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Gratitude and Athletic Performance: Getting a “Protective” Edge

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“Grateful athletes do not rely on winning… They want to win, but appreciate their process, the competition, and the challenge.”

– John Haime 

Did you know that gratitude can give you an edge in physical performance and competition?  

Athletes with tremendous gratitude may be less likely to fall prey to physical or emotional burnout!  

Research published in February 7, 2021 in Sage Journals found that athletes who were higher in gratitude experienced fewer symptoms of burnout and tended to have more supportive relationships with their coaches. These findings are consistent with prior research on the relationship-building capacity of appreciation and its general boost to well-being and performance. 

Even if you are not an athlete, this is good news: whatever physical or competitive activities you participate in, cultivating gratitude can help you stay healthy and avoid burnout. 

Gratitude Action Step 

During your regular participation in sports, exercise, or any other physical or competitive activity this week, try to approach it from a perspective of gratitude. Cultivate gratitude for the action itself, the resources that make it possible, your team or supporters, and even your competitors; after all, without worthy competitors, there would be no competition!  


Gratitude and Resilience: Being Thankful Builds Our Resources

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“Finding gratitude and appreciation is key to resilience. People who take the time to list things they are grateful for are happier and healthier.” – Sheryl Sandberg 

If you want to build your resources, become mentally stronger, and dedicate yourself to self-improvement, science is precise: practice gratitude. 

When we practice gratitude regularly, it changes our approach to the world around us. We can better see the positive in life. We start looking for the positive instead of being distracted or overwhelmed by the negative. And when we start looking for the positive, we find it—along with other helpful resources. 

Researchers from Nanyang Technological University in Singapore found a significant link between gratitude, resilience, and well-being.1 Not only did gratitude improve students’ resilience and well-being, it also helped them relate to others better, which further contributed to higher resilience and well-being. 

Noticing and being thankful for what we have makes us more open to learning experiences and relationships with others, which are powerful resources for us to draw from. If you want to be more resilient when life gets tough, give gratitude a try 

Gratitude Action Step 

Practice noting what you are grateful for daily. Set a goal to express gratitude to at least one person a day. A gratitude attitude will boost your resilience and make it easier to weather the storm when it inevitably comes.  



Gratitude and Team Dynamics

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You probably know that expressing gratitude to others can improve your well-being and your relationships, but did you know that it can also improve your productivity and effectiveness at work or school? Showing gratitude to others is not just about making us feel good—it affects how we work together. 

A study published in the Organizational Behavior and Human Decision Processes journal[1] tested the differences in team performance with a neutral condition, a gratitude condition, and a positive emotion condition. Those in the neutral condition received a prompt to spend 5 minutes writing about a typical day. Those in the gratitude condition received a prompt and spent 5 minutes thinking and writing about why they were grateful for their team members. In comparison, those in the positive emotion condition wrote for 5 minutes about things that made them happy.  

The researchers found that those in the gratitude condition elaborated on their ideas more, valued different perspectives, and ultimately showed significantly more team creativity than the other groups. Priming the teams with gratitude made members more open to each other’s ideas and improved information processing. 

These results show that gratitude is not only a good way to improve our mood and relationships; it can also help us improve our performance. 

Gratitude Action Step 

The next time you meet with a team to work on a project, take a few moments in the beginning to share a little gratitude for one another. It will get your meeting off on the right foot and improve your final product! 


Gratitude and Relationship Satisfaction

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Thousands of coaches, therapists, courses, and programs focus on improving relationships and strengthening marriages. These sources allow you to learn many different ideas, techniques, and approaches. Still, one thing you are sure to find in all the places worth visiting is this: having gratitude for one another leads to better relationships. 

When we actively practice gratitude for the good things in our life, our significant others generally find their way onto the list sooner rather than later (if not, perhaps the relationship needs to be reexamined). People bring our lives meaning and happiness and add to our day-to-day in ways that delight and comfort us. It is easy to be grateful for those we love, contributing to an even better relationship. 

Research from the Family Institute at Florida State University [1] showed that gratitude prayers significantly impacted relationship satisfaction. A further study from Hong Kong Polytechnic University and the J&L Research and Consultancy Group found evidence that practicing gratitude alone can boost relationship satisfaction but that expressing it to one another authentically improved satisfaction beyond practicing gratitude alone.​​​​​​ 

The bottom line? When we are more positive and thankful for our loved ones, we both benefit. 

Gratitude Action Step 

Take a few minutes today to consider why you are grateful for your spouse or significant other. List the things that you are grateful to them for, and share that list with them. 

If you do not have a significant other right now, think about a dear friend or family member instead—gratitude can help strengthen all kinds of relationships! 



Submitted by Courtney E. Ackerman,

Positive psychologist, Researcher, and Author

Top Things to Know About Recreational Marijuana Legalization in Maryland

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Last month, voters in Maryland and Missouri approved legalizing recreational marijuana in a constitutional amendment. In all, 21 states, including DC, have now approved the recreational use of marijuana. 

Maryland’s new legislation states that recreational marijuana will be legal after July 2023 for people 21 years of age and over.  The General Assembly, however, left matters of licensing and taxes for lawmakers to decide next year.

In a recent live interview, Dr. Bhodi Tims, Program Director of Cannabis Science Programs at MUIH, reviews the recently approved ballot measure to legalize marijuana in Maryland and the unique aspects of our Cannabis Science Certificate. 

What the new legislation does: 

  1. Collects data on poison control calls to prepare for potential adverse side effects to increased recreational use.
  1. Provides cannabis assistance funds to provide grants, loans, license application, access, and assistance with gaining capital to historically black colleges, and female-owned owned companies around cannabis programs.
  1. Defines legal limits of possession. Those 21 and older can possess 1 ½ ounces of cannabis or 12 grams of a cannabis concentrate.
  1. Creates usage parameters with corresponding fines and penalties. For example, you can’t smoke in public.
  1. Forms public health advisory councils  if there are united health concerns.
  1. Earmarks funding to benefit low-income communities, and that have been disproportionality harmed by cannabis prohibition.
  1. Researches home cultivation options for medical use.

Currently, laws do not regulate dispensaries or the actual product development. How it will be grown, manufactured, and distributed has yet to be determined.  

There is a large amount of job growth in this industry, and it will increase even more when federal legislation takes place. MUIH is currently preparing its students for new opportunities in the growing fields of dietary and medical use of cannabis by training them to meet the continually growing demand. 

According to Dr. Tims, the range of products, from traditional products (tinctures, flower buds, pre-rolls) to high-end artisanal consumer products (solventless extracts, edibles, beverages) to pharmaceutical products, provide a variety of entry points into the industry. The level of innovation, he says, is exciting and will have a lasting impact on the herbal supplement field.

Current growing and manufacturing practices produce end products that require extensive testing for heavy metals, residual solvents, pesticides, and adulterants. The growing process also creates unsustainable environmental waste. As the industry matures, consumers and producers will find success in demanding a high-level commitment to the quality of the product and how it’s produced, which is what MUIH programs are committed to.  

Click here to watch the interview and learn more. 

Moment of Gratitude: Gratitude and the Witnessing Effect

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Gratitude and the “Witnessing Effect”

“Appreciation is a wonderful thing. It makes what is excellent in others belong to us as well.” – Voltaire

When people hang out in groups (as people tend to do), they start behaving similarly. Different groups will form different norms and expectations for behavior, which is why we have distinct cultures, cliques, and tribes.

One powerful phenomenon that influences behavior in groups is called the ‘witnessing effect’. Essentially, people watch how others within their group interact and have an emotional reaction to what they see, impacting how they think and feel about themselves. This is a powerful tool for shaping behavior, and it can be used for good.

When we express gratitude to others, it doesn’t happen in a vacuum; other people are watching. They’re watching how we show our gratitude to others and how the recipients of our gratitude respond to us. Research from the University of North Carolina at Chapel Hill has shown that when a person expresses gratitude towards someone[1], third-party observers feel more positively about that person and are more likely to be kind and helpful toward them.

This means that sharing our gratitude with others is not only good for us and good for them, it is also good for our group. It turns out that everyone benefits from expressions of gratitude!

Gratitude Action Step

This week, be sure to share your gratitude with a friend, family member, or peer, and don’t be afraid to do it in a virtual group setting. Make showing gratitude the norm in your group, one “thank you” at a time.


The Power of Gratitude Meditation

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“It is through gratitude for the present moment that the spiritual dimension of life opens up.” – Eckhart Tolle

Meditation is a powerful tool for enhancing our well-being and helping us create a sense of peace in the mind. It’s a great tool for anyone looking to boost their mindfulness and feel more calm and collected. But you might not know that you can also use meditation to feel more gratitude.

Gratitude and meditation go hand in hand. Some say that meditation and mindfulness are inherently grateful acts; when we are present in the current moment, we can’t help but be grateful for that moment.

Whether meditation is inherently an act of gratitude or not, it’s certainly connected. A 2016 study from Ohio State University found that people who meditate regularly enjoy greater well-being, self-compassion, and—you guessed it—gratitude. It turns out that being present in the moment and present in our bodies is key to enjoying all of life’s little pleasures.Gratitude Action Step  Give gratitude meditation a try to boost your mindfulness and your gratitude. Here are the basic steps:

  1. Sit in an upright position with your eyes closed and your hands resting on your legs or knees.
  2. Take a deep breath in through your nose and out through your nose as you settle into the present moment.
  3. Think about all the things you have to be grateful for in your life. If you have trouble thinking of things to be grateful for, start with this list: life itself, your five senses, shelter to protect you each night, food and water to sustain you, and people who love you.
  4. Focus on the feelings of gratitude that arise, and build on them by adding to the list.
  5. Sit with these feelings of gratitude and let them wash over and through you.

Treating Anxiety Through Nutrition

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Treating Anxiety through Nutrition

Written by By Dr. Ann Ije, ND

What is anxiety? 

According to NIH, anxiety is an ordinary phenomenon that most people go through during difficult periods in their life. There are many life altering situations that can bring about anxiety on any given day for people. Some situations that often bring about anxious feelings are standing in front of a large crowd to recite a speech, driving a highway, taking a very important exam, a job interview, moving to a new location, meeting new people, or making an important decision. The examples of anxiety mentioned above normally occur transiently and the feelings soon disappear. However, the inability to stop worrying or being anxious in the face of fear may point towards a more serious problem. People who suffer from anxiety disorder feel anxious or worried all the time, and that feeling tends to worsen over time. Symptoms relating to anxiety disorder can interfere with daily activities such as schoolwork, job performance, and home life. Keep reading to learn how you can be treating anxiety through nutrition. 

What role do neurotransmitters play in anxiety disorder?

Neurotransmitters play a very important role in the manifestation of anxiety. The three neurotransmitters that are linked to anxiety disorder are serotonin, epinephrine/norepinephrine, and GABA. Low levels of serotonin, which can occur due to heightened emotions can lead to anxiety. When there is too much norepinephrine/epinephrine or “adrenal rush” it can cause symptoms like increased heartbeat and sweating causing one to become increasingly anxious or stressed. Finally, GABA is an inhibitory neurotransmitter, which means it down regulates anxiety and associated symptoms, causing one to be less anxious and in a calmer state.   

Nutrition and Anxiety Support 

Now that we discussed what anxiety is and the neurotransmitters involved in anxiety and its regulation, we should discuss how nutrition affects anxiety and how you can be treating anxiety through nutrition. Did you know that 95% of serotonin is found in the gut lining? There seems to be an intimate connection between mood, nutrition, and our digestive tract. An anti-anxiety diet consists of foods containing high amounts of magnesium, zinc, omega 3 fatty acids, probiotics, and B vitamins. Magnesium is a mineral that produces calming effect and can be found in leafy greens such as Swiss chard, spinach, legumes, nuts, and seeds. Oysters, cashews, and egg yolks are some examples of zinc containing foods. Omega 3 fatty acids found in fatty fish, chia seeds, flaxseeds, and other nuts and seeds may provide an anxiety reducing effect. Probiotics in kefir, yogurt, and miso, and kimchi help feed the gut microbiome which supports overall gut health. Lastly, avocados and almonds are a great source of B vitamins.

These food recommendations are not meant to deter anxiety sufferers from using medications as treatments, but only serve as a great addition to any anti-anxiety protocol. Talk to your healthcare provider about including a great nutrition plan in your treatment of anxiety for increased chances of success in overcoming challenges relating to anxiety disorder and treating your anxiety through nutrition.

Natural Care Center (NCC)

Looking to see a Nutritionist at the Natural Care Center to meet your nutritional needs? Integrative nutritionists use science-based diet and nutrition therapies to support your personal health and well-being. They recognize that individualized nutrition is essential to health and their integrative approach is not limited to one dietary theory. And for more than 40 years, the Natural Care Center at Maryland University of Integrative Health, which includes our student teaching clinic and professional practitioners, has provided powerful, meaningful, and effective healing experiences for patients and clients that arrive with a wide array of health challenges.

During your first visit at the NCC, your practitioner will gather information about your health and personal history, review your dietary preferences and health concerns, and assess your nutritional status. Together with your nutritionist, you will craft a personalized nutrition plan to start you on your path to greater health and vitality.To talk with someone about making an appointment, call 443-906-5794 or email .


Uma Naidoo, M. D. (2019, August 28). Nutritional strategies to ease anxiety. Harvard Health. Retrieved March 18, 2022, from 

U.S. Department of Health and Human Services. (n.d.). Anxiety disorders. National Institute of Mental Health. Retrieved March 18, 2022, from  

The Benefits of Massage for TMJ

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Written by Missy Steger, LMT

How Does TMJ Develop? 

The most common cause of Temporomandibular joint dysfunction (TMJ) pain is from grinding and clenching the teeth. This occurs mostly when sleeping or during stressful moments in the day. Other causes can be from arthritis, overuse, injury, and structural issues.  One of the most popular treatments is a mouth guard from the dentist that protects the enamel of your teeth. With constant grinding and clenching, the tooth itself can wear quickly leading to tooth loss and nerve damage. As for clenching our teeth when stressed, our brain gets a feeling of satisfaction from feeling the two layers of teeth together. This is a self-soothing behavior that unfortunately damages our teeth. The mouth guard places a layer of material between the teeth so that brain cannot get that stress relief it is looking for. Over time, our brain will find another outlet. Other forms of treatment may involve antidepressants, physical therapy, anti-inflammatories or anti-depressants. (Dimitroulis, 2018)   

Symptoms of TMJ 

If you suffer from this, you know about the headaches, neck pain, and loss of function. TMJ Syndrome effects muscles of the skull and neck such as the temporalis, masseters, pterygoid group, sternocleidomastoid, scalene, splenius group and the occipitals. The referral pain from these muscles can lead to various types of headaches, neck pain, muscle stiffness, clicking and popping of the jaw, tinnitus (ear ringing), mock sinus infections, dizziness, and blurred vision. (National Institute of Dental and Craniofacial Research).  

How Massage Helps  

As a licensed massage therapist, I will work with the muscles related to the jaw from multiple angles to address the pain and dysfunction from the tight muscles related to the temporomandibular joint. I may even put on gloves and go inside the mouth to address tight bands of fiber and trigger points in the smaller muscles directly related to the movement of the jaw. This 30–60-minute massage may also entail working on local muscles of the face and scalp, as well as the neck and shoulders to address all associated musculature and referral pain patterns. (Flagg, 2009). Massage can also support various treatments by communicating with your medical team for an integrative approach.  In my treatment room I treat the patient, not just the symptom, so each appointment will begin with a thorough intake to provide an individualized treatment plan.   

I Feel Your Pain 

Patients are always asking me “Can you feel it?”. My answer is usually “If you are feeling it, so am I”.  This is because I feel with my hands, and then react to what is under them and what a patient’s body is communicating from a particular technique.  In this case, I also have a particular empathy as I understand what this type of pain syndrome feels like.  Not only am I prone to clenching and have been wearing a mouth guard for years, but I also suffered from a traumatic injury to the jaw dislocating it from the joint.  Being a patient myself, I have a deeper compassion and understanding as I work with those seeking relief.   

Natural Care Center (NCC)

Looking to see a Massage Therapist at the Natural Care Center? Therapeutic or medical massage employs a variety of modalities in order to address underlying conditions, injuries, pain, or stress. Techniques such as lymphatic drainage, shiatsu, deep tissue, and other focused treatments are used to achieve specific goals set by the patient and massage therapist.

During your first visit at the NCC, your massage therapist will review relevant information and formulate massage sessions that target to your specific needs. To talk with someone about making an appointment, call 443-906-5794 or email .


Dimitroulis, G. Management of temporomandibular joint disorders: A surgeon’s perspective. ( Australian Dental Journal. 2018;63 Suppl 1:S79-S90. 

National Institute of Dental and Craniofacial Research. TMJ (Temporomandibular Joint & Muscle Disorders. ( Accessed 4/23/22. 

Flagg, Retta. (2009). Massage for TMJ Syndrome (live). 

The Practice of Mindful Eating – Exploring the Research

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By Keegan Abernathy MS, CNS, LDN

Nutritional science typically explores the effect nutrients, foods, and eating patterns have on human biochemistry and health. But what about how we eat? In this post, I will explore the practice of mindful eating and its researched effects on health and psychology. 

Mindful Eating vs. Mindless Eating

To understand what mindful eating is and how it works, it is helpful to understand its opposite behavior. We can categorize a very common way of eating as mindless eating. This occurs when we are not aware of our experience of eating. There are many factors that can induce mindless eating such as stress, difficulty regulating emotions, being distracted while eating, or eating too quickly. Social situations, culture, and familial conditioning also play a role in how mindfully we eat (Wansink, 2010). Food choices can become more challenging when we haven’t eaten all day which means it is easier to eat mindlessly. 

What Is Mindful Eating?

Mindful eating happens when we are fully aware of the experience of eating. It includes noticing the flavor, satisfaction, smell and feel of food being eaten. When eating mindfully, one can notice internal states such as hunger level, satiety, and physical fullness (Kristeller et al., 2014). There tends to be self-reports of increased pleasure and satisfaction from food with the practice of mindful eating (Kristeller et al., 2014). Mindful eating can happen naturally, but its occurrence can be limited by learned eating habits, emotional states, and distractions (Wansink, 2010). Cultivating mindful eating as a new habit can occur with the support of training and practice. The Mindfulness-Based Eating Awareness Training (MB-EAT) is a studied approach to eating mindfully. This training is a non-dieting approach to eating that teaches participants to become aware of the complexity, choices, and experiences that occur while eating (Kristeller et al., 2014). 

Researched Effects of MB-EAT

Several studies have been conducted exploring the effects of MB-EAT. Kristeller & Hallett (1999) performed a single-group, extended baseline follow-up design that included 18 participants, most of whom were obese middle-aged women with binge-eating disorder (BED). After MB-EAT intervention, binge episodes decreased from 4 per week to 1.5. Measures of depression and binge severity also decreased. In a randomized clinical trial, 194 adults with obesity were randomly placed into a 5.5 month program that either included MB-EAT or did not include MB-EAT (Daubenmier et al., 2016). While there were no substantial differences in weight loss between the groups, cardiometabolic markers such as fasting glucose and lipids were improved in the treatment group receiving MB-EAT.

Please note that this post is for educational purposes only. It is not a substitute for professional care by a physician or other qualified medical professionals. It is provided on the understanding that it does not constitute medical or other professional advice or services. If you are interested in nutritional support, consider reaching out to the Natural Care Center for consultations by calling 443-906-9754 or emailing  

Natural Care Center (NCC)

Looking to see a Nutritionist at the Natural Care Center to meet your nutritional needs? Integrative nutritionists use science-based diet and nutrition therapies to support your personal health and well-being. They recognize that individualized nutrition is essential to health and their integrative approach is not limited to one dietary theory. And for more than 40 years, the Natural Care Center at Maryland University of Integrative Health, which includes our student teaching clinic and professional practitioners, has provided powerful, meaningful, and effective healing experiences for patients and clients that arrive with a wide array of health challenges.

During your first visit at the NCC, your practitioner will gather information about your health and personal history, review your dietary preferences and health concerns, and assess your nutritional status. Together with your nutritionist, you will craft a personalized nutrition plan to start you on your path to greater health and vitality.To talk with someone about making an appointment, call 443-906-5794 or email .


Daubenmier, J., Moran, P. J., Kristeller, J., Acree, M., Bacchetti, P., Kemeny, M. E., … & Hecht, F. M. (2016). Effects of a mindfulness‐based weight loss intervention in adults with obesity: A randomized clinical trial. Obesity24(4), 794-804.

Kristeller, J. L., & Hallett, C. B. (1999). An exploratory study of a meditation-based intervention for binge eating disorder. Journal of Health Psychology. 4(3), 357-363.

Kristeller, J., Wolever, R. Q., & Sheets, V. (2014). Mindfulness-based eating awareness training (MB-EAT) for binge eating: A randomized clinical trial. Mindfulness5(3), 282-297.

Wansink, B. (2010). From mindless eating to mindlessly eating better. Physiology & behavior100(5), 454-463.

Legal Tips for Integrative Health Professionals: Why it Pays to be Legally Covered

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Legal Tips for Integrative Health Professionals: Why to Pays to Be Legally Covered

By: Lisa Fraley, MUIH Professional and Continuing Education (PCE) Guest Faculty, JD, CHHC, AADP, Legal Coach®, Attorney, Speaker & #1 Best Selling Author

If you’re like most holistic health entrepreneurs, you’re probably thinking:

The last thing I want to do is deal with the legal stuff in my business.
Why are lawyers so expensive anyway?
Do I REALLY need to have legal documents on my website and for use with clients?

Can’t I just grab something cheaply off of the internet? Or better yet, can’t I just copy my friend’s legal document?

I know, I know. It’s not everyone’s idea of fun to get your legal documents in place. (Especially if you’re getting them without any Legal Love™ coming your way.)

You just want to:

  • focus on what you do best – working with clients and changing the world.
  • get what legal doc is fastest, easiest and cheapest, so you don’t have to spend too much money (or really ANY money).
  • buy some really cheap legal doc from an online service or use someone else’s document in your field.

Aren’t all legal docs essentially the same anyway?

Nope! They aren’t all the same.

Like with most things, when you’re trying to take a shortcut or the easy way out, you get what you pay for. The cheap version breaks. It gives out. It ends up being flimsy. It doesn’t hold up.

The same is true when it comes to legal documents.

Legal Love Tip™: Copying your friend’s legal document could make it worse. 

Here are 3 reasons why:

  1. It may not even fully cover you.

If your friend cut and pasted the wrong language from the internet or used someone else’s document, you could be exposed.

You could be getting a chopped up, piecemeal document (that neither you nor they know is piecemeal).

You could use a document that doesn’t even apply to you.

You could copy someone else’s legal document and make it worse than not having one at all.

One health coach client came to me to have me review her Client Agreement… only it was a template she got off the internet for a CONSTRUCTION company. She had no idea it was full of language that made no sense for a health coach and that could hurt her. I kid you not.

Even if a document was initially prepared by a lawyer, I can’t tell you how many times people try to edit their own legal documents and make mistakes.

Both of you could end up using legal language that doesn’t sufficiently cover either of you which can leave you open to giving refunds or dealing with conflicts and confrontation from clients or other people.

  1. It could be a violation.

Unbeknownst to you, copying a friend’s document is actually taking (some might say “stealing”) work that someone else paid for.

You might be violating their copyright rights. You might be using the document without permission.

Even if they say “it’s okay” to copy their document, it might not be okay. They could be violating copyright laws by giving it to you. Don’t put them or yourself in that position.

  1. It can be bad karma.

Copying someone else’s work probably isn’t truly in alignment with your core values and the type of person you want to be.

It can be bad juju. It can be low-vibe.

It’s not showing respect for your work or business or for other people’s work or business.

Did you know that when you put legit contracts and terms in place, you support your sacral chakra?

Your sacral chakra is your 2nd chakra down in your hip region “where all of the good stuff lives”, as I like to say. When you use high vibe (not copied!) legal documents, you’re aligning yourself with expansiveness, abundance, and boundaries associated with the sacral chakra.

You’re showing respect for your business – and as you do so, other people will tend to show your business trust and respect too.

Here’s to taking the time to get the right legal documents and legal tips for integrative health professionals for YOUR business by doing it right and honoring yourself and your biz – and not copying others’ docs.

As a MUIH PCE Partner*, we’re excited to extend a special 10% discount to the MUIH Community on all Legal Love trusted DIY Legal Templates with the promo code MUIH at checkout! 

With Legal Love™,

P.S. Hear more about these reasons and also receive 3 tips for choosing the right documents for you in this previously-aired Legally Enlightened Podcast Episode HERE. And if you need help with getting legal docs for your biz, just hit reply and let us know. We’re always happy to help or to refer you to another attorney who can help you.

Easy legal steps for entrepreneurs and small business owners – with lots of Legal Love™.
Get free legal tips, DIY legal templates and online legal courses at

Legal Tips for Integrative Health Professionals

Legal Tips for Integrative Health Professionals

*Affiliate Disclosure:  MUIH receives a referral commission on all purchases made through the MUIH partner link with the exclusive MUIH partner discount.  There is no additional cost to you by using this link, and your generous support allows us to offer more Professional and Continuing Education (PCE) programming in the future.