Elevate MD

Elevate MD 🩺 Physician-Led Hormone Optimization
👩🏻‍💻 Telemed across the U.S.
👇🏻 Want to work with us? https://www.elevatemd.co/bio

11/25/2025

If you’re in or menopause, and your brain is constantly stuck in a fog… YOU NEED THIS! 🫵🏻😶‍🌫️

Focus+ is formulated to tackle your worst perimenopause brain fog symptoms, & actually improve cognitive function without stimulants, jitters, or crashes! 👏🏻

🧠 Vitamin B6: Essential for producing neurotransmitters serotonin, dopamine, and GABA. Without B6, your brain can’t fire at full strength.

🧠 Cat’s Claw Extract: Supports healthy inflammation pathways in the brain and helps your brain feel “clean,” sharp, and refreshed.

🧠 L-Tyrosine: This is a game changer for stress-induced brain fog. Helps drive alertness, motivation, memory, and resiliency during busy or high-stress days.

🧠 L-Theanine: Promotes calm focus by increasing alpha brain waves, the same waves you see in meditation or flow states. It helps reduce overstimulation while sharpening concentration.

🧠 Oat Straw Extract: Improves attention, mental processing speed, and cognitive performance by increasing blood flow to the brain.

🧠 Alpha-GPC: One of the most powerful nootropics available. Alpha-GPC increases acetylcholine, the neurotransmitter for learning, memory, and recall. Great for remembering details, staying mentally sharp, and sustaining focus.

🧠 Bacopa Monnieri: One of the most researched memory-enhancing botanicals. Bacopa supports long-term memory formation, learning, and cognitive speed while also calming the nervous system.

🧠 Phosphatidylserine 50%: This phospholipid is essential for healthy brain cell membranes and communication. Studies show it supports memory, concentration, and mental processing.

🧠 L-Leucine: Supports neurotransmitter signaling and helps the brain maintain energy during mental tasks.

🧠 Huperzine A: Prevents the breakdown of acetylcholine, helping keep your brain in a high-performance learning & memory mode.

Focus+ is now available in the 🔗 in my bio for 25% off for Black Friday! 🤗

11/25/2025

If you’re in & your doctor has never offered you Test Therapy… THIS VIDEO IS FOR YOU! 🫵🏻

Here is a comprehensive list of symptoms relating to low T that you may be experiencing during perimenopause or menopause. Any combination of these symptoms can be addressed with hormone therapy… 👏🏻

☑️ Chronic fatigue
☑️ Loss of physical strength
☑️ Joint pain and stiffness
☑️ Increased inflammation
☑️ Difficulty building muscle despite training
☑️ Weight gain (especially belly fat)
☑️ Inability to lose weight despite diet/exercise
☑️ Brain fog & poor concentration
☑️ Executive dysfunction
☑️ Memory lapses & difficulty with word recall
☑️ Reduced creativity
☑️ Lower stress resilience
☑️ Irritability & mood swings
☑️ Emotional flatness or numbness
☑️ Anhedonia (“nothing excites me anymore”)
☑️ Loss of inner “spark” or passion
☑️ Insomnia & decreased sleep quality
☑️ Anxiety
☑️ Low confidence (“I don’t feel like myself anymore”)
☑️ Increased self-doubt
☑️ Low libido
☑️ Difficulty climaxing
☑️ VąginąI dryness
☑️ Pain during intimacy
☑️ Feeling “disconnected” from from your partner

If you have been struggling with these types of perimenopause symptoms, hormone therapy would likely be an excellent option for you! 🙏🏼

Additional options for T support:
✨5mg DHEA: Taken Daily
✨VąginaI DHEA: Applied nightly or as needed (10/10 for intimacy 😈)

Both of these products are available in the 🔗 in my bio. Please feel free to comment or DM us if you have any questions! 🫶🏻

🩺📲 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. 🤗

11/21/2025

Hot take: “Naturally” managing your or menopause symptoms isn’t a flex… 🥹😅

On paper, the idea of being able to “naturally” manage your perimenopause symptoms sounds great!!! But that is just not the reality for MOST women. Most women will experience very real, life altering symptoms that cannot be fixed with supplements, more protein, or incline walking…

That’s not to say that those things aren’t also extremely beneficial, but there is ZERO shame in needing or wanting to utilize hormone therapy during perimenopause or menopause.

HORMONE THERAPY IS SELF CARE! 👏🏻👏🏻👏🏻

You don’t need to gaslight yourself into thinking that you lack willpower/discipline. Perimenopause is real, and it’s really freaking hard. It’s okay to ask for help. ❤️

🩺📲 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. 🤗

11/20/2025

Peri After Dark Q&A - Link in bio to schedule free discovery call with my team! 🩺

11/19/2025

If has you feeling like you’re going through puberty all over again… THIS VIDEO IS FOR YOU! 🫵🏻😩

You’ve likely heard perimenopause be referred to as cougar puberty, and that’s honestly pretty freaking accurate. Perimenopause is like puberty… but in reverse. 👀🔄

During puberty, our bodies and our brains are learning how to operate with all these new hormones flooding our body. But during perimenopause, our bodies/brain are trying to figure out how to function and cope without the hormones we’ve had for most of our lives! 🥹

It’s no wonder perimenopause symptoms look so similar to those during puberty, but everything is compounded and our bodies hurt, our brains aren’t functioning, and our metabolism has gone completely out the window. 🪟🫠

During puberty they throw us on birth control, but I promise you that birth control just ain’t gonna cut it this time! 😅

Hormone therapy is an incredibly safe and effective way to help stabilize crazy hormonal fluctuation and help address the slow and steady hormonal decline that we are experiencing during perimenopause.

But here are a couple other recommendations you can try to help address cougar puberty…

✨Berberine + Inositol ✨
This combo is incredibly useful for addressing a wide variety of symptoms including…

☑️ Acne & Oily skin
☑️ Chin/neck hair
☑️ PMS mood swings
☑️ Anxiety/panic
☑️ Intrusive thoughts
☑️ Mild sleep issues
☑️ Metabolic dysfunction
☑️ Irregular ovulation
☑️ Fatigue/brain fog

If natural remedies aren’t providing enough support, we would be more than happy to explore hormone therapy with you! ☺️🫶🏻

🩺📲 We are accepting 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 call with my team to learn how to get started. 🤗

11/18/2025

If you’re in or menopause and you’ve ever experienced uncomfortable &/or physically disturbing intrusive thoughts… THIS VIDEO IS FOR YOU! 🥹🫵🏻

Welcome to my new series, ‘Perimenopause After Dark’ where we explore all of the weird & taboo symptoms of perimenopause!

Today’s topic is intrusive thoughts, and if this resonates with you, I promise you aren’t alone. Over 50% of women in menopause have reported experiencing persistent intrusive thoughts. 💭😣

Let’s explore how hormonal fluctuations can worsen or trigger intrusive thoughts during perimenopause 👇🏻

✨ When estrogen levels drop…
☑️ Serotonin decreases
☑️ Anxiety increases
☑️ The brain becomes more reactive to threat
☑️ Thoughts become more looping & obsessive
☑️ Emotional filtering becomes impaired

✨ When progesterone levels drop…
☑️ Calm/coping capacity drops
☑️ Anxiety sensitivity increases
☑️ Fight-or-flight response becomes overactive
☑️ Intrusive thoughts feel more intense

✨ When test levels drop…
☑️ The fear center of the brain becomes dysregulated
☑️ Impulse control decreases
☑️ Stress resilience begins to decline
☑️ You get stuck in mental loops

Hormone therapy is hands down the best option for addressing the underlying cause of these types of perimenopause symptoms. But here are a couple recommendations you can also try…

✨Nature’s Xąnąx✨
400mg Magnesium Glycinate + 200mg L-theanine before bed

✨Cold Therapy✨
Hold an ice pack on your neck or chest for 15-20 minutes to activate your vagus nerve to help pull your body out of fight or flight

🩺📲 We are accepting 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 call with my team to learn how to get started. 🤗

11/17/2025

If you’re in and you’ve also been diagnosed with Hashimoto’s or hypothyroidism… THIS VIDEO IS FOR YOU! 🫵🏻

Thyroid dysfunction & perimenopause really do go hand in hand. So much so that a lot of women are commonly misdiagnosed & treated for hypothyroidism, even though perimenopause may be the real underlying issue. 🫠

As you can see in the video, there are so many overlapping symptoms between perimenopause & hypothyroidism/Hashi’s… & it can get a little confusing to know which is which. 😅

This overlap is so common that we test every single patient for hypothyroidism, and we check thyroid antibodies, so we can fully understand and address where your symptoms are coming from.

Even mild thyroid dysfunction can exacerbate perimenopause symptoms, which is why we commonly recommend our Thyroid Support supplement for most of our patients. This supplement can help improve T4 production in the thyroid gland, and it can increase T3 conversion in your liver, kidney’s, and GI tract… making this an excellent option for metabolic support for women in perimenopause & menopause. 👏🏻🙌🏻

Thyroid Support Key Ingredients:

🌱 Vitamin B-12
🌱 Mineral Support: Iodine, Magnesium, Zinc, Selenium, Copper, Manganese, Molybdenum
🌱 L-Tyrosine
🌱 Herbal Support: Schisandra Fruit, Ashwagandha Root, Bladderwrack Thallus, Cayenne Pepper Fruit, Kelp

If you are curious if your symptoms are thyroid related, or possibly overlapping with perimenopause, we would absolutely love to work with you to help identify & treat the underlying cause of your symptoms!! 🤗

🩺📲 We are accepting 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 call with my team to learn how to get started. 🤗

11/14/2025

If you’re in & you’re struggling with chronic congestion, clogged ears, and that horrible sensation that something is lodged in your throat (aka. Globus Sensation)… THIS VIDEO IS FOR YOU! 🫵🏻🤧

These symptoms are extremely common during perimenopause, & this is one of the least talked-about but most disruptive symptoms, and it’s 100% hormone-driven. 😩

Why the heck is this happening??? 🤔

Perimenopause is not just about hot flashes and irritability… it completely disrupts your sinuses, immune system, mucus membranes, and inflammation levels. The drop in estrogen, progesterone, and tėstostėrone disrupts the entire upper airway system.

Perimenopause changes the sinuses in 4 major ways:
👉🏻 Estrogen decline causes Mucus to become thicker
👉🏻 Estrogen decline triggers Mast cells release more histamine
👉🏻 Progesterone & test decline cause Airway tissues swell more
👉🏻 Less estrogen = more inflammation

Addressing these hormonal changes at the root with hormone therapy is an effective way to improve these types of perimenopause problems, especially symptoms relating to increased inflammation. 📈

If OTC treatments such as nasal sprays, antihistamines, DAO enzymes, etc are not providing adequat relief, then it may be time to explore alternative options to help support your hormones! 👏🏻

🩺📲 We are accepting 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 call with my team to learn how to get started. 🤗

Can hormone therapy reverse metabolic damage caused by   or menopause? 🤔YES!!! I just got my lab results back, & the pro...
11/13/2025

Can hormone therapy reverse metabolic damage caused by or menopause? 🤔

YES!!! I just got my lab results back, & the proof is in the pudding! 👏🏻😌

Hormonal fluctuations during perimenopause can absolutely destroy your metabolism and the impacts are far greater than just weight gain. And the most challenging part is that exercising more and restricting calorie intake can actually make things worse. 😭

So let’s break down how hormone therapy can actually improve metabolic function…

✨Estradiol✨
☑️ Reduces visceral fat & abdominal weight gain
☑️ Improves insulin sensitivity
☑️ Increases metabolic rate (BMR)
☑️ Supports healthy digestion and motility
☑️ Improves lipid markers (Trigs & cholesterol)

✨Progesterone✨
☑️ Improves insulin sensitivity (especially at night)
☑️ Reduces water retention & inflammation
☑️ Supports healthy thyroid function
☑️ Improves digestion through the gut-brain axis

✨Tėstostėronė✨
☑️ Increases lean muscle mass
☑️ Improves insulin sensitivity
☑️ Improves fat burning and mitochondrial function
☑️ Improves motivation, energy, and metabolic drive
☑️ Improves lipid markers

Metabolic dysfunction during perimenopause isn’t about lack of discipline or needing to “try harder”. It’s about supporting your hormones, & your nervous system so your body can function optimally! 👏🏻🤗

🩺📲 We are accepting 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 call with my team to learn how to get started. 🤗

11/12/2025

Let’s talk hormones 🫶🏻 Welcome to our Peri & PJ’s Q&A. Ask me anything about hormone health. 🤗

The top 5 things that women in   should stop doing immediately! 👀👇🏻💕 Stop apologizing for your symptoms! You deserve ans...
11/12/2025

The top 5 things that women in should stop doing immediately! 👀👇🏻

💕 Stop apologizing for your symptoms! You deserve answers and solutions, not dismissal or invalidation. Your symptoms are real, & you don’t need to suffer in silence.

💕 Stop comparing yourself! Don’t compare yourself to the younger version of yourself or any other women that “seem fine”. Everyone’s journey & timeline are different.

💕 Stop blaming yourself! You aren’t doing anything wrong. This isn’t a lack of willpower. You’re doing the best that you can during a very difficult and challenging transition in your life.

💕 Stop putting yourself & your needs last! Burnout won’t earn you a medal, it will steal your vitality. Be gentle with yourself and prioritize your well being. You can’t pour from an empty glass.

💕 Stop running your body into the ground! Stop overtraining, under-eating, & pushing your body to its limits. It will completely wreck your hormones and your nervous system. Be gentle with yourself.

If you’re in perimenopause, this is a PSA to slow down, be gentle with yourself, and realize that you don’t have to suffer in silence. Your symptoms matter, and so does your quality of life! Share this with a friend. ❤️

🩺📲 We are accepting 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 call with my team to learn how to get started. 🤗

11/11/2025

If you’re in or and you suffer from chronic migraines or headaches… THIS VIDEO IS FOR YOU! 🫵🏻

This migraine relief hack has been popping up all over my explore page this week, and I was veryyyy intrigued to understand how this claw clip hack might work. 🤔

All throughout my perimenopause journey, I struggled with horrible migraines that would leave me bed bound in the dark for hours. And this is a very common occurrence for many women in perimenopause & menopause. 🥹

Hormonal changes during peri can trigger all sorts of neurological symptoms, including…

👉🏻 Blurred or distorted vision
👉🏻 Flashing lights, zigzag patterns, or shimmering spots
👉🏻 Partial loss of vision (like a blind spot or “curtain” over one eye)
👉🏻 Seeing kaleidoscope-like colors or shapes
👉🏻 Throbbing or pulsating pain (usually one-sided)
👉🏻 Nausea or vomiting
👉🏻 Sensitivity to light, sound, or smells
👉🏻 dizziness, vertigo, and motion sensitivity
👉🏻 Pressure in your face, temples, and ears
👉🏻 Fatigue, neck pain, and mood changes
👉🏻 Trigeminal nerve pain
👉🏻 Aura or visual disturbances (in some cases)

I haven’t had a chance to try this claw clip trick out, but I have had pretty good results with the accupressure points! I’m curious to see if this provides any relief for you guys! ❤️👏🏻

🩺📲 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 call with my team to learn how to get started. 🤗

VC:

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

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:

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.