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Bioidentical HRT Pellets (Women & Men)

Physician-Led Hormone Evaluation and Treatment Planning

Mooi offers individualized hormone consultations led by Dr. Tracey Botha, a board-certified OB-GYN. During your consultation, Dr. Botha will review your medical history, current medications, previous hormone therapy, current concerns, relevant risk factors, and personal wellness goals.

Laboratory testing may be reviewed or ordered when clinically appropriate. This information is considered together with your medical history and clinical evaluation to determine whether hormone therapy should be considered. Hormone pellets are one of several prescription options that may be discussed. They are not appropriate for every patient, and no hormone treatment is recommended before appropriate evaluation and screening.

What Are Hormone Pellets?

Hormone pellets are small implants placed beneath the skin during an in-office procedure. They are formulated to release prescribed hormone medication gradually over time.

The term “bioidentical” is commonly used to describe hormones with the same chemical structure as hormones produced by the human body. Bioidentical hormones may be available through FDA-approved products or compounded medications, depending on the formulation and route of administration.

If pellet therapy is being considered, Dr. Botha will discuss the specific medication, whether it is FDA-approved or compounded, available alternatives, potential risks, limitations, and required follow-up.

How Is Clinical Appropriateness Determined?

Dr. Botha may consider factors such as:

Medical and surgical history

Current medications and supplements

Previous hormone use

Relevant laboratory findings

Personal and family health history

Potential contraindications and risk factors

Individual preferences and treatment goals

Ability to complete appropriate follow-up care

Laboratory results are only one component of the evaluation and do not independently determine whether pellet therapy is appropriate.

Your appointment begins with an in-depth review of your health history, current concerns, previous treatment experiences, medications, and goals.

Dr. Botha will discuss available hormone therapy options, which may include FDA-approved and compounded formulations in different delivery forms. The purpose of this discussion is to help you understand the available options and participate in an informed clinical decision.

When pellet therapy is clinically appropriate and selected, the insertion procedure, applicable risks, aftercare requirements, and follow-up schedule will be explained before treatment.

When hormone therapy is recommended, Dr. Botha will develop an individualized treatment plan based on her evaluation and clinical judgment.

Your plan may include:

A prescription option selected following evaluation
Patient education and informed consent
Clinician-directed medication instructions
Appropriate laboratory monitoring
Follow-up appointments
Documentation of your response and any concerns
Changes or discontinuation when medically appropriate

Pellet selection and follow-up are determined individually rather than through a standard public protocol.

Follow-up care is an important part of clinician-directed hormone therapy.

During follow-up appointments, Dr. Botha may review:

Your response to the prescribed therapy
Questions or concerns
Potential side effects
The insertion site, when applicable
Relevant laboratory findings
Whether continuation or modification should be considered

The timing of laboratory testing, follow-up visits, and any future pellet procedures is determined individually.

Important Information About Compounded Hormone Pellets

Some hormone pellet products may be prepared by a compounding pharmacy according to a patient-specific prescription.

Compounded medications are not FDA-approved. The FDA does not verify the safety, effectiveness, or quality of compounded medications before they are marketed.

FDA-approved hormone therapy alternatives may be available. Dr. Botha will discuss relevant alternatives and determine whether a compounded option should be considered based on the patient’s medical needs and available treatment options.

Because an inserted pellet cannot be adjusted or easily discontinued in the same manner as some other hormone formulations, the risks, limitations, and alternative delivery methods should be discussed carefully before treatment.

Cost of Bioidentical HRT Pellets

Price upon consultation.

Frequently asked questions

Are hormone pellets appropriate for everyone?

No. Clinical appropriateness depends on your medical history, current medications, relevant laboratory findings, risk factors, previous treatment, and Dr. Botha’s clinical evaluation.

How often are pellet appointments required?

There is no single schedule appropriate for every patient. Timing depends on the medication prescribed, clinical response, laboratory findings, and Dr. Botha’s judgment. Your individual follow-up schedule will be explained as part of your treatment plan.

Are hormone pellets FDA-approved?

The answer depends on the specific product prescribed. Some hormone pellet products may be compounded, while certain FDA-approved hormone pellet products also exist. When a compounded medication is prescribed, the compounded medication itself is not FDA-approved. Dr. Botha will explain the status of the specific medication and discuss available alternatives where relevant.

What happens after the insertion procedure?

You will receive written aftercare instructions based on your individual procedure. These instructions will explain activity considerations, insertion-site care, and when to contact Mooi with a question or concern.

Can a pellet be adjusted after it has been inserted?

Unlike some hormone delivery methods, an inserted pellet cannot be readily adjusted after placement. This limitation, along with available alternatives, will be discussed before treatment.

Dr. Botha is a Prodrome Elite Provider

As a Prodrome Elite Provider, Dr. Botha offers advanced wellness support that goes beyond standard treatment alone. This includes access to Prodrome testing and targeted protocols designed to help evaluate cellular health, lipid biology, and key biomarkers related to healthy aging, metabolic function, and overall optimization.

Advanced cellular health testing, personalized protocols, and longevity-focused care
Prodrome testing to evaluate cellular health and key biomarkers
Personalized wellness protocols based on your unique results
Targeted support for energy, cognition, metabolism, and healthy aging
Science-informed care from one of the few Prodrome Elite Providers in Florida