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Oct 24, 2022

Letizia Alto is a physician, real estate investor, and blogger at Semi-Retired MD. She and her husband started investing in cash-flowing real estate in 2105 and have since grown their personal portfolio to over 125 units. Letizia helps doctors learn to invest in real estate to achieve financial freedom. Thousands of doctors and their spouses have now taken her online course, Zero to Freedom Through Cash Flowing Rentals, and have started building their own real estate portfolios of long and short-term rentals, securing a steady source of income outside of clinical medicine.


In this episode, Letizia shares her story of following the traditional doctor route before becoming inspired by a book that changed her life and pursue real estate investing. She was able to shelter all of their income by having one of them halftime, and have since grown their personal portfolio to over 150 units. She is currently working on a book that will teach other doctors how to do the same. To learn more about Letizia’s work, listeners can visit her podcast at Doctors Building Wealth!


[00:01 - 04:37] Opening Segment


  • Letizia and her partner are the owners of Semi Retired MD, and they are both physicians
  • They started investing in cash-flowing real estate in 2015
  • She shares how she and her husband were able to gain real estate professional status and shelter all their income by having one of them halftime  



[04:38 - 19:41] How To Achieve Your “Why” And Satisfy Your Growth

  • Letizia shares how she used straight-line depreciation and rehabbing to generate losses
  • Married couples only have one person needs to have real estate tax professional status to offset income
  • She realized they wanted to build wealth in real estate
  • When helping people get started in real estate
  • The importance of having a “Why” is that it’s strong and is tied to emotion
  • She shares how they reached a milestone of replacing both their clinical incomes in seven years
  • How their blog led to growth in their portfolio and helped them to overcome limiting beliefs about their capabilities


[19:42 - 26:27] Closing Segment

  • Letizia shares to have a community and a high standard of living around them was key to their success
  • Letizia shares where you can get in contact with her (links below)


“If you can identify “Why” you want to do something, then the “How” becomes less important.” – Letizia Alto

You can connect with Letizia through her:
Website: Semi Retired MD

Instagram: Semi Retired MD

Facebook: Semi Retired MD

Podcast: Doctors Building Wealth



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