Rheumatologist OnCall

12/30/2025

NEW VIDEO: The Truth About Sjögren’s — and the New Treatments Giving Patients Hope

Sjögren’s disease is one of the most misunderstood and underdiagnosed autoimmune diseases. Many patients spend 5–10 years, see multiple doctors, and are told it’s “just stress,” “fibromyalgia,” or even depression before they finally get answers.

In this new video, I break down:
• The early and hidden signs of Sjögren’s
• Why it’s not just dry eyes and dry mouth
• How Sjögren’s can affect the joints, nerves, lungs, gut, brain, kidneys, and energy levels
• Why blood tests can be negative (even ANA, SSA/Ro, and SSB/La) and Sjögren’s can still be present
• How Sjögren’s is properly diagnosed, because no single test tells the full story

Most importantly, I cover:
• Current treatments for dry eyes, dry mouth, joint pain, and fatigue
• Exciting new therapies and biologic medications currently in clinical trials that may change the future of Sjögren’s care

If you’ve been told “everything looks normal” but you still don’t feel normal, this video is for you.

Watch now and share this with someone who may still be searching for answers. Awareness can change lives.

https://youtu.be/-qvxBeWGI1Q?si=p_MK_Zbtz2DuDRyo

➡️Book a Consultation: https://rheumatologistoncall.com/Sjögren’s disease is one of the most misunderstood and underdiagnosed autoimmune diseases, often taki...

12/21/2025

All about Rheumatoid arthritis in just 10 minutes!
Check out this new video that talks about signs, symptoms, new tests, diagnosis and the NEWEST treatments!

Leave me a comment about what do you want to learn more about !

Thank you!

Dr G

➡️Book a Consultation: https://rheumatologistoncall.com/Rheumatoid arthritis is more than joint pain and it’s often missed in the early stages. In this video...

12/19/2025

HRT is a treatment for women who need to be seen and evaluated by a specialist.

WHY?

Because the effectiveness and safety of hormone replacement therapy (HRT) is our #1 PRIORITY!

Our specialist, Dr. Mirela Titianu, will
- Monitor your symptoms
- Schedule regular follow-ups
- Screen for side effects
- Check your lab and bone density when needed
- Individualize your care

✨ Dr. Mirela Titianu specializes in safe, personalized menopause care.

Now accepting new telehealth patients in California, Florida, and Oregon.

💻 Find out how expert monitoring and support can help:

https://rheumatologistoncall.com/womens-hormone-autoimmune-balance-program/

12/16/2025

Is it best to follow up after starting hormone replacement therapy (HRT)?

Absolutely—routine follow-up is key!

After starting HRT, you should check in with your specialist within the first 3 months to ensure your symptoms are improving, side effects are manageable, and your treatment is working for you.

That’s why ongoing care with a menopause specialist is so valuable. Your health needs can change—and so should your treatment!

✨ Dr. Mirela Titianu, Menopause Society–certified, is now accepting new telehealth patients in California, Florida, and Oregon.

💻 Ready for personalized, expert follow-up?

Schedule today: https://rheumatologistoncall.com/womens-hormone-autoimmune-balance-program/

12/15/2025

Your hormones can mess up your LIFE — and that’s not an exaggeration.

When they shift, your brain, body, and emotions shift too. Suddenly, the woman who once had endless energy, patience, and confidence starts to feel lost in her own body.

If you’ve been battling:
💭 Brain fog
🦴 Joint pain or stiffness
💔 Mood swings
🔥 Hot flashes
💤 Sleep issues
💡 Or even worsening autoimmune symptoms…
You are not imagining it.

These are real biological changes, not weakness or aging.
And when menopause or perimenopause collides with autoimmune disease, the struggle can feel unbearable.

But here’s the truth:
✨ There is a science-backed, compassionate path to balance.

At Rheumatologist Oncall, we created the Women’s Hormone & Autoimmune Balance Program, led by two experts who understand what you’re going through:

👩⚕️ Dr. Mirela Titianu — Triple board-certified in Internal Medicine, Obesity Medicine, and Lifestyle Medicine, and a Menopause Society Certified Physcian

👩⚕️ Dr. Diana Girnita — Rheumatologist and autoimmune expert, helping women safely manage hormone therapy while controlling autoimmune flares.

Together, they guide women through one of life’s most powerful transitions — helping you reclaim your energy, confidence, and health.

📍 Now welcoming women in California, Florida, and Oregon.

It’s not just in your head — it’s your hormones, and help is here.

👉 Tap the link in our bio to book your consultation with Dr. Mirela Titianu and start your journey toward hormonal balance and autoimmune wellness today.

12/11/2025

Are you an appropriate candidate for hormone replacement therapy (HRT)?

Here’s what matters:

If you’re experiencing bothersome menopause symptoms—hot flashes, night sweats, sleep issues, or mood changes—you may be a good candidate for HRT. Starting before age 60 or within 10 years of your last period is generally safest and most effective.

But ...every decision is personal.

Your symptoms, health history, and risk factors deserve expert review!

✨ Not sure if HRT is right for you?

Schedule with Dr. Mirela Titianu—Menopause Society–certified specialist—now accepting new telehealth patients in California, Florida, and Oregon.

💻 Learn more or book now:
https://rheumatologistoncall.com/womens-hormone-autoimmune-balance-program/

12/10/2025

Does lupus get better after menopause?

The latest ACR #2025 data shows postmenopausal women with SLE often have lower disease activity and fewer symptoms, though they may be at greater risk for NEW cancers.

That is why we monitor our patients closely —we believe it is the best option for them!

Our autoimmune experts, Dr. Diana Girnita and Vishnuteju Devalla, who are trained at the best centers worldwide, have already helped thousands of patients thrive with individualized plans and regular screenings.

At Rheumatologist OnCall, we offer personalized care for autoimmune diseases and arthritis in AL, CA, FL, GA, ID, IL, IN, KY, MD, MI, MN, OH, OK, PA, TX, AZ, WI, MT, and OR.

Our menopause-certified physician, Dr. Mirela Titianu, is also here to help you navigate menopause with grace. Now seeing patients in OR, FL, and CA.

Put your health in expert hands—book your appointment today.

12/09/2025

Is your Arthritis suddenly worse during ?

New ACR #2025 research reveals that the years bring a real spike in and skin disease activity for women living with , then symptoms may settle after .

If you’re struggling with these transitions, don’t go it alone.

At Rheumatologist OnCall, we help identify triggers, optimize therapy, and manage diseases with personalized care.

Our expert, DR. Mirela Titianu, is menopause-society-certified and now seeing patients in CA, FL, and OR.

Our autoimmune experts, Dr. Diana Girnita and Vishnuteju Devalla, serve people with arthritis and autoimmune conditions in AL, CA, FL, GA, ID, IL, IN, KY, MD, MI, MN, OH, OK, PA, TX, AZ, WI, MT, and OR.

Book a telemedicine consult today and get the support you deserve.

12/08/2025

Before starting hormone replacement therapy , it’s important to do some baseline laboratory testing to make sure your treatment is safe and optimized for you.

Do you want to learn more about these tests?

Ready for a customized hormone plan based on the latest science?

At , Dr. Titianu builds each protocol individually—so you get the results and support you deserve.

12/07/2025

Do you think always means more severe arthritis (RA)?

Surprisingly, one abstract at shows that while post-menopausal women start with higher disease activity, this doesnt impact the need for medication.

This is what we advise our patients:

not to stop medication for arthritis as they are still needed.

It is better to understand if those symptoms are related to or .
Because, yes, menopause can cause musculoskeletal symptoms like joint and muscle pain.

Did your doctor talk to you about menopause?

Here at Rheumatologist OnCall, we have a comprehensive approach for women with and diseases that will address and and .

Our expert, Dr. Mirela Titianu, is certified in menopause care and can see patients from CA, FL, and OR.

For arthritis and autoimmune disease care, our experts, Drs. Diana Girnita and Dr. Vishnuteju Devalla cover even more US states:

AL, CA, FL, GA, ID, IL, IN, KY, MD, MI, MN, OH, OK, PA, TX, AZ, WI, MT, OR.

Let’s build a care plan that’s right for you—book your telemedicine session now.

12/06/2025

Are your autoimmune symptoms worsening during menopause?

Hormonal changes can disrupt immune balance, often leading to painful flares and new health challenges.

That’s where Dr. Mirela Titianu comes in — a Menopause Society–certified physician who specializes in hormone replacement therapy, menopause, and autoimmune health.
She helps women feel like themselves again — with science-based, compassionate care tailored to their bodies and journeys.

🌸 Now accepting new patients in California, Florida, and Oregon.

Link to schedule appointment in comments!

12/05/2025

Did you know that as a woman, you can start losing muscle mass more rapidly during menopause?

It’s not just age—declining estrogen is a major reason.

Estrogen helps keep muscle cells strong, supports repair after exercise, and regulates inflammation.
As hormone levels drop in perimenopause and menopause, muscle protein breakdown increases and the body becomes less efficient at maintaining and rebuilding muscle fibers.
This leads to decreased strength, slower recovery, and unwanted fat gain. Combined with changes in metabolism, these shifts can make daily tasks feel harder and sap your energy.

But you can take action!

Connect with Dr. Mirela Titianu—Menopause Society–certified specialist—now accepting new telehealth patients in California, Florida, and Oregon.

Ready to learn how to stay strong through menopause?
💻 Learn more or schedule your visit today:

https://rheumatologistoncall.com/womens-hormone-autoimmune-balance-program/