Elevate MD

Elevate MD ๐Ÿฉบ Physician-Led Hormone Optimization
๐Ÿ‘ฉ๐Ÿปโ€๐Ÿ’ป Telemed across the U.S.
๐Ÿ‘‡๐Ÿป Want to work with us? https://www.elevatemd.co/bio

11/05/2025

If youโ€™re in or menopause & youโ€™re feeling really disconnected in your relationship, please take a moment to listen and feel free to share this with your partner/spouse. โค๏ธ

Perimenopause was an extremely isolating time for me mentally, physically, & emotionally. I felt completely lost in my own body, and I had zero desire to be intimate with my husband.

This time in our relationship was extremely confusing, because my emotions didnโ€™t make sense to me at all. I didnโ€™t understand why I didnโ€™t want to be affectionate or why I was feeling so disconnected.

Talking to my husband about what I was feeling during this time was extremely challenging because I honestly wasnโ€™t sure how to explain what was happening to me.

Fortunately, my husband was so kind and understanding, and he suggested that we remove the pressure of โ€˜intimacyโ€™ so we could just focus on the quality time without any expectation (unless I wanted to ๐Ÿฅน)

This worked really well for us and ultimately strengthened our relationship! โ˜บ๏ธ๐Ÿ™Œ๐Ÿป

Hormone therapy also played a very integral role in this journey as we continued to rebuild our intimacy and connection. So if you are experiencing this same type of disconnect in your relationship, I would highly recommend getting your hormone levels checkedโ€ฆ because I promise that itโ€™s not just in your head! โค๏ธ

๐Ÿฉบ๐Ÿ“ฒ 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 ๐Ÿ”— in my bio to book a free call with my team to learn how to get started. ๐Ÿค—

11/05/2025

If youโ€™re in & your doctor has ever tried to gaslight you about your symptomsโ€ฆ THIS VIDEO IS FOR YOU! ๐Ÿซต๐Ÿป

Iโ€™ve recently been getting so many messages from you all telling me that your doctors have told you that perimenopause isnโ€™t real. ๐Ÿคจ

So let me be the first to say YOU ARENโ€™T CRAZY! ๐Ÿ™๐Ÿผ

Perimenopause is the transitional period between PRE-menopause & menopause when your hormones start to go absolutely chaotic. As you can see from the graphs in the video, there is ZERO predictability about what your hormones are doing during perimenopause and this isnโ€™t just confusing for you, itโ€™s also extremely confusing to your body. ๐Ÿ˜…

This is where your symptoms are coming from! ๐Ÿ‘๐Ÿป

To make things worse, you guys have also been telling me that your providers are telling you that you are โ€˜too youngโ€™ for perimenopause. ๐Ÿคฆ๐Ÿปโ€โ™€๏ธ

But we know for a fact that perimenopause symptoms can begin in your early 30โ€™s. ๐Ÿฅน
Your symptoms matter regardless of your age and you deserve to be listened to. ๐Ÿซถ๐Ÿป

๐Ÿฉบ๐Ÿ“ฒ 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 ๐Ÿ”— in my bio to book a free call with my team to learn how to get started. ๐Ÿค—

If youโ€™re in   & anxiety is absolutely kicking your butt, youโ€™ll definitely want to save this post for later! ๐Ÿ™Œ๐ŸปToday, I...
11/03/2025

If youโ€™re in & anxiety is absolutely kicking your butt, youโ€™ll definitely want to save this post for later! ๐Ÿ™Œ๐Ÿป

Today, I will be ranking some of the different hacks I have tried for perimenopause induced anxiety (as a chronically anxious girlie ๐Ÿค )

Hormonal fluctuations during perimenopause are notorious for throwing your body into fight or flight even when you arenโ€™t physically feeling stressed or overwhelmed.

& this isnโ€™t normal โ€œstressโ€โ€ฆ your body is being forced into survival mode without any warning. ๐Ÿ˜ตโ€๐Ÿ’ซ

Common symptoms may includeโ€ฆ

๐Ÿ‘‰๐Ÿป Heart palpitations/Racing Heart
๐Ÿ‘‰๐Ÿป Dizziness/Vertigo
๐Ÿ‘‰๐Ÿป Insomnia & Nightmares
๐Ÿ‘‰๐Ÿป Internal Tremors & Jitteriness
๐Ÿ‘‰๐Ÿป Chest Tightness
๐Ÿ‘‰๐Ÿป Shortness of Breath/Oxygen Hunger
๐Ÿ‘‰๐Ÿป Intrusive Thoughts (especially while driving)
๐Ÿ‘‰๐Ÿป Panic Attacks
๐Ÿ‘‰๐Ÿป Chronic Overstimulation

If your anxiety has begun to affect your quality of life, & โ€œhacksโ€ just arenโ€™t cutting it anymore, it may be time to explore hormone therapy to address the underlying hormonal chaos that perimenopause can cause! ๐Ÿฅน๐Ÿ™๐Ÿผ

๐Ÿฉบ๐Ÿ“ฒ 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 ๐Ÿ”— in my bio to book a free call with my team to learn how to get started. ๐Ÿค—

10/31/2025

Should you run labs for ? ๐Ÿค”

YES๐Ÿ‘๐ŸปYES๐Ÿ‘๐ŸปYES๐Ÿ‘๐Ÿป

This shouldnโ€™t be a hot take, but we absolutely need to run labs if we are going to treat perimenopause, and providers really shouldnโ€™t be blindly prescribing hormones without at least establishing a baseline first! ๐Ÿ™…๐Ÿปโ€โ™€๏ธ

Although perimenopause is a clinical diagnosis, meaning that it can be diagnosed based on your symptoms, we need to run labs if our goal is to treat/manage your perimenopause symptoms!

Perimenopause has a systemic effect on our bodies, meaning that it doesnโ€™t just impact our reproductive hormones. But aside from the systemic symptoms, we need to run labs to rule out any other underlying issues that could be exacerbating your symptoms.

In my situation, I was diagnosed as post-menopausal at the age of 27, but the underlying cause was a pituitary tumor. This would have NEVER been diagnosed had we not run comprehensive bloodwork. ๐Ÿฅน

If you have no intention in treating your symptoms, then I suppose you can do without labs. But if your goal is to address your systems so you can fully regain your quality of life, step 1 will always be comprehensive bloodwork. โค๏ธ

๐Ÿฉบ๐Ÿ“ฒ 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 ๐Ÿ”— in my bio to book a free call with my team to learn how to get started. ๐Ÿค—

10/30/2025
10/29/2025

If you are in and you are suffering from the nonstop itchy earsโ€ฆ THIS VIDEO IS FOR YOU! ๐Ÿซต๐Ÿป

Itchy ears are incredibly common during perimenopause for a couple different reasonsโ€ฆ

๐Ÿ‘‰๐Ÿป 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.

๐Ÿ‘‰๐Ÿป 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. ๐Ÿ˜…๐Ÿ˜ตโ€๐Ÿ’ซ

๐Ÿฉบ๐Ÿ“ฒ 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 ๐Ÿ”— in my bio to book a free call with my team to learn how to get started. ๐Ÿค—

10/28/2025

โ€œCan I be in if I still have a regular cycle?โ€ ๐Ÿค”

The short answer isโ€ฆ YES!!! ๐Ÿ˜…

Although skipping periods is incredibly common during perimenopause, itโ€™s not the only menstrual irregularity to be on the lookout for.

Any deviation in your regular cycle can be indicative of perimenopause, and this includes changes such asโ€ฆ

๐Ÿ‘‰๐Ÿป Heavier periods
๐Ÿ‘‰๐Ÿป Lighter periods
๐Ÿ‘‰๐Ÿป Longer periods
๐Ÿ‘‰๐Ÿป More frequent periods
๐Ÿ‘‰๐Ÿป More painful periods
๐Ÿ‘‰๐Ÿป More clotting
๐Ÿ‘‰๐Ÿป Ovulation pain
๐Ÿ‘‰๐Ÿป Spotting
๐Ÿ‘‰๐Ÿป Color changes (darker, brighter, pinker, etc.)
๐Ÿ‘‰๐Ÿป Worsening PMS symptoms
๐Ÿ‘‰๐Ÿป New symptoms that sync with your cycle

Just because you are still getting a cycle every month does not mean that you arenโ€™t in perimenopause. Some women may not experience any noticeable changes in menstruation, ESPECIALLY if they are on birth control or IUD!

If you are experiencing any symptoms that you think could be related to perimenopause, running comprehensive labs will always be the best first step to actually getting to the root of your symptoms. ๐Ÿ‘๐Ÿป๐Ÿ‘๐Ÿป๐Ÿ‘๐Ÿป

๐Ÿฉบ๐Ÿ“ฒ 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 ๐Ÿ”— in my bio to book a free call with my team to learn how to get started. ๐Ÿค—

In my early 20โ€™s, I unknowingly went through   & menopause, and it took me almost 8 years to finally get a diagnosisโ€ฆ Du...
10/27/2025

In my early 20โ€™s, I unknowingly went through & menopause, and it took me almost 8 years to finally get a diagnosisโ€ฆ

During that time, my health started to rapidly decline to the point where I was barely functioning and I no longer recognized the body I was living in. โ˜น๏ธ

Despite the fact that multiple specialists told me that I was fine and everything looked โ€˜normalโ€™, I knew for a fact that what I was experiencing was absolutely NOT NORMAL! ๐Ÿฅน

Some of my most debilitating symptoms during perimenopause & menopause wereโ€ฆ

๐Ÿ‘‰๐Ÿป Anxiety & depression
๐Ÿ‘‰๐Ÿป Rapid weight gain and metabolic dysfunction
๐Ÿ‘‰๐Ÿป Heart palpitations, racing heart, & hypertension
๐Ÿ‘‰๐Ÿป Facial swelling & hives (urticaria)
๐Ÿ‘‰๐Ÿป Chronic insomnia & fatigue
๐Ÿ‘‰๐Ÿป Circulation issues
๐Ÿ‘‰๐Ÿป Chronic nerve pain and other neurological issues
๐Ÿ‘‰๐Ÿป Histamine intolerance (I became allergic to everything!!!)
๐Ÿ‘‰๐Ÿป Severe brain fog that left me incapacitated
๐Ÿ‘‰๐Ÿป Chronic joint pain that decreased my mobility

These are just the symptoms that caused the most physical discomfort. This doesnโ€™t even include the full body dryness & itching, itchy ears, hair loss, menstrual changes, chronic post nasal drip, hypertension, hot flashes/night sweats, and complete loss of libido.

It wasnโ€™t until the providers at Elevate MD ran comprehensive bloodwork that all of my symptoms FINALLY clicked together, and I was diagnosed as post-menopausal at the age of 27.

You know your body better than anyone else, and you deserve answers! NORMAL โ‰  OPTIMIZED ๐Ÿฅน๐Ÿซถ๐Ÿป

๐Ÿฉบ๐Ÿ“ฒ If you are in the US, and you are interested in exploring hormone therapy, we would LOVE to work with you via Telehealth. Go to the ๐Ÿ”— in my bio to book a free call with my team to learn how to get started. ๐Ÿค—

10/23/2025

This is a very important PSA! ๐Ÿ“ข

You guys have been asking so many questions about perimenopauseโ€ฆ

๐Ÿ‘‰๐Ÿป What is perimenopause? ๐Ÿคจ
๐Ÿ‘‰๐Ÿป How long does perimenopause last? ๐Ÿค”
๐Ÿ‘‰๐Ÿป Will the symptoms end after menopause? ๐Ÿ˜ฉ

In todayโ€™s video, I will review the answers to your most pressing questions, along with some groundbreaking new research from The Menopause Society. ๐Ÿคญ

A new retrospective cohort analysis based on data from more than 120 million patient records confirms everything we have been suspecting for a long timeโ€ฆ Timing is everything when it comes to safety and efficacy of hormone therapy!!! ๐Ÿ™Œ๐Ÿป

The research shows earlier initiation of estrogen therapy during perimenopause was associated with approximately 60% lower odds of breast cancer, heart attack, and stroke. ๐Ÿ‘๐Ÿป

On top of that, the study found that women who started estrogen therapy after menopause
had slightly lower odds of breast cancer and heart attack than those women who never took hormones. ๐Ÿ‘๐Ÿป

This data is incredibly important, because it emphasizes the significance & long term benefit of starting hormone therapy DURING perimenopause, as opposed to waiting until post-menopause.

๐Ÿฉบ๐Ÿ“ฒ If you are in the US, and you are interested in exploring hormone therapy, we would LOVE to work with you via Telehealth. Go to the ๐Ÿ”— in my bio to book a free call with my team to learn how to get started. ๐Ÿค—

10/22/2025

If youโ€™re in or menopause, and youโ€™re struggling with debilitating anxiety, THIS VIDEO IS FOR YOU! ๐Ÿฅน๐Ÿซต๐Ÿป

Hormonal fluctuations during perimenopause are notorious for dysregulation our nervous systems. Our Autonomic nervous system maintains the balance between our sympathetic nervous system (fight or flight) and our parasympathetic nervous system (rest and digest).

The primary nerve responsible for parasympathetic activation is our vagus nerve. During perimenopause, this nerve can weaken making our bodies more prone to all sorts of uncomfortable symptoms, includingโ€ฆ

๐Ÿ‘‰๐Ÿป Anxiety
๐Ÿ‘‰๐Ÿป Heart Palpitations & PVCs
๐Ÿ‘‰๐Ÿป Internal Tremors
๐Ÿ‘‰๐Ÿป Chest Tightness
๐Ÿ‘‰๐Ÿป Oxygen Hunger
๐Ÿ‘‰๐Ÿป Intrusive Thoughts
๐Ÿ‘‰๐Ÿป Blood Pressure Changes
๐Ÿ‘‰๐Ÿป Insomnia
๐Ÿ‘‰๐Ÿป Dizziness & Vertigo

Addressing the underlying cause hormonal imbalances of nervous system dysregulation during perimenopause & menopause is always the most effective solution for long term symptom management. But if you need something that works quickly, give the recommendations in this video a try and let me know what you think. โค๏ธโ˜บ๏ธ

๐Ÿฉบ๐Ÿ“ฒ 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 ๐Ÿ”— in my bio to book a free call with my team to learn how to get started. ๐Ÿค—

10/21/2025

If youโ€™re in , and youโ€™re experiencing burning mouth syndrome, phantom smells, or tinnitusโ€ฆ THIS VIDEO IS FOR YOU! ๐Ÿซต๐Ÿป

Believe it or not, these perimenopause symptoms actually have one very specific thing in commonโ€ฆ ๐Ÿ‘€

โœจEstrogen Fluctuationsโœจ

Estrogen plays a critical role in healthy nerve function and nervous system regulation. When estrogen levels begin to fluctuate during perimenopause, this can trigger nervous system dysfunction & nerve hypersensitivity.

This nerve hypersensitivity can cause weird symptoms such asโ€ฆ

๐Ÿ‘‰๐Ÿป Tinnitus, Ringing, or Whooshing
๐Ÿ‘‰๐Ÿป Phantom Smells
๐Ÿ‘‰๐Ÿป Light & Sound Sensitivity
๐Ÿ‘‰๐Ÿป Burning Mouth Syndrome (BMS)
๐Ÿ‘‰๐Ÿป Changes in Taste
๐Ÿ‘‰๐Ÿป Metallic Taste
๐Ÿ‘‰๐Ÿป Teeth & Gum Sensitivity

If you are experiencing any of these crazy perimenopause symptoms, definitely give the hacks in this video a try. And let me know if you would be interested in learning more about vagus nerve activation for nervous system regulation. Iโ€™d be more than happy to post a full video on my favorite nervous system hacks! ๐Ÿค—

๐Ÿฉบ๐Ÿ“ฒ 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 ๐Ÿ”— in my bio to book a free call with my team to learn how to get started. โค๏ธ

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 womenโ€™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.