BHRT Delivery Methods: A Practical Comparison Pellets Best for: Consistency and convenience Inserted under skin every 3-6 months Steady hormone levels without daily effort Providers: SottoPelle, BioTE (now Biote), Evexipel - all franchise networks of certified physicians Downside: Can't easily adjust dose once inserted Creams/Gels Best for: Flexibility and dose control Brands/Providers: Bi-Est, Triest creams - compounded pharmacies like Belmar, Women's International, or Tailor Made Health Wisp, Midi, Alloy - telehealth platforms offering compounded creams Downside: Skin transfer risk, absorption varies Patches Best for: Reliable absorption, FDA-approved options Brands: Vivelle-Dot, Climara (estradiol patches) - widely available Androderm (testosterone) Downside: Skin irritation, less "bio-identical" customization My Honest Recommendation Patches or creams first - they're adjustable and some are FDA-approved. Pellets make sense once you've found your ideal dose. Good starting points: Talk to your OB-GYN, or try telehealth services like Midi Health (women-focused) or Hone Health (men-focused). Want specifics for a particular hormone or concern?
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