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Milk thistle has been used for hundreds of years to aid the liver in detoxification and boost immunity through its ability to increase glutathione levels in the body

JACC Basic Transl Sci 5:632644 Cintra RMR, Soares AAS, Breder I, Munhoz DB, Barreto J, Kimura-Medorima ST, Cavalcante P, Zanchetta R, Breder JC, Moreira C, Virginio VW, Bonilha I, Lima-Junior JC, Coelho-Filho OR, Wolf VLW, Guerra-Junior G, Oliveira DC, Haeitmann R, Fernandes VHR, Nadruz W, Chaves FRP, Arieta CEL, Quinaglia T, Sposito AC (2019) ADDENDA-BHS2 trial investigators

As we age, our natural NAD+ levels decline, which can lead to decreased energy and slower metabolism

Core Team (Startup Phase) Lead provider (you): Medical director and primary clinician for the medical weight loss program Medical assistant: Handles vitals, body composition measurements, intake paperwork, and basic patient education ($15 to $22/hour) Front desk coordinator: Manages scheduling, insurance verification, and patient communications ($14 to $20/hour) Growth Phase Additions Registered dietitian or nutritionist: Adds depth to your medical weight loss program's nutrition counseling ($55,000 to $75,000/year) Health coach: Provides behavioral support, accountability, and patient engagement between clinical visits ($40,000 to $55,000/year) Additional provider: A second NP or PA allows your medical weight loss program to scale beyond your individual capacity Step 7: Develop Clinical Protocols and Medication Formulary Standardized clinical protocols are the backbone of a safe, effective, and scalable medical weight loss program