Personalized Naturopathic & Functional Medicine


Hot flashes, night sweats and sleepless nights are not just a nuisance; they are alarm bells from your brain telling you that hormone levels for optimal functioning of your entire body are dangerously low.

Brain Health

Women are diagnosed with dementia at twice the rate of men. For many women, dementia begins at menopause. Changes in the brain that eventually lead to a diagnosis of dementia begin about 20 years before. Despite what you have heard, there is a lot you can do to prevent dementia, even if your genetics say otherwise.

White orchids

Dr Manna Semby

What you need in your 40s and beyond

As we approach the transformative phase of menopause, women need more than clinical care. I believe we yearn for community, connection, and comprehensive emotional support, too. The path through perimenopause and menopause can be intricate and emotionally charged, and women seek spaces where their experiences are not just acknowledged, but celebrated. We yearn for a community where we can share stories, exchange wisdom, and find camaraderie with others navigating similar journeys. Connection is a lifeline — a means of dispelling isolation and fostering a sense of belonging.

The emotional toll of hormonal fluctuations and life changes calls for a robust support system. Women deserve a safe haven to openly express their fears, triumphs, and vulnerabilities, knowing that they are met with understanding and validation. In my holistic approach to menopause, we go beyond medical guidance and provide a sanctuary of shared experiences, a network of support, and a profound sense of empowerment as we embrace this new chapter of life.

Join me to traverse this journey together and support each other along the way.
You belong here. Because here, you belong.

Personalized medical expertise

Areas of Focus

Hot Flashes, Insomnia, Night Sweats

These can cast a relentless shadow on women‘s lives, disrupting sleep, sapping energy, and impacting overall well-being. These symptoms challenge both physical comfort and emotional equilibrium. Reclaim resilience and joy.


Mood instability can silently weave its threads into the fabric of a woman‘s menopausal journey, eroding her emotional well-being and clouding her outlook. Find relief and fulfillment in the chapter ahead.

Weight Gain

Weight gain during menopause can feel like an unexpected and frustrating companion on an already intricate journey. Relief transcends the quest for a certain appearance; it’s about reclaiming comfort within one’s own body. Find empowerment to shape your health and vitality on your own terms.


Casts a shadow on bone health, reminding us of the vital foundation our bodies depend on. It’s more than preventing fractures; it’s about preserving the freedom to explore, the confidence to move, and the assurance that our bodies can continue to support our aspirations well into the future. Relief from osteopenia and osteoporosis isn‘t just a hope; it‘s an investment in the resilience that empowers us to live life to the fullest.

Cardiometabolic Health

Stands as a cornerstone of overall well-being, its significance echoing through every beat of our hearts. It‘s about ensuring our bodies continue to serve as vessels of vitality, granting us the freedom to embrace life’s adventures with vigor. Seeking relief is a declaration of empowerment, a commitment to nourishing our hearts and bodies, and a pursuit of the lasting vitality that allows us to thrive in every facet of our lives.

Dementia prevention

Dementia prevention during menopause is a proactive endeavor that speaks to the preservation of cognitive vitality and the protection of cherished memories. A dedication to maintaining a vibrant connection with our experiences and loved ones. Focusing on dementia prevention isn‘t just about safeguarding our minds; it‘s an investment in the quality of our lives, empowering us to navigate the future with clarity, resilience, and the ability to savor life‘s precious moments.

Cancer prevention

Cancer prevention during menopause is a resolute commitment to safeguarding our bodies and nurturing a future free from the shadow of this formidable adversary. A call to action, urging us to take charge of our health and fortify our defenses. More than evading a diagnosis; it‘s a our determination to live life to the fullest, unburdened uncertainties. By prioritizing prevention, we empower ourselves to embrace our well-being, celebrating every moment with the assurance that we’re proactively shaping a brighter, healthier future.

Gut health

Whether it‘s constipation, diarrhea or bloating, the need for relief during this phase goes beyond mere digestion; it‘s a yearning for internal harmony that echoes through every aspect of our lives. More than comfort — it‘s a foundation for balanced hormones, robust immunity, and sustained energy. As we navigate the changes of menopause, prioritizing gut health empowers us to stride forward with vitality, embracing the transformative journey with resilience and a nourished sense of self.


Detox from mold, heavy metals and environmental chemicals durin menopause is a quest for renewal and equilibrium, reflecting the need for relief from the accumulations of life‘s chapters. Engaging in detox isn‘t just about clearing toxins (while we certainly clear mycotoxins, heavy metals and chemical toxins); it’s an opportunity to shed the weight of the past, embracing the transformative phase with a refreshed perspective, newfound energy, and an unwavering commitment to the wellness journey ahead.


What you should know about Menopause and its implications

Every cell in our body houses estrogen receptors, an undeniable marker of the hormone’s paramount significance. At menopause, as estrogen levels ebb, we stand at a crossroads. To downplay or dismiss the crucial role of this hormone is not merely an oversight; it’s an act of profound negligence. Ignoring its importance during menopause is akin to neglecting the very foundation upon which our body’s health and equilibrium rest. The message is clear: underestimate estrogen’s role at our own peril.

What happens at Menopause?

Menopause marks the end of a woman’s reproductive years, typically occurring in the late 40s to early 50s. It signifies a time of significant hormonal, physiological, and metabolic shifts, primarily stemming from the reduction in the production of key female hormones — estrogen and progesterone. Menstrual cycles become irregular and finally stop. Ovulation becomes erratic, decreasing and finally ending the likelihood of conception.

What are the Implications of cessation of ovarian hormones at menopause?

Nervous System:

• Hot Flashes and Night Sweats: These are sudden sensations of heat, typically affecting the face, neck, and chest, often leading to sweating and subsequent chills.
• Mood Fluctuations: Changes in hormone levels can influence neurotransmitter activity, potentially leading to mood swings, depression, or anxiety.
• Sleep Disturbances: Hormonal shifts, coupled with night sweats, often result in sleep disruptions, including insomnia.


• Weight Gain: Hormonal changes can impact metabolism, sometimes leading to weight gain, particularly around the abdomen.
• Skin, Hair, and Nails: Reduced estrogen can lead to decreased skin elasticity, thinner hair, and brittle nails.

Digestive System

• Bloating, gastrointestinal upset, or changes in appetite.
• Constipation

Vaginal and Urinary Tract Changes

• Vaginal tissues lose elasticity and moisture, leading to vaginal dryness, discomfort, and painful sex.
• Increased risk of urinary tract infections.

Musculoskeletal System

• Estrogen plays a critical role in bone remodeling. Its decline accelerates bone loss, increasing the risk of osteoporosis and related fractures.
• Muscle Mass: Some women may experience a decrease in muscle mass and strength.

Cardiovascular System:

• Heart Health: Reduced estrogen levels may contribute to the stiffening of artery walls, elevating the risk of heart diseases.


Menopause, while a natural life stage, brings about multifaceted changes due to hormonal fluctuations. Recognizing and understanding these changes can facilitate better management and proactive care during this transition.

At Aruna Med
we Offer:

• A thorough and holistic review of your health to understand your goals

• A roadmap to accomplish your goals

• A team of hand holders for you including functional medicine doctors, nutritionists and health coaches to ensure you have the support you need as you implement your roadmap

• Connection and community while you undertake your journey to arrive at your health destination

• Convenient telehealth options

At the end of your journey, you will experience

• Energy and vitality to pursue all your life goals
• Optimized brain and whole body health
• New goals and new connections to cherish and nurture

Mission Statement

1. Redefine menopause as metamorphosis.

2. Help women optimize their health during perimenopause and menopause with a focus on hormone optimization and prevention of chronic disease.

3. Help prevent dementia.

Brain Health

Two-thirds of those diagnosed with Alzheimer’s disease are women. Every sixty-five seconds, another person develops Alzheimer’s. Thus, roughly every three minutes, two women are diagnosed with this disease. If a woman is over sixty, her chances of developing dementia are twice as that of developing breast cancer. Alzheimer’s is a form of dementia, albeit the most common. Other forms include vascular, frontotemporal and Lewy body dementia. 

It begins early

One of the foremost brain researchers in the world, Dr. Lisa Mosconi has shown that metabolic health and hormones are at the heart of developing dementia. She has published work that shows that women need to become cognizant of their susceptibility to this disease even before menopause. She believes that “far more than our breasts and tubes, our brains are under the greatest threat.”

Women’s brain energy levels can decrease by up to 30% after menopause. Some women have already accumulated amyloid plaque by the time they arrive at menopause and show progressive metabolic decline and shrinkage of memory centers of the brain. This shows that dementia does not suddenly develop in old age but begins in our forties and fifties.

Trigger vs Cause

It is important to know that menopause doesn’t cause dementia. However, due to progress decline and final cessation of hormones from the ovaries, perimenopause and menopause may be understood to be trigger events leading to a diagnosis of dementia when women are in their sixties or seventies. 

The greater threat

Many menopausal symptoms originate in the brain and are therefore primarily neurological symptoms. Women in their sixties are twice as likely to develop Alzheimer’s than breast cancer. Yet breast cancer is identified as a women’s health issue while Alzheimer’s is not.

The term “precision medicine” has been used by Dr. Dale Bredesen, creator of the PreCode and ReCode protocols to prevent and reverse dementia. It is also endorsed by Dr. Lisa Mosconi. Both are neurologists at the cutting edge of their fields of research. This approach addresses genetics, heart disease, diabetes, traumatic brain injury (TBI), inflammation, infections, depression, sex and thyroid hormones, environmental toxins and diet. 


Will you be next?

“In my early 30s, I would never have imagined that my PCOS and PMDD had anything to do with hormones. Thanks to Dr. Semby, I got educated on testosterone, insulin resistance and female hormones. When my hormone levels got fixed, a lot of my issues were resolved.”

Lucy C.

“I have always been healthy. I ate well, worked out all the time and took really good quality supplements. But in my 40s I started to struggle with fatigue and insomnia in the 2nd half of my periods. When Dr. Semby tested my hormone levels, I realized that I needed to supplement just a bit to get my sleep and energy back. Now I feel great through the whole cycle! I also know to come back and see her when things begin to get messed up again as I get deeper into perimenopause.”

Sunita M.

“I had gone through menopause just recently but had been too busy to start BHRT. I felt brain fog and exhaustion at an unimaginable level in addition to night sweats and hot flashes. What was I thinking? Or not thinking?? After starting bio-identical hormones, I literally felt my brain come alive again. My night sweats and hot flashes disappeared and I feel like my old self again!”

Linda S.

“When Dr. Semby told me that most of my problems were due to mold toxicity, I found it hard to believe. I kept pushing back…but I was not getting better. After many weeks I agreed to do the mold test. It was all very high mold. I finally started to listen to her. My symptoms of shaking, vibrating, anxiety, ringing in my ears began to get better. I did another mold test a few weeks ago and it shows mold is coming down. My symptoms are better. I am happy I listened to her.”

Ming J.

“My gut had a lot of issues for many years. I travel a lot and eat all kinds of food. I also had brain fog and anxiety. I was having a lot of relationship issues. When I talked to Dr. Semby, it was like talking to a friend. She encouraged me to do the healing work on myself and helped me with my gut and detox.”

Steve M.

“I have an extensive family history of dementia. I am terrified I will also get it. I am working with Dr. Semby to keep it at bay. She follows Dr. Bredesen’s protocol to check all my body systems and points out what needs work and helps me do it. I’m so glad I found her.”

Jade C.

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