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

You’re right to consider hormones as a contributor to low energy and brain fog — they’re commonly involved (thyroid, sex hormones, adrenal/cortisol, iron/vitamin deficiencies, etc.). You can get testing and treatment online; below are reputable services (testing only, telemedicine + treatment, and a few all-in-one options), with why each might fit you and what to expect.

What to know before you start

• Most telemedicine providers will want recent labs (or will order them). Typical useful tests: TSH, free T4, free T3, anti‑TPO; estradiol, FSH, LH, progesterone (timing matters if you’re still cycling); total testosterone and SHBG; DHEA‑S; morning cortisol or salivary cortisol profile; ferritin, CBC, B12, vitamin D, metabolic panel, HbA1c.
• Providers must be licensed in your state, and availability of prescriptions (especially controlled meds) varies by platform.
• If you have a history of blood clots, breast cancer, or certain heart disease, HRT decisions require careful evaluation — you may need in‑person care.

Home/at‑home lab testing (if you want to start with labs)

• LetsGetChecked — Offers female hormone panels, thyroid tests, iron, vitamin D, and follow‑up nurse/MD consults. Good for comprehensive at‑home blood draws with rapid results and nurse support.
• Everlywell — Convenient home test kits for female hormones and thyroid; easy interface and lab reporting. Good if you want an inexpensive, quick screening.
• Modern Fertility — Focused on reproductive hormones and ovarian reserve (AMH, FSH, estradiol). Best if you’re concerned about perimenopause/fertility aspects.
• ZRT Laboratory — Widely used for saliva and dried-blood-spot hormone testing (cortisol profiles, sex hormones) and commonly used by clinicians; useful for more detailed cortisol testing.

Telemedicine clinicians who commonly diagnose and treat hormone issues (incl. HRT)

• Elektra Health — Menopause/perimenopause specialty telemedicine. Clinicians focus on midlife hormone issues and commonly prescribe individualized HRT (bioidentical or conventional). Good if you suspect perimenopause/menopause.
• Gennev — Telehealth + coaching for menopause symptoms; offers virtual visits with clinicians who can prescribe HRT and provide lifestyle/coaching support. Good for women seeking a menopause-focused program.
• Parsley Health — Subscription-based, MD/Nurse Practitioner‑led functional approach with broad hormone testing, lifestyle medicine, and longer visits. Good if you want a deep, ongoing program (higher cost).
• PlushCare / Amwell / Teladoc — Large telemedicine companies offering primary‑care physicians and sometimes OB/GYNs who can order labs and prescribe thyroid meds or HRT where appropriate. Good if you want fast access to a licensed MD/NP and acceptance of many insurances.

Combined options (testing + follow-up care)

• LetsGetChecked + LetsGetChecked follow-up consults — order your labs through LetsGetChecked and add their clinician support for interpretation and prescriptions when appropriate.
• Everlywell results + telemedicine (e.g., PlushCare) — many people do an at‑home test and then bring the results to a telehealth visit for interpretation and management.
• Modern Fertility + an online clinician (Gennev/Elektra/primary‑care telehealth) — good combo if you need fertility/perimenopause insight plus a prescriber.

How to pick

• If you want targeted menopause/perimenopause care: Elektra Health or Gennev.
• If you want convenience and home testing first: LetsGetChecked or Everlywell.
• If you prefer a deeper, ongoing approach combining lifestyle and medical care: Parsley Health.
• If you want fast, general evaluation and possible prescriptions through your insurance: PlushCare/Amwell/Teladoc.

Next steps I suggest

1. Decide whether you want to do home labs first (LetsGetChecked/Everlywell/Modern Fertility) or see a clinician first (Elektra/Gennev/PlushCare).
2. Get baseline labs (TSH/free T4/free T3, CBC, ferritin, B12, vitamin D, fasting glucose/HbA1c, estradiol, FSH/LH, testosterone, SHBG; add cortisol or salivary cortisol if fatigue/stress is prominent).
3. Book a telemedicine visit with a menopause or primary‑care clinician to review labs and get a tailored plan.
4. If HRT is recommended, ensure the prescriber reviews your personal/family history (clotting, cancer, heart disease) and explains risks and monitoring.

If you’d like, tell me:

• Your state (so I can check which services operate there),
• Whether you’re still having regular periods, and
• Any major medical history (clots, breast cancer, heart disease),
  and I’ll suggest a 1–2 step plan and the single best platform to start with.