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

You have good reasons to check hormones — at 45 low energy and brain fog can be caused by perimenopause/menopause, thyroid disease, low iron or vitamin D, adrenal issues, or other medical problems. You can get testing and treatment online either by (A) ordering at‑home lab kits that send results to you, or (B) using telemedicine clinics that order labs, interpret results with a clinician, and can prescribe treatment (including HRT when appropriate). Below are reputable options and why people choose them.

At‑home hormone/lab test kits (you collect samples at home; results come from CLIA‑certified labs)

• LetsGetChecked — wide panel options (female hormone panels, thyroid, iron, vitamin D), clinician follow‑up is included, good for getting baseline labs quickly.
• Everlywell — convenient hormone and thyroid test kits, clear reports you can download and discuss with your provider.
• Modern Fertility — focuses on ovarian reserve and cycle hormones (AMH, FSH, estradiol) — useful if you want cycle‑specific hormone insight. Why choose kits: fast, private, you get objective numbers you can bring to an online provider. Note: most at‑home services do not themselves prescribe HRT.

Telemedicine clinics that can order labs and prescribe treatment (including HRT when appropriate)

• PlushCare — board‑certified primary care doctors and nurse practitioners; they can order comprehensive labs and prescribe HRT or other treatments as clinically indicated. Insurance accepted for many patients.
• Tia — women's health clinic that offers telehealth visits, lab ordering, and individualized care focused on midlife women; good if you want a women‑focused provider.
• Parsley Health — integrative primary care with extended visits, comprehensive lab panels, and personalized treatment plans including bioidentical HRT when appropriate; membership model but thorough.
• Maven Clinic — women’s telehealth network that connects you with specialists (including gynecology/menopause clinicians) who can order testing and treatment.
• Hims & Hers (Hers) — telemedicine for women’s issues; can offer consultations, labs, and prescriptions for hormone‑related symptoms in many states. Why choose telemedicine clinics: they provide clinical interpretation, can order the correct timing of labs (important for cycle‑dependent tests), and can prescribe and monitor therapies. Availability and what can be prescribed vary by state and medical history.

What to expect and what to ask for

• Tests to consider: TSH/free T4, CBC and ferritin (iron), vitamin D, fasting glucose/lipids, estradiol, progesterone (timing matters), total/free testosterone, SHBG, FSH and LH, prolactin, and sometimes cortisol. For perimenopause, FSH and estradiol are helpful.
• Timing: some hormone tests need to be drawn at a specific time in your cycle (ask the clinician). Thyroid and iron can be done anytime.
• Safety: platforms will not prescribe HRT if you have contraindications (e.g., certain cancers, blood clots, uncontrolled hypertension). Complex cases may require in‑person evaluation.

Next steps

1. Do you want a quick at‑home lab kit now, or do you prefer a telemedicine visit that will order and interpret the right labs and (if needed) start treatment?
2. If you tell me your U.S. state (or country) and whether you want to use insurance or pay out of pocket, I can suggest the best single option and, if you want, draft questions to bring to the clinician.

If you prefer, I can also list the specific lab panels (names and what they measure) to order based on your symptoms.