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Elevate MD Ohio ๐Ÿฉบ Physician-Led Hormone Optimization
๐Ÿ‘ฉ๐Ÿปโ€๐Ÿ’ป Telemed across the U.S.
๐Ÿ‘‡๐Ÿป Ready to feel like yourself again? https://www.elevatemd.co/fb-link-in-bio

10/16/2026

Letโ€™s talk about the to histamine intolerance pipeline! ๐Ÿค”๐Ÿ‘‡๐Ÿป

Almost every patient we see is dealing with some form of histamine-related symptoms, and yet so many of them have been treated like a medical mystery. But hereโ€™s the thing, these symptoms arenโ€™t as random as they may seemโ€ฆ
โ˜‘๏ธ Hivesโ€จโ˜‘๏ธ Horrible congestionโ€จโ˜‘๏ธ Itchy earsโ€จโ˜‘๏ธ Flushingโ€จโ˜‘๏ธ Food intolerancesโ€จโ˜‘๏ธ Weird GI issuesโ€จโ˜‘๏ธ Random anxiety/heart palpitations
โ˜‘๏ธ Migraines

Hereโ€™s whatโ€™s actually happeningโ€ฆ
Estrogen fluctuations can stimulate mast cells to release histamine. During perimenopause, estrogen doesnโ€™t just decline, it swings unpredictably, which means histamine can spike out of nowhere. ๐Ÿ“ˆ๐Ÿ“ˆ๐Ÿ“ˆ
Progesterone is your natural anti-histamine buffer. It helps calm mast cells and keep histamine in check. But progesterone is usually the first hormone to decline during perimenopause, which creates a recipe for disaster. ๐Ÿซ 

This is why histamine flares often line up almost perfectly with hormonal fluctuations. You may notice them worsen around ovulation or right before your period. In some cases, the immune system can become so overstimulated that it leads to conditions like mast cell activation syndrome (MCAS). ๐Ÿฅน

Have you ever experienced histamine related symptoms, and do you think that your hormones could be the underlying cause? ๐Ÿค”

๐Ÿฉบ๐Ÿ“ฒ If youโ€™re in the US and curious about hormone therapy for perimenopause or menopause symptom management, go to the ๐Ÿ”— in my bio to book a free 30 minute call with my team to learn how to get started.

10/14/2026

If youโ€™re in and your doctor keeps telling you your labs look โ€œnormalโ€ or that they canโ€™t run labs at allโ€ฆ THIS VIDEO IS FOR YOU! ๐Ÿซ 

Here are 3 perimenopause labs your doctor should be running, but probably isnโ€™t.

Perimenopause is a clinical diagnosis, meaning itโ€™s diagnosed based on your symptoms. But if the goal is to actually treat those symptoms, we need to know whatโ€™s happening beneath the surface, and thatโ€™s where labs come in. ๐ŸคŒ๐Ÿป

1๏ธโƒฃ SHBG: This protein binds to your hormones, especially testosterone, and basically holds them hostage so your body canโ€™t use them. Itโ€™s especially important to check if youโ€™re on birth control or have ever taken it, since birth control can significantly increase SHBG.

2๏ธโƒฃ Free Testostฤ“ronฤ“: Most providers only check Total T levels, but Free T is the one that matters most, because itโ€™s the amount of T that your body actually has access to. Looking at Free T, Total T, and SHBG together gives you the full picture. We typically find that patients feel their best when their free T is at least a 3 or higher, which is well above where most labs consider โ€œnormal.โ€

3๏ธโƒฃ Thyroid Antibodies (Anti-Thyroglobulin & Thyroid Peroxidase): Thyroid autoimmunity (especially Hashimotoโ€™s) is incredibly common during perimenopause, and the symptoms overlap so much that the two are easily confused or completely misdiagnosed.

Let me know in the comments if your provider has ever checked these labs! ๐Ÿ‘€๐Ÿ‘‡๐Ÿป

๐Ÿฉบ๐Ÿ“ฒ If youโ€™re in the US and curious about hormone therapy for perimenopause or menopause symptom management, go to the ๐Ÿ”— in my bio to book a free 30 minute call with my team to learn how to get started. ๐Ÿค—

10/14/2026

POV: perimenopause gave you red ear syndrome ๐Ÿซ 

If your ears, cheek, neck suddenly turn bright red, hot, or burning for no reasonโ€ฆyou might be experiencing RES! ๐Ÿ‘€

Red ear syndrome is a rare condition where one or both ears become red, hot, and sometimes painful in episodes that can last anywhere from a few minutes to a few hours. Common triggers include heat, cold, touch, exercise, stress, and neck movement.

But what does this have to do with perimenopause? ๐Ÿค”

Estrogen helps regulate blood vessel tone and nerve signaling. When estrogen fluctuates, your blood vessels can dilate suddenly and your nerves can become more reactive. Itโ€™s the same mechanism behind hot flashes and random flushing, itโ€™s just showing up in your ears.

Another common culprit could be directly related to histamine! Estrogen stimulates mast cells to release histamine, and histamine dilates blood vessels, which can cause flushing and warmth. ๐Ÿฅต

During perimenopause, progesterone (your natural antihistamine buffer) declines, so histamine can spike more easily. If your red ears show up alongside other histamine symptoms, this could be an explanation!

Here are some other common perimenopause symotoms/conditions that commonly occur with RES ๐Ÿ‘‡๐Ÿป

โ˜‘๏ธ Hot flashes or facial flushingโ€จโ˜‘๏ธ Migraines or headachesโ€จโ˜‘๏ธ Jaw tension or TMJโ€จโ˜‘๏ธ Neck and shoulder tightnessโ€จโ˜‘๏ธ Hives, itching, congestion, ear fullness, or random โ€œallergicโ€ reactions

๐Ÿฉบ๐Ÿ“ฒ If youโ€™re in the US and curious about hormone therapy for perimenopause or menopause symptom management, go to the ๐Ÿ”— in my bio to book a free 30 minute call with my team to learn how to get started. ๐Ÿค—

10/13/2026

Here are some of the BEST hacks because gatekeeping is lameeee and this info should be free. ๐Ÿ™ƒ

๐Ÿ‘‰๐Ÿป If youโ€™re struggling with hormonal bloating, gas, or water retention, you gotta try fennel tea.
โ˜‘๏ธ Why it works: Fennel is a natural diuretic, so it helps your body release excess fluid. It also relaxes the smooth muscle in your gut, which helps move trapped gas along. Sip it throughout the day or after meals.

๐Ÿ‘‰๐Ÿป If youโ€™re dealing with driving anxiety, i would recommend getting a boom boom stick.
โ˜‘๏ธ Why it works: Your sense of smell connects directly to the limbic system, the part of your brain that processes fear and emotion. The menthol and essential oils give your brain a strong sensory signal that interrupts the anxiety spiral, and it feels like a factory reset. Use it as often as you need, even while youโ€™re driving. ๐Ÿ™Œ๐Ÿป

๐Ÿ‘‰๐Ÿป If youโ€™re struggling with chronic migraines or headaches, you gotta try CoQ10!!!
โ˜‘๏ธ Why it works: CoQ10 supports energy production in your cells and acts as an antioxidant. Migraine brains tend to have impaired cellular energy and more oxidative stress, and estrogen fluctuations make that worse. Itโ€™s one of the most well-researched supplements for migraine prevention, but it works better over time. Take it consistently with a meal that has some fat for better absorption, and give it a couple of months to see the full benefit. (Starting dose is usually 100-200mg 2-3x per day ๐Ÿซถ๐Ÿป)

These hacks can be incredibly helpful for symptom relief, but if youโ€™re relying on them just to get through the day, it may be time to look at the hormonal root cause. ๐Ÿ‘€

๐Ÿฉบ๐Ÿ“ฒ If youโ€™re in the US and curious about hormone therapy for perimenopause or menopause symptom management, go to the ๐Ÿ”— in my bio to book a free 30 minute call with my team to learn how to get started. ๐Ÿค—

10/09/2026

If has left your intimate life feeling lacklusterโ€ฆ THIS VIDEO IS FOR YOU. ๐Ÿ˜๐Ÿ”ฅ

Low libido, pain during intimacy, and difficulty climaxing are some of the most common complaints we hear from our perimenopause patients, and itโ€™s not just โ€œin your headโ€!

Hormone therapy is incredibly beneficial for these issues, but if we want to target these symptoms at the root, then Iโ€™m begging you to try vฤ…ginaI DHEA! ๐Ÿ™๐Ÿผ

Elevate Below w/DHEA is literally the holy grail for intimacy. DHEA is a precursor hormone that converts locally into both estrogen and testostฤ“ronฤ“ right where you need it most to help restore sensitivity, natural lubrication, and yesโ€ฆ the ability to actually finish. ๐Ÿ˜Œ๐Ÿ™Œ๐Ÿป

After my hysterectomy, my ๐Ÿฑ was completely decommissioned. Even on hormone therapy, things just werenโ€™t responding the way they used to. Elevate Below literally resurrected me, and I want you to experience it too. ๐Ÿ˜ˆ

โœจ Works immediately
โœจ No Rx required
โœจ All organic & deeply hydrating
โœจ Safe to use during intimacy
โœจ Restores sensitivity & arousaI

Comment ELEVATE and Iโ€™ll send you the ๐Ÿ”— directlyโ€ฆYou can thank me later. ๐Ÿ˜

10/08/2026

Here are some of the BEST supplements for because gatekeeping is lame and this info should be free. ๐Ÿ™ƒ

๐Ÿ‘‰๐Ÿป If youโ€™re struggling with anxiety or anxiety related symptoms, you gotta try L-theanine (& bonus points if you pair it with magnesium glycinate before bed)โ€จโ˜‘๏ธ Why it works: L-theanine promotes calm, focused alpha brain waves and supports GABA, your brainโ€™s main calming neurotransmitter. Magnesium glycinate helps relax the nervous system and muscles.

๐Ÿ‘‰๐Ÿป If youโ€™re struggling with reflux, LPR (silent reflux, or Globus sensation, you gotta try Alginate therapy.โ€จโ˜‘๏ธ Why it works: Alginate forms a gel-like โ€œraftโ€ on top of your stomach contents that physically blocks reflux from creeping up into your esophagus and throat. It also works for non-acid reflux, which is what causes that lump-in-your-throat feeling. Progesterone relaxes the muscle that keeps stomach contents down, so if your progesterone gives you heartburn, this is a great option.

๐Ÿ‘‰๐Ÿป If youโ€™re struggling with metaboIic issues, then Iโ€™m always gonna recommend Berberinฤ™ + lnositoI. (๐Ÿ”— in my bio)โ€จโ˜‘๏ธ Why it works: Declining estrogen makes your cells less responsive to insulin, and thatโ€™s a big driver of stubborn weight gain during perimenopause. Berb helps improve insulin sensitivity and lower blood sugar, and inositoI helps your cells respond to insulinโ€™s signals.

These hacks can be incredibly helpful for symptom relief, but if youโ€™re relying on them just to get through the day, it may be time to look at the hormonal root cause. ๐Ÿ‘€

๐Ÿฉบ๐Ÿ“ฒ If youโ€™re in the US and curious about hormone therapy for perimenopause or menopause symptom management, go to the ๐Ÿ”— in my bio to book a free 30 minute call with my team to learn how to get started. ๐Ÿค—

10/07/2026

ROUND 8: Are you experiencing any weird or unusual symptoms? ๐Ÿ˜ตโ€๐Ÿ’ซ

If youโ€™re connecting dots right now & thinking โ€œwaitโ€ฆ thatโ€™s meโ€, I want to validate that you arenโ€™t alone, and you arenโ€™t crazy! ๐Ÿซถ๐Ÿป

Perimenopause symptoms donโ€™t always make sense on the surface. Which is probably why your provider keeps dismissing you or telling you that your symptoms are all just โ€˜in your headโ€™. But what you are experiencing is 100% real, & thereโ€™s a completely logical explanation! ๐Ÿ™๐Ÿผ

Here are just a few of the most common symptoms we hear from our perimenopause patientsโ€ฆ

๐Ÿ‘‰๐Ÿป Sciatica
๐Ÿ‘‰๐Ÿป Flushing
๐Ÿ‘‰๐Ÿป Eczema/dermatitis/psoriasis
๐Ÿ‘‰๐Ÿป Brฤ—รฅst tenderness/itchiness
๐Ÿ‘‰๐Ÿป Migraines
๐Ÿ‘‰๐Ÿป Cold flashes
๐Ÿ‘‰๐Ÿป Tinnitus
๐Ÿ‘‰๐Ÿป Dry itchy eyes
๐Ÿ‘‰๐Ÿป Histamine Intolerance
๐Ÿ‘‰๐Ÿป UTI-like symptoms
๐Ÿ‘‰๐Ÿป Oxygen Hunger/shortness of breath
๐Ÿ‘‰๐Ÿป Chronic Congestion/Post Nasal Drip
๐Ÿ‘‰๐Ÿป Constipation/Gi Issues
๐Ÿ‘‰๐Ÿป Frozen shoulder
๐Ÿ‘‰๐Ÿป Globus Sensation (Lump in your throat)
๐Ÿ‘‰๐Ÿป Plantar fasciitis
๐Ÿ‘‰๐Ÿป Heart palpitations
๐Ÿ‘‰๐Ÿป Itchy ears
๐Ÿ‘‰๐Ÿป Brain/Body zaps

(Do any of these sound familiar? ๐Ÿ˜…)

๐Ÿฉบ๐Ÿ“ฒ If youโ€™re in the US and youโ€™re at all curious about exploring hormone therapy to help manage your symptoms, we would love to work with you. Go to the ๐Ÿ”— in my bio to book a free call with my team to learn how to get started. ๐Ÿค—

10/06/2026

ROUND 7: I want to hear your weirdest perimenopause symptomsโ€ฆ because I know Iโ€™ve barely scratched the surface. ๐Ÿ™ƒ

When we think about perimenopause, we typically think about hot flashes, low libido, mood swings, & brain fog. BUT ITโ€™S SO MUCH MORE THAN THAT! ๐Ÿ˜ฉ

Itโ€™s crucial that we understand what these symptoms can look like, so we can better advocate for our hormone healthโ€ฆ especially since perimenopause can begin in your early 30โ€™s. ๐Ÿซ 

Here are just a few of the most common symptoms we hear from our perimenopause patientsโ€ฆ

๐Ÿ‘‰๐Ÿป Migraines
๐Ÿ‘‰๐Ÿป Cold flashes
๐Ÿ‘‰๐Ÿป Tinnitus
๐Ÿ‘‰๐Ÿป Burning mouth syndrome
๐Ÿ‘‰๐Ÿป VagรฎnaI atrophy
๐Ÿ‘‰๐Ÿป Dry itchy eyes
๐Ÿ‘‰๐Ÿป Histamine Intolerance
๐Ÿ‘‰๐Ÿป UTI-like symptoms
๐Ÿ‘‰๐Ÿป Oxygen Hunger/shortness of breath
๐Ÿ‘‰๐Ÿป Chronic Congestion/Post Nasal Drip
๐Ÿ‘‰๐Ÿป Constipation/Gi Issues
๐Ÿ‘‰๐Ÿป Frozen shoulder
๐Ÿ‘‰๐Ÿป Globus Sensation (Lump in your throat)
๐Ÿ‘‰๐Ÿป Plantar fasciitis
๐Ÿ‘‰๐Ÿป Internal Tremors
๐Ÿ‘‰๐Ÿป Heart palpitations
๐Ÿ‘‰๐Ÿป Itchy ears
๐Ÿ‘‰๐Ÿป Brain/Body zaps
๐Ÿ‘‰๐Ÿป Phantom smells

(Do any of these sound like you? ๐Ÿฅน)

๐Ÿฉบ๐Ÿ“ฒ If youโ€™re in the US and youโ€™re at all curious about exploring hormone therapy to help manage your symptoms, we would love to work with you. Go to the ๐Ÿ”— in my bio to book a free call with my team to learn how to get started. ๐Ÿค—

10/06/2026

ROUND 6: What are your weirdest symptoms? ๐Ÿ™ƒ

Let me be the first to validate that YOU ARENโ€™T CRAZY! ๐Ÿฅน๐Ÿซถ๐Ÿป Hormonal fluctuations during perimenopause can impact every single system in our bodies, which is exactly why your symptoms feel so random & chaotic. The symptoms donโ€™t really make sense, because your hormones arenโ€™t really making much sense. ๐Ÿซ 

Here are some of the more common symptoms we hear from our perimenopause patientsโ€ฆ

๐Ÿ‘‰๐Ÿป Dry itchy eyes
๐Ÿ‘‰๐Ÿป Histamine Intolerance
๐Ÿ‘‰๐Ÿป UTI-like symptoms
๐Ÿ‘‰๐Ÿป Coughing (usually related to LPR)
๐Ÿ‘‰๐Ÿป Vision Changes
๐Ÿ‘‰๐Ÿป Oxygen Hunger/shortness of breath
๐Ÿ‘‰๐Ÿป Chronic Congestion/Post Nasal Drip
๐Ÿ‘‰๐Ÿป Intrusive thoughts
๐Ÿ‘‰๐Ÿป Constipation/Gi Issues
๐Ÿ‘‰๐Ÿป Frozen shoulder
๐Ÿ‘‰๐Ÿป Globus Sensation
๐Ÿ‘‰๐Ÿป Plantar fasciitis
๐Ÿ‘‰๐Ÿป Internal Tremors
๐Ÿ‘‰๐Ÿป Heart palpitations
๐Ÿ‘‰๐Ÿป Itchy ears
๐Ÿ‘‰๐Ÿป Brain zaps
๐Ÿ‘‰๐Ÿป Phantom smells

(Raise your hand if these sound familiar. ๐Ÿ™‹๐Ÿปโ€โ™€๏ธ)

๐Ÿฉบ๐Ÿ“ฒ If youโ€™re in the US and youโ€™re at all curious about exploring hormone therapy to help manage your symptoms, we would love to work with you. Go to the ๐Ÿ”— in my bio to book a free call with my team to learn how to get started. ๐Ÿค—

10/03/2026

ROUND 5: The symptom saga continues! ๐Ÿค 

This is a PSA that perimenopause symptoms can begin in your early 30โ€™s (I donโ€™t care what your doctor has told you). Hormonal fluctuations/decline during perimenopause can trigger nervous system dysregulation, increased inflammation throughout your entire body, immune dysfunction, & heightened sensory sensitivity. You arenโ€™t imaging these things. These symptoms are real, and they deserve to be taken seriously! ๐Ÿ‘๐Ÿป๐Ÿ‘๐Ÿป

Here are some of the most common symptoms we hear from our perimenopause patientsโ€ฆ

๐Ÿ‘‰๐Ÿป Vision Changes
๐Ÿ‘‰๐Ÿป Oxygen Hunger/shortness of breath
๐Ÿ‘‰๐Ÿป Hair thinning/receding
๐Ÿ‘‰๐Ÿป Formication (feeling like you have bugs crawling on you, itchiness)
๐Ÿ‘‰๐Ÿป Chronic Congestion/Post Nasal Drip
๐Ÿ‘‰๐Ÿป Intrusive thoughts
๐Ÿ‘‰๐Ÿป Constipation/Gi Issues
๐Ÿ‘‰๐Ÿป Frozen shoulder
๐Ÿ‘‰๐Ÿป Vertigo
๐Ÿ‘‰๐Ÿป Globus Sensation
๐Ÿ‘‰๐Ÿป Plantar fasciitis
๐Ÿ‘‰๐Ÿป Internal Tremors
๐Ÿ‘‰๐Ÿป Heart palpitations
๐Ÿ‘‰๐Ÿป Itchy ears
๐Ÿ‘‰๐Ÿป Brain zaps
๐Ÿ‘‰๐Ÿป Phantom smells

(Raise your hand if these sound familiar. ๐Ÿ™‹๐Ÿปโ€โ™€๏ธ)

๐Ÿฉบ๐Ÿ“ฒ If youโ€™re in the US and youโ€™re at all curious about exploring hormone therapy to help manage your symptoms, we would love to work with you. Go to the ๐Ÿ”— in my bio to book a free call with my team to learn how to get started. ๐Ÿค—

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7265 Kenwood Road
Cincinnati, OH
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