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
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04/17/2026

Speed Round: Let’s see how many hacks I can list off for Globus Sensation in just 30 seconds! 🙃🏃🏻‍♀️

Before we dive in… what exactly is Globus Sensation? 🤔

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.

Globus Sensation is usually the combination of a few different perimenopause related issues such as histamine intolerance, nervous system dysregulation, & hormonal fluctuations/ decline.

Estrogen plays an important role in maintaining smooth muscle tone, including the lower esophageal sphincter (the valve that prevents stomach acid, pepsin, & bile from flowing back into the esophagus & upper airway).

Declining estrogen levels during perimenopause can trigger more reflux (or silent reflux) & inflammation, which can exacerbate Globus Sensation. 🫠

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!

Quick Hacks:
👉🏻 Alkaline water (neutralizes pH in upper GI)
👉🏻 Antihistamines (Zyrtec, Claritin, Pepcid, etc.)
👉🏻 Quercetin (natural mast cell stabilizer)
👉🏻 DAO Enzymes (supports histamine metabolism)
👉🏻 Magnesium Glycinate + L-theanine (For nervous system support)
👉🏻 DGL Plus by Pure Encapsulations (Contains DGL, marshmallow root, slippery elm, & aloe Vera for ultimate reflux support)

🩺📲 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 call with my team to get started! 🤗

04/16/2026

If your doctor has ever told you that you can only be on hormone therapy for 5 years… THIS VIDEO IS FOR YOU. 👀🫵🏻

A new retrospective cohort analysis just completely changed the conversation around long term HRT safety, and every woman in or menopause needs to see this.

This study looked at 10 million patient records and compared the risks & benefits of long term HRT use (up to 14 years past the age of 65). The data highlights the following risk reductions for women that continued to take HRT past the age of 65:

⬇️ All-cause mortality risk down 19%
⬇️ Breast cancer risk down 16%
⬇️ Lung cancer risk down 13%
⬇️ Colorectal cancer risk down 12%
⬇️ Heart attack risk down 11%
⬇️ Dementia risk down 2%
⬇️ Reduced risk for CHF, AFib & blood clots

Regardless of whether you start hormone therapy in your 30’s, 40’s, 50’s, or 60‘s, this research shows that not only is long term hormone therapy safe, it is actively protective. Here are the key takeaways:

📌 Form of HRT matters
📌 Dosing matters
📌 Bioidentical hormones carry less risk than synthetic
📌 The 5 year rule is outdated. You don’t have to wait until menopause to start hormone therapy, and you don’t have to stop at 65!

If you are currently on HRT and your provider has told you it’s almost time to stop, or if you’ve been too afraid to start because of outdated safety concerns… we would love to talk with you. 🤗

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

04/15/2026

Welcome to our Peri After Dark Q&A: Get answers to your most pressing hormone questions! All questions welcome. 🩺🤗 If you are interested in working with us via Telehealth, click here to schedule a free 30 minute discovery call with my team: https://link.elevatemd.com/discovery-call-fb-post

If it feels like has stolen your spark… READ THIS! 🫶🏻Have you ever felt like you just don’t enjoy the things you used ...
04/15/2026

If it feels like has stolen your spark… READ THIS! 🫶🏻

Have you ever felt like you just don’t enjoy the things you used to? Like the things that once made you happy just… don’t anymore? You’re not depressed, you’re not ungrateful, and you are absolutely not broken.

There’s actually a clinical name for this feeling, and it’s called anhedonia.

Anhedonia is incredibly common during perimenopause, and it is a direct result of the hormonal shifts that are happening in your brain …not a character flaw, not burnout, and definitely not “just getting older.”

When estrogen, progesterone, and testosterone levels begin to decline, your brain’s ability to produce and respond to dopamine and serotonin takes a serious hit. These are the neurotransmitters responsible for motivation, pleasure, and your overall sense of joy. When they go sideways, so does your spark.

You deserve to feel like yourself again, and the fact that this is hormonal means it is absolutely addressable. 🙏🏼

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

04/14/2026

Love it or leave it insomnia edition! 😴

Here are some of the most common hacks you guys ask me about for perimenopause & menopause induced insomnia! 👇🏻

⚠️ Melatonin: Low dose melatonin (< 3mg) is fine for circadian regulation. You can take this short term to get your sleep back on track.

✅ L-theanine: This is fantastic for anxiety & sleep!

❌ Benadryl: Avoid 2nd generation antihistamines for long term use.

❌ Unisom: Same as Benadryl. Avoid using sleep aids like unisom or Z-quil long term.

✅ Sleep Hygiene: LOVE! This includes night time habits such as sleeping in a cool room, avoiding blue light before bed, limit caffeine intake past 2pm, maintain a consistent bed time schedule, etc.

✅ Magnesium Glycinate: This is the best form of magnesium for sleep. Take is 30-60min before desired bedtime.

✅✅✅ Progesterone Therapy: Great sleep quality starts with hormone support! If you’ve tried everything, and your sleep still sucks, this is your sign that it may be time to explore hormone therapy. 🙌🏻

Let me know what we should cover next?! 🤔

🩺📲 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. 🤗

04/13/2026

Ranking different weight loss hacks for and menopause! 🙃

1️⃣ Hormone Therapy
2️⃣ G.L.P-1
3️⃣ Fiber
4️⃣ Berberine + Inositol (🔗 below)
5️⃣ Weight Lifting
6️⃣ Weighted Vest
7️⃣ Vibration Plate
8️⃣ Black Seed Oil
9️⃣ Intermittent Fasting
🔟 Ketones

Weight gain is one of the most universal symptoms we see in our perimenopause & menopause patients. Metabolic dysfunction is a common issue for many women, and traditional diet and exercise may not work like they used to. 🫠

Although lifestyle modifications such as dietary changes & daily movement are incredibly effective, many women find that these changes just aren’t enough. Addressing the underlying hormonal decline with hormone therapy &/or peptide therapy can make all the difference in the world!

Drop your thoughts and questions in the comments and let’s talk about it! 🙃

Berberine + Inositol Supplement: https://link.elevatemd.com/berberine--inositol-904672

🩺📲 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. 🤗

04/10/2026

Which supplements/hacks work best for these symptoms? (Speed Round) 🙃

Quick disclaimer before we dive in… perimenopause (& menopause) can cause a laundry list of symptoms. On average the average woman in perimenopause will commonly be experiencing a minimum of 12+ symptoms at ONCE! 🫠

Managing that many symptoms with supplements can be very challenging, and may not provide adequate or consistent relief. So if you are someone that is experiencing multiple symptoms that are impacting your quality of life, it would probably be advantageous to explore hormone therapy. 🫶🏻

😵‍💫 Vertigo: Electrolytes + WeatherX ear plugs, you can also try MQ Motion Patches from Amazon.

🥵 Night Sweats: Black cohosh (& hormone therapy)

🐜 Formication: Topical Benadryl, 2nd generation antihistamines such as Zyrtec, Claritin, Allegra. (This is that incessant itching sensation that feels like you’ve got bugs crawling all over you.)

🧠 Brain Fog: Creatine + Focus+ (🔗 in bio)

🫩 Fatigue: Lipo-B12 injections, but honestly hormone therapy is hands down the most effective option for perimenopause & menopause fatigue!! 🥹🙏🏼

What perimenopause symptoms should I cover next? 🙃

🩺📲 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. 🤗

04/09/2026

If you’re in and you have ADHD, THIS VIDEO IS FOR YOU! 🫵🏻🧠

Women with ADHD often experience more intense symptoms and earlier onset perimenopause symptoms than neurotypical women… and there’s a very real neurological reason for this.

Let’s connect the dots ⬇️

✨ Less Estrogen = Less Dopamine
Estrogen directly supports dopamine production and receptor sensitivity. Dopamine is essential for motivation, focus, working memory, and executive function.

✨ Less Estrogen = Less Norepinephrine
Estrogen also helps regulate norepinephrine, which supports attention, alertness, emotional regulation, and stress tolerance.

✨ Perimenopause = Neurotransmitter Chaos
As estrogen begins to fluctuate and decline during perimenopause dopamine becomes less available, norepinephrine signaling becomes dysregulated, & ADHD symptoms intensify!

ADHD brains are more sensitive to neurotransmitter shifts. Even subtle hormonal changes can feel catastrophic, which is why many women with ADHD notice perimenopause symptoms years earlier than expected.

When hormonal fluctuations are properly addressed, many women notice:
👏🏻 Improved focus
👏🏻 Better emotional regulation
👏🏻 Increased mental stamina
👏🏻 Improved medication response
👏🏻 Reduced overwhelm

🩺📲 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. 🤗

Source: Smári, Unnur Jakobsdóttir, et al. “Perimenopausal Symptoms in Women with and without ADHD: A Population-Based Cohort Study.” European Psychiatry, vol. 68, no. 1, 2025, article e133, doi:10.1192/j.eurpsy.2025.10101. PubMed Central, PMC12538516.

The ULTIMATE + histamine survival guide! 🙌🏻Histamine symptoms are some of the most commonly overlooked symptoms for ma...
04/08/2026

The ULTIMATE + histamine survival guide! 🙌🏻

Histamine symptoms are some of the most commonly overlooked symptoms for many women in perimenopause, because so many providers are failing to connect the dots! 🥲

Here’s what the symptoms may look like:
👉🏻 New allergies
👉🏻 Asthmatic symptoms
👉🏻 Severe GI issues
👉🏻 Hives, eczema, dermatitis, swelling, itching
👉🏻 Rashes & flushing
👉🏻 Food & alcohol intolerances
👉🏻 Anxiety, heart palpitations, dizziness, & vertigo
👉🏻 Congestion, runny nose, post nasal drip
👉🏻 Brain fog (especially after eating)
👉🏻 Headaches/Migraines
👉🏻 Insomnia

Histamine comes from our immune-mediated mast cells. During perimenopause, hormonal fluctuations destabilize our mast cells. 🫨
This makes our immune system hyper sensitive to EVERYTHING, and this is why you’re suddenly experiencing allergic reactions or intolerances to things you’ve never been sensitive to. 🤨

And the more unpredictable your hormone levels become, the more unpredictable your symptoms get! 🫠

Lifestyle modifications (including a low histamine diet) & OTC remedies can be essential for managing hormone induced histamine intolerance, but it’s important to understand that these may just be bandaids if the real underlying issue is your hormones. 🥹

When done correctly, stabilizing your hormones can be an extremely effective way to help re-stabilize your mast cells, reduce immune hypersensitivity, lower histamine levels, and provide you with long term relief. 🙌🏻

🩺📲 If you’re in the US, & you’re interested in exploring how hormone therapy may help get your histamine symptoms under control, we would love to work with you! You can go to the 🔗 in my bio to book a free call with my team to learn how to get started. 🤗

04/07/2026

Which supplements/hacks work best for these symptoms? (Speed Round) 🙃

Quick disclaimer before we dive in… perimenopause (& menopause) can cause a laundry list of symptoms. On average the average woman in perimenopause will commonly be experiencing a minimum of 12+ symptoms at ONCE! 🫠

Managing that many symptoms with supplements can be very challenging, and may not provide adequate or consistent relief. So if you are someone that is experiencing multiple symptoms that are impacting your quality of life, it would probably be advantageous to explore hormone therapy. 🫶🏻

😴 Insomnia: Progesterone therapy, Magnesium Glycinate, L-theanine

👂🏻Itchy Ears: Flonase on a q-tip, dab it in your ears 1-2x a day.

🤧 Congestion: Quercetin + 2nd generation antihistamines (Zyrtec, Pepcid, Claritin, etc.)

😖 Globus Sensation: Pepcid, Alkaline water, and slippery elm as a bonus.

🔥 Low Libido: Test.osterone therapy + VaginąI DHEA. I’ve never used a product that works so quickly for vaginąI stimulation. It works within minutes. 👀😏 (🔗 in bio)

What perimenopause symptoms should I cover next? 🙃

🩺📲 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. 🤗

04/06/2026

Love it or leave it hair loss edition! 🙃

Here are some of the most common hair regrowth ‘hacks’ you guys ask me about for perimenopause & menopause management! 👇🏻

❌ Biotin: Biotin is a great for hair growth, but it doesn’t address the underlying hormonal issues causing hair loss during perimenopause.

✅ Saw Palmetto: LOVE! This a a super effective natural DHT blocker, so it helps with hair loss, hair thinning, hair breakage, ingrown hairs on the body, hormonal acne, and facial hair growth. (🔗 in bio)

✅ Minoxidil: This works even better when you pair it with Saw Palmetto. It will help your hair grown back in even faster. (You can purchase topical minoxidil OTC)

⚠️ Red Light Therapy: Red light therapy is great as long as you are using a red light source with at least 600nm. Anything less than that won’t be very effective.

⚠️ Spironolactone: This is fine for hormonal acne & water retention, but it wouldn’t be my first choice for hair growth specifically. (Although it does work)

✅ Pumpkin Seed Oil: This is very similar to Saw Palmetto, but I actually prefer this as a scalp/hair mask to reduce DHT at the root.

❌ Finasteride: Finasteride is the pharmaceutical version of Saw Palmetto. (It does work though.)

⚠️ PRP (platelet-rich plasma): This treatment has many incredible benefits for skin rejuvenation & joint injuries (tendonitis, etc). It can definitely be used for hair loss, but results may vary.

Let me know what we should cover next?! 🤔

🩺📲 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. 🤗

04/04/2026

Maybe they can’t, but we sure can! 🩺😎

Even though we technically don’t *need* labs to diagnose , we still need labs to safely treat perimenopause symptoms. This should be an absolute non-negotiable! 🙏🏼

If your doctor tries to tell you they can’t run labs for perimenopause , they either don’t know what labs to run, or they simply don’t know how to interpret your labs in the context of perimenopause. 🤷🏻‍♀️

We start every patient with a comprehensive 63 bio-marker lab panel and a full one-hour consultation with one of our licensed medical providers to do a deep dive into your results, review your medical history, chat about your symptoms, & then discuss what treatment options would best suit your individual needs & goals. 🩺

Perimenopause shows up in various different ways in your bloodwork. We want to evaluate for things like...

👉🏻 Estrogen Dominance
👉🏻 Low Progesterone
👉🏻 Low Testosterone
👉🏻 Thyroid Dysfunction
👉🏻 Pituitary Dysfunction
👉🏻 Inflammatory Markers
👉🏻 Vitamin Deficiencies, etc.

Working with a provider that understands the nuances of perimenopause, what labs to run and how to safely prescribe bioidentical hormone therapy protocols is exactly what you deserve. 🫶🏻

🩺📲 If you’re in the US, & you’re interested in exploring hormone optimization for perimenopause or menopause, send me a DM to get scheduled for a free discovery call with my team. 🤗

Address

7265 Kenwood Road, Suite 230
Cincinnati, OH
45236

Opening Hours

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Tuesday 8am - 4pm
Wednesday 8am - 5pm
Thursday 8am - 4pm
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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.