Live By Design
Live By Design, Not Default
A Doctor's Guide to Health, Wealth, and Purpose — Dr. Alexander-Spencer's invitation to build a life that matches how you truly want to feel, through intentional choices that support your energy, health, and purpose.

About the book
After more than twenty years in family medicine, Dr. Alexander-Spencer noticed a pattern in the exam room: so much of what wears people down is not chosen deliberately. It accumulates by default — the schedule that grew unchecked, the habits that were never questioned, the goals that quietly went quiet.
Live By Design, Not Default is her answer. Drawing on her training in family medicine, integrative medicine, and spiritual psychology, she offers a practical framework for aligning your health, your finances, and your sense of purpose with the life you actually want to live — one intentional decision at a time.
It is written the way she practices: warm, direct, and grounded in the belief that mind, body, and purpose were never separate things.
Bring the same intention to your care
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