Hormone Replacement Therapy.
Feel like yourself again — calibrated to your numbers, not someone else's. Bioidentical pellet therapy via the Biote® system, for women and men.
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
What the program actually involves.
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.
What to expect.
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.
Pellet insertion
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.
Follow-up
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.
Who it's for
Who it's for.
- Symptoms of suboptimal hormone levels: fatigue not explained by sleep, low libido, brain fog, mood changes, sleep disruption
- Women experiencing perimenopause or menopause
- Men with confirmed low testosterone and consistent symptoms
- Anyone open to lab-based, symptom-driven care
Who should hold off or check with us.
- Active or history of hormone-sensitive cancers (we screen carefully)
- Active pregnancy or planned pregnancy in the near term
- Significant uncontrolled cardiovascular disease (we'll review at consult)
- Anyone seeking guaranteed weight loss or performance outcomes — we don't promise that
If you're unsure, ask us — we'll go through your history during your consult.
Treatments that pair well with this one.
Questions clients ask us most.
Medically reviewed by Brittany Ptachick, MSN, FNP-C and Catherine White, MSN, FNP-C
Board-certified Family Nurse Practitioners · Colonial Aesthetics & Wellness
Ready to talk through it?
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 VisitFlexible monthly payments available with Cherry or PatientFi.or text us at 757-585-4162