A form of hormone therapy that mimics what your body would produce on its own, seeking to return the hormone balance to youthful levels in men and women and to aid transgender men and women in best establishing/maintaining the characteristics associated with their gender.
Symptoms may vary widely from depression and anxiety to night sweats, sleeplessness, and decreased sex drive . You will be given a lab slip to have blood work done which will determine your hormone levels. Once the hormone replacement provider reviews and determines you are a candidate we will schedule an appointment for insertion.

No, only initially and 4-8 weeks later to set your dosing. You may have it done again if there are
significant changes.

They are made from wild yams and soy. Wild yams and soy have the highest concentration of hormones of any substance. There are no known allergens associated with wild yams and soy, because once the hormone is made it is no longer yam or soy.
Every 3-5 months for women (including transgender women) depending on the person and 4-6 months for men (including transgender men). Everyone is different so it depends on how you feel and what the hormone replacement provider determines is right for you. If you are really active, you are under a lot of stress, smoke, or it is extremely hot your treatment may not last as long. Absorption rate is based on cardiac output.
What the pellets are made of is FDA approved and regulated, the process of making pellets is regulated by the State Pharmacy Board, and the distribution is regulated by the DEA and State Pharmacy Board. The PROCEDURE of placing pellets is NOT an FDA approved procedure. The pellets are derived from wild yams and soy, and are all natural and bio-identical. Meaning they are the exact replication of what the body makes.
Your practitioner will implant the pellets in the fat under the skin of the hip. A small incision is made in the hip. The pellets are inserted. No stitch is required.
No, the hormone replacement provider can determine what your hormone needs are even if you are on birth control. NOTE: for those born male, testosterone therapy IS birth control- you will be sterile for approximately one year after each placement.

The majority of side effects are temporary and typically only happens on the first dose. The most
common are acne, minor chin/upper lip hair growth, and bloating. All are very treatable. There are no serious side effects. Some men have to donate blood routinely as testosterone can raise your
hemoglobin (iron) levels. Fewer men also need to take an aromatase inhibitor because their bodies
naturally convert testosterone into estradiol (a female hormone) that can cause breast growth,
tenderness, and mood changes. This is more common in overweight men. Your 6 week post pellet labs will determine if you have either of these problems.

This is an easy transition. The hormone replacement provider will be able to determine your needs even though you may be currently taking these other forms of HRT.
Breast cancer survivors and/or those who have a history of breast cancer in their family may still be a candidate; however, this is to be determined by the hormone replacement provider. Anyone receiving estradiol replacement over the age of 40 should have a mammogram annually. This is NOT because pellets cause breast cancer, in fact, they can help reduce the likelihood of breast cancer. However, a person who develops estrogen receptor positive breast cancer should not receive estradiol.

The therapy is $350 for women (including transgender women) and $700 for men (including
transgender men). Twenty percent discounts are given to first responders: firefighters, police officers, nurses, physicians, and APRNs, as well as active duty and retired military. A one time fifteen percent discount is given when you leave positive reviews on facebook, google, and yelp. You get your next pellets ½ off when someone you refer gets pellets.

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