Hormone Pellet TherapyA steady, hands-off way to support your hormones

Pellets are tiny, rice-sized cylinders made from plant-derived hormones that match the ones your body already produces, usually testosterone for men and estradiol with testosterone for women. They are pressed into a slow-dissolving form so a steady dose releases over several months as your body absorbs them.

The pellet is placed just under the skin of the upper hip area during a brief in-office visit. The site is numbed, a small opening is made, and the pellet is inserted. The whole process usually takes about fifteen minutes and most patients return to normal activity the same day, with light restrictions for a few days.

Most women feel the benefit of a pellet for about three to four months. Most men feel it for about four to six months. The pellet dissolves on its own, so nothing has to be removed. We schedule the next insertion based on how you are feeling, not just the calendar.

Some patients notice steadier energy and improved sleep within the first one to two weeks. Mood, mental clarity, libido, and body composition shifts usually build over four to six weeks as levels stabilize.

Not necessarily better, just different. Pellets are the most hands-off option because dosing happens automatically. Injections give you more control to adjust dose if your needs change. Creams are gentle and easy to start but require daily application. The best choice depends on your goals, lifestyle, and how your body has responded to previous therapy.

Most patients tolerate pellets well. Possible issues include minor bruising or tenderness at the insertion site, temporary water retention, mild acne or skin changes, and shifts in mood as your body adjusts. Rare issues include pellet extrusion or infection at the site, which we screen for at every visit.

Yes. Many of our patients start with injections or creams and switch to pellets once they find a dose that works for them. We review your recent labs, current symptoms, and goals before recommending a transition plan.

Pellet therapy is generally not recommended for anyone with active hormone-sensitive cancers, untreated significant cardiovascular disease, or certain clotting disorders. Patients whose dosing needs change often, such as those still in early perimenopause, sometimes do better with adjustable therapy first.

Most insurance plans do not cover pellet therapy. We are transparent about cost up front so you can compare options without surprises.

Pellet therapy is prescribed, dosed for your specific labs and symptoms, and monitored over time. Over-the-counter creams and supplements are not personalized and rarely deliver consistent levels. Working with a clinician means your protocol is based on data, not guesswork.

Most patients describe it as a quick pressure, not pain. We numb the area first, and the actual placement takes only a couple of minutes. Some mild soreness or bruising at the site for a day or two is normal and usually settles on its own.

You will usually notice it in the small things first, like waking up feeling more rested, steadier energy through the afternoon, a calmer mood, or better focus. We also check labs at planned intervals so we can see what is changing on paper alongside what you are feeling.

As the pellet finishes dissolving, you may notice some of your earlier symptoms easing back in. That is our cue to plan the next insertion. We schedule follow-ups ahead of time so you do not have a long gap between doses.

Walking and light movement the same day are fine. We ask you to hold off on heavy lifting, intense workouts, swimming, and hot tubs for about three to five days so the small insertion site can close cleanly.

When dosing is right for you, most patients see the opposite, better energy for activity, easier muscle tone, and steadier hair and skin. If something feels off, we adjust at your next insertion. Symptoms like unexpected weight or hair changes are usually a sign your dose needs fine-tuning, not a reason to stop.

For most patients, yes, when it is prescribed at the right dose and monitored with regular labs. We review your history before starting and keep an eye on your numbers and how you feel at every visit, so the plan stays aligned with what your body actually needs.

The pellet cannot be removed once it is in, but it does dissolve on its own over a few months. If something is not feeling right in the meantime, reach out. We can often manage side effects with simple adjustments so you are comfortable while your body settles in.