

Rising Balance Patch
A small skin patch changed twice a week, with no daily pill to remember.
Billed monthly · No charge until approved
- 8 patches a month
- Online visit
- Provider messaging
- Discreet shipping
You start with a short medical intake. A licensed provider from LocumTele reviews it and decides whether treatment is appropriate for you.
No charge until a licensed provider approves treatment. Not approved = not charged, and nothing ships.
Your plan renews automatically at the price and interval shown until you cancel, and you can cancel any time before your next refill by contacting support@elvaravitality.com.
Prescription only. Completing an order is not a prescription and does not guarantee one.
FDA-approved medication, dispensed by a state-licensed pharmacy. Prescription required.
Clinical entity: LocumTele. A licensed provider from LocumTele reviews your intake within 24 to 48 hours and decides whether treatment is appropriate for you.
Medical services are provided by LocumTele, whose licensed nurse practitioners and physician assistants review Elvara Vitality assessments and write prescriptions. LocumTele is responsible for clinical care, provider licensure and oversight, patient records and clinical policies. Elvara Vitality provides the website and non-clinical support, and cannot influence a clinical outcome.
Hormone therapy may increase the risk of stroke, blood clots, heart attack, breast cancer and dementia. Not for use if you have had breast cancer, a blood clot, stroke, heart attack, liver disease or unexplained vaginal bleeding, or if you are pregnant. Your provider uses the lowest effective dose for the shortest time needed and reviews it with you regularly.
A personal approach.
A provider by your side.
What this is & how it works
Prescription care for menopause symptoms. Your licensed provider reviews your symptoms, health history and the available options.
Who should not use it
Anyone who has had breast cancer, a blood clot, stroke, heart attack, liver disease or unexplained vaginal bleeding, or who is pregnant.
Common side effects
Breast tenderness, headache, nausea, bloating and spotting.
Medicines and health conditions to discuss
Tell your provider about all medicines, especially for blood clots or seizures. Tell your licensed provider about all medicines and supplements you take.
When to seek care
Chest pain, sudden shortness of breath, pain or swelling in one leg, sudden severe headache, vision changes, or weakness on one side. For severe symptoms or a suspected medical emergency, call 911.
Pairs well with.
Add-on. Requires an active Elvara Vitality plan. Same box, same provider review, no extra visit fee.



Other options for you.
Real providers. Real care.
Clinical entity: LocumTele. A licensed provider from LocumTele reviews your intake within 24 to 48 hours and decides whether treatment is appropriate for you.

Nycole Cox
APRN · LocumTele
Licensed provider · LocumTele network

Ianina Metcalf
FNP · LocumTele
Licensed provider · LocumTele network

Michael Gype
PA · LocumTele
Licensed provider · LocumTele network

Rachel Velasquez
NP · LocumTele
Licensed provider · LocumTele network
Start with a short online intake. A licensed provider reviews your health history and decides whether treatment is appropriate. If prescribed, your medication ships discreetly.
Your medication, online visit, ongoing provider messaging and shipping are included in the displayed monthly price.
We serve all 50 states and Washington, D.C. Visit State availability to check yours.
No. If you think you may have a medical emergency, call 911 or go to the nearest emergency room.
Care is provided by licensed nurse practitioners and physician assistants through LocumTele, who decide whether treatment is appropriate.
No charge until a licensed provider approves treatment. Not approved = not charged, and nothing ships.
Compounded (not FDA-approved): Lift Program Entry, Lift Program Advanced, Rising Density Solution, Elvara Vitality Energy Shot, Lift B Shot and Lift C Shot. FDA-approved: Rising Balance Tablet, Rising Balance Patch, Elvara Moment Tablet, Elvara Daily Ease, Elvara Extended Ease, Rising Density Tablet, Rising Density Oral (its use for hair loss is off-label) and Calm Stomach Tabs.
How it works
Four steps, always rising.
- 01
Online visit
A short health intake from home. No waiting room.
- 02
Provider review
A licensed provider reviews it, usually within 24 to 48 hours.
- 03
Shipped to you
If prescribed, your treatment ships discreetly. Shipping is included.
- 04
Ongoing care
Check-ins, messaging and plan changes with no new visit fee.
One monthly price. No surprises.
Your online visit, provider messaging and shipping are included.
No charge unless a licensed provider approves treatment.
