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    EP 10650 minNovember 11, 2026

    Stop selling your care one session at a time. (with Lesli Bitel)

    Registered dietitian and MBA Lesli Bitel on her Profit Pyramid and why one-off sessions turn every client into a critic.

    Guest: Lesli Bitel
    SHOW NOTES

    What we cover

    • When everything is fee-for-service, your clients judge every session on its own. Was that one worth it? Do I really need another? Lesli Bitel, a registered dietitian with an MBA, walks through her Profit Pyramid: a way to see your practice as a connected set of offers, so every client always has a next step with you.
    • What we cover
    • Why one-off sessions attract less committed clients, and what changes when someone says yes once to a three or six month program
    • The five levels of the Profit Pyramid and where to start if you only offer one-on-one today
    • How to turn a list of past clients into a continuation membership
    • Who to put in the same room, and why some groups are better kept separate
    • Why a membership doesn't need a library of courses to be worth paying for
    • Connect with Lesli Bitel — Website: leslibitel.com · Instagram: @leslibitel · YouTube · LinkedIn · Facebook
    • Free ebook: 5 Membership Myths That Are Keeping Health Professionals Stuck. Want help putting this in place? Apply for a complimentary business acceleration session. Lesli also goes live every Thursday at 12:30 PM Central with Private Practice RX on YouTube, Instagram and Facebook.
    • Let's Connect — Every new offer comes with new follow-up, new check-ins and new places for people to slip through. If you want to talk through what that looks like in your practice, send me a DM at @nicole.leadbetterhq.
    • About the Show — The Lead Better Podcast is where established health practitioners get honest about what it actually takes to run the business behind the practice.
    • Some links in this episode are affiliate links, which means Lead Better HQ may earn a commission if you sign up, at no extra cost to you.
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    TRANSCRIPT

    Episode transcript

    Nicole: Hi, and welcome back to Lead Better. My name's Nicole Harlow, and today my guest is Lesli Bitel. If your calendar's full of one-on-one sessions and you're starting to wonder how much longer you can keep this up, this episode is for you. Lesli is a registered dietitian with an MBA. She's a business consultant for integrative health pros. Her work helps practitioners move from one-to-one care into packages, programs, memberships and income that doesn't depend on every hour of your week. We're going to get into her Profit Pyramid today, and it was fascinating for me as we went through the different steps of the pyramid. I can really see the parallels for pretty much everybody I work with. So if you've ever thought, "I know I need a program, I just really don't know where it fits," grab your tea and stay with us.

    All right, everybody, I'm here with Lesli, and I'm so excited to have this conversation today.

    You know what you think happens when a new patient finds you.

    Want to know what actually happens?