
With Bioidentical Hormone Replacement
Hormone Optimization
FAQs
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In Women
Often related to imbalances in estrogen, progesterone, testosterone, thyroid hormones, or cortisol.
Common Symptoms:
Irregular or missed periods
Hot flashes or night sweats
Mood swings, irritability, or anxiety
Fatigue
Low libido
Vaginal dryness
Weight gain, especially around the abdomen
Difficulty sleeping (insomnia)
Hair thinning or hair loss
Memory problems or brain fog
Acne or changes in skin texture
Breast tenderness
Infertility
In Men
Often related to low testosterone, but also may involve thyroid hormones, cortisol, or insulin.
Common Symptoms:
Low libido
Erectile dysfunction
Fatigue or low energy
Depression or irritability
Loss of muscle mass or strength
Increased body fat
Decreased motivation or confidence
Hair loss
Difficulty concentrating
Sleep disturbances
Gynecomastia (enlarged breast tissue)
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Bioidentical hormone replacement therapy (BHRT) is a type of hormone therapy that uses hormones chemically identical to those the human body naturally produces. It's commonly used to treat symptoms of hormonal imbalance, particularly in women during perimenopause or menopause, and sometimes in men with low testosterone (andropause).
Delivery Methods:
Creams
Gels
Patches
Pills
Injections
Pellets implanted under the skin
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1. Detailed Medical History
2. Lab Testing
3. Symptom-Hormone Correlation & Diagnosis
4. Customized Treatment Plan
5. Monitoring & Follow-up
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Pellet therapy is a form of bioidentical hormone replacement where tiny pellets (usually containing estradiol, testosterone, or both) are implanted under the skin—typically in the hip or buttock—every 3–6 months. This method offers some distinct advantages over other delivery methods (like creams, gels, pills, or injections), but it’s not right for everyone.
1. Steady Hormone Levels
Pellets deliver a consistent, time-released dose of hormones.
Avoids the hormone spikes and crashes common with pills, creams, or injections.
2. Convenience
Requires only 2–4 office visits per year.
No daily application or weekly injections.
3. Improved Symptom Relief
Many patients report more stable relief from symptoms like hot flashes, low libido, mood swings, fatigue, and brain fog.
Often preferred by those who had inconsistent results with other methods.
4. No Transdermal Issues
Bypasses issues like skin irritation from creams or gels.
No risk of hormone transfer to others via skin contact.
5. Bypasses the Liver
Like creams or injections, pellets avoid first-pass metabolism in the liver, reducing the risk of liver strain seen with oral hormones.