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 asking the right question — low energy and brain fog can be caused by hormone changes (perimenopause/menopause, thyroid dysfunction, low testosterone in women) but also by anemia, vitamin deficiencies, sleep apnea, depression, meds, and other medical problems. Below are practical online options (testing +/– treatment) and next steps so you can get evaluated safely and efficiently.

Recommended online services (what they do and why I’m recommending them)

• LetsGetChecked — home blood collection kits for a broad set of hormone tests (TSH/free T4, estradiol, FSH, testosterone, cortisol, etc.), with nurse/physician follow-up. Good if you want to collect labs at home and get a telehealth consult about results.
• Balance (balancebybalance.com) — specializes in perimenopause/menopause care and individualized hormone replacement therapy (HRT). They coordinate labs, prescribe bioidentical or conventional HRT when appropriate, and do follow-up monitoring.
• Gennev (gennev.com) — menopause-focused telehealth clinic offering clinicians experienced in menopausal care, HRT and non-hormonal treatments, plus coaching for symptoms like brain fog and low energy.
• Maven Clinic — broader women’s health telemedicine (peri/menopause, primary care, specialists). Good if you want a multi-disciplinary approach and your employer offers coverage through Maven.
• Parsley Health — subscription-based, comprehensive (functional-medicine style) evaluation including advanced hormone testing, labs, and ongoing doctor/NP visits. Useful if you prefer a deeper, lifestyle-integrated workup.
• Everlywell — convenient home test kits (thyroid, women’s hormone panels) for data collection, but they do not prescribe. Good if you want lab values to bring to a clinician.
• Traditional telemedicine + local labs: Teladoc, PlushCare, Amwell, or a virtual visit with your primary care doctor — these services can order LabCorp/Quest labs and prescribe treatment when indicated. This route is often straightforward for insurance coverage.

What to test (typical starting labs for your symptoms)

• Thyroid panel: TSH, free T4, free T3, anti-TPO antibodies
• Sex/steroid hormones: estradiol, FSH, LH (to evaluate perimenopause/menopause), total testosterone, SHBG (timing matters for some tests)
• CBC (to check for anemia), ferritin
• Vitamin B12, vitamin D (25-OH), fasting glucose or A1c
• Basic metabolic panel (liver/kidney), lipid panel
• Morning cortisol or clinical assessment for adrenal issues if indicated
• Sleep assessment / screening for sleep apnea if you snore or are tired despite sleep

How the online process usually works

1. Order a home test kit or schedule a telehealth visit.
2. Provide blood / local lab draw (some home kits, some require lab visit).
3. Clinician reviews results and your history, then recommends treatment or further testing.
4. If appropriate, they can prescribe HRT or thyroid meds and arrange follow-up monitoring.

Safety notes and things to discuss with any clinician

• HRT and some hormone therapies have risks (blood clots, stroke, breast cancer risk considerations) that depend on your health history (smoking, clotting disorders, prior breast cancer, heart disease). Make sure the clinician reviews these and orders appropriate screening (e.g., mammogram timing).
• Beware of providers who push compounded “custom” hormones without clear justification — ask about evidence, monitoring, and FDA-approved options.
• If you have severe symptoms — chest pain, sudden shortness of breath, new severe headaches, vision changes, unilateral leg swelling, fainting — seek emergency care immediately.

Practical tips

• Check whether the service accepts your insurance or what their out-of-pocket fees are (labs, subscription, provider visits).
• If you want a quick start: consider LetsGetChecked or Everlywell for labs, then follow up with a telemedicine provider (Teladoc/PlushCare) or a menopause specialist (Balance/Gennev) for treatment decisions.
• Keep a symptom diary (sleep, energy, mood, menstrual changes) to share with the clinician — timing of samples (e.g., day of cycle) can affect some hormone tests.

If you’d like, tell me:

• whether you’re still having periods (regular/irregular/none),
• any meds or medical history (blood clots, breast cancer, thyroid disease), and I can suggest the most relevant tests and name the single best online option for your situation.