In use in this country for over thirty years, the pellet method of hormone administration involves the subcutaneous implantation of bioidentical estrogen and testosterone (for women) or testosterone only (for men) that have been compressed into cylindrical pellets and sterilized. It is a systematic approach, involving computer-calculated dosing and post-dose monitoring of specific laboratory parameters in order to minimize risk and maximize benefit to the patient. Instead of being processed through the G.I. tract, which includes a trip through the liver, pellet hormones go directly into your bloodstream through the capillary circulation. For women, administering estrogen in this way is safer than oral therapy as it does not activate blood clotting factors and gives more consistent levels of hormones in the blood. For both men and women, pellet therapy provides a more constant level of hormones than other therapies. The hormone pellets are prepared in a federally inspected and certified regional compounding pharmacy.
Please note that the use of estradiol and testosterone in pellet form is considered “off-label” by the FDA. All patients will continue to see their regular physician for checkups and routine care, seeing Dr. Mauldin for hormone management only.