Short answer — start with a menopause-focused telehealth clinic for hormone assessment and individualized treatment, plus a behavior/weight-management program if you want coaching or medication. Two practical, well-regarded options: 1) Elektra Health Why: Menopause specialist clinic that offers virtual visits with clinicians experienced in menopause and evidence‑based HRT, plus care plans that address symptoms that drive weight gain (sleep, mood, metabolic changes). They can order labs, manage hormones, and coordinate follow‑up. Good when you want a clinician who understands menopause biology and whether hormone therapy or other medical treatment could help with weight changes. 2) Gennev Why: Built specifically for midlife and menopausal people — offers telehealth visits with menopause-aware clinicians plus nutritionists, fitness classes, and lifestyle coaching aimed at menopause weight and body‑composition changes. Good when you want an integrated program (medical + targeted nutrition/exercise) aimed at midlife bodies. If your priority is behavioral weight change or a structured weight-loss program, consider: Noom — strong on cognitive‑behavioral coaching and sustainable habit change (app + coach). Omada or Vida Health — structured digital programs with health coaches and clinicians, often with emphasis on metabolic health. If you think you may need prescription weight‑loss medications (GLP‑1s etc.), look at primary‑care telehealth providers that do obesity management and can prescribe when appropriate: PlushCare or Ro (and some specialty services through Gennev/Elektra) — they provide telemedicine evaluations and medication management in many states. How to choose: Start with a menopause specialist (Elektra or Gennev) to get hormones, thyroid and metabolic labs checked and to assess whether HRT or other medical approaches could help. If no specific medical therapy is needed or you want additional coaching, add a behavioral program (Noom/Omada/Vida) or a supervised weight‑loss/medical program that can prescribe medications if indicated. Check coverage/price, whether they can order labs and share results with your PCP, and whether they operate in your state. If you want, tell me: 1) whether you’re currently on HRT, 2) main symptoms (sleep, hot flashes, fatigue), and 3) whether you prefer medication, coaching, or both — I can recommend the single best fit for your situation and give next steps.
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