What are the pellets made of?
BioTE pellets are made of pure estradiol or testosterone from plants, usually
soy or yam. Stearic acid is used to bind the hormone into the pellet form. The
likelihood of anyone being allergic to stearic acid is rare ( aspirin contains
How big are the pellets and can you feel them?
They are no bigger than a grain of rice. Occasionally pellets may be felt
underneath the skin due to swelling , but this typically disappears within 24
Why should I get bio-identical HRT?
Pellets are the only hormone delivery method that mimics the testicles and
ovaries. Within 24 hours of insertion, the body starts building capillaries
around the pellets. As blood flows by the pellet, ,the body absorbs the
hormones and they are steadily released into the blood stream. Unlike other
delivery systems such as creams, patches, gels, or synthetic injectables, the
patient does not experience the "rollercoaster effect'. The BioTe method of
insertion guarantees patient compliance issues.
Are the pellets FDA approved?
The estrogen and testosterone in the BioTe pellet are FDA approved. The
manufacturing of the pellets are under strict FDA regulations.
How often do patients need pellets?
Most women have symptom relief for an average of 3-4 months. Absorption of
the pellet is determined by activity level. For men the average is 4-6 months.
What kind of blood work does BioTe use for testing?
For women: estradiol, total testosterone, FSH, TSH, Total T4, Free T3, TPO, CMP,
Vitamin D and B12 . Lipids are optional.
For men: estradiol, total testosterone, free testosterone, PSA, TSH, Total T4, Free
T3, TPO, CBC, CMP, Vitamin D and B12. Lipids are optional.
What about birth control?
Stay on your birth control. Pellets do not serve as a method of contraception.
Premenopausal women need to remain on birth control to avoid pregnancy.
Does BioTe use saliva testing?
Saliva testing only measures what hormones are in the saliva. Blood labs
don't lie. A key hormone, FSH, can not be detected in saliva.
How long will it take for the pellets to get into my blood stream?
24-72 hours. Symptom relief can occur anywhere from 24 hours up to 3 weeks
for first time patients. Patients should expect to feel some degree off symptom
relief within a month of pelleting or sooner. Dosage and treatment plans can be
adjusted if the patient has no symptom relief.
What is the cost?
$150 for the initial consultation. $480 for women. $880 for men. Labs may be
covered by your insurance. We have a mobile lab service that will come to
your home. Most insurances accepted. Cash price for labs is around $80.
After insertion what happens to the pellets?
Over time the pellets are completely dissolved into the blood stream and
eventually disappear. Patients will know when it is time for their pellets to be
replaced when their symptoms begin to return.
Can breast cancer survivors receive pellets?
Yes, Breast cancer survivors can be treated with testosterone. They should not
receive estradiol. Testosterone alone can address up to 90% of symptoms
common in breast cancer survivors such as fatigue, depression, bone loss,
and libido loss.
Can prostate survivors receive pellets?
Yes, after the prostate cancer has been treated or removed and the PSA is
negligible the patient can be pelleted.
Does BioTe remove pellets?
No , all known secondary responses are treatable. There would be no reason to
remove the pellets.
Are there any side effects?
Generally side effects are more common with prescription drugs. Less than 2%
of patients experience side effects. Some reported secondary responses are
noticeable in the first two rounds during the initial balancing phase or the re-
optimization phase. In women side effects include fluid retention, especially in
hot months, spotting if she still has a uterus and estrogen was given.
Progesterone will be prescribed for those women with a uterus and given
estrogen. Acne may occur. Hair may appear to grow faster when hormones
are optimized. Approximately 1% of the time women may have hair thinning.
In men side effects include mild fluid retention, acne, or more hair growth. Men
may also experience some testicular shrinkage which is normal.