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Elevate MD

🩺 Physician-Led Hormone Optimization
👩🏻‍💻 Telehealth BHRT across the U.S.
👇🏻 Want to work with us? https://www.elevatemd.co/bio
(7)

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

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. 🤗

02/21/2026

If you’re in or menopause and you just haven’t been feeling like yourself recently... low T could be to blame! 🫠

Most providers will completely overlook T when it comes to comes to perimenopause & menopause symptom management, despite the fact that our bodies produce more T on a daily basis than estrogen.

This post contains an incredibly comprehensive list of red flag symptoms we hear from our patients that could be indicative of low T, even if your lab results look ‘normal!

T is one of the first hormones that starts to decline during perimenopause, & low T impacts so much more than sęxual health. It can impact so many different aspects of our identity, our well being, and our relationships. And these symptoms deserve to be addressed. 👏🏻

Do any of these symptoms resonate with you? 🥹

🩺📲 If you’re in the US, and you’re at all curious about hormone therapy for perimenopause or menopause symptom management, go to the 🔗 in my bio to book a free 30 minute call with my team to learn how to get started.

02/20/2026

ROUND 8: Are you experiencing any weird or unusual symptoms? 😵‍💫

If you’re connecting dots right now & thinking “wait… that’s me”, I want to validate that you aren’t alone, and you aren’t crazy! 🫶🏻

Perimenopause symptoms don’t always make sense on the surface. Which is probably why your provider keeps dismissing you or telling you that your symptoms are all just ‘in your head’. But what you are experiencing is 100% real, & there’s a completely logical explanation! 🙏🏼

Here are just a few of the most common symptoms we hear from our perimenopause patients…

👉🏻 Sciatica
👉🏻 Flushing
👉🏻 Eczema/dermatitis/psoriasis
👉🏻 Brėåst tenderness/itchiness
👉🏻 Migraines
👉🏻 Cold flashes
👉🏻 Tinnitus
👉🏻 Dry itchy eyes
👉🏻 Histamine Intolerance
👉🏻 UTI-like symptoms
👉🏻 Oxygen Hunger/shortness of breath
👉🏻 Chronic Congestion/Post Nasal Drip
👉🏻 Constipation/Gi Issues
👉🏻 Frozen shoulder
👉🏻 Globus Sensation (Lump in your throat)
👉🏻 Plantar fasciitis
👉🏻 Heart palpitations
👉🏻 Itchy ears
👉🏻 Brain/Body zaps

(Do any of these sound familiar? 😅)

✍🏻 Comment ‘WEIRD’ if you want to see the full list of weird symptoms, and I will message you our ‘perimenopause symptom quiz’ with over 100 symptoms! 👀

🩺📲 If you’re in the US and you’re at all curious about exploring hormone therapy to help manage your symptoms, we would love to work with you. Go to the 🔗 in my bio to book a free call with my team to learn how to get started. 🤗

womenover40

02/19/2026

ROUND 7: I want to hear your weirdest perimenopause symptoms… because I know I’ve barely scratched the surface. 🙃

When we think about perimenopause, we typically think about hot flashes, low libido, mood swings, & brain fog. BUT IT’S SO MUCH MORE THAN THAT! 😩

It’s crucial that we understand what these symptoms can look like, so we can better advocate for our hormone health… especially since perimenopause can begin in your early 30’s. 🫠

Here are just a few of the most common symptoms we hear from our perimenopause patients…

👉🏻 Migraines
👉🏻 Cold flashes
👉🏻 Tinnitus
👉🏻 Burning mouth syndrome
👉🏻 VagînaI atrophy
👉🏻 Dry itchy eyes
👉🏻 Histamine Intolerance
👉🏻 UTI-like symptoms
👉🏻 Oxygen Hunger/shortness of breath
👉🏻 Chronic Congestion/Post Nasal Drip
👉🏻 Constipation/Gi Issues
👉🏻 Frozen shoulder
👉🏻 Globus Sensation (Lump in your throat)
👉🏻 Plantar fasciitis
👉🏻 Internal Tremors
👉🏻 Heart palpitations
👉🏻 Itchy ears
👉🏻 Brain/Body zaps
👉🏻 Phantom smells

(Do any of these sound like you? 🥹)

✍🏻 Comment ‘WEIRD’ if you want to see the full list of weird perimenopause symptoms, and I will message you our ‘perimenopause symptom quiz’ with over 100 symptoms! 👀

🩺📲 If you’re in the US and you’re at all curious about exploring hormone therapy to help manage your symptoms, we would love to work with you. Go to the 🔗 in my bio to book a free call with my team to learn how to get started. 🤗

02/18/2026

ROUND 6: What are your weirdest symptoms? 🙃

Let me be the first to validate that YOU AREN’T CRAZY! 🥹🫶🏻 Hormonal fluctuations during perimenopause can impact every single system in our bodies, which is exactly why your symptoms feel so random & chaotic. The symptoms don’t really make sense, because your hormones aren’t really making much sense. 🫠

Here are some of the more common symptoms we hear from our perimenopause patients…

👉🏻 Dry itchy eyes
👉🏻 Histamine Intolerance
👉🏻 UTI-like symptoms
👉🏻 Coughing (usually related to LPR)
👉🏻 Vision Changes
👉🏻 Oxygen Hunger/shortness of breath
👉🏻 Chronic Congestion/Post Nasal Drip
👉🏻 Intrusive thoughts
👉🏻 Constipation/Gi Issues
👉🏻 Frozen shoulder
👉🏻 Globus Sensation
👉🏻 Plantar fasciitis
👉🏻 Internal Tremors
👉🏻 Heart palpitations
👉🏻 Itchy ears
👉🏻 Brain zaps
👉🏻 Phantom smells

(Raise your hand if these sound familiar. 🙋🏻‍♀️)

✍🏻 Comment ‘WEIRD’ if you want to see the full list of weird perimenopause symptoms, and I will message you our ‘perimenopause symptom quiz’ with over 100 symptoms! 👀

🩺📲 If you’re in the US and you’re at all curious about exploring hormone therapy to help manage your symptoms, we would love to work with you. Go to the 🔗 in my bio to book a free call with my team to learn how to get started. 🤗

02/17/2026

ROUND 5: The symptom saga continues! 🤠

This is a PSA that perimenopause symptoms can begin in your early 30’s (I don’t care what your doctor has told you). Hormonal fluctuations/decline during perimenopause can trigger nervous system dysregulation, increased inflammation throughout your entire body, immune dysfunction, & heightened sensory sensitivity. You aren’t imaging these things. These symptoms are real, and they deserve to be taken seriously! 👏🏻👏🏻

Here are some of the most common symptoms we hear from our perimenopause patients…

👉🏻 Vision Changes
👉🏻 Oxygen Hunger/shortness of breath
👉🏻 Hair thinning/receding
👉🏻 Formication (feeling like you have bugs crawling on you, itchiness)
👉🏻 Chronic Congestion/Post Nasal Drip
👉🏻 Intrusive thoughts
👉🏻 Constipation/Gi Issues
👉🏻 Frozen shoulder
👉🏻 Vertigo
👉🏻 Globus Sensation
👉🏻 Plantar fasciitis
👉🏻 Internal Tremors
👉🏻 Heart palpitations
👉🏻 Itchy ears
👉🏻 Brain zaps
👉🏻 Phantom smells

(Raise your hand if these sound familiar. 🙋🏻‍♀️)

✍🏻 Comment ‘WEIRD’ if you want to see the full list of weird perimenopause symptoms, and I will message you our ‘perimenopause symptom quiz’ with over 100 symptoms! 👀

🩺📲 If you’re in the US and you’re at all curious about exploring hormone therapy to help manage your symptoms, we would love to work with you. Go to the 🔗 in my bio to book a free call with my team to learn how to get started. 🤗

02/14/2026

ROUND 4: Tell me your weirdest symptoms! 👀👇🏻

Listen… perimenopause doesn’t just impact your period. It impacts how your entire body functions. Hormonal fluctuations during perimenopause can disrupt your sleep, digestion, joints, mood, & even how your body responds to stress. These symptoms are very real… & I promise you aren’t crazy! 🥹🫶🏻

Here are some of the most common symptoms we hear from our perimenopause patients…

👉🏻 Chronic Congestion/Post Nasal Drip
👉🏻 Intrusive thoughts
👉🏻 Changes in body odor
👉🏻 Constipation/Gi Issues
👉🏻 Driving anxiety
👉🏻 Frozen shoulder
👉🏻 Idiopathic hives (hives w/o allergy)
👉🏻 Vertigo
👉🏻 Globus Sensation
👉🏻 Plantar fasciitis
👉🏻 Internal Tremors
👉🏻 Restless leg syndrome
👉🏻 Heart palpitations
👉🏻 Itchy ears
👉🏻 Brain zaps
👉🏻 Phantom smells

(Do any of these sound like you? 🥲)

✍🏻 Comment ‘WEIRD’ if you want to see the full list of weird perimenopause symptoms, and I will message you our ‘perimenopause symptom quiz’ with over 100 symptoms! 👀

🩺📲 If you’re in the US and you’re at all curious about exploring hormone therapy to help manage your symptoms, we would love to work with you. Go to the 🔗 in my bio to book a free call with my team to learn how to get started. 🤗

02/13/2026

ROUND 3: What are some of your weirdest symptoms? 😵‍💫

Hormonal fluctuations during perimenopause can create a cascade of symptoms that may feel completely unrelated. Which is exactly why so many women are told that what they are experiencing is ‘just stress’. 🙄

When our hormone fluctuate, the nervous system becomes more reactive, inflammation increases, & symptoms start popping up in places you’d never expect.

Here are some of the most common symptoms we hear from our perimenopause patients…

👉🏻 Driving anxiety
👉🏻 Frozen shoulder
👉🏻 Idiopathic hives (hives w/o allergy)
👉🏻 Vertigo
👉🏻 Globus Sensation
👉🏻 Plantar fasciitis
👉🏻 Internal Tremors
👉🏻 Restless leg syndrome
👉🏻 Heart palpitations
👉🏻 Itchy ears
👉🏻 Brain zaps
👉🏻 Phantom smells

(Do any of these sound like you? 🥹)

These symptoms are truly just the tip of the iceberg when it comes to perimenopause, and these symptoms aren’t just ‘in your head’. These symptoms are real & they matter!

✍🏻 Comment ‘WEIRD’ if you want to see the full list of weird perimenopause symptoms, and I will message you our ‘perimenopause symptom quiz’ with over 100 symptoms! 👀

🩺📲 If you’re in the US and you’re at all curious about exploring hormone therapy to help manage your symptoms, we would love to work with you. Go to the 🔗 in my bio to book a free call with my team to learn how to get started. 🤗

02/12/2026

ROUND 2: What are some of your weirdest symptoms? 🙃

Did you know that perimenopause symptoms can begin in your early 30’s? 🤯

These symptoms are commonly misdiagnosed as anxiety or stress. When in reality your hormones are wildly fluctuating and your body is stuck in survival mode (So yeah… we might feel pretty dang stressed 🥹). But labeling these symptoms as anxiety completely invalidates the reality & scope of what you are truly experiencing.

Here are a handful of the most common symptoms we hear from our perimenopause patients…

👉🏻 Globus Sensation
👉🏻 Plantar fasciitis
👉🏻 Internal Tremors
👉🏻 Restless leg syndrome
👉🏻 Heart palpitations
👉🏻 Itchy ears
👉🏻 Brain zaps
👉🏻 Phantom smells

(Do any of these sound familiar? 😅)

These symptoms are truly just the tip of the iceberg when it comes to perimenopause, and these symptoms aren’t just ‘in your head’. These symptoms are real & they matter!

✍🏻 Comment ‘WEIRD’ if you want to see the full list of weird perimenopause symptoms, and I will message you our ‘perimenopause symptom quiz’ with over 100 symptoms! 👀

🩺📲 If you’re in the US and you’re at all curious about exploring hormone therapy to help manage your symptoms, we would love to work with you. Go to the 🔗 in my bio to book a free call with my team to learn how to get started. 🤗

02/11/2026

ROUND 1: What are your weirdest symptoms? 🫠

In case you didn’t know, perimenopause is so much more than just hot flashes & mood swings. The hormonal fluctuations happening during perimenopause can impact every single system in your body including your nervous system, immune system, metabolism, joints, skin, gut… all of it! And your doctor may not even be connecting these dots. 🥲

Here are a handful of the most common symptoms we hear from our perimenopause patients…

👉🏻 Heart palpitations
👉🏻 Itchy ears
👉🏻 Brain zaps
👉🏻 Phantom smells

(Do any of these sound familiar? 😅)

These symptoms are truly just the tip of the iceberg when it comes to perimenopause, and these symptoms aren’t just ‘in your head’. These symptoms are real & they matter!

✍🏻 Comment ‘WEIRD’ if you want to see the full list of weird perimenopause symptoms, and I will message you our ‘perimenopause symptom quiz’ with over 100 symptoms! 👀

🩺📲 If you’re in the US and you’re at all curious about exploring hormone therapy to help manage your symptoms, we would love to work with you. Go to the 🔗 in my bio to book a free 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

https://www.elevatemd.co/bio?utm_source=ig&utm_medium=social&utm_content=link_in_bio&fbclid=PAZXh0bgNhZW0CMTEAc3J0YwZhcH

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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.

Elevate MD

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