Telehealth · Secure video visits
Menopause & Weight-Loss Telehealth
Care for perimenopause, menopause, and midlife weight changes, from wherever you are comfortable. Meet with Dr. Sylvie Enoh, DMSc, PA-C, by secure video and get a plan built around your symptoms, history, and goals.
Is this for me?
If your body feels different lately, you are not imagining it.
Perimenopause can begin years before your last period, often in your 40s. Hormone levels rise and fall unpredictably, which is why symptoms can come and go and feel hard to pin down. At the same time, many women notice weight shifting to the middle and habits that used to work no longer working.
None of this is a personal failing. It is a real transition that deserves real attention.
- Trouble sleeping
- Hot flashes & night sweats
- Mood changes or irritability
- New anxiety
- Brain fog
- Irregular or heavier periods
- Weight shifting to the middle
- Low energy
- Lower libido
- Vaginal dryness
- Joint aches
- Feeling less like yourself
Many of these symptoms can also have other causes, such as thyroid changes or anemia. Part of your assessment is making sure we look at the whole picture.
What we treat by telehealth
Two kinds of care, one plan.
Menopause care
Perimenopause & menopause
- Menopausal hormone therapy, when appropriate, chosen and monitored for you To confirm
- Non-hormonal options for hot flashes, sleep, and mood
- Vaginal and sexual health, discussed openly
- Sleep, stress, and energy support
Hormone therapy can be an effective option for many women, and it isn’t right for everyone. Your history, including any history of certain cancers, blood clots, stroke, heart disease, or liver disease, shapes what is safe for you.
Weight & metabolism
Medical weight loss
- GLP-1 therapy, such as semaglutide or tirzepatide, when medically appropriate To confirm
- Nutrition guidance built around protein and fiber
- Strength and movement habits that protect muscle
- Regular follow-up to track progress and side effects
GLP-1 medications are not right for everyone. We screen for conditions that make them unsafe, such as a personal or family history of medullary thyroid cancer or MEN2, pregnancy, and certain pancreatic or gallbladder problems.
How telehealth works
From booking to your plan
Every telehealth patient starts with a telehealth assessment.
Book online
Choose a telehealth assessment time that works for you.
Complete intake
Fill out your health history and symptom forms through the secure patient portal before your visit.
Meet by video
A private, unhurried conversation with Dr. Sylvie about your symptoms, history, and goals.
Labs, if useful
If testing would help, we will explain what to order and why. To confirm
Your plan
Clear recommendations. When a prescription is appropriate, it is sent to your pharmacy.
Follow-up
Regular video check-ins to see how you feel and adjust the plan.
What you will need
- A phone, tablet, or computer with a camera
- A private, quiet space
- To be located in Texas during your visit To confirm
- Photo ID
- A list of your medications and supplements, with doses
- Recent lab results, if you have them
When we will see you in person
Some care works best face to face in Southlake. Aesthetic treatments, IV therapy, and some exams happen in person, and we may ask you to come in if your symptoms need a closer look.
Telehealth is not for emergencies. If you have chest pain, trouble breathing, heavy bleeding, or thoughts of harming yourself, call 911 or go to the nearest emergency room.
Pricing & insurance
Clear costs before you book
Pricing for your telehealth assessment and follow-up visits is shown when you book.
Editor note · Telehealth pricing
Add the telehealth assessment fee, follow-up fees, any membership option, insurance policy, and HSA/FSA acceptance.
Can I start hormone therapy through telehealth?
Often, yes, when it is appropriate for you. Dr. Sylvie reviews your symptoms, personal and family history, and medications first, and explains the benefits and risks that apply to you.
Do I need lab work first?
Not always. Perimenopause is usually identified from your symptoms, age, and cycle changes. Labs are ordered when they add useful information, such as checking thyroid function or metabolic markers.
Can GLP-1 medication be prescribed by telehealth?
When it is medically appropriate and safe for you, yes. You will have regular follow-up to track progress and manage side effects.
Can I switch to in-person visits later?
Yes. Many patients mix telehealth and in-person visits at our Southlake practice.
Book online
Book a telehealth assessment
Choose a time that works for you. Booking takes just a few minutes.
Already a patient? Visit the patient portal.
Editor note · Telehealth booking
Add your telehealth booking link (for example, your OptiMantra booking page) in Appearance → L’Élysée Settings. Every “Book a Telehealth Assessment” button on the site will then open it.
If you prefer an embedded scheduler, replace this note with a Custom HTML block containing your scheduling embed.
Telehealth · Secure video visits
Care that fits your life.
Meet with Dr. Sylvie from home and leave with a plan for your symptoms, your weight, and your energy.