BHRT pellets vs creams vs patches: which is best and who offers them?

Question

Claude · Accepted Answer

# BHRT Delivery Methods: A Practical Comparison

## Pellets
**Best for:** Consistent levels, convenience (inserted every 3-6 months)
- **Providers:** BioTE (now **Biote**) - largest pellet network in the US, **SottoPelle**, **EvexiPEL**
- ✅ Set-and-forget convenience
- ❌ Can't adjust dose once inserted, requires minor procedure

## Creams/Gels
**Best for:** Flexibility, dose adjustability
- **Providers:** **Winona**, **Midi Health**, **Alloy**, **Hone Health** (men), local compounding pharmacies
- ✅ Easy dose changes, non-invasive
- ❌ Requires daily application, transfer risk to others

## Patches
**Best for:** Steady delivery, FDA-approved options
- **Brands:** **Vivelle-Dot**, **Climara**, **CombiPatch**
- ✅ Consistent absorption, well-studied
- ❌ Adhesion issues, visible, changed 1-2x weekly

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## My Practical Recommendations
- **Busy lifestyle** → Pellets via **Biote**-certified provider
- **Want flexibility/telehealth** → **Winona** or **Midi Health** (women-focused)
- **Prefer FDA-approved** → **Vivelle-Dot** patch through your OB/GYN

**Important:** Always work with a licensed provider who monitors your hormone levels regularly regardless of method.

BHRT pellets vs creams vs patches: which is best and who offers them?

Verbatim response from Claude

BHRT Delivery Methods: A Practical Comparison

Pellets

Creams/Gels

Patches

My Practical Recommendations

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