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Mia Piel
A physician in a white coat talking with a patient during a consultation

Wellness

Hormone Replacement Therapy

Medically supervised hormone therapy, guided by lab testing.

At a glance

Session
30–60 min (consultation)
Recovery
Depends on the method
Results
Several weeks to months
Sessions
Ongoing follow-up

Treatment duration, downtime, visible results and recommended sessions are approximate and vary from person to person. Your provider confirms them at your consultation.

What it is

Hormone replacement therapy restores specific hormones when a deficiency or hormonal change is causing symptoms. For women, it may include estradiol, testosterone or both to help with menopause symptoms such as hot flashes. For men, it typically involves testosterone when levels are low.

Every plan starts with a medical evaluation and lab testing, and is adjusted over time based on your symptoms, results and follow-up. It's a medical therapy for specific hormonal needs, not a general anti-aging treatment.

Concerns it treats

  • Hormonal imbalance
  • Menopause symptoms
  • Hot flashes
  • Low testosterone
  • Fatigue
  • Low libido
  • Mood changes

Options

  • For women

    Estradiol, testosterone or both, which may help with menopause symptoms such as hot flashes, vaginal dryness and mood swings.

  • For men

    Testosterone, when lab results show low levels from hypogonadism or age-related decline.

  • How it's given

    Biote pellet insertion: small hormone pellets placed under the skin at the clinic.

Who it may suit

  • Women with menopause symptoms that affect daily life
  • Men with symptoms and lab results showing low testosterone
  • Adults with a documented hormone deficiency, after a full medical evaluation

Why patients choose it

  • Can help address symptoms of certain hormone deficiencies
  • Individualized to your lab results, history and symptoms
  • Hormone levels and response are monitored medically
  • Dosing can be adjusted based on your response
  • Can be part of a wider approach to hormonal health
  • Decisions are based on medical evaluation, not symptoms alone

What to consider

  • Hormone therapy isn't appropriate for everyone
  • Benefits and risks vary with the hormone, dose, route, age and medical history
  • Side effects can occur, and some forms carry specific risks
  • Regular follow-up and lab monitoring are part of treatment
  • It can interact with certain medications and medical conditions
  • It isn't meant to reverse normal aging

Before your visit

  • Share your medical history, symptoms and goals at your consultation
  • Complete any recommended blood tests or screenings
  • Tell us about all medications and supplements you take
  • Don't stop a prescribed medication without your doctor's approval
  • Follow any diet advice your provider gives you
  • Ask about possible side effects and how to manage them

After your treatment

  • Keep track of changes in symptoms or side effects and report them
  • Attend follow-up appointments so your plan can be adjusted
  • Keep up with recommended lab tests and screenings
  • Keep a balanced diet, regular exercise and enough sleep

Your provider will give you instructions for your own treatment plan.

Frequently asked questions

Why might someone need hormone replacement?

It may be considered when lab testing shows a hormone deficiency, or when symptoms are linked to certain hormonal changes, such as menopause or low testosterone.

Do I need lab testing?

Yes. Lab tests help evaluate your hormone levels and other health factors before treatment, and they're repeated during treatment to monitor your response.

How long does it take to work?

It varies with the hormone, the goal, the dose and how your body responds. Your provider will review your progress at follow-up visits.

Is it an anti-aging treatment?

No. It's a medical therapy for specific hormonal needs and isn't meant to reverse normal aging.

Can anyone receive hormone replacement?

No. Certain medical conditions, cancers, cardiovascular or clotting risks, and medications can affect eligibility. A consultation, a review of your history and testing determine whether it's right for you.

What hormones can be replaced?

For women, estradiol, testosterone or both; for men, testosterone. Your provider decides which, if any, are appropriate.

How is it given?

Through Biote pellet insertion: small hormone pellets placed under the skin at the clinic.

Are there side effects?

Yes. They depend on the hormone, dose, route and your medical history.

Will my dose stay the same?

Not necessarily. It may change based on your symptoms, lab results, response and safety.

Do I need follow-up appointments?

Yes. They let your provider check your response, side effects and lab results, and adjust treatment.

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