Pellets vs. Bioidentical Hormone Replacement Therapy (BHRT) in Oral and Topical Form

January 24, 2025

At the Hotze Health & Wellness Center, we’ve spent over 35 years helping guests achieve optimal health through bioidentical hormone replacement therapy (BHRT). This therapy uses hormones that are molecularly identical to those produced by the body to restore balance and address symptoms caused by hormonal decline. While there are many approaches to hormone therapy, not all are created equal. In this blog, we’ll explore the differences between hormone pellets and BHRT in oral and topical form, and why our approach to BHRT prioritizes flexibility, safety, and lasting results. 

What Are Hormone Pellets? 

Hormone pellets are small, solid cylinders containing synthetic (be aware) or bioidentical hormones. They are inserted under the skin through a minor surgical procedure and release hormones steadily over time. The pellet therapy is supra-physiologic dosing, which is an exceedingly high dose. While this delivery method may seem convenient, it can lead to extreme side effects that can continue until the pellet fully dissolves, which is typically 3 months. 

The Drawbacks of Hormone Pellets 

Surgical Procedure Risks: 

1. Pellet insertion involves a minor surgical procedure requiring an incision. 
2. Risks include pain, bleeding, bruising, infection, and potential scarring. 
3. Physical activity may need to be restricted for several days post-procedure. 

Hormone pellets can cause a variety of side effects, including: 

1. Mood swings 
2. Weight fluctuations 
3. Sleep disturbances 
4. Breast tenderness or swelling 
5. Fluid retention 
6. Hair loss or excessive hair growth 
   • Male pattern baldness  
   • Chest hair growth 
   • Facial hair growth in men and women 
7. Acne and irritability 

Inflexible Dosing: 

1. Once inserted, the hormone dosage cannot be adjusted. 
2. Guests must wait for the pellets to dissolve naturally, which can take months (typically 3 months minimum). 
3. This rigidity can lead to prolonged discomfort if the dose is too high or too low. 

Why Bioidentical Hormone Replacement Therapy (BHRT) in Oral and Topical Form Is a Better Option 

Unlike hormone pellets, BHRT in oral and topical form offers a safer, more adaptable, and guest-centered (we call our patients guests) approach to restoring hormonal balance. BHRT compounded in this way uses hormones that are molecularly identical to those naturally produced by the body, allowing for greater compatibility and fewer side effects. 

Advantages of BHRT 

1. Customizable Solutions: 
   • BHRT can be delivered in various forms, including capsules, sublingual tablets, creams, and testosterone (injectable form for men). 
   • This variety allows us to tailor treatments to each guest’s preferences and lifestyle. 
2. Flexible Dosing: 
   • BHRT in oral and topical form provides the ability to adjust hormone levels up or down based on how the guest feels. 
   • This real-time titration ensures the “sweet spot” of optimal energy, mental clarity, and symptom resolution. 
3. Non-Surgical and Comfortable: 
   • BHRT in oral and topical form eliminates the need for incisions, reducing risks of pain, infection, or recovery downtime. 
   • Guests can return to their daily activities immediately. 
4. Long-Term Effectiveness: 
   • With ongoing monitoring and adjustments, BHRT in oral and topical form provides sustainable results tailored to each individual’s changing needs. 

Signs of Hormone Decline in Women and Men 

In Women (includes but not limited to): 

• Fatigue and low energy 
• Weight gain, especially around the abdomen 
• Mood swings and irritability 
• Sleep disturbances or insomnia 
• Hot flashes and night sweats 
• Decreased libido / romantic desire 
• Vaginal dryness 
• Hair thinning or loss 
• Brittle nails 
• Brain fog 

In Men (includes but not limited to): 

• Decreased energy and motivation 
• Weight gain, particularly in the abdominal area 
• Loss of muscle mass 
• Mood changes, including depression or irritability 
• Sleep problems 
• Reduced libido / romantic desire and erectile dysfunction 
• Hair thinning or loss 
• Difficulty concentrating or memory issues 
• Brain fog 

Recognizing these signs early can help you take proactive steps toward restoring hormonal balance. For more on signs and symptoms, visit our hormonal health resource pages: hormone balancing for women and hormone balancing for men. 

Why Hotze Health & Wellness Center’s BHRT Approach Stands Out 

Our expertise in BHRT is built on over 35 years of experience and a commitment to personalized care. Our staff consists of doctors and providers who are IFM (International Functional Medicine) Certified. Here’s what sets us apart: 

• Listening to Our Guests: We treat symptoms based on what our guests share with us, never dismissing concerns or attributing them to aging and the need to “live with it.” 
• Safe and Effective Treatments: By avoiding synthetic options and pellets, we ensure our therapies are both safe and effective. 
• Holistic Health Focus: Our goal is not just symptom relief but total wellness, empowering guests to live their best lives. At the Hotze Health & Wellness Center, we treat the entire body. We consider ourselves health ministers and it is our goal to assist you in transforming your life. After all, we are all living longer and we want you to live your years longer and healthier! 

Take Charge of Your Health Today 

If you’re considering hormone therapy, it’s essential to choose a method that prioritizes your safety, comfort, and long-term success. At the Hotze Health & Wellness Center, we’re here to guide you every step of the way. 

Schedule a complimentary wellness consultation today and discover how BHRT can help you reclaim your vitality. Call us at 281-698-8698 or book online HERE. 

Your health is your greatest asset—and we’re here to help you protect it. 

Categories: BHRT, Bioidentical Hormone Replacement Therapy, perimenopause, Progesterone, Testosterone, Uncategorized

Tags: BHRT, bioidentical hormones, hormonal balance, hormone pellets, hormone therapy, progesterone, Testosterone, wellness

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