Dr. Manna Semby
Naturopathic doctor · Integrative medicine
6–10 years of experience
Menopause Society Certified Practitioner
About Aruna Personalized Medicine
Dr. Semby is a naturopathic doctor who works mostly with midlife women and with women worried about their long-term brain health, including those with dementia in the family. She came to medicine in her 40s after a career in finance, and she went through menopause and breast cancer herself. She says hormone therapy is one part of menopause care and not the whole of it, and she treats it as an individual decision. She is open to discussing hormones for women whose history makes the decision harder, such as breast cancer or heart disease. Care runs as a six-month program with eight physician visits and direct messaging between visits, or as a one-time baseline assessment with labs. She sees patients at her Carlsbad office or by video.
Care
Treats
- Perimenopause
- Menopause
- Hot flashes
- Sleep problems
- Mood & anxiety
- Brain fog
- Vaginal dryness
- Low libido
- Irregular periods
Prescribes
- Hormone therapy
Particular focus
- Menopause after cancer
- Bone health
- Heart health
- Weight & metabolism
Cost and insurance
Insurance
Doesn’t accept insurance
Provides itemized receipts you can submit for out-of-network reimbursement.
Self-pay
- Early Advantage Health Blueprint (includes labs)
- $1,310
- Intelligent Menopause (6 months, 8 visits)
- $10,075
- Stay Sharp (9 months)
- $17,610
Does not accept insurance for consults but provides a superbill for patients to submit themselves, and flexible payment options are offered on the larger programs.
Verified October 2026.
Qualifications
ND, IFMCP, MSCP
