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What if the fix for “non-adherence” isn’t motivation, but the size of the next step? We sit down with Dr John Oberg of Precina Health to unpack a protocol that treats the whole person and then shrinks change until success is likely. Starting with medication correctness and adherence, and only then moving to lifestyle when someone is ready, John’s team has posted outcomes that stand out: a rural pilot moving average A1C from 9.6 to below the diabetes threshold with two years of stability and zero hospitalisations, and an IRB‑reviewed study shifting 11.06 to 7.2 in six months with 30% off insulin.
John explains how their intake spans comorbidities, mental health split into illness‑driven and independent buckets, and non‑clinical barriers like stress and access. Severity scoring meets readiness for change to reveal the smallest lever with the biggest payoff. A coordinated pod—physician, advanced practitioner and therapist—works from a unified plan, aided by AI that surfaces key chart details, automates meal planning, reduces documentation and flags exceptions early. Instead of overwhelming patients with conflicting advice, the team focuses on one right next step: swap a creamer before you rewrite a diet; walk to the mailbox before you chase miles; titrate meds every 72 hours only when data supports it.
We also dive into how this behavioural engine applies to hypertension, heart failure, COPD and asthma; why supplements should be judged on safety and evidence without dogma; and how consumer expectations can be channelled into healthy agency when a clinician sets guardrails. John is candid about the hardest part—cutting through marketing noise in a trillion‑dollar problem space—and the KPIs they watch to stabilise habits so improvements stick after intensive care winds down.
If you’re a clinician looking to reduce treatment burden, or a patient tired of plans too big to live, this conversation offers a practical, humane blueprint for change that lasts. If it resonates, follow the show, share it with a colleague and leave a review to help more people find it.

👤 Guest Biography

Dr. John Oberg is the founder of Precina Health, a pioneering organization transforming chronic illness care through behavior-driven protocols and hyper-personalized treatment plans. With a background in social work, health systems innovation, and business, Dr. Oberg is passionate about helping vulnerable patients avoid hospital visits through incremental lifestyle change and integrated mental and medical care. His team has achieved remarkable clinical results, including reducing insulin dependence and achieving long-term blood sugar control in high-risk diabetic populations.

Contact Details

• 🌐 johnoberg.com
• 📧 [email protected]
• 🔗 LinkedIn
• Podcast: https://talesofabundance.com/