Joy Houston has spent 16+ years building and scaling online businesses in the health, wellness, and personal development space. Before launching Heal At Scale with her husband Travis Houston, the two ran a marketing agency building brands for high-profile clients in the health industry. Today, Heal At Scale helps health professionals package their expertise into online programs through its "Protocol To Program" methodology, having reportedly worked with more than 1,700 practitioners across a range of niches.

In this conversation, Joy and Adam dig into:

• Why trading time for dollars keeps even successful practitioners stuck
• How to translate a clinical protocol into a program clients will pay for
• "Service-first" selling: enrolling clients without feeling salesy
• The systems and mindset shifts needed to scale beyond one-on-one care
• Building multiple income streams while staying true to patient outcomes

About the guest: Joy Houston is a business advisor and mentor and co-founder of Heal At Scale, a platform dedicated to helping health professionals transform their expertise into scalable online programs.

Website: healatscale.com | LinkedIn: linkedin.com/in/joyhouston | Instagram: @realjoyhouston

Dr. Carlos Reyes, PT, DPT, SCS, is a Board-Certified Sports Clinical Specialist and the founder of Reyes Performance Institute in Austin, Texas. A former collegiate runner at the University of Texas, he built RPI to give every athlete — from weekend warriors to pros — the kind of one-on-one, performance-focused care usually reserved for elite competitors.

In this episode of the Medical Entrepreneur Podcast, host Adam Sewell, MD sits down with Carlos to talk about walking away from the traditional high-volume clinic model and building a practice that blends relationship-driven care with pro-level technology — from force-plate testing (ForceDecks) and Blood Flow Restriction therapy to RacquetFit and BlazePod.

Topics we explore include:

• Why he left the high-volume, insurance-driven PT model to start his own practice
• Building trust in an industry where referral loyalties are already tied to bigger systems
• Learning to be an entrepreneur, marketer, and business owner — not just a clinician
• Using force plates and objective data to deliver measurable, pro-level results
• Treating ACL recovery, runners, and the fast-growing world of pickleball performance
• Why mental resilience matters as much as physical recovery

About the guest: Dr. Carlos Reyes, PT, DPT, SCS, MS, CSCS, TPI is a Board-Certified Sports Clinical Specialist in Physical Therapy — a designation held by only about 3% of PTs nationwide — and the founder of Reyes Performance Institute in Austin, TX. Learn more at https://reyesperformanceinstitute.com/ or on Instagram @reyes_performance_institute.

The Medical Entrepreneur Podcast is hosted by Adam Sewell, MD. Healthcare professionals are overworked and underpaid — this show is here to tell you it doesn't have to be that way. Learn more at https://medicalentrepreneur.org/.

The Breaking Point: When Stress Nearly Killed a Doctor Dr. King's wake-up call came when blood work revealed she was pre-diabetic with microvascular heart disease and stage 3 kidney dysfunction - all from the chronic stress of insurance-based practice.

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01:00 From GYN Surgeon to Longevity Medicine Pioneer

02:14 The Importance of Having a Backup Plan: A4M Fellowship

02:42 Personal Catalyst: Mother's Cancer Journey and Medical System Failures

04:32 Why Generic Concierge Franchises Fall Short

06:45 Breaking Free from Insurance Constraints

08:43 Quality of Care: From 15-Minute Visits to 2-Hour Consultations

10:38 The Insurance Punishment System in Action

12:29 Market Analysis: 73% of Patients Could Afford Concierge Care

14:00 Detective Medicine: The Acid Blocker Case Study

15:30 Advanced Testing Reveals Universal Toxicity

16:13 The Plasticizer Mystery: Salon Paw Patches

19:25 Evolution of Regenerative Medicine: From Bone Marrow to PDGF

22:28 Legal vs. Underground Stem Cell Treatments

24:26 The Future: Joint Regeneration vs. Replacement

28:14 Root Cause Medicine vs. Pharmaceutical Band-Aids

31:16 Personal Health Transformation: 75 Pounds and Optimal Markers

36:04 The Longevity Vision: Banking on Escape Velocity

42:40 Advanced Longevity Protocols: Rapamycin and Personalized Medicine

45:12 The Aristotle Test: AI-Powered Metabolic Optimization

49:00 Life's Too Short: Why Waiting Is the Biggest Risk

51:48 The Glyphosate Reality: Even Organic Farms Show Toxicity

52:50 The Fit 40-Year-Old Pre-Diabetic Epidemic