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Nutrition in Pharmacy

Baylor Rice, R.Ph., FIACPSouth River Compounding Pharmacy &

Wellness Center

Why are you here?

y To learn something new?y To make more money?y To grow professionally?y To grow personally?y To fill a need within your community?y To obtain CE?y To see your friends?

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How to get started?

y Commit some timey Find a premier supplement company to partner withy Educate yourself/staff{ Read/Research/Seminars/Webinars

y Dedicate some floor spacey Signagey Bag stuffersy Talk to your patients

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COMPLEMENTS

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Complements

y Co-Q 10 (statins)y Therapeutic Multi-Vitamin (everyone)y Clean  Therapeutic  Fish  Oil  (everyone…especially  

pregnant patients, ADHD, depression, anxiety, etc)y Methylation  Complex  (cardiovascular  disease,  BCP’s,  

anti-depressants, anti-anxiety)y High dose Probiotics (antibiotics, GI patients)y DGL/Aloe/L-Glutamine  (PPI’s,  GI  patients)

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EVERYDAY ESSENTIALS

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Everyday Essentials

y Therapeutic MultiVitamin/mineraly Omega 3 Essential Fatty Acidsy Calcium/Magnesiumy Vitamin C

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DISEASE STATES/ SPECIFIC ISSUES

Step 3

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Disease States/ Specific Issues

y Joint Health: Glucosmine/Chondroitin/Type II Chicken Cartilage/MSM

y Inflammation: RIAA, THIAA, curcumin, ginger, medical foods

y Stress/Anxiety: L-Theanine, B-Complexy Adrenal: glandular, ginseng, ashwaghanda, Rhodiolay Thyroid: zinc, selenium, iodiney Allergies: perilla seed extract, quercetin/NAC/nettley Sleep: casein tryptic hydrosylate, melatonin, 5-HTPy Weight loss: medical foods

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Financial Benefit

y Co-Q 10 $50y Therapeutic Multi $35y Clean Fish Oil $40y Methylation Complex $35y High dose probiotic $40y GI formulation $45{ Average $41/supplement

y 50% marginsy Sell 10/day=$205 profit 25/day $512.50 profit{ 20 days/month of 25/day=$10,250

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Other Reasons

y Patients want ity Patients need ity Professional satisfactiony Personal satisfactiony Increased professional environmenty Employee satisfactiony Personal changey Healthier employees

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Importance of Supplement Quality

y GMP Certified

y Registered with the FDA

y 3rd Party Analysis

y Testing

{Dissolution

{Disintegration

{Mass Spectroscopy

{Liquid Chromatography

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Importance of a Premier Supplement Line

y Quality supplementsy Educationy Staff trainingy Continuing Educationy Handouts and patient literaturey Samples/trial bottlesy Return policy

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Evidence Based Medicine Please14

Parachute use to prevent death and major trauma related to gravitational challenge: systematic review of randomized controlled trials. (Smith et al 2003 BMJ journal)

Resources

yHerbal GramyNatural StandardyAlternative Medicine Reviewy Institute of Functional MedicineyAmerican Botanical CouncilyHandbook of Drug Nutrient

Interactions

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How did I get started?16

South River Compounding Pharmacy & Wellness Center

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y “Compounding  only”  pharmacyy Specialize in Natural Medicine { Vitamins/minerals{ Herbals{ Homeopathics{ Natural skin/beauty care products

y Personalized Consultations (R.Ph., Pharm D, NP, Nutritionist)

y Disease State Managementy Testing: saliva, urine, hair, stool, neurotransmitter,etc.y Wellness  Screenings…..and  more!

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CONSULTING

Step 442

Consultation Topics43

y Start simple{ BHRT{ Basic Nutritionals{ Main Compounding Segments

y Areas of your interesty Adrenalsy Thyroidy Sports Nutritiony Weight Lossy Chronic Disease

Consultation Coordination44

y Schedule appointment{ Give/send paperwork

y Reminder call/email 3 days prior{ Labs?

y Have files ready and a daily schedule printedy Greet patient{ Verify labs and all of paperwork is completed

y Let consultant know patient is presenty Meet consultant and patient at register to schedule

the f/up when consult is over

The Initial Consultation45

y Patient Goalsy Review of patient history/informationy Review of systemsy Review of symptomsy Review of disease statesy Review labsy Coordination of labs with sxs/dz/goalsy Develop plan/protocol---reviewy Gather supplements/informationy Fax prescriber any Rx recommendations

Balance

Promotes the Negative Expression Of Genetic Individuality(Genetic Polymorphisms)

What Are Patients Reading?

y Suzanne  Somers  “The  Sexy  Years”y David  Brownstein,  M.D.    “The  Miracle  of  Natural  Hormones”

y John  Lee,  M.D.  “What  Your  Doctor  May  Not  Tell  You  About  Menopause”

y Christiane  Northrup,  M.D.  “The  Wisdom  of  Menopause”y Eugene Shippen,  M.D.  “The  Testosterone  Syndrome”y Aubrey  Hill,  M.D.  “The  Testosterone  Solution”y Richard  &  Mari  Lee  Shames  “Thyroid  Power”y James  Wilson,  “Adrenal  Fatigue”y Dr. John Mulhall,  “Saving  Your  Sex  Life”y C. Norman Shealy,  M.D.,  Ph.D.,  “DHEA,  The  Youth  and  Health  Hormone”

y Barbara  Wexler,  MPH.,  “Vitamin  D”y Bob  Cooley,  “The  Genius  of  Flexibility”

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The Follow-Up Consultation

y How is the patient doing overall?y Review previous goals{ Better/worse/unchanged

y New/Updated Goals{ New symptoms

y Review any new labsy Coordination of labs with sxs/dz/goalsy Develop plan/protocol---reviewy Gather supplements/informationy Fax prescriber any Rx recommendations/changes

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Communication with Prescribers49

y Fax prescriber any Rx recommendationsy Fax/Mail practitioner report of findings and

protocoly Send thank you notes for referals

Marketing a Consultation Practice50

y Communication with prescribers{ Not  just  MD’s:    LCSW,  NP,  PA,  DO,  DPM,  DVM,  NP,  DC,  

LcAc, RN

y Referral script padsy Thank you notes to practitioners and patientsy Print adsy TV commercialsy Radioy Self referral in office!!y Seminarsy Email, social media

Staffing Needs51

y Consultanty Patient Care Coordinatory Marketing Coordinator/Public Relations Coordinatory Sales Associate(s)y Inventory/Sales Floor Managery Book keepery Office Manager

How Do I Get Started?52

y What interests you?y Study/Ready Attend Seminars/Attend Webinarsy Schedule an Appointmenty YOU CAN DO IT!y It is okay to get back with the patient if you do not

have all of the answersy Don’t  forget  to  charge  for  your  time!    You  are  worth  it.y Remember to partner with a top notch Supplement

Company

Review YOUR GOALS

y Increased revenue{ Consult fees{ Supplement sales{ Testing Kits{ Prescriptions{ Workshops

y Increased personal satisfactiony Increased professionalismy More time with your familyy More time for yourselfy Remember to practice what you preach!

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DISCUSSION

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Questions?