I am a 45 year old woman with low energy and brain fog. Where can I get my hormones tested and treated online?

Yes — there are several reputable online options that can test your hormones and provide treatment by telemedicine. Which is best depends on whether you want a quick at‑home test, insurance‑covered primary care, or a menopause/functional‑medicine specialist. Below are vetted options and what they’re good for, plus practical next steps.

Recommended services

• Gennev — menopause-focused telehealth. Specialists experienced with perimenopause/menopause symptoms, offers virtual visits and prescription HRT (bioidentical and conventional). Good if your main concern is perimenopause/menopause symptoms like low energy and brain fog.

• Maven Clinic — broad women’s-health telemedicine network (OB/GYNs, menopause clinicians). Good if you want specialist visits, care coordination, and employer-insurance coverage options.

• Parsley Health — subscription functional‑medicine style care. Thorough lab testing and long visits to investigate hormones, thyroid, metabolic and lifestyle drivers. Good if you want a deep, integrative workup and personalized plan.

• PlushCare — virtual primary care that accepts many insurances, can order comprehensive labs (LabCorp/Quest), treat hypothyroidism and prescribe HRT. Good if you want an insurance-covered, straightforward route.

• LetsGetChecked — at‑home test kits (hormones, thyroid) plus nurse/physician follow‑up and prescriptions when appropriate. Good if you want the convenience of home sample collection and rapid results.

• Everlywell — consumer at‑home hormone/menopause test kits. Lower cost for basic screening; you’ll need a clinician to interpret for treatment decisions.

What tests to expect/ask for

• Basic: TSH, free T4, free T3, anti‑TPO (thyroid screening) — thyroid problems often cause low energy/brain fog.
• Sex hormones: estradiol, FSH, LH, progesterone (timing matters), total testosterone, SHBG, DHEA‑S. (FSH/estradiol can help picture perimenopause but interpret in context of symptoms.)
• Others: CBC, CMP, ferritin, vitamin D, B12, fasting glucose or A1c, lipid panel. These rule out other common causes of fatigue.
• Optional/advanced: AMH (ovarian reserve), DUTCH dried‑urine steroid profile (used by some practitioners), cortisol testing if clinically indicated.

Practical steps

1. Decide whether you prefer home testing or physician‑ordered labs through insurance.
2. If you want convenience: order LetsGetChecked or Everlywell hormone + thyroid kits, then book a virtual visit with the provider they offer or bring results to your PCP/telehealth clinician.
3. If you want specialty care for menopause: book with Gennev or Maven. They’ll review symptoms, order any needed labs, and discuss HRT and alternatives.
4. If you prefer insurance coverage: book a televisit with PlushCare (or your own PCP via telehealth) who can order labs through LabCorp/Quest and prescribe if indicated.
5. Avoid one‑off compounded “bioidentical” treatments from providers who won’t do appropriate testing or follow‑up; seek evidence‑based prescribers.

Safety and limits

• Some complex cases (abnormal labs, high cardiovascular risk, history of breast cancer, clotting disorders) require in‑person evaluation or specialist referral (endocrinologist or menopause specialist).
• Some formulations (pellets, certain injections) may require an in‑person visit.

If you want, tell me:

• whether you’re in the US (so I can pick services available to you), and
• whether you prefer insurance coverage or cash-pay/home kits — I’ll suggest the best 2–3 concrete options and links (or help you book).