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The hormone replacement pellet therapy procedure is quick, easy and relatively comfortable and benefits both men and women. Patients will first sit down with our in-house Physicians Assistant who will determine the level of hormone needed. This is determined by a thorough evaluation of a number of health factors and symptoms on a patient by patient basis. The bio-identical hormone pellet is then placed under the skin of the upper buttocks. The pellet releases a steady dose over a period of time. The length of time ranges from 4-5 months depending on the dose given.

What is Pellet Hormone Replacement Therapy?

It is bioidentical hormone replacement therapy or BHRT. Basically, you take hormone your body doesn’t produce enough of. The term "bio-identical" means the hormones are chemically identical to those your body produces. Bio-identical hormones are derived from plants and possess the exact hormonal structure of the human hormones estradiol and testosterone.

Pellet therapy delivers bio-identical hormones to your body through a tiny pellet that is inserted into your skin, usually on the upper buttocks. The pellet slowly releases hormones for 4-5 months. We do pellets for both men and women.

Why do I need hormone replacement therapy? How do I know if I would benefit?

As we age, our bodies produce less hormones than we need to feel energetic and youthful. If we can replace the hormone levels that have dropped, the theory is that we can feel better in every way. If you have experienced any of the following symptoms, pellet therapy may be right for you.


Symptoms of low testosterone in men:

  • Low sex drive
  • Erectile Dysfunction (ED)
  • Chronic fatigue
  • Loss of muscle mass
  • Increased body fat (especially in the waist area)
  • Decreased bone mass
  • Mood changes
  • Lower mental capacity
  • Depression
  • Irritability
  • Brain Fog

Additionally, conditions that can be affected by low levels of testosterone include:

  • Diabetes
  • Cardiovascular Disease
  • Depression
  • Stress
  • Anxiety
  • Alcohol use
  • High Cholesterol

Symptoms of low estradiol in women:

  • Fatigue
  • Night Sweats
  • Hot flashes
  • Decreased sex drive
  • Weight gain
  • Insomnia
  • Irritability
  • Anxiety
  • Depression
  • Cold hands and feet

Why is pellet therapy better than getting hormones through a pill or a cream?

The pellet delivers hormones consistently throughout the day. Pills and creams can create a rollercoaster effect as hormones are taken only once a day and then wear off. Then you take more. Another benefit is you don’t have to worry about missing doses. You don’t have to manage short-term hormone therapies like the patch. With the pellet, you would only need to reinsert it 2-3 times a year.

What happens to the pellet once it is inserted?

The pellet slowly dissolves as the hormones are absorbed. Nothing is left behind.

Is there downtime after getting the procedure done?

After inserting the pellet, we suggest avoiding strenuous activities and swimming for a week. Walks are fine to take, as are showers.

Are there side effects?

Any type of hormone replacement therapy can have side effects. However, our doctors will work with you to eliminate these as much as possible. Short term side effects can include headaches, irritability, mood swings, acne, and difficulty sleeping. In women, hormone therapy can increase the chance of gallbladder disease, blood clots, and stroke. Some studies have shown that hormones taken over long periods of time can increase the chance of developing cancer.

What are the drawbacks of pellet therapy?

One drawback is that some insurances don’t cover the procedure. However, when you look at all the health benefits of doing it—feeling great, preventing disease, etc.—the benefits outweigh the costs.


Is Hormone Pellet Therapy Right for Me?

Hormone Pellet Therapy is a safe and effective option for men and women who suffer from various symptoms such as low sex drive, mood changes, chronic fatigue, hot flashes, depression and more. There have been studies done to confirm that it is safe. However, it is important to remember that it is not for everyone.

Patients who use drugs and alcohol may not be able to get this procedure. People who have a medical condition may also not be able to get this treatment. Let your healthcare provider know if you have a serious medical condition.

Call Trilogy Medical Center at 801-747-2273 to schedule an appointment.


to Trilogy Medical Center! Our doctors and staff are some of the best in the world. We are here to answer your questions in a private in-office setting or over the phone.

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