Home / Treatments / Bioidentical Hormone Replacement Therapy (BHRT)Bioidentical Hormone Replacement Therapy (BHRT) Bioidentical Hormone Replacement Therapy (BHRT) Testosterone Pellet Therapy Balance your body by restoring normal hormone levels. As you age, your body makes less of certain hormones key to quality of life. Testosterone and estrogen imbalances cause issues like hot flashes, night sweats, low sex drive, sleeplessness, and mood changes. Bioidentical hormone replacement therapy (BHRT) augments natural hormone production, restoring it to normal levels. BHRT uses compounds identical in molecular structure and chemistry to the hormones naturally produced in your body. Forum Health performs hormone balancing through pellets implanted under the skin. Depending on the needs of each unique patient, we can also deliver hormones through creams, pills, suppositories, and injections. Why Pellets? Pellets are the most effective, safest, and convenient form of hormone replacement. Insertion is virtually painless and has few side effects. Pellets have no risk of contaminating those around you — unlike creams and gels applied to your skin. Pellets deliver consistent hormone levels. Over the long term, patients avoid the fluctuations seen with other delivery methods. How Pellets Work Each pellet — about the size of a small breath mint — contains natural compressed hormones. During a quick and painless procedure, these crystalline pellets are implanted under the skin in the upper buttock area. The incision is so small that it can be closed with a piece of tape. Once implanted, pellets deliver a steady dose of hormones. Because they dissolve slowly over four months, you avoid the ups and downs seen with therapies like weekly (and painful) injections. The effects last 4–6 months after treatment.