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In this episode, JR Burgess shares a deeply personal reflection on what it actually takes to move into alignment and build a life that supports both purpose and presence. As the new year begins, JR opens up about three core patterns that quietly held him back for years: fear, dishonesty, and being closed to change. He walks through how confronting each of these shifted not just his work, but his health, relationships, and sense of freedom. JR speaks candidly about his fear of money, the pressure to stay in roles that pulled him away from family, and the courage it took to walk away from opportunities that looked perfect on paper but were misaligned in reality. He also shares how cold exposure became a powerful practice for nervous system regulation, habit change, and emotional resilience, supporting his ability to let go of substances that no longer served him. The conversation goes deeper into what truth really means in leadership and business. From integrity in decision making to embodying what you teach and sell, JR explains why values matter more than tactics. He also reflects on openness, ego, and the willingness to try new approaches when old patterns stop working. This episode is for doctors, entrepreneurs, and leaders who sense there is more available, but know it requires honesty, courage, and responsibility to access it. If you are ready to stop living from fear and start building a life rooted in alignment, this conversation will meet you where you are. Follow the Doctors of Change podcast for more grounded conversations on health, leadership, and what it means to truly have it all.