5 High-Demand Add-On Services for Chiropractors
A quick pocket guide to the five most popular add-on services and how they can generate recurring revenue for your practice.
Why Chiropractors Are Adding New Services
Patients today are looking for more convenient, affordable, and accessible care like weight loss, hormone optimization and longevity. What they don’t want is to bounce between disconnected providers or start over every time a new health need comes up. The question is: Why are you sending your patients to someone else?
GLP-1 Search Data: Search demand for GLP-1s is up 127% year over year. (Google Ads Keyword Planner Search Data, Dec 2024 - Nov. 2025).
Sermorelin NAD+ Search Data: Searches for “sermorelin” were up 173%, “sermorelin and NAD+” were up 450%, and NAD+ were up 49% YoY. (Google Ads Keyword Planner Search Data, Dec 2024 - Nov. 2025).
Patient Conversations are Shifting
Once pain starts improving, patients begin asking different questions:
Why is my energy still low?
Why does recovery take longer than it used to?
Why do sleep, weight, or mood issues keep interfering with how I feel and move?
This reflects a broader shift toward quality-of-life concerns that unfold over months or years, not visits. Introducing new expectations for whole-health support and operations.
The Pressure Shaping Practice Decisions
Chiropractors today are faced with a pay for service model that is limited. To increase revenue you either have to work more hours, raise prices (potentially losing patients), or hire more staff (increasing overhead).
As a result, many practices are exploring ways to support care beyond episodic visits without taking on staffing, compliance, or licensing risk.
In this mini-guide, we’ll dive into:
The 5 most popular add-ons for chiropractors.
Why your practice is uniquely positioned to offer them.
Each add-on’s potential revenue impact to your business.
The Top 5 Add-On Services
This guide focuses on five high-demand services that surface in patient conversations:
Medical Weight Management
Hormone Replacement Therapy (HRT)
Testosterone Replacement Therapy (TRT)
Longevity-Focused Care
Whole-Health Offerings
1. GLP-1 Weight Management
Medical weight management has rapidly moved from specialty care into the mainstream, with GLP-1 medications driving unprecedented demand.
Market Snapshot
Global GLP-1 receptor agonist market projected to grow from ~$70B (2025) to $200B+ by 2033
Weight-loss–specific GLP-1 segment projected to reach $150B+ by 2030
Why Chiropractic Practices Are Well-Positioned
Weight, mobility, inflammation, and recovery are already linked in chiropractic care. Weight concerns often arise during ongoing treatment, after trust is built
Because patients already discuss lifestyle changes with their chiropractor, introducing a structured GLP-1 pathway feels like a natural extension of care rather than a referral or upsell.
Revenue & Growth Potential
GLP-1 weight management is typically delivered through monthly, cash-pay programs, creating predictable recurring revenue without increasing visit volume or staffing. Patients often remain enrolled for extended periods, supporting steady income beyond episodic care.
For chiropractic practices, these programs diversify revenue while strengthening patient retention. They shift care from one-time visits to ongoing relationships, increasing lifetime value without operational strain.
2. Longevity Care
Longevity care has rapidly evolved from fringe biohacking into a structured, clinical category focused on prevention, optimization, and long-term healthspan.
Market Snapshot
2026 projected longevity market size is $35.4B
The peptide therapeutics market was ~$117.3B in 2024
The NAD+ IV niche was ~$281–289M in 2023
Why Chiropractic Practices Are Well-Positioned
Chiropractic care is already centered on function, mobility, and quality of life. Patients often return over time to maintain progress and prevent setbacks.
Longevity programs extend this same focus on prevention and sustained health—without changing the chiropractic role.
Revenue & Growth Potential
Longevity services are usually offered through monthly or annual programs, rather than one-off visits. This structure supports consistent engagement and long-term patient relationships.
Because longevity care focuses on prevention and optimization, patients tend to stay involved over time, making it a strong source of stable, recurring revenue that complements maintenance-based chiropractic care.
3. HRT (Hormone Replacement Therapy)
Fueled by menopause awareness and telehealth access, hormone replacement therapy (HRT) has become one of the fastest-growing segments in women’s health.
Market Snapshot
Global HRT market valued at ~$23 in 2024 with projections reaching ~$39B+ by the early 2030s
Why Chiropractic Practices Are Well-Positioned
Many female patients engage with chiropractic care over long periods, often raising concerns related to energy, sleep, recovery, and quality of life once pain stabilizes. This makes hormone care a natural adjacent pathway without changing the chiropractic role.
Revenue & Growth Potential
Hormone replacement therapy is one of the longest-duration care pathways in whole-health services. Menopausal and perimenopausal symptoms often persist for years, which makes HRT well suited to subscription-based care models.
HRT programs are typically structured around:
Ongoing clinician oversight
Regular follow-ups and adjustments
Continuous patient education and support
This results in:
Durable monthly revenue
High patient retention
Deeper longitudinal relationships with patients
From a practice standpoint, HRT expands revenue without increasing physical visit volume, while also allowing chiropractors to stay connected with patients well beyond pain-focused care. The extended duration of hormone care makes it a particularly stable and predictable add-on for practices seeking to smooth revenue over time.
4. TRT (Testosterone Replacement Therapy)
Testosterone replacement therapy has shifted from a niche specialty service to a mainstream men’s health category. Growth has been driven by aging populations, increased screening, and greater awareness.
Market Snapshot
Global TRT market valued at t ~$3.62B by 2033
Why Chiropractic Practices Are Well-Positioned
Chiropractic patients already raise questions around fatigue, recovery, strength, and sustaining performance over time. TRT fits naturally into these conversations as part of functional health.
Providing a clear pathway to TRT programs allows practices to stay involved as patients pursue performance-focused care elsewhere.
Revenue & Growth Potential
TRT programs are commonly delivered as monthly, cash-pay memberships, centered on continuity, monitoring, and long-term optimization. Unlike episodic services, TRT requires ongoing engagement, which naturally supports recurring revenue models.
For chiropractic practices, TRT offers:
A way to retain male patients beyond short-term injury or pain care
A structured program that emphasizes consistency rather than one-off visits
Opportunities to bundle or complement other performance-oriented services
Because TRT patients typically remain in care for extended periods, these programs tend to support predictable revenue and sustained patient engagement, without adding operational complexity to the practice.
5. Outcome Support: Supplements & Premade Meals
Supplements and nutrition are already part of most patients’ health routines. What’s changed is the expectation for guidance. Patients increasingly want structure, personalization, and consistency tied to their care.
Market Snapshot (Side-Bar)
74% of U.S. adults use dietary supplements
The global clinical nutrition market size was estimated at $32.32B in 2024 and is projected to reach $55.92B by 2033, growing at a CAGR of 6.37% from 2025 to 2033.
Why Chiropractic Practices Are Well-Positioned
Recovery, inflammation, mobility, and maintenance are already common topics in chiropractic care. Supplements (protein, creatine, collagen, etc) and premade meals formalize these conversations into structured programs. Patients already trust their chiropractor’s guidance, therefore, nutrition and supplement programs feel like support, not retail.
Revenue & Growth Potential
Whole-health offerings such as supplements and clinically aligned nutrition programs are inherently repeat-purchase and subscription-friendly. Patients often use these products continuously as part of recovery, maintenance, or wellness routines.
These programs help practices:
Reinforce outcomes between visits
Stay involved in patients’ daily health habits
Generate ongoing ancillary revenue tied to care plans
Unlike retail supplement sales, structured outcome support programs feel like an extension of care, supporting trust, adherence, and long-term engagement.
Add On New Services in as Little as a Week
Your patients know you. They trust you. And increasingly, they’re asking about more than pain relief: weight, hormones, longevity, and whole-health support.
The opportunity isn’t adding more visits. It’s offering high-demand services through the relationships you’ve already built.
The challenge: prescribing, hiring medical staff, or managing compliance, labs, or follow-ups.
That’s exactly what OpenLoop is built for.
OpenLoop is the behind-the-scenes clinical infrastructure that powers add-on services for chiropractic practices. We enable you to offer GLP-1 weight management, HRT, TRT, longevity, and nutrition programs—without changing your scope, staffing, or operations.
Keep your brand and patient relationships
Your patients get access to the programs they want at affordable prices
OpenLoop handles the clinicians, compliance, medications, prescribing and support
Builds predictable recurring revenue
You don’t change how you practice. You simply expand what your practice can offer.
If you’re ready to turn patient trust into recurring, cash-pay revenue, without adding complexity, OpenLoop can get you launched in as little as a week.
*This content is intended for general informational purposes only and should not be construed as legal advice. For guidance on your specific situation, please consult a licensed attorney.