Bioidentical
Hormone Therapy

What is Hormone Pellet Therapy?

Hormone Pellet Therapy places small, time-released pellets of bio-identical hormones in the fat under your skin to be absorbed. The hormones in the pellets are bio-identical, meaning it is the exact molecular match of the human hormone. The process is quick and painless, like having your blood drawn. A small amount of local anesthesia is used to numb the skin before a small tube pushes the pellet into place, and is easily performed in the office.

The pellets are derived from natural plant sources and dissolve completely over a three to six month period in order to replicate the body’s optimal hormonal levels. A compounding pharmacy, following strict federal guidelines, compresses, heats and sterilizes hormone powder to make the pellets. Once placed in the fatty tissue underneath the skin, the pill-sized pellets most closely mimic the actions of healthy ovaries and testicles with regards to testosterone release into the bloodstream.

Because the pellets contain only ingredients naturally found in the human body, Pellet Therapy is ideal for patients wanting the benefits of human hormone therapy to replace a deficiency and enhance health and performance, without the drawbacks of synthetic non-human ingredients.

Symptoms that may benefit from Bioidentical Pellet Therapy include:

  • Anxiety
  • Irritability
  • Loss of Energy
  • Decreased Sexual Desire
  • Elevated Cholesterol
  • Weight Gain Despite Exercise
  • Loss of Memory
  • Cardiac Dysfunction
  • Depression
  • Poor Concentration
  • Loss of Muscle Tone
  • Menopausal Symptoms
  • Inflammation

Why Bio-Identical Hormone Pellet Therapy is a Good Choice.

For Women:

A 40-year-old woman has less than half the testosterone she did at 21. This drop has enormous implications for her health, well being and physical resilience.

Most testosterone is made by the ovaries with the rest of it being made in the adrenal glands. Women are more sensitive to testosterone than men. In other words, they need a lower circulating level in their bodies to provide for their physical, emotional and neurological health. This increased sensitivity leads to a rapid development of problems when a comparatively small drop is available testosterone occurs.

Few realize that even at her reproductive peak, a woman has far more testosterone in her circulation than estrogen. A small reduction in testosterone levels creates the symptoms we call menopause: including a drop in muscle mass and bone density, increased body fat (especially inside the abdomen), higher levels of inflammation, decreased energy, mood, balance, and temperature regulation issues that adversely affect many aspects of life.

For Men:

A man will typically lose 1 to 2% of their testosterone level every year staring at age 19. Acceleration of this drop can occur from stress or taking opiate pain relievers (which can drop the testosterone levels up to 80% within two hours).

The biggest factor in older men’s ability to survive and ambulate in a rehabilitation unit was found to be their testosterone level.

A human’s anti-inflammatory, emotional, and physiologic health (including heart and muscle function) is critically dependent upon a steady supply of testosterone. Low testosterone is clearly linked to higher rates of diabetes, heart disease, prostate cancer, depression, intra-abdominal fat, death, inflammation and increased pain sensitivity. Furthermore, the estrogen inside the cells that is responsible for the bone, nerve, and tissue repair in both sexes is created from the testosterone that has been transported inside these cells.

Misconceptions dispelled

Testosterone does not make one angry or violent. Quite the opposite! Testosterone has been shown to increase “friendliness” by decreasing irritability, anger, sadness, nervousness and tiredness. Nor is there any scientifically valid evidence showing testosterone increases the risk of heart disease or death. In fact, years of solid research has led many experts to believe that testosterone is protective of the cardiovascular system, prostate and breast.

Are there side effects?

Testosterone therapy side effects are uncommon, mild and manageable. The most common side effects are increased facial or body hair, a mild acne outbreak or an overly increased libido. Should they occur, these side effects are temporary and resolve upon decreasing the dosage.

How can I determine if this therapy is right for me?

An office consultation and review of your symptoms and lab results will determine if you are a candidate for bio-identical hormone pellet therapy. We will go over the expected benefits and possible risks as they apply to you.

Hormone support for Men and Women facing Recovery and Rehabilitation from surgery or injuries.

It is obvious that as we age, it is much harder to recover from physical insults and injuries. Older bodies are no longer anabolic (muscle building) and actually become catabolic (breaking down muscle and losing bone density.)

The average 45 year old man in 2006 had 30% less testosterone than a 45 year old man in 1986. Women in the lowest 1/3 of testosterone levels have greatly increased mortality and disease rates, as do men. It is almost certain that the same environmental factors that dramatically lowered male testosterone levels have also lowered the female levels. Furthermore, except for their reproductive organs, males and females are physiologically identical. Men and women are equally dependent for health upon a steady supply of testosterone and the resultant intracellular estrogen and other compounds that are made from testosterone in both sexes.

Female Hormone Replacement Therapy

The symptoms of perimenopause and menopause can be life -altering! Hot flashes, night sweats, poor concentration and sleep disturbance are just a few of them. A key study for our generation was the Women’s health Initiative published in 2002. The results showed increased risk of cardiovascular disease and 26 % increased risk of breast cancer. Related to hormone replacement. In 2002 the prescriptions for synthetic estrogen and progesterone therapy decreased by 60%. The Pendulum has shifted and now women are again seeking remedies for hot flashes, and other disturbing menopausal symptoms. Compounded bioidentical hormone therapy and pellet therapy are becoming more mainstream.

The Endocrine society has defined Bioidentical Hormone Replacement Therapy as “compounds that have the exact chemical and molecular structure as hormones that are produced in the body.” There are 3 main types of Estrogen hormones. Estradiol and Estrone are produced in the ovaries. Estradiol is the predominant female hormone prior to menopause, and Estrone becomes more prominent after menopause. Estriol is the third hormone and it is short acting. It is also the least potent endogenous estrogen.
There are two cellular receptors that bind estrogen, alpha and beta. Alpha receptors are found in the endometrium, breast cancer cells, and ovaries. Beta receptors are found in bone, kidney, lung and endothelial cells. Estradiol has the highest affinity for the receptors, then Estrone is mid-range, and Estriol is the weakest.

A common compounded estrogen is Biest which is 80% Estriol and 20 % Estradiol. Although lower dose, estradiol accounts for the most estrogenic activity. Progesterone is used in hormone therapy to prevent development of endometrial hyperplasia or neoplasia as a result of estrogen administration. Micronized progesterone allows for improved absorption of oral progesterone. It does contain peanut oil. Progesterone can also be compounded and delivered in a topical cream.

Testosterone therapy with very small doses allows females to build more muscle mass. Muscle is more efficient at burning calories than fat. In small doses, 1-5 mg/day, it improves mood, focus and may improve memory. Testosterone therapy helps improve sex drive, builds bone mass and improves skin tone and texture.

The most common methods of replacement are creams, pills, or bioidentical pellet therapy. Each of us has our own special dose which is identified after lab work is done.

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    Biodentical Hormone Replacement vs. Synthetic Hormone Replacement

    Aging is an inevitable and consistently observable phenomenon, but no single biological factor defines the process. Aging does not know any borders, nor does it distinguish between people of different ages or sexes; regardless of chronological age, everyone experiences the effects of aging. One of the most common effects of aging is decreased hormone production. In women, this decrease can lead to a reduction in estrogen levels, which can, in turn, lead to a reduction in libido, an increase in wrinkles, and a decrease in bone density, as well as experiencing a decrease in testosterone. A decrease in testosterone levels can decrease muscle mass, bone density, and libido in men.

    Fortunately, there are options available to address these issues. One option is hormone replacement therapy (HRT). But HRT comes in two primary forms: natural hormone replacement therapy (NHRT) and synthetic hormone replacement therapy (SHRT). And this is where the confusion begins. How can you decide which type of HRT is right for you? To guide you through this decision, we’ll discuss the main differences between NHRT and SHRT.

    Understanding What Bioidentical Hormone Replacement Is

    Bioidentical hormones are identical to what the human body produces molecularly. They are created from plant-based compound components and work similarly to human hormones. They are available in many forms, including creams, pills, patches, pellets, and injections. Bioidentical hormone replacement therapy effectively addresses menopause symptoms and can also help protect against osteoporosis and heart disease.

    There are many advantages of using BHRT. These include:

    1. Symptom relief without side effects – Menopausal symptoms such as hot flashes, fatigue, vaginal dryness, mood swings, irritability, and night sweats can be relieved with BHRT without any unwanted side effects. Additionally, there are minimal cancer or heart disease risks than other hormone treatments.
    2. Natural ingredients – BHRT uses plant-based ingredients that work the same way human hormones do.
    3. Balance – BHRT replaces a woman’s hormones lost due to aging and surgical removal of ovaries.
    4. Personalized treatment – BHRT is carefully formulated for each patient’s individual needs and medical history to provide the most significant possible benefit and safety.
    5. Quality control – The compounding pharmacy we use handles all aspects of production from start to finish and controls quality at every stage in the process. It does this by adhering to strict manufacturing guidelines and testing each final product for potency, purity, and stability to ensure the best possible results.

    Understanding Synthetic Hormone Replacement

    Synthetic hormone replacement uses drugs to supplement, rather than replace, the body’s natural hormones. These drugs are manufactured identically to the hormones in your body and can be used to treat several different conditions. For example, synthetic estrogen can treat menopause symptoms and gynecological issues such as hot flashes or vaginal dryness. Other synthetic hormones include testosterone for men with low levels, progesterone for women who have trouble conceiving, and thyroid medication that treats hypothyroidism. Patients often turn to synthetic hormone replacement due to its convenience.

    Primary Difference Between Bioidentical Hormone Replacement and Synthetic Hormone Replacement

    Both BHRT and SHRT are used to treat a variety of menopausal symptoms. However, bioidentical hormones are made from plant-based substances that act just like your body’s natural hormones. In contrast, synthetic hormones are chemically created in a lab and often contain animal byproducts. Many women choose bioidentical hormone replacement because it is more natural and has fewer side effects than synthetic hormone therapy. It’s like Cinderella and the glass slipper with BHRT, whereas Synthetic HRT is like stepsisters trying to fit into the glass slipper. BHRT fits into the receptor, like a lock and key.

    Conclusion

    In conclusion, both BHRT and SHRT effectively treat menopausal symptoms; however, bioidentical hormones tend to have fewer side effects and may also be better for your overall health in the long run.