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Hormone Pellet Therapy
Hormone pellet therapy is a form of bioidentical hormone treatment that delivers plant-derived estrogen and/or testosterone through a small subcutaneous implant. Designed for continuous, physiologic release over several months, this approach supports more stable hormone levels and a personalized response based on each woman’s symptoms, physiology, and lab profile. Below are our top insights into pellet therapy to guide your understanding. We look forward to discussing this with you in depth during your consultation.
What we want you to know about pellet therapy
- Pellet therapy works best with precise, individualized dosing — not one-size-fits-all protocols.
- The myth that pellets always produce excessively high hormone levels reflects poor dosing, not the delivery method itself.
- In experienced hands, pellets deliver steady hormone levels within a safe, physiologically appropriate range.
- We’ve performed over 15,000 pellet insertions and continue to refine our approach through clinical outcomes and collaboration with Baylor College of Medicine.
- Dosing is adjusted over time as your symptoms, life stage, and labs change.
- Pellets are one option among many. We’ll recommend them only when they’re the right fit for you.
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Frequently Asked Questions
Pellets contain plant-based hormones that are biologically identical to the human hormones estradiol and testosterone. The hormones are time released over several months and the dose is variable based on the individual patient’s starting symptoms, age and lab work.
Pellets are injected into the fat of the buttock through a small trochar (like a large hollow needle) through a tiny incision which does not even require a suture and heals invisibly. Local anesthetic is used to make it minimally uncomfortable and the insertion takes less than 5 minutes.
Most women require a new pellet about every 4 months, and most men about every 6 months. More physically active people will metabolize the hormones more quickly, perhaps as early as every 3 months for women or 5 months for men.
For women in menopause, essentially all of the common menopause symptoms (hot flashes, night sweats, vaginal dryness, mood swings, lack of energy, insomnia, brain fog, and others) will disappear or be very minimal. Testosterone will also improve muscle:fat ratio, energy and libido for most women. For men, testosterone will improve libido, many cases of ED, muscle loss, sleep and energy.
For women, estrogen is not given until menopause, but testosterone replacement can be helpful for many women as young as 30. Men can also benefit from testosterone replacement, although we only offer them to men who are finished childbearing.
Symptoms will return and benefits will disappear as soon as replacement is stopped. So unless a health condition develops that makes hormone replacement unwise, you will benefit from staying on replacement as long as you want to feel good! (Your whole life.)
Many of our female patients have a huge improvement in libido and energy with their pellet, and still struggle if their male partner has low testosterone or ED. We will offer pellets to male partners of our patients.
Yes, pellets do need to be placed in the office.
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