Hormone Replacement

What Are the Signs and Symptoms of Low Testosterone and Hormonal Imbalance in Men?

A low level of testosterone in a man means more than just a low sex drive or erectile dysfunction (ED). Hormones are important for regulating most major bodily processes, so a hormone imbalance can affect a wide range of bodily functions.

Symptoms consistent with low testosterone and other cases of hormonal imbalance include:

  • Low sex drive
  • Erectile Dysfunction (ED)
  • Chronic fatigue
  • Loss of muscle mass
  • Increased body fat
  • Decreased bone mass
  • Mood changes
  • Lower mental capacity
  • Depression
  • Irritability
  • Brain Fog

What Are the Signs and Symptoms of Hormonal Imbalance in Women?

Hormonal imbalances occur when there is too much or too little of a hormone in the bloodstream. Because of their essential role in the body, even the smallest hormone imbalance can cause side effects throughout the body.

There are a variety of symptoms of hormone imbalance in women including:

  • Fatigue
  • Night Sweats
  • Hot flashes
  • Decreased sex drive
  • Weight gain
  • Insomnia
  • Irritability
  • Anxiety
  • Depression
  • Cold hands and feet

You may have low estradiol if you are experiencing symptoms of menopause. An increase in UTIs, depression or painful intercourse may also indicate a hormone imbalance in women.


*Pellet therapy uses hormones derived from natural plant sources to replicate the body’s normal hormonal levels. *Patients have found that bioidentical hormone replacement therapy with hormone pellets is extremely effective. *These hormone pellets, placed under the skin, consistently release small, physiologic doses of hormones, providing optimal therapy as it dissolves.
*Unlike typical oral and trans dermal forms of hormone therapy — which produce “roller coaster” hormone levels, resulting in mood and energy fluctuations for the patient — BioTE® Medical Hormone Pellet Therapy is the only method of hormone replacement therapy that provides sustained hormone levels throughout the day, for up to 4 months for women and 6 months for men, without any “roller coaster” effect.
*Because the hormones used are completely natural, pellet hormone therapy is ideal for patients wanting the benefits of a natural hormone, without the drawbacks of a synthetic.
*Individual results may vary.
Are you ready to feel your best and start living life to the fullest?


Pellet insertion is a relatively simple in-office procedure. It takes an average of 5-10 minutes in total. The pellets are inserted subcutaneously (under the fatty lining of skin) in the upper buttocks through a very small incision. The incision is then closed with sterile tape strips. Hormone pellets placed under the skin consistently release small, physiologic doses of hormones keeping a patient’s levels in a therapeutic range until the next pellet procedure.


Pellets contain a natural plant source of estrogen and testosterone. A compounding pharmacist, using strict federal guidelines, compounds the estrogen and testosterone utilized in the pellets.
These pellets, which are smaller than a grain of rice, are placed in the fatty tissue underneath the skin and most closely mimic the actions of healthy ovaries and testicles with regards to hormone release into the bloodstream. The implantation procedure is easily performed in the office.


The fee to establish care is $275 for both males and females. This includes a 30 minute initial consultation with the Nurse Practitioner. During that consult, we will review the completed intake forms and draw blood for lab work to formulate the best course of care. The establish care fee does include the required blood testing.

Female Establish Care Fee: $275.00
Female Pellet Procedure: $450 (every 3-4 months)
Female Follow-up blood draw after pellets: $75.00

Male Establish Care Fee: $275.00
Male Pellet Procedure: $700 (every 5-6 months)
Male Follow-up blood draw after pellets: $75.0

We will have each patient complete blood work prior to the procedure. We draw blood for labs in our office to make things easier and more convenient for our patients. The list of tests we run is included in the initial paperwork. The blood work can be submitted to insurance.


*In studies, when compared to conventional hormone replacement therapy, pellet hormone therapy has been shown to be extremely effective for relief of menopausal symptoms; maintenance of bone density; restoration of sleep patterns; improvement in sex drive, libido, sexual response and performance; relief of depression, anxiety, irritability, mood swings; and many other symptoms. *Pellet hormone replacement has been used to treat migraine and menstrual headaches. It also helps with symptoms such as vaginal dryness, incontinence, and urinary urgency and frequency. *Moreover, hundreds of studies show natural testosterone to be highly preventive against health conditions such as breast cancer, osteoporosis, Alzheimer’s disease, and dementia.
*Individual results may vary.


Testosterone levels begin to decline in men beginning in their early 30s. Most men need to be tested around 45 years of age. Symptoms of testosterone deficiency in men include fatigue, lack of mental acuity, loss of libido, and difficulty achieving or sustaining erection.

*Pellet hormone therapy achieves the sustained levels of testosterone that would be produced by normally functioning testicles. This form of therapy is the only kind that produces the natural level of hormone that men need. Because the testosterone used is totally natural, pellet hormone replacement is ideal for men wanting the benefits of a natural hormone, without the drawbacks of a synthetic.

*Moreover, many studies show optimal testosterone levels in men, over 800, have preventive effects for many disease states such as cardiovascular disease, Alzheimer’s disease, prostate cancer, osteoporosis, and more.

Typical oral and trans dermal forms of therapy produce “roller coaster” blood levels of testosterone, which can result in mood and energy fluctuations for the patient. *Roller-coaster levels of hormones do not have the same long-term benefits as steady-state hormone in the bloodstream.
*Individual results may vary.

What if my primary care physician says that there is “no data” to support the use of pellet hormone therapy? And is it safe?

There is a big difference between “no data” and not having read the data. It’s about a patient making an informed choice. Pellet hormone therapy has been researched and developed since 1939 in the U.S. and Europe, and there is an abundance of data to support the long-term safety and efficacy of hormones delivered by pellet implants. *Bioidentical pellet hormone therapy is being used safely in 5 continents and has been studied for 8 decades, not only looking at safety and efficacy but the prevention of diseases such as breast cancer, heart disease, osteoporosis, Alzheimer’s dementia, type 2 diabetes and much more.