A bioidentical hormone pellet therapy designed to restore hormonal balance without the peaks and valleys of pills, creams, or injections. Precision dosing based on your labs and symptoms delivers a steady, long-lasting stream of hormones.
Our team has been performing pellet insertion procedures since 2008, bringing years of specialized experience to every treatment.
What It Is
EvexiPEL pellets are tiny, custom-compounded cylinders, about the size of a grain of rice, made from plant-derived bioidentical hormones that share the same molecular structure as those your body naturally produces. Pellets typically contain estradiol, testosterone, or both, precisely dosed based on comprehensive lab testing and your individual symptoms.
Once inserted just beneath the skin in a quick in-office procedure, the pellets release a steady, consistent dose of hormones directly into the bloodstream for roughly three to four months, even responding to your body's natural rhythm during exercise or stress, rather than delivering a flat, fixed dose around the clock.
Plant-derived hormones, structurally identical to your own, compounded to a dose calculated from your labs and symptoms.
Placed just beneath the skin in a quick in-office procedure, then releasing hormones consistently for roughly three to four months.
Pellets can respond to your body's natural rhythm during exercise or stress, rather than delivering a flat, fixed dose around the clock.
The Difference
Not all hormone pellets are the same. Here's what sets EvexiPEL apart from generic or compounded alternatives:
Rather than a one-size-fits-all approach, EvexiPEL uses a proprietary algorithm that factors in dozens of data points from your labs, symptoms, and health history to calculate your dose, replacing guesswork with precision.
EvexiPEL pellets are compounded exclusively through FDA-registered, PCAB-accredited pharmacies, which is not guaranteed with all generic pellet suppliers.
Providers who offer EvexiPEL complete dedicated training in a gentle, standardized insertion technique. Generic pellet therapy often varies widely by provider experience and training.
Our naturopathic physicians use an atraumatic insertion method designed to minimize tissue trauma, resulting in less bruising and fewer complications than the insertion techniques used at many other clinics.
The combination of precision dosing, pharmacy standards, and technique is designed to minimize the inconsistent results and complications that can come with less standardized pellet programs.
Benefits
Avoids the daily highs and lows common with pills, creams, and patches.
No daily regimen to remember, inserted once every few months.
Based on your specific labs, symptoms, and health goals.
Typically 15–30 minutes, done right in the office.
The Process
We review your medical history, symptoms, and wellness goals.
Blood work confirms your current hormone levels and guides your personalized dose.
Our pellet insertion procedure is performed by our highly experienced naturopathic physicians. The insertion site (typically the hip or upper buttock) is numbed with local anesthetic, a small incision is made, and the pellets are placed just beneath the skin.
You and your provider will monitor your symptoms and labs to fine-tune future dosing.
Pellet Therapy
Prepare
Aftercare
Contact us if you experience: Significant swelling, spreading redness, fever, drainage, a pellet visibly working its way out of the skin (extrusion), or pain that worsens instead of improving. These can be signs of infection or complication and should be evaluated promptly.
FAQ
Most patients experience steady hormone release for approximately three to four months before a repeat insertion is needed.
Many clients report symptom relief within 2–4 weeks, though full hormone optimization can take up to several months, especially after your first insertion.
The site is numbed with local anesthetic beforehand, so most patients report little to no pain during the procedure itself. Mild soreness for a few days afterward is normal.
No. Unlike pills or patches, pellet dosing cannot be changed once inserted. This is why thorough lab work and a detailed consultation beforehand are so important to getting your dose right.
No. EvexiPEL is designed for both men and women experiencing symptoms of hormone imbalance or decline, with dosing tailored to each.
Common reasons clients pursue hormone pellet therapy include fatigue, brain fog, low libido, mood changes, and symptoms related to perimenopause or menopause. Your provider will help determine whether pellet therapy fits your specific symptoms and labs.
As with any procedure, there are risks, including bruising, infection, or rare pellet extrusion. Serious complications are uncommon when performed by a trained provider using sterile technique, but it's important to follow aftercare instructions closely and report any concerning symptoms.
EvexiPEL is a prescription hormone therapy administered under naturopathic physician guidance following a full consultation and lab review. It is not appropriate for everyone; your provider will evaluate your medical history to determine if pellet therapy is right for you.
Schedule your EvexiPEL consultation and we'll review your history, symptoms, and labs to determine whether hormone pellet therapy is right for you.
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