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Who I  Work With

Not everyone needs the type of support I offer and that’s by design.

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I work with people who are highly sensitive; not just in emotion but in physiology.

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You may be a good fit if you’ve ever thought:

  • “My labs look fine, but I don’t feel fine.”

  • “Nothing really explains what’s going on.”

  • “I don’t want another diagnosis — I want understanding.”

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Some of the people who find their way here have:

✨ uncovered genetic findings (like MTHFR variants) and are unsure what to do next
✨ been told their hormones or stress markers are “normal,” but still feel dysregulated
✨ experienced anxiety that feels biological rather than purely emotional
✨ tried aggressive protocols only to feel worse or more overwhelmed
✨ wrestled with symptoms like fatigue, brain fog, skin or hair changes, or digestive irregularity
✨ felt dismissed, minimized, or left with more questions than answers

Nutritional Cooking

Many of the people I support are high-functioning and capable. From the outside, 

 

You may be a good match for this work if:

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You’re thoughtful and self-aware

You’re ready to explore patterns, not just symptoms
You want to understand your body and nervous system — not override them
You prefer support that’s integrative, paced, and individualized
You value alignment between biology and experience
You’re done with one-size-fits-all solutions

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You don’t need to be “broken” to work with me, you just need to be attentive to your own experience and willing to slow down enough for your body to make sense.

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What Makes This Work Different

I do not approach symptoms in isolation.

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Hormones, stress physiology, digestion, genetics, and emotional patterns interact constantly. When we look at one without the others, we miss the story.

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My work is especially aligned for people who:

• Want thoughtful interpretation of lab findings rather than fear-based reactions
• Prefer paced, sustainable support over aggressive protocols
• Value both psychotherapy and physiological insight
• Want to understand their body instead of override it

This is not about optimizing you into exhaustion.

It’s about helping you feel regulated, informed, and steady.

Beauty Products

This May Not Be the Right Fit If:

• You’re looking for rapid biohacking solutions
• You want large supplement stacks without context
• You prefer strictly symptom-based treatment
• You are not open to exploring emotional patterns alongside physiology

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My approach honors your biology rather than pathologizing it.

We interpret lab findings and genetic information with steadiness and perspective, so they become tools for clarity — not sources of anxiety.

Symptoms are never viewed in isolation. Instead, we explore patterns, context, and lived experience together, recognizing that hormones, stress physiology, digestion, and emotional regulation are interconnected systems.

Every part of your body tells a story.
Our work is about understanding that story — thoughtfully and without fear

How We Get There Together

No single lab test ever tells the full story. That’s why I use a layered approach to connect the dots:

  • Bloodwork for baseline health markers

  • HTMA for mineral balance and metabolic patterns

  • DUTCH for hormones and adrenal rhythms

  • GI-MAP for gut health and infections

  • OAT for mitochondrial and detox function

  • Additional testing depending on your unique needs and presentation

These tools, combined with nutrition, lifestyle, and nervous system support, help us uncover the why behind your symptoms so you can move forward with clarity and a plan that feels sustainable.

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If you’re tired of chasing symptoms and ready to understand your body in a deeper way, this work is for you.

Arielle Manganiello, PhD, LPC, LPCC

California | Pennsylvania

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Functional Nutrition Practitioner

arielle@ariellemanganiellotherapy.com | (619) 839 - 9422

169 Saxony Road, Encinitas, 92024 

12625 High Bluff Drive, San Diego, 92130

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