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In this solo episode, Twisty unpacks a manic Monday, canceling a performing account, and what stepping into your CEO era actually requires.

This episode covers:

• Why he moved his Sunday Scaries to Monday
 • The difference between access and scalability
 • Early adopters vs energy drainers
 • Why “peace over profits” isn’t soft — it’s strategic
 • The 43-year-old CEO mindset shift

If you’re running a service business and scaling past yourself, this one’s for you.

The #1 Chiropractic Growth Coordinator 

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On this special episode of Twisted Toast, Tristan sits down with Austin Cohen for a real conversation about what’s actually working in chiropractic right now — and what isn’t.

They unpack:

• Why the franchise model often breaks in chiropractic
 • The difference between visionaries and integrators
 • What “Contract to Expand” really means
 • Redefining freedom beyond beaches and lifestyle hype
 • How recurring revenue changes stability
 • What private equity actually looks at when buying clinics
 • The Black Hole number and why clinics quietly bleed

This isn’t surface-level motivation. It’s operational truth, leadership mindset, and real math.

If you’re building a clinic, scaling a team, or trying to stop restarting at zero every month — this one’s for you.

Follow the show and share with a doc who needs to hear it.

Chapters

00:00 Hair routine and opening banter
 02:05 The franchise lesson
 06:15 Culture split: corporate vs franchise
 09:30 Should chiropractors franchise?
 12:10 Non-chiropractor ownership debate
 15:00 Visionary vs integrator reality check
 19:20 Would some docs be better off as operators?
 22:40 Contract to Expand mindset
 27:05 Growth Summit reflections
 29:30 Redefining freedom
 34:40 Family, boundaries, and calendar design
 38:10 Rewarding yourself properly
 40:20 Ruthless meeting cleanup
 44:10 Recurring revenue and MRR
 47:30 How buyers value clinics
 50:50 The 10,000 file myth
 53:40 When to shut down a clinic
 57:10 The Four Agreements
 59:40 Protecting access and time
 1:03:00 Adventure Summit and doing hard things
 1:06:40 The Black Hole number explained
 1:10:00 Systems and retention
 1:12:20 Closing thoughts

The #1 Chiropractic Growth Coordinator 

TheSpizz.com

ChiropracticResults.com

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This episode starts with an eye-injury scare (salsa is undefeated) and a wild near-eyeball accident story… then turns into a clinic-owner masterclass: the hook formula Twisty pulled from Austin Cohen’s event, why patients credit “the exercises” instead of the adjustment, and the simple “before/after” anchoring that makes results undeniable. Plus: Atlas Orthogonal, red light therapy protocols, and the cultural authority problem in healthcare.

The #1 Chiropractic Growth Coordinator 

TheSpizz.com

ChiropracticResults.com

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This week on Twisted Toast, Twisty and Toast unpack a long, exhausting winter week—snowstorms, kids stuck at home, pipe bursts, plastic surgery recovery chaos, and launching a sales team. The conversation turns sharp as Twisty questions the credibility gap between chiropractic awards, real-world patient reviews, and documented outcomes. Along the way: haircuts as identity shifts, multi-site chiropractic growth trends, swinger communities (apparently), and the death of “Twisty” as Tristan steps forward.

Messy. Honest. Very Toasted.

The #1 Chiropractic Growth Coordinator 

TheSpizz.com

ChiropracticResults.com

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Everyone loves a flashy revenue screenshot.

Until you actually do the math.

In this episode of Twisted Toast, we break down a viral “$2.1M / 3-clinic” flex and expose what happens when you confuse top-line revenue with real success.

📊 We run the ChiroMath:
• Visits per patient
• Revenue per visit
• What those numbers actually mean inside a practice

Then we bring in real-world perspective on why so many “million-dollar clinics” are quietly leaking money, burning out teams, and struggling with retention—despite looking great on Instagram.

This isn’t hate.
This isn’t guru bashing.

It’s a reminder that screenshots don’t build sustainable practices — systems do.

If you’ve ever thought:
“I should be doing better than this…”
or
“These numbers don’t feel as good as they look…”

This one’s for you.

🔥 ChiroMath vs. Fake $2.1M Clinics
🥂 Twisted Toast

The #1 Chiropractic Growth Coordinator 

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ChiropracticResults.com

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Everyone loves a “$2.1M clinic” flex…
 Until you actually do the chiro math.

In this episode, Twisty breaks down a viral “guru” ad claiming massive growth—and exposes how impressive revenue numbers can hide terrible per-visit averages, weak patient value, and broken sales systems.

Then he brings in Dr. Amanda Apfelblat (Kairomoguls) to ground the conversation in reality:
👉 Million-dollar practices fail all the time when the fundamentals are off.

This isn’t about hate.
 It’s about not lying to yourself.

🥂 Episode Highlights (Timestamp-Friendly)

00:00–01:50 –
Twisty energy, Pistons are back, Miami vs Indiana, and the origin story of Amanda’s legendary blue Manolo Blahniks 👠
(Yes—this is how real chiropractic friendships are born.)

02:00–02:12 –
The switch flips.
Twisty tees up a viral “female guru” clinic recap ad that sounds impressive… but doesn’t pass the sniff test.

02:24–03:22 –
📊 The Chiro Math Breakdown

• $2.1M revenue
• 3 clinics
• 27,000 visits
• 2,135 new patients

What that actually means:

• ~$78 per visit
• ~$983 per patient
• ~12.6 visits per patient

🚨 That is not domination. That’s leakage.

03:22–03:55 –
Tech hiccup, screen share chaos, still rolling (because this is real, not polished guru theater).

04:00–04:30 –
Twisty calls it plainly:
“If this is just new patients and not wellness… this doesn’t math.”

04:30–end 
Amanda confirms the uncomfortable truth:
She’s walked into plenty of “million-dollar” practices that are quietly broken.

🎯 Core Takeaways (The Real Teaching Moments)

• Revenue ≠ success if:
  • Your PVA is trash
  • Your visit average is low
  • Your sales process leaks value
• Marketing doesn’t fix bad economics
  • If you’re doing $70–$80 per visit, your problem isn’t leads
  • It’s sales, structure, and retention
• Guru culture is out of control
  • Fancy recaps
  • Big screenshots
  • Zero context
• Real leadership = math + truth
  • Especially from women actually running real practices, not selling fantasies

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Today’s Twisted Toast starts as a live wig unboxing (yes, really)… and then turns into a full-send rant + strategy session on:

• Why scripts aren’t “cringe,” they’re confidence
• The problem with PI ego (and forgetting how to sell to real humans)
• Why “non-chiros” can still be the biggest advocates for chiropractic
• A plain-English breakdown of ChiropracticResults tiers (Freemium → Utility → Premium SaaS → Hype Accounts)
• The core money mindset: money isn’t real, but lifetime value is
• What it takes to scale: hiring closers, follow-up, and discipline

If you’re building a practice, a platform, or a bigger mission—this one’s chaotic, hilarious, and weirdly tactical.

00:00 Live intro + “Twisted Toast” chaos begins
00:15 Packaging praise + “don’t ship to my office”
01:07 Today’s menu: PI drama + Hype Accounts week recap
01:31 Wig visions + “did you have a plan?”
02:03 Wig #1 reveal + “Paula Ruffin hair”
02:16 “Sex butter” tangent (yep)
03:30 Wig #2 reveal (pink) + poll idea
04:18 Mic / audio setup quick note
04:41 Red Light promo + “MyRedLightSpecial.com”
05:45 Evan Katz / PI guy rant starts
06:12 Toast’s take: why scripts matter
07:09 “Stop explaining the whole machine” (make it digestible)
08:15 Don’t belittle non-chiros + advocates matter
09:07 Why scripts + tonality + selling matter
10:18 Four Agreements: “don’t take it personally”
11:03 Anger as fuel vs love as fuel
13:25 ChiropracticResults origin: testing AI + SEO lift
13:54 What a “Hype Account” actually is (third-party ads/social proof)
14:26 Freemium → Utility ($119) explained
14:47 Premium SaaS ($500+) + AI tethering to EHR + HIPAA/BAA mention
16:53 “AI recommendations” tracking + feeding the machine
17:56 Toast: “I’d rather pay for AI to pull from notes”
19:34 Hype accounts paused until February
20:00 ARR explained + valuation talk
20:11 “Money isn’t real” mindset
21:29 Give to get + LTV vs “dollar today”
22:40 What success actually means (happy + impact + money)
26:02 $396K sales rep post + commission math
27:23 PI post blowback + Shay Ridge story + Dexter got lost
30:34 “If you can’t close me, you can’t get hired”
31:00 Chiropractors doing marketing: expertise + 10,000 hours
34:18 Toast’s pricing idea: make AI tier more accessible
36:02 Value stack logic: not cheaper, more valuable
36:56 “People want something they can read” (simplify the doc)
38:50 Toast raises prices (+$10K/yr)
39:14 Trip to South Carolina + hiring sales reps soon
39:48 Ask for reviews + closeout + red light CTA

The #1 Chiropractic Growth Coordinator 

TheSpizz.com

ChiropracticResults.com

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In this conversation, Twisty discusses the launch of Chiropractic Results, a platform designed to revolutionize chiropractic marketing and data management. He shares insights on the evolution of chiropractic marketing, the importance of data in driving results, and his vision for the future of the chiropractic community. The discussion highlights the innovative features of the platform, including hype accounts and integration with EHR systems, aimed at empowering chiropractors to leverage their results for business growth.

takeaways

• Chiropractic Results aims to transform chiropractic marketing.
• The platform focuses on data-driven outcomes and results.
• Twisty has a history of innovation in the chiropractic field.
• The hype accounts are designed for early adopters.
• Integration with EHR systems is a key feature.
• The platform is free for all clinics to use.
• Twisty emphasizes the importance of community engagement.
• The vision includes a significant increase in company valuation.
• Chiropractors are encouraged to leverage their data effectively.
• The future of chiropractic is centered around measurable results.

titles

• Revolutionizing Chiropractic Marketing
• Harnessing Data for Chiropractic Success

Sound Bites

• "What's up everybody, happy new year."
• "We have converted five hype accounts."
• "Stay tuned for a lower entry price."

Chapters

00:00
Introduction to Chiropractic Results

02:50
The Evolution of Chiropractic Marketing

05:43
Unlocking the Power of Data in Chiropractic

08:26
Vision for the Future of Chiropractic

Chiropractic Results, Marketing, Data, EHR, AI, Business Growth, Chiropractic Community, Health Tech, Innovation, Business Strategy

The #1 Chiropractic Growth Coordinator 

TheSpizz.com

ChiropracticResults.com

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Twisty and Dr. Dan Lyons go head-to-head on the most dangerous sentence in chiropractic:

“Chiropractic is everything.”

Gonstead. Mixing. Red light beds. Shockwave. Boards. Student debt. Ego. Philosophy.
 Nobody gets spared.

If you:

• Care about chiropractic
• Hate fake unity
• Want better results, not louder opinions
• Believe conversations > compliance

This episode is required listening.

⚠️ Expect:
 F-bombs. Laughing. Disagreement. Respect. Truth.

The #1 Chiropractic Growth Coordinator 

TheSpizz.com

ChiropracticResults.com

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Chiropractors love to “keep it simple”… and accidentally belittle their own value.

Brought to you by MyRedLightSpecial.com

In this episode, Twisty and Toast break down the real retail value of a wellness visit BEFORE the adjustment — consult + clinical decision-making + leg checks + pelvic assessment + palpation/motion palpation — and why the “it’s just a quick check” mindset keeps chiropractors stuck in $50–$80 visit land.

We also jam on:

Goal setting vs “idea setting” (staying ambitious without being emotionally hostage)

Why prices everywhere have normalized (and your fees need to adjust too)

How to value-stack your care like a pro (without sounding salesy)

Membership/wellness pricing for 2026

Challenge: Open up ChatGPT, list every step of your visit, and price it like an expert — not like a people-pleaser.

Sponsored by: MyRedLightSpecial.com (red light deal for chiropractors)

Outside of pricing and practice growth, we also jam on Christmas travel, hockey families, Canadian stereotypes, buying a Range Rover as a milestone (not a flex), treating taxes like a strategy game, choosing to rent for lifestyle flexibility, accepting that not every year needs to double, accidentally falling in love with coffee, building a home office ecosystem, sourcing rare chiropractic history from estate sales, honoring the profession’s lineage, designing an 80s-inspired studio space, goal setting vs idea setting, healthy ambition without emotional burnout, accountability without resentment, and how relationships, humor, and downtime often unlock the biggest ideas.

00:00 – Sponsor: MyRedLightSpecial.com (red light deal)
00:46 – Christmas recap + family vibes
01:23 – Canadian “sorry” + chaos banter
03:18 – Tax talk, rent prepay, and “good year” reality check
04:46 – Section 179 / Range Rover decision (6,000 lb rule)
07:10 – Keeper app (QuickBooks + Rocket Money + tax suggestions)
10:15 – Coffee kick + home office write-off logic
11:26 – Antique/estate sale stories + chiropractic artifacts
14:50 – Goal setting vs “idea setting” (flexible ambition)
17:22 – Healthy detachment vs obsession (the balance)
21:00 – Inflation normalization + why prices feel “normal” now
23:43 – The big takeaway: chiropractors must raise fees / know worth
25:05 – Why most “$100 adjustments” need value stacking (services)
26:04 – The AI value-stack exercise (what happens before the adjustment)
33:00 – Retail value math: the “check” alone is ~$300+
36:40 – Closing challenge: stop belittling your process (price with confidence)
38:10 – The “I f*cking dare you” pricing challenge + wrap-up
40:05 – New Year plans + outro

The #1 Chiropractic Growth Coordinator 

TheSpizz.com

ChiropracticResults.com