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If Your Mother Had Dementia, Don’t Wait for Symptoms to Protect Your Brain

Act now to stay sharp, independent, and fully yourself with a personalized brain health plan designed specifically for midlife women.

Protect your brain with a personalized clinical program designed for your unique biology.

The Only Menopause Society & ReCODE 2.0 Certified Functional Medicine Doctor in San Diego

You Belong Here If:

Your brain doesn’t feel like it used to. You’re forgetting names, losing words, struggling to focus, feeling more anxious, or sleeping poorly. You find yourself asking, “Is this stress? Menopause? Aging? Or something else?”

You have a nagging sense that something isn’t quite right, but you don’t know where to turn, who to trust, or what steps, if any, you should be taking.

You have a complex health history, unique risk factors, or unanswered questions, and you’re looking for an approach that considers the whole picture rather than treating symptoms in isolation.

The Aruna Stay Sharp Protocol

The Stay Sharp Protocol is a structured clinical framework for women navigating the intersection of hormonal transition and cognitive change. And it’s only available at Aruna.

Understand
Your Risks

We take a comprehensive look at the factors that influence your brain health, including family history, genetics, hormones, metabolism, sleep, lifestyle, environmental exposures, and cognitive symptoms.

Identify
Your Opportunities

Rather than focusing on a single symptom or searching for a single cause, we look for the factors that matter most in your unique situation and where meaningful improvement may be possible.

Move Forward
With Confidence

You get clarity, a personalized plan, and the confidence that comes from taking meaningful action to protect your brain, your independence, and the future you have worked so hard to build.

The Stay Sharp Program

Menopause is a brain transition. Midlife is the right time to understand how you are doing and optimize your full body and brain health.

Watch my conversation with Dr. Bredesen as we explore his evidence-based ReCODE 2.0 protocol that prevents and reverses dementia in most cases.

Stop Dementia Before It Starts

This pioneering approach—backbone of Aruna’s Brain Health program—has already transformed the brains of many women.

ARUNA and ReCODE Interview

Action is the Solution to Worry

Pensive Woman
  • If thinking about your brain health feels frightening, you’re not alone. Many women avoid the topic—not because they don’t care, but because they care so much. The possibility of cognitive decline can feel overwhelming, making it easier to look away, stay busy, and hope for the best.
  • But avoiding the question doesn’t answer it. Waiting may feel safer in the moment, but it doesn’t provide clarity, reduce uncertainty, or change the future.
  • The women who ask the hardest questions are often the ones most ready to take meaningful action. You do not have to be certain. You do not have to have all the answers. The only thing you have to decide is that your future is worth protecting.

Choose Your Level of Transformation

1

Signature

9-Month Stay Sharp Program

Prevent and Reverse Brain Decline

  • Flagship, most comprehensive program.
  • Especially for women with a parent with dementia or those that have specific concerns about brain health
  • Based on Dr. Bredesen’s ReCODE 2.0 protocol
2

Recalibrate

6-Month Stay Sharp Program

Be Proactive about Brain Health Today

  • Brain first whole body health optimization
  • Vascular, metabolic, hormonal, immune, bone, sexual and overall health.
  • Optimal management of menopausal transition
3

Clarity

3-Month Stay Sharp Program

The Right Orientation for Brain Health

  • Focus on digestive, detox and hormonal health
  • Build the basic blocks of brain and whole body health
  • For those that do not have a family history of dementia or do not want to go deep yet.

Dr. Manna: Committed to Your Care

Dr Manna Semby ND

Dr. Manna’s experience of menopause—combined with the intense “chemo brain” that followed chemotherapy and radiation for breast cancer—gave her a firsthand understanding of how frightening it can be when your brain no longer feels like yours.

 

Unwilling to accept that brain fog, memory changes, and cognitive decline were simply things women had to endure, she dedicated her career to understanding the factors that influence brain health and what can be done to protect it.

Today, Dr. Manna combines advanced training in functional medicine, menopause care, and cognitive health, including certification through The Menopause Society and Apollo Health’s ReCODE program, with a deeply personal understanding of what is at stake.

Her mission is to help women gain clarity, take meaningful action, and protect the independence, identity, and future they have worked so hard to build.

Testimonials

What Our Patients Say

Take the Next Step

The Aruna Stay Sharp Protocol
TEDx San Diego Dr Manna Semby speaking

Breaking the Silence on Perimenopause

It is time for you to have precision medicine that treats your perimenopause and menopause symptoms as seriously as any other health condition—targeting your hormones, brain, and metabolism to restore your power and bandwidth.

Frequently Asked Questions

What makes The Aruna Method™ different from other wellness programs?

The Aruna Method™ is uniquely tailored to address the specific health challenges of midlife women, using a personalized and integrative approach that combines conventional and functional medicine.

How long does it take to see results?

While individual results may vary, many clients begin to notice improvements within the first few weeks. Our programs are designed to provide long-lasting benefits over a structured period.

What types of lab tests are included in the programs?

Our programs include comprehensive blood labs, toxin screenings, digestive health tests, food sensitivity testing, and more, depending on the chosen program.

Can I participate in the program if I live outside of the local area?

Yes, our programs are designed to accommodate clients both locally and remotely through virtual consultations and telemedicine.

From the Blog

When To Worry About Midlife Memory Loss

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At-Home Mega Lab Panels: Smart Shortcut or Expensive Noise?

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Are Hot Flashes Just A Nuisance?

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Serving Our Community

San Diego’s Premier Brain, Hormone & Metabolic Wellness

Carlsbad Location Serving La Jolla, Del Mar, Encinitas, Solana Beach, Rancho Santa Fe, and all of San Diego County

California’s only ReCODE-certified functional medicine practice specializing in women’s cognitive health

Virtual consultations available throughout California

Address

5938 Priestly Drive, Suite 103
Carlsbad CA 92008

Take Your Next Step

Learn more about the Stay Sharp Program.

Discover how Dr. Manna has been helping women understand their risk, identify the factors influencing their brain health, and take meaningful action to protect their future.

Stay Sharp Program
Take the Brain Health Quiz

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