Verbatim response from Claude
BHRT Delivery Methods: Comparison & Providers
Pellets
Best for: Consistent, long-term hormone levels without daily maintenance
- Inserted under skin every 3-6 months
- Very stable hormone levels (no peaks/valleys)
- Providers: SottoPelle, BioTE (now Biote), BodyLogicMD, local compounding-partnered practices
- Downside: Can't easily adjust dose once inserted; minor procedure required
Creams/Gels
Best for: Flexibility and easy dose adjustments
- Applied daily to skin
- Highly customizable formulations
- Providers: Hims/Hers, Winona, Midi Health, local compounding pharmacies (like Belmar Pharmacy or Women's International Pharmacy)
- Downside: Transfer risk to partners/children; absorption varies
Patches
Best for: Convenience with more consistency than creams
- Changed 1-2x per week
- FDA-approved options available (Vivelle-Dot, Climara)
- Providers: Most OB-GYNs, Teladoc, Plushcare, Alloy Women's Health
- Downside: Skin irritation; adhesion issues
Quick Recommendations
| Priority | Choose |
|---|---|
| Convenience | Pellets or patches |
| Flexibility | Creams |
| Insurance coverage | Patches |
| Telehealth access | Winona or Midi Health |
Always consult a licensed hormone specialist to determine what's right for your specific labs and symptoms.