Dr Jonathan Spages, 1350 CR1 Suite 1646, Dunedin, FL (2026)

10/14/2026

Running a 100% telehealth practice taught me that separate EHR and CRM systems work only when each has a clearly defined role and workflow.

I use my EHR for clinical responsibilities, including patient records, forms, scheduling, and secure clinical communication. My CRM manages lead follow-up, reminders, and other nonclinical communication.

To make these systems work together, I established clear handoff points throughout the patient process. From the moment someone submits an inquiry, my team knows where to manage the lead, when to move the patient into the clinical workflow, and which system to use for each subsequent step, including forms, appointments, laboratory testing, and follow-up. This helps prevent scattered information and confusion about who is responsible for the next action.

My advice to other telehealth providers is to map the entire patient workflow before investing in more software. Define which system owns each step, who is responsible for it, and how information is handed off appropriately. Also, make sure clinical information stays within approved systems and communication channels.

Sometimes, the most significant operational improvement doesn't come from adding another tool. It comes from creating a clear process that makes your existing technology work together.

10/09/2026

𝗪𝗵𝗮𝘁 𝗶𝗳 𝘆𝗼𝘂𝗿 𝗻𝗲𝘅𝘁 𝗹𝗮𝗯 𝗿𝗲𝘀𝘂𝗹𝘁𝘀 𝗯𝗿𝗼𝘂𝗴𝗵𝘁 𝘆𝗼𝘂 𝗮 𝗿𝗲𝗮𝘀𝗼𝗻 𝘁𝗼 𝘀𝗺𝗶𝗹𝗲?

For years, worrying about blood sugar, cholesterol, and weight can feel exhausting. You try to make better choices, but sometimes you just want to know that your efforts are making a difference.

That's why Joe Delaney's story is worth celebrating! 🙌

After just 6 weeks on my program, Joe reported encouraging improvements:

✅ A1C decreased from 6.4 to 5.4
✅ Average blood glucose dropped from 128 to 91
✅ Cholesterol returned to the normal range, with HDL reaching a personal record high
✅ 19 pounds lost, and he says he feels fantastic!

Joe also shared his gratitude for his coach's guidance and support.

His experience highlights something important: 𝘂𝗻𝗱𝗲𝗿𝘀𝘁𝗮𝗻𝗱𝗶𝗻𝗴 𝘆𝗼𝘂𝗿 𝗵𝗲𝗮𝗹𝘁𝗵 𝗮𝗻𝗱 𝗵𝗮𝘃𝗶𝗻𝗴 𝗮 𝘀𝘁𝗿𝘂𝗰𝘁𝘂𝗿𝗲𝗱 𝗽𝗹𝗮𝗻 𝗰𝗮𝗻 𝗵𝗲𝗹𝗽 𝘆𝗼𝘂 𝗺𝗮𝗸𝗲 𝗺𝗼𝗿𝗲 𝗶𝗻𝗳𝗼𝗿𝗺𝗲𝗱 𝗱𝗲𝗰𝗶𝘀𝗶𝗼𝗻𝘀 𝗮𝗻𝗱 𝘄𝗼𝗿𝗸 𝘁𝗼𝘄𝗮𝗿𝗱 𝗺𝗲𝗮𝗻𝗶𝗻𝗴𝗳𝘂𝗹 𝗴𝗼𝗮𝗹𝘀.

You deserve to understand what's happening inside your body, feel supported, and have a plan that fits your needs. Your progress may look different from someone else's, but every step toward better health matters.

👉 Follow for more patient stories and educational content about Type 2 diabetes and metabolic health.

10/04/2026

𝗪𝗵𝗮𝘁 𝗶𝗳 𝘆𝗼𝘂𝗿 𝗧𝘆𝗽𝗲 𝟮 𝗱𝗶𝗮𝗯𝗲𝘁𝗲𝘀 𝘀𝘁𝗼𝗿𝘆 𝘀𝘁𝗮𝗿𝘁𝗲𝗱 𝗹𝗼𝗻𝗴 𝗯𝗲𝗳𝗼𝗿𝗲 𝘆𝗼𝘂𝗿 𝗱𝗶𝗮𝗴𝗻𝗼𝘀𝗶𝘀?

For many people, blood sugar problems do not appear overnight. Metabolic changes can develop gradually over many years, influenced by hormones, pregnancy, weight changes, sleep, nutrition, activity, medications, and other factors.

For women especially, pregnancy and the postpartum period are important parts of their health history. Conditions like gestational diabetes can also signal a higher future risk of Type 2 diabetes.

That is why simply saying “eat better and exercise more” may not answer the most important question:

𝗪𝗵𝘆 𝗱𝗶𝗱 𝘆𝗼𝘂𝗿 𝗺𝗲𝘁𝗮𝗯𝗼𝗹𝗶𝘀𝗺 𝗯𝗲𝗰𝗼𝗺𝗲 𝘂𝗻𝗵𝗲𝗮𝗹𝘁𝗵𝘆 𝗶𝗻 𝘁𝗵𝗲 𝗳𝗶𝗿𝘀𝘁 𝗽𝗹𝗮𝗰𝗲?

Looking at your health history, symptoms, lab patterns, and changes over time can provide a much clearer picture.

Your body has a history. Sometimes, understanding that history helps you see what needs attention today.

If you've been struggling with blood sugar, weight, or low energy for years, don't just ask.

“𝗛𝗼𝘄 𝗱𝗼 𝗜 𝗹𝗼𝘄𝗲𝗿 𝗺𝘆 𝗻𝘂𝗺𝗯𝗲𝗿𝘀?”

𝗔𝘀𝗸, “W𝗵𝗮𝘁 𝗰𝗼𝘂𝗹𝗱 𝗯𝗲 𝗰𝗼𝗻𝘁𝗿𝗶𝗯𝘂𝘁𝗶𝗻𝗴 𝘁𝗼 𝘁𝗵𝗲 𝗽𝗿𝗼𝗯𝗹𝗲𝗺?”

👉 Follow for more educational content about type 2 diabetes, metabolic health, and the root cause approach.

💬 Can you remember when your blood sugar, weight, or energy problems first started? Share your experience below.

10/01/2026

𝗛𝗼𝘄 𝗺𝗮𝗻𝘆 𝗼𝗳 𝘁𝗵𝗲𝘀𝗲 𝗧𝘆𝗽𝗲 𝟮 𝗗𝗶𝗮𝗯𝗲𝘁𝗲𝘀 𝗺𝘆𝘁𝗵𝘀 𝗵𝗮𝘃𝗲 𝘆𝗼𝘂 𝗯𝗲𝗹𝗶𝗲𝘃𝗲𝗱?

If you've been told that Type 2 Diabetes is simply something you have to live with, that cutting sugar is all it takes, or that a controlled A1C means the problem is completely resolved, it may be time to look deeper.

Your blood sugar is important, but the number is only part of the picture.

Type 2 Diabetes involves complex factors that can include insulin resistance, nutrition, body composition, sleep, stress, activity, genetics, and overall metabolic health.

That is why simply focusing on sugar or carbohydrates may not address everything happening inside the body.

And having a controlled A1C does not necessarily mean every aspect of metabolic health has been optimized.

Understanding why your blood sugar is elevated can change the way you approach your health.

💬 Which myth did you believe was true for the longest time?

Tell me in the comments. I want to know what you've been told about Type 2 Diabetes. 👇

Be Well. Stay Well.

09/28/2026

𝗪𝗵𝗮𝘁 𝗶𝗳 𝘆𝗼𝘂𝗿 𝗱𝗶𝗲𝘁 𝘀𝗵𝗼𝘂𝗹𝗱 𝗯𝗲 𝗯𝗮𝘀𝗲𝗱 𝗼𝗻 𝗺𝗼𝗿𝗲 𝘁𝗵𝗮𝗻 𝘆𝗼𝘂𝗿 𝗱𝗶𝗮𝗴𝗻𝗼𝘀𝗶𝘀?

Two people can both have Type 2 diabetes and still have very different things happening inside their bodies.

That’s why I don’t believe in simply picking one diet and assuming it will work for everyone.

Your labs can tell us a much deeper story.

Glucose, A1C, fasting insulin, triglycerides, liver markers, thyroid function, inflammation markers, and other clinically appropriate testing can help us understand what may be contributing to your metabolic health.

Then we watch what happens.

Are the numbers improving? Are you feeling better? Is your body responding?

If something isn’t working, we reassess instead of continuing simply because a study says it should work.

Research gives us valuable direction. Your individual data helps us understand what is happening in your body.

𝗕𝗲𝗰𝗮𝘂𝘀𝗲 𝗽𝗲𝗿𝘀𝗼𝗻𝗮𝗹𝗶𝘇𝗲𝗱 𝗰𝗮𝗿𝗲 𝘀𝘁𝗮𝗿𝘁𝘀 𝘄𝗶𝘁𝗵 𝗿𝗲𝗰𝗼𝗴𝗻𝗶𝘇𝗶𝗻𝗴 𝘁𝗵𝗮𝘁 𝘆𝗼𝘂 𝗮𝗿𝗲 𝗻𝗼𝘁 𝗷𝘂𝘀𝘁 𝗮 𝗱𝗶𝗮𝗴𝗻𝗼𝘀𝗶𝘀.

💬 Have you ever had your lab results change the way you approached your diet or health?

09/24/2026

"𝗜 𝗵𝗼𝗻𝗲𝘀𝘁𝗹𝘆 𝗱𝗶𝗱𝗻'𝘁 𝘁𝗵𝗶𝗻𝗸 𝘁𝗵𝗶𝘀 𝘄𝗮𝘀 𝗴𝗼𝗶𝗻𝗴 𝘁𝗼 𝗵𝗲𝗹𝗽 𝗺𝗲."

If you've been living with Type 2 diabetes for years, you may understand that feeling.

Scott was nervous. He was skeptical. After having a toe amputated because of diabetes, he felt like he was running out of options.

Then he decided to give our program a chance.

Just 10 days in, Scott reported losing 14 pounds and seeing significant changes in his blood sugar readings. He was shocked by how quickly he noticed a difference.

His words say it best:

"𝗪𝗲𝗹𝗹, 𝗜 𝘄𝗮𝘀 𝘃𝗲𝗿𝘆 𝘄𝗿𝗼𝗻𝗴! 𝗜'𝗺 𝘃𝗲𝗿𝘆 𝗵𝗮𝗽𝗽𝘆 𝗜 𝗷𝗼𝗶𝗻𝗲𝗱 𝘁𝗵𝗶𝘀 𝗽𝗿𝗼𝗴𝗿𝗮𝗺."

If you've become skeptical because you've tried things before and nothing seemed to work, I understand why. Sometimes, what you need isn't another promise. You need guidance, a plan, and someone willing to look deeper into what's happening with your health.

Scott Jacobson, thank you for trusting me and my team when you weren't sure this would work. I'm proud of the commitment you're making to your health.

𝗧𝗮𝗸𝗲 𝗮 𝗺𝗼𝗺𝗲𝗻𝘁 𝘁𝗼 𝗿𝗲𝗮𝗱 𝗦𝗰𝗼𝘁𝘁'𝘀 𝗳𝘂𝗹𝗹 𝘁𝗲𝘀𝘁𝗶𝗺𝗼𝗻𝘆. 𝗜𝗳 𝘆𝗼𝘂'𝘃𝗲 𝗯𝗲𝗲𝗻 𝗳𝗲𝗲𝗹𝗶𝗻𝗴 𝗹𝗶𝗸𝗲 𝘆𝗼𝘂'𝘃𝗲 𝗿𝘂𝗻 𝗼𝘂𝘁 𝗼𝗳 𝗼𝗽𝘁𝗶𝗼𝗻𝘀, 𝗵𝗶𝘀 𝘀𝘁𝗼𝗿𝘆 𝗺𝗮𝘆 𝗴𝗶𝘃𝗲 𝘆𝗼𝘂 𝗮 𝗿𝗲𝗮𝘀𝗼𝗻 𝘁𝗼 𝗸𝗲𝗲𝗽 𝗹𝗼𝗼𝗸𝗶𝗻𝗴 𝗳𝗼𝗿 𝗮𝗻𝘀𝘄𝗲𝗿𝘀.

09/21/2026

𝗗𝗼 𝘆𝗼𝘂 𝗿𝗲𝗺𝗲𝗺𝗯𝗲𝗿 𝘁𝗵𝗲 𝗹𝗮𝘀𝘁 𝘁𝗶𝗺𝗲 𝘆𝗼𝘂 𝗳𝗲𝗹𝘁 𝗴𝗲𝗻𝘂𝗶𝗻𝗲𝗹𝘆 𝗴𝗼𝗼𝗱 𝗮𝗯𝗼𝘂𝘁 𝘆𝗼𝘂𝗿 𝗵𝗲𝗮𝗹𝘁𝗵?

If you've been living with Type 2 diabetes, you may know what it's like to watch your numbers closely and wonder if all your effort is really making a difference.

Joe knows that feeling.

After just 6 weeks on my program, his A1C dropped from 6.4 to 5.4, his average blood glucose fell from 128 to 91, his cholesterol reached a normal range, his HDL hit a personal high, and he lost 19 pounds.

But beyond the numbers, Joe said something that matters even more:

"𝗜 𝗳𝗲𝗲𝗹 𝗴𝗿𝗲𝗮𝘁."

That's what I want for my patients. Not just better numbers, but feeling better, understanding your health, and having the right support along the way.

𝗜𝗳 𝘆𝗼𝘂'𝘃𝗲 𝗯𝗲𝗲𝗻 𝘄𝗼𝗻𝗱𝗲𝗿𝗶𝗻𝗴 𝘄𝗵𝗲𝘁𝗵𝗲𝗿 𝗶𝘁'𝘀 𝗽𝗼𝘀𝘀𝗶𝗯𝗹𝗲 𝘁𝗼 𝗳𝗲𝗲𝗹 𝗯𝗲𝘁𝘁𝗲𝗿 𝘄𝗵𝗶𝗹𝗲 𝗶𝗺𝗽𝗿𝗼𝘃𝗶𝗻𝗴 𝘆𝗼𝘂𝗿 𝗺𝗲𝘁𝗮𝗯𝗼𝗹𝗶𝗰 𝗵𝗲𝗮𝗹𝘁𝗵, 𝘁𝗮𝗸𝗲 𝗮 𝗺𝗼𝗺𝗲𝗻𝘁 𝘁𝗼 𝗿𝗲𝗮𝗱 𝗝𝗼𝗲'𝘀 𝘀𝘁𝗼𝗿𝘆.

09/19/2026

“I’𝘃𝗲 𝘁𝗿𝗶𝗲𝗱 𝘀𝗼 𝗺𝗮𝗻𝘆 𝘁𝗵𝗶𝗻𝗴𝘀. 𝗜 𝗷𝘂𝘀𝘁 𝘄𝗶𝘀𝗵 𝘀𝗼𝗺𝗲𝗼𝗻𝗲 𝗰𝗼𝘂𝗹𝗱 𝗵𝗲𝗹𝗽 𝗺𝗲 𝘂𝗻𝗱𝗲𝗿𝘀𝘁𝗮𝗻𝗱 𝗪𝗛𝗬.”

Maybe that's where you are right now.

You've changed your diet.
You've tried different approaches.
You've done your best to manage your Type 2 diabetes, but your blood sugar still isn't where you want it to be.

𝗔𝗻𝗱 𝗮𝗳𝘁𝗲𝗿 𝘀𝗼 𝗺𝗮𝗻𝘆 𝗮𝘁𝘁𝗲𝗺𝗽𝘁𝘀, 𝗶𝘁'𝘀 𝘂𝗻𝗱𝗲𝗿𝘀𝘁𝗮𝗻𝗱𝗮𝗯𝗹𝗲 𝘁𝗼 𝗳𝗲𝗲𝗹 𝘀𝗸𝗲𝗽𝘁𝗶𝗰𝗮𝗹.

Maybe you don't need another diet or another quick fix.
Maybe you need someone to look deeper with you.

To understand your health history. To look at the bigger picture. To help you understand what may be contributing to your blood sugar, weight, energy, and overall health.

You shouldn't have to keep guessing.

𝗦𝗼𝗺𝗲𝘁𝗶𝗺𝗲𝘀, 𝘁𝗵𝗲 𝗺𝗼𝘀𝘁 𝗶𝗺𝗽𝗼𝗿𝘁𝗮𝗻𝘁 𝘀𝘁𝗲𝗽 𝗶𝘀 𝘀𝗶𝗺𝗽𝗹𝘆 𝗳𝗶𝗻𝗱𝗶𝗻𝗴 𝘁𝗵𝗲 𝗿𝗶𝗴𝗵𝘁 𝗾𝘂𝗲𝘀𝘁𝗶𝗼𝗻𝘀 𝘁𝗼 𝗮𝘀𝗸 𝗮𝗯𝗼𝘂𝘁 𝘆𝗼𝘂𝗿 𝗵𝗲𝗮𝗹𝘁𝗵.

👉 Follow for more educational content about Type 2 diabetes, metabolic health, and understanding the root causes behind your symptoms.

09/16/2026

“M𝘆 𝗹𝗮𝗯𝘀 𝗮𝗿𝗲 𝗻𝗼𝗿𝗺𝗮𝗹, 𝘀𝗼 𝘄𝗵𝘆 𝗮𝗺 𝗜 𝘀𝘁𝗶𝗹𝗹 𝘁𝗮𝗸𝗶𝗻𝗴 𝗮𝗹𝗹 𝘁𝗵𝗲𝘀𝗲 𝗺𝗲𝗱𝗶𝗰𝗮𝘁𝗶𝗼𝗻𝘀?”

Have you ever left your doctor's appointment thinking everything is fine, but you're still taking medication for blood sugar, cholesterol, and blood pressure?

You feel tired. Your weight is difficult to manage. Something just doesn't feel right.

And you can't help but wonder:

“If everything is okay, why don't I feel okay?”

This is a question worth asking.

Your body is complex, and one lab result rarely tells the whole story. Looking at patterns across your labs can help you and your healthcare team understand the bigger picture.

Are there early signs of metabolic dysfunction? Could your thyroid, blood sugar, or kidney function need a closer look? What might be contributing to the symptoms you're experiencing?

The goal isn't to wait until something gets worse.

The goal is to understand your health, identify potential concerns early, and take action with the guidance of your healthcare team.

You deserve more than just a number on a lab report. You deserve to understand your health.

🎥 𝗪𝗮𝘁𝗰𝗵 𝘁𝗵𝗶𝘀 𝘃𝗶𝗱𝗲𝗼 𝘁𝗼 𝗹𝗲𝗮𝗿𝗻 𝘄𝗵𝘆 𝗹𝗼𝗼𝗸𝗶𝗻𝗴 𝗮𝘁 𝗹𝗮𝗯 𝗽𝗮𝘁𝘁𝗲𝗿𝗻𝘀 𝗮𝗻𝗱 𝘁𝗵𝗲 𝗯𝗶𝗴𝗴𝗲𝗿 𝗽𝗶𝗰𝘁𝘂𝗿𝗲 𝗺𝗮𝘁𝘁𝗲𝗿𝘀.

👉 Follow for more educational content about Type 2 diabetes, metabolic health, lab testing, and root cause care.

09/14/2026

𝗪𝗵𝗼 𝗧𝗮𝗸𝗲𝘀 𝗖𝗮𝗿𝗲 𝗼𝗳 𝘁𝗵𝗲 𝗛𝗲𝗮𝗹𝘁𝗵𝗰𝗮𝗿𝗲 𝗣𝗿𝗼𝗳𝗲𝘀𝘀𝗶𝗼𝗻𝗮𝗹?

As doctors, we spend so much time caring for others that we sometimes forget to care for ourselves.

𝗜 𝗸𝗻𝗼𝘄 𝘁𝗵𝗶𝘀 𝗯𝗲𝗰𝗮𝘂𝘀𝗲 𝗜’𝘃𝗲 𝗯𝗲𝗲𝗻 𝘁𝗵𝗲𝗿𝗲.

Between patient care, running a practice, managing a team, and family responsibilities, it became easy to put my own health last.

But here’s what I learned: You cannot keep pouring into others when you never take time to refill yourself.

𝗦𝗹𝗲𝗲𝗽, 𝗲𝘅𝗲𝗿𝗰𝗶𝘀𝗲, 𝗳𝗮𝗺𝗶𝗹𝘆 𝘁𝗶𝗺𝗲, 𝗮𝗻𝗱 𝗿𝗲𝗰𝗼𝘃𝗲𝗿𝘆 𝗮𝗿𝗲 𝗻𝗼𝘁 𝗼𝗽𝘁𝗶𝗼𝗻𝗮𝗹. 𝗧𝗵𝗲𝘆 𝗮𝗿𝗲 𝗲𝘀𝘀𝗲𝗻𝘁𝗶𝗮𝗹.

𝗕𝘂𝗿𝗻𝗼𝘂𝘁 𝗱𝗼𝗲𝘀𝗻’𝘁 𝘂𝘀𝘂𝗮𝗹𝗹𝘆 𝗵𝗮𝗽𝗽𝗲𝗻 𝗯𝗲𝗰𝗮𝘂𝘀𝗲 𝗼𝗳 𝗼𝗻𝗲 𝗱𝗶𝗳𝗳𝗶𝗰𝘂𝗹𝘁 𝗱𝗮𝘆. 𝗜𝘁 𝗵𝗮𝗽𝗽𝗲𝗻𝘀 𝘄𝗵𝗲𝗻 𝗿𝗲𝗰𝗼𝘃𝗲𝗿𝘆 𝗸𝗲𝗲𝗽𝘀 𝗴𝗲𝘁𝘁𝗶𝗻𝗴 𝗽𝗼𝘀𝘁𝗽𝗼𝗻𝗲𝗱.

If you’re a healthcare professional constantly running on empty, this is your reminder to protect your health too.

Because taking care of yourself is not selfish. It is part of taking care of others well.

💬 𝗪𝗵𝗮𝘁 𝗶𝘀 𝗼𝗻𝗲 𝗯𝗼𝘂𝗻𝗱𝗮𝗿𝘆 𝘆𝗼𝘂 𝗻𝗲𝗲𝗱 𝘁𝗼 𝗰𝗿𝗲𝗮𝘁𝗲 𝘁𝗼 𝗽𝗿𝗼𝘁𝗲𝗰𝘁 𝘆𝗼𝘂𝗿 𝗵𝗲𝗮𝗹𝘁𝗵?

Dr Jonathan Spages

10/14/2026

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