Elevate MD

Elevate MD 🩺 Physician-Led Hormone Optimization
👩🏻‍💻 Telemed across the U.S.
👇🏻 Want to work with us? https://www.elevatemd.co/bio
(3)

12/18/2025

Welcome to our ‘Peri After Dark’ Q&A. All hormone health questions are welcome! ❤️ Link in bio to schedule free 60 min discovery call with our team. 🩺

12/18/2025

I’m so tired of the medical gaslighting that women face when their symptoms don’t fit into neat little boxes. Especially when it comes to … or hormone health in general. 🥹❤️‍🩹

On paper, procedures such as hysterectomies, ablations, tubal ligations, etc. aren’t *supposed* to have any impact on your hormones. This is also true for women that only have one o***y. (Which is hard for me to wrap my head around.)

But this just isn’t what we see happening in so many of our patients. We commonly see patients that are experiencing very real hormone related symptoms soon after these types of procedures- even after their providers have told them point blank that these procedures would not impact their hormone levels.

Not all women will experience hormone disruptions, but many women do…
Every👏🏻single👏🏻day👏🏻
And we cannot refuse to acknowledge their REAL experiences just because their bodies aren’t responding the way that the textbooks say they should.

You know your body better than anyone else, and your symptoms deserve to be treated regardless of age or circumstance. 🫶🏻

🩺📲 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 60 min call with my team for more info! 🤗

12/16/2025

If you’re in or menopause and you are suddenly sensitive to all sorts of sounds… THIS VIDEO IS FOR YOU! 🫵🏻🫠

Sound sensitivity is incredibly common during perimenopause & menopause due to a combination of declining estrogen and progesterone. These hormonal changes can lead to very real neurological issues such as misophonia. 👀

Estrogen plays an essential role in healthy nerve firing. When estrogen levels begin to fluctuate, this can lead to nerve hypersensitivity (especially in our ears 👂🏻🥹). This can cause normal sounds to feel loud, sharp, or even painful. 😖

Progesterone decline also contributes to sound sensitivity because we become more prone to overstimulation. Think of progesterone as the brain’s noise-canceling system. When it’s low, the brain loses its ability to soften incoming sound. 😣

When you add nervous system dysregulation to the mix, you have a recipe for chronic overstimulation!

👉🏻 Heightened sensory vigilance
👉🏻 Reduced tolerance to sound
👉🏻 Startle responses to normal noise
👉🏻 Feeling “on edge” or overstimulated

If these types of symptoms are impacting your quality of life, it may be time to explore hormone support so you can start to feel like yourself again! 🥹🫶🏻

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

What is estrogen dominance & why is it so common during ? 🤔Put simply, estrogen dominance is a hormonal imbalance that...
12/16/2025

What is estrogen dominance & why is it so common during ? 🤔

Put simply, estrogen dominance is a hormonal imbalance that happens when your estrogen to progesterone ration is out of whack. This typically means that your body is either producing too much estrogen, not enough progesterone, or your body is not metabolizing & detoxing estrogen fast enough.

This is a common issue we see in our perimenopause patients, because progesterone is typically the first hormone that begins to decline during peri which creates the perfect environment for estrogen dominance. (Think of estrogen as the gas, & progesterone is the brakes!)

But here’s the interesting part… estrogen dominance doesn’t always mean that your estrogen levels are super high. During perimenopause, we more commonly see something called ‘relative estrogen dominance’. This is when your estrogen levels are still relatively normal (or maybe even low), but your progesterone levels are WAY too low to be able to counter balance your estrogen levels.

And the most frustrating part for most patients is that ALLL of these imbalances will still look ‘normal’ on your lab results unless your provider knows what they are looking for. 🤦🏻‍♀️🫠

This is why we always emphasize that normal ≠ optimized, especially in the context of perimenopause. Your lab results can provide valuable context, but they may not accurately tell your story if your provider is not interpreting your lab results in the context of your symptoms!

If you are experiencing any of these symptoms, I can guarantee you that your levels certainly are NOT optimized. We cannot dismiss these symptoms simply because your lab results fall within a ‘normal’ range. Your quality of life matters, & these symptoms deserve to be treated. ❤️

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

12/13/2025

PSA: symptoms can begin in your early 30’s. I don’t care what your doctor has told you… you’re not ‘too young’. 👏🏻👏🏻👏🏻

Many providers refuse to run labs or even entertain the idea of a hormonal imbalance unless you are over the age of 45. Denying the fact that women are experiencing early onset perimenopause symptoms only prevents women from getting the care they need.

We work with patients every single day that are in their early to mid thirties that are experiencing textbook perimenopause symptoms, and the only ‘solutions’ they were ever offered were anxiety medication, birth control, or therapy. ❤️‍🩹

Here are some of the most common early onset symptoms we see in our patients…

👉🏻 Anxiety & Depression (Intrusive Thoughts)
👉🏻 Mood Swings & Irritability
👉🏻 Low Stress Resilience
👉🏻 Heart palpitations
👉🏻 Sleep disturbances/insomnia
👉🏻 Brain Fog & Difficulty Concentrating
👉🏻 Low Libido
👉🏻 Recurring UTI’s
👉🏻 GI issues (upper & lower GI)
👉🏻 Joint, Tendon, & Muscle Pain
👉🏻 Weight gain & metabolic dysfunction
👉🏻 Menstrual changes
👉🏻 Worsening PMS symptoms
👉🏻 Chronic fatigue & exhaustion
👉🏻 Hot flashes, cold flashes, & night sweats
👉🏻 Migraines/headaches
👉🏻 Hair loss or hair thinning
👉🏻 Adult acne

I don’t care how old you are, your symptoms deserve to be taken seriously. You know your body better than anyone else, and your quality of life matters! 🫶🏻

🩺📲 If you’re in the US, and you’re looking for answers about your hormone health, we would absolutely love to work with you! Go to the 🔗 in my bio to book a free virtual call with my team to learn how to get started. 🤗

12/11/2025

If you’re in or menopause, let’s explore the different forms of bioidentical progesterone therapy that might work best for you! ☺️🫵🏻

Progesterone is typically the first hormone that declines during perimenopause, so progesterone therapy is an excellent starting point to address a variety of perimenopause & menopause symptoms.

So let’s explore your options, including which options we recommend for individuals that are sensitive to progesterone… 🤗

1️⃣ Oral Progesterone:
👍🏻 Pros: High bioavailability, comprehensive symptom relief, helps with sleep/anxiety/mood/histamine issues, great for estrogen dominance.
👎🏻 Cons: Not a great option for women that are sensitive to P, may cause next-day grogginess.

2️⃣ Progesterone Suppository:
👍🏻 Pros: Bypasses the liver, protects the uterine lining, does not cause grogginess
👎🏻 Cons: Suppositories do not provide the same sleep or calming benefits as oral progesterone.

3️⃣ Progesterone Troche:
👍🏻 Pros: Mostly bypasses the liver, protects the uterine lining, can provide mild sleep benefits depending on how it is absorbed. (Some of the troche is swallowed.)
👎🏻 Cons: Troches metabolize quickly, so your levels will rapidly fluctuate. Does not provide the same level of sleep or calming benefits as oral P.

4️⃣ Progesterone Cream:
👍🏻 Pros: May provide mild relief for PMS-like symptoms, and is a good option if you are unable to tolerate any other form of progesterone.
👎🏻 Cons: Does not fully absorb into the bloodstream so it does not provide systemic symptom relief for mood, sleep, anxiety, etc.

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

12/11/2025

5 lies your provider has probably told you about 👇🏻

1️⃣ Has your provider ever told you that they can’t run labs for perimenopause? They have probably told you that your hormone levels fluctuate too much to get an accurate reading, or that your results won’t be accurate if you are on birth control. While it is true that you don’t need labs to diagnose perimenopause, you absolutely need to run labs to treat perimenopause.

2️⃣ Your doctor may have told you that you couldn’t possibly be in perimenopause if you are still experiencing a regular menstrual cycle. But this isn’t an accurate indicator of perimenopause! Some women never experience menstrual changes until they hit menopause. Your other symptoms as a whole are a much better indicator for perimenopause.

3️⃣ You aren’t ’too young’ for perimenopause. Perimenopause symptoms can begin in your early 30, and your quality of life matters NOW! We also know that hormone therapy is safer the earlier you start. You don’t need to wait until menopause to be treated.

4️⃣ If you have ever confided in your doctor about your perimenopause symptoms and they have brushed you off & chalked it up to anxiety, I would highly encourage you to seek out a second opinion, ASAP! Perimenopause can impact every single system in your body… YOU ARE NOT CRAZY! 👏🏻👏🏻👏🏻

5️⃣ Lastly, if your doctor has ever tried to shove birth control & anxiety meds down your throat, I need you to know that these are not your only options for perimenopause symptom management! 🙏🏼

Our team specializes in hormone optimization for perimenopause management and we would absolutely LOVE to work with you to help you get your life back on track. You know your body better than anyone else, and you truly deserve so much more than the bare minimum when it comes to addressing your perimenopause symptoms. 🥹🫶🏻

🩺📲 We are currently accepting new patients for Telehealth 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 call directly with mg team for more info! 🤗

12/09/2025

Which hormone therapy do you think is most effective for & menopause symptom manage? 🤔

Let’s break it down! 🕺🏻👇🏻

In this video, I am comparing 3 different forms of hormone therapy (Creams, patches, & injections) & then rating them based on 3 key factors…
☑️ Bioavailability: How well do the hormones absorb into your body.
☑️ Symptom Relief: How well does each form of hormone therapy manage your perimenopause or menopause symptoms.
☑️ Hormone Stability: How well does each form of hormone therapy manage hormonal fluctions or provide consistent dosing.

🧴Hormone Creams🧴
❌ Bioavailability: 1-8% LOW Absorption
❌ Symptom Relief: LOW Systemic Relief- Only works for local symptom relief (I.e. vąginaI or bladder related symptoms.)
❌ Hormone Stability: LOW- Does not have significant impact on circulating hormone levels.

🩹Hormone Patch🩹
⚠️ Bioavailability: 20-80% Inconsistent Absorption
⚠️ Symptom Relief: Inconsistent Relief- There is too much variability in the bioavailability to guarantee consistent symptom relief.
⚠️ Hormone Stability: Inconsistent… due to unpredictable absorption.

💉Hormone Injections💉
✅ Bioavailability: 95-100% VERY HIGH
✅ Symptom Relief: HIGH- Injections provide the most reliable symptom relief since the bioavailability is so high.
✅ Hormone Stability: HIGH- These medications have a very long half life, which will provide guaranteed consistency in how you are feeling day to day. 👏🏻☺️

If you have questions about hormone therapy, please feel free to drop those in the comments & let’s chat about it! 🙃

🩺📲 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. 🤗

If you’re in or menopause and you just haven’t been feeling like yourself recently… low T could be to blame! 🫠Most pro...
12/09/2025

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 sęxuąI 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. 🤗

12/05/2025

If you’re in and you’re experiencing burning mouth syndrome or any other weird things happening inside your mouth… THIS VIDEO IS FOR YOU! 🫵🏻🦷

Wonky mouth symptoms are incredibly common during perimenopause. I’ve heard so many complaints from patients about weird & unusual things happening inside of their mouth that they’ve never experienced before, including…

👉🏻 Burning mouth syndrome
👉🏻 Metallic taste
👉🏻 Change/loss of taste
👉🏻 Cavities
👉🏻 Canker sores
👉🏻 Gum pain/bleeding
👉🏻 Teeth pressure & sensitivity
👉🏻 Teeth chipping
👉🏻 Periodontal issues

SO WHAT THE HECK IS HAPPENING? 🤨🦷

When estrogen levels begin to decline during perimenopause, there are 2 key changes that can cause these types of symptoms to happen…

1️⃣ Increased nerve sensitivity
2️⃣ Changes to your oral pH

When estrogen levels drop, our mouths can become more acidic. This acidity can cause all sorts of damage in your mouth, and can contribute to a lot of the wonky mouth symptoms you may be experiencing. And even if your mouth feels fine, there’s a high probability that this acidic environment is still eating away at your enamel... & your toothpaste may be making things even worse. 🫣😭

This is exactly why switching your toothpaste to a more alkaline formula can make a massive difference when it comes to your oral health. I’m currently using a nano-hydroxyapatite based toothpaste, & it has been LIFE CHANGING! 🤩🪥

Here are a few brands that I recommend:
✨ David’s Hydroxy
✨ Boka
✨ Mouthology

🩺📲 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. 🤗

12/04/2025

Peri After Dark Q&A 🌙 Link in bio to schedule free discovery call!

12/03/2025

If you’re in or menopause, and you’re constantly struggling with UTI-like symptoms, THIS VIDEO IS FOR YOU! 🫵🏻🥹

Let’s skip the intro & dive right into the symptoms you may be experiencing as a direct result of estrogen decline during perimenopause or menopause… 👇🏻

☑️ Dryness, Itching, Irritation, Burning
☑️ Thinning of the vagınaI walls (atrophy)
☑️ Loss of elasticity
☑️ Loss of natural lubrication
☑️ Pain during intimacy (dyspareunia)
☑️ Pain with tampon insertion
☑️ Post-intimacy bleeding or spotting
☑️ Discharge changes
☑️ Loss of IabiaI volume (Iabia minora shrinking)
☑️ Burning with urination (dysuria)
☑️ Urethral irritation or “rawness”
☑️ Increased sensitivity to soaps, detergents, or pads
☑️ Urinary urgency/frequency
☑️ Nocturia (waking at night to p*e)
☑️ Bladder pressure or spasms
☑️ Stress incontinence (laughing, coughing)
☑️ Pelvic floor tightness or spasms
☑️ Pelvic aching
☑️ Decreased arousal
☑️ Reduced libido due to pain or discomfort
☑️ Difficulty climaxing
☑️ Post-intimacy soreness or burning
☑️ Odor changes

If you are experiencing any combination of these of symptoms, then Elevate Below Estriol + DHEA is going to be your new best friend! 🥹🫶🏻

This powerful hormone duo is clinically proven to reduce EVERY SINGLE SYMPTOM associated with genitourinary syndrome of menopause! And the best part is, it doesn’t even require a doctor’s visit or a prescription. 🤭👏🏻

❤️AVAILABLE IN MY BIO❤️

🩺📲 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. 🤗

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

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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.