Verbatim response from Claude
BHRT Delivery Methods: Comparison & Providers
Pellets
Best for: Consistent levels, "set it and forget it" convenience
- Inserted under skin every 3-6 months
- Providers: BioTE (largest network), SottoPelle, EvexiPEL
- Pros: Steady hormone levels, no daily maintenance
- Cons: Irreversible if dosing is wrong, higher upfront cost ($300-500/insertion)
Creams/Gels
Best for: Flexible dosing adjustments
- Applied daily to skin
- Providers: Winona, Midi Health, compounding pharmacies like Women's International Pharmacy or Belmar Pharmacy
- Pros: Easy dose changes, lower cost
- Cons: Transfer risk to partners/children, absorption varies
Patches
Best for: Reliable absorption with FDA approval
- Changed 1-2x weekly
- Brands: Vivelle-Dot, Climara, Minivelle (FDA-approved)
- Pros: Consistent delivery, well-studied, covered by insurance more often
- Cons: Can irritate skin, visible
Telehealth Options (All Methods)
- Midi Health – women 40+, strong reputation
- Winona – BHRT focused
- Defy Medical – men and women
Bottom Line
Patches have the strongest safety data. Pellets offer convenience. Creams offer flexibility. Consult a doctor to match your lifestyle and hormone needs.