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Aruna Personalized Medicine, 5938 Priestly Drive, Suite 103, Carlsbad, CA (2026)

02/05/2026

𝗪𝗵𝘆 𝘄𝗼𝗺𝗲𝗻 𝗮𝗿𝗲 𝘁𝗼𝗹𝗱 𝘁𝗼 𝘄𝗮𝗶𝘁 𝘄𝗵𝗶𝗹𝗲 𝗺𝗲𝗻 𝗮𝗿𝗲 𝘁𝗿𝗲𝗮𝘁𝗲𝗱

Many professional women notice fatigue, brain fog, and reduced stress tolerance in their 40s. Too often, they are told that it is normal and to push through without evaluation.

Men of the same age with the same symptoms are assessed and offered treatment to preserve function. That difference in response shapes who receives proactive care and who is asked to adapt.

Hormonal change in midlife affects far more than cycles. When we recognize and address it early, we can protect mental clarity, sleep, and long-term health.

You are not imagining these changes. You are noticing them.

Follow this page for midlife health information.

Read the full piece here:
https://arunamed.com/if-men-lost-testosterone-the-way-women-lose-estrogen/

02/03/2026

𝗪𝗵𝗲𝗻 𝘆𝗼𝘂𝗿 𝗯𝗿𝗮𝗶𝗻 𝗴𝗼𝗲𝘀 𝗾𝘂𝗶𝗲𝘁 𝗮𝗳𝘁𝗲𝗿 𝗰𝗮𝗻𝗰𝗲𝗿 𝘁𝗿𝗲𝗮𝘁𝗺𝗲𝗻𝘁, 𝘁𝗵𝗮𝘁 𝗶𝘀 𝗻𝗼𝘁 “j𝘂𝘀𝘁 𝘀𝘁𝗿𝗲𝘀𝘀.”

After chemotherapy, surgery, and radiation, many people notice cognitive changes that feel unfamiliar and alarming.
Not scattered thinking, but the opposite: a quiet mind, slower recall, difficulty forming thoughts.

This is often called chemo brain.
Clinically, it can resemble early cognitive impairment because treatment can affect attention, processing speed, and memory.

Here is what matters.
When cognition shifts, it can impact your work, relationships, confidence, and daily functioning, even if everything else looks “fine” from the outside.

What makes this harder is the response many people get.
“It’s common.” “It usually improves.” “We can’t guarantee.”

You deserve better than uncertainty and dismissal.
You deserve monitoring, a concrete plan, and language that validates what is happening.

This is why I talk about brain health so directly.
Naming the change is the first step to addressing it.

If you have noticed cognitive changes during or after treatment and want a structured next step,

Comment 𝗕𝗥𝗔𝗜𝗡𝗣𝗟𝗔𝗡 and I will send you my free Perimenopause Broken Rung Assessment.

02/03/2026

𝟳 𝗱𝗮𝘆𝘀 𝘁𝗼 𝗴𝗼.

I will be delivering a mainstage keynote in Nashville on Perimenopause, Peak Performance, and Career Longevity for seasoned women in finance.

From Goldman Sachs to medical school, and now back speaking to women in finance, this truly feels full circle.

I am honored to partner with , a platform committed to advancing women and women-centered leadership across wealth management.

This conversation matters. Health, performance, and leadership longevity are deeply connected, and it is time we address them directly.

📍 𝗠𝗮𝗶𝗻𝘀𝘁𝗮𝗴𝗲 𝗞𝗲𝘆𝗻𝗼𝘁𝗲 | 𝗙𝗲𝗯. 𝟵 𝗮𝘁 𝟲 𝗽.𝗺.
🎤 𝙏𝙝𝙚 𝙈𝙞𝙙𝙡𝙞𝙛𝙚 𝙀𝙙𝙜𝙚: 𝘼 𝙁𝙤𝙧𝙢𝙚𝙧 𝙂𝙤𝙡𝙙𝙢𝙖𝙣 𝙑𝙋’𝙨 𝙂𝙪𝙞𝙙𝙚 𝙩𝙤 𝙋𝙚𝙧𝙞𝙢𝙚𝙣𝙤𝙥𝙖𝙪𝙨𝙚, 𝙋𝙚𝙖𝙠 𝙋𝙚𝙧𝙛𝙤𝙧𝙢𝙖𝙣𝙘𝙚, 𝙖𝙣𝙙 𝘾𝙖𝙧𝙚𝙚𝙧 𝙇𝙤𝙣𝙜𝙚𝙫𝙞𝙩𝙮 𝙞𝙣 𝙁𝙞𝙣𝙖𝙣𝙘𝙚

Looking forward to the room and the conversation.
See you there.

01/28/2026

📊 The “Ambition Gap” Is Not What You Think.

Women are not losing ambition in midlife. They are losing support.

The Women in the Workplace findings from Lean In and McKinsey & Company show something important. Women’s desire to lead does not suddenly disappear. What changes is the context in which they are expected to perform.

One critical factor that has been largely overlooked is perimenopause and menopause.

This life stage often coincides with peak leadership years. Hormonal shifts can affect cognition, sleep, energy, emotional regulation, and stress tolerance. Yet workplaces rarely acknowledge this biological reality, let alone provide education or support around it. Instead, women are expected to perform at the same level, with the same intensity, while managing invisible physiological changes.

When women step back, it is misread as disengagement or declining ambition. In reality, it is often the result of unsupported health transitions layered on top of already demanding roles.

This is not a confidence issue. It is not a motivation issue. It is a leadership and health awareness gap.

If organizations want to retain experienced women leaders, perimenopause and menopause can no longer remain invisible.

📌 Comment “exam” to take my free perimenopause exam.

01/27/2026

𝗣𝗲𝗿𝗶𝗺𝗲𝗻𝗼𝗽𝗮𝘂𝘀𝗲 𝗶𝘀 𝘄𝗵𝗲𝗿𝗲 𝗯𝗿𝗮𝗶𝗻 𝗿𝗶𝘀𝗸 𝘀𝘁𝗮𝗿𝘁𝘀, 𝗻𝗼𝘁 𝘄𝗵𝗲𝗿𝗲 𝗶𝘁 𝗲𝗻𝗱𝘀.

We now know hormones play a meaningful role in brain health and dementia risk.
What most professional women are never told is that the risk window can open during perimenopause.

This is why brain fog deserves more respect than it gets.
It is not a personality flaw or a productivity problem. It is a biological signal worth evaluating.

I have lived it too.
I experienced brain fog in perimenopause, and it changed how urgently I talk about prevention.

Because if you connect the dots early, you can protect your cognition, your confidence, and your career trajectory.
Ignoring it is what turns a treatable signal into long-term vulnerability.

If brain fog is affecting your work and you want a clearer next step,

Comment 𝗖𝗟𝗔𝗥𝗜𝗧𝗬 and I will send you my free Perimenopause Broken Rung Assessment.

01/26/2026

I’m reading 𝗔 𝗡𝗲𝘄 𝗣𝗿𝗲𝘀𝗰𝗿𝗶𝗽𝘁𝗶𝗼𝗻 𝗳𝗼𝗿 𝗪𝗼𝗺𝗲𝗻’𝘀 𝗛𝗲𝗮𝗹𝘁𝗵: 𝗚𝗲𝘁𝘁𝗶𝗻𝗴 𝘁𝗵𝗲 𝗕𝗲𝘀𝘁 𝗠𝗲𝗱𝗶𝗰𝗮𝗹 𝗖𝗮𝗿𝗲 𝗶𝗻 𝗮 𝗠𝗮𝗻’𝘀 𝗪𝗼𝗿𝗹𝗱 𝗯𝘆 𝗕𝗲𝗿𝗻𝗮𝗱𝗶𝗻𝗲 𝗛𝗲𝗮𝗹𝘆, 𝗠.𝗗. and I can’t stop thinking about her as the woman we forgot.

Bernadine Healy was the first woman to lead the NIH, and she saw what medicine kept missing: women are not “small men.”

She helped initiate the Women’s Health Initiative, meant to finally take women’s physiology seriously across the lifespan.

Then she was gone. Leadership changed. Momentum shifted.

The WHI is now often reduced to: “hormone therapy is dangerous.” But that is not what Healy intended, and it is not what the data ultimately showed when reanalyzed with nuance, timing, and biological intelligence.

A male successor “stopped the bandwagon.” What was stopped wasn’t recklessness. It was inquiry, a line of questioning that threatened default male-centered medicine.

Women paid for decades in untreated symptoms, accelerated disease, and clinical gaslighting, including in perimenopause and menopause.

And now? Healy is barely spoken of. Her books are out of print, as if her thinking belongs to the past, not an unfinished future.

➡️ If you’ve ever felt dismissed, you’re not imagining the pattern. Share this.

01/22/2026

𝗣𝗲𝗿𝗶𝗺𝗲𝗻𝗼𝗽𝗮𝘂𝘀𝗲 𝗶𝘀 𝗻𝗼𝘁 𝗮 𝗿𝗲𝗽𝗿𝗼𝗱𝘂𝗰𝘁𝗶𝘃𝗲 𝘁𝗿𝗮𝗻𝘀𝗶𝘁𝗶𝗼𝗻. 𝗜𝘁 𝗶𝘀 𝗮 𝗻𝗲𝘂𝗿𝗼𝗹𝗼𝗴𝗶𝗰𝗮𝗹 𝗼𝗻𝗲.

The brain begins to change decades before dementia is ever diagnosed.
Long before symptoms are obvious, the foundations of memory, focus, and attention are already shifting.

For women, that window often opens during perimenopause.

Before a single period is missed, the brain is already remodeling.
Regions responsible for memory, concentration, and emotional regulation are adapting to declining estrogen.

This is why brain fog is not imagined.
It is a neurological signal.

Women make up nearly two-thirds of dementia diagnoses, yet few are told that brain risk does not begin in their 70s.
It begins in midlife.

When perimenopause is ignored, women are left managing cognitive strain at the most demanding point of their careers, without context or care.
That is not inevitable aging. It is missed prevention.

Brain health protection does not start after decline.
It starts when hormones begin to change.

If you want to understand how perimenopause affects your brain long before symptoms escalate,

Comment 𝗕𝗥𝗔𝗜𝗡 and I will send you my free Perimenopause Broken Rung Assessment.

01/21/2026

🧠 Cognitive decline in midlife is not inevitable.

Brain fog, memory lapses, and slower processing are often dismissed as stress or normal aging, especially in high-performing women. However, growing evidence shows these changes are frequently linked to modifiable biological factors, not irreversible decline.

Research indicates that a personalized, whole-body approach addressing hormones, metabolic health, sleep quality, cardiovascular risk, inflammation, and lifestyle factors can lead to meaningful improvements in cognitive function, particularly in midlife and early cognitive vulnerability. These improvements have been observed without relying solely on standard Alzheimer’s medications, which offer limited benefit and carry potential risks for many individuals.

For professional women, this matters. Midlife often coincides with peak leadership, responsibility, and decision-making demands. Cognitive changes at this stage are not a reflection of reduced capability. They are signals that the brain requires informed, integrated support.

Protecting brain health early supports long-term performance, resilience, and independence.

📌 Comment “exam” to take my free perimenopause exam.

01/20/2026

𝗪𝗶𝗿𝗲𝗱, 𝗧𝗶𝗿𝗲𝗱, 𝗮𝗻𝗱 𝗡𝗼𝘁 𝗬𝗼𝘂𝗿𝘀𝗲𝗹𝗳? 𝗟𝗲𝘁’𝘀 𝗧𝗮𝗹𝗸

If midlife has you feeling like your body changed the rules overnight, this is your invitation to pause and get real answers. Brain fog that disrupts your work. Sleep that stopped being restorative. Anxiety that feels unfamiliar. Fatigue that lingers even when you are doing all the “healthy” things.

𝗧𝗼𝗱𝗮𝘆 𝗳𝗿𝗼𝗺 𝟭𝟮:𝟬𝟬 𝗣𝗠 𝘁𝗼 𝟭:𝟬𝟬 𝗣𝗠, 𝗜’𝗺 𝗼𝗳𝗳𝗲𝗿𝗶𝗻𝗴 𝗳𝗿𝗲𝗲 𝟭:𝟭 𝗱𝗶𝘀𝗰𝗼𝘃𝗲𝗿𝘆 𝗰𝗼𝗻𝘃𝗲𝗿𝘀𝗮𝘁𝗶𝗼𝗻𝘀 𝗱𝘂𝗿𝗶𝗻𝗴 𝗺𝘆 𝗚𝘂𝗿𝘂 𝗛𝗼𝘂𝗿 𝗮𝘁 𝗛𝗲𝗿𝗮 𝗛𝘂𝗯 𝗖𝗮𝗿𝗹𝘀𝗯𝗮𝗱. This is a calm, supportive space to sort through what you are experiencing and understand what your symptoms may be connected to, including hormones, brain health, stress physiology, and the reality of midlife responsibilities.

We will focus on what matters most to you, including:
- How to interpret persistent symptoms that have been brushed off
- How hormone shifts can affect cognition, sleep, mood, and resilience
- How complex health histories can change the plan
- How to tell what needs deeper evaluation and what can be addressed with a clear strategy

You are not overreacting. Many women are carrying more than they realize, and with the right support, things can improve.

📍 𝗛𝗲𝗿𝗮 𝗛𝘂𝗯 𝗖𝗮𝗿𝗹𝘀𝗯𝗮𝗱, 𝟱𝟵𝟯𝟴 𝗣𝗿𝗶𝗲𝘀𝘁𝗹𝘆 𝗗𝗿, 𝗦𝘂𝗶𝘁𝗲 𝟭𝟬𝟯
🕛 𝗧𝗼𝗱𝗮𝘆, 𝟭𝟮:𝟬𝟬 𝗣𝗠 𝘁𝗼 𝟭:𝟬𝟬 𝗣𝗠
F𝗿𝗲𝗲 𝟭:𝟭 𝗱𝗶𝘀𝗰𝗼𝘃𝗲𝗿𝘆 𝗰𝗵𝗮𝘁, 𝗳𝗶𝗿𝘀𝘁 𝗰𝗼𝗺𝗲, 𝗳𝗶𝗿𝘀𝘁 𝘀𝘂𝗽𝗽𝗼𝗿𝘁𝗲𝗱

𝗕𝗼𝗼𝗸 𝗛𝗲𝗿𝗲: https://share.google/VbUysVRR28DJHnpmo

See you there.

01/20/2026

𝗙𝗲𝗲𝗹𝗶𝗻𝗴 𝗢𝗳𝗳 𝗟𝗮𝘁𝗲𝗹𝘆? 𝗖𝗼𝗺𝗲 𝗧𝗮𝗹𝗸 𝘁𝗼 𝗠𝗲 𝗧𝗼𝗺𝗼𝗿𝗿𝗼𝘄

If you are in your 40s or 50s and something feels different, brain fog, wired-but-tired energy, sleep that is suddenly a mess, anxiety that feels louder than usual, this is your chance to get clarity for free.

Tomorrow, January 20, 2026, from 12:00 PM to 1:00 PM, I’m hosting free 1:1 discovery conversations during my Guru Hour at Hera Hub Carlsbad. No pressure, no salesy vibe. Just a real conversation to help you understand what your symptoms might be telling you and what to do next.

Bring your biggest question. We can talk through:
- Hormones and midlife changes
- Brain fog, sleep disruption, burnout, anxiety
- Complex histories like autoimmunity, cancer, or medication sensitivity
- What is normal shift vs what needs real evaluation

Immediate action you can take:
✅ Drop in tomorrow between 12 and 1
or
✅ Schedule your free discovery call for that hour

𝗕𝗢𝗢𝗞 𝗛𝗘𝗥𝗘: https://share.google/VbUysVRR28DJHnpmo

📍 Hera Hub Carlsbad
5938 Priestly Dr, Suite 103

01/18/2026

Today I was in the grocery store, half thinking about dinner, half thinking about the week… then I saw this shirt:

“The Future is in the Past.”

And it hit me.

So many women are leading, building, carrying everything… while their bodies are changing, and no one ever gave them the map. We assume we’re failing, when really we’re operating inside systems built on the wrong default settings.

For decades, work and leadership have treated the male body as the default template for performance, stress, stamina, and “professionalism.” Then women hit predictable biological shifts and we label the outcome as a confidence issue, a resilience issue, or “she’s not ready.”

But it’s not weakness.
It’s missing context.

And health is part of this, too.

We keep searching for the future in a new supplement, a new hustle, a new productivity hack… when the body has been asking for the same basics all along:
sleep, nourishment, recovery, nervous system regulation, and a rhythm that’s actually sustainable.

So yeah. The future is in the past.

Not in going backwards, but in going back to what we skipped:
biology-informed leadership,
and systems that support sustainable performance.

We don’t need to fix women.
We need to fix the model.

Question: What’s something your body has been trying to tell you lately that you used to interpret as a “you problem”? 👇

01/17/2026

I love going to events with women and speaking to them, because something powerful happens when we stop pretending we are fine and start telling the truth about what midlife really feels like.

I’m speaking at the San Diego Women’s Week Leadership Conference in February, and my topic is: When High Performers Crash: The Biology Behind Midlife Burnout. We are going to talk about why ambitious women can stall out in their 40s, not because they lost drive, but because their biology is changing in ways most workplaces do not recognize.

McKinsey’s “broken rung” research helps explain why only a small percentage of C-suite roles are held by women. But here’s what rarely gets named. Perimenopause can be one of the broken rungs.

By her 40s, a woman often wants to stay. She wants the promotion, the position, the visibility. And yet so many downscale their ambition, step off the leadership track, or leave altogether, not because they stopped wanting it, but because their nervous system, sleep, cognition, and stress tolerance can shift dramatically, and there are no systems built to support her through it.

I’ll be sharing what’s happening and what to do about it. If you’re navigating this season, you are not alone, and you are not broken.

Aruna Personalized Medicine

02/05/2026

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