Elevate MD Ohio

Elevate MD Ohio 🩺 Physician-Led Hormone Optimization
👩🏻‍💻 Telemed across the U.S.
👇🏻 Want to work with us? https://www.elevatemd.co/fb-link-in-bio

08/12/2026

Welcome to our Peri After Dark Live Q&A! All questions welcome. 🤗

08/12/2026

Has your doctor ever told you that your symptoms were “just anxiety”? 🤨 Let’s talk about it!

Perimenopause symptoms are commonly misdiagnosed as anxiety and depression, but this is because perimenopause can look a whole lot like anxiety and depression. 🤷🏻‍♀️🤔

Let’s look at some of the most common symptoms we hear from our perimenopause patients that are commonly misdiagnosed…

👉🏻 Insomnia or sleep disturbances
👉🏻 Heart palpitations or racing heart
👉🏻 Vertigo & Dizziness
👉🏻 Migraines & Headaches
👉🏻 Graphic intrusive thoughts
👉🏻 Hypertension or hypotension
👉🏻 Internal body tremors
👉🏻 Extreme irritability & rage
👉🏻 Emotional outbursts
👉🏻 Jaw clenching & teeth grinding
👉🏻 Weight gain or weight loss
👉🏻 Brain fog or memory lapses (including The Doorway Effect)
👉🏻 Low libido
👉🏻 Fatigue & mental exhaustion
👉🏻 Introversion & burnout

Perimenopause can impact multiple systems throughout your entire body, including your mental, physical, & emotional health. If you are experiencing new or worsening symptoms that you suspect may be related to perimenopause, we would absolutely love to work with you!

You deserve to work with a provider that will listen and advocate for you & your quality of life! 🥹🫶🏻

🩺📲 We are currently accepting new patients for Telehealth in the US. If you are interested in working with us for hormone optimization, you can go to the 🔗 in my bio to book a free call with my team to get started. 🤗

08/11/2026

If you’re in and your body is constantly stuck in fight or flight… THIS VIDEO IS FOR YOU! 🫠

If I were starting my nervous system regulation journey today, here’s exactly what I’d do in the next 30 days…

👉🏻 Get comprehensive bloodwork done. Regulating your nervous system is so much easier if you are able to address underlying issues. Labs I’d prioritize:
☑️ Full Thyroid Panel (TSH, Free T3, Free T4, Reverse T3, Thyroid Antibodies)
☑️ Fasting Cortisol
☑️ Estradiol, Progesterone, Total & Free Test
☑️ Vitamin D & B12
☑️ Ferritin

👉🏻 Build a solid sleep routine. Poor sleep leads to higher cortisol. More cortisol leads to even less sleep. 😩 Things to prioritize:
☑️ Sunlight exposure within 30 minutes of waking
☑️ Limited blue light in the evening
☑️ Bedroom temp between 64-67°F
☑️ 400mg Magnesium Glycinate + 200mg L-theanine before bed 🤌🏻

👉🏻 Pick 2-3 quick vagal activations tools for fast every day relief.
☑️ Boom boom stick
☑️ Physiological sigh or Valsalva maneuver
☑️ Ice pack on your neck/chest for 15-20 min

Out of everything on this list, sleep is usually the hardest piece to nail down. Let me know in the comments if you want a full follow-up on sleep hygiene! 🫶🏻

🩺📲 If you’re in the US and curious about hormone therapy for perimenopause or menopause symptom management, go to the 🔗 in my bio to book a free 30 minute call with my team to learn how to get started. 🤗

08/11/2026

If you’re in and you’re rapidly gaining weight, AND you’re looking for non-hormone options...You’ve come to the right place! 🙃

Quick disclaimer before we dive in: Managing perimenopause symptoms with supplements can be very challenging, and may not provide adequate or consistent relief. So if you are someone that is experiencing multiple symptoms that are impacting your quality of life, it would probably be advantageous to explore hormone therapy if you are medically able to! 🫶🏻

☑️ Hormone Support
✨ 10,000IU Vitamin D
✨ 5mg DHEA

☑️ Nervous System Support
✨ 200mg+ Magnesium Glycinate
✨ 200mg L-theanine (twice daily)

☑️ GI Support
✨ 1000mg L-glutamine
✨ 30g Dietary fiber

☑️ Inflammatory Support
✨ Black seed oil

☑️ Metabolic Support
✨ Berberine + Inositol (Back in stock in the 🔗 in my bio)

Let me know in the comments if you’d like me to keep this series going, because I’d love to talk about microdosing G🍌🅿️-1️⃣! (Idk why they won't let me say this word 🙄😂)

🩺📲 If you’re in the US, & you’re interested in working with us for hormone optimization, go to the 🔗 in my bio to book a free call with my team to get started! 🤗

08/10/2026

If you’re in and you’re struggling to lose weight… THIS VIDEO IS FOR YOU! 😅👏🏻

Weight loss during perimenopause is not as straight forward as it used to be. It’s no longer just about calories in vs. calories out. Your hormones, your nervous system, and your gut health all play a massive role in whether or not your body is actually able to let go of weight.

So before you cut calories or add in another hour of cardio, here’s where I’d actually start…

☑️ Get comprehensive labs (CBC, CMP, full thyroid panel, thyroid antibodies, reverse T3, A1C, lipid panel, FSH, prolactin, estradiol, progesterone, free & total test, SHBG, vitamin D, B12, ferritin, cortisol, ferritin). You cannot out-train or out-diet an endocrine or nutrient deficiency.

☑️ Work on regulating your nervous system. If your body is stuck in fight or flight, it will fight you on weight loss every single time. 🫠

☑️ Support your gut health. Perimenopause can wreck your GI tract and tank nutrient absorption. I recommend 25-30g of fiber daily, 1,000mg of L-glutamine, a digestive/pancreatic enzyme before meals, and butyrate to support your gut lining. 🤌🏻

I am a firm believer that adding in support (hormone therapy, gut support, nervous system regulation) will always outperform constant restriction. 🙏🏼

Want a follow up video on nervous system regulation? Let me know in the comments 👀

🩺📲 If you’re in the US and curious about hormone therapy for perimenopause or menopause symptom management, go to the 🔗 in my bio to book a free 30 minute call with my team to get started! 🤗

08/08/2026

If you're in and you're rapidly gaining weight despite doing everything "right"... there is a biological explanation. 😅

Perimenopause weight gain is one of the most misunderstood and under-addressed issues in women's health... and the fitness industry is absolutely not helping.

Most advice you're seeing online was written for women whose hormones are working WITH their bodies. Yours aren't right now, and that changes everything. But here's the most important thing... these metabolic issues impact more than just your weight. 🥲

The leading cause of death for postmenopausal women is cardiovascular disease. The same hormonal decline that's changing your body composition is also quietly impacting your heart health, your insulin sensitivity, your blood pressure, and your cholesterol (whether you feel it yet or not.)

Weight gain could just be the tip of the ice berg which is exactly why it's so important to run comprehensive labs to address any underlying issues!

And if your labs come back suboptimal? Hormone therapy can make a profound difference in how your body manages inflammation, stores fat, and protects your long-term health.

Let me know in the comments if you'd like me to keep this series going, because there are so many things to unpack here! ❤️

If you're in the US, & you're interested in working with us for hormone optimization, go to the
🔗 in my bio to book a free call with my team to get started! 🤗

08/07/2026

Here are 5 more hacks that will literally change your life ✨Histamine Edition✨

I think we all know by now that perimenopause can do some pretty unhinged things to our bodies… the list of cruel & unusual perimenopause symptoms truly feels never ending. 🙄

If you are struggling with multiple symptoms that are impacting your quality of life, I would highly encourage you to explore hormone therapy (yes, hormone therapy can help histamine intolerance 🤌🏻) But here are a few hacks you can use with or without hormone therapy! 🙃

✨DAO Enzymes: If you are experiencing weird food intolerances or allergy-like symptoms every time you eat, you can try DAO enzymes. This is a digestive enzyme that helps metabolize histamine.

✨ Zyrtec+Pepcid: This is great for comprehensive histamine management. Especially if you notice that your histamine symptoms flare up at certain points during your cycle. Also helpful for skin crawling, hives, eczema, dermatitis, heart palpitations, flushing, heart racing, and brain fog.

✨ Quercetin: This is a mast cell stabilizer so it helps calm down over active mast cells. This can be used with antihistamines, but you need to take it everyday. This one works better the longer you take it. 🤌🏻

✨NasalCrom + Flonase: These are 2 different types of nasal sprays that are super effective for all sinus and ear related issues. NasalCrom is a mast cell stabilizer and it works better the longer you use it (3-4x a day). Flonase is an anti-inflammatory and it works within 24-48 hours, but it can be used 1-2x a day as needed.

✨Progesterone: I can’t really talk about histamine hacks without mentioning progesterone therapy. Progesterone has natural anti-histamine benefits, and it’s usually the best option for treating hormone-induced histamine symptoms at the root. 👏🏻

Let me know in the comments what symptoms you’d like me to cover next!

🩺📲 We are currently accepting new Telehealth patients in the US! If you are interested in working with us for perimenopause or menopause symptom management, go to the 🔗 in my bio to book a free call with my team to get started. 🤗

08/07/2026

Replying to: Caledonia Buckheit, MD If you’ve ever been told your heavy periods are “normal”… THIS VIDEO IS FOR YOU!

Many of us have gone to our OB’s complaining about heavy, painful periods… but 99% of the time we are told this is perfectly normal, or we are just offered birth control without any further concern or explanation. 🫠

If you’ve ever soaked through a pad in under an hour, passed clots the size of quarters, or felt like your period was actively ruining your life… that is not something you should just push through.

But this is something that we see in so many of our perimenopause patients! Heavy bleeding during perimenopause is incredibly common, and it’s usually tied back to a few key things…

☑️ Low progesterone
(this is often the first hormone to decline)
☑️ Estrogen dominance relative to progesterone
☑️ Fibroids or polyps
☑️ Chronic anemia & low ferritin from ongoing blood loss

Heavy or abnormal bleeding is never something to just “deal with”... it is something that needs to be investigated. And if it goes unaddressed long enough, it can absolutely tank your iron stores and literally suck the life out of you one period at a time! 😩

🩺 If you’re in the US and you’re curious about getting comprehensive labs to actually understand what’s going on with your cycle, go to the 🔗 in my bio to book a free 30-minute call with my team to get started!

08/07/2026

‼️ This is a PSA to anyone in or menopause that is struggling to lose weight or is experiencing rapid weight gain! 👇🏻

The internet is loud and confusing. There are so many fitness pages promoting different ways to “hack your metabolism” and lose weight. But the one thing that is not being taken into consideration or advocated for is hormone health.

When your hormones begin to decline during perimenopause, it creates a cascading effect across your entire endocrine system which can result in these common metabolic issues…

👉🏻 Weight loss resistance
👉🏻 Weight gain
👉🏻 Loss of lean body mass
👉🏻 Fat redistribution in abdomen & hips
👉🏻 Hypertension
👉🏻 High cholesterol
👉🏻 Elevated triglycerides
👉🏻 Elevated fasting glucose & A1C

These things are not the result of ‘laziness’ or ‘lack of effort’. This is a biological phenomenon resulting in metabolic dysfunction that is non-responsive to traditional weight loss tactics. Period. 👏🏻

Let me know if you guys would like me to post a follow up video with more info on what is actually happening and what you can do to address hormonal metabolic dysfunction without running your body into the ground. 🫶🏻

🩺📲 We are currently accepting new Telehealth patients in the US. If you are interested in working with us for hormone optimization, go to the 🔗 in my bio to book a free call with my team to get started! 🤗

📚 Patel P, Patil S, Kaur N. Estrogen and Metabolism: Navigating Hormonal Transitions from Perimenopause to Postmenopause. J Midlife Health. 2025;16(3):247-256. doi:10.4103/jmh.jmh_75_25

📚 Janssen I, Powell LH, Crawford S, Lasley B, Sutton-Tyrrell K. Menopause and the metabolic syndrome: the Study of Women's Health Across the Nation. Arch Intern Med. 2008;168(14):1568-1575. doi:10.1001/archinte.168.14.1568

08/06/2026

If your provider has ever told you they “can’t run bloodwork” for perimenopause or menopause, or if you’ve been put on hormone therapy without running labs first…please watch this video! 🥹

Let’s clear something up… perimenopause IS a clinical diagnosis, meaning it is diagnosed based on symptoms. But that does NOT mean we should ever be guessing when it comes to treating those symptoms. 🙅🏻‍♀️

We have to run labs. Every time. No exceptions.

We cannot just assume that your symptoms are “just low hormones.” So many things can overlap with & mimic perimenopause symptoms, including…

☑️ Thyroid dysfunction
☑️ Pituitary dysfunction
☑️ Vitamin & mineral deficiencies
☑️ Low or high ferritin
☑️ Autoimmune conditions
☑️ Adrenal dysfunction
☑️ & in rare cases… tumors 🥲

We have to know what we’re treating & why, so we can treat it safely & effectively. Your hormones are not something we should ever be guessing about, and the best part is… we don’t have to. We can know. 👏🏻

Willfully choosing not to run labs isn’t just lazy, it’s dangerous. Patient safety will always be our top priority. 🫶🏻

🩺📲 If you’re in the US, & you’re interested in exploring individualized hormone optimization, you can go to the 🔗 in my bio to book a free 30 min discovery call with my team to learn how to get started with labs and a consultation. 🤗

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Cincinnati, OH
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