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Understand the story behind your symptoms.
Get solutions for optimal midlife health.
If you watched your mother lose her memory, don’t wait to protect your brain.
Brain changes associated with dementia begin decades before a diagnosis. For women, that is midlife — which means the window to act is now.
Protect your brain with a personalized clinical program designed for your unique biology.
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.
Your Family History Matters. But It Is Not Your Destiny.
What Many Women Believe
If brain decline runs in my family, there isn’t much I can do.
If a drug can’t prevent it, nothing can.
If I carry ApoE4, my future is already written.
What We Understand today
Personalized, comprehensive approaches have been proven to improve the brain health of most participants in recent clinical studies.
Brain health is influenced by many interconnected factors, which explains why comprehensive approaches often outperform single interventions.
Genetics influence risk, but they do not determine outcome. Most people who develop dementia do not have ApoE4, and many people with ApoE4 never develop dementia.
Take control of your cognitive future
The Solution: Aruna Stay Sharp
1
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.
2
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.
3
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.
Stop Dementia Before It Starts
Watch my conversation with Dr. Bredesen as we explore his evidence-based ReCODE 2.0 protocol that prevents and reverses dementia in most cases.
This pioneering approach—backbone of Aruna’s programs — has already transformed the brains of many women.
Dr. Manna: Committed to Your Care
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.
You Can Stay Sharp for Life
Join Dr. Manna to help understand your risks, identify your brain health factors, and take meaningful action to protect your future.
Proof: Annie’s Story
52 years old with a grandmother who had died of dementia and a mother beginning to show signs of cognitive decline.
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Before We Worked Together |
After Six Months |
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Menopause symptoms were poorly controlled, with ongoing bleeding that had become difficult to manage. |
Hormones optimized and menopause symptoms significantly improved. |
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Taking both an antidepressant and a sleep medication. |
No longer taking either medication. |
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High anxiety, poor sleep, poor digestion, joint pains were a daily struggle. |
Sleeping well, anxiety settled, digestive health fixed, and joint pain resolved. |
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Brain fog so severe that she often could not remember important details during appointments and had to inform me later. |
Thinking clearly again, with improved focus, memory, and mental energy. |
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Burnout and cognitive fatigue had become so overwhelming that she quit working altogether. |
Waking up with energy, feeling capable and resourceful, and back to work part-time. |
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Felt frightened about her future and no longer trusted her brain. |
Confident, hopeful, and trusting herself again. |
Testimonials
What Our Patients Say
Take the Next Step
- If you recognize yourself on this page, the next step is to learn more about the Midlife Brain 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.
Frequently Asked Questions
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.
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.
Our programs include comprehensive blood labs, toxin screenings, digestive health tests, food sensitivity testing, and more, depending on the chosen program.
Yes, our programs are designed to accommodate clients both locally and remotely through virtual consultations and telemedicine.
From the Blog
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
Leftovers:
The Only Menopause Society & ReCODE 2.0 Certified Functional Medicine Doctor in San Diego
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.
The Aruna Method™ Approach
Assess
- Comprehensive blood biomarkers – cardiometabolic, hormonal, nutrition etc.
- Advanced functional testing – gut, toxins, genomics, inflammation etc.
- Intakes, assessments and cognitive performance evaluation
- Real-time metabolic monitoring
Rebuild
- Personalized protocol creation based on your unique test results and genetics
- Precision supplementation
- Monthly strategy consultations
- Concierge level support for regular guidance
- Health coaching, if chosen
- Oral & sleep screening, if chosen
Optimize
- Measurable outcome tracking – biomarker trends, cognitive performance, energy, sleep
- Protocol refinement
- Follow-up retesting
- Systemic, data-driven transformation to create measurable, sustainable improvements.
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.