Naturopathic and Functional Medicine | San Diego | Menopause Society Certified | ReCODE 2.0 Certified
The questions change in midlife, too.
Is this menopause — or is something else going on too?
Is hormone therapy right for me?
If I’m already taking hormones, why don’t I feel as well as I expected to?
What do changes in my cholesterol, blood sugar, blood pressure, weight, sleep or cognition mean for my health?
Does my family history of dementia, heart disease, diabetes, osteoporosis or cancer change what I should be doing now?
Am I getting the right lab testing that helps to make full body decisions — or just routine labs?
What should I pay attention to next?
The decisions you make in midlife aren’t only about how you feel today, they shape your health for years to come.
It’s not just one thing
Get help putting the pieces together.
Healthcare is fragmented.
You get menopause care from one place. Your PCP monitors your cholesterol or blood sugar. You see an endocrinologist for your thyroid. Sleep may be treated as its own problem. Concerns about memory or family history of dementia may not be addressed at all.
Each piece of your health matters individually and together.
Menopause and midlife bring full body brain health into focus. Heart, metabolism, sleep, thyroid, bone and muscle, immune, gut, combined with your medications, genetics, personal medical history and family history should be part of a comprehensive look at your health.
The same symptom can lead to different questions for different women.
The same laboratory result can mean something different depending on the woman in front of me.
And the right decision for one woman may not be the right decision for another.
The question isn’t:
“What’s the treatment?”
it’s:
“What is right for me?”
Understanding your choices
Start with the question at the top of your mind.
“What is going on with my health?”
You want a clearer understanding of where your health stands, what deserves attention and what information you may be missing.
Start with Early Advantage. There are two ways to begin:
ASSESS
The Early Advantage
Health Blueprint
A comprehensive laboratory and clinical assessment designed to establish your personal midlife health baseline.
Laboratory panel especially targeted for midlife women, your personal and family history, medications, supplements, symptoms and concerns come together in a 75-minute clinical assessment deep dive, current Health Map and recommendations for next steps.
$1,310 including laboratory testing and phlebotomy
Meet Dr. Manna Semby
Dr. Manna Semby, ND, MSCP, IFMCP
Founder, Aruna Personalized Medicine
@MenopauseBrainDoctor
I’m a naturopathic doctor specializing in menopause and brain health, with advanced training in menopause and functional medicine and a particular focus on protecting cognitive health.
Medicine wasn’t my first career. I worked in finance at Goldman Sachs and PricewaterhouseCoopers before going to medical school in my 40s.
I changed careers due to a health crisis in my family. Then, before I turned 50, I experienced burnout, menopause and breast cancer in the same period.
I practice functional and precision medicine because it allows me to understand each woman as an individual and help her make decisions that are right for her.
My experiences as both doctor and patient have shaped how I practice today: looking carefully, asking questions, and bringing together information that might otherwise be considered separately.
Today, I work primarily with midlife women navigating menopause and women concerned about their long-term brain health, including those with a family history of dementia.
It’s time for greater depth
Ready to go deeper on your health?
“Is Menopause The Main Thing I Need Help With?”
Maybe symptoms are interfering with your life.
You may be trying to decide whether hormone therapy is right for you, already taking hormones but not feeling as well as you expected, or navigating a medical history that makes menopause decisions more complicated.
Explore how I approach menopause as a whole-body and brain transition—and what deeper care may look like when menopause is the question topmost in your mind.
“What Does My Family History Mean For My Brain Health?”
Maybe you’ve watched your mother, father or another close relative develop dementia.
Perhaps you’ve noticed changes in your own cognition. Or you simply want to understand what you can do now rather than waiting until there is a problem.
Explore how I think about brain health, what shapes risk and what may deserve attention in midlife.
Testimonials
What Our Patients Say
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.
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Serving California and Colorado
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 and Colorado
Address
5938 Priestly Drive, Suite 103
Carlsbad CA 92008