What is Hormone Pellet Replacement?
Schedule onlineHormone pellet replacement therapy involves placing an implant under your skin to deliver a slow, consistent level of synthetic bio-identical hormones. Bio-identical hormones are the most chemically identical hormones to the ones that our bodies produce naturally. This ensures optimal delivery of essential hormones, such as estradiol or testosterone, to patients who are suffering from the negative effects of natural hormone depletion.
Unlike other forms of hormone therapy, such as oral pills and transdermal creams or gels, pellet hormone replacement therapy aims to reduce the “up and down” effects of other types of supplemental hormones. Hormone pellet replacement therapy results in more consistent mood and energy levels. With a pellet hormone replacement therapy implant, individuals can maintain sustained hormone levels throughout the day for up to five months.

What are Hormone Pellets?
Specially formulated hormone pellet implants are very small and contain a natural source of bio-identical hormones. The pellets are placed in fatty tissue under the skin every three to four months, depending on the patient's natural physiological processes. The bio-identical hormones are slowly released from the pellets to closely mimic the release rate from the body. Placing the hormone pellets is a minimally-invasive procedure that is performed during an in-office visit. The pellets dissolve in your body, so they don’t need to be removed.

Benefits of Hormone Pellet Replacement Therapy
There are many benefits of receiving bio-identical hormone pellet replacement therapy: Increased muscle mass; Increased bone density; Improved strength; Better overall coordination; Enhanced physical performance Improved skin tone and hair texture; Better memory Increased concentration; Improved sexual health; Enhanced overall physical health.
Hormone Pellet Replacement Therapy for Men
Schedule onlineWhile men don’t experience menopause, they do experience a decrease in their hormone production through their later stages of life. This depletion of testosterone and other vital hormones is typically referred to as andropause or low T. Men generally experience a slight decrease in their hormone production by the age of 30 and may start seeing signs of andropause by the time they are 50 years old.
Signs of Andropause and Low Testosterone
Common signs of andropause or low testosterone include:
- Mood swings
- Loss of muscle mass
- Irritability
- Insomnia
- Low libido
- Erectile dysfunction
- Weight gain around the midsection.
How Hormone Pellet Replacement Therapy Helps Men
With the help of bio-identical hormone pellet replacement therapy, men may see an improvement in their physical health, as well as their mental well-being. This is due to the balancing and replenishment of hormones within the body. Men who start hormone replacement therapy may see improvement in their unwanted symptoms within just two weeks of treatment, with ultimate results becoming apparent within just six to eight weeks.
Hormone Pellet Replacement Therapy for Women
Schedule onlineWomen typically experience changes in their hormones throughout their lives, with the most significant changes occurring during puberty, pregnancy, and menopause. Women over the age of 50 typically start experiencing symptoms of menopause once their menstrual cycles end.
Signs of Menopause and Hormone Imbalances in Women
Common symptoms of menopause include:
- Chronic fatigue
- Hot flashes
- Insomnia
- Night sweats
- Weight gain around the midsection
- Mood swings.
How Bio-Identical Hormone Pellet Replacement Therapy Helps Women
Bio-identical hormone pellet replacement therapy may help ease the transition into menopause. By replenishing depleting hormones with a bio-identical supplement, women may see improvement in their menopause symptoms within just two to three weeks. In addition to improving their overall physical health, hormone replacement therapy may help with mental wellbeing by replacing lost melatonin, estrogen, and pregnenolone hormones.
Hormone Pellet Replacement and Weight Loss
Unwanted weight gain is one of the biggest challenges for men and women with menopause, andropause, and low testosterone levels.
Patients going through these next stages of life find that gaining weight is easier and losing it gets harder and harder every day. This is because the hormones in your body affect the speed of your metabolism. Therefore, lower levels of hormone production in certain patients may contribute to the onset of weight gain, despite living a healthy lifestyle that includes proper diet and exercise.
Patients who receive bio-identical hormone pellet replacement therapy treatments may lose weight during the course of treatment. While the increase in hormone levels may help increase metabolism and help patients lose weight, bio-identical hormone pellet replacement therapy is not considered a weight loss solution. It’s important that you always lead a healthy and active lifestyle while using hormone replacement therapy.
Hormone Pellet Replacement Therapy FAQs
Ask a question-
What can I expect from hormone pellet replacement therapy?
The first step for hormone pellet replacement therapy is to determine your current hormone levels via bloodwork. Based on the results, the medical provider determines the proper dosing and combination of hormones that your body needs for optimum performance. Hormone pellet implants are an ideal way to deliver hormones directly into the bloodstream 24/7 in a way that cannot be achieved with patches, pills, and other modes of delivery.
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When will I see results from hormone pellet replacement therapy?
Patients typically start seeing improvement in their menopause or andropause symptoms within two weeks of starting treatment. It's important to note that patients may not see the full effects of their bio-identical hormone pellet replacement therapy treatments for up to eight weeks following their pellet implant appointment. Follow up with your medical provider every four to six months to have your hormone levels checked and have your hormone replacement adjusted as needed.
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How much does hormone pellet replacement therapy cost?
The cost of hormone pellet replacement therapy varies greatly by individual. To guarantee the best results, it is recommended that you set up a consultation with a hormone replacement specialist to determine if hormone pellet replacement therapy is the best option for you, as well as the best combination of bio-identical hormone pellets.
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Am I a good candidate for hormone pellet replacement therapy?
If you are suffering from the negative effects of menopause, andropause, or low testosterone, hormone pellet therapy may be right for you. Ideal candidates for bio-identical hormone pellet therapy are in good general health and have realistic expectations of their potential results. Patients who do have pre-existing health conditions are encouraged to speak to a medical provider before starting hormone pellet replacement therapy.
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Is hormone pellet replacement therapy safe?
Yes, hormone pellet therapy is a completely safe and effective way to treat your unwanted side effects from menopause and low testosterone. Bio-identical hormone replacement therapy with pellets generally provides the best results for men and women because there are fewer unwanted side effects and fluctuations in hormone levels.
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How do I choose a provider for bio-identical hormone replacement therapy?
Look for a medical provider who has a long-standing reputation that demonstrates an expertise in bio-identical hormone replacement therapy and pellets. Take your time, and schedule consultations with a few providers until you find one that helps you feel comfortable and confident with the treatment.
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Read real reviews from the Anzolo community
Love love love Dr. Bashara and the paragon crew! I have been a patient here for 6 years and I wont go anywhere else for my botox services. :)
Shannon Jiu-jitsu Athlete on Mark A Bishara, Dr via Google Reviews
For hair restoration, this is the absolute last place you want to be. He is not an expert, he is only good at selling you that he is. He has good bedside manner but do not let that fool you (He fooled me. I thought I had found a great doctor but I was so wrong). He is extremely dishonest when reviewing results. He promises the world then only delivers 10% of what he promised. When you call him out on it, he blames you the patient for the poor results... it is so distasteful, it makes me sick to my stomach that I trusted him. I had multiple surgeries with this doctor, I was foolish to trust him but I did and still came away with terrible results. I want other people to avoid that experience which is why I am writing this review.
People who are losing their hair are already in enough pain then you go to a doctor thinking you can trust them to help your situation but instead Dr. Bishara exploits you, compounding that pain. He may respond to this review refuting it or trying to explain away what happened to me, that is expected.
Go see a doctor who specializes in hair restoration not someone who buys an expensive machine and does hair on the side to make more money. Find a good doctor and do not make an emotional decision like I did by going with the first doctor you visit because you just want to get more hair right away.
You do not have to take my word for it but I hope it leads you to more research for your own hair restoration.
(My name is not on the review because this is a private medical matter)
A Google User on Mark A Bishara, Dr via Google Reviews
Another awesome experience at Paragon! Angela keeps my skin looking smooth and youthful!
Ja'Mai Harris-Edwards on Mark A Bishara, Dr via Google Reviews
Dr. Bishara told me my hair transplant would change my life....and It did... Financially! 15K and my hair looks about the same 15 months after the transplant. I do have limited growth in the procedure areas but not the thick or full coverage I expected. I am disappointed to say the least and now stuck with the option of shaving my investment..
During a follow up consultation in July 2018 (procedure done May 2017) Dr. Bishara said I had continued to have hair loss and asked me what I was doing to counter the continued hair loss.... Nothing was my answer because this was not discussed until now. I really think this is his go to excuse... Some of his other reviews say the same! I would think this would be something that should be discussed extensively as a possibility before the procedure and not after, but that might be bad for business! When I brought up the fact that Dr. Bishara had given me his word that he always makes things right... He told me he felt we had exhausted my donor area and that another transplant would not be an option... If you are considering a hair transplant I would think long and hard about what your expectations are and ask whatever doctor you use, what is the worst case scenario for me and options if the procedure does not give you the results you expect!
Paranormal Channel on Mark A Bishara, Dr via Google Reviews