Wellness MD — Doctor Led Infrastructure
Journal

Field Notes from the Practice.

Compliance, infrastructure, and operating wisdom for medical wellness businesses — from the physicians and operators who do this every day.

Medical Director

The Fractional Medical Director: Why Smart Med Spas Are Ditching the Old Model (And When They Shouldn't)

The fractional executive model has reshaped how companies access senior talent. Now it's hitting the med spa space. Here's how to tell if a fractional medical director is right for your clinic.

May 1, 2026 6 min read
Compliance

LegitScript Is No Longer Optional — What Every Med Spa and Wellness Clinic Needs to Know

Google, Meta, Visa, and Mastercard now treat LegitScript certification as the baseline for legitimate healthcare advertising and payments. Here's why — and what it means for your clinic.

April 28, 2026 7 min read
Marketing

Why Google and Meta Will Shut Down Your Ads if You're Offering GLP-1s, Peptides, or IV Therapy Without LegitScript

It's not a glitch — it's policy. Here's exactly why your healthcare ads keep getting disapproved, and what LegitScript certification unlocks for advertisers.

April 28, 2026 7 min read
Compliance

Frozen Accounts and Suspended Payments: How LegitScript Became a Payment Processing Requirement for Wellness Clinics

Visa's VIRP program and Mastercard's tightened MCC rules have quietly reclassified online wellness payments as high-risk. Here's what that means — and how LegitScript changes it.

April 28, 2026 6 min read
Compliance

How to Get LegitScript Certified: A Practical Guide for Med Spas and Wellness Clinics

What LegitScript is actually evaluating, what you need in place before you apply, and how to avoid the common mistakes that delay or sink certification.

April 28, 2026 8 min read
Med Spa

I'm an Esthetician. Can I Open a Medical Spa? The Honest Answer Nobody Gives You

Most emotionally charged question in the industry. Estheticians who have built careers in aesthetics keep hitting a wall they don't fully understand. Here's the honest, empowering answer.

April 28, 2026 7 min read