Restoring Balance

Restoring balance is at the root of revitalization. When hormone levels are less than optimal, men and women suffer from a variety of mental and physical symptoms. Hormone replacement therapy can help. While there are many treatment options available, our most popular option is bioidentical hormone replacement pellet therapy.

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Why try bioidentical hormone replacement therapy (BHRT) pellets?

As we age, hormone levels drop and can become out of balance, causing symptoms ranging from fatigue and weight gain to decreased libido and brain fog. BHRT pellets offer a way to raise and stabilize hormone levels. Many patients report beginning to feel relief from symptoms and a better quality of life within two to four weeks of starting hormone pellet therapy. Some research suggests that maintaining healthy hormone levels may help protect against diseases such as osteoporosis, heart disease, cancer, and Alzheimer’s disease.

Bioidentical hormone replacement therapy pellets are:

Consistent - BHRT pellets deliver a steady and consistent dose of hormones for three to six months at a time.
Convenient - BHRT pellets do not require daily pills or weekly injections.
Customized - Birch Medical & Wellness BHRT pellets are customized doses created in a trusted and specially licensed compounding pharmacy.
More natural - BHRT uses hormones derived from plants that are chemically identical to hormones in the endocrine system such as testosterone, estrogen, and progesterone.

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What is BHRT with pellets?

The Treatment Process

Customized hormone replacement therapy treatment plans at Birch Medical & Wellness include:

A consultation with your provider to review and discuss your goals and any questions or concerns
Screenings such as lab work and symptom assessment
Pellet insertion
Follow-up lab work after six weeks to adjust dosage or monitor hormone levels
Insert new pellets every three to four months

Patients who are new to hormone replacement therapy should expect to wait for one to two weeks between the initial consultation and pellet insertion appointment. Some patients who have had previous pellet therapy may be able to have pellets inserted during the initial consultation.

The Procedure

Before the pellet insertion, an injection of local anesthetic is used to numb the area. A small incision is made into the fatty tissue between the hip and buttock. Hormone pellets the size of a small grain of rice are inserted. Skin tape is used to cover the insertion site.

What to expect after BHRT pellet insertion

After a pellet insertion session, most patients report little to no discomfort or pain. In the days following the insertion, patients should avoid strenuous exercise and submersion in pools or bathtubs.

While each patient’s experience varies, some may experience a few side effects in the few weeks following the procedure such as mood swings, facial breakouts, hair growth or loss, fluid retention, and uterine spotting or bleeding in women. These symptoms are typically mild and dissipate after hormone levels begin to stabilize.

BHRT Benefits for Men

Hormone shifts and imbalances start to affect men in their 30s when testosterone levels begin to drop by 1% each year. Common first signs of low testosterone levels include fatigue, trouble concentrating, and decreased libido.

Men who have undergone BHRT report benefits such as:

Weight loss and decreased body fat
Increased energy
Lower anxiety
Increased strength and muscle mass
Strengthen libido and sexual performance
Improved memory and mental clarity

BHRT Benefits for Women

BHRT can help women who have hormone imbalances at any stage of life. Menopause, peri-menopause, PMS, estrogen dominance, low libido, thyroid disorders, or having had ovaries removed are conditions that hormone therapy may help.

Women who have undergone BHRT report benefits such as:

Increased energy and less fatigue
Hot flashes and night sweats relief
Better sleep
More libido
Less painful sex
Vaginal dryness and itching relief
Improved mental clarity, focus, and memory
Improved mood and less depression
Weight loss or maintained weight

Signs of Testosterone Imbalance

Physical

Pale face
Muscle mass loss
Fragile bones
Infirm skin
Dry eyes
Fat gain in the abdomen
Fat gain on the chest
Inability to build muscle
Problems with erections

Hair loss
Infertility
Difficulty achieving orgasm
Hot flashes
Decreased strength
Decrease in bone mass
Increased fatigue
Swelling/tenderness in breast tissue

Mental and Cognitive

Depressive feelings
Fatigue/lack of energy
Confusion
Irritability/mood changes
Sleeping problems
Feeling stressed
Low libido

Signs of Estrogen Imbalance