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Published on:

9th Oct 2025

Saddle Up: Breast Cancer Awareness — Your Next Right Steps

This quick, hope-filled Saddle Up distills my full conversation with my surgeon, Dr. Elizabeth O’Leary, into practical steps you can take this week. Early detection saves lives. Courage + a simple plan = peace.

What You’ll Learn



  • Why early detection changes everything



  • The 25-year-old high-risk assessment every woman should know about



  • What to do if you have dense breasts (better imaging options)



  • Lifestyle levers that actually move the needle (movement, stress, alcohol, steady nutrition)



  • A simple prayer + mindset script to calm anxiety


Time-Stamped Guide (approx.)

00:00 — Why this episode matters (hope > fear)


01:00 — Appointments to make + when to start


02:00 — High-risk assessment at 25: what it is, who needs it


03:30 — Dense breasts: mammogram + MRI/ultrasound strategy


04:30 — Lifestyle that helps: movement, steady nutrition, stress, alcohol


06:00 — Mindset + prayer to carry you through

The Saddle Up Checklist (pick 1–3)



  1. Book your mammogram (start at 40; sooner if high-risk).



  2. Forward this to a 25–35 year-old you love and nudge a high-risk assessment.



  3. Dense breasts? Message your provider about alternating mammogram + MRI based on your risk.



  4. Choose one lever: add a 20-minute walk, swap one drink for sparkling water, or add protein + plants to lunch.



  5. Write & carry this prayer:



“God, I’m placing my health in Your hands. Lead me to the right steps and the right people. Give me courage to act and peace to rest.”

Key Takeaways



  • Early > easy. Catch it early and treatment is often simpler—and curative.



  • No family history? Still go. ~80% of women diagnosed have no family history.



  • Personalize it. Dense breasts and/or higher risk may mean different imaging.



  • Small habits help. Aim toward ~300 min/week of movement, include strength, keep nutrition steady, reduce alcohol, and prioritize sleep + stress care.



  • Peace is possible. You don’t need perfect—just the next faithful step.


Favorite Quote


“Courage isn’t the absence of fear; it’s acting with peace anyway.”

About Our Guest

Dr. Elizabeth O’Leary is a breast surgeon and founder of Lady Slipper Breast Center with locations in St. Paul, St. Louis Park, and Edina. Trained at the University of Minnesota and Johns Hopkins, she’s passionate about personalized, whole-person care—before, during, and after treatment.

  • https://www.elizabetholearymd.com

Connect with Lesa

lesakoski.com

  • Podcast: Doing Life Different

Disclaimers

This episode is for education + encouragement and is not medical advice. Always consult your healthcare provider about your unique situation.

Transcript
Speaker:

Hey friend, welcome to our Thursday Saddle Up segment.

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I am so glad that you're here.

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We just had the most encouraging week.

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We had a conversation with my surgeon, Dr.

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Elizabeth O'Leary for breast cancer

Awareness month, and that was Tuesday.

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So today, this is a quick, practical

roundup about what you can do

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this week to protect your health.

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Peace, not panic.

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First, the headline.

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I wish every woman could hear.

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Breast cancer is often

curable when it's found early.

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There are so many advances

and they're happening fast.

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So this isn't a fear episode.

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This is a nudge to take one small step.

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And the next few minutes we're

gonna cover appointments to make

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the am I a high risk question.

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Dense breast plus better imaging,

lifestyle lovers that actually

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matter, and a quick mindset reset.

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So you can do this with peace,

trust me, I wish I would've known

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this, you know, two years ago.

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So here are the appointments you need to

make your annual mammogram starting at 40.

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If you're due or overdue,

open up your calendar.

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Calendar right now and block five minutes

after the sub episode to schedule it.

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No family history.

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Still go.

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Dr.

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O'Leary reminded us that 80% of women

diagnosed have no family history.

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That was me.

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And I'm cured because we caught it.

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Felt something.

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Don't wait.

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If you notice a change, a new lump

skin, dimpling nipple discharge.

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Unusual.

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Unusual discharge, any pain.

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Call your provider.

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It's okay to be that patient.

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You are not overreacting.

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You are advocating.

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Finding out if your high

risk starts at age 25.

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I had no idea that that was the case.

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If your daughter, daughter-in-law,

or niece is 25 to 35, send them

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this episode and invite them to

book a high risk clinic visit.

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You can Google high risk

breast clinic plus your city.

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Or you can ask your gynecologist

or primary care for a referral,

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or you can go to Lady Slipper

Breast Center in Minnesota.

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If a close relative does have

breast cancer, ovarian, prostate,

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pancreatic, certain skin cancers,

ask about genetic testing.

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'cause the science does keep evolving.

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A negative years ago might

not include today's panels.

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So testing can guide smarter screening

and sometimes prevent cancers.

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And what drove me to do the genetic

testing was I knew that it was going

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to, even if it didn't show me anything

right now, it could help in the future

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for someone to look at my genes, my

name is not attached to see if there's

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any relevancy with other genes.

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Now you know how we get that thing

that says you have dense breast tissue.

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If your mammogram letter

says dense breasts, it means

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that M mammograms can miss.

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That doesn't mean to be scared.

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It means to be strategic.

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So ask your provider whether your

risk profile plus density makes

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you a candidate to alternate

mammogram and breast MRRI each year.

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Or you can do those, um,

3D mammograms as well.

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So remember, you, your

plan can be personalized.

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One of the many reasons

that I'm grateful for Dr.

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O'Leary is how she

personalized every step.

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So I could still heal and feel like me

and live the life that I wanted to live.

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So the fourth thing I wanna talk about

in this, in these key takeaways is

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that lifestyle levers that matter.

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So remember, we can't control

everything, but we can support

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our bodies and keep it doable.

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Number one, have joy and

don't be too hard on yourself.

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I was such a rule follower.

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I think it made me stress out.

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So these are things that I'm gonna

throw at you that I want you to do

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just for with fun and grace and to

excuse it if it doesn't always happen.

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But these are the things that are

gonna ha help you move your body.

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Aim toward like 300 minutes

a week of total movement,

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including some strength work.

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And this is like.

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Taking the stairs or walking the

dog, cleaning a floor, you know,

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whatever it is, just move your body.

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And then nutrition, she said it's

really hard to find the perfect

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diet, but we know whole foods, um,

you know, not processed things, real

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foods, protein and plants most days.

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So maybe I think I could chase trends.

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And I think that could

make, make me go bonkers.

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So don't chase the trends.

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I now say a prayer, thank you Jesus,

for this food that will bless my body.

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And it's generally

something really healthy.

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And sometimes I throw in a

little bite of a cinnamon roll

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on a Sunday morning breakfast.

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So here's the, here's the

thing that I don't think we

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talk about enough is alcohol.

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So if you drink, consider cutting back or

cutting it out because alcohol is clearly

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linked with higher breast cancer risk.

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It's partly because there's an

estrogen effect, and for me,

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removing that nightly glass of.

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Wine.

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It brought me more peace than I expected.

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And you know, she mentioned that the

Surgeon General, the last one had wanted

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to put a warning on alcohol labels,

just like lung cancer is on cigarettes.

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And for some reason it didn't happen.

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But there is a connection

and it truly does cause.

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Breast cancer, stress and sleep.

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Stress is not just in your head, it's

in your hormones and your immune system.

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So, you know, maybe just like pick one

little calming practice, like a 10 minute

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walk after dinner or breath work or, or

your phone down 30 minutes before bed.

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I always love that gratitude

list and, and my prayers.

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So here is the last thing that I wanna

talk about is that mindset reset.

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You know, I love that mindset

reset and it's, it's for peace.

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And I used to white knuckle everything.

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I thought that the harder it

was, the better it worked.

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What healed me wasn't fear, it

was surrender plus wise action.

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So here's your script.

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If anxiety pops up.

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Here's a little prayer.

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God, I'm placing my health in your hands.

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Lead me to the right steps

and the right people.

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Give me courage to act and peace to rest.

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Say it out loud while you click

schedule on your mammogram.

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So again, just quickly your checklist.

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Book your mammogram.

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Forward this to 25 to 35 year olds.

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Check your mammogram letter to

see if you have dense breasts.

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Choose maybe one lifestyle

thing that you can do.

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Maybe write your prayer on a note card.

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Keep it in your pocket when you need it.

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So I just want to be encouraging

to you because I made my journey

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through breast cancer and the cure

much scarier than it need to be.

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I wish that I could be where I am now when

I went through it, but that's life, right?

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And I've learned, and I wanna share that

with you because it is curable and they.

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They're learning so much all the time,

but the most important thing with breast

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cancer or anything is to just go in and

get it checked out because like I found.

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You can cure it.

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It doesn't have to grow.

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It doesn't have to get worse yet.

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It might be a little bit scary, but it's

a lot less scary than it could have been.

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So saddle up, make that call, send the

text, take the walk, say the prayer.

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You are not alone, and

there is so much hope ahead.

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I am cheering for you.

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I love you, and I will see you next week.

Listen for free

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About the Podcast

Doing Life Different with Lesa Koski
Real conversations for women over 40 about faith, fitness, and fresh starts
Mindset, movement, and faith after 40—because midlife isn’t a crisis, it’s your comeback.

Welcome to Doing Life Different with Lesa Koski, the podcast for women over 40 who are ready to rewrite the rules, reclaim their joy, and rediscover their purpose. Whether you're navigating divorce, rediscovering your health, deepening your faith, or learning how to have fun again—you’re in the right place.

Host Lesa Koski—wife, mom, coach, and seasoned mediator—brings real talk, relatable wisdom, and expert interviews to guide you through midlife reinvention with grace and grit.

In each episode, you’ll get practical tools and empowering conversations on:

Mindset & personal growth

Faith & spiritual connection

Fitness, movement & health

Divorce, marriage & relationships

Fun, purpose & starting fresh in the second half of life

This isn’t just self-help. It’s soul-level transformation. Get ready to do life different—because your next chapter starts now.

Lesa also explores the emotional and physical changes that often accompany midlife and major life shifts. From navigating the impact of menopause on your health, marriage, and mood, to dealing with the loneliness that can come after divorce or empty nesting, you’ll find honest conversations that don’t shy away from real-life challenges. And for those of you in your 40s, 50s, or beyond, you’ll discover what it means to truly build a better life after 40.

Health and wellness are deeply integrated into this journey. Lesa shares insights on the benefits of rest, joy, nutrition, fasting, protein, and bone health, along with the power of movement, community, and exercise to support mental clarity and physical strength. You’ll learn how to take care of yourself with intention—because healing isn’t just emotional, it’s also biological.

Mindset work and self-coaching are recurring tools offered in episodes to help you reframe your story and shift from fear to freedom. And through it all, the show honors the role of faith, spiritual surrender, and letting God lead you through every season. Whether you're leaning into your relationship with God for the first time or deepening a lifelong practice, you’ll hear how surrender can bring peace even in the hardest moments.

You’ll hear real stories from people who have done divorce differently, saved their marriages, or found new love and purpose on the other side. Lesa also brings in conversations about marriages that have stood the test of time, co-parenting through complex seasons, and the realities of parenting after separation while maintaining stability for your kids.

This is a podcast about thriving through Cancer, taking back your life, rewriting your future, and trusting that you’re not starting over, you’re starting better. If you’re craving practical advice, soul-level encouragement, and real conversations about creating a healthy, joyful, purpose-driven life, you’ve found your community.

Subscribe now and join Lesa Koski for weekly episodes that will help you grow stronger in your relationships, your health, and your faith, no matter where you’re starting from.

About the Host:
I’ve spent over 25 years helping families navigate amicable divorce as a lawyer and mediator, always focused on protecting what matters most—your kids and your peace of mind. But my mission has expanded. Today, I support women over 40 not just through endings, but in building stronger relationships—and sometimes even saving their marriages. I’m a breast cancer survivor, a cowgirl at heart, a wellness advocate, and a follower of Jesus. My life and faith fuel my passion for helping women thrive.

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