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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I went to Dr Perlman's office for Botox. Debbie did my injections and I can't say enough positive things about her and the office. She studied my facial...
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Dr. Perlman is one of the best. He has performed several procedures on me and I'm happy with all of them; his years of experience are priceless. He's approachable, has a great sense of humor, honest and always professional. I've utilized other plastic surgeons in the past and Dr. Perlman is by far my favorite. Moe, his office manager is a hoot!...and Sylvia his patient coordinator is easy to work with and always pleasant...Give them a call, you won't regret it!
Jennifer Casey on Joseph Perlman, Dr via Google Reviews
"Botched and Breached Contract!"
This was a horrible experience, I was referred by Seychelles Med Spa to Dr.Perlman, He has caused pain, suffering and deformities to my neck "Breached Contract", refusing Revision surgery! He removed too much fat from under my chin and refused to fix it! Slyvia Diaz (Staff member) is rude and disrespectful, She canceled my Revision surgery 3 days before it was scheduled after waiting over a month for the procedure, stating Dr.Perlman was not doing surgeries and she didn't know when he would, she called back the next day saying come back in for evaluation, but didn't know when he would do the surgery. I knew then I would never receive the Revision surgery, I was in need of! Dr.Perlman had me make appointment for Revision surgery knowing it was needed, he saw the issues that needed to be corrected and then denied surgery? I assume because I reported the rude behavior of Sylvia Diaz to Seychelles Med Spa's owner, being Dr.Joseph Perlman has joined Seychelles Med Spa's team now. Seychelles owner was going to talk with Dr.Perlman or someone in office about Sylvia Diaz unprofessional, rude behavior, I was called back by Seychelles Med Spa confirming they had spoke with someone about the matter! I never had any problems with Dr.Joseph Perlman until this incident! He denied my surgery, Reason being "Circumstances and Reviews"
I was truthful in everything I wrote in review! Dr. Perlman called me a liar on other website in his response to my review! I have no reason to lie, I have called repeatedly literally crying with pain, No calls answered or returned calls, only uncaring Emails! I left a review, but was removed. Dr.Joseph Perlman has multiple websites His response on review was "Sorry you feel your life is ruined," No, Dr.Joseph Perlman my neck is deformed by you! I have pulling skin from Dr. Perlman liposuctioning to much fat from under my chin, If I could only send pictures, (COBRA NECK) with bruising, shocking pain in my face, numbness and fat loss "Botched!" Dr.Perlman literally cut a mole off my chin leaving a huge scar, noticed by his staff member! Dr.Perlman does not care about the well being of his patients! Read reviews from other patients of Dr.Perlman on different websites, I was saddened by their horrific experiences at the hands of Dr.Perlman. I could relate to the horrible experiences they have endured! I have never encountered a Doctor so uncaring about a patient or anyone in need of medical attention until this experience! He said he would send names of other Plastic Surgeons (Why?), but would not pay for their services! I already paid Dr.Perlman for surgery that he has denied! Dr. Perlman you say you will not give full refund in reviews, but you said no refund in emails! To see review at Advanced Plastic Surgery Centre, Joseph M. PERLMAN M.D "Removed"
I know Dr.Perlman's response will be totally different "UNTRUTHFUL", but I pray the truth will be revealed! Dr.Perlman, I don't understand why this had to happen in such a senseless, inmature and careless way, Sir If this had happened to you or someone you know, you would be Devastated, Overwhelmed and Disgusted with the deformities, pain and suffering as well, but it happened to me and you don't care! This is unfair and inhumane! I assume I was conned into a fraudulent scam, The untruthful statements by Dr Joseph M Perlman even changing up websites saying "Permanently Closed" to remove reviews! Personally I would take responsibility of my actions Dr.Perlman instead of losing potential patients! Dr. Perlman and his staff are deceiving, the negligence you Joseph Perlman have caused me, will cost thousands to correct after seeing another Plastic Surgeon! If I only knew I was scammed into a botched surgery! Beware of Advanced Plastic surgery centre, Dr.Joseph M Perlman and his staff! Read reviews from older websites, The truth will be revealed! All my reviews are removed by Advanced Plastic Surgery Centre Dr.Joseph M Perlman and staff! Let's see if this review will be posted and not removed!
Sherry G. on Joseph Perlman, Dr via Google Reviews