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When Can I Exercise After Hormone Pellet Insertion

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Are There Any Permanent Side Effects Associated With The Pellet

Insertion of Testosterone Pellets: Actual procedure

There are no known permanent side effects associated with the pellet. However, as with any medical procedure, there are potential risks and complications that can occur. These include, but are not limited to, bleeding, infection, and bruising. Additionally, the pellet may not be completely effective in treating the desired condition. If the pellet is not effective, or if the side effects are not tolerable, additional treatments may be necessary.

What Is Hormone Pellet Therapy

Hormone pellet therapy is a newer method to supply hormones to the body in both men and women. This method of treatment is an alternative to taking the hormones orally or through a transdermal method. With pellet therapy the hormones are contained in a compact pellet-like solid structure. They are usually less than 1cm in size containing the desired hormone in the specified strength. They are inserted under the skin by a doctor using a minor surgical procedure that takes about 15 minutes to perform. Theincisions requires suture or butterfly for closure.

Once inserted, the active agent inside the pellet is released into the bloodstream slowly. The two most common examples of hormone pellet therapy are testosterone pellets and estradiol pellet. Based on your level of hormones the doctor will determine how many of these pellets to insert. With these pellets in place, the hormones are suppose to release slowly mimicking the endogenous production of hormones. However this is far from a precise method of delivery since the exact amount delivered varies form one person to the next. Under normal conditions the pellets typically last for about 3-6 months. The main advantage of using the pellets is their long acting effect but just how long they last will not be clear until you try it.

Is It Safe To Exercise With The Pellet In Place

The pellet is a small, round, metal object that is placed under the skin in the upper buttocks. It is used as a medium for contraception, and it releases a progestin hormone similar to the hormone released by the body during pregnancy. The pellet is about the size of a rice grain, and it is implanted under the skin with a needle. The pellet is typically replaced every five years, and it is a very effective form of contraception.

There are some risks associated with the pellet, and these should be discussed with a healthcare provider before the implant is placed. The most common side effect of the pellet is irregular bleeding, which can occur for the first few months after the pellet is placed. Other side effects include weight gain, headaches, and mood changes.

The pellet is a safe and effective form of contraception, and it can be used by women who are unable to use other forms of contraception. The pellet is also a good option for women who are at risk of developing blood clots or who have a history of breast cancer.

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Is There A Risk Of The Pellet Falling Out If I Exercise Soon After Insertion

If you have just had a contraceptive implant inserted, you may be wondering if there is a risk of the pellet falling out if you exercise soon after insertion. The short answer is no, there is no increased risk of the pellet falling out if you exercise soon after insertion. The contraceptive implant is a very effective method of birth control, with a failure rate of less than 1% when used perfectly. However, if the pellet does fall out, you may become pregnant.

The contraceptive implant is a small, thin rod that is inserted under the skin of the upper arm. It releases the hormone progestin, which thickens the mucus in the cervix, making it difficult for sperm to reach the egg. The implant also thinners the lining of the uterus, making it less likely for a fertilized egg to implant and grow. The implant is a very effective method of birth control, with a failure rate of less than 1% when used perfectly.

However, the contraceptive implant is not without its risks. The most common side effect of the implant is irregular bleeding, which can be heavy or light, long or short. Other common side effects include nausea, headaches, breast tenderness, and weight gain. Some women also experience depression or anxiety with the implant.

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What Happens When Pellet Therapy Is Discontinued

Hormone Optimization

Every persons body is different, but at the end of a pellet cycle or when stopping pellet therapy altogether, symptoms of fatigue, low mood and sleeplessness may recur. Typically, the patients symptoms will return to the same state prior to BHRT as their estrogen and testosterone levels begin to drop.

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What Is Bioidentical Hormone Replacement Pellet Therapy

Bioidentical hormone replacement pellet therapy is a personalized approach to hormone replacement. It allows a patients body to absorb the right level of hormones at the right time using a delivery method the body can process efficiently.

Pellets are small capsules that contain bioidentical hormones like testosterone or estrogen. A bioidentical hormone is the exact molecular structure of hormones the body produces naturally.

They are inserted under the skin, where hormones enter the bloodstream as they dissolve over several months. Our studies show that patients may see the effects of hormone optimization up to four weeks after a pellet insertion. Everyone is unique and some people may feel the effects immediately, while others may take up to two or more pellet insertions before they feel full effects.

Hormones delivered by pellet therapy bypass the liver, do not affect clotting factors, do not increase the risk of thrombosis, and avoid the fluctuations of hormone levels some patients may experience. Biote bioidentical hormone pellets are made from soy or the yam plant to create estradiol and/or testosterone molecules, unlike synthetic hormones, which are made from animal parts or urine and have a different molecular structure than what the body produces.

Women’s Health Specialists & Family Practitioners Located In Heber City Ut

Every person is unique, and so are their hormones. Wasatch Wellness believes in personalized care, helping deliver a personalized experience for each patient based on their health goals, lab results, and the medical judgment of our providers. We can help balance hormones through bioidentical hormone replacement therapy using pellets. Hormone balance is crucial to leading a healthier and more fulfilling life.

Interested in hormone pellets? Please request a hormone pellet appointment with Dr. Crystal!

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What Are Testosterone Pellets

Testosterone pellets are composed of powdered testosterone fused into a pellet using stearic acid as a binding agent. The compounding pharmacies used by Biote provide high-quality pellets with ingredients that are meticulously tested. This testing process gives pharmacists, Biote Certified Providers, and patients confidence in the pellets quality.

How Does Biote Work

Hormone Pellet Placement

BioTE works using pellet therapy. Customized pellets will be created with a compound of hormones that treat your unique symptoms and needs. In this method, the hormone pellets are inserted just below the skin. . The hormones are then gradually absorbed by the body. Many patients enjoy the benefit of not needing to remember to take a pill or apply a topical cream daily. Instead, the hormones are released by the pellets as needed over a course of 3-4 months and the entire pellet will be absorbed, leaving nothing behind. Patients often report feeling symptom relief within the first few weeks, and sometimes in as little as hours after their BioTE treatment. After 3-4 months, pellet therapy can be repeated with another series of treatments.

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When Can I Exercise After Hormone Pellet Insertion

Freedom Healthcare Is Here To Help

Data shows hormone replacement therapy with pellet implants is an effective bioidentical hormone replacement method for men and women. FHC practitioners place implants under the skin. These implants consistently release small, physiologic doses of hormones.


BHRT Pellet Implant History

Hormone replacement, administered through pellet implants, was used with great success in the U.S., Europe and Australia since 1938. In fact, pellets were the popular mode of hormone administration in the U.S. until the 1970s, when oral and topical commercial products were developed. While the demand for pellets diminished in the U.S., pellets continued to be a common method of hormone administration throughout Europe and Australia. In the last 10 years, health professionals have improved this process and attained a better knowledge of the benefits of pellet implants for hormone replacement. These key improvements have increased the popularity of hormone pellet administration in the U.S. once again.

Greater than 70 years of research illustrates the benefits of pellet implants for the administration of hormones in both women and men.

Benefits of hormone pellet implants include:

  • Consistent physiologic levels of hormones
  • Maintenance and improvement of bone density
  • No negative impact on the bodys clotting factors, blood pressure, lipid levels, glucose or liver function

Hormone pellets are known to improve:

  • Cardiovascular Health
  • Joint Aches and Pains

How long do BHRT pellets last?

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What Can A Patient Expect From Bhrt

As each patients symptoms are unique, so is each patients path to hormone optimization. Some patients report some relief in as soon as four weeks, but full hormone optimization may take up to six months. Many report feeling more benefits after the second insertion. Our hormone optimization therapy will be customized to balance each patients hormones and fit their specific needs.

The Pellet Insertion Method

During an in-office visit, a patient is brought into the exam room, and the insertion site, usually somewhere around the upper buttocks, is numbed. A small incision is made, and the hormone pellet is inserted. Afterward, the insertion site is covered with a small bandage. The pellet dissolves, and the body absorbs the contents, leaving nothing behind. Every patients symptoms are unique, so each journey is customized to fit their needs. Some patients report seeing improvement in as little as four weeks, but full optimization can take up to six months. Many patients report feeling the benefits after the second insertion.

Post-Insertion Care

The Pellet Insertion Method


During an in-office visit, a patient is brought into the exam room, and the insertion site, usually somewhere around the upper buttocks, is numbed. A small incision is made, and the hormone pellet is inserted. Afterward, the insertion site is covered with a small bandage. The pellet dissolves, and the body absorbs the contents, leaving nothing behind. Every patients symptoms are unique, so each journey is customized to fit their needs. Some patients report seeing improvement in as little as four weeks, but full optimization can take up to six months. Many patients report feeling the benefits after the second insertion.*

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Hormone Pellet Therapy Side Effects

As effective as this method might be, patients must be aware of hormone pellet therapy side effects as they do occur more commonly than with other routes of hormone administration. Some of the side effects specific to hormone pellet therapy are as follows:

  • Extrusion: This is a spontaneous expulsion of the pellet from its implanted site. Not ideal since it is painful and each one costs money. When this occurs it would require another surgical procedure and pellet insertion. It occurs in about 5-12% of patients.1,2,3
  • Infection: While this is easily avoided by using proper technique, this has been found to occur in 1.4-6.8% of patients. It may also occur simultaneously with extrusion.1,2,3
  • Scar formation: Over time and with multiple implantations, scar formation can develop at the implantation site. There is really no way to avoid this.
  • No Recourse: Once the pellets are inserted you cannot take them out easily. They are placed in the tissue just below the skin. However finding the exact location of the pellet once it is not very precise. So if you don’t feel well from the pellets many times you are just stuck with them until they wear off leaving you with very little recourse.

What Is The Goal Of Hormone Optimization Therapy

Bioidentical hormone replacement therapy may offer relief for many common and debilitating symptoms that medical providers often overlook. Some of these symptoms include:

  • Sleep disturbances
  • And so much more

Often, people with symptoms like these are suffering from hormonal imbalance. These ailments may be managed by getting to the root cause of these complex conditions and returning the patient to a state of hormonal balance. BHRT may be a simple method for correcting these complex issues through hormone optimization.*

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How Long Do Pellets Last

Pellets last up to three to six months depending on gender, weight, absorption rates, and the amount of deficiency or surplus of hormones present within the patient at the time of insertion. Pellets are reinserted between two to four times per year to help keep hormones optimized and balanced and may take up to two insertions before feeling the full benefits.

What Are The Benefits Of Exercising With The Pellet In Place

Female Pellet Insertion: Estradiol and Testosterone

There are a number of benefits to exercising with the pellet in place. Perhaps the most obvious benefit is that it can help to prevent the development of anxiety and depression. Studies have shown that people who exercise regularly are less likely to experience these conditions. In addition, exercise has also been shown to improve cognitive function and memory. Furthermore, regular exercise can also help to improve sleep quality. all of these benefits can lead to a improved sense of well-being and increased life satisfaction.

Another important benefit of exercising with the pellet in place is that it can help to prevent obesity. obesity is a major health problem that is associated with a number of serious conditions, such as type II diabetes, heart disease and certain types of cancer. Exercise can help to maintain a healthy body weight and prevent the development of obesity.

Exercise is also beneficial for people who already suffer from anxiety and depression. In these individuals, exercise can help to improve symptoms and make them feel better. Additionally, exercise has also been shown to be helpful in treating substance abuse disorders.

So, in conclusion, there are many benefits to exercising with the pellet in place. This includes preventing the development of conditions such as anxiety and depression, improving cognitive function and memory, improving sleep quality and preventing obesity.

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Other Problems From Hormone Pellet Therapy

Whether using pellets or topical treatment, hormone replacement therapy with bioidentical hormones is a safe effective treatment for hormone imbalance symptoms. The pellets do add some increased risk of side effects as noted above. In addition to the side effect noted above, the most common problem I have seen with hormone pellet therapy is the very high levels of hormones that are maintained. This typically occurs from poor monitoring of the hormone levels. As a result we see women with testosterone levels that are as high as men and men that have testosterone levels that are well above the upper reference range.

Now this can happen from time to time with any method of hormone treatment. With pellet therapy it seems to be a more common occurrence rather than an exception. This may occur from infrequent lab testing or checking when the hormone levels would naturally be running out and hence lower. This lower lab test then justifies a higher milligram pellet dose. While a more frequent lab monitoring may resolve this, pellet therapy is rarely monitored this way. For some excessively high hormone levels can make you feel just as poorly as low. If you started hormone pellet therapy and you don’t feel any better or feel worse consider having the levels checked a month after pellet insertion.

Are There Any Risks Associated With Exercising With The Pellet In Place

There are a few risks associated with exercising with the pellet in place. One risk is that the pellet could become dislodged during strenuous activity and enter the bloodstream. This could lead to serious health complications, such as an embolism. Additionally, the pellet could break through the skin and become infected. Finally, there is a small risk of internal bleeding when the pellet is removed.

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What Happens During The In

During the in-office visit, which only takes a few minutes, patients are brought into the exam room, and the insertion site is numbed. The most common site of insertion is the upper buttocks. A small incision is then made for pellet insertion. Once the pellet is inserted, the insertion site is covered with a small bandage.

Postinsertion Instructions For Men

  • Your insertion site has been covered with two layers of bandages. The inner layer is a steristrip and the outer layer is a waterproof dressing.
  • We recommend putting an ice pack on the insertion area a couple of times for about 20 minutes each time over the next 4 to 5 hours. You can continue for swelling if needed. Be sure to place something between the ice pack and your bandages/skin. Do not place ice packs directly on bare skin.
  • No tub baths, hot tubs, or swimming pools for 7 days. You may shower, but do not scrub the site until the incision is well healed .
  • No major exercises for the incision area for 7 days. This includes running, elliptical, squats, lunges, etc. You can do moderate upper body work and walking.
  • The sodium bicarbonate in the anesthetic may cause the site to swell for 13 days.
  • The insertion site may be uncomfortable for up to 2 to 3 weeks. If there is itching or redness you may take Benadryl for relief, 50 mg. orally every 6 hours. Caution this can cause drowsiness!
  • You may experience bruising, swelling, and/or redness of the insertion site which may last from a few days up to 2 to 3 weeks. You may notice some pinkish or bloody discoloration of the outer bandage. This is normal.
  • If you experience bleeding from the incision, apply firm pressure for 5 minutes.
  • Please call if you have any bleeding not relieved with pressure, as this is NOT normal.
  • Please call if you have any pus coming out of the insertion site, as this is NOT normal.


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