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Writer's pictureDr Abraham Kuranga

What is Bioidentical Hormone Replacement Therapy? Am I a good candidate?


Hormonal imbalances can have a significant impact on your health and well-being, affecting everything from energy levels and mood to weight, sleep, and sexual health. For those dealing with symptoms of menopause, andropause, thyroid issues, or other hormonal deficiencies, Bioidentical Hormone Replacement Therapy (BHRT) offers a promising solution for both men and women. One of the most effective methods of administering BHRT is through hormone pellets, which are placed under the skin for sustained, consistent hormone release. Here at A Touch of Energy Aesthetics in Cincinnati, Ohio, we offer a comprehensive BHRT program tailored to meet your health needs.


While online consultations and at-home treatments for BHRT are becoming more common, opting for the pellet method through a local in-person physician offers numerous benefits. These include personalized care, comprehensive monitoring, and the convenience of professional expertise to guide your treatment.

In this blog post, we’ll explore the benefits of receiving bioidentical hormone replacement therapy through the pellet method from a local physician, and why an in-person visit is the best approach for optimal results.

Bioidentical Hormone Replacement Therapy

What is Bioidentical Hormone Replacement Therapy (BHRT)?

Before delving into the benefits of the pellet method, it’s helpful to understand what bioidentical hormones are.

  • Bioidentical hormones are chemically identical to the hormones produced by your body. Unlike synthetic hormones (often used in traditional hormone replacement therapies), bioidentical hormones are derived from plant sources like soy or yam, and are designed to mimic the body’s natural hormone production as closely as possible.

  • BHRT is commonly used to treat symptoms related to menopause, perimenopause, andropause, thyroid imbalances, or adrenal insufficiency. These include hot flashes, night sweats, fatigue, irritability, mood swings, low libido, and weight gain.


The Pellet Method of BHRT: How Does It Work?

The pellet method of BHRT involves the subcutaneous implantation of small, rice-sized pellets that contain bioidentical hormones. These pellets are placed under the skin, typically in the hip or buttock area, by Dr. Kuranga, MD at A Touch of Energy Aesthetics in Cincinnati, Ohio. Over the course of several months, the pellets gradually release a consistent, steady stream of hormones into the bloodstream. This ensures that the hormone levels in the body remain balanced throughout the day, avoiding the fluctuations often seen with other forms of hormone replacement therapy.

The pellet method has a variety of advantages over oral medications, topical creams, or injections, as it provides consistent hormone delivery and eliminates the need for daily application or frequent dosing.


Key Benefits of the Pellet Method with an In-Person Physician

1. Personalized Treatment and Accurate Hormone Testing

One of the biggest benefits of receiving BHRT via pellets from a local in-person physician is the personalized care. A doctor who specializes in hormone therapy will conduct a thorough evaluation of your health, symptoms, and medical history before prescribing a hormone replacement plan.

  • Comprehensive testing (such as blood, saliva, or urine tests) is performed to measure your current hormone levels. This allows the physician to assess the specific hormone imbalances you may be experiencing and customize your treatment plan accordingly.

  • Unlike online or remote providers, Dr. Kuranga, MD can conduct follow-up testing at regular intervals to monitor how well the hormone therapy is working and adjust the dosage as needed. This level of personalized care ensures that you receive the best possible treatment for your unique needs.


2. Consistent and Steady Hormone Delivery

Unlike other forms of hormone therapy (such as pills or patches), the pellet method provides a consistent, continuous release of hormones over a period of 3-6 months. This means:

  • You avoid the peaks and valleys that can occur with oral medications or topical creams that require daily or multiple applications. For example, oral hormones are metabolized by the liver and may cause fluctuating levels in the bloodstream throughout the day.

  • The steady release of hormones from the pellet helps maintain stable levels of estrogen, testosterone, and other vital hormones, leading to more consistent symptom relief and fewer side effects.

  • Because the pellets are small and implanted under the skin, there is no need for frequent injections or the inconvenience of applying creams or gels daily.


3. Long-Term Convenience and Reduced Maintenance

Another major benefit of the pellet method is convenience. Once the pellets are implanted, you don’t need to worry about remembering daily doses or applying creams. This makes it an ideal option for busy individuals who may find it challenging to stick to a daily routine for oral medications or topical treatments.

  • The pellets are typically effective for 3 to 6 months, meaning you’ll only need to return to your physician for a new implant a few times per year, rather than on a monthly or weekly basis.

  • This reduces the hassle of managing hormone therapy and offers long-term results with minimal upkeep.


4. Minimal Side Effects

One of the reasons BHRT via the pellet method is so popular is the relatively low occurrence of side effects. Because bioidentical hormones are chemically identical to the hormones naturally produced by your body, they tend to be better tolerated than synthetic hormones. Furthermore:

  • Slow and steady absorption from the pellets minimizes the risk of sudden hormonal fluctuations, which can sometimes lead to side effects like mood swings or headaches, particularly with oral hormone therapies.

  • Fewer side effects like nausea or bloating are reported when compared to oral or topical forms of BHRT, as the hormones bypass the digestive system.

However, side effects can still occur, especially during the initial phase of hormone therapy. This is why working with a local in-person physician is so important, as they can adjust your treatment or address any adverse effects in real time.


5. Holistic, Ongoing Care and Support

An in-person physician offers a level of ongoing support that you might not receive with remote providers. Here’s why this is important:

  • Your doctor can evaluate how your body is responding to the hormone therapy in person, offering advice on lifestyle factors (like diet, exercise, and stress management) that can enhance the effectiveness of the treatment.

  • If you experience any side effects, your doctor can make adjustments to the dosage or treatment plan, or recommend additional tests to rule out underlying conditions. They can also address any concerns you may have about the therapy itself.

  • Physicians who offer BHRT are often experts in this field and can guide you through any questions you have, whether it’s about the pellet method, hormone balance, or related health issues.


6. Increased Safety and Monitoring

One of the most significant concerns with any form of hormone replacement therapy is safety. Working with a local physician provides several safety benefits:

  • Proper implantation: A trained physician will ensure that the pellets are implanted correctly, minimizing any risks related to incorrect placement.

  • Monitoring: Ongoing check-ins and monitoring will help ensure that your hormone levels are within the optimal range. In-person visits allow for more accurate adjustments to your treatment plan, reducing the risk of overdose or underdose of hormones.

  • Quick intervention if needed: If you experience any complications or side effects, your physician can immediately assess the situation and make necessary adjustments. They are also available for emergency consultations, something that may not be possible with online providers.


7. Improved Overall Health and Wellness

Bioidentical hormone replacement therapy with the pellet method can offer more than just symptom relief. Many patients experience improvements in overall well-being as their hormone levels are balanced. Some benefits include:

  • Increased energy levels

  • Improved mood and reduced anxiety

  • Better sleep quality

  • Enhanced libido and sexual function

  • Increased muscle mass and reduced fat

  • Improved bone density (especially for postmenopausal women)


With proper oversight from a local physician, these improvements can be optimized, and you’ll have a healthcare professional guiding you every step of the way.


Conclusion: Why Choose Pellet BHRT?

The pellet method of Bioidentical Hormone Replacement Therapy offers a consistent, convenient, and effective way to restore hormonal balance for both men and women. When administered by a trained, local in-person physician, the benefits of this treatment are amplified, as you receive personalized care, ongoing monitoring, and the assurance that your treatment is tailored specifically to your needs.

Whether you're dealing with the effects of menopause, andropause, or another hormonal imbalance, seeking out a professional who can provide hands-on care and regular follow-ups is the safest and most effective approach for achieving lasting results and optimizing your health. Come visit us at A Touch of Energy Aesthetics in Cincinnati, Ohio for your convenient evaluation to see if you are a candidate for BHRT.

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