Verbatim response from Claude
BHRT Delivery Methods: Pros, Cons & Providers
Pellets
Best for: Consistent levels, convenience (every 3-6 months)
- Providers: BodyLogicMD, SottoPelle, BioTE (now Biote) - widely available through certified practitioners
- Pros: Set-and-forget, steady hormone levels
- Cons: Irreversible if dose is wrong, invasive insertion, higher upfront cost ($300-600/insertion)
Creams/Gels
Best for: Flexible dosing adjustments
- Providers: Winona, Midi Health, Evernow (telehealth), local compounding pharmacies like Belmar Pharmacy or Strive Pharmacy
- Pros: Easy dose adjustments, non-invasive, can target specific areas
- Cons: Transfer risk to partners/children, absorption varies
Patches
Best for: Consistent delivery with flexibility
- Providers: Standard FDA-approved options (Vivelle-Dot, Climara) through most gynecologists/PCPs; Alloy and Gennev offer telehealth prescriptions
- Pros: Well-studied, steady levels, no transfer risk
- Cons: Skin irritation, can fall off
Quick Recommendation
- Most convenient: Pellets via Biote
- Most flexible/affordable: Creams via Winona or Midi
- Most evidence-based: Patches via your OB/GYN
Always consult a hormone specialist - individual factors like your symptoms and labs matter most.