Joseph Debban FNP

11/18/2025

11/15/2025

Most people think low libido or performance issues mean one thing:
“Just take testosterone.”
Or, “That’s just what happens as you get older.”

But that’s not what I see every day in real patients.

Sexual health is a whole-body issue.
It’s often the first sign that something deeper needs attention — hormones, stress, circulation, underlying medical conditions, sleep, body image, confidence… the list goes on.

You can’t fix this by adjusting one lab number or throwing one medication at it.

When we get your hormones in the right balance,
when we treat the underlying issues,
when stress comes down,
when health and confidence come back…
your sexual health improves naturally.

Your libido is not broken.
You’re not “too old.”
You’re not past your prime.

Your body is just asking for real attention — not a quick fix.

And that’s exactly what we do here at Debban Wellness:
we treat the whole person so you can get the most human parts of your life back.

Watch the video.
If any part of it resonates with you… reach out.
You don’t have to live this way.

11/11/2025

My most important video I’ve ever- please share

11/06/2025

Be honest with yourself. Where would you be in 5 years if nothing changed?

That’s the kind of question that stops you mid-scroll, isn’t it?

Because if you really sit with it — if nothing changes — where are you?

Still talking about what you “should” do?
Still watching your energy, your confidence, your spark slowly slip further away?

Here’s the truth most people dodge:
Change doesn’t come because you want it.

It comes because you refuse to keep living the same story.

Five years is going to pass either way.

You can drift through it, or you can decide that this — right here — is the time you take it back.
Your health. Your drive. Your life.

The question isn’t can you do it.
The question is, will you finally stop waiting?

11/06/2025

November Lab of the Month:
THE ULTIMATE WELLNESS PANEL

This is the lab panel for people who want to know what’s really going on under the hood.

MEMBER PRICE!: $305
Non-Members: $530
(Spots are limited this month — we simply don’t have time to draw hundreds of people.)

This isn’t your average “annual physical” bloodwork.

A few highlights:

Apo A & Apo B: the gold standard for understanding your true cardiovascular risk — far beyond a basic cholesterol test.

Lipoprotein (a): a genetic marker that helps explain heart disease even when cholesterol looks “normal.”

Homocysteine & Folate: identify inflammation and methylation issues that impact energy, brain health, and vascular integrity.

Cortisol & DHEA-S: show how stress and adrenal function are affecting metabolism and recovery.

Magnesium: one of the most common deficiencies we see — vital for muscle, nerve, and sleep health.

Testosterone, Estradiol, and SHBG: evaluate hormone balance for energy, libido, and body composition.

📞 Call or text 308-293-0885 to reserve your spot.
💻 Concierge members can also message us directly through their portal.

10/29/2025

I want to introduce you to someone very special — my new partner in our mission at Debban Wellness, Mariah Curtis, APRN.

Mariah is one of those rare people who has every reason to be impressive on paper — and somehow still manages to be even more impressive in person. She’s an award-winning nurse practitioner (recently honored with the Nebraska Hospital Association’s “Caring Kind 2025” award), and she somehow juggles orthopedic surgery, emergency medicine, and air medical flight nursing — all at once.

When she joined our team, I knew things like hormone therapy, medical weight loss, and sexual medicine were new territory for her. But what I didn’t expect was how fast she’d make it her own. Today, I watched her sit with patients and connect with them in ways you just can’t teach. It’s that same kind of connection this practice was built on — authentic, human, and full of heart.

Mariah brings not just skill, but soul, to what we do.

When she’s not in the clinic, you’ll usually find her outside — running, walking, or soaking up sunshine at the lake. She’s engaged to Chris, a firefighter here in Kearney, and they share life with their French Bulldog, Frankie (who apparently runs the household).

We couldn’t be more excited to have her as part of the Debban Wellness family — and I’m proud to call her my partner in this work as we keep growing our mission to help people take back their health, confidence, and energy.

Discover personalized wellness care at J Debban Wellness, Nebraska’s leading clinic for hormone therapy, medical weight loss, and longevity medicine. Experience tailored treatment plans designed to help you achieve optimal health and vitality.

10/11/2025

Most of what we call healthcare isn’t really care at all.

It’s maintenance. Management. Survival. “Sick Care”.

We wait until something breaks —
then we patch it up, prescribe it out, and hope it holds.

That’s not health. That’s damage control.

See, the system wasn’t built to make you thrive.
It was built to keep you from dying.
And those are not the same thing.

If you want health — real, vibrant, fire-in-your-gut, clear-in-your-mind health —
you’ve got to take the wheel.
You’ve got to become your own best advocate.

Ask questions.
Know your numbers.
Understand what your body’s whispering before it starts to scream.

Because nobody’s coming to save you.
Not the system. Not the insurance card. Not the prescription pad.

This isn’t about rebellion.
It’s about responsibility.

Responsibility to the body that carries you,
to the mind that dreams through you,
and to the years ahead that are still waiting on you.

So stop waiting for permission to be healthy.
Stop outsourcing your intuition.
And stop believing that feeling “fine” is the same as being well.

You have one life. One vessel.
And how it feels — every day you wake up —
that’s on you.

Don’t wait for the system to change. It won’t.

Take it back.

10/07/2025

Every once in a while, life hands you a quiet reminder that the work matters.

Being named Best of Dawson and Gosper County 2025 by the Lexington Clipper-Herald — for the second time — is one of those reminders. It’s not about the award itself. It’s about the people who walk through our doors, trust us with their health, and keep coming back because they feel seen, heard, and cared for.

When I started this journey, I didn’t set out to win anything. I set out to make a difference — to help people reclaim their sense of control over their lives. Somewhere along the way, that purpose turned into a calling, and that calling turned into a community.

This recognition belongs to every patient who took the first step, every team member who shows up with heart, and every person who believes health is something worth fighting for (but especially for my team members!).

So here’s to staying the course. To doing good work quietly, consistently, and with intention. To showing up when no one’s watching — because that’s where the real wins are made.

— Joe

09/13/2025

The case for hope

I’ve always leaned on evidence to give me certainty.
A test result, a ledger, a list.
Something I could hold in my hand and say, See? This is real. This is true.

But the older I get, the more I realize that hope doesn’t fit in a spreadsheet.
It doesn’t check the boxes, it doesn’t balance the math.
Hope is unreasonable. Illogical. Irrational.
And thank God it is.

Because when the facts are stacked against us, it’s hope that lets us keep going anyway.
When reason says quit, hope whispers just one more step.
When reality says there’s no way, hope clears a small path through the thicket and says walk.

We are not blind. We see the odds, the pain, the brokenness.
And still insist: try again
That’s not naivety—it’s courage.

So maybe the point is not to demand proof before we believe.
Maybe the point is to believe so deeply that proof shows up later, trailing behind like a shadow.
Maybe hope is the thing that builds the evidence, not the other way around.

This weekend, I’m choosing to keep that flame lit.
To let hope interrupt my logic, to let it bend the numbers, to let it carry me past what I can’t explain.
Because if we’re going to build a future worth living in,
it will be because we had the courage to hope for it first.

09/07/2025

"THE MOMENT"

Every week I sit across from new patients.
Sometimes they’re nervous. Sometimes they’re hopeful.
And almost always, when I ask the question—“If you could change something about your health or body, what would it be?”—they pause.

It’s not because they don’t have an answer.
It’s because the answer has been living inside them for years.

“I just want my energy back.”
“I want to feel confident in my skin again.”
“I want to be here long enough to see my grandkids grow up.”

That moment… it’s one of my favorite parts of the job.
Because you can see it—the flicker. The realization that the thing they’ve been waiting for isn’t a diet, or a magic medicine, or even me.

It’s a decision.

And let me tell you, I’ve seen the strongest transformations not in the gym, not in the lab results, not on the scale…
but in that exact second a person finally whispers to themselves,

“I can’t live like this anymore.”

That’s the pivot point.
That’s when everything starts to change.

The truth is, you don’t need to be perfect.
You don’t need to have the whole plan figured out.
You don’t even need to feel ready.

You just have to decide.

And once you do—the road may still be messy.
You’ll slip. You’ll stumble. You’ll want to turn back.
But something’s different now.
The weight of waiting is gone.

THE FEAR OF FAILING IS LIGHTER THAN THE PAIN OF STAYING THE SAME.

That’s the lesson I see again and again:
Your life doesn’t change when the stars align.
It changes in the quiet courage of one choice, made on an ordinary day, when no one’s watching but you.

So maybe today is that day.
Maybe today’s the day you stop negotiating with yourself and start moving forward—imperfect, but moving.

Because the moment you decide… that’s the moment your life begins again.

As always, if you'd like a little nudge, we are always here to help.

—Joe

09/05/2025

You don’t stumble into the life you want. You earn it, one decision at a time.

We all crave ease.
We want the smooth road, the green lights, the shortcuts.
But here’s the thing about ease: it doesn’t sharpen you.
It doesn’t teach you.
It doesn’t reveal you.

The friction is where the growth happens.
The awkward first attempts.
The long, messy middle where nothing feels polished yet.
The days when you’re showing up tired, uncertain, and still giving it what you’ve got.

That’s the sacred stuff.
The stuff no one posts about.
The stuff that makes you.

Looking back, you won’t remember the easy seasons.
You’ll remember the ones that tested you, stretched you, nearly broke you — and then shaped you into someone stronger, clearer, and more alive.

So don’t curse the struggle.
Don’t run from the resistance.
Don’t waste your energy wishing the road was smoother.

Thank it.
Because it’s the only thing honest enough to shape you into who you’re meant to be.

– Joe

08/31/2025

Dr Rubin was one of the educators at Harvard Medical Education on hormonal therapy and I learned so much from her. The first story she tells is so familiar to me! Im sure many of my patients can relate

https://www.instagram.com/reel/DN-s1QrDUb2/?igsh=MTNwMTZ2d3J1cmRsbA==