“There is something that happens when we create expectations that are actually realistic, that we have a chance to delight ourselves. And then that creates this motivation to keep going and be like, Oh, this is working out much better than I expected.” In this episode of The Biotech Startups Podcast, Sandra Shpilberg, Co-founder and COO at Adnexi, shares her remarkable founder’s journey, launching Seeker Health from her living room, landing her first customer on LinkedIn, and scaling a mission-driven startup without outside funding—all while balancing family life and navigating the emotional challenges of entrepreneurship and acquisition offers. Her story challenges Silicon Valley myths, showing that pragmatic optimism, real customer traction, and staying true to one’s values can drive both personal and professional success.