Hormone Management

Hormone Management


Frequently Asked Questions

  • What is bHRT?

    Bio-identical hormone replacement therapy with pellets is a natural alternative to synthetic hormone replacement therapies. With bio-identical hormones, the structure of the hormone - testosterone, estrogen or both - is matched to the individual patient's needs. Bio-identical hormones are natural, plant-based substances that metabolize in our bodies the way nature intended. 


    Synthetic hormones are mass-produced and artificially formulated in a lab. Artificial hormones are intentionally manufactured to be slightly different than natural hormones, so the manufacturer can patent the formulation.


    Consequently, synthetic hormones may not provide a good fit or optimum outcome for the human body like bio-identical hormones do.

  • Who should take bHRT?

    Women who have had hysterectomies, personal or family history of cardiovascular disease, osteoporosis, or Alzheimer’s, and women with perimenopausal symptoms that affect their quality of life should consider discussing bHRT with their healthcare providers.


    Men around age 35 may experience a gradual reduction or testosterone, typically 2 to 10 percent per year. 

  • How is bio-identical hormone pellets given?

    Bio-identical hormone pellets are composed of either estradiol or testosterone and are smaller than a grain of rice and smaller than a TicTac. 


    During the sterile, the practitioner applies a local anesthetic, makes a small incision, then inserts the pellets into fatty tissue under the skin - typically in the flank or upper buttocks. The incision is then closed without any need for stitches. 

  • How do they work?

    The pellets release testosterone or estrogen into the bloodstream based on cardiac output, in other words, due to increased physical activity or emotional (good or bad). This steady stream of hormones helps keep symptoms such as mood and energy fluctuations at bay. 

  • How will my healthcare provider know the right dose for me?

    Your healthcare provider will consider your age, weight, symptoms, medical history, and use of previous hormones. They may then choose to do a saliva, urine or blood test to identify specific imbalances of your hormones. Follow-up testing and regular monitoring may be needed. 

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