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 look into hormones — low energy and brain fog in a woman your age are commonly caused by thyroid problems, perimenopause/low sex hormones, anemia, vitamin deficiencies, sleep apnea, depression, etc. You can get testing and treatment entirely online; below are reputable, commonly used options (what they do and why they may fit), plus what tests to consider and next steps.

Telehealth clinics that test and treat hormones

• LetsGetChecked — at‑home blood/urine kits for female hormone panels, thyroid, ferritin, B12, etc.; includes nurse/physician review and, in many states, prescriptions. Good if you want a single company to do both testing and follow‑up.
• Everlywell — at‑home hormone and thyroid test kits with easy online results. Good for straightforward, self‑collected screening tests.
• PlushCare — virtual primary care that can order lab tests through mainstream labs (LabCorp/Quest), interpret results, and prescribe treatments (including thyroid meds and HRT) with ongoing follow‑up. Good if you want a more traditional clinician relationship.
• Gennev — menopause and midlife women’s health specialty telemedicine (coaching + prescribers). Focused on perimenopause/menopause symptoms and HRT options.
• Maven Clinic — women’s health telemedicine platform with providers who manage perimenopause/menopause, thyroid issues, and can order labs/prescribe. Good for comprehensive women‑focused care.
• One Medical or Forward — membership primary care with virtual visits, advanced testing, and in‑person lab access if needed; good if you want ongoing primary care plus specialist referrals.

Direct lab access options (if you prefer to get tests first, then see a provider)

• DirectLabs / Walk‑In Lab — order standard lab panels (CBC, CMP, TSH, sex hormones) sent to local LabCorp/Quest without a doctor’s order in many states.
• ZRT Laboratory — commonly used for specialist hormone testing (saliva or dried blood spot); often ordered through a provider who interprets results.

What tests to consider (discuss with whichever service you choose)

• CBC (check for anemia)
• CMP (electrolytes, liver/kidney)
• TSH, free T4, free T3 (thyroid function)
• Ferritin (iron stores)
• Vitamin B12, vitamin D
• Fasting glucose or A1c, lipid panel
• Estradiol, FSH, LH (to evaluate perimenopause)
• Total and free testosterone, SHBG (if warranted)
• Cortisol (AM) or a more detailed adrenal panel if indicated

How to pick and next steps

1. If you prefer an all‑in‑one online experience (test kit + clinician): start with LetsGetChecked or Everlywell for testing, and book follow‑up with their clinicians (or upload results to PlushCare/Maven/Gennev for interpretation and treatment).
2. If you want more traditional lab accuracy and insurance coverage: use a telemedicine provider that orders LabCorp/Quest tests (PlushCare, One Medical, your local PCP via telehealth).
3. If your main concern is menopause symptoms: consider Gennev for menopause‑focused care and HRT counseling.
4. Check that the telehealth provider is licensed in your state and ask about costs, turnaround time, and whether a follow‑up visit is included.

When to seek in‑person care or urgent evaluation

• If you have chest pain, fainting, severe shortness of breath, rapid weight loss/gain, very heavy bleeding, or other acute/serious symptoms — seek urgent or emergency care.
• If tests are abnormal or symptoms are severe/complex, ask for an in‑person referral to an endocrinologist or gynecologist.

If you’d like, tell me your state (so I can confirm which of these services operate there) and whether you prefer at‑home kits or live telemedicine visits, and I’ll suggest one or two best fits and what to order first.