Let’s talk about something that most medical business owners either don’t know about—or wait too long to deal with: LegitScript certification. This third-party approval is basically your golden ticket for digital advertising. Without it, Meta, Google, and Bing will shut down your ads the moment you mention a prescription drug or medical procedure. With it, you can speak directly and confidently in your marketing without dancing around compliance issues.

I break down everything you need to know—from the cost (around $2K–$5K per year) to what it actually allows you to do, like using drug names and discussing treatments openly online. If you're not certified, you're stuck playing defense: vague language, ad rejections, and constant risk of shutdown. But if you are certified, your ability to market becomes a strategic advantage over competitors who aren't.

I’ll also share what it takes to get certified. You’ll need a clean website, no unapproved claims, and all of your partner pharmacies must also be certified or accredited. It took us over a year to get approved—but it doesn't have to take that long. I’ll walk you through how to prep your site and your business so you can get through the process much faster. If you want to scale your medical business the right way, this episode is a must-listen.

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.

Instagram | YouTube | Facebook | LinkedIn | TikTok | Website

In this episode, I’m diving headfirst into something most people run from—interpersonal conflict. The truth is, average entrepreneurs avoid confrontation because they crave comfort more than growth. They don’t want to be challenged or told they’re wrong. But if you want to build something that lasts, you need to reframe conflict not as chaos, but as clarity. You need it to sharpen your thinking, refine your processes, and get the truth on the table.

I’ll break down why an upset client or a frustrated team member isn’t a threat—it’s a gift. If they’re still talking, you still have a shot at solving the problem. Silence is the real killer. I’m sharing why elite entrepreneurs welcome tough feedback, encourage uncomfortable conversations, and treat friction as fuel. Because if you’re in business, you’re in the Intel business—and feedback is your most valuable currency.

So here’s your challenge: Stop being soft. Stop mistaking politeness for progress. If you’ve been dodging tough conversations just to keep the peace, you’re not protecting your business—you’re weakening it. Start creating a culture where truth is rewarded, where blowback is welcomed, and where you show up ready to solve. That’s how real leaders operate. That’s how real businesses are built.

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.

 

Instagram | YouTube | Facebook | LinkedIn | TikTok | Website

In this episode, I’m a guest on the Empower Your Health podcast. We go deep into what it actually takes to achieve lasting health—not just physically, but metabolically, hormonally, and mentally. We cover topics like obesity, insulin resistance, testosterone, GLP-1s, gut health, and how traditional medicine is falling short for millions of Americans.

We also dive into why your provider probably isn’t running the tests that matter—and what to do about it. I explain the Genesis approach to care, why we prioritize diagnostics, and how our model is built around truly healing people, not managing symptoms for life. We hit on common mistakes, industry roadblocks, and the massive need for a more integrative model of medicine.

Toward the end, I open up about mindset—how I grew Genesis into a quarter-billion-dollar business, and what I teach in my mastermind, Charismedx. We talk grit, speed of implementation, energy management, and what it really takes to win in business and life without losing your soul. This one’s packed with hard truth, practical tools, and zero fluff.

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)

Instagram | YouTube | Facebook | LinkedIn | TikTok | Website

In today’s episode, I’m answering a powerful question that every medical clinic owner needs to be asking: What is your true net profit per patient visit? Understanding your gross profit isn’t enough—you need clarity on your actual numbers, including staffing, supplies, overhead, and acquisition costs. Whether you're running weight loss, hormone therapy, sexual health, or aesthetics services, knowing the real cost per visit is critical to scaling profitably.

We’ll break down how to approach this from both a high-level strategy and a tactical perspective. From calculating true cost per acquisition to estimating staffing time and drug costs per service line, I’ll walk you through how to get precise numbers per business pillar. You’ll also learn why a 30% net profit should be your gold standard, and how to boost it with the right add-ons and smart equipment choices—plus, how to use AI tools to do the math if you don’t have a CFO in-house.

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.

Intro (0:00)

Calculating Net Profit for Medical Services (0:16)     Breaking Down Costs Per Pillar (2:16)     Setting Profit Goals and Increasing Profitability (3:10)   Utilizing Technology for Financial Analysis (4:21)  

Instagram | YouTube | Facebook | LinkedIn | TikTok | Website

Today, I’m calling you out. If you're serious about winning in business and in life, there are three toxic habits you're probably doing on social media that are slowing you down—and it’s time to cut the crap. I call them the Three P’s: pouting about your private life, pissing on your competition, and posting political rants. If you're doing any of these, you're wasting time, draining your energy, and sabotaging your credibility. And yes—I’m coming in hot, because sugarcoating this won't help you grow.

Listen, I'm not saying you shouldn't have emotions or beliefs—but social media isn’t your therapist, your battleground, or your soapbox. It’s a tool. A weapon. A platform for building, not bleeding. In this episode, I break down why airing out personal drama, trash-talking competitors, or ranting about politics is killing your momentum and making you look weak. I’ll even hit you with some science to back it all up.

By the end of this episode, you’ll know exactly how to shift your mindset and start using social media like the power player you say you want to be. If you’re ready to stop playing small, stop feeding the algorithm your insecurity, and actually build something that matters—this one’s 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.

Focus on Business, Not Social Media Distractions (0:00)

 Avoid Pouting About Private Life (2:37)

 Stop Talking About Competition (2:58)

 Avoid Political Rants on Social Media (4:09)

 Recap and Conclusion (5:46)

Instagram | YouTube | Facebook | LinkedIn | TikTok | Website

In this episode, we dive into a real and often uncomfortable reality that high-achieving women face in the workplace—jealousy, competition, and sabotage, not from men, but often from other women. I walk through the dynamics of what happens when you shine brightly in your career and how, unfortunately, that can trigger insecurities in others. Amanda shares her own experiences navigating these challenges and why it’s critical to recognize the difference between focusing on your growth versus wasting energy trying to win people over who have already decided not to like you.

We get real about the importance of staying professional, preserving your energy, and protecting your focus. We talk about building strong relationships with women who inspire and uplift you rather than trying to fit into environments where you’re not valued. Amanda also shares a powerful story about bouncing back after major life changes and why continuing to shine your light unapologetically is essential—not just for yourself, but for inspiring others to do the same. If you ever needed a reminder that staying true to who you are will win in the long run, this conversation is it.

We also dig into the deeper mindset work it takes to stay confident when facing jealousy or criticism. We talk about how professionalism, integrity, and surrounding yourself with the right people will carry you further than any shortcut ever could. This is your permission to stop shrinking, stop second-guessing, and keep showing up fully in your life and career. Let's get into 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.

Navigating Workplace Dynamics as a High-Achieving Woman (0:00)

Recognizing and Addressing Workplace Bullying (3:54)

Dealing with Insecurities and Competitiveness (11:02)

Building Supportive Relationships (23:23)

Staying Professional and Focused (31:12)

Handling Negative Reactions and Maintaining Confidence (31:42)

Inspiring and Supporting Other Women (47:53)

Final Thoughts (48:11)

Instagram | YouTube | Facebook | LinkedIn | TikTok | Website

In today’s episode, I’m pulling back the curtain on the internal systems we use at Genesis Lifestyle Medicine to scale and manage dozens of clinics across the country. From team communication to training and HR, it all comes down to choosing the right platforms early and building around them. I talk about how we’ve used Workplace for Meta—essentially a business version of Facebook—to keep everyone connected, whether they’re in the U.S., the Philippines, or Colombia, and how we're now transitioning over to Workvivo as Workplace phases out.

I also break down how critical our Learning Management System (LMS) is for onboarding and training. Everything from provider protocols to clinic director training to onboarding paperwork runs through our LMS. It’s what ensures that no matter which clinic you walk into, you're getting the same Genesis experience. I can’t stress enough how important it is to have these systems in place if you want to scale without losing your company’s culture or standards. And when it comes to payroll and PTO tracking, I share why we rely on ADP—and why trying to manage payroll manually is a recipe for disaster as you grow.

The bottom line is this: the right systems will carry you from one location to dozens. We’ve scaled Workplace, our LMS, and our payroll systems from four clinics to dozens, and they’re still serving us well today. In this episode, I’ll walk you through why these platforms matter, how they help you avoid major headaches down the road, and why you should always be thinking about the next step in your growth. Let’s dive in.

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.

Instagram | YouTube | Facebook | LinkedIn | TikTok | Website

On this episode of the Spinoso Podcast, I dive into a question that too many people overlook when they jump into entrepreneurship: what does it truly cost? I break it down through the lens of one of the greatest superhero movies ever made—Avengers: Infinity War—and the haunting moment when Thanos says it cost him “everything.” While we’re definitely not taking business advice from a villain, there’s a hard truth entrepreneurs need to hear: building something meaningful demands sacrifice—your time, your energy, and sometimes even the people you love.

I share the brutal realities most people aren’t ready for. Entrepreneurship isn't about yachts, luxury, or flexing on Instagram; it's about missing events, pushing through exhaustion, carrying the weight of your dreams even when it feels unbearable. But sacrificing for your mission never excuses you from being an absent or selfish spouse, parent, or friend. If you’re going to be away grinding, then the moments you’re home better be undeniable. Your family didn’t sign up for your business—you did.

At the end of the day, if entrepreneurship is going to cost you everything, you better be damn sure it's worth it. Money alone isn’t enough. You need a bigger purpose—a "Rome"—something that outlives you. In this episode, I challenge you to ask yourself the real questions: What are you willing to pay? And when it’s all said and done, will it have been worth 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.

Instagram | YouTube | Facebook | LinkedIn | TikTok | Website

In today’s episode, we’re talking about something every business owner, entrepreneur, and leader needs to understand—how to manage strong-willed employees. These are the people who challenge you, question you, and push back hard—but they’re also the ones with the potential to become your most valuable assets. I’m joined, as always, by Amanda May, and we’re diving deep into what it really takes to lead high-performing, driven team members without shutting down their fire.

We break down five key strategies that help you lead these bold personalities the right way, starting with seeing strong will as a strength, not a liability. From there, we talk about how to channel that energy into ownership, how to create structure without stifling independence, and how to lead with clarity so they stay aligned with your mission. These aren’t theoretical ideas. This is real-world, battle-tested leadership that we’ve applied inside Genesis and our growing companies.

This episode is also about the growth you have to go through as a leader. Strong-willed people don’t follow weak direction. They need vision. They need clarity. And they need to believe in you. We talk about confidence, culture fit, how to handle disrespect versus directness, and why you want the people who challenge you—because they’re often the ones who care the most. If you’ve ever been frustrated by a bold personality on your team, this episode will give you the clarity, tools, and mindset to lead them well.

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.

(0:00) - Intro

(1:45) - Managing Strong-Willed Employees: Introduction and Purpose

(2:53) - Strategies for Managing Strong-Willed Employees

(10:38) - Directness vs. Disrespect

(18:24) - The Role of Culture Fit and Emotional Intelligence

(25:14) - Building a Strong Team and Core Values

(36:13) - The Impact of Strong-Willed Employees on Leadership

(38:14) - Conclusion

Instagram | YouTube | Facebook | LinkedIn | TikTok | Website

Look, I’m just gonna say it: the biggest mistake I see new clinic owners make is blowing their budget on looks. Marble floors, backlit signs, fancy front desks—all of it. And then? Crickets. No patients walking through the door because they forgot the most important thing: marketing. When I launched my first clinic, I focused on getting people in, not showing off. One of my most successful colleagues ran a multimillion-dollar stem cell clinic with folding chairs and yellow walls. What mattered was the service, not the setup.

In this episode, I walk you through exactly how to open and scale your clinic without wasting a dime on things that don’t matter. I’ll explain why second-generation spaces are a gold mine, how to negotiate tenant improvements in your lease, and how a clean, presentable space will get the job done until you’re actually generating revenue. I also break down how I build clinics for under $30K while others are drowning in debt before they even open their doors.

We also get into equipment. Buying used machines sounds smart—until it isn’t. I’ve been burned by used lasers and CoolSculpting devices more times than I can count. So I’ll tell you where to buy from, what fees to avoid, and how to get all the tax benefits of going new. Bottom line: this episode is your no-BS guide to building a lean, profitable clinic from day one.

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.

(0:00) - Intro

(2:45) - Essential Clinic Design and Equipment

(6:11) - Patient Flow and Accessibility

(8:38) - Signage and Branding

(11:50) - Conclusion

Instagram | YouTube | Facebook | LinkedIn | TikTok | Website