Verbatim response from Claude
BHRT Delivery Methods: A Practical Comparison
Pellets
Best for: Consistent, hands-off hormone delivery (lasts 3-6 months)
Top providers:
- BioTE (now Biote) – largest pellet network in the US, thousands of certified providers
- SottoPelle – another well-established pellet therapy network
- EvexiPEL – growing provider network
Pros: Steady hormone levels, no daily effort Cons: Invasive insertion procedure, harder to adjust dose quickly, higher upfront cost ($300-600 per insertion)
Creams/Gels
Best for: Easy dose adjustment, topical preference
Top providers:
- Winona – online women's hormone clinic, ships compounded creams
- Evio Pharmacy – compounding pharmacy for customized creams
- Hims/Hers – accessible online option
- BodyLogicMD – physician network using compounded topicals
Pros: Flexible dosing, non-invasive Cons: Absorption varies, can transfer to others
Patches
Best for: Steady delivery without injections
Notable options:
- Vivelle-Dot – widely prescribed estradiol patch
- Climara – another popular brand
Pros: Consistent delivery, FDA-regulated options available Cons: Skin irritation, visible
Bottom Line
Pellets offer the most convenience long-term; creams offer the most flexibility; patches offer the most regulatory oversight.
Consult a provider like BodyLogicMD or Biote-certified physician to match the method to your specific needs.