Hormone Replacement Therapy & Pellet Therapy
Hormonal balance is the foundation of long-term health, energy, and vitality. At Infinite Youth Medical Spa, our hormone replacement therapy is designed to address the root cause of common symptoms associated with aging, stress, and metabolic changes by restoring hormones to optimal—not just normal—levels.
Hormone Replacement Therapy (HRT) and bioidentical pellet therapy provide a personalized, medically guided approach to improving how you feel day-to-day. By carefully evaluating your symptoms, lifestyle, and laboratory markers, we create individualized treatment plans that support energy, mental clarity, body composition, sleep quality, and sexual wellness while promoting healthy aging from the inside out.
To find out if you are a candidate for HRT, text “Pellets” to 651-377-5072.
What hormones do we evaluate?
Our hormone replacement therapy process begins with a comprehensive evaluation to understand your unique hormonal profile. While testing is personalized to each patient, common hormones and markers we assess may include:
- Testosterone
- Estradiol (Estrogen)
- Progesterone
- DHEA (Dehydroepiandrosterone)
- Thyroid function markers
Evaluating these hormones allows us to identify imbalances, optimize treatment safely, and create a personalized plan designed around your symptoms, goals, and long-term wellness.
What is Pellet Therapy?
Pellet therapy is a form of bioidentical hormone replacement therapy (BHRT) that delivers consistent hormone levels through tiny pellets placed just beneath the skin. These plant-derived hormones are structurally identical to those naturally produced by the body.
Unlike creams, pills, or injections that may cause hormone fluctuations, pellets release a steady dose over time, helping maintain balanced levels without the hassle daily dosing or peaks and crashes.
Common hormones used in pellet therapy may include:
- Testosterone (for both men and women)
- Estrogen
Treatment is always customized based on lab results, symptoms, and individual goals.
What symptoms can HRT help improve?
Hormone optimization can support a wide range of symptoms affecting both women and men, including:
- Low energy or chronic fatigue
- Brain fog or reduced mental clarity
- Mood swings, anxiety, or irritability
- Difficulty losing weight or increased body fat
- Reduced muscle tone or strength
- Poor sleep or insomnia
- Hot flashes or night sweats (women)
- Low libido or sexual dysfunction
- Hair thinning or skin changes
How does the process work to start HRT/pellet therapy?
Getting started is a structured, personalized process designed to ensure safety, precision, and optimal results. Here’s what to expect:
1. Initial Consultation (Virtual or In-Clinic)
Your journey begins with a one-on-one consultation either virtually or in our clinic. We will review your symptoms, health goals, medical history, and determine whether hormone therapy and pellet treatment may be appropriate for you.
If indicated, custom lab work will be ordered to evaluate hormone levels, metabolic markers, and overall health status. These labs help us create a safe and highly personalized treatment plan.
2. In-Office Lab Review & Pellet Placement
Your second appointment takes place in clinic. During this visit, we will review your lab results together, discuss your treatment plan in detail, and confirm candidacy for pellet therapy. If appropriate, pellet insertion is performed during this same appointment. The procedure is quick, minimally invasive, and completed in-office.
3. Post-Pellet Follow-Up (Optimization Visit)
At week 4, follow-up labs will be obtained to evaluate how your body is responding to therapy and ensure hormone levels are moving into an optimal range. At week 5 we will have another office visit to assess your symptoms, review lab results together, and determine whether any hormone boost or adjustments are needed to fine-tune your results.
Ongoing Maintenance Appointments
Once optimized, pellet therapy becomes a maintenance-based treatment:
- Females: typically return every 3–4 months for pellet therapy
- Males: typically return every 4–6 months for pellet therapy
Timing may vary depending on metabolism, lifestyle factors, and symptom response.
After Pellet Placement: What to Expect & Activity Guidelines
Following pellet insertion, most patients return to normal daily activities quickly; however, temporary activity modifications help ensure proper healing and optimal pellet absorption.
Activity Guidelines (First 5–7 Days)
- Avoid strenuous activity (exercise, lifting, or pressure on the incision site) for the first 5 days
- Limit swimming, hot tubs, or soaking baths until the insertion site is fully healed (showers are allowed)
Mild soreness, bruising, or tenderness at the insertion area is normal and typically resolves within several days. Our team will provide detailed aftercare instructions at your appointment.
What are the most common side effects from hormone therapy and pellets?
HRT and pellet therapy are generally well tolerated when medically supervised. Side effects may vary depending on the hormone used, dose, and individual response.
Common Pellet Insertion Site Reactions
- Temporary soreness
- Bruising
- Mild swelling
- Redness or tenderness
These typically resolve within several days.
General Hormone-Related Side Effects
- Fluid retention or bloating
- Acne or skin changes
- Breast tenderness (women)
- Mood changes during adjustment phase
- Increased body hair or oiliness (with testosterone therapy in some patients)
- Changes in menstrual cycle (perimenopausal women)
Less Common Side Effects
- Headaches
- Sleep changes during dose adjustment
- Temporary shifts in libido or energy while levels stabilize
Who is not a candidate for HRT or pellet therapy?
Not everyone is an ideal candidate for hormone therapy. Contraindications or situations requiring additional evaluation may include:
- Pregnancy or breastfeeding
- Active hormone-sensitive cancers (depending on type and physician guidance)
- Untreated severe medical conditions
A comprehensive consultation and medical review are required before starting therapy.
Why Choose HRT at Infinite Youth?
At Infinite Youth Medical Spa, we take a personalized, medically guided approach to hormone optimization focused on safety, precision, and long-term results. Our goal is not just hormone replacement — but helping you restore balance in a way that allows you to feel more energized, clear-minded, confident, and aligned with your best self.
We utilize Evexipel® pellet therapy and source our pellets from FDA-registered 503B pharmacies to ensure the highest safety, consistency, and quality standards. In addition to pellet therapy, we incorporate medical-grade nutraceuticals designed to support whole-body health and enhance treatment outcomes. Through individualized dosing, ongoing monitoring, and strategic optimization, we create treatment plans tailored specifically to your physiology and goals.
Whether you are seeking support through perimenopause or menopause, testosterone optimization, improved sleep, enhanced mood, or better metabolic health, hormone therapy can be a powerful tool for restoring vitality and supporting healthy aging.
