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What Is Hormone Pellet Therapy? 

Hormone Pellet Therapy​​

Pellet implants are a unique way to treat hormone imbalances into the body. Customized to meet your individual needs,  pellets are compounded hormones made from organic plant materials, which have the same molecular structure of those  hormones found in the body. 

In a simple, quick in-office procedure, your doctor inserts a prescribed number of rice-grain-sized bioidentical hormone  pellets under the skin near the hip. These pellets will release steady small amounts of hormone(s) directly into your  bloodstream for an average of several months.  

Belmar compounds hormone pellet implants in estradiol, testosterone, testosterone with cholesterol, progesterone,  anastrozole and testosterone with anastrozole. We use specialized sterilization techniques to ensure our pellets are  sterile and safe.  

Benefits of Hormone Pellet Therapy

Considered the gold standard of hormonal therapy treatments, bioidentical hormone pellets are used to treat men and  women with low hormone levels. They have the same molecular structure as natural human hormones and work the  same way. Delivering these medications in pellet form has several benefits: 

  • Consistency — Pellets supply a consistent level of hormones released in the bloodstream 
  • Closest to nature — Pellets mimic your body’s natural delivery system more closely than any other method.
  • Convenience — You don’t need to worry about remembering to take your medication daily. Hormone pellets only need to be inserted 2-4 times per year depending on what on your physician prescribes  and what works best for your body. 
  • Fewer side effects — Pellet therapy bypasses the liver, sending hormones directly into the  bloodstream, and avoiding certain side effects of oral medications.  


Bioidentical hormone pellet therapy can be used to treat: 


The most common use of BHRT is to treat the symptoms of menopause in women. These  

symptoms can include hot flashes, night sweats, vaginal dryness, sleep problems, fatigue,  

mid-section weight gain, loss of muscle mass, foggy thinking, and mood changes. 

Low Testosterone  

Levels of testosterone normally decline with age. Some people have no symptoms,  

but it can cause men and women to experience low libido, sexual problems, hair  

loss, fatigue, loss of muscle and bone mass, fat gain (think beer belly for men),  

mood issues and memory problems. 

Loss of Bone Density 

Postmenopausal osteoporosis affects women during the first decade  

following menopause. Bones become brittle, fragile, and easy to fracture.  

This is one of the most common postmenopausal problems doctors treat  

with bioidentical hormone pellet therapy. 

Sexual Dysfunction  

BHRT may help with vaginal dryness in women, decreased libido in  

both sexes, and sexual functioning issues in men. 

Muscle and Strength Loss 

Men and women can lose muscle mass and strength as  

hormone levels decrease. Hormone replacement may help  

patients continue enjoying their favorite sports, activities  

and improve their overall quality of life. 

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Mood Disorders 

Hormonal changes in menopause or andropause (in men) can cause or worsen mood swings, anxiety disorders, or  depression. In addition to worry, fear, agitation, irritability, nervousness, and irrational thoughts, patients can have  physical symptoms — rapid heart rate, shortness of breath, nausea, numbness, lightheadedness, shakiness, and high  blood pressure.  

Who Can from Pellet Hormone Therapy?

Pellet hormone therapy may benefit people who have symptoms of hormone imbalance related to age or other factors. In  addition to serious medical conditions, as hormone levels decline, both men and women can feel less like “themselves”  than when they were younger. They may not have the strength or energy they once had, sex may be difficult or  uncomfortable, they may gain or lose weight, and they may be more sensitive to heat and cold. All kinds of things can  change, from hair and memory loss, when the body isn’t producing its optimal level of hormones.  

Who Should Avoid Pellet Hormone Therapy? 

Hormone replacement therapy does have potential for risks and side effects which can vary from individual to individual,  based on a patient’s medical history and lifestyle. You should always consult carefully with your doctor about the  potential pros and cons for you. Some issues may be better or worse with pellet delivery than oral or cream delivery.  Make sure your doctor knows if you:  

  • Think you may be pregnant 
  • Are experiencing vaginal bleeding 
  • Have/had certain types of cancer such as breast, uterine, or endometrial 
  • Had a stroke or heart attack 
  • Have/had blood clots 
  • Develop a minor local reaction to the implant, such as itching and redness  
  • See the pellets dislodging and coming out of the skin 


In these cases, your doctor may want to consider a different solution for you. 

Belmer’s Hormone Pellet Solutions

The following medication solutions currently fall within our BHRT formulary: 

  • Estradiol
  • Testosterone/Cholesterol
  • Progesterone 
  • Testosterone
  • Anastrozole 

Learn More About Pellet Hormone Therapy 

If you’re dealing with or concerned about one of the conditions listed mentioned,  

visit our Conditions page to find resources and guides to help you discuss  

compounding solutions with your doctor. 

If you’re a clinician who’s interested in prescribing compound medications for  

your patients, visit our Treatment Options page to find a formulary and learn  

more about the solutions available from Belmar Pharmacy. 


(770) 765-6989 

Anytime Primary Care Clinic