I am 42 and live in California so I am unable to work with Elevate. I chose to work with Midi because they say they run full labs including hormones, but I was tested for everything Except my hormone levels! Midi's response is that "testing hormone levels is not accurate or reliable. (That's because your hormone levels fluctuate day to day, even hour to hour! So a single test cannot reflect your body's hormone levels.) The best way to check whether a woman has the "right" amount of hormones is to see how her symptoms respond to a particular dose of hormones or nonhormonal menopause medication." My biggest symptoms include anxiety, brain fog, no sex drive and very dry vaginal tissue along with heightened allergies, mostly itchy skin, and extremely itchy ears. Based on my symptoms I was put on low dose Estrogen patch and Progesterone pills, but no testosterone. I have seen some improvement in anxiety thankfully, but I still have 0 sex drive and very dry vaginal tissue.