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Grab your FREE ticket to the Fast FIRE to Freedom Virtual Summit, Sept.8-11!

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Legally Lower Your taxes

4-Day Real Estate Kickstarter For Doctors. Proven real estate strategies to legally lower your taxes, even if you're brand new to investing!

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From Fear To First Deal

Strategies To Confidently Invest In Real Estate Despite Market Conditions

Don’t miss out! Mark your calendar for Tuesday, May 20, 2025

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⏰ 3 Days Away: Free Live Training

100 Hours & $100K: Build STR Wealth in One Year | March 23rd @ 7pm ET

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Don’t miss our in-person 2025 Prosperity Conference!

 March 6-8. Learn directly from industry leaders and top physician entrepreneurs how to create a life balance and build lasting wealth. 

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Zero to Freedom is Now Open!

Don’t miss out! Grab this golden opportunity to enroll in Zero to Freedom. Enrollment ends January 30th. 

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Zero to Freedom is Now Open!

Don’t miss out! Grab this golden opportunity to join the Spring 2025 Zero to Freedom course!

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FREE REAL ESTATE INVESTING MASTERCLASS

For Doctors & High Income Earners Who Want To Reduce Tax & Increase Cash Flow LIVE & FREE AUG 7TH @4:30PM EST

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Accelerating Wealth: The Short-Term Rental Blueprint

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freedom is possible FOR YOU

you can live a Truly Wealthy Life

Without having to add even more clinical hours to your (already busy) work week.

We provide results-based, real estate investing education, resources and tools to empower doctors and high-income earners to finally live the abundant life they deserve in less time than they imagine.

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WELCOME TO SEMI-RETIRED MD

Kenji Asakura, MD
and Letizia Alto, MD

we provide coaching and mentorship for doctors and high-income earners

Several years ago, we were newlyweds working as full-time hospitalists. On paper, it looked like we had everything: the well-paying careers, the happy marriage, the luxurious rental home, the cars, etc.

But in reality? Despite having worked for several years, we had very little savings. Despite our high income, we had very little freedom in terms of time or money.

One thing was clear: we had to do something.

Read Our Story
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"Why Doctors Should Invest in Real Estate"

Fast Fire by Semi-Retired MD helps doctors achieve financial freedom through real estate investing. Our tailored platform equips medical professionals to build passive income, secure wealth, and gain financial independence early in their careers—all while accommodating their busy schedules. With expert guidance from experienced physician-investors, doctors can create lasting financial security and enjoy life on their own terms, sooner.

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For Those Newer to Investing

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$100K Year - Our Real Estate Blueprint To Get You there

Download our FREE guide to learn TWO ways you could make $100K in your first year as an investor!

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For Those ready to dive deeper

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Three Ways Doctors Can Lower or Eliminate Their Income Taxes with Real Estate

Download the free guide and discover three proven strategies we’ve personally used to keep more of what we earn!

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doctors building wealth podcast

the podcast for doctors

the must-hear podcast for ambitious DOCTORS AND HIGH-INCOME earners pursuing financial freedom and a life of genuine wealth.

150 +

Education - based episodes

Valuable

insights on real estate
investing and entrepreneurship

350k +

downloads worldwide

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Education - based episodes

Top 2%

Globally Ranked Podcast

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about the podcast

Doctors Building Wealth is a bi-monthly podcast hosted by Leti and Kenji, a physician couple who achieved financial freedom, that digs deep to uncover the mindset, habits and strategies separating wealthy doctors and high-income earners from those who are not. Specifically, what are the financial, emotional and educational choices doctors and high-income earners can make daily to live a truly wealthy life.

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MOST POPULAR EPISODES

The Truth About Investing in Passive Real Estate Syndication

Top mistakes vacation rental owners make

Should I Start with a Vacation Rental or a Long-Term Rental?

The blog

A premier resource specifically for doctors and high-income earners looking to invest in real estate. With hundreds of insightful articles at your disposal, delve into strategies, trends, and get actionable advice for rental property portfolio performance.

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FEATURED POSTS

ASSET PROTECTION

What Makes a Good Rental Property Investment?

How do you know if a rental property is a good investment or not? One way is to have the right metric to help you analyze the deal.

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tax benefits

Tax Benefits of Short-Term Rentals

For those who follow us, you’ve probably learned about Real Estate Professional Status as a way to shelter income and….

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Investor Mindset

Is owning rentals risky? Doing nothing is far riskier

Doctors and high-income professionals have few tax advantages due to their high income and employment status…

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most recent

ASSET PROTECTION

Six Things Real Estate Investors Should be Doing to Prepare for the Downturn

REAL ESTATE BASICS

Stop Saying You Don’t Have Enough Time to Invest in Real Estate

MINDSET

With Rising Interest Rates, Is it a Good Time to Invest?

LIFESTYLE/MISCELLANEOUS

Real Estate Investing: A Powerful Vehicle for Achieving Financial Freedom

Passive Income

Navigating Home Buying With Confidence: Introducing Our Primary Home Buying Program

View All Posts

HERE’S WHAT THEY’RE SAYING

Rated 5 out of 5

kevin J. and heather k.j.

pediatric neurologist / ob/gyn

We have increased our net worth by $1.5 million

Six months after we finished the course (and the start of the pandemic), we purchased a 12 unit apartment complex, and are cashflowing over $5,000 per month and have increased our net worth by $1.5 million. We have since purchased a short term rental and are getting a $100,500.00 tax refund using the short-term rental loophole!

We have learned that we absolutely can achieve our goal of financial independence for ourselves and our family.   We don’t have to work and serve corporate medicine until we are old and gray.  

Being a part of the SRMD community has been a key part in helping us on our way to financial freedom

Taking the Zero to Freedom course gave us the education, confidence, and inspiration to go from 10 doors to 66 doors.  Our original goal at the beginning of the course was to reach $100,000.00 in annual cash flow and, only one year later, we have surpassed that goal and are on track to double it.  Also, obtaining real estate professional status has allowed us to decrease our tax burden by several hundred thousand dollars off of our W2 income.  

Being a part of the SRMD community has been a key part in helping us on our way to financial freedom, or more specifically, freeing ourselves from our W2 income. While we haven’t made any major changes yet, Regan is considering cutting his clinic schedule back and we are looking forward to the many great things our future will bring for our family!

Rated 5 out of 5

Regan and rachel brown

SURGEON / REPS

Rated 5 out of 5

JENNIFER CUNNINGHAM

Endocrinologist/
Medical Director

I was able to achieve real estate professional status, and we received a large 6-figure tax refund

In the first 9 months after we took Zero to Freedom, we closed on 31 LTR doors in South Carolina. We then pivoted to short term rentals, going under contract for a new build in Florida Nov 2020. Since then we have purchased one short term rental in TN, completed our first new build short-term rental, and are under contract for 3 more new build STRs.

The first year after Zero to Freedom, I was able to achieve real estate professional status, and we received a large 6-figure tax refund that offset our clinical income.  We reinvested into short term rentals, and with that expected income, I will be able to reduce my clinical hours at work. 

It gave me confidence that I needed to just get started. It really gave me like all of the building blocks to become confident and taking on a whole new adventure…it’s been enormously meaningful to me, to my children. You know, it’s changed our lives.

We Saved Six-Figures In Taxes

In less than 12 months we are on course to make close to six figures in cash flow in year one!  In addition, we saved six figures in taxes in 2021 and are on course to repeat this for 2022.   

SRMD has changed our relationship with money, connected us with amazing like-minded people, and brought our family closer through our new shared love of real estate!

Rated 5 out of 5

billy c. and becky l.

UROLOGIST / OB/GYN

Rated 5 out of 5

KRISTINA K. AND MARIO M.

Pediatric InteRNIST/PROPERTY MANAGER

SRMD has encouraged us to think bigger, allowed us to dream of financial freedom

Within 12 months of taking Zero to Freedom, we made six-figures in real estate cashflow and saved six-figures in taxes.

SRMD has encouraged us to think bigger, allowed us to dream of financial freedom earlier, aligned us with other like-minded physician families and more importantly, allowed me to work in medicine more intentionally. I now work for organizations that I want to work for and not because I “have to” work for them.  Our goal is that I work 9 months of the year in medicine and take our kids to live in other countries during the summer. 

Rated 5 out of 5

Being a part of the SRMD community has been a key part in helping us on our way to financial freedom

Taking the Zero to Freedom course gave us the education, confidence, and inspiration to go from 10 doors to 66 doors.  Our original goal at the beginning of the course was to reach $100,000.00 in annual cash flow and, only one year later, we have surpassed that goal and are on track to double it.  Also, obtaining real estate professional status has allowed us to decrease our tax burden by several hundred thousand dollars off of our W2 income.  

Being a part of the SRMD community has been a key part in helping us on our way to financial freedom, or more specifically, freeing ourselves from our W2 income. While we haven’t made any major changes yet, Regan is considering cutting his clinic schedule back and we are looking forward to the many great things our future will bring for our family!

Rated 5 out of 5

I was able to achieve real estate professional status, and we received a large 6-figure tax refund

In the first 9 months after we took Zero to Freedom, we closed on 31 LTR doors in South Carolina. We then pivoted to short term rentals, going under contract for a new build in Florida Nov 2020. Since then we have purchased one short term rental in TN, completed our first new build short-term rental, and are under contract for 3 more new build STRs.

The first year after Zero to Freedom, I was able to achieve real estate professional status, and we received a large 6-figure tax refund that offset our clinical income.  We reinvested into short term rentals, and with that expected income, I will be able to reduce my clinical hours at work. 

It gave me confidence that I needed to just get started. It really gave me like all of the building blocks to become confident and taking on a whole new adventure…it’s been enormously meaningful to me, to my children. You know, it’s changed our lives.

JENNIFER CUNNINGHAM

Endocrinologist/Medical Director

Rated 5 out of 5

We have increased our net worth by $1.5 million

Six months after we finished the course (and the start of the pandemic), we purchased a 12 unit apartment complex, and are cashflowing over $5,000 per month and have increased our net worth by $1.5 million. We have since purchased a short term rental and are getting a $100,500.00 tax refund using the short-term rental loophole!

We have learned that we absolutely can achieve our goal of financial independence for ourselves and our family.   We don’t have to work and serve corporate medicine until we are old and gray.  

kevin J. and heather k.j.

pediatric neurologist / ob/gyn

Rated 5 out of 5

we saved six-figures in taxes

In less than 12 months we are on course to make close to six figures in cash flow in year one!  In addition, we saved six figures in taxes in 2021 and are on course to repeat this for 2022.   

SRMD has changed our relationship with money, connected us with amazing like-minded people, and brought our family closer through our new shared love of real estate!

billy c. and becky l.

UROLOGIST / OB/GYN

Rated 5 out of 5

SRMD has encouraged us to think bigger, allowed us to dream of financial freedom

Within 12 months of taking Zero to Freedom, we made six-figures in real estate cashflow and saved six-figures in taxes.

SRMD has encouraged us to think bigger, allowed us to dream of financial freedom earlier, aligned us with other like-minded physician families and more importantly, allowed me to work in medicine more intentionally. I now work for organizations that I want to work for and not because I “have to” work for them.  Our goal is that I work 9 months of the year in medicine and take our kids to live in other countries during the summer. 

KRISTINA K. AND MARIO M.

Pediatric InteRNIST/PROPERTY MANAGER

DISCLAIMER: The testimonials presented herein are provided for informational purposes only and should not be construed as a guarantee, warranty, or prediction of future outcomes.

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