I just wanted to back up John and think he pretty much nailed it.
I love the basic model of the focus of postural distortions and progression of movements of the NASM, but in the end it is all guidelines and you have to do what is best for your situation and for your clients. I think the NASM is one of the best certs you can get and I am proud to sport it, but that is certainly not where the education or the buck stops. It is merely my technical means to an end.
Keep reading, then read some more, then train some more, and rinse and repeat.
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