Elevate MD

Elevate MD 🩺 Physician-Led Hormone Optimization
👩🏻‍💻 Telehealth BHRT across the U.S.
👇🏻 Want to work with us? https://www.elevatemd.co/fb-link-in-bio
(8)

03/11/2026

If you’re in and it feels like your ADHD symptoms are getting worse or your meds have stopped working… this could be why! 👇🏻🫠

ADHD brains are hypersensitive to estrogen fluctuations. This can make ADHD symptoms suddenly worsen, even in women who were previously well-managed (or maybe didn’t even know they had ADHD 👀)

When estrogen becomes unstable during perimenopause, many women will begin to experience:

👉🏻 Worsening ADHD symptoms
👉🏻 Debilitating brain fog
👉🏻 Extreme overwhelm
👉🏻 Heightened sensory sensitivity
👉🏻 Intense emotional dysregulation

When we are able to stabilize these fluctuations with hormone therapy, many women report:

☑️ Their ADHD symptoms improve
☑️ Their medication begins working again
☑️ They need less stimulants to function
☑️ Cognitive clarity improves

In some cases, women who were never diagnosed with ADHD realize that their many of their symptoms were previously masked by higher estrogen levels. 🤯

🩺📲 If you’re in the US, & you’re interested in exploring how hormone therapy can improve your symptoms, go to the 🔗 in my bio to book a free call with my team to learn how to get started! 🤗

03/10/2026

If you’re in and suddenly dealing with chronic pain (aching joints, frozen shoulder, plantar fasciitis, back pain, tendon issues) … please hear this:

You’re not crazy. And your pain is not “just stress.” 🥹🫶🏻

During perimenopause, estrogen levels become wildly unpredictable and eventually decline. Estrogen isn’t just a reproductive hormone… it plays a major role in regulating inflammation, collagen production, pain signaling, and tissue repair throughout the body.

When estrogen & tėstostėronė levels drops, several things start happening at once:
👉🏻 Inflammation increases
👉🏻 Tendons & connective tissue lose resilience
👉🏻 Pain sensitivity rises
👉🏻 Recovery slows

Although physical therapy, stretching, or supplements can sometimes help manage symptoms, they don’t address the root cause of the pain when the underlying issue is hormonal.

You can strengthen a tendon all day long…
but if the hormonal environment that maintains that tissue is depleted, the problem often keeps coming back. 😅

For many women, hormone therapy is the missing piece to restoring the hormonal signaling that helps regulate inflammation, tissue repair, and pain processing. 🙏🏼

🩺📲 Comment ‘DISCOVERY’ if you’re at all curious about exploring how hormone therapy can help you feel like yourself again. I will send you a message with a 🔗 to schedule a free 30 min call with my team. 🤗

03/09/2026

Here are 5 of the most painful symptoms we hear from our patients… give yourself 1 point for each! 🏆🫠

If you’re in perimenopause, I’m sure you are no stranger to chronic pain and inflammation. (No, you aren’t being dramatic 🥹) Estrogen fluctuations affect collagen synthesis, connective tissue health, nerve signaling, and inflammatory response.

So when estrogen levels drop, tendons become less resilient & more prone to injury. Your joints become less lubricated & inflamed. And your nerves become hyper sensitive and easily irritated. This is the perfect storm for painful perimenopause symptoms such as…

1️⃣ Gluteal Tendinopathy/Tendinitis
2️⃣ Migraines
3️⃣ Frozen Shoulder
4️⃣ Sciatica

As for the UTI-like symptoms… Estrogen helps maintain the thickness, elasticity, and protective microbiome of the vąginaI and urethral tissues. When estrogen drops, these tissues become thinner, drier, and more vulnerable to irritation and bacterial overgrowth, which can lead to frequent UTIs or painful UTI-like symptoms. 😣

If you’re experiencing any of these symptoms & you’re curious about how hormone therapy can help, we would absolutely love to work with you! 🫶🏻

🩺📲 If you’re in the US, & you’re interested in exploring hormone optimization, feel free to go to the 🔗 in my bio to book a free 30 minute call with my team to learn how to get started. 🤗

03/07/2026

If you’re in and you are suffering from the nonstop itchy ears… THIS VIDEO IS FOR YOU! 🫵🏻

Itchy ears are incredibly common during perimenopause for a couple different reasons…

👉🏻 Estrogen fluctuations: As estrogen levels fluctuate and eventually decline, your body produces less natural oil. This leads to dryness, irritation, and itchiness inside of your ears.

👉🏻 Histamine and Mast Cell Sensitivity: Estrogen helps regulate mast cells (immune cells that release histamine). During perimenopause, when estrogen levels fluctuate unpredictably, histamine release can spike which can lead to itching, flushing, irritation, and excess mucus production inside of your ear canal.

Definitely give this trick a try if the perimenopause ears are driving you nuts!! This trick is especially useful if your itchy ears are waking you up in the middle of the night. 😅😵‍💫

🩺📲 We are accepting new Telehealth patients in the US. If you are interested in working with us for hormone optimization, you can go to the 🔗 in my bio to book a free 30 min call with my team to learn how to get started. 🤗

03/06/2026

If is destroying your joints and tendons, THIS VIDEO IS FOR YOU 🫵🏻

When estrogen levels begin to decline during perimenopause (& menopause), we start to see inflammation levels increase throughout the entire body… And it is usually our joints & connective tissues that get hit the hardest. 😩

We commonly see issues such as…
👉🏻 Frozen Shoulder
👉🏻 Frozen Hip
👉🏻 Plantar Fasciitis
👉🏻 Sciatica
👉🏻 Carpal Tunnel
👉🏻 Tendonitis & Tendonopathy
👉🏻 TMJ or Frozen Jaw
👉🏻 Disc Pain
👉🏻 Fibromyalgia
👉🏻 CRPS Flares

This type of pain and inflammation can become chronic and debilitating if it goes untreated! 😵‍💫

Hormone therapy is usually the best solution for perimenopause or menopause induced pain & inflammation, but definitely give the tips in this video a try to see if they provide any relief for the perimenopause symptoms you are experiencing! 🥹🫶🏻

✨ Magnesium Glycinate (🔗 in bio)
✨ Magnesium Lotio
✨ Collagen Peptides
✨ Berberine (🔗 in bio)

🩺📲 We are currently accepting new patients for Telehealth in the US! If you are interested in working with us for hormone optimization, go to the 🔗 in my bio to book a free call with my team to learn how to get started. 🤗

03/04/2026

Here are 5 of the most unusual symptoms we hear from our patients… Give yourself 1 point for each! 🏆🫠

🤧 Chronic Congestion: Fluctuating estrogen can increase blood vessel dilation & histamine, leading to “allergy-like” symptoms. At the same time, declining progesterone removes some of the body’s natural anti-inflammatory effects.

👂🏻Itchy Ears: Estrogen helps maintain healthy, hydrated skin and mucosal tissues… including inside the ear canal. As estrogen fluctuates and declines, the skin becomes thinner, drier, and more sensitive, which can trigger itching or irritation.

👃🏻 Phantom Smells: Estrogen plays a key role in how the brain processes sensory information… including smell. As estrogen fluctuates, the olfactory system can become more sensitive or dysregulated.

🫨 Internal Tremors: Internal tremors during perimenopause are usually driven by hormonal effects on the nervous system. As estrogen fluctuates and progesterone declines, the brain can become more excitable, creating that internal “buzzing,” vibrating, or shaky feeling.

🦶🏻Plantar Fasciitis: Estrogen plays a major role in collagen production, tissue elasticity, and tendon resilience. As estrogen declines, connective tissues become stiffer, less hydrated, and more prone to micro-tearing and inflammation.

Let me know in the comments how many points you got & which symptoms you’d like for me to dive into deeper! 😅👀

If you’re experiencing any of these symptoms & you’re curious about how hormone therapy can help, we would absolutely love to work with you! 🫶🏻

🩺📲 If you’re in the US, & you’re interested in exploring hormone optimization, feel free to go to the 🔗 in my bio to book a free 30 minute call with my team to learn how to get started. 🤗

03/03/2026

If you’re in or menopause and you keep getting that weird sensation that something is lodged in the back of your throat… you’re gonna want to bookmark this one! 👀

Globus Sensation is the medical term used to describe that weird sensation that feels like you have something stuck in your throat with no actual obstruction present. So what’s going on here? 🤔

Declining estrogen levels during perimenopause can trigger more reflux (or silent reflux) & inflammation, which can exacerbate Globus Sensation. This is why we need to neutralize the pH in your stomach & upper airway! 🫠

✨Quercetin + Bromelain: This works better overtime to help downregulate mast cell activation and reduce histamine
✨ Stinging Nettle: This is a natural antihistamine & can be taken for fast acting histamine relief
✨ DAO Enzymes: Essential for histamine metabolism and can prevent histamine overload
✨ ALKALINE WATER: This one is especially important for neutralizing & soothing your upper airway.
✨ Pepcid & Zyrtec: H2 & H1 antihistamines are incredibly helpful for combating Globus and any other histamine related symptoms.

If you are struggling with Globus Sensation, or any other perimenopause symptoms, and natural remedies aren’t providing the relief you are looking for, this is your sign that it might be time to get your hormome levels checked! 🫶🏻

🩺📲 We are currently accepting new Telehealth patients in the US. If you are interested in working with us for hormone optimization, go to the 🔗 in my bio to book a free 30 min call with my team! ❤️

02/28/2026

If you’ve suddenly started experiencing anxiety or intrusive thoughts while driving… you’re not crazy, & may be to blame! 🥹

Hormonal fluctuations during perimenopause impact your amygdala, aka the ‘fear center’ in your brain. It can also impact your vestibular system, visual processing, and motion tolerance.

So what does this have to do with driving? 🤔

Your brain is working WAY harder to process movement + sensory input. What used to feel automatic can suddenly feel overstimulating.

That sensory overload can push your nervous system straight into fight-or-flight. Driving requires quick processing of multiple sensory inputs, along with split second risk detection. This is the perfect storm for full blown ‘panic mode’. 🫠

Hormone therapy can absolutely help address the root cause of driving anxiety. But in the moment, here are 3 quick nervous system resets you can use while driving:

👃🏻 Boom Boom Stick: Strong sensory input can interrupt anxious thought loops.

🍬 Sour candy: The intense taste stimulates the vagus nerve and helps pull you out of your head and back into your body.

🧊 Frozen water bottle: Hold it on your chest or neck while driving. Cold stimulation can rapidly calm a spiraling nervous system.

Let me know in the comments if you try any of these hacks, or if you have any tricks that have worked well for you! ❤️

🩺📲 If you’re in the US, and you’re at all curious about exploring hormone therapy, feel free to go to the 🔗 in my bio to book a free 30 minute call with my team to learn how to get started. 🤗

02/26/2026

Here are 5 of the most physically uncomfortable symptoms we hear from our patients… Give yourself 1 point for each! 🏆🫠

🚙 Driving Anxiety: Estrogen decline impacts the ‘fear center’ in your brain (the amygdala). This causes your brain to become hyper-reactive & overwhelmed. You feel danger signals more intensely, even when you’re objectively safe.

😖 Globus Sensation: Hormonal fluctuations can cause issues with your upper airway, including silent reflux, sticky post nasal drip, and poor esophageal tone.

🤧 Histamine Intolerance: Declining progesterone triggers your immune system to become hyper-reactive. This includes allergic-like reactions to things you have never been allergic to, or worsening allergies/food sensitivities.

🫁 Oxygen Hunger: Hormonal fluctuations during perimenopause can throw your body into survival mode by triggering your fight or flight response, even when there isn’t any obvious threat.

🐜 Formication: Estrogen fluctuations can trigger nerve hypersensitivity. This can cause your nerves to misfire resulting in uncomfortable crawling sensations all over your body. This symptom may also be related to histamine.

Let me know in the comments how many points you got & which symptoms you’d like for me to dive into deeper! 😅👀

If you’re experiencing any of these symptoms & you’re curious about how hormone therapy can help, we would absolutely love to work with you! 🫶🏻

🩺📲 If you’re in the US, & you’re interested in exploring hormone optimization, feel free to go to the 🔗 in my bio to book a free 30 minute call with my team to learn how to get started. 🤗

02/25/2026

Can hormone therapy actually help you lose weight? 🤔

If you’re in or menopause and you feel like your metabolism is constantly sabotaging you… this video is for you! 😅

You guys already know that I am a huge fan of HRT and GLP-1’s, but let’s explore what happens when you combine them. 🙃

Decades of research has already shown us the very real metabolic benefits that hormone therapy has to offer, especially in regard to insulin sensitivity, lipid profiles, BMI, and overall body composition.

& we know that GLP-1’s on their own are highly effective for weight loss, so what happens when we combine the 2? 🧐

👏🏻 MORE WEIGHT LOSS👏🏻

The research found that women that took HRT in conjunction with a GLP-1 experienced 35% more weight loss compared to women that were only taking the GLP-1. These findings continue to reinforce the significance of hormonal support for long term metabolic health!

So if you feel like your body is just refusing to cooperate no matter how hard you try, this may be your sign that it’s time to get your hormone levels checked! 🙌🏻

🩺📲 If you’re in the US, and you’re at all curious about exploring hormone therapy, feel free to go to the 🔗 in my bio to book a free 30 minute call with my team to learn how to get started. 🤗

📚 The role of menopause hormone therapy in modulating tirzepatide-associated weight loss in postmenopausal women with overweight or obesity: a retrospective cohort study
Castaneda, Regina et al.
The Lancet Obstetrics, Gynaecology, & Women’s Health, Volume 2, Issue 2, e118 - e128

If you’re in & you keep waking up at 3am every single night… SAVE THIS POST! 😴🙏🏼Here is a step by step guide to manua...
02/24/2026

If you’re in & you keep waking up at 3am every single night… SAVE THIS POST! 😴🙏🏼

Here is a step by step guide to manually reset your circadian rhythm & help you finally stop waking up in the middle of the night. 👏🏻

1️⃣ Sunlight! As soon as you wake up, expose your eyes to natural sunlight, or some type of artificial sunlight (such as a Happy Light or any other 10,000 LUX light therapy). This will trigger a healthy cortisol response and kick start your circadian rhythm.

2️⃣ 5-10g of Creatine + Electrolytes: Drink this early in the morning to reduce neuro-inflammation and improve cognitive processing.
🌟 BONUS: You can also take a non-stimulant nootropic supplement such as FOCUS+ to supercharge your brain. (🔗 in bio)

3️⃣ .5-3mg Melatonin: Take these 2-3 hours before your desired bedtime. Low dose melatonin will help manually reset your circadian rhythm & help get you sleep back on track.
🌟 BONUS: Add 200-400mg Magnesium Glycinate + 200mg L-theanine for the ultimate calming cocktail. 😴💤

4️⃣ Progesterone: This step is optional if you aren’t already prescribed progesterone therapy. But progesterone really is the final piece of this sleep puzzle, and it can make all the difference in the world for sleep latency & overall sleep quality. 🤌🏻

🔁 Rinse & Repeat! You can continue this process until you are no longer waking up at 3am… or if it’s working for you, then just keep it going! 😌👏🏻

🩺📲 If you’re in the US, and you’re at all curious about exploring hormone therapy, feel free to go to the 🔗 in my bio to book a free 30 minute call with my team to learn how to get started. 🤗

Address

7265 Kenwood Road, Suite 230
Cincinnati, OH
45236

Opening Hours

Monday 8am - 4pm
Tuesday 8am - 4pm
Wednesday 8am - 5pm
Thursday 8am - 4pm
Friday 8am - 4pm

Telephone

+15138827006

Website

Alerts

Be the first to know and let us send you an email when Elevate MD posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.

Contact The Practice

Send a message to Elevate MD:

Shortcuts

Featured

  • LIIFT

    LIIFT

    4251 Hamilton Avenue

Share

Share on Facebook Share on Twitter Share on LinkedIn
Share on Pinterest Share on Reddit Share via Email
Share on WhatsApp Share on Instagram Share on Telegram

Category

Elevate MD

We specialize in taking care of the whole patient. Not just your numbers, not just one symptom. We provide general women’s health care and gynecology as well as natural bioidentical hormone replacement for both men and women. We are the most well trained providers in peptide therapy in the Cincinnati area. We also specialize in office cosmetic procedures including liposculpture, Botox and fillers, PRP, and rejuvination procedures. Dr Franzese is the only physician in the Tri-State area providing the most advanced protocols for treatment of Traumatic Brain Injury for Military personnel and Civilians.