Hormone optimization for women and men
Personalized hormone support grounded in comprehensive testing, conservative dosing, and close follow-up at our Winston-Salem practice.
A physician-led, cash-pay medical practice. Individual results vary.
Understanding pellet therapy
Hormone pellet therapy is a form of bioidentical hormone replacement therapy, often called BHRT. Very small, compressed pellets are placed beneath the skin during a brief in-office procedure, where they gradually release hormones over several months.
Depending on the patient and treatment plan, pellets may deliver hormones such as estradiol or testosterone. Other hormone support, including progesterone when appropriate, may be prescribed separately.
For the right patient, pellets can provide convenient, relatively consistent hormone delivery without a daily pill, cream, patch, or injection. But the pellet itself is only one part of responsible hormone care.
Could hormones be part of the picture?
Hormonal changes can affect energy, sleep, mood, sexual health, strength, immunity, body composition, and recovery. Explore concerns commonly evaluated in women and men.
During perimenopause, menopause, and the years to follow, shifts in estrogen, progesterone, and testosterone can affect sleep, mood, energy, sexual health, and more.
Women are often told to accept these symptoms as part of aging. We listen, evaluate the full picture, and offer personalized treatment—including hormone pellet therapy when appropriate—to help you feel and function your best.
These concerns can have several causes. A holistic evaluation helps determine whether hormones, thyroid function, nutrients, metabolism, or other factors may be contributing.
As testosterone gradually declines with age—a change often called andropause—men may notice changes in energy, sex drive, muscle, mood, and recovery. Low testosterone can affect younger men, too.
We help men of all ages optimize testosterone using symptoms and lab results. During the reproductive years, we focus on supporting natural testosterone production. Later in life, testosterone pellet therapy may be an option.
We also consider sleep, thyroid function, metabolic health, nutrient status, medications, stress, and body composition before assuming testosterone is the complete answer.
The MyHealth1st difference
For women, our goal with hormone pellet therapy is to support hormone levels within a healthy range similar to the years before menopause, without restarting monthly menstrual cycles. Dosing is personalized and monitored based on your symptoms, health history, and follow-up lab results. We do not aim for higher-than-normal hormone levels simply to create a temporary boost in energy or sex drive (libido).
The same principle applies to men: support healthy function while considering the person behind the number.
If previous hormone treatment caused unwanted side effects or left you concerned that your dose was too high, we take a careful, measured approach to your care.
More than a hormone clinic
Fatigue, sleep problems, weight changes, brain fog, reduced libido, and difficulty maintaining muscle may also be influenced by thyroid function, nutrient deficiencies, metabolic health, inflammation, and other factors.
That is why hormone evaluation at MyHealth1st sits inside a broader lab assessment-based approach.
Find Your Starting PointLevel 1
Designed for men and women age 40+ primarily interested in hormone evaluation and possible BHRT, with a focused look at hormones and other foundational markers that may affect symptoms or treatment response.
Level 2 · 60+ biomarkers
A broader view for men and women age 20+ who want to examine additional systems and contributors to their current health state.
Measure. Treat. Measure. Repeat.
A clear path from your first question to ongoing, personalized management.
Learn how our care works and which starting pathway may fit what you are looking for.
Complete the biomarker (lab) testing your provider needs before making a recommendation.
Review your history, symptoms, results, goals, options, and questions with a provider.
If appropriate, pellets are placed beneath the skin during a brief in-office procedure.
Measure your response after treatment and use those findings to guide future care.
Frequently asked questions
Pellet therapy is unfamiliar to many patients. These answers cover the practical basics before your discovery call.
They are small, compressed implants (the size of a grain of rice) containing hormones with the same chemical structure as hormones made by the human body. They are placed beneath the skin and gradually absorbed by the body, releasing hormones over time.
Yes. Pellet therapy may be considered for appropriately selected women and men. The hormones, dose, treatment schedule, and monitoring process are individualized.
Pellets commonly provide hormone delivery for several months. Women may return approximately every four months and men approximately every five months, although timing varies according to metabolism, response, laboratory findings, and treatment plan.
Pellets are placed beneath the skin through a small incision during a brief in-office procedure using local anesthetic. Your clinical team will provide instructions for caring for the insertion site afterward.
We consider your symptoms, health history, baseline laboratory results, prior hormone use, body composition, treatment goals, and other relevant health factors. We do not rely on a standardized dosing calculator.
Yes. Follow-up measurement is central to our approach. We check laboratory response after treatment and use those findings, together with your symptoms and experience, to guide future care.
Unlike a cream or oral medication, a pellet dose cannot be changed from day to day after placement. This is one reason we emphasize conservative starting doses, careful patient selection, and follow-up testing. Future rounds can be adjusted based on your response.
All hormone therapies have potential benefits, limitations, side effects, and risks. Pellet therapy is not appropriate for everyone. Your provider will review your history, biomarkers, medications, and relevant risk factors before recommending treatment.
MyHealth1st is a cash-pay practice. Payment is due at the time of service, and we do not submit insurance claims for clinical visits or procedures. Depending on your plan, you may be able to submit an out-of-network claim for reimbursement. If your insurer requests medical records or a letter of medical necessity for bioidentical hormone replacement therapy (BHRT) or pellet therapy, our team can provide appropriate supporting documentation. Providing documentation does not guarantee coverage or reimbursement. Many laboratory tests are performed through Labcorp, which may bill your insurance directly. Coverage, deductibles, and out-of-pocket costs vary by plan, so we recommend confirming your benefits with your insurance carrier.
Schedule a complimentary discovery call with our New Patient Coordinator. You do not need to know which assessment or treatment is right for you before the call.
A thoughtful first step
Tell Cindy, our New Patient Coordinator, what you are looking for. She will explain how MyHealth1st works and help you understand the most appropriate next step.
