Verbatim response from Claude
BHRT Delivery Methods: A Practical Comparison
Pellets
Best for: Consistent levels, convenience
- Inserted under skin every 3-6 months
- Providers: SottoPelle, BioTE (now Biote), BodyLogicMD
- Pros: "Set it and forget it," steady hormone levels
- Cons: Can't easily adjust dose, minor procedure required, costly ($300-600/insertion)
Creams/Gels
Best for: Flexibility and dose adjustment
- Applied daily to skin
- Providers: Winona, Evexipel, local compounding pharmacies, Wisp
- Pros: Easy to adjust, non-invasive, relatively affordable
- Cons: Transfer risk to partners/children, absorption varies
Patches
Best for: Reliable absorption with convenience
- Changed 1-2x weekly
- Brands: Vivelle-Dot, Climara, Minivelle (FDA-approved)
- Pros: Consistent delivery, skips liver metabolism, well-studied
- Cons: Skin irritation, visible
My Honest Take
- Most consistent: Pellets (Biote is widely available through doctors)
- Most flexible: Creams (Winona is highly rated for telehealth access)
- Best studied/safest track record: Patches (Vivelle-Dot)
Start with a consultation through BodyLogicMD or Midi Health — they help match you to the right method.
Would you like more detail on cost or finding providers?