The Spinoso Podcast

I sat down with Tony Whatley on the 365 Driven Podcast for a long, wide-open conversation and we ended up covering everything from my early years as a physician working in the California prison system, to walking away from the golden handcuffs to build a med spa company, all the way to the stuff everyone's whispering about right now: peptides, hormone therapy and the GLP-1 weight loss boom. If you've been curious what's real and what's hype in the wellness world, this is the honest version from someone who actually runs these treatments at scale, not a guru trying to sell you a protocol. On peptides, here's the truth I gave Tony. Peptides are just amino acids arranged in a specific chain and that chain flips a switch in your body, one might trigger more growth hormone production, another affects inflammation, another does something else entirely. Because they work through your body's own pathways instead of being anabolic like a steroid, they can be much safer, but there's a real catch: a lot of them are untested, the quality varies wildly and the FDA recently recategorized many that used to be legally compounded. So the "peptides fix everything" wave online has turned into the next get-rich-quick guru space and you have to know the difference between what's legitimate and what's hype. On hormones and TRT, my take is that what most people write off as a midlife crisis is very often just a hormone imbalance. Entrepreneurs get exhausted, foggy, moody, lose their drive and reach for the wrong fixes. Getting your hormones checked and balanced can do more for your sleep, focus, mood and sex life than a lot of the medications people get put on by default. You should not simply accept losing your energy and desire as you age. On the Ozempic boom, I break down the GLP-1 landscape, semaglutide and tirzepatide and why this is only the beginning. There's going to be a new, better weight loss drug essentially every year for the next several years because they're already deep in FDA trials. This category isn't a fad, it's a fundamental shift in how metabolic health gets treated. We also get into the business side that made all of this possible: how I scaled through acquisition, why you should never buy a business whose core values don't match yours, why there's no such thing as passive income in acquisitions and the mindset that pulled me out of the golden-handcuffs trap that quietly crushes so many high earners. This one is part business, part health and all straight talk. Big thanks to Tony Whatley and the 365 Driven Podcast for having me on. DISCLAIMER This conversation is for general education and entertainment only. It is not medical advice and nothing here is a recommendation to start, stop, or change any treatment, medication, peptide, or hormone therapy. Talk to a qualified physician about your individual situation before making any medical decisions. Want to join my group of medical entrepreneurs building world-class businesses and world-class lives? Join Charismedx at joincharismedx.com Website: https://www.dralexspinoso.com/ Instagram: https://www.instagram.com/dralexspinoso/ YouTube: https://www.youtube.com/channel/UC2YAyl_kDyo-JP2VBuru5aw Facebook: https://www.facebook.com/aspinoso/ LinkedIn: https://www.linkedin.com/in/alexspinoso

When I interviewed for my all boys high school, I mentioned in passing that my family ate dinner together every night. I didn't think it was special. That's just what we did. Nobody got up until everyone was finished. Afterward the priest pulled my dad aside and asked if it was really true, every night. My dad said yeah, every night, no matter what. The priest said something my dad never forgot: I can count on less than four fingers the families I've ever met who actually do that. Hundreds of families and fewer than four ate together every single night. I didn't get it until years later. My senior year we did a three day retreat built to help kids find their identity. My parents asked what I learned. I said the food was good. There was nothing left to find because my identity was already built. It got instilled at the dinner table, one ordinary night at a time, before any retreat got a shot at me. Here's why it matters if you're building something. Whether you like it or not, the world is going to disciple your kids. Their phone, their friends, the culture, somebody is going to tell them who they are. The only question is whether you got there first. And this is straight leadership too: what you protect daily is what you actually value, not the words on your website. My dad ran a business and still made the table non negotiable. You can be a killer in the boardroom and completely present for twenty minutes at home. Those two things are not in conflict. So pick your table. Maybe it's dinner, maybe it's the drive to school, maybe twenty minutes before bed. Then make it a law, not a nice idea. Because you can build an empire and still lose the only people it was ever supposed to be for. Want to join my group of medical entrepreneurs building world-class businesses and world-class lives? Join Charismedx at joincharismedx.com Website: https://www.dralexspinoso.com/ Instagram: https://www.instagram.com/dralexspinoso/ YouTube: https://www.youtube.com/channel/UC2YAyl_kDyo-JP2VBuru5aw Facebook: https://www.facebook.com/aspinoso/ LinkedIn: https://www.linkedin.com/in/alexspinoso #parenting #fatherhood #raisingkids #familyfirst #intentionalparenting #leadership #legacy #worldclasslife #entrepreneurship #DrAlexSpinoso

I got on an open forum call with a room full of operators and told them to ask me anything, business, hiring, scaling, partners, family, all of it. No script, no filter, just real questions from people actually building. This is the stuff that doesn't make it into a polished keynote. We covered a lot of hard truths in this one. The first one I hit them with up front: to get where you want to go you're going to have to sacrifice more than you think is enough, for probably twice as long as you think you'll have to. Most people quit right in the middle of that stretch. I also got into why, if I could scale again, I'd go slower. Growing too fast meant hiring a pile of bodies and then turning around and firing them and getting back to our core values meant replacing most of the team to rebuild the standard we started with. What got you here won't get you there. I broke down the mistake of expanding into too many cities and states at once and why you should own your zip code first, become the go to business in your city, then spread one zip code at a time instead of jumping four cities over. We talked about when to actually take on an investor and the trap of giving up equity to someone who only brings money when a bank would give you that same money without taking a piece of your company. If a partner brings money and the expertise and the life you actually want, that's a different conversation and I walked through how to structure equity, voting rights and buy-back so you never end up a minority in your own business. Then we got into leadership and people. Why you build systems and processes that carry your core values instead of holding the whole thing together with your own hands. Why keeping a talented person who doesn't fit your standards lets the problem spread through the whole company. And a mindset that changed how I lead, everybody around you is making decisions because they think that decision will make them happier and understanding that gives you grace as a leader without lowering your standard. If you're an operator, a founder, or a tradesperson trying to build something real, this is a long, honest Q&A full of the things I wish somebody had told me earlier. Want to join my group of medical entrepreneurs building world-class businesses and world-class lives? Join Charismedx at joincharismedx.com Website: https://www.dralexspinoso.com/ Instagram: https://www.instagram.com/dralexspinoso/ YouTube: https://www.youtube.com/channel/UC2YAyl_kDyo-JP2VBuru5aw Facebook: https://www.facebook.com/aspinoso/ LinkedIn: https://www.linkedin.com/in/alexspinoso #scalingabusiness #entrepreneurship #businessgrowth #leadership #operatorstandard #smallbusiness #hiring #foundermindset #businessadvice #DrAlexSpinoso

Every Halloween growing up, my dad didn't just take us trick or treating. He dressed up too, in full costumes he hand sewed himself. And this grown man would walk right up to the door next to us and say trick or treat. People would look him up and down and go aren't you a little old for this? And every time he'd look them dead in the eye and say well, I'm also old enough to buy eggs now. Give me the candy or I'll be back later. I thought he was just being goofy. It took me years to see what I was really watching. A man being completely, unapologetically himself in a world that kept telling him he was too old, too big, too much. And he did not care even a little. This episode is about that voice in your head, the one that shows up the second you want to say the thing, build the thing, become the thing and whispers act your age, that's not professional, what will people think. That voice is not you. It's a committee. Every teacher who told you to sit down, every boss who wanted you smaller, every person who was more comfortable when you were a watered down version of yourself. You've listened to it so long you think it's your own voice. It's not. Most people spend their whole lives being who they think they're supposed to be. They pick the safe major, the respectable job, they sand off every edge that makes them interesting until they're smooth and forgettable and then one day they're fifty wondering why their life feels like it belongs to someone else. I'm a doctor who refused to be what a doctor is supposed to be and here's what I've learned. The loudest voice telling you to shrink usually comes from someone who already shrunk themselves, and it kills them a little to watch you refuse to do the same. That thing you keep talking yourself out of is usually the most valuable thing you've got because it's the one thing nobody can copy. Anyone can be the acceptable version. There are ten thousand of those. There's exactly one of you being you. You're going to get old either way. The only question is whether you spend those years being yourself or being a costume the committee approved. CHAPTERS 00:00 My dad went trick or treating in full costume 01:15 I'm old enough to buy eggs 01:56 What I was actually watching all those years 02:20 The voice in your head is a committee, not you 03:16 How people shrink until their life isn't theirs 03:51 The doctor who refused to stay in the lane 04:37 The people telling you to shrink already shrunk 05:09 The thing you talk yourself out of is your biggest asset 06:41 Kill the committee and be yourself on purpose Want to join my group of medical entrepreneurs building world-class businesses and world-class lives? Join Charismedx at joincharismedx.com Website: https://www.dralexspinoso.com/ Instagram: https://www.instagram.com/dralexspinoso/ YouTube: https://www.youtube.com/channel/UC2YAyl_kDyo-JP2VBuru5aw Facebook: https://www.facebook.com/aspinoso/ LinkedIn: https://www.linkedin.com/in/alexspinoso #beyourself #authenticity #selfconfidence #mindset #peoplepleasing #personaldevelopment #fittingin #selfworth #motivation #DrAlexSpinoso

I sat down with a room full of operators from East Tennessee and told them to throw every business question they had at me. No script, no filter. Just real questions from people actually building and the same answers I'd give if we were sitting across the table. We covered a lot of ground in this one. When it actually makes sense to acquire another business versus pouring that money into what you already have and the expensive mistake I made expanding into too many territories before I dominated the one I was in. If I could go back, I'd build ten locations and make each one the go to place in its city, instead of spreading myself across eighty and watching them all spin their wheels. Own your zip code first, then move to the next one. I got into how I actually structure my companies. Separate LLCs for each business so nothing cross-contaminates in a lawsuit, a management services agreement running up to a Delaware based mother ship, and management fees flowing out to personal LLCs so there are layers of protection around your income. I'm not your attorney or your CPA and you need to have that conversation with your own tax person, but I walked them through exactly how mine is built and why. We talked vertical integration, how to look at your P&L, find your highest cost of goods and decide whether to negotiate it down, partner strategically or acquire a piece of the supplier so you're getting your product at cost. I explained why I'd avoid taking out loans at almost any cost when you're starting, why learning to run a business with no money is what makes you resourceful and why handing a broke operator a pile of cash usually ends the same way it ends for lottery winners. And I shared the note taking system I actually used to build everything, the part nobody does, which is going back and applying one lesson at a time instead of just collecting notes you never use. If you're an operator, a founder, or someone trying to build something real from scratch, this is ninety minutes of the stuff I usually only say behind closed doors. Want to join my group of medical entrepreneurs building world-class businesses and world-class lives? Join Charismedx at joincharismedx.com Website: https://www.dralexspinoso.com/ Instagram: https://www.instagram.com/dralexspinoso/ YouTube: https://www.youtube.com/channel/UC2YAyl_kDyo-JP2VBuru5aw Facebook: https://www.facebook.com/aspinoso/ LinkedIn: https://www.linkedin.com/in/alexspinoso #entrepreneurship #businessgrowth #operatorstandard #smallbusiness #scalingabusiness #assetprotection #verticalintegration #businessstructure #foundermindset #DrAlexSpinoso

When I was a kid I got diagnosed with ADD. Back then they called it something else but the story was the same. I couldn't sit still. I couldn't shut it off. My brain was going a hundred miles an hour in every direction at once, all day, every day. So the school did what schools do. They looked at my parents and said we think you should put him on medication, calm him down, get him to sit quietly in a chair like the other kids. My parents said absolutely not. My dad was blue collar, Metallica in the garage, Craftsman toolbox, figure-it-out kind of guy. My mom was Puerto Rican, salsa and movement in the house all the time. These were not soft people. And when the school said let's medicate your son so he's easier to manage, my dad basically said you're not sedating my kid so he's more convenient for you. We'll handle it. And here's how they handled it. They didn't try to make me calmer. They gave me somewhere to put it. At one point I was in five different sports at the same time. They kept me moving, they kept me challenged and my dad's whole thing was school is your job, do it well, then go burn the rest of that energy off on the field. They didn't treat my intensity like a problem to dial down. They treated it like fuel that needed somewhere to go. Here's what I've come to believe after living this myself. And let me be clear, because I'm a doctor. Some people genuinely need medication. That's a real medical decision made with a real physician and I'm not touching that. I'm talking to the other group, the big group, the ones using the diagnosis as an excuse for why they can't be successful. For a lot of you it was never a broken brain. It was a Ferrari engine sitting in a school desk in first gear, redlining, going nowhere. The problem was never too much energy. The problem was nobody gave that energy a track to run on. This episode is about ADHD, intensity, and why the exact wiring people keep telling you to calm down is the thing that builds companies. Every person I know who has built something real is a little bit wired wrong by normal standards. The calm, easy-to-sit-next-to people are wonderful and they're usually working for the intense ones. But here's the catch. An engine with no track destroys itself. If you don't give that energy an outlet it doesn't disappear, it turns on you. It becomes anxiety, ten unfinished projects, lying awake at two in the morning with your brain screaming at you. The energy is coming out either way. The only question is whether you build the track or it tears up the whole car. So stop trying to become the calmer person. You're not going to become the calmer person. Build the outlet instead. Structure means systems and real processes so your brain isn't the only thing holding the business together. It means hiring the calm, detail-obsessed operator who does the thing you'll never do, so you can run down field where you're actually valuable. And you still need the physical outlet, the gym, the sport, the place to dump the excess so it doesn't leak into your marriage or your team. Stop treating your wiring like a diagnosis you're stuck with. Stop letting a label become the ceiling you build your whole life under. If you genuinely need help, go get it, no shame in that. But if you've got a powerful engine and no track, quit trying to sedate it, quit apologizing for it, and go build something big enough to hold all of it. They didn't turn me down. They pointed me at the field and let me go. CHAPTERS 00:00 The decision my parents made when I was a kid 00:17 The school wanted to medicate me 00:54 Who my parents were and why they said no 01:26 They didn't make me calmer, they gave me somewhere to put it 02:03 The part I have to say as a doctor 02:39 A Ferrari engine stuck in first gear 03:08 You don't fix a powerful engine by choking it 03:29 To the entrepreneur who can't turn it off 03:58 Your intensity is the asset, not the defect 04:22 An engine with no track destroys itself 05:01 Stop trying to be calmer, build the outlet 05:45 The life I'd have if my parents said yes 06:15 Stop letting a label become your ceiling Get on my email list at dralexspinoso.com Join Charismedx at joincharismedx.com Website: https://www.dralexspinoso.com/ Instagram: https://www.instagram.com/dralexspinoso/ YouTube: https://www.youtube.com/channel/UC2YAyl_kDyo-JP2VBuru5aw Facebook: https://www.facebook.com/aspinoso/ LinkedIn: https://www.linkedin.com/in/alexspinoso TikTok: https://www.tiktok.com/@dralexspinoso #adhd #entrepreneurship #adhdentrepreneur #mindset #focus #discipline #productivity #mentalperformance #selfimprovement #DrAlexSpinoso

Picture the Trojans, ten years into the war. Ten years of dead sons, food running low, hope running lower. Then one morning the Greek camp is gone, the ships are gone and standing at the gates is a giant wooden horse. One man, a priest named Laocoon, throws a spear at it and screams don't bring that thing inside our walls. They ignored him. They were too tired to be careful and that one bad night at the gates cost them everything they had built. That is exactly how most clinic owners hire. In this episode I break down the warm body trap, the hiring mistake that has destroyed more clinics than slow months, bad rent and crappy marketing combined. A warm body is anyone you hire because they have a pulse and credentials, not because they fit your character and your standards. And owners don't hire them because they're dumb. They hire them because they're exhausted and that horse in the moment represents the one thing they want more than anything, which is relief. I get into the real math of a bad hire and it's uglier than owners think. That 120 grand nurse practitioner doesn't cost you 120 grand when she's wrong. She costs you somewhere between 180 and 360 grand once you count the salary you keep paying while she fails, the revenue a good person would have produced, the damage she does to your best people, the patients she quietly runs off and the cost of starting the whole search over from a worse position. I walk through a real story of an owner who hired in pain, watched an NP build a personal patient base for twelve months, then lost half a million dollars when that NP walked out the door and opened up down the street. Then I get into the alternative, how to hire the right way so you stop bleeding. Always be recruiting, even when you don't have an open seat. Hire on character and core values, not credentials. Evaluate with stories, not claims. And be the most picky exactly when you are the most desperate. Because every person you let in the door is a vote for the kind of business you're becoming. Let in warm bodies and you become a warm body clinic. Let in the right people and you become a clinic of right people. If you own a med spa, aesthetics practice, chiropractic, dental or any clinic where your staff is the product, this one will save you a hire you're about to regret. Want to join my group of medical entrepreneurs building world-class businesses and world-class lives?  Join Charismedx at joincharismedx.com Website: https://www.dralexspinoso.com/ Instagram: https://www.instagram.com/dralexspinoso/ YouTube: https://www.youtube.com/channel/UC2YAyl_kDyo-JP2VBuru5aw Facebook: https://www.facebook.com/aspinoso/ LinkedIn: https://www.linkedin.com/in/alexspinoso TikTok: https://www.tiktok.com/@dralexspinoso

I was driving with a buddy a while back and we pulled up next to a Nissan Versa. Out of nowhere he goes, how much you want to bet the rear passenger hubcap is off? I said what are you talking about. He goes, just watch. We get closer and sure enough, rear passenger side hubcap, gone. Turns out his wife used to drive a Versa and that one hubcap would never stay on. So they started noticing them everywhere. Highway, neighborhood, all over town. Versa after Versa, different owners, different tires, same rear passenger side, same missing hubcap. Here's this otherwise solid little car, good on gas, runs fine, does everything it's supposed to do and it's rolling around looking cheap because of one missing piece. I've been chewing on that ever since. Because that hubcap is the difference between average people and excellent people. Average people look at the car and go, who cares about a hubcap, it runs fine. Excellent people look at the same car and go, I don't care how good everything else is, I'm not driving around with the hubcap falling off. Fix it. And I'll be honest with you, I've had my own hubcap. When we were scaling my company, growing fast, new locations opening, revenue climbing, it's easy to fall in love with the big stuff and let the small stuff slide. The way phones got answered at one location versus another. The way a patient got greeted walking through the door. I told myself the same lie every owner tells themselves. Everything else is good, it's just a hubcap, who cares. But a patient doesn't experience your revenue. They don't experience your growth chart. They experience the front desk. The first ninety seconds. I read a review one day, five stars for the provider, and then this line: great results, but the front desk made me feel like a number. That one stuck with me. The medicine, the hard thing, we nailed it. The thing that should have been easy, the hello, the follow up, that's what they remembered and told their friends about. This episode is about excellence, standards and why the boring unglamorous details are the ones your patients and customers actually feel. Average operators protect the parts everybody claps for. Excellent operators hunt down the hubcap nobody's talking about, because there's no glory in it. Nobody throws a party because you finally answered the phones on the second ring. But that boring stuff is the whole story people tell about you. You've got a hubcap. I promise you've got a hubcap. Maybe your treatments are world class but your front desk lets calls go to voicemail. Maybe your results are incredible but your follow up is a mess. Maybe your building is beautiful but your billing is a nightmare. Your patients don't see the engine. They see the missing hubcap, and that one broken detail becomes the whole story they tell about you. So here's your homework. Look at your business like you're the guy sitting in the passenger seat. Find the one thing you've been winking at. Stop winking at it and fix it. Then go find the next one. Because excellence isn't one big heroic moment. It's a thousand hubcaps you refuse to tolerate.

It's 11:14 at night. You're in bed, phone in your hand. You told yourself two hours ago you'd be asleep by 10:30. You're not. You scroll one more reel, then one more. You check email even though nothing's new. Nobody sees this moment but you. Your wife is asleep next to you. Your kids are down the hall. Your team is offline. The only person watching what you do right now in the dark is you. And that is where the rot starts. You've heard me say it before. You become what you tolerate. Most of the time when I say that I'm talking about your business, your team, the leader who treats people like garbage, the manager who keeps missing the number. Today I want to talk about the harder version. The one nobody can fix for you. What you tolerate in yourself. The thing that takes great operators out is almost never the market. It's not the competitor down the street. It's not the recession. It's the slow personal drift. The second drink that becomes three. The workout you skipped Monday that turned into a skipped February. The conversation you keep avoiding. The "I'll start Monday" you've said for fourteen Mondays. Here's what's brutal about it. Nobody else sees it. Your team sees a leader. Your customers see someone who has it together. Your wife sees a tired husband working hard. But you see the gap between who you say you are and what you actually did when nobody was looking. That gap is everything and the longer you carry it the heavier it gets. This one is about self-discipline, self-sabotage and the quiet daily habits that build or destroy high performers over time. I get into why the same skill that runs your business also runs your personal drift, why nothing that happens to you is ever really sudden, it's just suddenly visible and the one small thing I want you to do this week to start closing the gap. Not five non-negotiables. Not a ninety day transformation. One thing you don't break, because identity isn't built on big promises. It's built one rep at a time. If you're sitting in your truck or at your desk right now thinking he's talking about me, this episode is for you. Want to join my group of medical entrepreneurs building world-class businesses and world-class lives?  Join Charismedx at joincharismedx.com Website: https://www.dralexspinoso.com/ Instagram: https://www.instagram.com/dralexspinoso/ YouTube: https://www.youtube.com/channel/UC2YAyl_kDyo-JP2VBuru5aw Facebook: https://www.facebook.com/aspinoso/ LinkedIn: https://www.linkedin.com/in/alexspinoso TikTok: https://www.tiktok.com/@dralexspinoso

With dementia you don't lose someone all at once. You lose them a little bit at a time. Some days my mom knows exactly who I am. Some days I'm just a kind face sitting next to her. And that has forced me to sit with a kind of grief most people don't talk about, the grief that shows up while the person you love is still here. In this episode I get personal about what my mom's dementia has taught me about loss, gratitude and how we choose to live while we're still losing someone. I've watched people handle grief in every possible way. Some go quiet and withdraw. Some stay busy so they never have to stand still. I've done both. And somewhere in the middle of it I stopped asking whether I was grieving the right way and started asking a better question. Am I honoring her with the way I'm choosing to live? Because here's what I keep coming back to. The people who truly love us don't want our grief to stop our lives. They want their lives to continue through ours. The greatest tribute you can pay someone isn't the amount of sadness you carry after they're gone. It's how much of their life still lives through yours. My mom taught me how to show up. How to be present. How to make everyone who walks through the door feel like they matter. I built companies with hundreds of people in them, and when I ask myself where I actually learned to care about people, it wasn't a business book or a seminar. It was her kitchen table. This one is for anyone walking through loss right now, or watching a parent slip away, or bracing for grief they know is coming. Grief is real. Loss is real. But eventually grief has to become gratitude and sadness has to become purpose. And maybe a world-class life isn't about avoiding pain. Maybe it's about refusing to let grief have the final word. Love doesn't require recognition. I don't show up so she'll remember me. I show up because I remember her. Want to join my group of medical entrepreneurs building world-class businesses and world-class lives?  Join Charismedx at joincharismedx.com Website: https://www.dralexspinoso.com/ Instagram: https://www.instagram.com/dralexspinoso/ YouTube: https://www.youtube.com/channel/UC2YAyl_kDyo-JP2VBuru5aw Facebook: https://www.facebook.com/aspinoso/ LinkedIn: https://www.linkedin.com/in/alexspinoso TikTok: https://www.tiktok.com/@dralexspinoso

Can you say out loud right now exactly how much money is going to hit your account next month? Not a guess. Not "it depends on how busy we are." An actual number. Most clinic owners can't. And that one blind spot is quietly costing them six figures a year. I had a call in my medical mastermind with a clinic owner who had been open almost four years. Good clinician, steady patients, decent reviews, busy schedule. When I asked her what was hitting her account next month, she laughed. Not a nervous laugh, a real one, like the question was absurd. Four years in business and she had no idea. She was working just as hard in year four as she did in year one because every single month she was starting from zero again, hunting for the next round of patients to replace the ones who came and went the month before. That is not a business. That is a treadmill that hopefully produces cash. And you cannot outwork it because the problem is not effort. It is structure. The fix is recurring revenue. Memberships. Patients on auto billing, getting a service on a schedule, month after month, without you having to resell them every single time. But most clinic owners get memberships wrong before they ever touch a number and they burn months building something that was broken before it launched. In this episode I walk through the eleven mistakes that quietly kill med spa and clinic memberships, why most owners get the model wrong before they touch a single number and how recurring revenue does not just smooth out your cash flow, it changes what your entire business is worth when you go to sell it. Buyers pay a premium for predictability and a clinic that knows what is coming next month is a completely different asset than one starting from scratch every thirty days. If you run a med spa, aesthetics practice, wellness clinic or any medical business built on repeat patients, this one is about building the recurring revenue and membership model that finally lets you stop starting every month at zero. Learn more about Charismedx at joincharismedx.com Website: www.dralexspinoso.com Instagram: www.instagram.com/dralexspinoso YouTube: / @alexspinosomd Facebook: / aspinoso LinkedIn: / alexspinoso TikTok: / dralexspinoso

The FDA just reclassified peptides and it is going to reshape how med spas and medical practices operate in 2026. In this episode I break down exactly what the new FDA 503A peptide rules mean for your med spa business, which compounds are still legal to prescribe and the four step framework I am using to protect my own clinic and actually grow from this instead of getting crushed by it. Most clinic owners are going to panic or ignore this. I have watched both play out and neither one works. I walk you through what goes in the trash, what you can do this week with zero legal risk, what to build over the next few months and the long game I am playing while everyone else waits to see what happens. I also go compound by compound through the peptides every physician entrepreneur should understand right now, from BPC 157 and TB 500 to Semax, MOTS-c, GHK-Cu, and more, and where each one fits inside a real med spa business plan, a GLP-1 program or a recurring revenue membership model. If you are a physician entrepreneur, med spa owner or healthcare professional trying to move from doctor to CEO, this is the exact conversation I wish someone had walked me through before I built 80 locations. Learn more about Charismedx at joincharismedx.com Website: www.dralexspinoso.com Instagram: www.instagram.com/dralexspinoso YouTube: / @alexspinosomd Facebook: / aspinoso LinkedIn: / alexspinoso TikTok: / dralexspinoso

Mexico had already won their group. They rested players. So why did they play like it was the final? I flew to Mexico City with my wife to watch that match and I walked away with a lesson about discipline and standards that I have not stopped thinking about since. The game did not matter on paper. Mexico had already secured first place. The standings were not going to change no matter what happened. And yet nobody in that stadium acted like it did not matter. Over eighty thousand people, packed in, singing before kickoff, strangers hugging strangers, beer flying through the air. The players chased down balls they did not need to chase and slid into tackles they did not need to make. They played like it was the championship. That got me thinking about something I see all the time with successful people. There comes a point where one bad day will not ruin you. One slow month will not destroy your company. One missed workout will not erase years of discipline. You have built enough momentum that a single mistake probably will not define you. And that is exactly where most people start letting their standards slip. Here is what I have learned. Standards are not based on the scoreboard. They are based on identity. You do not work hard because this one day decides your future. You work hard because that is who you are. The truly great people do not coast because they are ahead and they do not lower their standards because the standings look good. In this episode I break down why every game matters, how yesterday's success quietly becomes today's excuse and why the real test is not how you show up in the big moments but how you show up when no one is counting. Your legacy is not built during the championship. It is built by how you treat the last patient on a Friday afternoon, the employee you train on a random Tuesday, the vendor call you almost pushed to next week. Whatever is in front of you today, play it like it matters anyways. Because somewhere, someone is watching how you play the game that does not seem to matter, and that is exactly how they know who you really are. #discipline #standards #mindset #selfdiscipline #highperformance #consistency #successhabits #leadership #entrepreneurship #DrAlexSpinoso Learn more about Charismedx at joincharismedx.com Website: www.dralexspinoso.com Instagram: www.instagram.com/dralexspinoso YouTube: / @alexspinosomd Facebook: / aspinoso LinkedIn: / alexspinoso TikTok: / dralexspinoso

Here's a question I ask almost every single clinic owner I coach, usually within the first ten minutes of working with them. If you disappeared for 30 days, no phone, no email, no check-ins, what happens to your clinic? Most of the time there's a long pause. Then the honest answer comes out. It would fall apart. My staff wouldn't know what to do. Revenue would stop. If that's your answer too, I need you to hear this and I need you to hear it with compassion, because I've lived this myself. You didn't build a business. You built yourself a very demanding job. That's not a mistake, that's just the first chapter. The mistake is staying there the entire time. I get into why competence becomes a cage, why the better you are at the work, the harder it is to imagine anyone else doing it. I talk about working in your clinic versus working on it and why almost every owner I've ever coached starts out 90% in the business when it needs to flip. I get into the real reason owners don't delegate and it's not a skills problem, it's fear, fear of losing control, fear that quality slips, fear of who you are if you're not the one everyone needs. I also talk about knowing your floor, the actual minimum number you personally need each month, because fuzzy numbers keep you trapped and afraid and clear numbers give you the confidence to actually build. And I get into why urgent things scream and important things whisper and why if you only ever respond to what's urgent, you'll never get to what's important. If you're a clinic owner or a medical entrepreneur and you're busy every single hour of every single day but can't tell if the business is actually getting closer to where it needs to be, this one's for you. Go build that life. Share this with your team, share it with anyone who needs to hear it. Learn more about Charismedx at joincharismedx.com Website: www.dralexspinoso.com Instagram: www.instagram.com/dralexspinoso YouTube: / @alexspinosomd Facebook: / aspinoso LinkedIn: / alexspinoso TikTok: / dralexspinoso

I used to think confidence was something you earned. Build enough businesses, hit enough milestones and eventually that voice in your head telling you that you don't belong would just disappear. I found out the hard way that's not how it works. I was standing backstage at Andy Andy Frisella's Operator Standard event about to walk out in front of 3,000 people and I heard it anyway. Who am I to be up here? Who am I to tell these people anything? It didn't matter that I've built multiple 8-figure businesses or spent years practicing medicine. That voice doesn't check your resume before it shows up. In this episode, I talk about why imposter syndrome doesn't actually go away, no matter how successful you get and why trying to overcome it might be the wrong goal entirely. I share what I learned from watching some of the most successful people I know, including a multi-billionaire mentor, still deal with the exact same self-doubt I do. And I break down the real difference between people who let that voice run the show and people who just execute anyway. If you're a business owner, entrepreneur or physician building something of your own and you still feel like a fraud some days, this one's for you. Confidence doesn't come first. Execution does. Want to go deeper on scaling your medical business? Learn more about Charismedx at joincharismedx.com Website: www.dralexspinoso.com Instagram: www.instagram.com/dralexspinoso YouTube: / @alexspinosomd Facebook: / aspinoso LinkedIn: / alexspinoso TikTok: / dralexspinoso

Amanda and I sat down to actually look back at what three years of doing this taught us and I'm gonna tell you right now, most of it isn't what you think. Genesis is growing. Pharmacy is growing. PRP is growing. Stature is growing. Coordinating a full day, sometimes two days, of recording together has turned into a logistical nightmare and it's only gonna get worse. So we're making a change. Going forward this show is mostly me, solo, 20 to 30 minutes, no fluff, highly tactical. Business, entrepreneurship, mindset, medical content because I got away from actually educating people and there's a whole bunch of idiots out there with no medical background talking about stuff they have no business talking about. I'm coming back for that. Amanda's not gone. She'll still be on for the bigger conversations. But the day to day is changing. In this one I get into what 300 episodes actually taught me. Podcasts aren't gonna make you rich and if that's why you're doing it, stop now. You can never speed up time, no matter how much money you throw at it. Patience isn't the same as being passive. Good enough to ship beats waiting around for perfect every single time. And there's a real difference between being a good person and being a nice person who gets walked on, most people get that one wrong their whole life. If you're building a business or a brand, or a podcast of your own and you feel like you're just spinning your wheels, this one's for you. Want to go deeper on scaling your medical business? Join Charismedx at joincharismedx.com Website: www.dralexspinoso.com/ Instagram: www.instagram.com/dralexspinoso/ YouTube: www.youtube.com/channel/UC2YAyl_kDyo-JP2VBuru5aw Facebook: https://www.facebook.com/aspinoso/ LinkedIn: www.linkedin.com/in/alexspinoso TikTok: www.tiktok.com/@dralexspinoso

I grew up a comic book nerd. Spider-Man, Batman, Iron Man, Captain America, Wolverine. I loved all of it. But here is what I want you to understand. It was never about the powers or the capes or the gadgets. It was always about the journey. How an ordinary person becomes something extraordinary through the hardest seasons of their life. Joseph Campbell was a mythology professor who spent his entire career studying stories from every culture, every era, every continent in human history. And what he found was that they were all telling the same story. Not similar stories. The same story. Different names, different settings, different powers. But the same fundamental journey. He called it the Hero's Journey. And once you see it you cannot unsee it. You see it in Star Wars. You see it in The Lion King. You see it in every Marvel movie ever made. And you know where else you see it? In your clinic. In the story you are living right now. In this episode I walk you through every stage of the Hero's Journey and show you exactly where you are on that map. The Ordinary World. The Call to Adventure. The Refusal. Crossing the Threshold. The Ordeal. The Transformation. The Return. If you are in the cave right now, in the dark season, in the hardest stretch you have ever been through, do not mistake the difficulty for failure. The ordeal is not the end of the story. The ordeal is the story. Nobody reads the comic for the ordinary world. Nobody buys the movie ticket to watch the hero stay safe.  They read it for the journey. You need to live like it is the same. For more free tools and resources visit: https://www.dralexspinoso.com/ Instagram: https://www.instagram.com/dralexspinoso/?hl=en YouTube: / @alexspinosomd Facebook: / aspinoso LinkedIn: / alexspinoso TikTok: / dralexspinoso Charismedx: / joincharismedx.com

I was a prison doctor two years out of residency, watching the clock, getting yelled at for seeing too many patients and planning a double pension by 60. I thought I had it figured out. I didn't. I walked into a $50,000 mastermind with more degrees than anyone in the room and less money than all of them combined. I kept my mouth shut, I listened and everything changed. In this episode I sat down with Todd Hartley on The Todd Hartley Show to talk about what it actually took to go from treating inmates at California Department of Corrections to building Genesis Lifestyle Medicine into one of the fastest growing healthcare organizations in the country. We talked about why physicians get stuck, why analysis paralysis kills more practices than bad marketing ever will and why the smartest move you can make as a provider is to be the dumbest person in the room. If you're a physician or clinic owner who knows you're built for more but can't figure out why the business side keeps pulling you under, this conversation is for you. We cover the love it versus hate it list that will free up your calendar, why reinvesting back into the business is the move most providers are too scared to make and how Charismedx was built to give medical entrepreneurs both the tactical playbook and the mental edge to actually scale. Learn more about Charismedx at joincharismedx.com Website: https://www.dralexspinoso.com/ Instagram: https://www.instagram.com/dralexspinoso/?hl=en YouTube: / @alexspinosomd Facebook: / aspinoso LinkedIn: / alexspinoso TikTok: / dralexspinoso

Most clinic owners think the biggest threat to their business is the medical board, the FDA or some regulation they didn't know about. It's not. The most dangerous thing in your clinic is fear. I see it constantly. Trained providers and smart business owners who are so paralyzed by what they might not be allowed to do that they stop doing the work they were built to do. They stop innovating. They stop growing. They run their practice from a defensive crouch and call it being responsible. It isn't. It's slowly killing the business they worked so hard to build. In this episode I break down the difference between integrity based compliance and fear based compliance. One makes you better. The other makes you smaller. I'll tell you who actually gets in trouble in this industry, why it's almost never the person lying awake at two in the morning worrying about the rules and what to do instead when a competitor files a complaint or a board comes knocking. I've been sued. Multiple times. Some of it was complicated and some of it was completely absurd. I'll share what I learned and why getting big enough to be worth coming after is not the end of the story. If you run a med spa, a functional medicine practice, an aesthetic clinic or any independent medical business, this one is for you. Get your compliance house in order, get the right attorney, operate with integrity and then get out of your own way and focus on the patient in front of you. Stop avoiding sin. Start doing the work. Check out the Charismedx Mastermind for medical and aesthetic entrepreneurs at JoinCharismedx.com

Most business owners hit a ceiling and never figure out why. The answer is almost always the same. They keep everything in their head instead of documenting it. That is what this whole episode is about. Amanda and I sit down and go through the four things you have to document if you actually want to grow a business. We start with your calendar. If it is not on there, it does not happen, period. Then we get into communication, because verbal conversations get twisted and remembered wrong every single time. I tell the story about a miscommunication that cost us eighteen grand in legal fees. That one still bugs me. We also talk about capturing your ideas before they disappear, and the trap of chasing every new idea the second it pops into your head. I share the exact systems we use to capture everything so nothing gets lost. And then the big one, the part most people skip, which is taking what you learn and turning it into an actual SOP and training so the knowledge is not just stuck in your head or one manager's head. We get into time blocking, time audits, why back to back meetings make you useless, how we documented our way to 80 locations, and where to start if you have zero systems right now. This stuff is not complicated. It is simple. It just takes doing it over and over. Build the systems and the scaling takes care of itself. If you did not document it, it did not happen.

Everyone keeps telling you the same thing. Social media is killing your focus. Your phone is hijacking your attention. Modern life is too distracting. And look, some of that is true. These apps were built by the same minds that built casinos, engineered to pull you in and keep you there. But here is what nobody wants to hear. Distraction is not your real problem. A lack of clarity is your real problem. In this episode I break down why you cannot white knuckle your way to focus, why willpower and discipline are not the answer and why the people who seem impossibly focused are not superhuman. They are just clear. When your vision is vivid, specific and personal, distraction handles itself. The fly in the corner of the room stops existing. I talk about the exact difference between discipline and clarity, why most people stay vague because vagueness is comfortable and never wrong and the specific questions you need to ask yourself to get unabashedly and insanely clear on what you are actually building. Not grow my clinic. Not financial freedom. Real, specific, close your eyes and touch it clarity. If you are an entrepreneur, clinic owner or business owner who feels busy all the time but never makes real progress, this one is for you. You do not have a focus problem. You have a vision problem. For the frameworks and exercises I mention, go to dralexspinoso.com and head to resources.

Everybody keeps asking the same question. What if it gets worse. What if AI replaces everything. What if the whole thing falls apart. That question has no floor. You can ask it forever and it only leads to more fear. In this episode I give you a different question. Not what if, but even if. Even if the economy tanks, you're going to find me building. Even if the rules change, you're going to find me adapting. I dug into the parts of history they don't teach you. Newton invented calculus during the Great Plague while he was bored and stuck at home. Shakespeare wrote Macbeth during plague lockdowns. The Slinky came out of a wartime accident. Zookeepers marched penguins around bombed out London to lift people's spirits during the Blitz. Every one of those stories has the same thing in common. Nobody waited for conditions to be perfect. If you're a business owner in 2026, you are building during a genuinely turbulent moment. Regulatory shifts, market changes, AI disruption, culture anxiety. All of it is real. The people who wait for the perfect year never build. The people who build anyway are the ones whose names we know. You don't get to opt out of the chaos. The only thing that was ever optional is what you choose to do in the middle of it. Stop asking what if. Start declaring even if. Now go do something worth doing.

At 30 years old I had a government job a nice house in Palm Springs a view of the mountains and I wanted to walk into traffic. Not because my life was falling apart. Because it wasn't going anywhere. I was a doctor working at the California Department of Corrections done with my day by noon reading business books for the rest of the afternoon because there was literally nothing else to do. Everyone around me said I made it. I knew I hadn't. So I convinced my wife to move out of our house rent it on Airbnb and move into a 100 square foot dining room with plywood sheets for doors and our clothes in trash bags on the floor. We lived like that for months. Saved everything we could. Then I found out about a mastermind run by Andy Frisella and dropped $50,000 which was half of everything we had saved on a bet that it would work. It did. This episode is the full origin story. From prison doctor to building Genesis Lifestyle Medicine to 80 locations. What actually pushed me to leave stability behind how I found my business partner what it really costs to build something from zero and why the most important decision I ever made was the one that scared me the most.

Michael Jackson rehearsed 6 to 8 hours a day. Not occasionally. Constantly. The same moves. The same transitions. The same runs. Over and over until they stopped being something he practiced and became something he was. Most people look at that and think obsession. What they're missing is the deeper mechanic underneath it, repetition as identity. Not repetition as a grind you push through, but repetition as the actual construction process for who you become. In this episode I break down what Michael Jackson's approach to performance actually teaches us about mastery in business, leadership, fitness, and every other area where people want results without putting in the invisible work that earns them. The truth is most people overestimate intensity and underestimate consistency. They show up hard when the lights are on and disappear when nobody's watching. That's why most people stay average. Greatness doesn't get built in championship moments. It gets built in the rehearsals nobody claps for.

Motivation is going to let you down. It's not a matter of if, it's when. I've pulled out of a PE deal that should have been the biggest win of my career, rebuilt Genesis from the ground up, had to have conversations I didn't want to have with people I cared about, and kept going anyway. Not because I was fired up. Because the systems were in place and the right people were around me. This episode covers the five things that actually move you forward when motivation disappears. Getting crystal clear on what you actually want, not what looks good on Instagram or what your parents told you to want. Knowing what a real no sounds like and actually using it. Expecting the hard and building around it instead of waiting for it to get easier. Engineering your environment so taking action is the default, not the exception. And being ruthlessly selective about who is in your circle at home and at work, because the wrong person doesn't just fail to help you, they actively slow you down. There was a study I came across that showed one high-functioning A-player with zero trust from the rest of the team reduces that team's efficiency by 50%. One person. That alone should make you rethink who you're keeping around. Motivation is temporary. Clarity, systems, and the right people are not.

Most people think discipline is about motivation. It's not. Motivation is temporary. Feelings are temporary. Standards are supposed to be permanent. In this episode I'm pulling a leadership lesson from one of the most unlikely places. The Mandalorian. And before you scroll past, hear me out. Underneath all the sci-fi, the show actually reflects timeless truths about discipline, responsibility, and what it means to show up even when you don't feel like it. There's a phrase they repeat throughout the entire series: This is the way. And that phrase carries more weight than most people realize. It means there is a code. There is a standard. And you operate by that standard regardless of how you feel that day. We live in a world now where people treat emotions like absolute commandments. If they don't feel like doing something they assume they shouldn't have to. If they lose motivation they assume that's the universe telling them to quit. But discipline doesn't work that way. Discipline means you lead your business on the days you don't feel like it. You have difficult conversations with employees on the days you don't feel like it. You show up for your spouse and your kids on the days you don't feel like it. Because mature people understand that your mood is not your standard. That is what real leadership looks like. Not loud. Not flashy. Not yelling from a stage. Quietly competent. Controlled strength. The ability to carry weight without constantly complaining about it. This is the way I lead my family. This is the way I run my business. This is the way I keep my promises. And if you're serious about building something that lasts, it has to become your way too.

Motivation is not going to save you. It never was. I sat down with Amanda May to break down why chasing motivation is exactly what keeps most people stuck. We opened with real wins from our Charismedx Q1 event in Dallas. One conversation with a clinic owner and she added $140,000 in EBITDA. Another dropped her payroll from 33% to 21% of gross earnings. That is what clarity and execution looks like when you stop chasing the feeling and start doing the work. If you do not know exactly what you want, vividly and specifically, you are never going to get there. Most people are pursuing things because their parents told them to or because it looks good online. That is not a reason. That is a trap. And the moment it gets hard, you will quit, because you were never really in it for yourself. Knowing what you refuse to accept is just as powerful as knowing what you want. No is a complete sentence. We also break down the Medvi telehealth collapse. A guy who went from a Forbes cover to a full federal investigation in less than 48 hours. Eight hundred fake AI doctors. Zero HIPAA protection.  That is what the easy path looks like at scale. Nothing good comes from it.

Everyone wants the fun part. The wins. The momentum. The days where it all clicks. Nobody talks about the years of boring, repetitive, unglamorous work that had to happen before any of that was even possible. In this episode I get into something most entrepreneurs won't say out loud: business was never supposed to feel good every day. The pressure, the difficult conversations, the long hours, the delayed gratification. That is the job. And if you went into business expecting it to feel exciting most of the time, you were already set up to quit. I've built businesses across multiple states and multiple verticals. And I can tell you without hesitation, the people who win are not the ones who found their passion. They're the ones who stopped needing it to feel good before they showed up. We talk about why social media has created a generation of entrepreneurs addicted to stimulation, why boredom in business is almost always mistaken for the wrong path, what meaningful work actually costs, and why the shift from "is this fun" to "is it worth it" is the most important mindset upgrade you will ever make. If you are waiting to enjoy the process before you commit to it, you are already behind. Stop asking if it's fun. Start asking if it's worth it.

Everyone wants the exciting part. The wins. The momentum. The days that feel like you were born to do this. Nobody talks about the years of boring, repetitive work that had to happen first before any of that was even possible. In this episode, Amanda and I get into something most entrepreneurs won't admit: they're addicted to entertainment. The highs. The lows. The rush of solving a problem. And the moment the work turns monotonous, they call it a passion problem and start looking for the exit. I've built and rebuilt businesses across multiple states. And I can tell you without hesitation, the boring work is the only work that compounds. Passion runs out. Repetition doesn't. We talk about why grit matters more than talent, why feeling stuck is almost always just boredom in disguise, what the hockey stick of growth actually looks like from the inside, and why the people who master the mundane are the ones who end up winning. If you're waiting to feel passionate before you do the work, you're already behind. Master the mundane. That's the whole game.

Most people walked into that McDonald's and saw a burger. Ray Kroc walked in and saw a machine. Same building. Same kitchen. Same food. Completely different outcome because of one thing. Attention. In this episode, I break down why attention is the most underrated skill in business right now. Not intelligence. Not luck. Not connections. Attention. The ability to slow down, look past the obvious, and see the system when everyone else is focused on the surface. We're living in a world built to destroy your focus. Endless scrolling. Constant notifications. Dopamine on demand. And the people losing aren't losing because they're not smart. They're losing because they stopped noticing. People who don't pay attention will still pay. They'll pay in missed opportunities. They'll pay in stalled growth. They'll pay in problems they never saw coming. This episode is about training the skill that changes everything. Let's get into it.

Everyone wants the highlight reel. The viral moment. The overnight success story. Nobody talks about the part that actually builds it; the boring, repetitive, unglamorous work that happens every single day before any of that shows up. In this episode, Amanda and I get into something most entrepreneurs run from: boredom. The monotony of doing the same thing over and over. The SOPs nobody wants to write. The meetings that feel pointless. The systems that seem too simple to matter. That's exactly what builds a scalable business. I've built and rebuilt companies across multiple states. And I can tell you without hesitation, the boring work is the only work that compounds. The adrenaline runs out. The grit doesn't. We talk about why most entrepreneurs sabotage themselves chasing the next shiny thing, what mastering the mundane actually looks like in a real business, why feeling stuck is usually just boredom in disguise, and how the hockey stick only happens after a very long boring handle. If you're waiting to feel excited before you do the work, you're already behind. Boring wins. It always has.

Most people spend their whole life grinding toward something. The dream car. The dream house. The financial freedom they swore they'd have someday. And then one day it happens. You get there. You have it all. And it feels nothing like you thought it would. That's what this episode is about. Not the highlight reel. Not the cars or the house or the wins. The real conversation that nobody has after they hit the goals they spent years chasing. I bought a McLaren. A Lamborghini. A Shelby Cobra for my dad. I bought the house I used to drive past and say "someday." And I'm telling you honestly, the high faded faster than I ever expected. That forced me to ask a question most successful people are afraid to ask. Why didn't that feel the way I thought it would? The answer changed how I look at everything. Goals. Success. What it actually means to build something worth building. If you're in the middle of the grind right now, watch this. If you've already hit your goals and still feel empty, watch this even more. The object was never the point. Who you become to get there, that's everything.

Everybody is busy. Nobody has time. But I am going to tell you something nobody wants to hear. Being busy is exactly what is holding you back. I have built companies to tens of millions of dollars and I can tell you right now that busy never got me there. Productive did. In this episode Amanda and I break down the four steps I actually use to cut through the noise and move the needle every single day. Block time to think. Reverse engineer what you want. Filter the loud from the important. Execute with critical tasks. Stop confusing motion with progress. Priorities do not set themselves. You have to decide what matters. You have to build your days around that decision. And you have to stop lying to yourself that being busy means you are winning.

More goals. More habits. More plans. More routines. More systems to track, optimize, and eventually feel guilty about. But almost nobody stops to ask the more important question. What should I get rid of? In this episode, I walk you through what I call soft minimalism. Not just as a design philosophy for your home, but as a blueprint for your life. Because the truth is, most people's lives aren't designed. They're accumulated. Layer after layer of obligations, habits, and routines that made sense at some point but have been quietly draining you ever since. When you remove what doesn't belong, everything changes. Your priorities get clearer. Your focus sharpens. Your energy comes back. Clarity doesn't come from adding more systems. It shows up when the noise disappears. Your life shouldn't be empty. It should have personality, character, and the things that actually make it meaningful. But it should be built on purpose. Not just stacked together over the years. So before you add anything else, ask yourself the better question. What needs to go?

Most people are not lazy. They are unfocused. And there is a difference. In this episode of The Spinoso Podcast, Dr. Alex Spinoso and Amanda break down the four enemies of focus that are quietly costing you your time, your money, and your results. These are not obvious distractions. These are the habits and patterns that feel harmless in the moment but compound into massive losses over time. If you are a business owner, a leader, or someone trying to build something real, this episode is going to hit hard. What you will learn: The real reason you cannot say no and why it is costing you everything. How indirect communication is draining your energy and destroying your culture. Why your environment is working against you and what to do about it. The hard truth about why most people never reach their goals. Focus is not a gift. It is a decision. And it is one you have to make and protect every single day. If your results are not where they need to be, this episode will tell you exactly why.

Something changes when you start having real success. You think freedom means saying whatever you want to whoever you want. No filter. No pause. You call it confidence. But if you have to react every time something triggers you that's not freedom. That's compulsion. If your responses are automatic your emotions are in control. Not you. So the shift is simple. Pause. Create space. Don't react right away. Because real freedom isn't saying whatever comes to mind. Real freedom is choosing what doesn't come out of your mouth. And the real flex is restraint.

Everybody wants to be seen as a nice person but most people do not realize that being nice is exactly what is holding them back. There is a difference between being kind and being nice and if you do not understand that difference it will cost you your team your standards and your future. In this episode we break down what really happens when you avoid hard conversations keep the wrong people around and say yes when you should be saying no. Being nice feels good in the moment but it slowly erodes everything you are trying to build. This is about leadership. This is about accountability. This is about doing what is necessary even when it is uncomfortable. If you feel stuck in your business or your life this might be the reason why.

Most people think the problem is not doing enough, but the real issue is how much time they spend stuck trying to get everything right before they move. This episode goes straight into that. The pressure to be perfect feels productive, but it actually delays the things that create real results. We talk about how your expectations of yourself are often way higher than what anyone else sees, and how that creates hesitation and second guessing. You will hear why people rarely notice the mistakes you obsess over, and how moving forward anyway is what actually builds confidence. The conversation also shifts into what happens when other people do not meet your expectations. Not because they are trying to let you down, but because they will never be as invested as you are. We break down how to set real standards, lead with accountability, and still leave space for grace. If you have been overthinking, holding back, or feeling frustrated with yourself or others, this episode will help you reset and focus on what actually moves things forward.

Everyone wants to talk about growth and scaling but almost nobody talks about the moments where you quietly lose respect for yourself. This episode goes straight into that. The real problem is not failure or bad luck. It is when you break your own standards and start saying one thing while doing another. We talk about why integrity is the foundation of confidence and how the small daily decisions you ignore are the ones that slowly destroy your self trust. You will hear how cutting corners shows up in business and in life, and why you always know when you are not giving your full effort. This conversation breaks down the difference between holding yourself accountable and beating yourself up in a way that does nothing for your growth. It also covers why perfectionism is actually holding you back and what it really looks like to focus on progress instead. If you feel off, stuck, or out of alignment, there is a reason for it. This episode will help you identify it, fix it, and get back to operating at a level you can actually be proud of.

Most people think kids slow you down. They don't. They expose you. In this episode of The Spinoso Podcast, Dr. Alex Spinoso breaks down how raising young kids forces you to level up as a leader whether you're ready or not. Chaos, emotion, unpredictability it is all there, and it is the same game you are playing in business. You will hear real, unfiltered lessons on what parenting teaches you about leadership at a high level. Why chaos is the training ground for leaders who actually scale. The reality that logic alone does not lead people and emotion cannot be ignored. How your discipline directly impacts everyone depending on you. Why your team will never rise above the standard you live by. And how kids accelerate your growth as a leader faster than anything else. This is not about parenting advice. This is about ownership, standards, and becoming the kind of leader people follow at home and at work. If you can lead in a house full of chaos, you can lead anywhere.

Most people want access. They want proximity, attention, and a moment they can post. But they have not earned it. In this episode, I break down why I stayed away from Andy Frisella and focused on something that actually matters. I did not ask questions. I did not try to get noticed. I listened, executed, and built real results. When I finally reached out, I did not come with curiosity. I came with proof. If you want to be taken seriously by high level people, stop talking about what you are going to do. Do the work. Bring evidence. Execution is the highest form of respect.

You don't have a hiring problem. You have a placement problem. Too many business owners get seduced by technical skill and completely ignore the reality of the role. You hire a killer operator, then get pissed when they can't communicate, lead, or connect. That's on you. If the job requires human skills, hire for human skills. If it doesn't, stop forcing people into positions they were never built for. In this episode, we break down the real framework behind hiring that actually scales. We talk about why mismatching skill sets will always blow up in your face and how to properly test for emotional intelligence without overcomplicating it. We also cover the truth about "weird" high performers and where they actually belong, and why your best hires care more about growth than stability. We get into the shift from managing people to coaching and leading them, and why adaptability and accountability are the traits that future proof your business. We also get into the hard truth most owners avoid. Sometimes you hire for where you are today and you know you will replace that person later. That is part of the game. But if you want to build something real, you need to start hiring for where you are going, not where you are stuck. Because the difference between a five million dollar business and a fifty million dollar business is not strategy. It is people. And the uncomfortable part is that the people who get you to the next level are going to cost you. But if you do it right, they do not cost you. They multiply you.

You think money is the ultimate unlock? I used to think that too, until I spent two years trying to get a car. I'm sitting inside my 2024 Lamborghini Revuelto, spot number 37 in the entire United States. What getting here taught me has nothing to do with cars and everything to do with how the real world works at the highest levels. Here's the truth nobody talks about. At a certain point, people stop selling to you and start choosing you. There are rooms you will never enter just because you grinded harder. There are doors that will never open just because your numbers are good. Access is the real currency, and it's earned through reputation, relationships, consistency, and character built long before you ever need anything from anyone. In this episode, I'm sharing what I'm learning in real time about playing the long game. Why revenue matters but reputation matters more. Why grinding alone will make you rich but never make you invited. And the one question you need to ask yourself right now if you're serious about reaching the next level. This isn't a highlight reel. This is day one. And I'm committed to playing it the right way. Ask yourself: If money were removed from the equation, would anyone still want you in the room? Let's get into it.

Everyone loves to talk about remote work, hybrid teams, and the "future of hiring." But most of that conversation is disconnected from reality. In this episode, I break down what hiring actually looks like in 2026, from building remote executive teams to why most people simply can't work effectively from home. We also discuss the powerful interview question used by Elon Musk to expose whether a candidate actually solved a real problem or is just repeating something from their résumé. The truth is, the companies that win aren't hiring based on prestige, degrees, or impressive job titles. They're hiring based on skill, accountability, and whether someone can actually solve problems. I explain why skill-based hiring is replacing résumé-based hiring and how businesses should evaluate character traits like humility, grit, and the willingness to learn. We also talk about the one asset that is becoming more valuable as AI expands: human skills. Emotional intelligence, communication, presence, and the ability to read people are now premium currency in business. If you want to scale a company, build strong teams, and hire people who actually move the business forward, this episode breaks down what matters and what most companies are still getting completely wrong.

Everyone loves to talk about vulnerability. The gurus post about it. The influencers film themselves crying about it. Brené Brown built an empire on it, and good for her. But somewhere between the research and the reels, we completely lost the plot. In this episode, I'm breaking down why most of what people call "vulnerability" is actually just emotional dumping dressed up as leadership, and why there's a massive difference between the two. Your team doesn't need to know how burnt out you are on a Monday morning. They need you to show up and lead. I'll tell you exactly what real vulnerability looks like, why handling your battles in private is one of the most powerful things you can do as a leader, and how to be honest and human without turning your team into your therapy group. Be real. Read the room. And for the love of God, stop using your following as your journal. If you want to build something, lead someone, or just stop getting leadership completely wrong, this one's for you.

Everyone wants momentum. Everyone wants to move fast. But most businesses don't collapse because they moved too slow. They collapse because they moved too fast without the systems to support it. In this episode, Dr. Alex Spinoso breaks down one of the most expensive lessons in entrepreneurship: speed without structure will eventually destroy what you're trying to build. After nearly selling Genesis and stepping back to evaluate what was missing, Alex shares how rebuilding systems, processes, and the right team became the foundation for scaling a multi-eight-figure company the right way. This conversation dives deep into the realities most entrepreneurs don't want to hear. There is no perfect balance when you're building something massive. There is no overnight success. And there is no sustainable growth without slowing down long enough to design the structure that can actually hold the weight of your vision. Alex also talks about the discipline required to play the long game, why most people fail because they chase speed instead of systems, and the uncomfortable truth about competition in business. If you want to build something that lasts decades instead of something that burns out in a few years, this episode will challenge the way you think about growth, leadership, and resilience. Because the companies that win aren't the ones that move the fastest. They're the ones built strong enough to survive the long game.

Everyone wants the win. Nobody wants the loss. But the ancient Greek Olympians didn't prepare by visualizing victory. They prepared by sitting alone and imagining humiliation. Public failure. Pain. Shame. They felt it fully. Then they accepted it. And once they accepted it, fear lost its leverage. In this episode, I break down what they understood that most modern entrepreneurs refuse to admit. Fear only controls you while you're protecting a version of yourself. Once that version dies, fear dies with it. This past year was the strongest year of my life on paper. Revenue up. Growth up. Big wins. And at the same time, anxiety through the roof. Exhaustion. Betrayal. Failed deals. Lawsuits. Identity fractures. The kind of pressure that strips you down to the core. What I realized is this: the crushing season is the gift. Not because suffering is noble. Not because pain is glamorous. But because defeat produces something far more valuable than hype ever could. Clarity. Depth. Resilience. Freedom. Once you've truly been to the bottom and survived it, you stop flinching. You stop posturing. You stop asking what if this goes wrong. You already know. You've lived it. This episode is about why you should stop numbing the collapse, stop dressing it up with fake optimism, and instead go all the way down. Sit in it. Let the fear burn out. Then ask the question the Greeks asked: If this is as bad as it gets, who am I now? Because when you can answer that honestly, you finally get to play the game clean.

I forgot my own name at the start of this episode, we joked about donuts, shouted out Sugar Llamas in Heath, Texas, and then we went straight into something that actually matters. This episode is about what Stonehenge taught me about building companies. Stonehenge was not built in a summer, it was not built by one person, and it was not built perfectly. It was layered, refined, adjusted, and expanded over centuries, and that hit me hard because most founders today are trying to compress centuries into six months. They want to go viral, hit eight figures fast, open ten locations before optimizing one, and scale as quickly as possible without respecting the one thing they cannot control, which is time. No matter how much money you have, you cannot speed up time. That is the most frustrating part of business, because even when you have capital, resources, and leverage, things still require reps, iteration, feedback, and failure. In this conversation we break down why instant mastery is a social media illusion, why fast growth often builds fragile foundations, why perfection kills momentum, why ego pushes expansion instead of optimization, and why every serious entrepreneur eventually hits a moment where they think everything might collapse. If you are in that moment right now and wondering why it feels like you are getting punched in the face every day, it is not because you are uniquely unlucky. It is because you are trying to build something real. Every founder I know who has built eight and nine figure companies has gone through bankruptcy scares, massive staff turnover, and moments where liquidation felt inevitable. Those are not detours. They are rites of passage. You do not build something legendary in a summer. You build it in layers, you survive the gauntlet, and you play the long game.

On this episode of The Spinoso Podcast, I'm talking about shoes. But not really. I've built multiple seven, eight, and nine figure medical companies. I've negotiated with investors. I've rebuilt P and Ls from scratch. I've scaled clinics across the country. And I've also walked into rooms feeling like I didn't belong there. So when I read Shoe Dog by Phil Knight, the founder of Nike, I expected strategy. I expected playbooks. I expected legendary brand moves. What I didn't expect was this: the guy behind one of the most iconic brands in human history struggled deeply with imposter syndrome. Lawsuits. Banks breathing down his neck. Competitors trying to bury him. The company on the verge of collapse more than once. And still, he felt like he didn't belong in the room. That hit me. Because imposter syndrome isn't weakness. It's proof you're in the arena. It means you're building something big enough to scare you. It means you care. It means you're not coasting. In this episode, I break down what I learned from Phil Knight's journey and my own. Why pressure forges real leaders. Why every great company looks like a dumpster fire at some point. And why you don't wait for confidence to start moving. You move first. Confidence catches up later. If you're building a business and part of you feels unqualified, outmatched, or a little scared, good. That means you're exactly where you're supposed to be. Throw on your sneakers. Get out of your head. And just do it.

In this episode of The Spinoso Podcast, I sit down with my business partner and CEO of Stature Skin, Amanda May, and we cut through the noise in the skincare industry. No fluff. No 30-step routines. No marketing hype. We break down what actually works when it comes to tone, texture, hydration, brightening, and long-term skin longevity. Why most people fail with skincare isn't because products don't work. It's because they're confused, inconsistent, and sold too many things they don't need. We talk about actives versus buzzwords, why aggressive exfoliation is overrated, why hydration is misunderstood, and how we built a simplified system designed for real consistency. We also get into the business side—why we refused to rush products to market, how to simplify retail inside a clinic, and what's coming next. If you want skin that looks strong, healthy, and built to age well without 15 steps, this episode is for you. Disclaimer: This episode is for educational purposes only and is not medical advice. Always consult a licensed healthcare professional before starting any skincare or medical treatment. Individual results may vary.