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Title: Physician and Integrative Medicine Fellow Dr. Nicole Alexander-Spencer Releases Debut Book Challenging Americans to Stop Surviving and Start Designing Their Lives
United States, 20th May 2026 — Dr. Nicole Alexander-Spencer, MD, board-certified physician and integrative medicine fellow trained under Dr. Andrew Weil at the University of Arizona, has released her debut book, Live By Design, Not Default: A Doctor's Guide to Health, Wealth, and Purpose, now available on Amazon. The book arrives as chronic disease, burnout, financial stress, and loneliness have reached epidemic proportions in the United States, and offers a concrete, eight-chapter system for rebuilding health and purpose from the ground up.Written from more than two decades of clinical practice and Dr. Alexander-Spencer's own journey through physician burnout, the book bridges a gap most health and wellness guides leave wide open. Where most books focus on one pillar of wellness, nutrition, mindfulness, personal finance, or relationships, Live By Design addresses all of them as an interconnected whole. The result is a rare book that reads like a conversation with a physician who has navigated the same challenges her readers face, and found a way through.From Burning Out to Building Something DifferentDr. Alexander-Spencer does not write from a position of theoretical knowledge. The book opens with her own account of physician burnout: the crushing pressure of fifteen-minute patient visits, the emotional weight of holding people's lives in her hands while running on empty, the period when she gave a TEDx talk on burnout while still living inside it. That experience became the catalyst for everything the book teaches."I was living by default," she writes. "Life was happening to me. I was a ship sailing in open waters without any direction."Rather than leave medicine, she redesigned her relationship with it. She transitioned to a four-day work week. She built clinic cultu...
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