Chiropractic School Debt: Ways to Pay Down Debt Faster

Graduating from chiropractic college is expensive. In addition to paying for undergraduate studies, it’s not uncommon to graduate with an additional 6-figure debt just for chiropractic college. According to LendEDU, chiropractic school debt can range from $40,000 to $120,000, but it can sometimes be far more. Recent graduates that are considering purchasing a chiropractic franchise or existing practice, or opening an independent practice are even harder strapped for cash. You’ll never feel financially free until you say good-bye to that school debt. Here are strategies to consider.

Income-Driven Chiropractic School Debt Repayment Plans

If you have federal student loan plans (this strategy doesn’t apply to private student loans) you may be able to reduce the amount of your monthly payments based on your income. 

New graduates make less money, and under these programs, they pay less in debt. As your income increases, your ability to pay increases, and your monthly payment amount increases too. 

There are currently four income-based repayment plans available.

  • Revised Pay As You Earn Repayment Plan (REPAYE Plan)
  • Pay As You Earn Repayment Plan (PAYE Plan)
  • Income-Based Repayment Plan (IBR Plan)
  • Income-Contingent Repayment Plan (ICR Plan)

You don’t need to pay a financial advisor or a loan consolidator to apply for these programs. You can apply for free online. 

With these income-based plans, you pay from 10% to 20% of your income (which must be recertified annually) for a fixed number of years. The repayment term runs from 20 to 25 years depending on the plan in which you are enrolled. At the end of the repayment term, the balance of the loan is forgiven.

However, this loan forgiveness comes at a price. The amount forgiven will be considered income for your federal and state income tax purposes. So, while you don’t pay the balance, you do pay federal income tax on this amount. If you use this strategy to pay off your student debt, it is wise to set aside money monthly to pay that tax bill when it becomes due. The American Rescue Plan makes student debt forgiveness tax-free through December 21, 2025. But chances are if you are reading this article that forgiveness won’t apply to you. There’s simply not enough time for you to qualify. It’s also important to note that these federal programs have been beset by problems which are only now beginning to be addressed. The most common issue has been payments not being properly credited towards forgiveness by the private contractors that are servicing the federal loan program. There are many horror stories out there but there is certainly hope for an end to these issues in the near term as there has been renewed attention to this problem and promises made to correct it and make everyone affected by it whole. 

Make Additional Payments When Possible

In the long run, you pay less money in interest when you pay down the principal as soon as possible. However, paying additional towards principal may sound easier than it is, especially if you have multiple student loans handled by one servicer.

Many loans allow for additional payments to be applied first to accrued interest and then principal. Check with your servicer to make sure your additional funds go towards the principal balance. 

If you have multiple loans, decide if you want extra payments to go towards the loan with the highest interest rate or the lowest balance. Paying towards the loan with the lowest balance, often called the debt snowball, provides a positive feedback loop that keeps you motivated as you see the loan balance decrease. It creates a “win” when one loan is paid off. Then you would apply the same payments to the loan with the next lowest balance until it is paid off and continue this process. Paying towards the loan with the highest interest rate, called the debt avalanche,  may not result in a quick reduction in the balance of a loan if it is one of your higher balance loans, but you will save more money in interest. In the long run you will be able to pay off your loans faster if you are able to stick with the debt avalanche, but if you are the type of person that needs positive feedback to keep you on track, then the debt snowball might be best for you. 

This method only works if your budget consistently allows you to make extra payments. 

Increase Your Income

The best way to dig yourself out of a deep student debt hole is to use the biggest shovel you can find. To pay more money towards your chiropractor school debt, you need to make more money. Here are a few ways to increase the income your practice generates and apply that additional income to your student loan. 

Offer patient financing

If a patient’s medical insurance doesn’t cover your services, they will be more reluctant to use them. However, by offering patient financing, your care becomes more affordable than ever. While you may give up a portion of your fees to the financing company, you don’t spend time and money filing for insurance reimbursement and billing patients. Also, the ability to finance increases the amount a person is willing to spend on treatment. 

Write a book

Have great insights into improving health? People love self-help books. Books and eBooks on the topics of health, fitness, diet, and weight loss are always in demand. Make a commitment to write an hour a day and you’ll be surprised how quickly your book will take shape. 

If you’ve built a following on social media, capitalize on that fan base by offering eBooks. Getting published is easier than ever today and self-publishing means you can get your book printed quickly. 

You can even skip the printed edition of your book and make your books available through Kindle and Amazon in digital form only. 

Operate an online marketplace

Online marketplaces sold $3.23 trillion in goods in 2021. You don’t have to be the next Alibaba or Amazon to make money with a marketplace.

Bring together sellers of health and fitness-related items with people who want to buy those items. From organic toothpaste to all-natural skincare and beeswax candles, people are looking for items that help them live a more natural and healthier life.

As a digital marketplace operator, you can charge each vendor a set amount to join or take a percentage of each sale. This option will require an investment in software and the services of a developer to help you get up and running. But if you are tech-savvy, it is worth exploring. 

Supplement your income with supplements

One of the best ways to increase your income is to offer supplements through your practice. People want to take supplements, but they aren’t sure what they need or what brands are reputable.

By offering a full range of dietary supplements, you can personalize the supplementation regime for the needs of each patient. You better serve your patients, expand your practice, and make an additional income to pay off that chiropractic school debt.Contact us here to learn more about the best supplements for your practice!

6 Reliable Tips for Chiropractic Patient Retention

Do you know your patient acquisition costs? If you look at the amount of money you spend on marketing each week and divide that by the number of new patients you see, you’ll have a rough estimate of your customer acquisition costs.

Chiropractic care is competitive and pay-per-click advertising can run from $8 to $10 per click for a popular keyword. With an industry conversion rate of 2.4%, it’s clear to see that acquiring new patients is costly. Once you’ve obtained a new patient, you want to get the most out of your patient acquisition cost by retaining the patient. 

The longer you retain a patient, the higher the patient’s lifetime value. Here are six reliable ways to improve your chiropractic patient retention rates. 

Create a Comfortable Environment

The total patient experience starts in the reception and waiting area and carries through hallways to treatment rooms. Nobody wants to wait in a boring room staring at beige walls while flipping through magazines that are months or years old.

Instead, offer public wi-fi and post the password prominently so patients don’t have to ask for the information.

Throughout the public areas, use soothing colors, relaxing images, and artwork to reduce stress and anxiety. Blue tones, soft greens, and grays promote a feeling of serenity. Artwork with green and yellow adds life to a room. 

Create an environment that isn’t dreaded, but warm and inviting. Pay attention to details such as the odors from disinfecting and cleaning supplies. When your patient is less anxious and more relaxed, they are more likely to return and increase patient retention rates. 

Minimize Wait Times

No matter how comfortable you make the environment, nobody wants to be kept waiting. Perception and expectations influence the amount of time people are willing to wait. 

Show patients you respect their time by keeping wait times to a minimum. They will perceive the wait time to be short. Consistently keeping patients waiting for long periods of time conditions them to expect long waits. Once this happens, they won’t worry about arriving promptly. An analysis of 21 million outpatient office visits found that almost one-fifth of wait times were over 20 minutes while the median wait time for Medicaid patients was just 4.6 minutes. According to Vitals research, the average wait time to see a primary care physician is 18 minutes. Clearly, some providers are keeping patients waiting far too long. Athenahealth studies show that 20% of patients change doctors because of long wait times. Long wait times kill chiropractic patient retention rates. 

If something throws a wrench in the day’s schedule, contact patients and let them know about the extended wait before they arrive. 

Clearly Communicate Treatment Plans

Let your patients know exactly what their treatment entails. Be prepared with specific information about the treatment and give them an idea of it’s a short-term or long-term plan. 

Using vague wording such as, “plan on coming in a couple of times a week for a few weeks” sounds more like a suggestion for care instead of a firm treatment schedule.

Create a schedule for treatments and have the patient schedule appointments for the next few office visits. This proven chiropractic patient retention method can be further enhanced with automated follow-up calls, texts, or email messages two days before the scheduled appointment. The schedule of treatments can be updated during any visit if a change is necessary. 

Connect Consistently

Keep the name of your practice at top of mind by connecting with your patients on a consistent basis. Send personalized birthday cards to show you care. When you send Valentine’s Day, Independence Day, or Thanksgiving cards they will be received as an unexpected surprise. Be respectful of the religious or social inclinations of your patient base.

To make your chiropractic business stand out, send greeting cards on an occasion other than the Christmas holiday. Make sure to use a hand signature on your cards to make the message even more personal. For a double whammy, get all members of the office staff to sign the card. 

In addition, send electronic newsletters regularly and use social media to keep your patients up to date on the very latest in chiropractic care and overall health and nutrition. While these communications aren’t specifically focused on promoting your services, they do increase retention. 

Solicit Feedback

Find out what your patients are thinking. Use surveys to calculate your Net Promoter Score and track patient satisfaction with your services. Patients that are unhappy with their lack of results will place less value on your service and certainly won’t return in the future. Follow-up with patients that cancel their appointments.

If a patient opts to discontinue their care plan, talk to them and find out why. If there are obstacles in the way, work with them to overcome these obstacles.  

Offer Financing Options

Help patients meet their financial obligations for the treatment plan and you’ll increase your patient retention. 

Healthcare financing options abound, so find the vendor that provides the level of service that will meet the needs of your patients and your practice. 

Discuss financing at the same time as you discuss treatment plans. Patients who understand what to expect from the treatment, how long treatment will take, the total cost of treatment, and their options for payment are assured they can afford to complete treatment. You are assured of patient retention.

Need to Increase Revenue or Chiropractic Patient Retention?

Are you exploring ways to increase the revenue from your chiropractic practice or improve your patient retention rates? Talk to the Chiropractors at Nutri-West of New York and schedule a free consultation.

4 Marketing Ideas for Chiropractors to Boost Your Business

Are you looking for ways to build your brand as a chiropractor? Do you need to add leads to the top of your funnel? Running a chiropractic practice requires more than earning your doctorate. It requires you to think like a business owner and understand marketing as well as osseous adjusting. If you aren’t sure where to start, here are four marketing ideas for chiropractors to create leads and build patient retention. 

Monthly Newsletters

Pull your patient email addresses together, create a mailing list and start sending a monthly newsletter. This isn’t the place to push a hard sales message.  Your newsletter is all about sharing information, keeping your name in front of patients, and letting them know you care about their well-being.

Sending a newsletter is a pretty standard marketing idea used by chiropractors. What will you’re your newsletter more effective is strategic scheduling. Schedule your newsletters to arrive on a Monday mid-day or midafternoon. You’ll find your patients calling and saying, “This weekend I was feeling pain…..”. When you send on a Monday, chances are you’ll catch patients recovering from their weekend activity and a visit to your office will sound very appealing. Make sure to use an email program that allows you to track who opens your newsletter email. The following Monday, send the newsletter again to the people that didn’t open your mail the previous week. 

Fill your newsletters with information about boosting the immune system, maintaining a healthy gut biome, exercises you can do while sitting at your desk, and how to avoid seasonal issues such as hay fever or polymorphic light eruption. 

Close with a friendly reminder to call your office if you can help them achieve their health goals. 

Targeted Free Offers

Let’s say you want to target male athletes. Everyone from weekend warriors to elite athletes push their bodies and suffer from sore muscles and stiffness. Their jumping, squatting, running, and lifting take a toll and a free massage is very appealing.

So, offer a free 15-minute massage. This offer is so enticing it can’t be passed up. Athletes will beat a path to your door.  Once in your office, you’ve got an excellent opportunity to offer your services tailored exactly to the athlete’s needs. This chiropractic marketing idea puts leads at the top of your funnel that you can personally nurture.

Use geotargeted Facebook ads to target male athletes in your immediate neighborhood for even better results. The beauty of Facebook marketing is that you have access to so much user data, it makes delivering highly targeted free offers very effective. 

Simply create your targeted free offer Facebook ad, build a website landing page for people to register for the offer, create an automated follow-up and thank you email, and schedule your free offer appointments. 

Run a Branded Google Campaign for Your Practice Name

Use this strategy to grab as much real estate as possible when Google returns search results for your practice name.

Now, if you have made any inroads with SEO optimization for local search, your practice name should show up at the top of the organic search engine results when someone searches for the name of your practice.  The idea of a paid branding campaign is to grab the paid results spot, so the search page is literally covered in your practice name. 

Chances are your competitors aren’t paying for search on your name, so the results will be inexpensive on a per click basis. And even if your competitors are paying for clicks for searches on your practice name, because it is your practice you will have higher relevancy and thus display higher on the page. 

These paid search ads target people that are looking for you right now. They might have previously seen one of your social media ads, heard your name from a friend or family member, or passed by your office when driving through the neighborhood. 

No Matter the Marketing Idea Always Be A/B Testing

Savvy marketers know that honing a message takes time and iteration. Always A/B test or split test your email subject lines and landing page calls to action. 

If you aren’t familiar with the concept of A/B testing, skim through this Hubspot guide to split testing.  In a nutshell, split testing or A/B testing is a powerful marketing tool to run experiments to determine which messages people find most appealing. 

The idea is to present two different versions of a message to determine which one generates the reaction you want. The key to effective A/B testing is to test only one variable at a time. 

So, for example, if you are A/B testing the headline on your landing page, make sure that is the only text you change. The other elements on the page (images, forms, etc.) must stay the exact same for an accurate test. Then divide your traffic evenly between the two pages. In a day or two, compare the results. Which headline resulted in the most form completions? Now that you know your best headline, you can A/B test other elements on the page.

Understanding the Role of Prebiotics and Probiotics in Support of the Gut-Brain Axis

Research continues to further advance our understanding of the importance of a healthy microbiome in the gut to the overall health of the body. We used to say, “you are what you eat”. But now we understand what you eat defines more than who you are, it defines how you think and what you feel. 

Affect, motivation, and higher cognitive functions depend on the health of the gut microbiome. Therefore, prebiotics and probiotics are crucial to maintaining a healthy gut. To better understand the need for gut support, it helps to understand the gut-brain axis.

Mapping the Gut-Brain Axis

The gut-brain axis (GBA) involves bidirectional communication between the central and the enteric nervous system. The molecular interaction is complex. The central nervous system maintains gut homeostasis and proper digestion while the gut produces hormones such as serotonin that impact everything from mood to the quality of sleep. Afferent and efferent neurons connect neuronal pathways and transmit signals. In order to function properly, the gut relies on a microbiome teeming with gut microbiota. 

Source

These microbiota inhabit the gastrointestinal tract, which offers a large but vulnerable surface to house their ecosystem. Dietary patterns, medication usage, bacterial or viral infection, and environmental factors can disrupt the gut microbiome and negatively impact gut health. Disruption in the gut upsets the communication flow between the gut and the brain. Researchers suspect this disruption can result in conditions ranging from Parkinson’s Disease and Alzheimer’s Disease to autism spectrum disorder. While research continues, what is clear is that in order to support a healthy body and a healthy mood, you must support a healthy gut. This is where prebiotics and probiotics play an important role. 

Healthy Gut Microbiome

Trillions of microbes reside in the healthy human body, and the bulk of these make their home in the gut. The gut microbiota represents four phyla: Bacteroidetes, Firmicutes, Proteobacteria, and Actinobacteria. In addition, two minor phyla, Verrucomicrobia and Fusobacteria are represented as well. 

The bacteria communicate with each other as well as the host epithelium to maintain homeostasis and support the immune system. When the biome is balanced and the patient is healthy, these gut microbiota stimulate the production of short-chain fatty acids, gut-derived peptides, neurotransmitters, and regulatory T and B cells through their interactions with intestinal immune cells.

Source

However, when the intestinal flora are disrupted and gut health is compromised, the microbiota support inflammation through increased inflammatory T and B cells, LPS, and production of proinflammatory cytokines to disrupt the blood-brain barrier.  

The brain isn’t the only organ to suffer. An unhealthy gut microbiome interferes with healthy insulin and GABA levels and can also contribute to constipation, gas, bloating, IBS, ulcers, diarrhea, and reflux. 

Negative Influences on the Gut Biome

Antibiotics can provide a powerful tool for fighting infection and ridding the body of unwanted bacteria. Unfortunately, antibiotics can’t differentiate between the good bacteria in the gut and the bad bacteria causing infection. Random studies of the effect of amoxicillin show a reduced abundance of enterobacteria after a course of treatment.

Highly processed foods are high in sugar. Recent studies indicate that a high intake of sugar increases the relative abundance of Proteobacteria in the gut microbiome while at the same time decreasing the abundance of Bacteroidetes. This imbalance promotes metabolic endotoxemia and systemic inflammation. The diet is one of the most influential factors in maintaining a healthy gut. Prebiotics and probiotics offer nutritional support to any diet.

How Prebiotics and Probiotics Support a Healthy Gut

The microbiome must be fed on a regular basis. Prebiotics are non-digestible plant fibers that feed the intestinal flora. Flaxseeds, okra, broccoli, artichokes, garlic, onions, avocados, green bananas, sweet potatoes, in-season blueberries and 100% cacao are examples of healthy prebiotics. Ideally, the diet would provide the right amount of plant fiber to keep the good bacteria in the gut well-fed.

Unfortunately, the modern diet often lacks sufficient plant fiber to keep the microbiome properly fed. Ironically, in feeding the body many people inadvertently starve their intestinal flora and their gut health suffers.

Probiotics supplement the beneficial microorganisms we want to flourish in the gut. While some probiotics are ingested through the diet, it frequently isn’t enough to keep the microbiome in balance. Yogurt may be a great source of Lactobacillus Acidophilus, but it isn’t a viable option for the lactose intolerant.

Everyone benefits from nutritional supplementation with prebiotics and probiotics. Both are provided in the Total Probiotics supplement by Nutri-West. 

Adding Total Probiotics to a daily regime of supplements ensures each patient gets all the prebiotics and probiotics they need to support a healthy gut biome. It’s like feeding and replenishing the microbiome on a daily basis. 

A healthy gut is crucial for a healthy body. 

Want to Learn More?

Want to know how prebiotics and probiotics can help improve your patient care outcomes? Talk to the chiropractors at Nutri-West of New York.Dr. Jamie Forster and Dr. Jason Horowitz are ready to help you grow your practice and increase patient satisfaction. Schedule your consultation today.

How to Grow a Chiropractic Business: An Actionable Guide

A chiropractic business is like any other business. If your practice isn’t growing, it is dying. Operating as a successful chiropractor requires fusing your talents as a natural health practitioner with a keen sense for business. Whether you outsource practice management and marketing or handle it yourself, a little inspiration can help get the ball rolling if you are feeling stuck. Read on to get ideas on how to grow a chiropractic business. 

Laser Focus On Your Market

Don’t try to be the chiropractor for every market. When you are out in the community, be an advocate for chiropractic services to your target market. 

If you are focused on athletes, make sure your networking activities are aligned with sports and fitness. It doesn’t make sense to give a talk at the senior center when your time is better spent at the local athletic club or gym.

Are you interested in serving the needs of families? Then you’ll want to be a part of local school-based health fairs and speak at PTA meetings. 

If keeping seniors healthy and active is your passion, then senior centers, churches, and libraries are all great places to connect with your market.

From your print advertising to digital marketing, make sure your messages, images, and content all focus on your target market. 

Solicit Testimonials

Testimonials are one of the best ways to showcase your ability to make a positive change in a person’s life. But you won’t get testimonials unless you ask for them.

88% of consumers consider online testimonials to be as trustworthy as a personal recommendation. When a patient leaves your office, make sure they leave with literature soliciting a testimonial.

If you have patient email addresses or cellphone numbers, send email letters or text messages soliciting feedback and a testimonial. 

You are more likely to get a testimonial if you make it easy. Be sure to include links to the platforms, websites, or apps (Google Business, Yelp, Health Grades) you are targeting.

Let your patients know you value their feedback and that patient reviews are helpful to others looking for chiropractic care.

Invest in Digital Marketing

People are more connected than ever to their digital devices. Over 50% of the traffic on the internet comes from mobile devices. Use of the term “near me” has increased dramatically, and 27% of searchers visit a business website after searching “near me”.

Make sure your Google Business listing is complete and up-to-date. When returning results for local searches, Google almost always lists the Google Business profile. 

According to Pew Research on social media usage in 2021, if you are targeting adults under the age of 30, you should focus efforts on Instagram and TikTok. The same research shows that over half of those 65 and older use Facebook. To get the most of your social media marketing dollars, use the channel that matches your target audience. 

Because social media offers a walled garden experience, it is possible to geotarget your ads to increase conversions. Leverage the network’s data to target by interest and age as well. 

If you don’t feel comfortable with digital marketing, reach out to a local marketing agency. They can help you determine a budget, define goals, and create campaigns to generate leads and convert leads to sales. 

Add Complementary Services

Partner with other professionals to add complementary services. Are you targeting athletes? It might pay to team up with an acupuncturist.  One-third of NFL teams are using acupuncture to aid injury recovery and treat pain. Amateur athletes are following their lead. Build a practice around helping athletes with chiropractic care, acupuncture, and massage therapy.

Do you serve the senior community? Research shows that over 50% of American seniors are malnourished.  Add the services of a dietician to help your senior patients improve their nutrition and overall health. Physical therapy services can improve balance to help prevent falls and keep seniors mobile. Consider partnering with a physical therapist and/or occupational therapist.

Add Nutritional Supplements

Because overall health is so closely tied with nutrition and dietary intake, it only makes sense that a powerful way to grow a chiropractic business combines chiropractic services with nutritional supplements.

Many Americans are interested in dietary supplements, but they don’t know what to take and they lack trust in off-the-shelf options.

By adding nutritional supplements to your arsenal of treatments you support better overall health and can even micro-target deficiencies you identify.

Adding supplements to your practice increases cash flow, improves overall patient care, and results in better outcomes. 

Want to Know More About How to Grow a Chiropractic Business?

Need help in growing your chiropractic business? Schedule a consultation with the chiropractors at Nutri-West. You’ll find out how you can generate more income while improving patient care with Nutri-West products.

The Top 5 Supplements Chiropractors Recommend Now

A National Institutes of Health (NIH) funded study found that 80% of chiropractors practicing in New York state offer nutritional counseling. Because chiropractors treat such a wide variety of chronic disorders that arise from conditions affecting the musculoskeletal system, they are well- positioned to  tailor their nutritional supplementation recommendations to the patient. But year after year, there are 5 supplements that chiropractors recommend to support overall better health. These most recommended nutritional supplements form the basic foundation to support well-being. 

Omega 3 Fatty Acids

Omega 3 fatty acids are important for the production of hormones at healthy and balanced levels. Eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) are long-chain polyunsaturated fats that occur naturally in fish, shellfish, and some algae. These fats are essential to building almost every cell in the human body. In addition, they are important for proper joint lubrication and serve as powerful antioxidants to scavenge harmful free radicals. 

In addition, Omega 3 fatty acids offer nutritional support to the heart, lungs, blood vessels, and immune system.  Supplementing with Omega 3 fatty acids  can support healthy triglyceride levels and curb stiffness. According to Rutgers, the EPA and DHA found in Omega 3 supplements can also boost the effectiveness of inflammation-fighting prescription drugs. Other researchers studying cultures that eat a diet high in Omega 3 fatty acids note those populations have a lower incidence of depression.

Supplementing with Omega 3 fatty acids just makes sense. While eating a daily diet high in fish might provide enough EPA and DHA it, unfortunately, comes with the risk of ingesting too much mercury. Mackerel, wild swordfish, tilefish, shark, orange roughy, and bigeye tuna are great sources of Omega 3 fatty acids, but they are also a great source of mercury and PCBs. 

Probiotics

The good bacteria and yeasts in the gut are essential for good digestive health. Collectively referred to as probiotics, these beneficial organisms can be destroyed by illness, antibiotics and other medications, and consuming processed foods.

Chiropractors recommend probiotic supplements to restore the microbiome in the gut and support health in the digestive system and the immune system. Probiotics can help patients look good (by supporting healthy skin) and feel good (by enhancing serotonin). 

An NIH meta-study of rodent models found that probiotics had a positive impact on GABA levels, insulin levels, cognitive function, and much more. 

Lactobacillus Acidophilus and Bifidobacterium are naturally found in yogurt, dairy, and fermented foods. Getting enough probiotics is difficult when patients avoid dairy due to problems with lactic acid and a diet high in probiotic-rich fermented foods can put tooth enamel at risk.

To maintain steady levels of probiotics, chiropractors recommend dietary supplementation with probiotics for both men and women.

Vitamin D

The COVID-19 pandemic exposed the American public to the importance of maintaining the proper levels of Vitamin D for a healthy immune system.

But Vitamin D has been one of the most recommended supplements for years. Chiropractors recognized early on that Vitamin D was more than a nutrient our patients ate, but it was also a hormone their bodies made under ideal conditions.

According to Harvard, Vitamin D holds the possibility to reduce cancer cell growth, help control infections and reduce inflammation. Every human cell has receptors for Vitamin D, and the possibilities for better health through Vitamin D have only been partially explored. 

Very few foods naturally contain Vitamin D and foods fortified with Vitamin D have often been highly processed, something chiropractors recommend their patients avoid. Vitamin D can be produced on the skin upon exposure to sunlight, but not everyone gets adequate sunlight exposure, especially when days are short. 

Through provider-recommended Vitamin D supplementation, patients receive nutritional support for every cell and system in the body.

Adrenal and Stress Support

Modern life can be extremely stressful. While humans are incredibly suited to adapt to changes, sometimes change comes so fast it creates added stress. In these stressful times, the adrenal glands need all the support they can get. 

The adrenals produce hormones to regulate metabolism, immune system, blood pressure, response to stress, and other essential functions. To help patients cope with stress, chiropractors frequently recommend supplements like DSF (a stress-fighting formula) to provide nutritional support for the nervous system and the adrenal glands. 

This proprietary formula brings together glandulars, vitamins, minerals, antioxidants, and phytochemicals to synergistically support the various energy-producing systems of the body. For vegetarian patients, a formula without glandulars is also available.  By combining these essentials in one capsule, dosing is much easier to make compliance more likely. 

Multi-Vitamins

When it comes to making nutritional supplementation easy, nothing does the job like a multi-vitamin. It’s no wonder that a general multi-vitamin is one of the most common chiropractor-recommended supplements. 

Even if they don’t recommend individual supplements, many chiropractors recommend a basic synergistic multi-vitamin like Core Level Health Reserve for nutritional support. 

Ideally, these multi-formula supplements will bring together vitamins, minerals, plant constituents, amino acids, and fiber to support overall health and vigor. 

Recommending Supplements to Patients

Chiropractors provide a valuable benefit to their patients when they combine traditional chiropractic services with nutritional counseling and supplementation.

If you aren’t sure what supplements you should recommend or aren’t sure where to start, Nutri-West of New York can help. We are chiropractors that have seen for ourselves the power of supplements to enhance health. Contact us today for a free consultation.

5 Compelling Examples of Traditional Physicians Incorporating Alternative Medicine

In case you haven’t noticed, there’s been a gradual change in the attitude of M.D.s and D.O.s towards complementary medicine. It’s not concentrated in one part of the country or even the globe. Worldwide, traditional physicians are incorporating natural medicine as part of their daily practice. Here are just a few examples of practitioners and clinics improving the lives of their patients in non-traditional ways.

#1 Functional Medicine Growing at the Cleveland Clinic

Since first opening its doors, the Cleveland Clinic has been at the forefront of modern medicine. That tradition continues today in their commitment to caring for life and researching for health. They aren’t afraid to follow where their research takes them either. 

In 2014, Cleveland Clinic celebrated another first as they became the first academic medical center in the country to establish a dedicated functional medicine program. The next year, the Center for Functional Medicine doubled its number of practitioners when they hired a second Doctor of Osteopathic Medicine.

Today, the staff includes 7 M.D.s, 2 D.O.s, and 2 Certified Nurse Practitioners in addition to health coaches and dieticians. Their patient-centered approach takes a multi-disciplinary approach and utilizes innovative care models. Not only do they offer treatment, but they continue research into functional medicine for the treatment of a range of conditions, from diabetes to musculoskeletal pain.

#2 Detroit, Michigan Plastic Surgeon Embraces Alternative Medicine

Dr. Anthony Youn is an MD and Fellow of the American College of Surgeons living in Detroit, Michigan.  He is also a member of the American Society of Plastic Surgeons and the American Society for Aesthetic Plastic Surgery. He serves as an instructor and Assistant Professor of Surgery at the Oakland University William Beaumont School of Medicine.

That’s a very traditional pedigree for a surgeon whose treatment philosophy is grounded in optimizing the patient’s environment, habits, dietary choices, and skincare to offer a whole-body approach to slowing down the signs of aging. 

Youn turned to holistic and naturopathic medicine to help him determine the root causes of chronic illness. He also felt that food and nutrition could be useful in treatment plans that are what he calls “a refreshing, drug-free, and effective option”. Youn recognizes that the body’s microbiome plays a key part in more than just digestive health, but also systems and organs, including the skin, the brain, and the immune system. 

By incorporating these facets of natural and alternative medicine into his practice he created the Center for Holistic Plastic Surgery. Today, Dr. Youn performs surgery, develops holistic nutritional supplement protocols, and offers holistic anti-aging treatments.

#3 Physician Heal Thyself

Dr. Terry Wahls is a medical doctor, professor of medicine at the University of Iowa, and conducts clinical research on the use of diet and lifestyle to treat brain-related problems. Her interest in alternative medicine is highly personal. 

Dr. Wahls has progressive multiple sclerosis. Even though she took the newest and most modern drugs, including potent biologics, she continued to decline steadily for seven years. She spent four years in a tilt-recline wheelchair. Even as her health declined, she continued to study the latest in brain science. Once she created and enacted a diet and lifestyle program to support her brain cells, she was able to reverse the decline and recover.  

Today, Dr. Wahls helps others reclaim their health through her research, ancestral health principles, functional and anti-aging restorative approach to medicine. As research into autoimmune disorders advances, Dr. Wahls puts science into action. For example, by addressing cell membrane health with the appropriate fats and oils to combat inflammation, she helps patients establish healthy cell function. 

#4 SoCal Family Practice

Paracelsus Natural Family Health Center was established by Dr. Daniel Brousseau in 2003 to bring together the best of modern and alternative medicine. Staffed by Dr. Brousseau, a Doctor of Osteopathic Medicine and three Naturopathic doctors, they provide a full range of family health services. In addition, they offer specialized treatment in women’s health, pediatrics, heart health, cancer, and thyroid conditions. 

With a focus that goes beyond treating disease to creating overall health and wellness, the Paracelsus Natural Family Health Center is responding to the demand for more holistic health care. The team’s naturopathic approach combined with their expertise in modern medicine supports the health of everyone from infants to seniors. 

Dr. Brousseau’s philosophy is centered on supporting the body’s natural tendency towards health. The community’s positive response to this philosophy has allowed Paracelsus to expand to operate in two locations. 

#5 Integrative Cancer Treatment Center

Early in her medical career, Dr. Leigh Connealy, M.D. noticed that while she would prescribe medication to her patients, they weren’t getting better. Some even got sicker. Dr. Connealy investigated integrative and complementary therapies, seeking ways to merge traditional medicine with nutritional and lifestyle approaches to treating disease

She founded the Center for New Medicine and the Cancer Center for Healing in Irvine, California. The combined facilities occupy 30,000 square feet and have treated over 47,000 patients from around the world. The Cancer Center for Healing has grown to be the largest multidisciplinary, integrative cancer center in North America.

Dr. Connealy and her colleagues aim to restore health and balance to the entire body, not just the areas affected by cancer. They do this with cutting-edge technology, patient education on the role of nutrition and integrative medicine, and whole-being treatments. 

By combining the best of traditional and complementary medicine, patients receive world-class care without leaving home.

How to Develop Your Chiropractic Business Plan

Whether you are expanding your existing chiropractic business or planning to venture out on your own, you need a detailed business plan. A chiropractic business plan contains many of the same elements as other business plans, but some are unique to the profession.

Elements of a Chiropractic Business Plan

Your business plan should contain everything a person needs to know to understand your services and how you monetize your services. It answers the basic questions any individual or company wants to know before lending or investing in your company. 

In developing your business plan, you must identify your goals and create strategies to support these goals. Once complete, your business plan can also be a tool for measuring your progress.

The standard sections of a chiropractic business plan include:

  • Executive Summary
  • Practice Description
  • Services and Products Offered
  • Marketing Plan
  • Operational Plan
  • Practice Management and Organization
  • Startup Expenses and Capitalization
  • Financial Plan
  • Appendices

The more thought and planning you put into your business plan, the better the chances of you obtaining the funding you need. Through the development process, you’ll discover and fill gaps, create milestones, and visualize your success.

Executive Summary

This is a high-level summary of your chiropractic practice. It should be no more than two pages, and one page is optimal. It’s the last part of the business plan you will write, as it summarizes the contents. The summary should include:

  • A one or two-sentence overview of your chiropractic practice.  
  • How your services and products will solve problems or improve the life of your target market.  
  • Goals that your practice will achieve in one year, three years, and five years. 
  • The market you will target. 
  • The unique selling proposition that sets you apart from other chiropractors already serving the market.
  • Your experience and the experience of your team. 
  • Financial projections. 

Practice Description

This section defines your practice. It should include your mission statement, the philosophy of your practice, and the competitive aspects of the chiropractic market you will serve.

You’ll also include information about the market you are targeting. You’ll want to include the rationale behind selecting this market and why you think their needs aren’t currently served.

Introduce your short-term and long-term goals and identify benchmarks for success. For example, how many patients will you treat each year?

Finally, conclude with a description of the legal organization of your practice. Will you form a limited liability corporation, a sole practice, or a sub-S corporation? This decision should be made in conjunction with consultation with your legal and tax advisors. 

Services and Products Offered

This is where you get down to the meat and potatoes of what your practice will do on a daily basis. While all chiropractors offer osseous adjustments, will that be the extent of your practice?

If you plan on offering nutritional counseling, massage therapy, medical-grade nutritional supplements, or even yoga in the park include those services here. Even if the services won’t initially be offered, you want to include them, as well as the timeframe for implementation of supplements to your practice, and the amount of revenue you believe the additional services will generate. 

When writing this section, focus on the problems your services and products will solve for the target market. Be sure to include any competitive advantage you might have, such as an exclusive agreement to sell certain supplements or a license to use technology that is in short supply. This is also the spot to share your pricing philosophy. 

Marketing Plan

In this section of your chiropractic business plan, you’ll describe the chiropractic industry as a whole, the competitive landscape in your area, the market you will target, and your plans for marketing your services and products to these patients. 

This section will include your SWOT Analysis (strengths, weaknesses, opportunities, and threats). This analysis is crucial to identifying barriers to market entry, brand recognition issues, industry trends, potential changes to government regulation, and a host of other factors that impact your success. 

You will also use this section to build your target persona. This is the demographic and infographic information about your potential patients. It includes information such as:

  • Age
  • Gender
  • Location
  • Income
  • Occupation
  • Education level
  • Hobbies/Personal Interests
  • Publications Read/Sources of Information

This section also includes data on your direct and indirect competitors. Direct competitors are other practices offering similar services (such as other chiropractors) indirect competitors are companies and practices that are competing for the same dollars, by offering similar or complementary services (such as acupuncturists).

As a chiropractor, you are uniquely qualified to offer lay lectures and serve as a speaker at community gatherings. Use these opportunities as marketing opportunities and include them in your marketing plan. If you have already developed patient handouts, provide samples in the appendices and include how they will be used as part of your overall marketing plan. 

Finally, the marketing section wouldn’t be complete if it didn’t contain your marketing budget, the marketing channels you will use, the design elements of your campaigns, and your marketing image. This should include an assessment of each channel used as well as income generated from each channel.

Operational Plan

This section describes how you will operate your practice. It includes the staff you need, the location you use, the equipment and supplies necessary for operations, vendors you will rely upon, and billing practices. Here’s where we can help! At Nutri West NY we can show you how you can grow your practice into a cash practice. 

For a new business or an expanding practice, if you need capital for building out your location this is where you will describe your capital needs and how funds will be used. Maybe you have an existing location with accessibility issues and need funding to relocate your practice or to modify the existing structure to make it more accessible. You include that information in this section.

When it comes to staff information, remember to include job descriptions, pay structure, the legal relationship (employee or independent contractor), and any training that may be necessary.

Don’t forget to cover your technology needs for patient information management, billing, and scheduling. 

Practice Management and Organization

This section should provide background on the principal and the advisors. Its purpose is to reassure the lender or investor that you have a qualified team leading the business.

Start by including your education and work history. Explain your strengths and identify your weaknesses. Since each weakness is a potential gap, you’ll want to identify how you plan to close the gap.  For example, if finance is your weak point, are you hiring a CFO, business manager, or relying upon the financial acumen of others? 

Do you have a trusted group of advisors, such as your attorney or CPA? If so, be sure to include their information and the role they play as well.

Startup Expenses and Capitalization

This section includes the initial financial information for the chiropractic business. It should include all initial expenses, reserve for contingencies (20% to 25%), and the initial balance sheet.

Be sure to include all assumptions and initial sources of financing. Even if the financing is a personal credit card, it’s important to disclose the repayment terms and interest rate. 

You will need to include your personal financial statement here as well. 

Financial Plan

As you create your financial plan, you’ll set financial goals and identify your financing needs. Most investors and lenders will want to see the following:

  • 12-month projected income statement providing your projected sales, cost of goods, and loss or profit on sales. 
  • Cash flow projection showing how money will flow in and out of the practice. Remember, if you rely on Medicaid Part B or Medicare Advantage for income, payment will come well after services are rendered.
  • Projected balance sheet showing the financial health of the practice at the end of one year. 
  • Break-even calculation shows how much revenue you must generate to cover expenses and break even. 
  • Capital utilization explaining how capital will be expended and the results of the expenditures. 

Appendices

This section includes all the material you need to back up the details of the business plan. For example, you can include marketing channel analysis, competitor analysis, physician biographies, and organization charts in this section. 

Getting Help With Your Chiropractic Business Plan

Does the process of developing your chiropractic business plan seem overwhelming? There are resources available to help.

The seasoned professionals at Nutri-West of New York are here to help you in the development of your chiropractic business plan. Contact us to schedule a consultation.  We’ll be happy to help you develop your business plan or review your existing plan.

Flu Shot Facts

7 Flu Shot Facts That Most People Don’t Know

  1. A systematic review of 51 studies involving 260,000 children age 6 to 23 months found no evidence that the flu vaccine is any more effective than a placebo in that group (Cochrane Database Syst Rev. 2006;1:C0004879).
  2. A JAMA study showed the incidence of clinical influenza in the vaccinated group was 2%, but in the un-vaccinated group it was only 3% (JAMA 1994;272:1661-5). This means that out of 100 people, one person was attributed with avoiding the flu because of the vaccine.
  3. Officials’ select three strains of flu virus for the vaccine that they think are most likely to be circulating during the next winter season (they failed to pick the swine flu last year).
  4. According to the CDC, common substances found in flu vaccines include: Antibiotics, MSG, Formaldehyde, mercury-containing Thimerosal, and Polysorbate 80 (PS 80 can cause severe anaphylactoid reactions – Ann Asthma Immunol 2005 Dec 95(6)393-9.).
  5. There are 1 to 2 cases of Guillain-Barre syndrome per 1 million vaccinated persons. Taking a flu shot is essentially the same as buying a lottery ticket for acquiring GBS, an inflammatory demyelinating condition of the nervous system.
  6. >70 age group accounts for 3/4 of all flu deaths (mostly from bacterial pneumonia).
  7. In the largest case-control study of flu vaccine in the elderly, the Group Health study (The Lancet, August 2, 2008) found the “flu vaccine doesn’t protect seniors as much as has been thought,” as it does not protect from pneumonia.
Vitamin D Facts

4 Vitamin D Facts Everyone Should Know

  1. Compelling evidence indicates vitamin D deficiency is the ‘seasonal stimulus’ responsible for flu outbreaks.
  2. “Physiological doses (800-2,000 IU/day) of vitamin D prevent many viral infections”, and “Vitamin D is the ‘antibiotic vitamin’ due primarily to its robust effects on innate immunity“.
  3. Double-blind, randomized, placebo-controlled trial: 104 women given vitamin D were 3 times less likely to report cold and flu symptoms. “A low dose (800 IU/day) not only reduced incidence, it abolished the seasonality of reported colds and flu. A higher dose (2,000 IU/day), given during the last year of their trial, virtually eradicated all reports of cold or flu“.
  4. Vitamin D deficiency predisposes children to respiratory infections, and an interventional study showed vitamin D reduces the incidence.

Nutri-West Presents: Complete Immuno D3

Complete Immuno D3 — Ingredients: Vitamin D3 (from fish liver oil) 2,500 IU; This formula is boosted by other well-researched immune ingredients, such as beta-sitosterol, probiotics, and quercetin.