Rheumatologist OnCall® · Women's Hormone, Autoimmune, Metabolic & Sexual Health Program
Mirela Titianu, MD
Menopause, Obesity and Lifestyle Expert. Internist. Patient First.
Board-Certified · Internal Medicine
Board-Certified · Obesity Medicine
Board-Certified · Lifestyle Medicine
NAMS Certified Menopause Practitioner
As seen on NBC
3
Board Certifications
NAMS
Certified Menopause Practitioner
Lead
20
Years Clinical Experience
TELEHEALTH
now covering California, Florida, Oregon
In Her Own Words
"I became a menopause specialist because I was a patient first."
“I was the doctor who couldn’t explain why she felt broken. Fatigue that didn’t make sense. Brain fog I was embarrassed to admit. Joint pain I kept dismissing as stress. I was an internal medicine physician — and nobody had connected my symptoms to my hormones.”
“When I finally understood what was happening in my own body, I was furious. Because I had seen hundreds of women in my clinic with the exact same story. Symptoms that didn’t match any diagnosis. Labs that came back ‘normal.’ Dismissed as anxious. Dismissed as tired. Dismissed as aging. What they were was hormonal.“
"So I went back and trained. Lifestyle Medicine. Obesity Medicine. Menopause certification through The Menopause Society — the gold standard. I became what I couldn't find for myself: a doctor who connects autoimmune disease and hormone health in one conversation. In one care plan."
Her path prepared her for exactly this. Trained in both medicine and medical bioengineering at the University of Medicine and Pharmacy Gr. T. Popa in Iasi, Romania, she completed internal medicine residency at Wayne State University / Crittenton Hospital Medical Center — where her research on a rare drug-induced neurological syndrome took first place at the American College of Physicians Michigan scientific meeting and was published in the Journal of Oncology. She then spent a decade as a hospitalist physician in Oregon, managing the sickest, most complex patients hospitals see — the kind of experience that teaches a doctor to take every symptom seriously.
Today, through Rheumatologist OnCall’s Women’s Hormone, Autoimmune, Metabolic & Sexual Health Program, she brings all of it together: evidence-based HRT (Hormone Replacement Therapy) with autoimmune risk stratification, medical weight management including GLP-1 therapy, sexual health that’s addressed instead of avoided, and nutrition and lifestyle strategies grounded in science — by telehealth, from the comfort of your home, in California, Florida, and Oregon.
As Seen on NBC
Menopause, autoimmune disease & HRT — explained on national TV.
She Leads Our Program
Why the autoimmune–menopause intersection needs its own doctor.
In American medicine, menopause specialists rarely understand autoimmune disease — and rheumatologists rarely treat hormones. So women with rheumatoid arthritis, lupus, Sjögren’s, or thyroid disease entering perimenopause are split between doctors who each see half the picture. Flares get blamed on hormones, hormone symptoms get blamed on the disease, and HRT (Hormone Replacement Therapy) is denied out of caution rather than evidence.
Dr. Titianu is one of the only physicians in the United States whose practice is focused specifically on this intersection — menopause medicine practiced with autoimmune disease in view, alongside board-certified rheumatologists. It is why Rheumatologist OnCall built the Women’s Hormone, Autoimmune, Metabolic & Sexual Health Program around her: she designed it, she leads it, and every woman in the program is her patient — hormones, weight, sexual health, and autoimmune risk managed in one plan instead of three referrals.
In her program: evidence-based HRT with autoimmune risk stratification · one of the most comprehensive hormone & metabolic lab panels in menopause care · GLP-1 therapy within a complete hormonal strategy · direct access to her between visits — by telehealth in California, Florida & Oregon.
Education & Training
A Physician Triple Board Certified
1998–2004
Bachelor's Degree — Medical Bioengineering
1999–2005
Doctor of Medicine (MD) — General Medicine
2012–2015
Internal Medicine Residency — Wayne State University / Crittenton Hospital Medical Center
2015–2025
Hospitalist Physician — Southern Oregon Hospitalists, Medford, OR
2022
Board Certification — American Board of Obesity Medicine
Medical weight management, metabolic health, and GLP-1 (Ozempic, Mounjaro, Zepbound, Wegovy) therapy
2023
Board Certification — American Board of Lifestyle Medicine + NASM Certified Nutrition Coach
2025
NAMS Certified Menopause Practitioner — The Menopause Society
Where She Can See You
Telehealth in three states — from the comfort of your home.
California
Florida
Oregon
Expertise
One physician for the intersection others split in three.
Clinical Focus
- Perimenopause & menopause — evidence-based HRT (Hormone Replacement Therapy)
- HRT with autoimmune risk stratification
- Musculoskeletal Syndrome of Menopause
- Medical weight loss — GLP-1 (Ozempic, Mounjaro, Zepbound, Wegovy) & metabolic therapies
- Sexual & vaginal health — GSM (Genito-urinary symptoms of menopause), libido, comfort
- Bone density, osteoporosis & cardiometabolic risk
Research & Recognition
- Featured on NBC — menopause, autoimmune disease & Hormone Replacement Therapy (HRT)
- First place, oral presentation — "Sunitinib-induced Guillain-Barré Syndrome: The Role of VEGF," ACP Michigan Scientific Meeting (2013)
- Published in the Journal of Oncology (2014)
Professional Societies
- The Menopause Society — NCMP
- Obesity Medicine Association (2021–present)
- American College of Physicians (2012–present)
- American Medical Association (2012–present)
The Program She Leads
- Designed and led by Dr. Titianu — every program patient is her patient
- Comprehensive 60-minute evaluation, by telehealth from your home
- 12-month optimization — 5 scheduled visits, direct portal access
- One of the most comprehensive hormone & metabolic lab panels in menopause care
- Explore the Women’s Hormone, Autoimmune, Metabolic & Sexual Health Program →
About Dr. Titianu
Questions patients ask.
Who is Dr. Mirela Titianu?
Where did Dr. Titianu train?
What does Dr. Titianu treat?
Why is Dr. Titianu’s focus on autoimmune disease and menopause important?
Why did Dr. Titianu specialize in menopause medicine?
Which states does Dr. Titianu serve?
Is Dr. Titianu accepting new patients?
Become Her Patient
Twenty years of science. One unhurried conversation about you.
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.
