Perimenopause, Hormones & Burnout | Malaya Acupuncture & Wellness · Oakland
PERIMENOPAUSE, HORMONES & BURNOUT

You’re not imagining it.
And you’re not alone.

So many of the women I see have been feeling off for months, even years, without clear answers. The sleepless nights, the hot flashes, the mood swings, the hair loss, and the exhaustion are real. For over ten years, I’ve listened closely to what’s going on — and helped women feel like themselves again, alongside the care they get from their doctors.

— Dr. Emil Velasquez, DAOM, FABORM

Works alongside your doctor’s care — with or without hormone therapy.
WHY IT CAN BE CONFUSING

Not feeling like yourself?

Perimenopause can start in your late 30s or 40s — years before your periods stop. Hormones rise and fall from day to day, so one blood test often comes back “normal” even when you feel anything but.

We listen, look at the whole picture, and build a plan that fits your life — working alongside your doctor, never instead of them.

Your symptoms are real, and they deserve attention.

WHAT WE HELP WITH

Sound familiar?

Hot flashes & night sweats Sudden heat, flushing, waking up drenched
Sleep problems 3am wake-ups, can’t fall back asleep
Mood swings & anxiety Irritable, teary, or anxious — and not yourself
Exhaustion & brain fog Tired no matter how much you rest; forgetful
Cycle changes Irregular, heavy, or closer-together periods; worse PMS
Hair loss & thinning More shedding, a widening part, hair that feels thinner
Weight & body changes Weight gain around the middle, bloating, dry skin
THE PART NO ONE TALKS ABOUT

It’s more than hot flashes.

In a Mayo Clinic study of women in perimenopause, exhaustion, irritability, poor sleep, low mood, and brain fog were all reported more often than hot flashes. Many women also notice:

Joint achesBloatingHeart palpitationsHeadachesLow libidoVaginal drynessDizzinessTingling hands & feetItchy skinRinging earsBreast tendernessRage

Some of these can have other causes — we’ll tell you if something should be checked by your doctor.

YOUR WHY

Feel like your vital self again.

This isn’t just about easing symptoms. It’s about feeling energized, clear, and steady — so you can perform your best at work, be present at home, and truly enjoy your life.

Be present for the people you love

Patient with your kids, connected with your partner, fully there with friends.

Show up at work clear and confident

Focused, sharp, and steady — not running on fumes.

Wake up rested

Sleep through the night and start the day with energy.

Feel at home in your body

Comfortable, strong, and like yourself again.

Have energy for what you love

Travel, movement, creativity — the things that make you, you.

Enjoy this next chapter

Move through this transition feeling supported, not stuck.

Tell us your why at your first visit. We’ll build your plan around it — and measure your progress toward it.

HOW WE HELP

Integrative, complementary care — built around you.

Acupuncture

Calms the nervous system, eases hot flashes, and helps you sleep. Most people find it deeply relaxing.

Custom Herbal Formulas

A formula blended just for you — adjusted as you change, and chosen with your medications or HRT in mind.

Lifestyle Medicine

Simple tools from Chinese medicine and integrative health — food, sleep, stress, and movement — so your progress lasts.

THE SCIENCE

Ancient wisdom. Modern science.

Modern medicine: during this transition, hormones rise and fall unpredictably, affecting temperature, sleep, and mood. Years of stress keep the body’s stress system stuck in “on.”

Chinese medicine has recognized this transition — and its full range of symptoms, from hot flashes and night sweats to sleepless nights, mood changes, and hair loss — for more than 2,000 years.

Research suggests acupuncture can help. In one study of 209 women, those who had acupuncture had about a third fewer hot flashes after eight weeks (Avis et al., Menopause, 2016).

THE MALAYA METHOD

We find what’s driving it. Then we treat it.

R
Reveal
A full intake: sleep, stress, cycle, mood, history.
O
Orient
We explain what’s happening — in plain language, TCM and modern science.
O
Optimize
Acupuncture plus a custom herbal formula made for you.
T
Transform
Lifestyle tools that help the changes hold between visits.
S
Sustain
We measure your progress and adjust until you feel like yourself again.

We keep track and measure your progress. You see the change.

At your first visit we measure your sleep, energy, mood, cycle, and hot flashes — then check the same things every visit, so you can see what’s improving.

Dr. Emil Velasquez, DAOM, FABORM
A NOTE FROM DR. EMIL

I understand what you’re carrying.

For over ten years I’ve worked with women whose sleep, mood, and energy have changed — and who just want to feel like themselves again. With a background in psychology and Chinese medicine, my job is to translate what your body is saying and help it find balance, as a complement to the care you get from your doctor.

So you can show up fully for the things, and the people, that matter most.

— Dr. Emil Velasquez, DAOM, FABORM

WHAT TO EXPECT

Getting started is simple.

1

Free 15-minute call

Tell us what’s going on. We’ll see if we’re a good fit — no pressure.

2

Your first visit (90 min)

We listen, take your pulse and history, measure your starting point, and give your first treatment.

3

Your plan

You leave with a clear plan, lifestyle tools, and herbs if needed — then we measure progress every visit.

YOUR CARE

Simple, transparent pricing.

Two simple rates. Package options are discussed at your first visit, based on your needs.

Your First Visit
$200
Initial Visit
90 min · includes first treatment

Full intake, your first acupuncture treatment, lifestyle guidance, and a personalized plan.

Book Initial Visit
Ongoing Sessions
$110
Follow-up Visit
60 min · same rate for all returning patients

Acupuncture, progress check, and updates to your plan and herbs as needed.

Not sure where to start? Book a free 15-min phone consult. We'll talk through your situation and recommend the right path — no pressure.

Free 15-min Consult

HSA/FSA accepted · Custom herbal formulas available as an add-on · Superbills available for out-of-network reimbursement · (510) 866-2734

Common Questions

What people ask before they book.

Can I do acupuncture if I’m on hormone therapy (HRT)?
Yes. Acupuncture works well alongside hormone therapy, and many patients use both. Any herbs we recommend are chosen with your medications in mind, and we encourage you to keep your doctor informed.
Do I need a perimenopause diagnosis?
No. If something feels off — sleep, mood, energy, or your cycle — that’s enough to start. We’ll tell you if anything needs medical follow-up.
How soon will I feel a difference?
Some people sleep better within a few sessions. Most notice clear changes in 4–6 sessions — and because we measure your progress, you’ll see it too.
Does acupuncture hurt?
Rarely. The needles are hair-thin. You may feel a brief tingle or dull ache, and most people relax so much they fall asleep.
Do you take insurance?
We’re self-pay. HSA/FSA cards are accepted, and we provide superbills for out-of-network reimbursement.
From Our Patients

Kind words from our patients.

Reviews from Yelp & Google

Emil is the definition of a healer. He has helped me recover from so many physical and mental issues, leaving me in awe of his expertise. Truly life-changing.

★★★★★
Arya Z.
Oakland

The service at Malaya is consistently amazing. … I also rely on their herbs to stay healthy.

★★★★★
Jessica H.
Bay Area

Emil's care has been integral to maintaining my health. He genuinely cares about his patients and always goes the extra mile to ensure they feel their best.

★★★★★
Chau W.
Oakland

Let’s help you feel like your vital self again.

Not sure where to start? Let's talk first — no commitment, no pressure.

Malaya is currently accepting new patients.