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

Short answer — yes. You can both order hormone testing online and get treatment via telemedicine. Below are reputable options (grouped by purpose) and a short plan on what to test and what to expect.

Where to order at‑home hormone tests (if you want to self‑order labs first)

• LetsGetChecked — at‑home blood kits for women’s hormone panels (FSH, estradiol, testosterone, thyroid, cortisol, etc.), with nurse/physician review and follow‑up options; good balance of testing + clinical support.
• Modern Fertility — easy, female‑focused hormone panels (FSH, estradiol, AMH, TSH, prolactin depending on kit); solid if you want clear, consumer-friendly reproductive/perimenopause data.
• Everlywell — CLIA‑certified at‑home hormone tests and thyroid panels; convenient and widely available; good for an initial screen.
• ZRT Laboratory — high‑quality saliva and dried blood spot hormone testing (including diurnal cortisol profiles) often used by clinicians; best if you or a clinician want more detailed hormone dynamics.

Telemedicine clinics that test, interpret, and can treat (prescriptions, HRT where appropriate)

• Maven Clinic — women’s health telemedicine with menopause/perimenopause programs and clinicians who can order labs and manage symptoms; well suited if you want a women’s‑health focused televisit + treatment plan.
• Parsley Health — membership integrative primary care with comprehensive hormone testing and individualized treatment (including bioidentical HRT when appropriate); good if you want in‑depth workup and ongoing clinician relationship.
• PlushCare — primary care telemedicine that can order labs (thyroid, CBC, CMP, hormones), interpret results, and prescribe treatments for common causes (e.g., hypothyroidism, perimenopausal symptoms); convenient if you want standard medical management through online visits.
• Teladoc / Amwell — broad telemedicine platforms where you can see primary care or endocrinology in many states; useful for connecting to specialists if your case is more complex.
• Mayo Clinic / large health systems — many academic centers now offer tele‑visits with endocrinologists or menopause specialists (best for complicated or refractory cases).

What to test (ask for a “comprehensive female hormone + metabolic screen”)

• Thyroid: TSH, free T4, free T3, anti‑TPO (autoimmune thyroid disease is a common cause of low energy/brain fog)
• Reproductive hormones: estradiol, FSH, LH, progesterone (timing matters), total testosterone, SHBG
• Adrenal: morning cortisol or diurnal cortisol profile (ZRT or specialty labs)
• Other helpful tests: CBC (anemia), CMP (liver/kidney/electrolytes), ferritin (iron stores), vitamin D, B12, glucose/HbA1c, cortisol, DHEA‑S
• If you suspect menopause/perimenopause, include FSH + estradiol (and discuss symptom timing with clinician).

How to proceed

1. Pick whether you want to self‑order tests first (LetsGetChecked, Modern Fertility, Everlywell, ZRT) or see a telemedicine clinician first (Maven, Parsley, PlushCare, Teladoc).
2. Get the comprehensive labs above. Share results with the telehealth clinician.
3. The clinician can diagnose common causes (hypothyroidism, iron deficiency, perimenopause/menopause, depression, sleep disorders) and prescribe appropriate treatments (thyroid meds, iron/vitamin repletion, HRT when indicated, behavioral changes, referrals).
4. For bioidentical or compounded HRT, confirm the provider’s credentials and whether they can prescribe in your state — some treatments may require an in‑person visit or specialist.

Precautions

• Make sure the telehealth service is licensed in your state and that prescriptions can be issued there.
• If you have alarming symptoms (palpitations, fainting, shortness of breath, sudden weight change), seek urgent in‑person care.
• Be wary of services that push expensive compounded hormones without appropriate testing and follow‑up.

If you’d like, tell me:

• your state (so I can check which services can prescribe where), and
• whether you prefer self‑testing first or a clinician visit — and I’ll recommend the single best next step and the exact test panel to order.