The Thompson Clinic
- IV Therapy
- IV Hydration
- Peptide Therapy
- Erectile Dysfunction (ED) Treatment
- Hormone Replacement Therapy (HRT)
Fort Worth, TX
Fort Worth demand is driven by summer heat, the Cowtown Marathon, stockyard events, and a steady corporate conference calendar. Clinics cluster along West 7th, Sundance Square, and the Alliance corridor, with mobile services common for weddings in the Stockyards. Most Fort Worth providers offer a core saline hydration drip, an electrolyte and B-complex upgrade, and a Myers' Cocktail tier, with optional add-ons for anti-nausea and anti-inflammatory support under physician order. Texas BON permits RNs to initiate and administer IV therapy under physician standing orders. Medspas and IV lounges operate under a medical director model, and NPs may prescribe independently after completing supervision requirements.
Regulatory context
FDA regulates the compounded ingredients used in IV therapy and the facilities that prepare them. Patient-specific compounded IVs fall under FDCA Section 503A, while bulk preparations for office use fall under Section 503B (outsourcing facilities). USP Chapter 797 governs sterile compounding standards. FDA has issued warnings about injectable glutathione marketed for skin lightening (2017) and has not approved NAD IV for any specific indication. Vitamin and mineral IV mixtures such as the Myers cocktail are compounded preparations and are not FDA-approved drug products.
The Texas medical and nursing boards have addressed unlicensed practice in medical spa and IV lounge settings. Common enforcement themes include IV therapy administered without a valid physician order, stale or missing standing orders, absence of a designated medical director, and unlicensed personnel performing venipuncture. Boards have reiterated that a prescribing physician or APRN must establish a bona fide patient relationship before any IV protocol is initiated, and that standing orders must be specific, dated, and periodically reviewed. The Texas Medical Board has disciplined physicians serving as medical directors for IV lounges without establishing bona fide patient relationships, and Texas strictly enforces the corporate practice of medicine doctrine.