’s about what I’ve actually done—what worked, what failed, and what it really takes to lead, scale, and live with purpose. If you’re in the arena—building something, leading something, or betting everything on yourself—then this space is for you.

In this episode, I take you behind the scenes of how I got here. From med school and a failed scrub company to launching Genesis Lifestyle Medicine and investing in companies now worth hundreds of millions—it’s all connected. None of it was linear. None of it was clean. But the right people, decisions, and failures added up in ways I couldn’t see at the time. Even the total flops taught me something that paid off later. This is the real story—the one that doesn’t look like a straight line but makes perfect sense when you zoom out.

I also share why none of this happens in a vacuum. You can’t do it alone. I wouldn’t be here without my wife, my team, and the people who believed in me before I fully saw it myself. If you’re in the middle of a mess, unsure how it all adds up—this episode is your reminder. Keep moving. The momentum builds when you act. The connection comes after the decision. And one day you’ll look back and realize, this was the moment that changed everything.

Welcome to The Spinoso Podcast hosted by CEO, doctor, comic book geek, and car guy, Alex Spinoso. I help people and companies grow - especially in the medical business. While my experience and expertise is in scaling all types of medical businesses to 7, 8, 9-figures or more, I can be a mentor to anyone who wants to take ownership of their lives, become a better leader at home and at work, and overcome any obstacle that stands in their way.

 

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Today’s episode is all about reinvention. Not the one-time, flash-in-the-pan kind—but the ongoing, disciplined commitment to becoming someone better, bolder, and more effective in life and business. I showed up ready for this one because reinvention has been my reality more times than I can count. We’re talking about grieving old versions of ourselves, letting go of outdated labels, and embracing what it takes to evolve. Whether you’re leading a business, navigating personal change, or just waking up to the fact that what used to work no longer does—this episode is for you.

We also get real about the uncomfortable truth: reinvention requires sacrifice. Sometimes that means cutting ties with people who hold you back, stepping down from roles that no longer serve your growth, or learning new skills from scratch—whether it’s sales, marketing, or language. Reinvention isn’t glamorous. It’s gritty. It’s doing whatever it takes, whether that’s sitting at the front desk, rebuilding your team, or going back to the basics because your future depends on it. And if you’ve ever felt behind, trust me—you’re not. The people you’re comparing yourself to might just have a 10-year head start.

At the end of the day, if you’re not growing, you’re dying. And if you’re not actively reinventing, you’re waiting for circumstances to force your hand. In this episode, I challenge you to audit yourself, ask for real feedback, and get brutally honest about what’s working—and what’s not. Reinvention isn’t optional. It’s the cost of leadership. So grab a notebook, because we’re going all in on what it looks like to evolve—intentionally, unapologetically, and repeatedly.

Welcome to The Spinoso Podcast hosted by CEO, doctor, comic book geek, and car guy, Alex Spinoso. I help people and companies grow - especially in the medical business. While my experience and expertise is in scaling all types of medical businesses to 7, 8, 9-figures or more, I can be a mentor to anyone who wants to take ownership of their lives, become a better leader at home and at work, and overcome any obstacle that stands in their way.

Reinventing Yourself and Personal Growth (0:00)   The Concept of Reinvention in Business and Life (4:31)   Living Multiple Lives and Gaining Perspective (5:33)   Entrepreneurial Challenges and Personal Sacrifices (11:35)   The Importance of Action and Reflection (14:00)   Leadership and Personal Development (14:43)   The Role of Mindset and Self-Improvement (15:37)   The Impact of Relationships and Networking (15:53)   The Future of Leadership and Personal Growth (16:07)   Reinvention and Courage (16:18)Benefits of Reinvention (1:15:14)   Improving Communication (1:16:27)   Leadership and Efficiency (1:17:00)   Personal Development and Leadership (1:20:19)   Final Thoughts and Call to Action (1:23:16)        

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Today’s episode is short but important. This is the final Medical Monday on The Spinoso Podcast. Don’t worry—we’re not ending the podcast, just moving all future Medical Monday content over to our Charismedx community. If you’ve been following along for the medical and aesthetic business insights, this is your sign to join us there.

Charismedx is my mastermind for medical and aesthetic entrepreneurs who are serious about scaling, leading, and growing. I’m joined by my friend, mentor, and legendary business coach, Vaughn Kohler—formerly the co-host of the MFCEO Project, the number one business podcast in the nation for over five years. Inside Charismedx, we go deeper than ever before, covering everything from core values and scaling strategies to tough conversations about team leadership, hiring, and culture. It’s real talk for real clinic owners.

If you own or operate any kind of medical or aesthetic business, this community will change the game for you. Head to joincharismatics.com or visit charismatics.com to learn more and join us on the Circle app. Thank you for tuning in to Medical Mondays here on The Spinoso Podcast. More great content is coming your way every week, just not on Mondays. See you inside the group.

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Today, I want to talk about something that every entrepreneur eventually runs into. When the plan falls apart. You mapped it out, lined up the right people, timed it perfectly, and then boom. It crumbles. And it feels personal. I’ve been there, and I used to think it meant I was losing.

But after building multiple businesses and leading large teams, I’ve learned this truth the hard way. Delays are not defeats. Closed doors are not failure. They are redirecting. If you’ve been in business long enough, you know that nothing ever goes exactly as planned. Deals collapse. People walk. The ad budget gets wasted. You get ghosted. But I promise you, what looks like rejection is often preparation. What looks like loss is sometimes positioning. And more often than not, it works out better than you could have imagined.

So if you’re in the middle of a storm, if your launch flopped, your funding dried up, or you’re questioning your next move, pause. Reframe it. Ask yourself, what might I be getting protected from? What opportunity could be on the other side of this? When you train your mind to respond with that kind of perspective, setbacks do not slow you down. They sharpen you.

Welcome to The Spinoso Podcast hosted by CEO, doctor, comic book geek, and car guy, Alex Spinoso. I help people and companies grow - especially in the medical business. While my experience and expertise is in scaling all types of medical businesses to 7, 8, 9-figures or more, I can be a mentor to anyone who wants to take ownership of their lives, become a better leader at home and at work, and overcome any obstacle that stands in their way.

  Mental Shifts for Entrepreneurial Success (0:00)   The Reality of Entrepreneurial Setbacks (1:35)   Adapting to Divine Detours (3:21)   Encouragement and Closing Remarks (4:06)  

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Welcome back to Part 2 of How to Open Doors for Opportunity. In this episode, I am joined again by Amanda May, and we go deep into how entrepreneurs can train themselves to see opportunities that are already right in front of them. We share real-life pivots, personal stories, and the mindset shifts that have helped us spot chances to grow, chances that most people overlook. If you have ever felt stuck or unsure of your next step, this conversation will help you reframe your environment and recognize the doors waiting to be kicked wide open.

We talk about the power of massive action, not just thinking, journaling, or manifesting, but actually doing. Whether it is enrolling in a program, walking into the right room, or saying yes before you are fully ready, action is the key that unlocks momentum. Amanda shares how her leap into virtual training started in the middle of a pandemic and how seizing one opportunity with us at Genesis led to something bigger than she could build alone. We talk real numbers, real setbacks, and real decisions that shape what success actually looks like.

The episode closes with one of the most important themes of entrepreneurship: grit. Not just motivation or inspiration, but the relentless refusal to quit. The difference between those who win and those who do not is not always talent or intelligence. It is staying in the game long enough to outlast everyone else. This one is for the builders, the grinders, the people who are too stubborn to give up. Let us go.

Welcome to The Spinoso Podcast hosted by CEO, doctor, comic book geek, and car guy, Alex Spinoso. I help people and companies grow - especially in the medical business. While my experience and expertise is in scaling all types of medical businesses to 7, 8, 9-figures or more, I can be a mentor to anyone who wants to take ownership of their lives, become a better leader at home and at work, and overcome any obstacle that stands in their way.

Massive Action and Seizing Opportunities (0:00)   Saying Yes to Opportunities (3:50)   Pivoting to Virtual Training (7:25)   Joining Genesis and Scaling Up (9:54)   Proactive Action and Persistence (14:48)   Innovative Thinking and Creativity (16:47)   Building Self-Esteem and Resilience (37:15)   Fresh Perspective and Mindfulness (37:29)   Grit and Determination in Entrepreneurship (40:57)  

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When people talk about success, they love to glamorize the end result—but rarely talk about the mess, the risks, the decisions made in silence. In this episode, I share the raw, unfiltered story of how I created the opportunities that built my companies from nothing. From listening to the MFCEO Project in between shifts at urgent care, to maxing out half my net worth to join a mastermind I barely understood, to sleeping on a mattress in a rented foyer—I didn’t wait for the right time. I created the momentum myself.

Amanda May joins me to dig deeper into how opportunities show up in disguise—as hard choices, as sacrifices, as risks that don’t make sense on paper. We talk about what it means to start with the end in mind, why most people fail before they begin, and how knowing what you really want changes everything. I share the exact moment I almost walked away from the Arte Syndicate application, and how a rock concert and a half-dead Jethro Tull pushed me to click submit.

We also unpack how relationships, the right rooms, and the willingness to pivot at the right time can redefine your entire trajectory. The urgent care plan didn’t pan out, but it led me to Genesis. What seemed like a setback became the launchpad for everything. This is the real truth behind building something meaningful: you don’t wait for doors to open. You build the damn door—and then you walk through it.

Welcome to The Spinoso Podcast hosted by CEO, doctor, comic book geek, and car guy, Alex Spinoso. I help people and companies grow - especially in the medical business. While my experience and expertise is in scaling all types of medical businesses to 7, 8, 9-figures or more, I can be a mentor to anyone who wants to take ownership of their lives, become a better leader at home and at work, and overcome any obstacle that stands in their way.

Introduction and Participant Backgrounds (0:00)   Weight Loss and Metabolic Health (2:59)    Lifestyle Changes and Medical Tools (8:57)   Challenges in Mainstream Medicine (13:51)   Diabetes and Insulin Resistance (15:28)    The Role of Peptides in Health (32:20)   Future of Peptides and Regenerative Medicine (39:59)   Mindset and Success in Health and Business (42:40)   Core Values and Practical Systems (58:17)   Conclusion and Future Collaboration (58:50)  

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If you're just starting in the medical clinic space and think Botox and fillers are your ticket to quick profits… pump the brakes. In this episode, I explain why I never recommend starting your clinic with aesthetics as your core service line. The competition is brutal, and the big players can undercut you on price all day long. You’ll be fighting uphill battles before you’ve even found your stride.

But does that mean you should avoid aesthetics completely? Absolutely not. Once you’ve built a steady stream of clients who trust you and value your expertise, aesthetics can become a powerful upsell tool if you approach it strategically. I’ll walk you through exactly what needs to be in place to make it work: the right provider, a clear upsell path, and a full facial assessment model that drives higher-ticket services like fillers, skin care, micro needling, and more.

I’ll even share a real-world example of a $1.2 million/year clinic we bought that made $0 in profit, all because they relied solely on Botox. After stepping in, we had to completely restructure the service offering to include high-margin treatments that actually moved the needle. If you’re serious about growth and long-term profitability, tune in. This is what most people won’t tell you about the aesthetics game.

Welcome to The Spinoso Podcast hosted by CEO, doctor, comic book geek, and car guy, Alex Spinoso. I help people and companies grow - especially in the medical business. While my experience and expertise is in scaling all types of medical businesses to 7, 8, 9-figures or more, I can be a mentor to anyone who wants to take ownership of their lives, become a better leader at home and at work, and overcome any obstacle that stands in their way.

Introduction to the Spinoso Podcast (0:15)   Advice on Starting with Esthetics Services (0:47)   Strategies for Profitable Esthetic Services (2:31)   Real-World Example of a Successful Clinic (3:42)   Conclusion and Call to Action (5:00)          

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In today’s episode, we’re diving headfirst into the balance between facts and feelings—where to rely on cold, hard data, and where your gut might just save your ass. When it comes to business strategy, pricing, products, and systems. You need to operate on facts. Numbers don’t lie. But when it comes to people? That’s a different game entirely.

We’re breaking down why instinct is often your best defense in relationships, partnerships, and hiring decisions. I’ll share wisdom from some greats, like Warren Buffett and Charlie Munger, and we’ll explore the science behind intuition. How evolution hardwired us to sense danger and read between the lines. From moms who “just know” something’s wrong, to that strange vibe you get in a meeting, you’ll learn to recognize red flags before they become regrets.

And yeah, I’ll take it all the way there with a story that proves this isn’t paranoia—it’s protection. You’ll walk away from this episode knowing when to trust data, and when to trust your gut, even if everything on paper looks perfect. Sometimes, the resume says "model citizen," but your instincts scream, “Run.” Don’t ignore them. Tune in, turn up the volume, and let’s win at life—on facts and feelings.

Welcome to The Spinoso Podcast hosted by CEO, doctor, comic book geek, and car guy, Alex Spinoso. I help people and companies grow, especially in the medical business. While my experience and expertise is in scaling all types of medical businesses to 7, 8, 9-figures or more, I can be a mentor to anyone who wants to take ownership of their lives, become a better leader at home and at work, and overcome any obstacle that stands in their way.

 

 

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