For NPs, PAs & Physicians in Aesthetics

The Upstream
Patient

Why your best clinical work keeps coming undone.


A free five-page clinical guide from Jessica Christy, PA-C — the evidence, the patients already on your schedule, and exactly what the Wellness Aesthetic Fusion Method™ covers, tier by tier.


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46%
of rosacea patients
had SIBO
5%
of matched
controls
20/28
cleared on
rifaximin
64.5%
still in remission
at 3 years

Parodi et al., Clinical Gastroenterology and Hepatology, 2008 · Drago et al., JAAD, 2016

What's inside

Five pages. Cited throughout. Written for practitioners, not patients.

The Evidence

Why an antibiotic that never touches the skin cleared rosacea — and why remission was still holding three years later.

The Four Axes

Gut–skin, gut–brain, gut–hormone, gut–immune. You see all four at the chair, labeled as skin complaints.

Three Patients

The non-responder, the relapser, and the one who says her labs are normal but she feels awful. All three are already in your book.

The Questions

Four questions most aesthetic training never addresses — and why none of them has a short answer.

The Curriculum

What the method actually covers, from functional physiology and testing through operations and certification.

Every Tier, Priced

A full breakdown of Tier 1, Tier 2, the Complete Bundle and the Mastermind — what's in each, and what it costs.

Who it's for

Written for the person holding the syringe, not the person reading a wellness blog.

—

Nurse practitioners and PAs running aesthetics practices

—

Physicians who own or supervise a med spa

—

Injectors whose best patients keep relapsing

—

Anyone who already put “wellness” on the sign

“For a long stretch of running my practice I thought I had a retention problem. I didn't. I had an upstream problem.”

Jessica Christy, PA-C
Founder, Culture Collective