Restore Balance With Hormone Therapy (HRT)

Bioidentical hormone therapy pellets are custom-compounded estradiol or testosterone pressed into small, solid cylinders similar to a large grain of rice. Pellet production is highly regulated by the FDA.  

EvexiPEL Certified providers source pellets from FaramKeio, one of the leading 503B FDA-registered compounding pharmacies in the country. Each pellet is carefully compounded to the exact dose prescribed by your practitioner to meet your body’s unique needs and facilitate optimal absorption of your prescribed therapy. 

Your provider can help guide you through the steps required to begin treatment. Treatment plans begin with laboratory testing. At your first consultation, your provider will review your lab results, medical history, symptoms, and discuss your current lifestyle and personal experiences since symptoms began. This information will allow your provider to develop a treatment plan for you that may include BHRT as well as other healthy lifestyle changes and therapies to achieve optimal health and wellness. 

Patients who seek hormone therapy are often seeking relief from uncomfortable symptoms of hormone imbalance including hot flashes, night sweats, hair loss, insomnia, weight gain, brain fog, low energy, moodiness, irritability, anxiety, fatigue, and more. With pellet therapy, patients experience relief of these symptoms as well as additional benefits, such as improved libido, mental focus, and reduced risk of disease. 

The primary goal of hormone therapy is to address the root cause of these symptoms—hormone imbalance—and reach a state of hormone optimization. 

Some patients may experience temporary, undesirable side effects as their body adapts to the treatment. The most common side effects are increased hair growth and skin breakouts due to increased oil production. If you observe any side effects, tell your EvexiPEL certified provider so that he or she may adjust your treatment plan as needed. 

Pellets deliver consistent levels of hormone for 3 to 5 months in women and 4 to 6 months in men. Pellets mimic the slow, steady release of hormones naturally produced by the body, therefore reducing side effects commonly observed with other delivery methods and improving overall outcomes, including relieving symptoms of hormone imbalance.  

Unlike patches, pills, creams, or injections, pellets are highly convenient. Once inserted, the pellets begin to dissolve delivering a steady state of hormone to your body. With pills or creams, there is always the forgetting or applying too much or too little of the product. Injections often give higher doses at the beginning of each cycle and taper off sharply before the next injection. Patches are often unsightly or fall off before the cycle is complete. These features lead to drastic changes in your hormone levels that can impede relief or cause other side effects. With pellets, most patients experience hormone optimization within two insertions and enjoy complete symptom relief as well as other benefits. 

The steady rate of delivery is a key feature in supporting reduced risk of some diseases, while also optimizing overall health. When administered correctly, pellet therapy does not contribute to an increased risk of blood clots that are commonly experienced with other forms of hormone replacement therapy. 

Pellet therapy is a longstanding, effective form of hormone therapy, dating back to the early 1930s. Patients who have experienced negative side effects or poor outcomes with other forms of hormone therapy are often successful with pellet therapy. 

Your provider will complete a thorough examine, assess your lab work, and review your medical history before recommending treatment. There are currently no known health conditions that would prohibit BHRT, however for estrogen-positive breast cancer survivors or prostate cancer survivors, a modified treatment plan may be necessary. 

To prepare for your first pellet insertion, you should be up to date on routine screenings for your age and gender: 

• Mammogram 
• Pap Smear 
• PSA Test 

The appointment takes around 15 to 30 minutes and will involve a minor incision near the upper buttocks/hip area. The area may be sore for a few hours after the procedure. You will need to abstain from certain activities, such as strenuous exercise for several days post-procedure to ensure your incision heals properly. 

The insertion of pellets is a short, simple procedure that is often completed in a short 30-minute office visit. Pellets are usually inserted in the lower abdominal wall or the upper buttocks area. Local anesthesia is applied to the insertion site, where a small incision is made and the pellets are placed. The incision is closed up with a special medical tape.  

When selecting a pellet therapy provider, it is important to select an expert, highly trained in hormone therapy and effective insertion techniques that minimize pain, inflammation, bruising, and ensure optimal absorption and reduced risk of extrusion. 

Insertion schedules vary by individual. Various factors impact the rate at which the pellets dissolve. For most women, pellets will last 3 to 5 months, requiring approximately three to four visits per year. For most men, pellets will last 5 to 7 months, requiring two to three visits per year.  

For most patients, labs and consultations are covered by your insurance. Coverage of pellets varies by insurance provider. To find out if pellet therapy is covered by your insurance provider, please contact your insurance provider directly. Note, SUR Medspa does not take insurance and cannot gurantee coverage of labs, consulation, or treatment.