Feel like yourself again — calibrated to your numbers, not someone else's. Bioidentical pellet therapy via the Biote® system, for women and men.
60 minutes · $100 · labs, candidacy, and a written plan
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Pellets every 3–4 months (W) · 5–6 months (M)
No strenuous exercise 48 hours after insertion
Sleep, energy, mood at 2–4 weeks
Labs, symptom review, ongoing follow-up
Hormone replacement therapy restores hormones — primarily testosterone, and for some clients estradiol — to levels appropriate for you, based on bloodwork and how you feel. We use the Biote® pellet system: a small subcutaneous insertion that releases hormones steadily over months, avoiding the daily peaks and troughs of creams or injections.
Pellets are placed during a brief in-office procedure. Once they're in, they work in the background — no daily routine to maintain. Most women redose every 3–4 months; most men every 5–6 months. We base timing on your labs and your symptoms.
Honest framing: hormone therapy treats real symptoms tied to suboptimal hormone levels — fatigue not explained by sleep, low libido, hot flashes, night sweats, mood and sleep changes. It's not a guaranteed treatment for weight loss, anti-aging, or sexual performance. Response is individual. We base everything on labs and symptoms, not on aggressive optimization toward arbitrary numbers.
We treat both women and men. The protocols are different; the principles are the same.
Hormone replacement therapy in Williamsburg, VA: Colonial Aesthetics & Wellness provides bioidentical hormone pellet therapy through the Biote system for women and men at its Jamestown Road office, a nurse-practitioner-owned practice. Labs come first. The consultation is $100, with pellets starting at $450 for women and $750 for men.
Symptoms often track how much your hormone levels swing. Compare a pellet with short-acting doses.
A full panel and a symptom review show where your levels sit and whether therapy makes sense.
Pellets go under the skin of the hip in a quick in-office visit, with local numbing.
The pellet dissolves gradually, so levels stay in range without a daily routine.
We recheck labs and symptoms and time the next pellet to you, usually every three to six months.
Curves are schematic, not measured levels. Hormone therapy isn't right for everyone; candidacy is decided by your provider after labs. Sources: McCullough, A review of testosterone pellets, Curr Sex Health Rep 2014.
Required first step60-minute appointment: history, symptoms, comprehensive labs, candidacy assessment, and a written plan walking through expectations and timeline.
Every 3–4 monthsBioidentical testosterone pellets placed via a small in-office insertion. Estradiol added when appropriate based on symptoms and labs.
Every 5–6 monthsBioidentical testosterone pellets. Dose calibrated based on baseline labs and ongoing response.
Non-pellet · Every 3 monthsInjection, topical cream, or oral maintenance for clients who would rather not use pellets. Route and dose chosen with you based on symptoms and labs.
How a Hormone Replacement Therapy visit runs, from the days before to the days after. Your provider walks you through all of it at the consultation.
60-minute appointment covering symptoms, full medical history, current medications, and goals. We discuss what hormones can and can't address — honestly. Labs ordered at the visit; results reviewed before we move forward.
15-minute in-office procedure. Local anesthetic, small incision typically in the upper hip area, pellets placed, single suture or steri-strip. Most clients describe the procedure as brief pressure, not pain.
Avoid strenuous exercise for 48 hours. Sleep, energy, and mood improvements typically appear at 2–4 weeks; fuller stabilization at 2–3 months. We follow up with labs and a symptom review on a regular cadence.
If you're unsure, ask us — we'll go through your history during your consult.
Medically reviewed by Brittany Ptachick, MSN, FNP-C and Catherine White, MSN, FNP-C
Board-certified Family Nurse Practitioners · Colonial Aesthetics & Wellness
HRT is consultation-first. We'll review symptoms, run comprehensive labs, and only move forward if it's the right path for you.
Book a Consultation60 minutes · $100 · labs, candidacy, and a written plan
Estimate a monthly paymentor text us at 757-585-4647