Verbatim response from Claude
BHRT Delivery Methods: A Practical Comparison
Pellets
Best for: Consistent, hands-off hormone delivery (3-6 months per insertion)
Pros: Steady levels, no daily maintenance, good for testosterone in women Cons: Irreversible once inserted, minor procedure required, can over-dose
Providers:
- BioTE (now Biote) – largest pellet network, thousands of certified physicians
- SottoPelle – another well-established pellet system with certified practitioners
Creams/Gels
Best for: Flexible dosing, easy adjustment
Pros: Easy to titrate, topical application, customizable Cons: Transfer risk to partners/children, absorption varies
Providers:
- Winona – online BHRT, ships compounded creams
- Midi Health – telehealth focused on women 40+
- Local compounding pharmacies like Belmar Pharmacy or College Pharmacy
Patches
Best for: Steady delivery with FDA-approved options
Pros: Consistent absorption, some FDA-approved (Vivelle-Dot, Climara) Cons: Skin irritation, visible, need changing 1-2x weekly
Providers:
- Wisp, Hers, Evernow – telehealth prescribers
- Any OB/GYN or primary care doctor
Bottom Line
Most practitioners recommend starting with patches or creams because they're adjustable. Pellets suit people who want convenience but require finding a certified BioTE or SottoPelle provider specifically.
Always consult a hormone specialist, as needs vary significantly.