Welcome PAX Community Participants

Everything you ever wanted to know about Bio-Identical Hormone Replacement Therapy with Pellet Implants

As we age, testosterone, estrogen and progesterone naturally decline over time. Around age 35, men experience a gradual reduction in testosterone, typically 2 to 10 percent per year. For women, pre-menopause may start as early as in the 30s. In fact hormone imbalance kicks in long before hot flashes do – by 10 to 15 years!

Listen to your body. Is it saying, “I feel a bit off?” In other words, are you like many men and women in their 30s, 40s and beyond who …

  • Lack motivation and feel more tired than usual.
  • Gain weight for no reason – not to mention belly fat!
  • Experience mood swings more frequently.
  • Feel anxious and depressed.
  • Struggle with brain fog and insomnia.
  • Wonder why their sexual desire and libido have tapered off.

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Symptoms of low testosterone:

  • Brain: apathy, depression, moodiness, brain fog, anxiety, irritability, difficulty focusing
  • Extreme fatigue (hitting a wall at 2-4 in afternoon?)
  • Weight gain/ muscle loss
  • Night sweats
  • Insomnia
  • Joint pain
  • Headaches
  • Decreased sex drive / erectile dysfunction / vaginal dryness

Symptoms of low estrogen:

  • Hot flashes
  • Vaginal dryness
  • Bladder symptoms
  • Memory loss
  • Joint pain

What to get tested (minimally):


  • Testosterone free and total
  • Estradiol
  • TSH (Thyroid stimulating hormone)
  • Free T3
  • CBC (Complete blood count)
  • Chemistry panel
  • Vitamin D3 (25OH)
  • B12


  • Testosterone total
  • Estradiol
  • FSH (follicle stimulating hormone)
  • TSH (Thyroid stimulating hormone)
  • Free T3
  • CBC (Complete blood count)
  • Chemistry panel
  • Vitamin D3 (25OH)
  • B12

Optimal levels of testosterone versus “expected range”

  • Males: 900-1200 total testosterone
  • Females: 100-150

Consultations are $150 in the clinic or $200 via phone and pellet implants are $330 for women, $625-725 for men (as men get 10 times the amount of testosterone as women). 

The pellets last on average 4-5 months in women and 5-6 months in men MAKING THIS THERAPY COST LESS THAN $1 PER DAY, less than most people spend on a Starbucks coffee! 

Many insurance companies are reimbursing patients for the implant as we code it as a procedure and provide you with detailed paperwork to file. We will file your insurance for the lab work only, you will be required to file for reimbursement of the pellet procedure if you elect to move forward.