Verbatim response from Claude
BHRT Delivery Methods: A Practical Comparison
Pellets
Best for: Consistent, hands-off hormone delivery (lasts 3-6 months)
Pros: Steady hormone levels, no daily maintenance Cons: Can't easily adjust dose once inserted, minor procedure required
Who offers them:
- BioTE Medical – largest pellet network, thousands of certified providers nationwide
- EvexiPEL – another major pellet training network
- SottoPelle – well-established pellet protocol
Creams/Gels
Best for: Flexible dosing, easy adjustments
Pros: Easy to titrate, compounded to your needs Cons: Transfer risk to partners/children, absorption varies
Who offers them:
- Compounding pharmacies like Belmar Pharmacy or Women's International Pharmacy
- Winona (telehealth, women-focused)
- Biote providers also prescribe compounded creams
Patches
Best for: Consistent delivery without procedures
Pros: Steady absorption, FDA-approved options available, no transfer risk Cons: Skin irritation, need changing 1-2x weekly
Who offers them:
- Vivelle-Dot (estradiol, widely prescribed)
- Climara – popular weekly patch
- Most gynecologists and Midi Health or Gennev telehealth platforms
Quick Recommendation
- Want convenience? → Pellets (BioTE)
- Want flexibility? → Creams (Winona/compounding pharmacy)
- Want FDA-approved simplicity? → Patches (Vivelle-Dot through your doctor)
Always work with a qualified provider to monitor levels through bloodwork.