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Dr. Trust Me BroDr. Trust Me BroIndependent data journalism · wry humor

Casey C Smith alias The Metabolic Adjuster

dispensing certainty at Shift Integrative Medicine

Website · askdrsmith.com

Practice location

23 West Main Street #Suite 2

Crosby, MN 56441

Bottom line

Funnel-first framing that runs on persuasion, light on published evidence.

  • Of 17 health claims, 15 run counter to or conflict with the published evidence, and 2 were not independently checked.
  • Primary persuasion tactic: New patient special.
  • Stated credentials look inflated relative to the advice given.
  • Profits from the products and labs they recommend, with no clear disclosure.
  • Gives advice beyond what their license covers.
Dr. Trust Me Bro says

Ah yes, the full-spectrum spine-to-metabolism empire: a chiropractic office that doesn’t just want your neck, it wants your labs, your chronic symptoms, and your supplement cart. Why settle for back pain when you can upgrade to a proprietary wellness program with a side of diagnostic grandeur?

85/100

High grift signals

8 critical1 high0 medium0 low

Score breakdown

0/100
Credentials
The license is real; the lane it is driving in is not. Public scope records flag this doc bro practicing well past what that license actually authorizes.
82/100
Manipulation
The page mixes vague root-cause language, broad disease-sounding claims, and a proprietary program pitch, which is a polished trust-engine rather than plain patient education.
88/100
Sales funnel
There is a new-patient special, a supplement dispensary, comprehensive lab testing, and proprietary consultations/programs/support all in one path, which is a nicely layered monetization stack.
65/100
Grift map
1 store link with no FTC-style disclosure.
20/100
Evidence gap
3 of 15 literature-checked claims unsupported.
67/100
Bro energy
This has the classic doc-bro energy of 'we do everything from headaches to metabolism to root causes,' but it stops short of a full recruit-your-audience affiliate machine.

Direct answer

Casey C Smith is licensed in Minnesota as a chiropractor (DC), not as an MD or DO, and Minnesota's chiropractic scope statute (Minnesota Statutes § 148.01, subd. 1(2); subd. 4) limits that license to musculoskeletal care, not the diagnosis or treatment of systemic disease. Even so, they advertise diagnosing or treating Fibromyalgia, Thyroid Relief, neuropathy, and weight loss, conditions that belong with endocrinologists. Those same pages route patients toward supplements, lab panels, and paid programs that Casey C Smith profits from.

Key findings

  • Sales Funnel Motive: A discount/offer CTA is a classic conversion hook: get the visitor in the door first, then upsell from there.see section ↓
  • Claim "Chiropractor treatment of neuropathy": not supported by peer-reviewed evidence.see section ↓
  • Claim "chiropractic treatment can be used to treat a wide variety of physical issues, such as mi…": mixed in the medical literature.see section ↓
  • NPI registry confirms CASEY C SMITH as Chiropractor (DC) in Minnesota (NPI 1306823265).see section ↓
  • Casey C Smith shows credential inflation relative to stated vs likely credentials.see section ↓
  • Dr Casey C Smith is marketed with a doctor title, but reviewed credentials indicate Chiropractor (DC) rather than an MD/DO physician license.see section ↓
  • Against Minnesota Board of Chiropractic Examiners scope rules (Minnesota Statutes § 148.01, subd. 1(2); subd. 4), these advertised activities appear outside Casey C Smith's license (including conditions they merely list as ones they treat): Fibromyalgia, Thyroid Relief, neuropathy.see section ↓
  • 7 of 18 advertised activities fall outside permitted Chiropractor scope in MN.see section ↓

Claims & evidence

In their own published words, they present themselves as qualified to treat, or give advice on, 6 conditions or treatments. A chiropractic license covers the spine, joints and muscles, and the scope review placed each one outside it. Each box leads with state-board scope notation; literature cross-check follows when we matched a specific claim. Every card carries its receipts: the quoted wording, a live source link, and an archived copy.

Outside scopeListed service

Casey C Smith is not licensed or approved by Minnesota Board of Chiropractic Examiners to diagnose, treat, or cure Fibromyalgia.

Fibromyalgia

8 trials, evidence split

PubMed indexes 8 randomized human trials on this intervention and outcome. The randomized evidence in our literature check does not point one way. Some small trials report improvements with chiropractic as part of broader programs, while reviews find no clear or reliable benefit for fibromyalgia symptoms.

Randomized human trials
8
Animal or in-vitro only
0

Search: (spinal manipulation OR chiropractic) AND (fibromyalgia)

Supports
There are some small randomized and nonrandomized clinical trials suggesting that chiropractic or spinal manipulation as part of a multimodal program may improve pain, function, or range of motion in fibromyalgia, but these are preliminary and often methodologically weak. Narrative and umbrella reviews identify several RCTs (e.g., spinal manipulation added to exercise or multimodal programs, upper cervical manipulation trials) that report improvements in fibromyalgia outcomes over time, which provides limited, low-quality support for the possibility of benefit. A randomized trial combining resistance training with chiropractic care found that adding chiropractic improved exercise adherence and dropout rates and was associated with greater improvements in certain functionality domains, suggesting chiropractic might have an adjunctive role rather than being a primary fibromyalgia treatment.
Contradicts
Multiple systematic reviews and evidence overviews conclude that the evidence for chiropractic or spinal manipulation in fibromyalgia is weak, inconsistent, and methodologically poor, and that there is no reliable proof it is effective as a stand‑alone treatment. A systematic review of chiropractic treatment for fibromyalgia identified only three small, poor‑quality studies and found no evidence that chiropractic care is effective for fibromyalgia pain or global symptoms. An overview of systematic reviews of complementary and alternative medicine for fibromyalgia reports that no firm conclusions can be drawn for spinal manipulation and that existing chiropractic trials do not demonstrate clear pain benefit. Large evidence reports on manual therapies and spinal manipulation characterize the evidence for fibromyalgia as inconclusive and in an unclear direction, with low quantity and poor quality of primary data. A more recent systematic review of manual therapy in fibromyalgia similarly judges the overall quality of evidence as very low to moderate and concludes it is insufficient to support or recommend manual therapy for this condition. Sham‑controlled osteopathic manipulation trials in fibromyalgia, which are conceptually similar manual therapies, show no clinically meaningful benefit over sham in pain, fatigue, function, or quality of life, reinforcing concerns that any apparent benefit of hands‑on manipulative approaches may largely reflect expectancy, placebo, or nonspecific effects rather than specific efficacy. Overall, high‑quality evidence contradicts any strong claim that chiropractic treatment is an effective primary therapy for fibromyalgia.
Mainstream view
Mainstream medical and scientific opinion is that fibromyalgia is best managed with a multimodal approach centered on patient education, aerobic and strengthening exercise programs, cognitive‑behavioral or other psychological therapies, and judicious use of medications with evidence for benefit (e.g., certain antidepressants, anticonvulsants, or other agents), usually following rheumatology and pain society guidelines. Chiropractor‑delivered spinal manipulation or other manual therapies are not considered first‑line or core evidence‑based treatments for fibromyalgia, and are generally viewed—at most—as optional complementary interventions that might help some individuals but lack robust, high‑quality evidence of specific efficacy. Current systematic reviews and evidence syntheses assess the quality of evidence for chiropractic in fibromyalgia as low and inconclusive, and major guidelines do not endorse chiropractic manipulation as a standard treatment for this condition.

Papers listed for this claim:[1][2][3][4][5][6][7][8][9][10][11][12]

In their own wordsView sourceArchived copy

“Fibromyalgia”

Rule: Minnesota Statutes § 148.01, subd. 1(2); subd. 4

Outside scopeListed service

Casey C Smith is not licensed or approved by Minnesota Board of Chiropractic Examiners to diagnose, treat, or cure Thyroid Relief.

Thyroid Relief

Supports
There are no randomized controlled trials, systematic reviews, or major clinical guidelines showing that chiropractic spinal manipulation or other chiropractic techniques improve thyroid function, cure hypothyroidism, or provide specific “thyroid relief” beyond general musculoskeletal symptom management. A randomized, parallel, blinded multicenter trial of Neuro-Emotional Technique (a chiropractic-associated biopsychosocial intervention) in people with primary hypothyroidism found no statistically or clinically significant changes in thyroid-related or other primary outcomes compared with placebo, and concluded that the intervention “did not confer any clinical benefit” and is unlikely to be of therapeutic use in a hypothyroid population. Systematic reviews of spinal manipulation report only low-quality evidence for short-term autonomic or biochemical changes (for example, transient cortisol or other biochemical marker changes), but these are not linked to durable or clinically meaningful improvements in endocrine diseases such as thyroid disorders. Case reports and small uncontrolled series describe individual patients whose thyroid hormone dose was reduced or whose thyroid-related symptoms improved during chiropractic care, but these are anecdotal, subject to multiple biases, and do not constitute high-quality evidence. Mainstream thyroid RCTs (for example, comparing levothyroxine alone versus levothyroxine plus liothyronine) focus on pharmacologic hormone replacement and show cardiovascular or symptomatic effects of adjusting hormone therapy, not effects of chiropractic care.
Contradicts
The best available direct trial evidence in hypothyroidism contradicts the notion that a chiropractic-style biopsychosocial technique meaningfully treats thyroid disease: a multicenter, randomized, placebo-controlled trial of Neuro-Emotional Technique in adults with primary hypothyroidism showed no significant differences between intervention and placebo groups on primary or secondary outcomes at 7 weeks or 6 months, and concluded that NET did not provide clinical benefit in this hypothyroid population. High-level overviews of spinal manipulation indicate that, overall, there is little convincing evidence that spinal manipulation is an effective treatment for medical conditions beyond certain musculoskeletal pain syndromes, and emphasize that the quality of evidence for systemic or disease-modifying effects is low. Systematic reviews of autonomic and biochemical responses to spinal manipulation find at most low-quality evidence for short-term changes in autonomic markers or cortisol and inflammatory markers, with no demonstrated translation into improved outcomes for chronic systemic diseases such as thyroid disorders. No endocrine or thyroid management guidelines endorse chiropractic or spinal manipulation as a treatment for hypothyroidism, hyperthyroidism, thyroiditis, or thyroid cancer–related hormone issues; standard care remains pharmacologic thyroid hormone replacement, radioactive iodine or surgery when indicated, and monitoring. Large, evidence-based guidelines in other medical domains (for example, hypertension and nutrition guidelines) demonstrate how strong recommendations are based on robust RCT and cohort data, underscoring that similar high-quality evidence is lacking for chiropractic treatment of thyroid disease.
Mainstream view
The mainstream medical position is that thyroid disorders (hypothyroidism, hyperthyroidism, thyroiditis, and most thyroid cancer–related hormonal problems) are endocrine diseases that are diagnosed and managed using established pharmacologic, surgical, and sometimes radioactive iodine therapies, not chiropractic manipulation. Standard treatment for hypothyroidism is lifelong levothyroxine dose-adjusted to normalize thyroid-stimulating hormone and free thyroid hormone levels; for hyperthyroidism, antithyroid drugs, radioactive iodine, or surgery are used depending on etiology. Major evidence-based guidelines and randomized trials in thyroid disease focus on optimizing hormone replacement regimens, cardiovascular safety, and symptom control, and do not include chiropractic care as a recommended therapy. An RCT of a chiropractic-associated biopsychosocial intervention (Neuro-Emotional Technique) in primary hypothyroidism showed no clinical benefit compared with placebo, reinforcing the view that such interventions do not treat thyroid failure itself. Systematic reviews of spinal manipulation report low-quality, short-term autonomic or biochemical effects that have not been shown to translate into clinically meaningful improvements in endocrine outcomes, and comprehensive reviews do not support spinal manipulation as an effective treatment for non-musculoskeletal medical conditions. Chiropractors may help some patients with neck, back, or generalized musculoskeletal pain that co-exists with thyroid disease, but this is considered supportive, symptomatic care and not a treatment for the underlying thyroid disorder.

Papers listed for this claim:[1][2][3][4][5][6][7][8][13][14][15][16]

In their own wordsView sourceArchived copy

“Thyroid Relief”

Rule: Minnesota Statutes § 148.01, subd. 1(2); subd. 4

Outside scopeListed service

Casey C Smith is not licensed or approved by Minnesota Board of Chiropractic Examiners to diagnose, treat, or cure neuropathy.

neuropathy

0 trials, 26 animal

PubMed indexes no randomized controlled trial in humans on this intervention and outcome. It indexes 26 animal or in-vitro studies on the same terms. That makes the claim untested in people, not disproven.

Randomized human trials
0
Animal or in-vitro only
26

Search: (spinal manipulation OR chiropractic) AND ("peripheral nervous system diseases"[MeSH Terms:noexp] OR neuropathy)

Supports
There is very limited high-quality evidence directly assessing chiropractic treatment for peripheral neuropathy. Existing controlled trials and systematic reviews on chiropractic spinal manipulative therapy (SMT) focus mainly on spine pain (low back pain, neck pain, migraine), not on primary peripheral neuropathies. A mechanistic rat and human study suggests that spinal manipulative therapy can reduce peripheral neuropathic leg pain and modulate pain pathways, but this is preclinical/early-stage and not definitive clinical evidence for neuropathy treatment in humans. Some evidence exists for non-pharmacologic, physical treatment approaches (such as neural mobilisation and neuromuscular training) improving nerve conduction and neuropathic symptoms in specific contexts, but these are not chiropractic SMT per se and often come from physiotherapy or exercise-based interventions, not chiropractic care. Overall, there is no major guideline or high-quality systematic review that clearly supports chiropractic manipulation as an evidence-based primary treatment for peripheral neuropathy.
Contradicts
Major clinical practice guidelines for neuropathic pain and peripheral neuropathy do not list chiropractic spinal manipulation as a standard, recommended treatment; they instead emphasize pharmacologic therapies, disease-specific management (e.g., glycemic control in diabetes), physical therapy, and in some cases neuromodulation or structured exercise programs. Where high-quality evidence exists for neuropathy (e.g., diabetic peripheral neuropathy, chemotherapy-induced neuropathy), it focuses on medications, neuromuscular training, compression or cryotherapy, spinal cord stimulation, acupuncture, and other modalities, not chiropractic SMT. Systematic reviews of SMT indicate that for spine pain the efficacy of SMT versus sham or placebo remains uncertain and that SMT is not clearly superior to other conventional interventions, which indirectly argues against strong claims that SMT can reliably treat neuropathic conditions. Evidence for neural mobilisation and similar manual therapies in neuropathic pain is graded as low to moderate quality and is largely limited to short-term improvements in specific measures, suggesting that manual techniques may have some effect but the data are weak and not specific to chiropractic practice. Overall, the evidence base for chiropractic treatment of neuropathy is sparse, low-quality, and indirect, and strong claims of efficacy are not supported by randomized trials or major guidelines.
Mainstream view
The mainstream medical view is that peripheral neuropathy should be managed according to its cause (e.g., diabetes, chemotherapy, autoimmune disease, compression neuropathies) using established evidence-based strategies: risk factor control, pharmacologic agents for neuropathic pain, physical therapy, neuromuscular or sensorimotor training, and selected non-pharmacologic modalities that have randomized trial support. Chiropractic spinal manipulation is sometimes used as an adjunct for musculoskeletal pain (especially back and neck pain), but it is not regarded as an established or guideline-recommended primary treatment for peripheral neuropathy. Use of chiropractic care for neuropathy is therefore considered experimental or complementary, with insufficient high-quality evidence to endorse it as a standard therapy. Patients with neuropathy are typically advised to be evaluated by clinicians experienced in neurology, endocrinology, oncology, or pain medicine, and to use chiropractic or other manual therapies only, if at all, as adjuncts within a broader, medically supervised treatment plan.

Papers listed for this claim:[1][2][3][4][5][6][7][8][17][18][19][20]

In their own wordsView sourceArchived copy

“[![Neuropathy in Crosby MN](https://www.askdrsmith.com/wp-content/uploads/2019/04/Symptoms-Danni-325x217.jpg)](https://www.askdrsmith.com/neuropathy-center/)”

Archived screenshot of this wording on the source page
Archived capture of the source page

Rule: Minnesota Chiropractic Practice Act (scope limited to musculoskeletal/spine care)

Outside scopeListed service

Casey C Smith is not licensed or approved by Minnesota Board of Chiropractic Examiners to diagnose, treat, or cure weight loss.

weight loss

Supports
There is almost no high-quality evidence that chiropractic spinal manipulation by itself produces clinically meaningful weight loss. The few data points involve chiropractic clinics delivering broader lifestyle programs. A retrospective file review of a 13‑week multimodal weight loss program run in a chiropractic practice (spinal manipulation plus diet, exercise, and counseling) found significant reductions in weight and BMI, but this was an uncontrolled chart review with only 16 completers out of 30 and cannot isolate any effect of chiropractic treatment itself. A secondary analysis of chiropractor-directed weight-loss interventions in Canada found that some chiropractors do provide guideline-consistent advice on weight management and lifestyle, but it did not demonstrate that chiropractic care independently causes weight loss. Overall, existing evidence supports that weight loss can occur when standard diet and exercise programs are delivered in a chiropractic setting, not that chiropractic manipulation is an active weight-loss treatment.
Contradicts
High-quality evidence for effective weight loss consistently comes from interventions based on diet, physical activity, behavioral counseling, pharmacotherapy (e.g., GLP‑1 receptor agonists), and bariatric surgery, not from chiropractic manipulation. Large randomized controlled trials and systematic reviews of weight-loss strategies show clinically meaningful weight reduction with energy restriction, structured diet and exercise, digital/behavioral programs, and drugs like GLP‑1 receptor agonists, often achieving 5–15% body-weight loss or more, whereas no comparable randomized trials exist for chiropractic manipulation as a primary weight-loss modality. A systematic review of systematic reviews of spinal manipulation concluded there was no convincing evidence that spinal manipulation is an effective treatment for any medical condition, and therefore it is not generally recommendable as a primary therapy. Major guidelines for nutrition support, chronic disease management, and obesity-related comorbidities (e.g., ASPEN and ESPEN guidelines) focus on nutritional strategies, medical therapy, and in some cases surgery, and do not recommend chiropractic manipulation as a treatment for overweight or obesity. The absence of chiropractic in evidence-based obesity guidelines and the lack of RCTs directly testing chiropractic for weight loss strongly contradict any claim that chiropractic treatment itself is a validated weight-loss therapy.
Mainstream view
Mainstream medical and scientific consensus is that obesity and weight management should be addressed through evidence-based lifestyle interventions (calorie reduction, physical activity, behavioral therapy), pharmacologic agents when indicated, and bariatric surgery for selected patients, underpinned by guideline-based nutritional and medical management. Spinal manipulation or chiropractic adjustment is not recognized in major obesity or nutrition guidelines as an effective or recommended treatment for weight loss, and any role for chiropractors in this area is limited to providing general lifestyle counseling similar to that offered in other primary care settings. Current evidence therefore supports the view that chiropractic care may be a setting in which standard weight-loss strategies are delivered, but chiropractic manipulation itself is not an established or recommended weight-loss treatment.

Papers listed for this claim:[1][2][3][4][5][6][7][8][21][22][23][24]

In their own wordsView sourceArchived copy

“[![Weight Loss in Crosby MN](https://www.askdrsmith.com/wp-content/uploads/2019/04/Symptoms-Danni-weightloss.jpg)](https://www.askdrsmith.com/weight-loss/)”

Rule: Minnesota Statutes § 148.01, subd. 1(2); subd. 4

Outside scope

Casey C Smith is not licensed or approved by Minnesota Board of Chiropractic Examiners to diagnose, treat, or cure our neurologic and metabolic assessment and care.

our neurologic and metabolic assessment and care

No specific health claims of theirs were cross-checked against the literature.

In their own wordsView sourceArchived copy

“Through our neurologic and metabolic assessment and care, we move beyond treating symptoms to identifying and treating their sources, in order to restore a healthier more vibrant lifestyle!”

Rule: Minnesota Statutes § 148.01, subd. 1(2); subd. 4

Outside scope

Casey C Smith is not licensed or approved by Minnesota Board of Chiropractic Examiners to advertise Getting comprehensive Lab testing and implementing Metabolic Treatments designed for you as within their scope of practice.

Getting comprehensive Lab testing and implementing Metabolic Treatments designed for you

Supports
High-quality evidence supports the general concept of precision medicine, where laboratory and biomarker testing are used to tailor treatments to individual metabolic and biological characteristics, particularly in defined diseases such as metabolic syndrome, obesity, depression, and cancer. Precision medicine frameworks explicitly state that integrating genetics, biomarkers, metabolomics, and other lab-based profiles allows more accurate risk assessment, diagnosis, and individualized treatment decisions, improving outcomes compared with one‑size‑fits‑all approaches. Metabolomics and metabolic profiling are described as key tools in precision health and precision medicine, enabling identification of metabolic biomarkers, defining individual “metabotypes,” and monitoring treatment response, all of which underpin metabolically targeted therapies. Personalized nutrition and metabolic testing approaches in obesity and metabolic disorders use resting metabolic rate, thermic effect of food, and respiratory quotient measurement to set individualized calorie and macronutrient prescriptions, with emerging evidence that such testing can optimize weight‑loss and maintenance strategies and improve metabolic outcomes. Precision medicine in metabolic syndrome uses integrated lab testing (genomic, metabolic, and classical labs) to stratify risk, personalize lifestyle and pharmacologic interventions, and support earlier detection and more tailored treatment, suggesting that lab‑guided metabolic interventions can improve prevention and management at least in high‑risk or affected populations. In oncology, comprehensive genomic and molecular profiling plus tumor boards to interpret lab data have been associated with improved progression‑free survival and better clinical outcomes compared with non‑profile‑guided treatment, indicating that extensive lab‑based profiling can meaningfully guide personalized therapy in specific diseases. Ketogenic metabolic therapies use specific metabolic biomarkers (β‑hydroxybutyrate, HbA1c, fasting glucose, insulin) to individualize dietary and treatment adjustments, and clinical data show improvements in glycemic and weight‑related markers when these biomarker‑guided metabolic treatments are correctly implemented. Overall, there is solid support for targeted, disease‑specific metabolic and laboratory testing as part of precision medicine strategies, when applied to clearly defined conditions and within structured clinical protocols and guidelines.
Contradicts
The claim as stated is extremely broad and implies that “getting comprehensive lab testing” and implementing “metabolic treatments designed for you” is generally beneficial for health, which is not supported by high‑quality evidence for asymptomatic, otherwise healthy adults. Population‑level data and guideline‑based syntheses indicate that routine “comprehensive” testing (large wellness panels, broad biomarker batteries without clear indications) does not improve mortality or major health outcomes and carries risks of overdiagnosis, incidental findings, unnecessary follow‑up, and anxiety; mainstream preventive recommendations instead call for minimal, age‑ and risk‑based lab screening rather than broad panels in healthy adults. Precision medicine literature emphasizes that metabolic and biomarker testing should be problem‑driven (e.g., metabolic syndrome, obesity, diabetes, cancer, depression), with defined clinical pathways for how test results will change management; evidence for benefit is concentrated in such specific, high‑risk or disease populations and does not extend to indiscriminate comprehensive testing in the general population. Current precision‑health and metabolomics reviews highlight that while metabolomics and metabolic profiling are promising, many applications remain in research or early clinical integration; robust randomized trials showing that broad metabolic testing plus bespoke metabolic interventions improve hard outcomes (mortality, major cardiovascular events) in unselected adults are limited or absent. Even in conditions like obesity and metabolic syndrome, metabolic testing to personalize treatment is described as an emerging or adjunctive strategy rather than a universally recommended standard of care, reflecting that the evidence base is still developing and not yet strong enough to justify widespread comprehensive testing for all. Some clinical contexts show that chemotherapy and other treatments can induce metabolic disturbances and metabolic syndrome, but the response there is targeted monitoring and risk‑based metabolic management, not blanket comprehensive lab panels, underscoring that metabolic care is problem‑focused rather than broadly applied to everyone. Overall, while disease‑specific precision metabolic approaches are supported, the influencer‑style implication that any person will benefit from extensive lab panels and bespoke metabolic protocols lacks strong trial‑level evidence and conflicts with mainstream recommendations against unnecessary broad screening in healthy individuals.
Mainstream view
The mainstream medical position is that precision medicine, including lab‑guided metabolic and biomarker‑based personalization, is

Papers listed for this claim:[25][26][27][28]

In their own wordsView sourceArchived copy

“Getting comprehensive Lab testing and implementing Metabolic Treatments designed for you”

Archived screenshot of this wording on the source page
Their wording, preserved on the Internet Archive

Rule: Minnesota Statutes § 148.01, subd. 1(2); subd. 4

Manipulation

High

Sales Funnel Motive

transcript · cited

This is a bundled coaching/program sell dressed up as empowerment, which usually means a paid pathway rather than ordinary care. Likely motive: sell recurring consults/programs/support

“You can become the CEO of your health utilizing our world class proprietary - Consultations, programs, and support”

Commerce & grift map

The money flow looks like this: broad chronic-symptom fear, then a 'neurologic/metabolic' assessment, then comprehensive lab testing, then a proprietary treatment program and supplement store checkout. That is a textbook funnel from vague concern to paid diagnostics to ongoing productized care, with the supplement dispensary adding markup on top.

Supplements pitched

Labs pitched

  • comprehensive Lab testing

    “Getting comprehensive Lab testing and implementing Metabolic Treatments designed for you”

How the money flows

  • Supplement brand dealUndisclosed Practicitioner supplement dispensary that likely pays through wholesale margins or referral-enabled sales. “Nutrition Store”
    Kickback quoteView source

    “Nutrition Store”

  • Lab testing referralUndisclosed Paid lab testing is explicitly marketed as part of the care pathway, creating a downstream revenue stream from diagnostics to treatment. “Getting comprehensive Lab testing and implementing Metabolic Treatments designed for you”
    Kickback quoteView source

    “Getting comprehensive Lab testing and implementing Metabolic Treatments designed for you”

  • Other financial tieUndisclosed Proprietary consultations/programs/support bundle that monetizes ongoing coaching-style care. “world class proprietary - Consultations, programs, and support”
    Kickback quoteView source

    “world class proprietary - Consultations, programs, and support”

  • Affiliate / promo linkUndisclosed Outbound commerce store links with strong affiliate or practitioner-markup signals, but no clear FTC-style material-connection disclosure on the page.
  • In-office dispensing markupUndisclosed Wellevate: pays providers to promote or sell its products (Dispensing markup, Wholesale-to-retail markup).

Sponsors and advertisers

Brands, advertisers, and agencies connected to this content, based on what it promotes and discloses.

  • WellevateBrand

    Promoted commerce partner

    Source

  • Wellevate Nutrition StoreBrand

    Named on a surface without a compensation disclosure

  • comprehensive Lab testingBrand

    Named on a surface without a compensation disclosure

Credentials & scope

Glossary: Chiropractor (“Dr.”)

Learn: Is a chiropractor a medical doctor?

Stated: CHIROPRACTOR · Likely: Chiropractor

Verified against the federal provider registry: D.C. · Chiropractor · MN license 4324.

The page presents Murray Smith and Shannon Smith as chiropractic doctors and then uses that narrow license to sound like a general internal-medicine authority. The credential inflation problem is the leap from spine care into neurologic, metabolic, and broad chronic-disease management.

  • DC, Chiropractor

    This is a state-licensed doctor title, but it is a narrow musculoskeletal/spine-focused credential, not an MD/DO license.

    State chiropractic boards generally allow diagnosis and treatment of neuromusculoskeletal conditions within chiropractic practice, advertising as a chiropractor, and limited noninvasive care; they do not grant a general license to diagnose and treat systemic internal disease, order broad metabolic workups as disease management, or claim specialty authority over unrelated chronic conditions.

    Confirmed against the federal provider registry

Permitted scope vs advertised

Minnesota Board of Chiropractic Examiners · Confidence: high

Minnesota chiropractors are authorized to perform chiropractic services (evaluation and facilitation of structural, biomechanical, and neurological function through adjustment, manipulation, mobilization, or manual/mechanical procedures applied to bones, joints, and soft tissues for correction of vertebral subluxation, abnormal articulations, neurological disturbances, structural or biomechanical alterations), acupuncture (as adjunct only), and therapeutic services (rehabilitative, therapeutic, and preventive procedures that prepare for or complement chiropractic services). Chiropractors may provide diagnosis and render opinions pertaining to these services for treatment planning and referral purposes. The practice explicitly excludes medicine, surgery, osteopathic medicine, and physical therapy.

What this license permits

  • Spinal adjustment and manipulation
  • Musculoskeletal evaluation and treatment
  • Soft-tissue and rehabilitative care
  • Headache care within musculoskeletal scope

7 of 18 advertised activities fall outside permitted scope.

AdvertisedVerdict
Listed service Fibromyalgia
Fibromyalgia is a systemic metabolic/neurological disease diagnosis that falls outside the chiropractor's authorized scope, which is limited to vertebral subluxation, abnormal articulations, and related structural/biomechanical conditions, not systemic disease diagnosis.
Outside scope
Listed service Thyroid Relief
Thyroid treatment or relief is a systemic endocrine condition outside the scope of chiropractic practice, which is limited to structural, biomechanical, and neurological function related to vertebral subluxation and articulations.
Outside scope
Listed service neuropathy
Rule: Minnesota Chiropractic Practice Act (scope limited to musculoskeletal/spine care)
A chiropractic license in Minnesota covers the spine, joints and muscles. It does not cover diagnosing or treating neuropathy.
Outside scope
Listed service weight loss
Weight loss is a metabolic/systemic outcome not related to vertebral subluxation, abnormal articulations, or structural/biomechanical dysfunction, and falls outside the authorized scope of chiropractic practice.
Outside scope
our neurologic and metabolic assessment and care
Metabolic assessment and care is outside the scope of chiropractic practice; neurological assessment is authorized only insofar as it relates to vertebral subluxation, abnormal articulations, and structural/biomechanical dysfunction, not independent metabolic or systemic neurological disease management.
Outside scope
Getting comprehensive Lab testing and implementing Metabolic Treatments designed for you
Comprehensive lab testing and metabolic treatments are outside the scope of chiropractic practice; chiropractors are limited to clinical, physical, and laboratory measures necessary to determine the presence or absence of a chiropractic condition (vertebral subluxation/abnormal articulations), not systemic metabolic assessment and treatment.
Outside scope
comprehensive lab testing for metabolic treatments
Comprehensive lab testing and metabolic treatments are outside the scope of chiropractic practice; chiropractors are limited to clinical, physical, and laboratory measures necessary to determine the presence or absence of a chiropractic condition, not systemic metabolic assessment and treatment.
Outside scope

Sources: Minnesota Statutes Chapter 148 - Chiropractic (official), Minnesota Rules Part 2500.0100 - Definitions (official), Minnesota Board of Chiropractic Examiners - Statutes and Rules (official), 2500.0100 - MN Rules Part - MN Revisor's Office (official)

Scope comparison mirror

Side-by-side view of the archived marketing homepage and what a Chiropractor scope permits near Crosby, MN. Open the mirror for the full comparison: archive on the left, permitted scope and licensed-care paths on the right.

Mirror generated 2026-10-21 12:49 UTC.

4 licensed-care paths linked for out-of-scope claims.

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Hi, We are independent journalists that are focused on uncovering grift and manipulation perpetrated by medical practitioners that are operating outside their licensed scope. A reader of Dr. Trust Me Bro thought you might know something firsthand about Casey C Smith and the public claims we documented here: https://drtrustmebro.com/influencer/-Wj1PwdZIqQp9Fv2dTNmJ#report We want to hear from insiders: employees, former employees, accountants, billing staff, sales reps, IT staff, anyone who knows. Worth telling us about Casey C Smith: - Care plans structured to funnel sales to take advantage of someone's grandma - Insight into the real reason they refuse insurance, Medicaid, or Medicare, not the version they give the public - Upselling unnecessary tests and panels - Kickbacks for lab, vendor, or other referrals - Discussions or policy, written or otherwise, that steers patients away from physicians properly licensed for the care Casey C Smith is treating out of scope - Medicaid or Medicare overbilling - Any scheme to squeeze a few more dollars out of grandma We are especially interested in how Casey C Smith handled payment and coverage: were people told to swipe an FSA or HSA card at checkout, handed a superbill or receipt to submit themselves, or told the service is not covered by insurance, Medicare, or Medicaid? Here is why that matters: https://drtrustmebro.com/patterns/fsa-hsa-loophole You can also simply hit reply to this email and start the conversation here or you can reach the confidential tip line here, on the record or anonymously: https://drtrustmebro.com/whistleblower You do not have to give your name. Add whatever context, dates, or links you are comfortable sharing, and leave out anything you are not. There is no pressure to respond, and you can ignore this message if it is not relevant to you. This message was sent by a reader through Dr. Trust Me Bro's website. Your address was entered by that reader, not collected by us, and is not added to any mailing list. Independent data journalism, serious citations.

We send this on your behalf from our tip line address. It links the public report and the confidential tip line, and never claims wrongdoing.

Firsthand details help most: how payment and coverage were handled (FSA/HSA card vs. a superbill to submit, declining Medicare/Medicaid). More on the FSA/HSA loophole.

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Wall of Fame entryCasey C Smith · vibes-based "doctor," New patient special

ID: -Wj1PwdZIqQp9Fv2dTNmJ · Wall of Fame

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  • Doc Bro ID: -Wj1PwdZIqQp9Fv2dTNmJ
  • Wall entry: /influencer/-Wj1PwdZIqQp9Fv2dTNmJ
  • Analysis ID: yBxTdcIgwFwtRSWy_HOBO
  • Source: https://www.askdrsmith.com/
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Citations

Peer-reviewed and index sources cited in this report.

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  2. [2] ASPEN-FELANPE Clinical Guidelines.PubMed / MEDLINE · JPEN J Parenter Enteral Nutr · 2017 Jan
  3. [3] ESPEN guideline: Clinical nutrition in inflammatory bowel disease.PubMed / MEDLINE · Clin Nutr · 2017 Apr
  4. [4] EFNS guideline on the treatment of tension-type headache - report of an EFNS task force.PubMed / MEDLINE · Eur J Neurol · 2010 Nov
  5. [5] When Is Parenteral Nutrition Appropriate?PubMed / MEDLINE · JPEN J Parenter Enteral Nutr · 2017 Mar
  6. [6] GRADE guidelines 6. Rating the quality of evidence--imprecision.PubMed / MEDLINE · J Clin Epidemiol · 2011 Dec
  7. [7] Blood Transfusion Therapy.PubMed / MEDLINE · Med Clin North Am · 2017 Mar
  8. [8] Colchicine in Pericarditis.PubMed / MEDLINE · Eur Heart J · 2017 Jun 7
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  15. [15] Can osteopathy help women with a history of hypothyroidism and musculoskeletal complaints? Outcome of a preliminary, prospective, open investigationAcademic literature search
  16. [16] Spinal Manipulation: A Systematic Review of Sham ...Academic literature search
  17. [17] The effects of 12 weeks of chiropractic spinal adjustments on physiological biomarkers in adults: A pragmatic randomized controlled trialAcademic literature search · 2025-12-11
  18. [18] The use of complementary and alternative medicines by patients ...Academic literature search
  19. [19] Mechanisms of chiropractic spinal manipulative therapy for patients with chronic primary low back pain: protocol for a mechanistic randomised placebo-controlled trialAcademic literature search · 2023-02-01
  20. [20] Chiropractic spinal manipulative therapy for migraine: a three‐armed, single‐blinded, placebo, randomized controlled trialAcademic literature search
  21. [21] A weight loss program in a chiropractic practice - PubMedAcademic literature search · 2014-05-11
  22. [22] Impact of obesity on outcomes following lumbar spine ...Academic literature search · 2019-02-28
  23. [23] Osteopathic manipulative treatment in obese patients with chronic ...Academic literature search
  24. [24] The Effects of Obesity on Spine Surgery: A Systematic Review of the Literature - PubMedAcademic literature search · 2016-06-15
  25. [25] Feasibility trial of Darwin OncoTreat and OncoTarget precision medicine testing to improve outcomes for patients with limited metastatic disease that failed first-line systemic therapyAcademic literature search · 2025-06-11
  26. [26] Advancements in Precision Health and Disease DiagnosisAcademic literature search · 2024-12-08
  27. [27] Metabolomics enables precision medicine: “A White Paper ...Academic literature search · 2016-09-02
  28. [28] Using Metabolic Testing to Personalize Behavioral Obesity ...Academic literature search · 2025-03-11