In this episode of Inside Out Med, the team breaks down what is really happening behind the scenes in the med spa and peptide industry. They discuss the collapse of Ideal Image, what went wrong in their business model, and how poor medical protocols and aggressive sales tactics created serious problems for both patients and providers.

From there, the conversation dives into the growing trend of unregulated peptides, online telehealth shortcuts, and black-market wellness products. They explain why so many peptide companies are operating in legal gray areas, how overseas manufacturing and lack of quality control put patients at risk, and why proper medical oversight matters more than ever.

The hosts also unpack the differences between legitimate medical providers and social media “experts,” the importance of real medical oversight, and what patients should look for when choosing a clinic for weight loss, peptides, or aesthetic treatments.

If you want to understand the truth about peptides, med spas, and the risks of unregulated medicine, this episode is a must-listen.

A single decision can change your life and your business. This Inside Out Med episode follows a founder’s story from rapid growth to a devastating compliance breakdown involving injectables, legal charges, and public fallout.

From there, we dig into what “doing it right” really means in modern medical aesthetics: licensure, supervision, documentation, medical director involvement, and why patient safety has to come before profit, especially as wellness clinics, online prescribing, and loopholes keep multiplying.

In this episode hosts Jay Feinberg from Refresh Palm beach Aesthetics and Chris Senger from XS MedSpa discuss tattoo removal and compounding pharmacies, distinguishing between 503A, which is patient-specific, and 503B, which ships to the clinic for dispensing. Concerns are raised about patient non-compliance with GLP-1 medications. Also touching on pharmacy regulations, safety mechanisms, and the role of Legit Scripts in certifying compounding pharmacies and practices, mostly for advertising purposes. Legit Scripts certification opens a practice up to inspection.

In this episode of Inside Out Med, hosts Jay Feinberg from Refresh Palm beach Aesthetics and Chris Senger from XS MedSpa discuss the explosion of the medical spa industry, noting that there are almost triple the amount of med spas as there are McDonald's in the state of Florida. The rapid growth has led to an "oversaturated market" and a lack of regulation.

In this episode of Inside Out Med, hosts Jay Feinberg from Refresh Palm beach Aesthetics and Chris Senger from XS MedSpa discuss recent developments in the medical spa space, including the closure of Ideal Image locations. Ideal Image bankrupted their Canadian companies in 2023, started closure of the Canadian ones that year, and is now selling off all of the United States locations. Their Tampa headquarters is officially closing down, and they filed an employment act, also known as a Warren Act, which requires certain employers to give notice before you just close down HQ.

This episode of Inside Out Med dives into popular aesthetic treatments, starting with a critique of the launch and positioning of the neuromodulator Daxifi. The discussion then moves to compare various botulinum toxin type A treatments, including Botox, Disport, Zemin, and Juvo, and clarifies the differences between neuromodulators (which paralyze the muscle) and dermal fillers (which replace lost volume). The hosts also address the risks associated with the rise of online GLP-1 weight loss programs, emphasizing the importance of proper medical oversight, follow-up testing, and understanding potential side effects like nausea, constipation, and pancreatitis. Finally, the episode includes a strong warning against using unproven, at-home laser hair removal and other aesthetic devices, contrasting them with professional treatments like those using the Candela Gentle Max Pro. The speakers conclude by briefly touching on other procedures like the Emsculpt Neo, CoolSculpting, and the challenges of regulating counterfeit medical devices.

In this episode of Inside Out Med, hosts Jay Feinberg from Refresh Palm beach Aesthetics and Chris Senger from XS MedSpa discuss the growing interest in hyperbaric oxygen treatments (HBOT) in wellness clinics, noting that its progression is slow despite substantial benefits. They cover the applications of HBOT for anti-aging, general wellness, and medical conditions, contrasting soft chambers with hard chambers that can reach pressures of 2 or 3 atmospheres. The discussion touches on the importance of prescribed treatment protocols, which usually range from 20 to 40 hours, and the risks, such as oxygen toxicity, which is uncommon but possible at two or more atmospheres over a long period. The speakers also address the difficulty of setting up a hyperbaric facility due to high investment costs and the required education for safely bringing a patient to and from pressure. The conversation expands to cover anti-aging protocols, including hormone replacement therapy (HRT) and injectable nutritional supplementation, and the risks associated with the unregulated supplement and compounding pharmacy markets.

In this episode, hosts Jay Feinberg from Refresh Palm beach Aesthetics and Chris Senger from XS MedSpa talk procedures, and new developments in the medical spa and cosmetic industry. They discuss the confusion surrounding AI in medicine and the rise of people who "think they're a doctor."