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Autoimmunity & Diet | Guest post by Dr. Terry Wahls

Autoimmunity & Diet | Guest post by Dr. Terry Wahls

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Autoimmunity & Diet | Guest post by Dr. Terry Wahls

AutoImmunityDiet Guest post by Dr. Terry Wahls A decade ago, autoimmune specialists claimed that diet did not really matter and did not give dietary advice to their patients. However, in the last decade, the number of papers discussing the link between diet and autoimmune symptoms has steadily grown. Today, physicians can talk very clearly to patients and clients about how the quality of diet impacts symptoms and explain that it matters a great deal. I’ll briefly comment on the research about using a special diet to treat autoimmune problems and the various strategies that may benefit your clients. Working with clients to successfully implement a therapeutic diet is challenging. We do not have head to head studies that identify which diet is the most effective. At present, I think the Wahls Diet will be the most effective, but if clients are more interested in another eating plan, you should work with them to fully implement the therapeutic diet they choose. Later you can decide if that diet has produced the desired results. If not, that client should consider trying a different therapeutic diet. It is likely that we have different underlying genetics and microbiome populations and that those variations determine the effectiveness of different diets at reducing autoimmune symptoms and improving quality of life. Low saturated fat diet. Swank followed 144 patients with MS who were advised to eat very little saturated fat (<15 grams). The results were that patients who followed this diet were more likely to be still walking 50 years later than those who did not. Elemental diets. These are diets are based on amino acids, fats, and simple sugars. No food is consumed other than through elemental tube feeding. There are no proteins in the tube feeding — only amino acids. This dietary approach reduced leaky gut (according to lab measurements) and was the equivalent of taking prednisone for patients with Crohn’s disease or Rheumatoid Arthritis (RA). Exclusion diets. There are several small pilot studies that have eliminated specific proteins (gluten-free, raw vegan, gluten-free and vegan). These diets have been associated with reduced symptoms in the setting of RA and inflammatory bowel disease. Autoimmune Protocol (AIP). There is one pilot single arm study of patients with inflammatory bowel disease that demonstrated reduced symptoms and decreased severity of disease as observed via colonoscopy. Modified paleo diet (Wahls). I have several studies examining the modified Paleo diet in the setting of multiple sclerosis that have demonstrated improved energy, improved quality of life, and improved motor function. We have also studied the ketogenic version of the Wahls Diet and found an association with improved quality of life. There is currently a paper on these results under review. Fasting mimicking diet. This is very interesting work by Dr. Volter Longo. The animal model demonstrates many health benefits. Fasting changes some hormonal pathways and shifts resources away from reproduction towards repairing our cells. In animal models, fasting is very potent in terms of anti-aging effects. In animal models, fasting has shown to have repairing effects on heart disease, liver disease, and multiple sclerosis. It has also shown promise in reversing diabetes. This group has reported on a small study conducted in Europe that compared a fasting mimicking diet, ketogenic diet, and control and demonstrated that both fasting mimicking diet and ketogenic diets were associated with improved quality of life. Additional studies are being planned in the U.S. and we are hoping to be one of the study sites. Mediterranean diet. There is a case-control series that has demonstrated a Mediterranean diet was associated with improved quality of life. If you want to learn more about these therapeutic diets and how to use motivational interviewing and self-determination theory in your clinical practice, consider attending the 2019 Wahls Protocol® Seminar and taking the certification program to become a Wahls Protocol® Health Professional, I am waiving the application fee for NTA grads. Every year we see a greater demand for certified Wahls Protocol® Health Professionals to help people utilize the Wahls Protocol® in their journey to better health. Plus, the Seminar is approved for NTA continuing education credits. Visit https://terrywahls.com/ntagrad/ to read my latest research and view the remarkable gait videos from my research lab.   Learn more about Dr. Wahls’s research and the connection between autoimmunity and food during a NTA FB Live Interview.  Dr. Wahls will be interviewed on the NTA’s Facebook page Tuesday, November 20th at 11 am PST.  Register for the live event.       References • Review of MS patient survival on a Swank low saturated fat diet.Nutrition. 2003 Feb;19(2):161-2. Review. • Effect of low saturated fat diet in early and late cases of multiple sclerosis. Lancet. 1990 Jul 7;336(8706):37-9. • Multiple sclerosis: twenty years on low fat diet.Arch Neurol. 1970 Nov;23(5):460-74. • Low-fat, plant-based diet in multiple sclerosis: A randomized controlled trial Mult Scler Relat Disord. 2016 Sep;9:80-90. • Kjeldsen-Kragh J, Haugen M, Borchgrevink CF, Laerum E, Eek M, Mowinkel P, Hovi K, Førre O. Controlled trial of fasting and one-year vegetarian diet in rheumatoid arthritis. Lancet. 1991 Oct 12;338(8772):899-902. • Kjeldsen-Kragh J, Haugen M, Borchgrevink CF, Førre Vegetarian diet for patients with rheumatoid arthritis–status: two years after introduction of the diet. Clin Rheumatol. 1994 Sep;13(3):475-82 • McDougall J, Bruce B, Spiller G, et al, Effects of a very low-fat, vegan diet in subjects with rheumatoid arthritis. J Altern Complement Med. 2002 Feb;8(1):71-5 • Hafström I, Ringertz B, Spångberg A, et. al, A vegan diet free of gluten improves the signs and symptoms of rheumatoid arthritis: the effects on arthritis correlate with a reduction in antibodies to food antigens. Rheumatology (Oxford). 2001 Oct;40(10):1175-9. • Hagen KB, Byfuglien MG, Falzon L, et, al. Dietary interventions for rheumatoid arthritis. Cochrane Database Syst Rev. 2009 Jan 21;(1): • Smedslund G, Byfuglien MG, Olsen SU, et. al, Effectiveness and safety of dietary interventions for rheumatoid arthritis: a systematic review of randomized controlled trials. J Am Diet Assoc. 2010 May;110(5):727-35. • Konijeti GG1 Efficacy of the Autoimmune Protocol Diet for Inflammatory Bowel Disease.Inflamm Bowel Dis. 2017 Aug 29. • Randomized control trial evaluation of a modified Paleolithic dietary intervention in the treatment of relapsing-remitting multiple sclerosis: a pilot study. Degener Neurol Neuromuscul Dis. 2017 Jan 4;7:1-18. • A multimodal intervention for patients with secondary progressive multiple sclerosis: feasibility and effect on fatigue. J Altern Complement Med. 2014 May;20(5):347-55. • A Multimodal, Nonpharmacologic Intervention Improves Mood and Cognitive Function in People with Multiple SclerosisJ Am Coll Nutr. 2017 Mar-Apr;36(3):150-168. • A Diet Mimicking Fasting Promotes Regeneration and Reduces Autoimmunity and Multiple Sclerosis Symptoms. Cell Rep. 2016 Jun 7; 15(10): 2136–2146.

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Autoimmune Protocol Medical Study + AIP Certified Training Program

Autoimmune Protocol Medical Study + AIP Certified Training Program

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Autoimmune Protocol Medical Study + AIP Certified Training Program

Aip Medical Study Training Program

Our friends and upcoming NTA Annual Conference speakers, Mickey Trescott and Angie Alt have exciting news to share!  Not only are they enrolling for their AIP Certified Training program, but they’re sharing the results of the first-ever medical study on the Autoimmune Protocol. The results were published by the journal, Inflammatory Bowel Diseases, and are available for everyone to read for free! If you’d like to read the full article now, you can find it here.

Read their guest blog post below.

How Did We Get Involved in A Medical Study?

In December of 2015, we were contacted by Dr. Gauree Konijeti, the Director of the Inflammatory Bowel Disease Program Division of Gastroenterology at Scripps Clinic in La Jolla, California. Dr. Konijeti told us that a patient with inflammatory bowel disease had introduced her to AIP and the patient’s improvement was so remarkable she was inspired to learn more. After further discussion, Dr. Konijeti explained that she’d like to undertake a medical study of AIP to evaluate its potential efficacy for patients with Crohn’s and ulcerative colitis. She asked if Angie’s online group health coaching program, SAD to AIP in SIX, could be used to help the study participants transition to AIP. Our answer, of course, was, “YES, YES, YES!!”

Medical studies take lots of time, planning, and money to get off the ground. It wasn’t until September of 2016 that we were finally ready to get underway. Angie, joined by Amy Kubal, RD and Nicole Erickson, NTC, spent six weeks helping the participants, all of whom had Crohn’s or ulcerative colitis, slowly work their way through eliminations until they reached the full AIP elimination phase and then spent another five weeks in a maintenance phase. During the process, just like in SAD to AIP in SIX, the participants were introduced to important lifestyle changes too (like sleep, stress management, movement, and support).

We waited another year for all the results to be calculated and the study be published, but now they are ready to be shared!

What Were the Results?

Let’s just cut to the chase and look at the best line in the whole publication!

“Clinical remission was achieved by week 6 by 11/15 (73%) of study participants, and all 11 maintained clinical remission during the maintenance phase of the study. We did not hypothesize, a priori, that clinical remission would be achieved so early (week 6). Indeed, this proportion of participants with active IBD achieving clinical remission by week 6 rivals that of most drug therapies for IBD . . . (Konijeti, et al. 2017)”

YES, you read that correctly!

(There were 15 participants, nine with Crohn’s and six with ulcerative colitis.)

  • – By Week 6 (that was full AIP elimination), 11 of the 15 participants were in clinical remission (six with Crohn’s, five with ulcerative).
  • – All eleven participants maintained clinical remission through the maintenance phase.
  • – Seven of the 15 participants were on active biologic therapies but not in clinical remission at baseline, this suggests that diet can be an important component of successful treatment.
  • – Patients were advised no medication changes before study start, however one participant self-discontinued oral biologic therapy but still achieved clinical remission by week 6.
  • – Another participant self-discontinued oral biologic therapy, but continued biologic suppository and still achieved clinical remission.
  • – Two of the participants were able to discontinue steroid therapy.

To learn in-depth about the study methods, measures, analysis, and results, you can access the full article here.

What Does This Mean and What’s Next?

“It’s woooorking!” That’s a little thing Angie usually says to the members of SAD to AIP in SIX, when they start to report health improvements. Sometimes at the beginning, they aren’t quite sure it will work and when the first health improvements pop-up they are often uncertain the dietary and lifestyle changes could actually be the cause. That line is meant to be a humorous nudge about having confidence in the body’s response. In the future, we might be able to inspire confidence more easily with study results like this!

These results help the community put data behind our conviction that this process is benefiting so many of us. More importantly, it opens the door for big conversations with the medical community and massive changes in the standard of care for those with autoimmune disease. It’s our hope that the experience of Dr. Konijeti and her initial patient describing AIP inspires all of you to speak up at your medical appointments. We may be surprised by how many more forward-thinkers exist!

Our fingers are crossed that the future will hold more research. The opportunity to duplicate the process with other kinds of autoimmune diagnoses is top of our wish list at Autoimmune Wellness! We also hope Dr. Konijeti and other researchers like her will have the chance to conduct larger studies and address any limitations encountered by this first study. Again, it is our voices and support of the organizations funding this research that can help this become a reality.

And for those of you wondering, yes, Angie was tempted to tell the research team when results started coming in, “I told you . . . it’s woooorking!”

The Autoimmune Wellness Mission + Training Program

At Autoimmune Wellness our mission is to truly change the future of healthcare for those with autoimmune disease. In fact, we were motivated to become Nutritional Therapy Practitioners or Consultants in the first place, so we could do that work. In mid-2016 we decided to take the lead on scaling up that mission. We moved from a sole focus on producing resources to help people help themselves, to an expanded focus of directly impacting healthcare and allied providers. We saw that what was lacking were healthcare and allied providers who knew about and could effectively integrate the Autoimmune Protocol (AIP) into their practices to best serve our community. We decided to combine forces with our friend, Sarah Ballantyne, Ph.D. to create the AIP Certified Coach Practitioner Training Program, an AIP-focused education and certification course specifically for the those working in the health and wellness fields. We saw that the healthcare world was already beginning to change. There are studies being done on the efficacy of AIP (with exciting results) and we heard from our community that their healthcare and allied providers were asking about and even in some lucky cases, recommending AIP. We wanted to speed up that process by bringing the details right to the providers with our training program.

Two and a half years after first hatching our plans, two classes of AIP Certified Coaches have been certified! We have had over 200 students with backgrounds as diverse as medical doctors to personal trainers, pharmacists to health coaches, registered dietitians and nurses to naturopaths, mental health professionals, and many NTPs and NTCs just like us! Not only have all these students been diverse in their health and wellness backgrounds, but geographically they have spanned the globe and represented both brand new and long-standing experience in the field. Our virtual classroom is a very rich environment for sharing how best to serve autoimmune clients and patients.

We’re getting ready to train our 2019 class and if you are a NTP or NTC (including current students) or other practitioner or a provider in either the conventional or natural healthcare worlds, please seriously consider being a part of the third enrollment of AIP Certified Coach! We’ll be getting started in mid-January 2019 and enrollment opens December 26th, 2018. You can learn every detail about the program and join the interest list for reminders and exclusive information on our website.

What You’ll Learn During the AIP Certified Coaching Program:

Here are some of the areas we are educating our students about:

  • – The science-based foundation for using dietary and lifestyle approaches to wellness
  • – Integrating dietary and lifestyle approaches to healing into their scope of practice, whether they are massage therapists, fitness instructors, or medical doctors
  • – Collaborating with their patients and clients, as well as other members of a healthcare team, to give patients and clients more complete support
  • – Using troubleshooting to address the individual and complex needs of someone with autoimmune disease, rather than taking a one-size-fits-all approach
  • – Raising awareness levels about the nature of invisible illnesses and validating patients or clients struggles and concerns with deeper compassion

Our AIP Certified Coaches are dramatically changing how autoimmune disease is approached by sharing all they have learned with their colleagues and patients. Autoimmune disease is complex and requires a nuanced strategy using all the tools in the toolbox. Collaboration and integration are the future of healthcare and these new coaches are doing everything in their power to make that future a reality! We hope you’ll join us!

Want to learn more about this training program?

 

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Watch: Nathalie Garcia, Organize your practice to save time and money

Watch: Nathalie Garcia, Organize your practice to save time and money

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Watch: Nathalie Garcia, Organize your practice to save time and money

  Nathalie Garcia is the Co-Founder of Practice Better, a Practice Management Platform that allows Health & Wellness Professionals to automate their workflow so they can spend less time on administrative tasks and more time helping clients reach their health goals.

In this interview, Nathalie discusses:

  • – The story behind Practice Better Management and how it got started
  • – Common mistakes that NTP and NTCs see when working with clients
  • – Ways that health and wellness professionals are managing their businesses
  • – Why having effective systems in place matter for building and maintaining a successful practice
  • – How NTP and NTCs can reduce some their workload and better prioritize tasks
  • – How NTP and NTCs can better support clients without burning out
  • – One, simple action an NTP or NTC could implement today that would help better organize their business and in turn, save time and money
To find out more about Practice Better, check out these links: Facebook: https://facebook.com/practicebetter  Instagram: https://instagram.com/practice.better  YouTube: https://www.youtube.com/channel/UC0y8j9-ds9ioIkLBUF7ey-g   Website: www.practicebetter.io   

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Setting Your Practice Up For Success

Setting Your Practice Up For Success

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Setting Your Practice Up For Success

Setting Your Practice Up For Success

Guest post by Nathalie Garcia, co-owner of Practice Better Management

Working with clients is without a doubt one of the most rewarding jobs you can have, and it’s also hard work! There are so many moving parts you need to manage to organize and grow your practice.

I remember finishing my own nutrition studies and quickly realizing that I was now expected to not only coach my clients, but also to run a business!

What, that’s not what I had signed up for.’ I so clearly remember thinking.

The truth is, if you want to earn a living helping people improve their health then you need to make sure you have a system in place to make sure you’re being as efficient as possible with your time.

Here are two ways to run a more efficient and successful Nutritional Therapy Practice.

#1 Be efficient in your business

Whether you’re currently working with clients or you plan to work with clients in the future as an NTP or NTC, you’re going to be required to wear many hats. Here are just a few of the tasks you’ll be responsible for:

  • – Bookings
  • – Payments
  • – Accounting
  • – Forms
  • – Reminders
  • – Notes & Charting
  • – Recommendations
  • – Client communication
  • – Client accountability

This can all be very overwhelming for one person to handle on an ongoing basis. If you don’t find a way to cut back on the never-ending busy work, you’re going to be working for free, burn out, and most importantly, become unable to show up and support your clients when they need you the most.

Practicing Better

Until the past couple of years, these tasks were typically managed from multiple single-use applications, folders on your computer and emails or by paper and pen. As you can imagine, none of these options really offered a solution for being more efficient.

As a health and wellness practitioner myself, I needed a solution to this problem and created a Practice Management Platform to automate these workflows from day one.

Now, you can create workflows that string together and automate everything from booking and payments, form delivery, reminders, content delivery, client communication, and client accountability.

Just think about how much time you’d save and how much more you’d love your job if your clients could book their sessions online, pay for their session, receive a receipt, receive forms to fill out and sign, and get reminders for upcoming sessions without you having to do a thing. And this is just one example of how you can slash the time you’re spending on busy work.

Here are some key automated tools to consider for better efficiency:

  • Online Scheduling. Eliminate the dreaded back-and-forth that so commonly goes into scheduling an appointment via email, text, phone by allowing clients to book online when they’re ready. Online scheduling systems will also take care of the reminder emails so that’s another thing off your plate.
  • Required Payment. Never chase another payment by making sure you have a system in place that allows you to automatically collect full or partial payment for services when clients book.
  • Online Forms. We all use forms as a regular part of our practice (e.g. initial consultations, liability waivers, detox questionnaires, follow-up forms). Online forms are an easy and user-friendly way of collecting vital information. Require forms to be completed at the time of booking or set up forms to automatically be delivered to clients depending on the service they book.
  • Document & Recommendation Sharing. Crafting emails and sending handouts to clients are other tasks you’re wasting time on. Automatically sending out a notification that lets your client know they have a new resource to review will add up in time saved.

The ability to share these documents with clients with the push of a button will drastically cut down on your busy work.

#2 Be efficient with clients

If you want to create a successful and sustainable practice, you need clients coming back and bringing friends. Word of mouth is gold when clients are praising you. But before you get that rave review, clients first need to get results. Using a management platform like Practice Better helps you support clients as they work through big changes without burning yourself out.

Here are some tools built into Practice Better to help keep your clients on track:

  • Clients can track and share with you what they’re eating and how they’re feeling from our mobile app in real time. Knowing that you can see everything they enter is definitely a motivator to make better choices, but you can also offer direct feedback on their journal entries for additional support.
  • Secure Messaging. Put an end to client communication via text, social media, email, and courier pigeon! It’s hard to keep track of communication when it’s coming from so many different channels and important information can very easily be missed on both ends. Having one designated channel for client correspondence is a great way to keep the lines of communication open, create boundaries, and keep everything on record.
  • Tasks & Goals. Set tasks with reminder dates to help clients keep their eye on the prize.
  • Client portal. Having one place where clients can go to review all documents and notes you’ve shared will help keep them on track. A client portal also means that clients can access their recommendations from anywhere, even the grocery store or on vacation. It eliminates chances of losing handouts, resources, or forms.

As you may have noticed, technology can be such an asset in helping you grow your Nutritional Therapy Practice. We live in a technology-advanced world where there is an app for virtually everything! It only makes sense to leverage technology to improve your efficiency and, in turn, your success.

NathalieGarcia

Nathalie Garcia is the Co-Founder of Practice Better, a Practice Management Platform that allows Health & Wellness Professionals to automate their workflow so they can spend less time on administrative tasks and more time helping clients reach their health goals. If you want to learn more about Nathalie and how to better organize your practice for success, join her and the NTA’s Career Development Course Lead Instructor, Jessica Pantermuehl for a FB Live Interview on Thursday, Nov. 1 and 11 am PST. Learn more and attend this live event.

 

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A Graduate’s Path to Profound Transformation

A Graduate’s Path to Profound Transformation

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A Graduate’s Path to Profound Transformation

Graduate's Path To Profound Transformation Guest post by Lead Instructor, Janelle JohnsonGrove, NTP, NTC I know what it’s like to find that you’ve reached a dry spell after years of serving your clients. Not a dry spell in the sense that the client flow has lessened…but rather an internal hollowness. Your soul and heart are not as enlivened as they were when you first started your work. Seeing your clients’ eyes shine again and symptoms diminish does not result in that same internal surge of celebration as it once did. So, what’s going on? What does this internal flatness indicate about you and your work? Is it time to stop client work? Is it time to take more courses and learn more skills? Maybe. It could also indicate something more profound. This dimming of your visceral response may be an indicator that it is time for you to go deeper. Doing one-on-one work with clients for several years has taught you so much about how change and growth work for individuals. You know that at times you need to nudge your client forward and at other times, hold space and patiently wait for them to make a shift. By this point in your work, you know that true and long-lasting change goes way beyond an exact supplement protocol and dietary recommendation. This awareness of how change works for your client and your corresponding sluggish response may be because you have plateaued in your growth. You may be ready to up-level your practitioner work. I want to take a risk and suggest that moments like this are an indicator that it is time to prioritize your transformation. It is time to go deeper in yourself so that you can go deep with your clients and support a profound change. This process allows you to develop the capacity to tune in and talk about the things you never get to talk about in the client setting, yet you know they exist and influence your client work every step of the way.

What is the first step on this path of your profound transformation?

The first step is hidden, small, and quiet. It begins at home when you are with yourself in a quiet space. It begins by learning the discipline to be silent and face who you are in your alone time. It is about leaning into this place, holding space for yourself, and listening to your authentic voice… your soul voice. This is important because in every moment, you are given an opportunity to make a decision; to decide what to do, how to react, how to perceive each moment and incident. What typically guides these responses is the part of your mind that is full of drive, organizational strategies, a love of information, logic, and reason. Many call this part of your guidance system the ego. Your ego loves you and wants to protect you from harm. This leads to a decision-making framework that has a low tolerance for risk and growth as there is an anticipation of failure and fear of the unknown. This makes the backdrop in any decision grounded in a primal protective stance that is ultimately fear based. Your ego is driven to meet deadlines, to avoid making mistakes and being vulnerable, to keep you safe and sound. Unfortunately, many times this leads to keeping you small, stagnant, and settling for mediocrity. In contrast, your authentic, or soul voice, is the place of your wisdom, your truth, the place where your Call is summoning you. It is the place showing you your next level, your next chapter, the next place to step into your greatness and power. It is asking you to play a bigger game, to take up space, and go all out with what you are here on this planet to do. Leaning into the silence and tuning in deeply helps you strengthen your attunement to what your authentic voice sounds like. This needs to be a serious endeavor. It needs to be so habitual that your attunement to this voice becomes so fine-tuned that you can discern between the voice of fear – your ego, and your authentic voice and at any given moment. It is most critical because there will be surges of doubt, fear, and naysayers that come your way. But if you are strengthened in this practice, you will still be able to hear this voice of truth and guidance. You can begin now. And continue every day. In quiet. Concentrating and asking: what is my soul saying to me right now? What comes next is actually doing what your soul says despite the fears and doubts. But that is for another time. I share all of this because as NTPs and NTCs, a time will come for you to do the inner work so that you become a soul-empowered leader in the field. With my leadership coach, Lisa Fabrega, I have learned:
  • – There comes a time when you do not need to be a master of more knowledge. Rather, it is time to be a master of your energy, your internal state, and how you hold space for others
  • – This deeper work is about getting your internal game strong, so you can hold your energy powerfully and can hold a space for your clients like a master
  • – It is about really seeing your clients and calling them out in the places they play small
  • – It is about embodying what you speak about and helping your clients embody their own truth so they can be free
  • – It is about showing up as the master who knows how to point someone back to themselves
  • – This work of becoming an inspirational model for your ideal client and showing up as a beacon for master level space holding, mirroring, and seeing is a unique kind of work
  • – It will lead you to be more fulfilled in your work, to stand out in the field, and ultimately to be happier
  • – It all starts in the quiet work of tuning in to your heart and soul
Bio Does this resonate with you? Are you yearning to develop WHO you are as a practitioner? To grow in your confidence, step into your power, and function from a place of soul-wisdom? These are skills no book can teach you. My upcoming mastermind class for developing expert-level practitioners will cultivate and support the level of soul-directed client work I speak about here. This kind of work happens in community with practitioners who also yearn to infuse their practices from a more soul-directed place. And it happens with a mentor (me in this case) holding the space of the community to go deep and navigate through the waters that are unpredictable and tumultuous at times. Who am I? My name is Janelle JohnsonGrove. I’m an NTP, NTC, and Lead Instructor of Instructional Excellence at NTA. I also run a private practice, SageFire Wellness, in Cincinnati, OH where I integrate all my NTP skills in combination with mind/body work that I learned through my training at the Institute for the Psychology of Eating. I now work with professionals in the alternative healthcare field with mastermind groups. These professionals take their work to the next level, step more deeply into their power in order to cultivate a profound change in other lives, and BE the profound change they are calling for in their clients. This results in deeply fulfilling work, more clients, and even a greater income. Does this appeal to you? If so… Email me at jjg@sagefirewellness.com for a personal invitation into my next mastermind group starting soon.

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