Meet Dr. Mirela Titianu, MD
Menopause Society Certified Practitioner |
Board Certified in Internal Medicine, Obesity Medicine & Lifestyle Medicine
Certified Nutrition Coach (NASM)
Dr. Mirela Titianu’s mission:
The Menopause Doctor for Women with Autoimmune Disease
“My mission is to help women take charge of their health—through menopause, weight management, and autoimmune care—using compassionate, physician-led, evidence-based treatment. I strive to address the root causes, reduce inflammation, and empower every woman to feel confident, energized, and in control of her well-being.”
Menopause & Perimenopause Specialist
Menopause is a major transition—bringing hormonal shifts that impact everything from mood and memory to bone, heart, and joint health. As a menopause doctor, Dr. Titianu provides:
- Comprehensive evaluation of symptoms—distinguishing perimenopause, menopause from thyroid and autoimmune issues.
- Personalized physician-led care, including expert guidance on FDA-approved hormone replacement therapy, tailored non-hormonal treatments, and safe symptom management.
- Proactive screening and monitoring for long-term health—protecting bone, brain, and heart health.
Why choose a menopause specialist?
Only physicians like Dr. Titianu can safely prescribe and monitor FDA-approved HRT/ hormone replacement therapy and understand complex interactions with other chronic conditions, especially autoimmune diseases.
The Autoimmune Connection
Women with autoimmune diseases experience unique challenges during perimenopause,menopause and they fight weight gain and more inflammation
Hormone changes can trigger autoimmune flares; Dr. Titianu carefully coordinates with your rheumatology team.
Integrated care ensures HRT/ hormone replacement therapies are safe and effective—even for women on immunosuppressive treatments.
Weight Loss Physician & Lifestyle Medicine
As a Board Certified Obesity and Lifestyle Medicine Physician and Certified Nutrition Coach, Dr. Titianu helps you achieve sustainable weight loss, improve metabolic health, and enhance vitality, and decrease inflammation.
Learn more about our OASIS program here https://rheumatologistoncall.com/oasis-program/
- Medically supervised, evidence-based weight loss programs—no fads, just science-driven strategies.
- Lifestyle medicine plans targeting nutrition, physical activity, sleep, and stress reduction.
- Special focus: addressing the many ways obesity and menopause intersect, including their combined impact on inflammation and autoimmune risk.
Credentials & Certifications
Menopause Society Certified Practitioner
Board Certified in Internal Medicine
Board Certified in Obesity Medicine
Board Certified in Lifestyle Medicine
Certified Nutrition Coach (NASM)
Dr. Titianu's Story
From Personal Loss to Championing Women’s Health
Life has a way of leading us toward our true calling. For me, that journey began in Romania after losing my father in an accident. That early loss showed me how deeply a doctor’s compassion, skill, and understanding can touch patients’ lives — and it planted the seed for my lifelong dedication to medicine.
After graduating from medical school, my husband and I made the bold decision to immigrate to Canada in 2005. We faced the challenges of starting over — learning a new language, adapting to a different culture, and rebuilding my medical career from the ground up. While studying for my U.S. licensing exams, I worked as a paramedic, staying connected to what I loved most: caring for patients during some of their most vulnerable moments.
My determination paid off when I was accepted into the Internal Medicine Residency program at Wayne State University in Detroit, Michigan.
That’s where I began to notice something troubling yet eye-opening — a cycle linking hormonal changes, excess weight, inflammation, and chronic disease.
In my clinical work, I met countless women in their 40s, 50s, and beyond who were struggling — not just with hot flashes or sleep problems, but with joint pain, brain fog, fatigue, and autoimmune flares. Many of them thought these symptoms were “just menopause” or “just arthritis,” when in reality, changing hormones were intensifying inflammation and affecting their immune systems.
For women with autoimmune conditions like rheumatoid arthritis, lupus, or Sjögren’s, this hormonal shift can be a tipping point — worsening flares, triggering new symptoms, and making existing treatments less effective. What I saw was clear:
- Perimenopause and menopause are not just about reproductive health — they affect the entire body.
- Autoimmune diseases and hormonal transitions are deeply interconnected.
- Women need physician-led, personalized care to safely navigate these changes, especially when hormone therapy is being considered alongside other medical treatments.
I became Board Certified in Obesity Medicine and Lifestyle Medicine, earned my Certified Nutrition Coach credential through NASM, and became a Menopause Society Certified Practitioner, which qualifies me to help women during menopause and perimenopause. My goal was to fully understand the hormonal, metabolic, and immune interactions that cause so many women to suffer unnecessarily.
This path led to an exciting collaboration with Dr. Diana Girnita, founder of Rheumatologist OnCall®. Together, we created the OASIS Program, which addresses the inflammatory link between hormones, obesity, autoimmune disease, and menopause. Through this program, we focus on:
- Reducing inflammation
- Balancing hormones safely with FDA-approved therapy
- Improving joint health and autoimmune stability
- Achieving healthy, sustainable weight loss
- Supporting sleep, mood, and cognitive health during the menopausal transition
What makes me most proud is not just the weight loss, lab improvements, or reduced medications — it’s when patients tell me:
“I’m sleeping again.”
“My pain is finally under control.”
“I feel like myself for the first time in years.”
That is why I practice menopause medicine — because women deserve to feel well, think clearly, and live fully, no matter their age or health history. You do not have to “tough it out” or accept worsening symptoms as just part of getting older.
Today, my passion is helping women break free from the menopause-inflammation-autoimmune cycle.
Through medical expertise, compassionate listening, and evidence-based strategies, we address root causes — not just symptoms — so women can live with vitality, confidence, and hope.
If you are navigating menopause or perimenopause, struggling with weight gain, or managing an autoimmune disease, know that there is a path forward.
Together, we can balance your hormones, calm inflammation, protect your joints, and help you reclaim the life you deserve.
— Dr. Mirela Titianu, MD
Frequent asked questions
Who is Dr. Mirela Titianu, MD?
Dr. Mirela Titianu, MD, is a physician at Rheumatologist OnCall® specializing in menopause, perimenopause, weight management, lifestyle medicine, metabolic health, and the connection between hormone changes, inflammation, and autoimmune symptoms.
What are Dr. Mirela Titianu’s certifications?
Dr. Titianu is a Menopause Society Certified Practitioner. She is also board certified in Internal Medicine, Obesity Medicine, and Lifestyle Medicine, and she is a Certified Nutrition Coach through NASM.
What does Dr. Mirela Titianu specialize in?
Dr. Titianu specializes in menopause and perimenopause care, hormone replacement therapy guidance, medically supervised weight loss, lifestyle medicine, metabolic health, inflammation reduction, and support for women whose hormonal changes overlap with autoimmune symptoms.
What is Dr. Titianu’s approach to menopause care?
Dr. Titianu provides physician-led, evidence-based menopause care focused on understanding the full clinical picture. She evaluates symptoms, hormones, thyroid issues, autoimmune concerns, metabolic health, sleep, mood, weight changes, and long-term risks such as bone, brain, joint, and heart health.
Can Dr. Titianu help with perimenopause symptoms?
Yes. Dr. Titianu helps women navigating perimenopause symptoms such as hot flashes, sleep problems, mood changes, brain fog, fatigue, weight gain, joint pain, and hormonal changes that may affect overall health and quality of life.
Does Dr. Titianu provide hormone replacement therapy guidance?
Yes. Dr. Titianu provides expert guidance on FDA-approved hormone replacement therapy when appropriate, as well as tailored non-hormonal treatment options and safe symptom management based on the patient’s medical history and needs.
Why choose a menopause specialist like Dr. Titianu?
A menopause specialist like Dr. Titianu can evaluate complex symptoms, safely prescribe and monitor FDA-approved hormone replacement therapy, and understand how menopause may interact with chronic conditions, including autoimmune diseases.
How does Dr. Titianu connect menopause and autoimmune health?
Dr. Titianu focuses on the connection between hormonal changes, inflammation, weight gain, joint health, and autoimmune symptoms. Her care approach is designed for women whose perimenopause or menopause symptoms may overlap with autoimmune disease activity or inflammatory symptoms.
Can Dr. Titianu help women with autoimmune diseases during menopause?
Yes. Dr. Titianu works with women who have autoimmune conditions and are also experiencing menopause or perimenopause. Her approach considers hormone changes, inflammation, weight gain, joint symptoms, fatigue, sleep, and the need for coordinated care with rheumatology.
Does Dr. Titianu coordinate with rheumatology care?
Yes. Dr. Titianu carefully coordinates with the rheumatology team when autoimmune disease is part of the patient’s health picture. This helps ensure that hormone therapy, lifestyle changes, and weight management are considered safely alongside autoimmune treatment.
Can Dr. Titianu help with menopause-related weight gain?
Yes. As a board-certified Obesity Medicine and Lifestyle Medicine physician, Dr. Titianu helps women address sustainable weight loss, metabolic health, menopause-related weight changes, inflammation, and lifestyle factors such as nutrition, physical activity, sleep, and stress.
What is Dr. Titianu’s role in the OASIS Program?
Dr. Titianu collaborates with Dr. Diana Girnita through the OASIS Program, which focuses on the inflammatory link between hormones, obesity, autoimmune disease, and menopause. The program supports inflammation reduction, hormone balance, joint health, sustainable weight loss, sleep, mood, and cognitive health.
What lifestyle areas does Dr. Titianu address?
Dr. Titianu addresses lifestyle areas such as nutrition, physical activity, sleep, stress reduction, weight management, metabolic health, and inflammation. Her goal is to create science-driven, sustainable strategies rather than short-term or fad-based solutions.
What makes Dr. Titianu’s care personalized?
Dr. Titianu looks beyond isolated symptoms. She evaluates how menopause, hormones, weight, inflammation, autoimmune symptoms, sleep, mood, metabolism, and long-term health risks interact, then builds a care plan based on the patient’s specific history, symptoms, and goals.
When should I book an evaluation with Dr. Mirela Titianu?
You may consider booking an evaluation with Dr. Titianu if you are navigating menopause or perimenopause, struggling with weight gain, experiencing fatigue, brain fog, joint pain, sleep problems, hormone-related symptoms, or managing the overlap between autoimmune disease and hormonal transition.
