

Introducing Bioidentical Hormone Replacement Therapy at Pivotal Weight Loss
Pivotal Weight Loss & Longevity is excited to announce the addition of Bioidentical Hormone Replacement Therapy (BHRT) to our suite of services. We are committed to helping our patients achieve optimal health and well-being through natural, personalized, and effective treatments.
Understanding Bioidentical Hormone Replacement Therapy
Bioidentical Hormone Replacement Therapy (BHRT) is a modern treatment designed to alleviate the symptoms of hormonal imbalances in both men and women. It uses hormones that are chemically identical to those naturally produced by the body, derived from natural plant sources. BHRT is particularly effective for managing menopause symptoms in women, such as hot flashes and mood swings, and can enhance energy levels and libido in men. This approach not only aims to improve overall well-being but also helps restore hormonal balance, enhancing overall quality of life.
What Sets BHRT Apart from Traditional HRT?
One of the most significant differences between BHRT and traditional HRT is the reduced risk of serious side effects, including breast cancer and stroke. This is a primary concern for many patients. BHRT’s bioidentical structure allows for better compatibility with the body, resulting in a treatment that is not only more natural but also safer in many cases. This personalized and plant-derived approach is key to achieving optimal results without health risks.
What is Pellet Therapy?
What is Pellet
Therapy?
Pellet therapy is a unique and effective method of Bioidentical Hormone Replacement Therapy. Tiny pellets, slightly larger than a grain of rice, are inserted just under the skin. These pellets consistently release small, natural doses of hormones over several months, ensuring optimal therapy without the fluctuations often associated with other delivery methods like pills, patches or creams.

Benefits of Pellet Therapy

Consistent Hormone Levels
Pellets deliver steady hormone levels for 3-6 months, avoiding the roller-coaster effect of other hormone therapies.

Natural Hormone
Our pellets are made from plant sources, ensuring they are bioidentical to human hormones.

Convenience
The procedure is simple, quick, and painless. Once inserted, the pellets dissolve completely, eliminating the need for frequent treatments.

Comprehensive
BHRT helps reduce menopause symptoms in women while boosting
libido, cognition, energy, and maintaining muscle mass; in men, it enhances energy, libido, focus, and mental clarity.
Comparing Bioidentical Hormone Therapy Options
| Therapy Type | How Often It’s Administered | Dose Stability | Ability to Adjust Dose | Lifestyle Impact | Best For |
|---|---|---|---|---|---|
| Pellet Therapy | Every 3–4 months | ⭐⭐⭐⭐⭐ Very steady | Low (adjusted at next insertion) | Minimal day-to-day effort | Patients who want the most consistent hormone levels with the least maintenance |
| Creams / Gels | Daily application | ⭐⭐⭐ Moderate | High (easy to adjust) | Requires daily routine | Patients who prefer flexibility or are early in treatment |
| Patches | Every 3–7 days | ⭐⭐⭐⭐ Steady | Moderate | Simple, but visible | Patients who want steady delivery without daily dosing |
| Injections | Every 1–2 weeks (varies) | ⭐⭐⭐⭐ Steady (can fluctuate) | Moderate | Requires injections | Patients who prefer injections or need precise dosing control |
| Oral Capsules | Daily | ⭐⭐ Less consistent | Moderate | Easy but less predictable | Patients who prefer oral medications |
Hormones thare are identical atom for atom in molecular structure to the hormones women/men make in their bodies. They’re not found in this form in nature but are made, or synthesized, from a plant derived compound extracted from yams and soy. Bioindentical estrogens are estradiol, estrone, and estriol. (Estradiol is the form of estrogen that decreases at menopause.) Biodentical progesterone is simply progesterone. It’s micronized (finely ground) in the laboratory for better absorption in the body.
Hormones thare are identical atom for atom in molecular structure to the hormones women/men make in their bodies. They’re not found in this form in nature but are made, or synthesized, from a plant derived compound extracted from yams and soy. Bioindentical estrogens are estradiol, estrone, and estriol. (Estradiol is the form of estrogen that decreases at menopause.) Biodentical progesterone is simply progesterone. It’s micronized (finely ground) in the laboratory for better absorption in the body.
Hormones thare are identical atom for atom in molecular structure to the hormones women/men make in their bodies. They’re not found in this form in nature but are made, or synthesized, from a plant derived compound extracted from yams and soy. Bioindentical estrogens are estradiol, estrone, and estriol. (Estradiol is the form of estrogen that decreases at menopause.) Biodentical progesterone is simply progesterone. It’s micronized (finely ground) in the laboratory for better absorption in the body.
While pellet therapy is a highly effective and convenient form of Bioidentical Hormone Replacement Therapy (BHRT), it’s not the only way to balance hormones. Depending on your unique needs, preferences, and lifestyle, your provider may recommend other delivery methods that offer flexibility in dosing and administration. These include:
Transdermal Creams & Gels
These are hormone preparations that you apply directly to the skin. Once applied, the hormones are absorbed through the skin into your bloodstream. Creams and gels allow for customized dosing and are often preferred by patients who want to avoid daily pills or injections. They are typically applied once daily to areas such as the arms, shoulders, or abdomen.
Patches & Sprays
Hormone patches are adhered to the skin and release a steady dose of hormone over several days before being replaced. Sprays are similar to gels but may dry faster and offer a simple once-daily application. Both methods provide systemic hormone delivery without the need for injections or implants.
Injections
For some patients, injectable hormones offer a well-controlled way to deliver bioidentical hormones directly into the muscle or subcutaneous tissue. Injections can allow for precise dosing schedules that suit a patient’s individual hormone levels and treatment goals.
Oral Pills & Capsules
Bioidentical hormone pills or capsules are taken by mouth and absorbed through the digestive system. While convenient, oral administration can sometimes result in variable hormone levels and may be less steady than transdermal or implanted options.
Which Option Is Right for You?
There isn’t a single “best” form for everyone — the ideal BHRT delivery method depends on your symptoms, hormone levels, lifestyle, and medical history. At Pivotal, we evaluate all of these factors to design a personalized BHRT plan that helps you feel your best.
➡ Ready to explore all BHRT options? Schedule a consultation with our hormone specialists today to determine what form of therapy will work best for your body and goals.


The Pellet Therapy Process
1
Assessment
We conduct a thorough endocrine assessment and blood tests to determine your hormone levels.
2
Consultation
Schedule a consultation with our experts to discuss your symptoms and medical history
3
Customization
Based on your results, we create a customized Bioidentical Hormone Replacement Therapy plan tailored to your needs.
4
Insertion
The pellets are inserted under the skin in a quick and painless procedure.
5
Monitoring
We provide ongoing monitoring to ensure optimal hormone levels and adjust the treatment as needed.

