Journal

Notes on building in digital health

Practical guides on launching, running and switching compliant care programs: architecture, compliance, pharmacy and unit economics. New posts every week.

59 guides3 seriesUpdated weekly

The DEA extended telemedicine prescribing again. Here’s the 2026 map.

Controlled-substance telehealth stays lawful through December 31, 2026 — and the permanent special-registration framework is visible in outline. What to rely on and what to build.

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Compounded GLP-1s in 2026: the operator’s map.

The shortage era ended, but the patient-specific pathway continues. What changed, what remains, and the disciplines — documentation, sourcing, claims — that keep programs strong.

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Everyone is searching for retatrutide. You can’t sell it. Here’s what to do instead.

A phase-3 molecule with product-level demand: why the gray market is a trap, and the compliant playbook for owning the searches until approval.

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How to add GLP-1 weight care to your med spa

What it actually takes to prescribe GLP-1s compliantly — clinician coverage, intake, labs, and the parts you should never build yourself.

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The 50-state telehealth compliance checklist

Licensing, telehealth modality rules, EPCS, and board filings — what "compliant in every state" really means, state by state.

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How to switch telehealth infrastructure without losing patients

A playbook for migrating an operating telehealth business: parallel-running stacks, moving records, and cutting over safely.

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White-label telehealth, explained

Portals, marketplaces, and API infrastructure — the three models behind "your brand, our clinicians," and how to choose between them.

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What it really costs to launch a telehealth product

The build-vs-buy math: every cost center between you and your first patient, and where the budget actually goes.

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How to offer hormone therapy online

HRT and TRT are labs-heavy, monitoring-heavy, and partly controlled-substance territory. What a compliant program requires.

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For Clinicians: taking your practice direct

Leaving the platforms to own your panel, your brand, and your economics — and what handles the back office when you do.

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