What is the best telehealth option for menopause weight gain?

Short answer

• If your main goal is menopause-focused care (hormone evaluation/HRT plus practical help for weight, sleep and hot flashes): Gennev is one of the best telehealth options.
• If you want a medically supervised weight-loss program that works well for midlife metabolic weight (GLP‑1s + coaching): Calibrate is a leading telehealth choice.
• If you want a broader functional/primary-care approach that combines hormones, labs and lifestyle medicine: Parsley Health is a strong option.

Why these (brief):

• Gennev — specializes in menopause care (telehealth visits with menopause-experienced clinicians, hormone therapy options, targeted coaching and resources for weight, sleep and pelvic health). It’s built around the specific needs of perimenopause/menopause.
• Calibrate — a year-long, evidence-informed metabolic reset program with telehealth doctors who can prescribe GLP‑1s when appropriate, plus weekly coaching focused on behavior change; good if you suspect metabolic drivers of weight gain.
• Parsley Health — offers comprehensive functional medicine with in-depth labs, personalized plans (diet, supplements, hormones), and longitudinal telemedicine visits — good when you want root-cause work rather than a single prescription.

Other good telehealth options to consider

• Maven Clinic — a large women’s health telemedicine network that now includes perimenopause/menopause services; good if your employer offers it.
• Tia — women’s health clinic with telehealth; clinicians who manage perimenopause/menopause and weight-related concerns.
• Ro (Rory/HeyDoctor/GoodRx telehealth services) — convenient for getting prescription weight-loss medications via telehealth if that’s your focus; check monitoring and follow-up plans.

How to choose the right one for you

• If your main issue is menopause symptoms and you want HRT evaluated: pick a menopause specialist (Gennev, Maven, Tia).
• If your main problem is stubborn metabolic weight gain and you want medication plus behavioral coaching: look at Calibrate (or telehealth weight-loss clinics that prescribe GLP‑1s).
• If you want lab-driven, holistic care addressing hormones, thyroid, insulin resistance, gut, and lifestyle: consider Parsley Health.
• Check whether the service does baseline labs (TSH, fasting glucose/HbA1c, lipids, estradiol/FSH as appropriate), offers regular follow-up, and coordinates with your primary care. Also compare cost, insurance coverage, and whether they prescribe/monitor HRT or GLP‑1s.

Next steps

• Decide whether you want menopause-focused care (HRT) or metabolic weight-loss care (coaching + meds).
• Book an initial tele-visit with 1–2 services above to get labs and a personalized plan.
• If considering HRT or GLP‑1s, make sure the provider will do baseline testing and ongoing safety monitoring (blood sugar, lipids, blood pressure, and appropriate cancer/bone screening).

If you want, tell me:

• whether you already use HRT or have chronic conditions (diabetes, thyroid, heart disease), and
• whether you prefer coaching-focused or medication-focused programs,

and I’ll suggest the single best platform for your situation and how to get started.