There is an important differences between bio-identical and synthetic hormones.
Once you have made the decision to treat your hormonal imbalance with bio-identical hormones, the next decision that needs to be made between you and your practitioner is what delivery method(s) to use. There are actually several delivery methods and each comes with its own advantages and disadvantages. Pellet therapy method is not well understood, despite the fact that is has been used since the 1930’s, is used extensively in Europe, and has more research backing it that any other modality.
What are Pellets?
Pellets are derived from natural plant sources and then modified at the molecular level to perfectly match what your body naturally produces. These pure bio-identical hormones are then crystallized and compressed into tiny cylinders about the size of a grain of rice. Pellets are available as Testosterone and Estrogen and can be administered for both men and women.
How are Pellets Administered?
Pellets are inserted through a very quick and simple in-office procedure. When you come in to “get pelleted”, we will administer local anesthesia to the area where we will be inserting the pellets, which is in the subcutaneous area of the upper buttock. After you are numb, a very tiny incision is made to allow the insertion of the pellets. The process is extremely quick and usually only takes a couple of minutes. The incision is so small that it requires no sutures. Sterile tape and a bandage is applied to the area. There is absolutely no downtime and you can return to your daily routine.
How do Pellets Work in the Body?
After insertion, capillaries begin to form around the pellets. As blood flows over the pellets, it absorbs the hormones. Pellets are “cardiac driven”, meaning that as your heart rate increases, more hormone will be released as the body needs it. Unlike other therapies, which are all time released, pellets are the only delivery method that actually mimics the testicles and ovaries. Over time the pellets will be completely used and dissolved by the body. There is nothing to remove.
What are the Advantages of Pellet Therapy?
Since the delivery of hormones from pellets are cardiac driven, there is a steady, physiological dose of hormone being delivered to the body. This prevents the “roller coaster” effect of some other delivery methods. For example, in men, after a testosterone injection their testosterone levels will be high, but by the end of that cycle his levels will be very low prior to the next injection. For some people, these highs and lows are something that they would like to eliminate…pellets are the perfect option. Pellets have a much longer time in between doses. On average, pellets in a female will last 3-4 months, and in men, 4-6 months. For many, it is much more convenient to come in to get pelleted once every 3-6 months, rather than weekly injections, or applying creams daily. The dosing is always the same. Once we have the right dose dialed in, which is usually on the 1st or 2nd insertion, we can keep you consistently at your optimal levels! However, with some other modalities, particularly creams, there can be inconsistencies with the dosing. Another possible concern with creams is the possibility of transference onto others.