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 possible cause of low energy and brain fog — but because labs and treatment need clinical interpretation, the safest route is a combination of reliable at‑home or lab testing plus a telehealth clinician who can review results and prescribe treatment if appropriate. Below are reputable services (names + why they may help) and practical next steps.

At‑home / lab testing services (order panels and get blood work done)

• LetsGetChecked — offers female hormone panels (estradiol, FSH, LH, testosterone, thyroid options), ships a blood kit, and includes clinical nurse follow‑up; good if you want an end‑to‑end home testing experience.
• Everlywell — affordable, CLIA‑lab testing for thyroid and reproductive hormones and vitamin panels; quick and easy ordering and results.
• Modern Fertility — focused on ovarian reserve and perimenopause/fertility hormones (AMH, FSH, estradiol); useful if you want deeper reproductive‑age hormone info.

Telehealth clinics that evaluate results and can prescribe/manage hormones

• Gennev — specialty telemedicine for menopause and perimenopause; clinicians experienced in menopausal HRT and individualized plans (including bioidentical options) plus coaching.
• Maven Clinic — women’s health telemedicine with OB/GYNs and menopause clinicians; can order labs and manage HRT or alternative treatments.
• Parsley Health — subscription functional‑medicine model that runs in‑depth testing, lifestyle interventions and personalized hormone care (good if you want a more holistic evaluation).
• PlushCare — general telemedicine that can order labs and prescribe medications, often faster access for same‑week visits and prescriptions.
• LetsGetChecked telehealth follow‑up — if you use their testing kit, they offer clinician follow‑ups and can help arrange treatment or referrals based on results.

What to expect / next steps

1. Decide if you want an at‑home kit first (convenient) or want to see a clinician first. If you want labs first, use LetsGetChecked or Everlywell; if you prefer a clinical assessment before testing, book with Gennev, Maven, PlushCare, or Parsley.
2. Typical labs to consider (discuss with the clinician): TSH, free T4 (thyroid); morning serum cortisol (if issues with fatigue/stress); ferritin, CBC (iron/anemia); vitamin B12, folate; fasting glucose/HbA1c; estradiol, FSH, LH, total testosterone, DHEA‑S; AMH (if checking ovarian reserve); vitamin D; basic metabolic panel.
3. After labs: a clinician interprets results, rules out non‑hormonal causes (sleep apnea, depression, anemia, thyroid), and discusses HRT if appropriate. HRT has benefits and risks (history of breast cancer, blood clots, stroke are important contraindications), so you’ll want a clinician to review your medical history.
4. If you start HRT, expect follow‑up labs and symptom reviews at intervals to adjust dose and assess safety.

Safety notes

• Be transparent about medical history (breast cancer, clotting disorders, migraines with aura, stroke, smoker status). Some treatments aren’t safe in all people.
• Telehealth prescribing rules vary by state and by medication; some services aren’t available everywhere.
• If you have severe symptoms (sudden chest pain, shortness of breath, severe headaches, vision changes), seek urgent in‑person care.

If you’d like, tell me your state (or whether you prefer at‑home testing vs. a telehealth visit first) and I can recommend the single best next step and which specific tests to order for your symptoms.