Aruna Personalized Medicine

Aruna Personalized Medicine Naturopathic & Functional Medicine
Midlife Health | Menopause | Brain
Helping You Become Physically Strong, Mentally Clear and Emotionally Resilient

๐Ÿ“‰ The leadership drop no one is talking about.Women do not lose ambition in midlife. They lose support.For the first tim...
01/14/2026

๐Ÿ“‰ The leadership drop no one is talking about.

Women do not lose ambition in midlife. They lose support.

For the first time in over a decade, data shows women over 40 stepping back from leadership roles. Not because they are less capable, less driven, or less committed, but because the systems around them were never designed to support women through midlife transitions.

This phase of life often coincides with peak professional responsibility, increased personal demands, and significant biological changes that affect energy, cognition, sleep, and emotional resilience. When these shifts go unrecognized or unsupported, women are expected to compensate silently, often at the cost of their health and careers.

This matters. When experienced women step back, organizations lose institutional knowledge, leadership depth, and diverse decision-making. When women are supported through midlife health transitions, they do not disengage. They remain innovative, effective, and influential.

This is not a pipeline problem or a confidence issue. It is a health, leadership, and systems issue that requires attention.

๐Ÿ“Œ Comment โ€œexamโ€ to take my free perimenopause exam.

01/13/2026

๐—–๐—ต๐—ผ๐—ผ๐˜€๐—ถ๐—ป๐—ด ๐˜„๐—ต๐—ฎ๐˜ ๐˜†๐—ผ๐˜‚ ๐˜๐—ฟ๐—ฒ๐—ฎ๐˜ ๐—ถ๐˜€ ๐—ฎ๐˜€ ๐—ถ๐—บ๐—ฝ๐—ผ๐—ฟ๐˜๐—ฎ๐—ป๐˜ ๐—ฎ๐˜€ ๐—ฐ๐—ต๐—ผ๐—ผ๐˜€๐—ถ๐—ป๐—ด ๐—ต๐—ผ๐˜„ ๐˜†๐—ผ๐˜‚ ๐—ฝ๐—ฟ๐—ฎ๐—ฐ๐˜๐—ถ๐—ฐ๐—ฒ.

After medical school, it would have made sense for me to work with children with autism.
I had lived that experience deeply and personally.

But I knew it was too close.
Good medicine requires clarity, not emotional overwhelm.

So I chose to focus on brain health at the other end of life, working with patients in the early stages of cognitive decline.
That work taught me how fragile cognition is and how early intervention changes outcomes.

What I later recognized is this:
Midlife is the inflection point for brain health.

Perimenopause is not just a hormonal transition.
It is a neurological one.

That is why my work now centers on professional women in midlife.
Because protecting the brain before decline begins is the most powerful form of prevention.

This is not a pivot.
It is a throughline.

If you want to understand how midlife brain health shapes long-term performance and cognition,

Comment ๐—•๐—ฅ๐—”๐—œ๐—ก and I will send you my free Perimenopause Broken Rung Assessment.

01/12/2026

๐—œ ๐˜€๐—ฝ๐—ฒ๐—ป๐˜ ๐Ÿญ๐Ÿฌ ๐˜†๐—ฒ๐—ฎ๐—ฟ๐˜€ ๐—ฎ๐˜ ๐—š๐—ผ๐—น๐—ฑ๐—บ๐—ฎ๐—ป ๐—ฆ๐—ฎ๐—ฐ๐—ต๐˜€ ๐—ฏ๐—ฒ๐—ณ๐—ผ๐—ฟ๐—ฒ ๐—œ ๐—ฏ๐—ฒ๐—ฐ๐—ฎ๐—บ๐—ฒ ๐—ฎ ๐—ฑ๐—ผ๐—ฐ๐˜๐—ผ๐—ฟ.

Before medicine, I worked for a decade at Goldman Sachs.
My role was tracking profitability, balance sheets, and risk in high-stakes trading environments.

I understood pressure, precision, and performance.
I loved the work.

I left when I became a young mother, my child was diagnosed with autism, and I was told there was nothing that could be done.
No investigation. No solutions. Just acceptance.

That experience reshaped how I understood healthcare.
I returned to medical training in naturopathic and functional medicine to learn how to identify root causes, understand systems, and treat the whole person, brain, hormones, metabolism, and stress together.

That background is why I work with professional women in midlife.
I understand elite performance from the inside, and I understand how biology quietly undermines it when it is ignored.

This is not theory.
It is lived corporate experience, paired with medical training designed to restore capacity, not normalize decline.

If you want a doctor who understands leadership pressure and womenโ€™s biology,

Comment ๐—”๐—ฆ๐—ฆ๐—˜๐—ฆ๐—ฆ๐— ๐—˜๐—ก๐—ง and I will send you my free Perimenopause Broken Rung Assessment.

01/11/2026

๐—ง๐—ฎ๐—น๐—ธ๐—ถ๐—ป๐—ด ๐—ฎ๐—ฏ๐—ผ๐˜‚๐˜ ๐—ฝ๐—ฒ๐—ฟ๐—ถ๐—บ๐—ฒ๐—ป๐—ผ๐—ฝ๐—ฎ๐˜‚๐˜€๐—ฒ ๐—ถ๐˜€ ๐—ป๐—ผ๐˜ ๐˜๐—ต๐—ฒ ๐˜€๐—ฎ๐—บ๐—ฒ ๐—ฎ๐˜€ ๐˜๐—ฟ๐—ฒ๐—ฎ๐˜๐—ถ๐—ป๐—ด ๐—ถ๐˜.

Yes, we are finally saying the word out loud.
On social media, in the news, even in leadership spaces.

But awareness alone does not change outcomes.

Most women still do nothing during this transition, not because they do not care, but because they were never taught that effective care exists.
Fatigue, brain fog, and declining energy get normalized as aging instead of recognized as treatable signals.

Accepting diminished capacity is often misread as resilience.
In reality, it reflects a lack of education about what is biologically modifiable.

When women step back from leadership goals, they are rarely choosing less.
They are assuming they have reached their personal ceiling, without realizing their capacity can be restored.

This is why now matters.
Not because the conversation is louder, but because women deserve better outcomes.

That belief gap is what my book is designed to close.

If you have normalized feeling depleted instead of asking what is possible,

Comment ๐—˜๐—ก๐—˜๐—ฅ๐—š๐—ฌ, and I will send you my free Perimenopause Broken Rung Assessment.

01/10/2026

๐—ช๐—ผ๐—บ๐—ฒ๐—ป ๐—ฑ๐—ผ๐—ปโ€™๐˜ ๐—น๐—ผ๐˜€๐—ฒ ๐—ฎ๐—บ๐—ฏ๐—ถ๐˜๐—ถ๐—ผ๐—ป ๐—ถ๐—ป ๐˜๐—ต๐—ฒ๐—ถ๐—ฟ ๐Ÿฐ๐Ÿฌ๐˜€. ๐—ง๐—ต๐—ฒ๐˜† ๐—น๐—ผ๐˜€๐—ฒ ๐˜€๐˜‚๐—ฝ๐—ฝ๐—ผ๐—ฟ๐˜.

In midlife, a womanโ€™s hormones, brain chemistry, sleep quality, and stress response begin to shift.
This is biology, not burnout.

Yet no one prepares her.
Our culture stays silent, healthcare rarely educates, and workplaces do nothing to adapt.

This silence collides with the exact moment women are expected to operate at peak executive capacity.
Strategic thinking, memory, emotional regulation, and stamina all matter more at senior levels, right when perimenopause begins to affect them.

When women step back, decline leadership tracks, or leave altogether, it is rarely because they want less.
It is because they are navigating real cognitive and physical changes without education, language, or support.

That is the perimenopause broken rung.
And it is not a confidence issue or an ambition problem.

It is a fixable health and leadership failure.

If you feel capable but suddenly out of sync with your performance,

Comment ๐—ฆ๐—จ๐—ฃ๐—ฃ๐—ข๐—ฅ๐—ง and I will send you my free Perimenopause Broken Rung Assessment.

01/09/2026

๐—ง๐—ต๐—ฒ ๐—ฏ๐—ฟ๐—ผ๐—ธ๐—ฒ๐—ป ๐—ฟ๐˜‚๐—ป๐—ด ๐—ฑ๐—ผ๐—ฒ๐˜€๐—ปโ€™๐˜ ๐—ฒ๐—ป๐—ฑ ๐—ฒ๐—ฎ๐—ฟ๐—น๐˜† ๐—ถ๐—ป ๐—ฎ ๐˜„๐—ผ๐—บ๐—ฎ๐—ปโ€™๐˜€ ๐—ฐ๐—ฎ๐—ฟ๐—ฒ๐—ฒ๐—ฟ. ๐—œ๐˜ ๐˜€๐—ต๐—ผ๐˜„๐˜€ ๐˜‚๐—ฝ ๐—ฎ๐—ด๐—ฎ๐—ถ๐—ป ๐—ถ๐—ป ๐—บ๐—ถ๐—ฑ๐—น๐—ถ๐—ณ๐—ฒ.

McKinsey named the broken rung in 2019.
For every 100 men promoted to manager, only 81 women are.

That explains the early drop-off.
It does not explain why high-performing women stall or exit in their 40s.

By midlife, professional women have already navigated bias, pay gaps, caregiving, and constant performance pressure.
If they are still working, they want the role, the visibility, and the advancement.

So when progress suddenly slows, we need to stop blaming confidence or ambition.

Perimenopause brings cognitive changes, sleep disruption, mood symptoms, and burnout that directly affect leadership capacity.
Yet it remains invisible in career and leadership conversations.

This is the perimenopause broken rung.
And it is a health issue, not a motivation problem.

If you feel capable but stuck, your body may be working against you.

Comment ๐—ฆ๐—ง๐—จ๐—–๐—ž and I will send you my free Perimenopause Broken Rung Assessment.

๐Ÿง  A lot of high-achieving women I know are quietly struggling right now.Theyโ€™re sharp, capable, and used to performing a...
01/07/2026

๐Ÿง  A lot of high-achieving women I know are quietly struggling right now.

Theyโ€™re sharp, capable, and used to performing at a high level. But suddenly they feel off. Words donโ€™t come as easily. Focus slips in meetings. Decisions take more effort. And internally, thereโ€™s a fear they donโ€™t always say out loud, โ€œWhatโ€™s wrong with me?โ€

For many, this isnโ€™t stress or burnout. Itโ€™s perimenopause.

As estrogen begins to fluctuate and decline, it affects the brain areas responsible for memory, attention, emotional regulation, and executive function. This often shows up years before menopause is ever mentioned, right when women are in peak leadership and career impact roles.

This is not a loss of capability. Itโ€™s a biological transition that has been ignored for far too long. Awareness matters because early understanding protects brain health, confidence, and long-term performance.

โœจ If you are a high-achieving woman and this feels familiar, youโ€™re not alone.
My book is launching soon and it tackles why perimenopause is the hidden threat to womenโ€™s brains and careers.

๐Ÿ“š Preorder by commenting โ€œbook.โ€

01/03/2026

๐Ÿ’ก High-performing women often hit unexpected challenges in their 40s and 50s.

You might notice: sudden fatigue, brain fog, anxiety spikes, or changes in mood and motivation. Sleep feels less restorative. Weight and stress tolerance shift even when habits stay the same. Sometimes labs come back โ€œnormal,โ€ yet your body and mind feel off.

These experiences are not about mindset, motivation, or weakness. Theyโ€™re often rooted in biologyโ€”hormonal changes that quietly affect energy, focus, and resilience.

Understanding whatโ€™s happening is the first step to regaining clarity, energy, and balance. You donโ€™t have to navigate this alone.

๐Ÿ“Œ Book a call at www.arunamed.com
And letโ€™s find a plan tailored to your body and your life.

01/02/2026

Happy New Year ๐ŸŽ‰

A new year does not require a complete reinvention of yourself. It asks for awareness.

Awareness of how your body feels.
Awareness of what you have been pushing through.
Awareness that health is not something you pause and return to later.

Being healthy is not about doing everything at once. It is about showing up consistently, even when life is full. Especially when life is full. Strength, clarity, and energy are built through steady choices, not dramatic overhauls.

Let 2026 be the year you move with intention. Not rushed. Not pressured. Just forward.

Your health deserves that kind of commitment.

โณ The Fall Starts Before Menopauseโ€”Not AfterPerimenopause is not a โ€œwaiting roomโ€ before menopause. Itโ€™s the actual fall...
12/30/2025

โณ The Fall Starts Before Menopauseโ€”Not After

Perimenopause is not a โ€œwaiting roomโ€ before menopause. Itโ€™s the actual fallโ€”years of hormonal, metabolic, and bone changes leading to the final menstrual period. Research analyzing 300 million lab tests across 1.3 million women revealed abrupt jumps in FSH, estradiol, bone turnover, and cardiovascular markers.

Understanding this timeline is crucial. By the time the final menstrual period occurs, much of the physiological cliff has already happened. Early interventions like hormone therapy, nutrition, exercise, and gut support can flatten the fall and protect your brain, bones, and overall health.

For more information click this blog link: https://arunamed.com/perimenopause-is-the-fall-that-ends-with-the-final-menstrual-period/

12/30/2025

๐Ÿ’ก Progesterone intolerant? Youโ€™re not alone.

Some women experience bloating, breast tenderness, mood swings, irritability, fatigue, headaches, anxiety, insomnia, or gut issues like pain and discomfort when taking progesterone. This doesnโ€™t mean progesterone is โ€œbadโ€โ€”it means your body may need a different form, dose, or timing to get the benefits without the side effects.

Progesterone intolerance can happen due to:
โ€ข Individual metabolism differences โ€“ Every woman processes hormones differently
โ€ข Delivery method โ€“ Oral, transdermal, or micronized progesterone absorbs differently
โ€ข Hormonal interactions โ€“ Low thyroid, high cortisol, or imbalanced estrogen can make tolerance tricky

Even when labs look normal, some women still feel side effects. The key is personalized adjustments. Changing the form, dose, or schedule often resolves intolerance and allows progesterone to support sleep, mood, bone health, gut health, and overall hormonal balance.

โœ… If youโ€™re struggling with progesterone, there are solutions. With careful adjustment, you can still enjoy all the benefits without the side effects.

12/29/2025

๐Ÿ’ก Why do some women struggle with progesterone during hormone therapy?

Progesterone is essential for balancing estrogen and supporting mood, sleep, bone health, and overall hormonal balance. Yet, some women find it difficult to tolerate or notice benefits during hormone therapy. Common reasons include:

โ€ข Dosage issues โ€“ Too low or too high can cause symptoms like bloating, fatigue, or mood swings
โ€ข Timing and delivery method โ€“ Oral, transdermal, or micronized progesterone affects absorption and effectiveness differently
โ€ข Individual metabolism โ€“ Every woman processes hormones differently, so the same dose can feel very different from one person to another
โ€ข Interactions with other hormones โ€“ Low thyroid, high cortisol, or imbalanced estrogen can make progesterone less effective

Even when therapy is guided by labs, it can take time to find the right type, dose, and schedule for each woman. Patience and individualized care are key.

โœ… The good news: If you are struggling with progesterone, there are solutions.

Address

5938 Priestly Drive, Suite 103
Carlsbad, CA
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