Pellet Therapy
Pellet Therapy is a modern, highly effective form of Bioidentical Hormone Replacement Therapy (BHRT) and Testosterone Replacement Therapy (TRT) that delivers consistent, long-lasting hormone support. Tiny, custom-compounded pellets are inserted just beneath the skin, through a quick, minimally invasive procedure.
These pellets release a steady stream of bioidentical hormones, such as estradiol or testosterone, directly into the bloodstream over several months. Because they bypass the digestive system, they offer superior absorption and more stable hormone levels compared to pills, creams, or injections 1.
Benefits of Pellet Therapy
We use natural and bio-identical hormone methods to give your body what it needs to function at an optimal level. When hormone levels are in balance you feel enhanced vitality, optimized energy levels, and overall well-being.
Consistent Hormone Delivery
Avoids the ups and downs of other hormone delivery methods.
Improved Bone Density
Helps prevent bone loss and supports long-term skeletal health.
Enhanced Energy, Mood & Mental Clarity
Supports emotional well-being and cognitive function.
Convenient & Long-Lasting
One insertion lasts 3–6 months—no daily pills or weekly injections.
Improved Mood
Restore Emotional Balance Naturally
Improved Sex Drive
More Energy
Fight Fatigue with Balanced Hormones
Better Sleep
Hormonal Balance for Restful Nights
HOW TO GET STARTED
If you ever have questions or need guidance at any point, remember that we offer complimentary 15-minute phone consultations to ensure your peace of mind and confidence in your wellness journey.
1
Initial Consultation & Lab Review:
Schedule a lab review with one of our providers to ensure Pellet Therapy is your best treatment option. Our team will create a personalized plan designed to address your unique health issues and goals.
Details:
If the provider determines you are not a candidate based on your lab results they will work with you to develop an alternative treatment plan to help you reach your health goals.
2
Lab Work:
Obtain essential lab work to determine your medical eligibility and identify your baseline hormone levels.
Details:
Lab draws are done within our offices with results within 36-48 hours.
3
Start Your Treatment:
You will start your hormone therapy treatment plan which includes the cost of pellets and the medical procedure to insert them.
Details:
Includes the cost of the medical procedure for insertion and pellets, lifestyle and supplement recommendations, active monitoring and check-ins, and the consultation with a provider.
*The cost of the lab review is nonrefundable even if you are not medically eligible for Pellet Therapy. Our provider will discuss alternative options if that is the case.
FAQs
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Hormone pellet therapy may be a good fit if you're experiencing symptoms of hormonal imbalance and prefer a low-maintenance option, including:
Fatigue or low energy
Low libido
Mood swings, irritability, or anxiety
Brain fog or difficulty concentrating
Hot flashes or night sweats (women)
Reduced muscle mass or strength (men)
Frustration with the inconsistency of creams, injections, or daily dosing
Pellets deliver a steady, consistent dose of bioidentical hormones over several months, without the daily upkeep of topical or injectable options — which makes them appealing for patients who want a "set it and forget it" approach.
As with our other therapies, candidacy isn't based on symptoms alone. It's confirmed through comprehensive lab work and a personalized consultation with our medical team to determine if pellet therapy is the right fit for your body and goals. Individual results vary.
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Most patients begin noticing changes within 1–3 weeks as the pellets release hormones and levels start to rise. Early improvements often include better energy, mood, and mental clarity.
More noticeable benefits — including libido, strength, and sleep quality — typically build over 4–8 weeks as hormone levels stabilize.
Because pellets release a steady dose over time, results tend to feel more gradual and consistent than with injections or creams, rather than a quick spike. Pellets are typically replaced every 3–5 months, depending on individual metabolism and hormone levels.
Everyone responds differently, and your provider will monitor labs to fine-tune timing and dosing along the way. Individual results vary.
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Yes — pellet therapy is available for both men and women at EnVital. Treatment is customized to each patient's individual hormone levels and goals, based on comprehensive lab work and a personalized consultation with our medical team.
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Before starting pellet therapy, we run an extensive lab panel to get a full picture of your hormonal and overall health.
This comprehensive testing allows our medical team to identify any imbalances, rule out underlying issues, and build a treatment plan personalized to your body. Labs are also repeated after treatment begins to monitor your levels and fine-tune dosing over time.
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Your pellet therapy consultation is a one-on-one conversation with our medical team to determine if pellets are the right fit for you. Here's what to expect:
Health history review — we'll discuss your current symptoms, health goals, and any relevant medical history
Lab review — if you have recent labs, we'll review them; if not, we'll order the extensive hormone panel needed to get a full picture of your levels
Goal setting — we'll talk through what you're hoping to improve, whether it's energy, libido, mood, or overall vitality
Personalized recommendations — based on your labs and goals, our team will determine the right hormone dosage for your pellet insertion
What to expect on insertion day — we'll walk you through the simple in-office procedure, so you know exactly what's involved
Follow-up plan — you'll leave with a clear timeline for when to expect results and when your next check-in will be
Consultations are designed to be thorough but approachable — our goal is for you to leave feeling confident in your plan and what comes next.