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.

Compliance

Where to Expand a Med Spa in 2026: States Ranked by CPOM Risk

Not every state treats med spa ownership the same way. Here's how CPOM enforcement and MSO structure requirements stack up across the states that matter most.

August 5, 2026 10 min read
Compliance

What Happens to Your Peptide Program After the PCAC Vote — Either Way

The PCAC votes on seven peptides July 23-24. Here's what actually changes at your clinic depending on the outcome — and what doesn't change either way.

August 4, 2026 9 min read
Business

What It Really Costs to Open a Med Spa in 2026

Most med spas cost $250K-$1M+ to launch, and it's rarely the treatment room that breaks the budget. Here's where the money actually goes.

August 3, 2026 10 min read
Compliance

What the July 23-24 PCAC Peptide Review Actually Means for Your Clinic

The FDA's PCAC meets July 23-24 to review 7 peptides for compounding. Here's what the briefing documents actually say — and what CPOM clinics should do now.

August 2, 2026 10 min read
Marketing

Why LegitScript Certification Is the Key to Med Spa Advertising in 2026

Google and Meta are suspending ad accounts over healthcare advertising policy violations. LegitScript certification is becoming the baseline for advertising GLP-1, peptide, and prescription-adjacent wellness services.

August 1, 2026 10 min read
Marketing

Marketing GLP-1 and Weight Loss Programs the Compliant Way

GLP-1 weight loss programs are high demand and high scrutiny. Here's how to market them with transparent claims, medical director review, and ad-platform-compliant content that holds up.

July 31, 2026 11 min read