The Business of Medicine

Kimberly Verbeke is a Naturopathic Practitioner, certified health coach, and the founder of Avita Wellness & Aesthetics in Boerne, Texas. Her clinic is a destination for patients seeking root-cause, integrative care — from advanced IV therapies and peptide protocols to BHRT, regenerative medicine, and functional aesthetics. Known for her ability to crack cases that conventional medicine has missed, Kimberly blends scientific rigor with a deeply personal, whole-patient philosophy. Today she’s joining us to talk about building a thriving integrative practice, the business realities behind root-cause medicine, and what it really takes to grow a clinic on your own terms.Key TakeawaysRoot-cause medicine is a business model, not just a philosophy — but you have to build the systems to support itProtocol-driven care creates consistency, trust, and revenue stabilityCash-pay integrative practices require strong patient education and clear value communicationThe best clinic owners are constantly investing in their own clinical education — it directly drives growthBurnout is a systems problem, not a passion problem — the right team and operational structure changes everythingAbout Kimberly Verbeke:Kimberly Verbeke is the founder and owner of Avita Wellness & Aesthetics, an integrative health practice located in Boerne, Texas. As a naturopathic practitioner, certified health coach, and dedicated athlete, Kimberly has built her clinic around a single conviction: the body has an extraordinary capacity to heal when given the right tools, environment, and guidance.Avita Wellness offers a comprehensive suite of root-cause, evidence-based services including IV therapy (NAD, high-dose Vitamin C, ozone, Methylene Blue, and more), peptide protocols, bioidentical hormone replacement therapy (BHRT), low-dose naltrexone (LDN), regenerative medicine, personalized supplementation plans, and integrative aesthetics. The clinic also features a PA-C specializing in functional and integrative dermatology, creating a truly whole-person care environment.Kimberly’s approach is rooted in personalized medicine. Rather than managing symptoms in isolation, she works to understand the unique biochemical and lifestyle picture of each patient — using comprehensive lab analysis, symptom assessment, and cutting-edge therapies to design individualized care plans. She is especially skilled in cases involving chronic illness, hormonal imbalance, toxicity, Lyme disease, immune dysfunction, and aging optimization.Her path to naturopathic medicine is both professional and personal. Having navigated her own health challenges, Kimberly brings a depth of empathy and lived understanding to every patient relationship. She is known among her patients for her meticulous attention to detail, her willingness to listen deeply, and her ability to identify root causes that other providers have missed.Beyond the clinic, Kimberly is a lifelong learner and competitor. She stays at the forefront of integrative medicine through ongoing education and conference attendance, and she channels the same discipline she brings to athletic training into her clinical practice. Whether in the gym, outdoors, or with her family and dogs, she exemplifies the vitality she helps her patients reclaim.Avita Wellness & Aesthetics serves the greater Boerne and San Antonio, Texas area at 104 Medical Drive, Boerne, TX 78006, and accepts patients by appointment.

Dr. Felice Gersh delves into her decision to pursue integrative medicine and the expansion of her therapeutic toolbox. The conversation covers the evolution of medicine, the challenges of starting a practice, building a thriving practice, balancing clinical and non-clinical work, and the impact of integrative medicine. It delves into the flexibility and evolution of medical practice, as well as the challenges and rewards of venturing into private practice.Chapters00:00 Early Career Influences25:27 Transition into Integrative Medicine34:45 The Evolution of Medicine49:34 Balancing Clinical and Non-Clinical Work01:05:21 The Impact of Integrative MedicineAbout Dr. GershFelice Gersh, M.D. is a multi-award winning physician with dual board certifications in OB-GYN and Integrative Medicine. She is the founder and director of the Integrative Medical Group of Irvine, a practice that provides comprehensive health care for women by combining the best evidence-based therapies from conventional, naturopathic, and holistic medicine. For 12 years, she taught obstetrics and gynecology at Keck USC School of Medicine as an Assistant Clinical Professor, and she now serves as an Affiliate Faculty Member at the Fellowship in Integrative Medicine through the University of Arizona School of Medicine. Felice is a prolific writer and lecturer who speaks globally on women’s health and regularly publishes in peer-reviewed medical journals. She is the bestselling author of the PCOS SOS series and Menopause: 50 Things You Need to Know.Her research focuses on women's hormones, metabolism, aging, and menopause. Whether she’s mentoring medical students, writing groundbreaking books and medical articles, or guiding her patients, Dr. Gersh’s mission remains constant: Empower women to thrive in harmony with their bodies and their health.

Cynthia Thurlow, NP is a nationally recognized nurse practitioner, women's health expert, and the author of the bestselling Intermittent Fasting Transformation and Menopause Gut. Her 2018 TEDx talk, "Intermittent Fasting: Transformational Technique," has been viewed more than 20 million times — making it one of the most-watched TEDx talks in history and the launchpad for what is now a multi-7-figure women's health business.In this conversation, Cynthia sits down with Matt "The Profit Doc" Schneider to unpack the operational story behind the brand. She started her career on the clinical side — emergency medicine, then cardiology — and saw firsthand how the conventional system was failing women in their 40s and 50s with hormonal, metabolic, and weight challenges. Rather than push harder against a broken model, she stepped out of the four walls of the practice and built her own — a content-led, education-first business serving women globally.Inside the episode:The pivot from clinical practice to entrepreneurship — what it actually took, and what she'd do differentlyThe TEDx talk: how one piece of content became the cornerstone of an entire businessBuilding the Everyday Wellness podcast into a top-rated health show — and how the podcast feeds the rest of the ecosystemProductizing expertise: courses, programs, books, supplements, and the operational lift behind eachHiring, team building, and the moments when she had to bring in operators and advisors (Matt included) to keep up with growthAuthority-building lessons for clinicians who want to extend their reach without abandoning the patients they serveWhat she sees coming next in women's health, hormones, and integrative medicine — and the business opportunities inside the shiftWhether you run a concierge practice, an integrative clinic, an aesthetic medspa, or a DPC — and you've ever wondered whether the future of your business lives outside the four walls of your office — this conversation is a masterclass.

Dr. Michael Karlfeldt shares his journey from early influences to becoming an ND and PhD, specializing in integrative medicine and patient-centered care. He discusses the power of plant-based medicine, challenges of insurance-based practice, and the development of a successful medical practice at the Karlfeldt Center. Throughout his entrepreneurial journey, he emphasizes the importance of checks and balances in financial management.The conversation covers lessons in business integrity and caution, hiring process and culture, sales process and business growth, patient care and business operations, business expansion and management, early stage clinic challenges and growth, and navigating industry changes and competition.Key takeaways include the importance of caution when hiring friends and family and the value of promoting from within to maintain culture and values.TakeawaysNaturopathic medicine and entrepreneurshipIntegrative medicine and patient-centered care Be cautious when hiring friends and familyPromote from within to maintain culture and valuesChapters00:00 The Journey Begins09:05 Early Influences and Career Choice16:34 Exploring Alternative Medicine23:34 Challenges of Insurance-Based Practice33:10 The Karlfeldt Center and Patient Care38:11 Entrepreneurial Journey and Lessons Learned44:32 Lessons in Business Integrity and Caution51:09 Sales Process and Business Growth59:47 Business Expansion and Management01:14:28 Navigating Industry Changes and Competition

What does a UFC champion have to teach a private practice owner? More than you'd expect.In this episode, Matt sits down with former UFC Bantamweight Champion Miesha Tate for a candid conversation about what it actually takes to operate at the highest level of any field — and why the principles that built one of the most decorated careers in mixed martial arts translate directly to building a high-performing clinic.We get into:• What it means to "operate in your area of excellence" — and what it costs you when you don't • Why mastery is a system, not a moment, and how to build that system into your day-to-day • The mindset shifts that separate operators who plateau from operators who keep climbing • How elite performers handle pressure, criticism, and the temptation to dilute their focus • What clinicians and clinic owners can borrow from the world of elite athletics without losing what makes their work meaningfulWhether you run a multi-provider practice, you're approaching your first major scaling decision, or you're a clinician whose work depends on staying sharp under pressure — Miesha's perspective on excellence is one you'll find yourself coming back to.About Miesha Tate Former UFC Women's Bantamweight Champion, longtime professional fighter, and one of the most respected voices in mixed martial arts. Outside the cage she's an entrepreneur, mentor, and advocate for the next generation of athletes.About the show The Business of Medicine is for private practice owners building clinics that are as profitable as they are clinically excellent. Hosted by Matt Schneider — "The Profit Doc" — business operations consultant to private-pay practices in functional medicine, concierge, DPC, longevity, and aesthetics.Connect with Matt: profitpractice.com — free library of practice-growth resources, whether we work together or not. @mattschneider.official on Instagram and LinkedInConnect with Miesha: https://mieshatate.com and @MieshaTate on InstagramIf this conversation lands for you, a quick 5-Star rating or review helps other practice owners find the show.