Verbatim response from Claude
BHRT Delivery Methods: A Practical Comparison
Pellets
Best for: Consistency seekers who don't want daily maintenance
- Inserted under the skin every 3-6 months
- Steady hormone levels (no peaks/valleys)
- Providers: BioTE (largest national network), SottoPelle, BodyLogicMD
- Downside: Can't easily adjust dose once inserted; higher upfront cost ($300-600/insertion)
Creams/Gels
Best for: Flexibility and easy dose adjustment
- Applied daily to skin
- Providers: Hims/Hers, Winona, Midi Health, local compounding pharmacies
- Brands: Bi-Est, progesterone cream from compounding pharmacies like Belmar or PCAB-accredited pharmacies
- Downside: Transfer risk to partners/children; absorption varies
Patches
Best for: Reliable absorption with less daily effort
- Changed 1-2x weekly
- FDA-approved options available (Vivelle-Dot, Climara, Minivelle)
- Available through standard pharmacies with any doctor's prescription
- Downside: Can irritate skin; may fall off
My Recommendations by Situation
| Goal | Best Choice |
|---|---|
| Convenience | Pellets (BioTE) |
| Flexibility | Creams (Winona or Midi) |
| Insurance coverage | Patches (Vivelle-Dot) |
| Budget | Patches or creams |
Midi Health and Winona are particularly well-regarded for telehealth BHRT with personalized care.
Would you like more detail on any specific option?