American Association of Osteopathic Manual Practitioners

American Association of Osteopathic Manual Practitioners The title of Registered Osteopathic Manual Practitioner (ROMP) is granted to AAOMP members. must first hold the ROMP credential from AAOMP.

Holding this title is a requirement for joining GEHA and obtaining a license to practice OMP in the United States. As of June 22, 2025 (World Osteopathy Day), anyone seeking a GEHA license in the U.S. ROMP-certified practitioners have proven their qualifications, education, and ethical commitment to safe, effective manual therapy. Our certification ensures that every practitioner meets a national standard—offering peace of mind to clients and credibility to professionals. Includes exam, ethics, insurance, and First Aid requirements.

NAD+ Supplements ❤️Yesterday I wrote that injectable glutathione is my favorite supplement. Today I want to talk about i...
03/16/2026

NAD+ Supplements ❤️

Yesterday I wrote that injectable glutathione is my favorite supplement. Today I want to talk about injectable NAD, which is my second favorite.

Injectable glutathione gives me a very clean and smooth energy that lasts for hours. It is the kind of energy that both calms and energizes at the same time. It puts me in the perfect mood to take my white Maserati Grecale GT SUV to work and continue expanding manual osteopathy and naprapathy in the United States. 😀

Injectable NAD, on the other hand, gives a completely different type of energy. It is raw power like you have never experienced. The kind that makes you say YOLO and take the red Maserati GranTurismo Sport out for a topless drive. That car has a Ferrari engine and even when using only half of its power it feels incredibly fast. I have driven many cars in my life, but this is the only one where I have not yet dared to push the full power. 😀

One thing I admire so much about the United States is its healthcare system. Personal liberty is extremely important there, and people are allowed to have far more control over their own health compared to many other countries where governments impose heavy restrictions. In the U.S. it is much easier to access advanced testing, specialists, and innovative therapies. Recently, for example, Robert F. Kennedy Jr., the US Secretary of Health & Human Services lifted restrictions on several peptides that may have significant health benefits. Many other countries eventually follow the U.S., but often years later. If someone is interested in advanced anti-aging or cutting-edge therapies, the United States is often the best place to access them. ❤️

Currently NAD+ is one of the most popular anti-aging molecules used in the United States. NAD+ (nicotinamide adenine dinucleotide) is a critical molecule involved in mitochondrial energy production, DNA repair, and cellular aging. Levels naturally decline with age, stress, metabolic disease, and poor lifestyle habits.

There are several ways to increase NAD naturally. Exercise is one of the most powerful, especially aerobic exercise and high-intensity training. Intermittent fasting and mild calorie restriction can also increase NAD levels. Good sleep and proper circadian rhythm are important as well.

Certain foods support NAD production, including turkey, chicken, beef, liver, salmon, mushrooms, peanuts, avocados, and green peas. Polyphenols that activate NAD-related pathways may also help, such as resveratrol from red grapes, quercetin from apples and onions, catechins from green tea, and curcumin from turmeric. Sauna use, cold showers, maintaining healthy body weight, improving insulin sensitivity, lowering chronic inflammation, reducing sugar intake, and ensuring adequate intake of vitamin B3 (niacin), vitamin B2 (riboflavin), vitamin B6, magnesium, and zinc all support NAD metabolism.

There are also oral supplements such as NR (nicotinamide riboside) and NMN (nicotinamide mononucleotide) that help the body increase NAD production. These supplements are relatively expensive, usually around $100 per month. Many people also take glutathione, CoQ10, and B-complex vitamins together with them to support mitochondrial function and NAD production.

The gold standard, however, is subcutaneous NAD injection. This is more expensive, typically ranging from about US$250 to US$700 per month. The injection can be done one to seven times per week, with three times per week being the most common schedule, followed by a break of two to four weeks.

NAD supports mitochondrial energy production and activates longevity pathways involved in DNA repair, metabolic regulation, and cellular stress resistance. It can improve insulin sensitivity, glucose metabolism, and fat oxidation. NAD may also support brain health and has been studied for possible neuroprotective effects in conditions such as Alzheimer’s disease, Parkinson’s disease, and stroke recovery. It may also improve muscle function, exercise capacity, cardiovascular health, and certain aspects of biological aging.

Unlike glutathione, which is generally considered very safe, the long-term effects of high-dose NAD therapy are still not fully known. It is also quite expensive. When combined with other supporting supplements, the monthly cost can easily reach between US$500 and US$1000. However, many wealthy individuals in the United States are using NAD therapies and the results can be impressive. It is not uncommon to see people in their 60s and 70s who look and function like people in their 40s or 50s.

Personally, I enjoy both glutathione and NAD injections. However, I like the feeling of glutathione slightly more. I used to take them on the same days, but the powerful stimulation from NAD tends to overpower the smooth energy of glutathione. Now on the two days per week that I take glutathione, I do not take NAD so that I can fully enjoy that clean and calm energy.

Together these supplements have improved many of my blood markers, including liver enzymes and several other health indicators.

If someone can only choose one, I would recommend glutathione. But if a person understands the risks and can afford it, using both can be a very powerful combination. With both bigger is not better. Slow dose is my preference.

Have a great day and God bless.

Dr. Shawn Pourgol, MBA, DC, DO, DN, PhD
Osteopath, Naprapath, Chiropractor & Founder of:
National Academy of Osteopathy (Canada, USA)
National University of Medical Sciences (USA, Spain, Panama)
Osteopathy Chronic Pain Clinics of Canada (380 clinics in 34 countries)
Florida Naprapathic Association
World Osteopathy Day

What I decide here on this frozen lake may shape the future of manual osteopathy in the United States for decades, so I ...
02/28/2026

What I decide here on this frozen lake may shape the future of manual osteopathy in the United States for decades, so I want to proceed carefully. I have already consulted many of my top students and am now seeking broader guidance on creating a scope of practice for Doctors of Osteopathic Manual Practice (DrOMP) in the U.S.

As you know, certain National University of Medical Sciences alumni now have the right to use the title “Dr” through a federal exemption pathway. The American Association of Osteopathic Manual Practitioners has been tasked with developing the official scope of practice, and as its founder, I want to ensure we choose what is best for the profession.

My main concern is whether to include regulated acts such as HVLA techniques, lab testing, diagnostic imaging, and modalities like ultrasound and laser. While legally possible, these could create major conflict and opposition.

I am considering whether it is wiser to start with a simple, safe scope focused on unregulated manual care, similar to Canada, or adopt a broader scope like in the UK, France, and Australia, knowing it may lead to disputes.

Personally, I believe in a niche approach. I feel the profession should focus primarily on musculoskeletal conditions and functional impairments so the public clearly understands our role.
I welcome your thoughts. Your input may help shape the future direction of manual osteopathy in the United States.

Dr. Shawn Pourgol, MBA, DC, DO, DN, PhD
Osteopath, Naprapath, Chiropractor & Founder of:
National Academy of Osteopathy (Canada, USA)
National University of Medical Sciences (USA, Spain, Panama)
Osteopathy Chronic Pain Clinics of Canada (380 clinics in 34 countries)
Florida Naprapathic Association
World Osteopathy Day

Creating the Scope of Practice for Doctors of Osteopathic Manual Practice (DrOMP) in the United StatesOne reason we have...
02/25/2026

Creating the Scope of Practice for Doctors of Osteopathic Manual Practice (DrOMP) in the United States

One reason we have become the largest provider of manual osteopathic education worldwide is that I was financially secure before entering this field. I do not take any income from my schools. All revenue is reinvested to expand and strengthen the profession.

My current focus is the United States. Through my institutions, I have donated millions of dollars to support professional development there, including a recent contribution of approximately $900,000 Canadian ($650,000 USD) from the National Academy of Osteopathy (Canada) to the American Association of Osteopathic Manual Practitioners (AAOMP).

Selected graduates of the National University of Medical Sciences (USA) may use the title “Dr” in the United States after meeting specific requirements, including AAOMP membership. We are working on the requirements now and announce them when ready. The AAOMP has now been tasked with developing the official scope of practice for these doctors, and as its founder, I remain actively involved in this process.

Meaningful change in the United States requires working within the system, which takes time, strategy, and financial investment. That is how we have advanced the profession, and that is how I continue to work—by changing the system from within.

Dr. Shawn Pourgol, MBA, DC, DO, DN, PhD
Osteopath, Naprapath, Chiropractor & Founder of:
National Academy of Osteopathy (Canada, USA)
National University of Medical Sciences (USA, Spain, Panama)
Osteopathy Chronic Pain Clinics of Canada (380 clinics in 34 countries)
Florida Naprapathic Association
World Osteopathy Day

Using the Title of “Dr” in the United States ❤️I am pleased to announce that the National University of Medical Sciences...
02/09/2026

Using the Title of “Dr” in the United States ❤️

I am pleased to announce that the National University of Medical Sciences which I founded in 2012, has successfully secured the right for its manual osteopathy graduates to use the professional title of “Dr” in the United States. This recognition allows NUMSS graduates to use the title of Dr before their names while providing full scope manual osteopathic services in the U.S.

The privilege of using the title of “Dr” is granted only to selected graduates of NUMSS who meet specific eligibility requirements. These requirements include active membership in the American Association of Osteopathic Manual Practitioners, which I founded in 2018.

I will be leaving Naples today to visit the York University Heights campus of the National Academy of Osteopathy, where I will be teaching and attending the graduation ceremonies. After that, I will travel to Spain to complete required administrative work for our university. I will also be visiting Switzerland before returning home to Naples, Florida in approximately two months.

If you need to see me at NAO, please arrange an appointment with Maria.

Thank you, have a great day and God bless.

Dr. Shawn Pourgol, MBA, DC, DO, DN, PhD
Osteopath, Naprapath, Chiropractor & Founder of:
National Academy of Osteopathy (Canada, USA)
National University of Medical Sciences (USA, Spain, Panama)
Osteopathy Chronic Pain Clinics of Canada (380 clinics in 34 countries)
Florida Naprapathic Association
World Osteopathy Day

Manual osteopaths—interested in research funding?Would you like to conduct research in your own osteopathy clinic but ne...
01/23/2026

Manual osteopaths—interested in research funding?

Would you like to conduct research in your own osteopathy clinic but need guidance with study design, documentation, writing, and publication? We can help.

The Pourgol Osteopathy Chronic Pain Research Center (POCPR) is a non-profit organization supported by the National Academy of Osteopathy and the National University of Medical Sciences. Our mission is to advance the clinical effectiveness of manual osteopathy in the prevention and management of chronic pain.

We provide full support—from research design to publication in peer-reviewed journals—and cover all associated costs.

Publishing research establishes you as an authority, enhances professional opportunities, attracts patients, and strengthens the profession through evidence-based outcomes.

Please contact Katherine Weinberg at info@nationalacademyofosteopathy.us if interested.

Happy New Year!
01/01/2026

Happy New Year!

Please join Florida Naprapathic Association. Membership is free and open to all health professionals everywhere! My slee...
10/28/2025

Please join Florida Naprapathic Association. Membership is free and open to all health professionals everywhere!

My sleepless nights are back! Whenever I start a new project I get so energized I can’t even sleep! Right now I’m working to get naprapathy licensed and regulated in Florida. It’s one of the biggest projects I’ve ever taken on — costs about $2 million — and unlike Canada, there’s no personal payout here in the U.S. because the State controls regulation & licensing. But once profession is licensed, I’m confident we’ll have enough students to cover that cost. My schools believe in this and are helping fund it.

What we need from you is simple: show support by joining the Florida Naprapathic Association (FNA). There are two free membership categories right now — professional (for naprapaths everywhere, not just in Florida) and general (for everyone else, anywhere, not just Florida).

Your support gives us the momentum to finish this.

FNA website is being developed. Once ready you can approach them for membership but in the meantime send me an email to pourgol@pourgol.com and say you’d like to join the Florida Naprapathic Association. I will get FNA to send you the application form now.

Naprapathy has a bright future in Florida. I encourage everyone to enroll in the online Doctor of Naprapathy (DN) program offered by National University of Medical Sciences (USA & Spain). The 4-year program can be completed in 1–2 years on an accelerated basis, depending on your prior health education, and graduates will be grandfathered in Florida once regulation occurs.

Tuition is currently about €5,500 per year, but after regulation, it will become a 3-year full-time program with tuition rising to around $25,000 per year in Florida.

To learn more about our DN program please visit www.numss.com for our university in Spain and www.numss.us for the one in US. Thx.

Dr Shawn Pourgol

Florida Naprapathic Examining Board Established I’m excited to share that the Florida Naprapathic Examining Board has be...
10/21/2025

Florida Naprapathic Examining Board Established

I’m excited to share that the Florida Naprapathic Examining Board has been created & registered to ensure all naprapaths in Florida meet a minimum standard of knowledge and competency before becoming licensed.

This board will oversee the licensing exams and professional standards for naprapaths — helping guarantee that every doctor of naprapathy (DN) is properly trained and qualified to provide safe, effective care to the public.

An examining board is one of the key requirements for obtaining full state licensure and regulation of naprapathic medicine in Florida. It demonstrates that our profession is organized, accountable, and ready to meet the same expectations as other licensed healthcare fields.

This is a major step toward our ultimate goal — making naprapathic medicine a licensed and regulated profession in Florida.

Exciting News for Naprapathic Education in Florida! We are happy to announce registration of the Florida Council on Napr...
10/21/2025

Exciting News for Naprapathic Education in Florida!

We are happy to announce registration of the Florida Council on Naprapathic Education (FCNE) — a new governing body established to evaluate and accredit schools offering naprapathic programs in Florida

This is an important step forward in the mission to regulate and secure state licensure for the profession of naprapathic medicine. By setting clear standards and ensuring that all Florida naprapathic schools meet a minimum required level of education and training, FCNE can help protect the public, elevate professional standards, and strengthen the future of naprapathy in Florida.

The establishment of FCNE brings the naprapaths one step closer to achieving full state recognition for naprapathic medicine in Florida — something that will benefit every practitioner, student, and patient.

Together, naprapaths are building the foundation for a strong and respected naprapathic community in Florida.

I am pleased to announce the registration of the Florida Naprapathic Association (FNA), an organization created to promo...
10/13/2025

I am pleased to announce the registration of the Florida Naprapathic Association (FNA), an organization created to promote public awareness of the benefits of connective tissue therapy and to advance the official state licensure and regulation of naprapaths in Florida.

Our goal is to protect the public, strengthen professional standards, and secure the future of naprapathic medicine in our state.

Dr. Shawn Pourgol, MBA, DC, DO, DN, PhD

$20,000 Donation to the Coalition for Regulation of Manual Osteopathy in Ontario I have always believed in seeing the go...
10/10/2025

$20,000 Donation to the Coalition for Regulation of Manual Osteopathy in Ontario

I have always believed in seeing the good in people — and in return, God has blessed me with a good life. A life that allows me to give back and support causes that truly matter to me.

Most manual osteopaths in Ontario are my students, and many of them are deeply committed to advancing the regulation of our profession. My students are like family to me, and today I’m proud to support them by donating $20,000 to the Coalition for the Regulation of Manual Osteopathy in Ontario (CRMOO). I have also asked my schools and businesses to contribute to this important cause.

This is not the first time our profession has sought regulation. Previous attempts fell short because they were not inclusive — one group tried to control the process by excluding others. This time, things are different. The Coalition is built on inclusivity and unity. Every manual osteopath, regardless of where they studied, is welcome to join. All practitioners working in Ontario prior to regulation will be grandfathered into the new regulatory college once/if it is established. No one will be left out.

Membership in the Coalition is completely free. You do not need to donate — my contribution, along with support from the National Academy of Osteopathy (NAO), National University of Medical Sciences (NUMSS), and the College of Registered Manual Osteopaths (CRMO), will cover all expenses.

All you need to do is join the movement on Facebook by visiting:

👉 www.fb.com/groups/osteopathyregulation

Let’s unite to make manual osteopathy a regulated profession — to protect the public and to honor osteopathy’s deep Indigenous heritage.

Dr. Shawn Pourgol, MBA, DC, DO, DN, PhD
Osteopath, Naprapath, Chiropractor & Founder of:
National Academy of Osteopathy (Canada, USA)
National University of Medical Sciences (USA, Spain, Panama)
Osteopathy Chronic Pain Clinics of Canada (380 clinics in 34 countries)
World Osteopathy Day

Osteopathy Regulation in Ontario I’m happy to share some great news — the Ontario based, College of Registered Manual Os...
10/08/2025

Osteopathy Regulation in Ontario

I’m happy to share some great news — the Ontario based, College of Registered Manual Osteopaths (CRMO), together with the Coalition for Regulation of Manual Osteopathy in Ontario (CRMOO), has officially started the process of getting manual osteopathy regulated in Ontario.

As many of you know, osteopathy is part of the heritage of Indigenous Peoples. It’s only fitting that Indigenous Peoples lead this effort to protect and preserve that heritage for future generations while protecting people of Ontario.

The College of Registered Manual Osteopaths was founded and is led by Indigenous Peoples. It includes a Council of Elders and is supported by Indigenous Nations and communities across Canada.

Since most manual osteopaths in Ontario are my students, I want to give my full support to this initiative. While osteopathy’s roots belong to Indigenous Peoples, we want this process to be inclusive and open to everyone who practices or studies manual osteopathy.

Here’s what’s been decided by CRMOO so far:
-Free membership:
Any manual osteopath or current student in Canada can join CRMOO free of charge.

-Grandfathering for practitioners:
All practicing manual osteopaths who are members of CRMOO before regulation takes effect will automatically be accepted into the new regulatory college once it’s created.

-Grandfathering for students:
All current and future students of manual osteopathy programs in Canada who join CRMOO before regulation will also be accepted into the new regulatory college when it’s formed.

-Recognition for schools:
Manual osteopathy schools that join CRMOO will have their graduates grandfathered into the new regulatory college.

-Recognition for associations:
Any osteopathy association in Canada that joins CRMOO will have its members grandfathered and accepted into the new regulatory college.

-Representation on the board:
Every participating school and association will have one paid seat on the executive board of the new regulatory college.
In addition, First Nations, Métis Nations, and Inuit Nations that join CRMOO will each have one paid position on the board of the regulatory college as well.

Regulating a new health profession takes time and resources — it involves lawyers, lobbyists, and other professionals. As a member of the Southern Cherokee Nation and the Red Fire People, and a former Minister of Education for the Nation, I see it as my responsibility to help and support this effort.

The following organizations have already joined CRMOO and pledged to contribute funds toward the regulation project:

-National Academy of Osteopathy (Canada, USA)
-National University of Medical Sciences (Spain, USA, Panama)
-Osteopathy Chronic Pain Clinics of Canada
-College of Registered Manual Osteopaths
-American Association of Osteopathic Manual Practitioners
-OSTEO-MASSAGE Health Centers of America
-Canadian Naprapathic Association
-International Osteopathic Association
-Osteopathy Association of Panama
-Iranian Osteopathic Association
-U.S. Council on Osteopathic Manual Practice Education
-American Osteopathic Manual Practice Examining Board
-Indigenous Peoples Association of Osteopathy
-Canadian Manual Osteopathic Association
-Canadian Union of Osteopathic Manual

In the coming weeks, CRMOO will contact all osteopathy schools and associations across Canada to invite them to join.

Manual osteopaths and students are also welcome to join the movement by visiting our official CRMOO Facebook group (link below): https://www.facebook.com/groups/1084799586800929

Let’s work together to make manual osteopathy a regulated profession in Ontario — to protect the public, strengthen our profession, and honor the heritage of the Indigenous Peoples who gave osteopathy to the world.

Dr. Shawn Pourgol, MBA, DC, DO, DN, PhD
Osteopath, Naprapath, Chiropractor & Founder of:
National Academy of Osteopathy (Canada, USA)
National University of Medical Sciences (USA, Spain, Panama)
Osteopathy Chronic Pain Clinics of Canada (380 clinics in 34 countries)
World Osteopathy Day

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9240 BONITA BEACH Road SE, STE 3307
Bonita Springs, FL
34135

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