How is BHT administered at my practice?

  • It’s normal to feel nervous your first time, but there’s absolutely nothing to worry about. The entire process is quick and painless and will be over before you know it.

  • Tiny Tic- Tac sized pellets are inserted in your ‘love handle’ or upper buttocks through a small incision while under local anesthesia. Because the pellets are “time-released” they’ll stay in your body for 3-5 months; gradually releasing a steady flow of hormones.

  • You don’t even have to swallow the pellets! Fun Fact: You should never swallow bioidentical estrogen or testosterone. Our digestive system makes them inactive.


What specific hormones are used?

  • Testosterone: It’s a myth that there are “men hormones” and “women hormones.” Take testosterone, for example. We all create and use testosterone, there are just a few noticeable differences.

  • We both produce testosterone in our adrenal glands; however, over-all men create more testosterone in their testicles than women do in their ovaries. When it comes down to it, women also require a lot less of it than men!

  • Did you know testosterone is one of the key elements our bodies use for producing insulin? The cells engineer estrogen by converting testosterone through a process called, “aromatase.”


Why do we need testosterone?

  • Think of Testosterone as the hormone in charge of looking and feeling strong and staying young.

  • It increases lean muscle mass, strength and endurance so you can blast the fat away.  

  • It can even solve issues in the bedroom. Testosterone regulates libido and sexual performance for men and women.

  • It’s is also your body’s natural defense against cardiovascular disease, osteoporosis, and high cholesterol.


Do we all need to take estrogen?

  • Although commonly thought of as a “women” hormone, everyone needs estrogen to function properly.

  • In fact, we have three main types of estrogen, estrone (E1), estradiol (E2) and estriol (E3) all working together.

  • It’s a part of our first line of defense against heart disease, stroke and osteoporosis.

  • It’s also helps protect us from Alzheimer’s disease, and other memory disorders.


Will hormone therapy help with hair loss?

Many men and women do not know that hormone deficiency is a common cause of thinning hair. 

  • Bioidentical hormone therapy pellets with testosterone implants can help to re-grow hair. 

  • Overtime, happy clients noticed their hair became thicker and more moisturized.


How long does hormone therapy last?

  • Women can expect the bioidentical hormone therapy pellets to last anywhere from 3-4 months.

  • Men can expect the bioidentical hormone therapy pellets to last anywhere from pellets can last 4-5 months.

The best part is, you don’t have to make another appointment to remove them! They completely dissolve on their own.


Estrogen for Women:

For women, low estrogen levels can be the root cause for menopausal symptoms like vaginal atrophy, urinary incontinence, and hot flashes. Low estrogen even causes fatigue, depression and mood swings. Estrogen also regulates your mood and libido while keeping your skin young and wrinkle -free.
Estrogen is a vital hormone for both men and women; but the vast majority of women diagnosed with an estrogen deficiency are not treated with estrogen pellets. They are actually treated with testosterone pellets. Why?

High circulating levels of estrogen in the blood can lead to serious health problems down the road. Since women make enough estrogen already using testosterone, there’s no need to use estrogen.

How often do medical professionals prescribe estrogen? Realistically, it’s incredibly rare. However, if you are ever prescribed estrogen, there are two things to keep in mind. Make sure it’s bioidentical estrogen and not non-human estrogen. Non-bio-identical synthetic estrogens are too much for your system. They bind nearly 20 times stronger and they’ve been proven harmful. Stay away!

Estrogen and Balance:

Did you know that estrogen can actually improve your balance? That’s right, without getting too technical it has to do with the estrogen levels in your central nervous system.



Even though progesterone is primarily produced in the ovaries before and after ovulation, you can find it in the placenta during pregnancy. It’s also in the adrenal glands like testosterone.

We suggest most women taking bio-identical estrogen to consider adding progesterone as well. Studies show links between progesterone protecting women against certain cancers and fibrocystic disease.

In the U.S women with estrogen deficiencies are traditionally prescribed a synthetic horse derived progestin, called (Provera). Provera, like most non-bioidentical hormones causes a myriad of negative side effects; like, bloating, headaches, fatigue, weight gain, and heart disease. Conversely, bio-identical progesterone doesn’t have these side effects.


Are there any side effects?

Bio-identical hormone replacement therapy has side effects just like any other medical procedure. If you experience slight bruising, or discoloration of the skin around the incision, that’s completely normal!

Realistically, the experience of the health care professional plays a massive role in the overall success of your procedure and certain side effects. For instance, while inserting the pellet you could experience minor bleeding or bruising, discoloration of the skin, and infection and extrusion (pellet working its way out). Even then, these complications are rare.

Women: While incredibly effective, testosterone will NOT make women “grow a penis” no matter how large the dose. That’s just a silly myth. It would also take incredibly high levels of testosterone before affecting a woman’s voice. Testosterone may, however, cause a slight increase in facial hair in some women. In those cases, we just readjust the hormone levels.

Men: Because testosterone stimulates the bone marrow and increases the production of red blood cells, bioidentical hormone therapy may result in a rise in red blood cells. If the hemoglobin and hematocrit (blood count) get too high, a unit of blood may be donated to restore balance.

How much do pellets cost?

Women can expect to spend $500 for insertion but the procedure costs $1000 for men. Why? Men need much larger doses of hormones than women. The final price tag will also depend on factors like how many sessions we schedule and how quickly the pellets are metabolized. Typically, pellets need to be inserted about 3 to 4 times a year. All in all, bio-identical hormone therapy, is incredibly affordable, especially when compared with other options. Call the office for more details about payment options.


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