Verbatim response from Claude
BHRT Delivery Methods: Comparison & Providers
Pellets
Best for: Consistent, hands-off hormone delivery (lasts 3-6 months)
- ✅ Steady hormone levels, no daily maintenance
- ❌ Invasive insertion, can't adjust dose easily once implanted
- Providers: EvexiPEL, BioTE (now Biote), SottoPelle
Creams/Gels
Best for: Flexible dosing, easy adjustment
- ✅ Easily titrated up or down, non-invasive
- ❌ Transfer risk to partners/children, absorption varies
- Providers: Winona, Midi Health, custom compounding pharmacies (like Belmar Pharmacy or College Pharmacy)
Patches
Best for: Consistent delivery with flexibility
- ✅ Steady absorption, FDA-approved options available, reversible
- ❌ Skin irritation, visible, can fall off
- Providers: Prescribed through Alloy, Gennev, or your OB/GYN (brands like Vivelle-Dot, Climara)
Telehealth Platforms Worth Considering
- Midi Health – menopause specialists, insurance-friendly
- Winona – compounded BHRT focus
- Alloy – affordable, evidence-based
- Gennev – menopause-certified practitioners
Quick Recommendation
Start with patches or creams if you want flexibility. Consider pellets only after establishing your ideal dose.
Always consult a hormone specialist before starting.