The document provides 10 tips for maintaining sanity while running a startup business. The tips include knowing what stage of the startup change cycle you are in, using your energy wisely, finding a supportive group, being authentic, choosing healthy lifestyle choices over unhealthy ones, being skeptical of information, sharing secrets reduces stress, assembling a wise advisory council, treating all people with respect, and focusing on customers. The overall message is that founders should implement these various strategies and tactics to avoid losing sanity during the challenging startup process.