Women usually need bioidentical hormone pellet therapy (BHRT). also called “pellet therapy,” every 3 to 4 months, and men every 4 to 5 months.
Pellets are a pure hormone that is not metabolized into byproducts as a result of being processed by the liver, stomach, or skin. This method of delivering hormones can help the body use the amount it needs as the blood flow surrounding the pellets “picks up” what is required.
That depends on age and activity level. Testosterone decreases fat and increases muscle and lean body mass. Testosterone also increases the body’s natural growth hormone production, thereby improving stamina and increasing muscle mass.
Most side effects are temporary and treatable and occur less than 2 percent of the time when pelleted correctly.
Most patients recognize the effect of pellets within 24 to 72 hours. Optimal effects usually occur three weeks after insertion.
Good hormone balance greatly improves libido. The addition of testosterone in pellet form can have a profound impact on how an individual feels and interacts with others.
We have had great success with hormone pellet therapy, especially with women who have menstrual migraines and who have new migraines that appear after age 35.
Women who still have their uterus will need to be on natural progesterone as well.
Estrogen is the most important hormone for a woman. It can help protect women against heart attack, stroke, osteoporosis, and Alzheimer’s. It also helps keep women looking young and healthy.
Testosterone is the third female hormone and is as essential as estrogen and progesterone. Women need testosterone to help keep their thought processes quick and libido healthy. It helps improve bone density, muscle mass, strength, and prevents some types of depression. Testosterone is also a source of energy and solid sleep.
Facial hair will grow with testosterone pellets, but normally no more than when you were in your thirties. There is less chance of excess hair growth with natural testosterone than with synthetic hormones.
Metabolites of testosterone, Dihydrotestosterone and estrone, can cause prostate enlargement and contribute to prostate cancer. Estrone increases and testosterone decreases as men age and gain belly fat. Testosterone pellets may help reverse that trend.
The blood levels of estrone and DHT are checked after treatment to see if they are elevated. Some men still convert to these metabolites even on testosterone pellets. If they are converting, we troubleshoot with natural supplements such as DIM and Saw Palmetto, or an aromatase inhibitor prescription.
Testosterone pellets may make it better if it’s not converted to DHT. We will treat that if it happens.
Testicles are suppressed by taking any kind of testosterone and will not make as much testosterone while the pellets are working, so they may shrink. This is not permanent and the testicle retains its ability to produce testosterone.