Frequently Asked Questions

BHRT or bioidentical hormone therapy is the use of hormones that are IDENTICAL on a molecular level with the endogenous (produced by the body naturally) in hormone replacement therapy. These are not derived from an animal source like synthetic hormones.


Hormone pellets were originally developed in 1939 for women who underwent radical hysterectomies. Widely used in Europe and Australia, they are the longest studied form of hormone therapy (HRT) to date.


Bio-identical hormone therapy was very popular until a large pharmaceutical company, developed Premarin in 1942 which a synthetically derived hormone which is made from pregnant horse urine. This is NOT how bio-identical hormones are produced.


Women are usually symptomatic with a testosterone less than 40, but again this is still within the ‘normal’ range. Men are typically symptomatic for low testosterone levels around 400, although this falls within a ‘normal’ range. After ordering labs and reviewing your symptoms, we will decide what therapies will best ‘optimize’ your levels. There are also MANY ways hormone balance can be optimized with the high grade nutraceutical treatments that we offer.


Pellets are estradiol or testosterone and steric acid is used to bind the pellet. The hormones (estradiol and testosterone) are IDENTICAL on a molecular level with endogenous (hormones made by your body) in hormone replacement. The compounded medication uses a soy complex to bind the medication. It is NOT derived from an animal or a synthetic source.


The estrogen and testosterone pellet are FDA approved. The manufacturing of pellets 503B outsourcing facilities are under strict regulations by the FDA.


Approximately every 3-5 months for women and 4-6 months for men. We can also discuss other treatment options if pellet therapy is not what you would like to do.


Pellets are about the size of a grain of rice. Limiting gluteal exercises after insertion for 72 hours for women and 7 days for men significantly reduces any complication of swelling or discomfort after the pellet insertion. Our providers are highly trained in performing the procedure with a safe and comfortable approach for the patient.


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