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Build and Scale Boldly
Build and Scale Boldly with Letizia Alto, MD is the go-to podcast for purpose-driven female entrepreneurs ready to grow their businesses with more profit and ease. Hosted by physician entrepreneur and real estate investor Dr. Alto—who has built six multi-million dollar businesses—this podcast delivers powerful strategies and authentic conversations with elite business owners who have successfully scaled without sacrificing freedom or impact.
Through real insights and actionable advice, Dr. Alto helps female entrepreneurs transition from overwhelmed operators to confident CEOs. If you're tired of feeling stuck in the day-to-day, it's time to stop guessing and start growing—with clarity, confidence, and control.
Build and Scale Boldly
The 5 Givens of Business: A Mindset Framework for Handling Change, Chaos and Setbacks
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What if the hardest parts of your business aren’t coming from your strategy—but from the expectations you refuse to question?
So many high-achieving women find themselves stuck in cycles of burnout, frustration, and emotional whiplash—trying to control outcomes, perfect every plan, and make sense of why things feel harder than they “should.” The real bottleneck? Arguing with reality instead of leading through it.
In this episode, Dr. Leti Alto introduces David Rico’s Five Givens—a powerful mindset framework that helps you navigate change, unpredictability, unfairness, pain, and human behavior with more ease. Instead of resisting what is, you’ll learn how to lead yourself through it—so you can reduce suffering, make clearer decisions, and move forward with grounded confidence.
BY THE TIME YOU FINISH LISTENING, YOU’LL DISCOVER:
✅ Insight #1: Why “fighting reality” is the hidden source of stress in your business—and how accepting change and unpredictability actually increases your freedom and clarity as a leader
✅ Strategy #2: A practical way to navigate setbacks without spiraling—so you can pivot faster, regulate your emotions, and make aligned decisions even when things don’t go according to plan
✅ Mindset shift #3: How to release the need for fairness, control, and perfect loyalty—and instead lead with resilience, compassion, and long-term vision without getting stuck in frustration or bitterness
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