Verbatim response from Claude
BHRT Delivery Methods: A Practical Comparison
Pellets
Best for: Consistency and convenience
- Inserted under skin every 3-6 months
- Steady hormone levels without daily effort
- Providers: SottoPelle, BioTE (now Biote), Evexipel - all franchise networks of certified physicians
- Downside: Can't easily adjust dose once inserted
Creams/Gels
Best for: Flexibility and dose control Brands/Providers:
- Bi-Est, Triest creams - compounded pharmacies like Belmar, Women's International, or Tailor Made Health
- Wisp, Midi, Alloy - telehealth platforms offering compounded creams
- Downside: Skin transfer risk, absorption varies
Patches
Best for: Reliable absorption, FDA-approved options Brands:
- Vivelle-Dot, Climara (estradiol patches) - widely available
- Androderm (testosterone)
- Downside: Skin irritation, less "bio-identical" customization
My Honest Recommendation
Patches or creams first - they're adjustable and some are FDA-approved. Pellets make sense once you've found your ideal dose.
Good starting points: Talk to your OB-GYN, or try telehealth services like Midi Health (women-focused) or Hone Health (men-focused).
Want specifics for a particular hormone or concern?