
Hormonal balance plays a vital role in energy, mood, metabolism, and well-being. As hormone levels naturally decline with age, many men and women experience fatigue, weight gain, brain fog, reduced libido, and other symptoms that diminish quality of life. Bioidentical hormone replacement therapy (BHRT) with pellets offers a natural solution to restore hormonal balance and help you feel like yourself again.
At Eterna Vein & Medical Aesthetics in Puyallup, Washington, Dr. Mark Kim and his experienced team provide personalized BHRT pellet therapy using an integrative approach that addresses hormone levels and overall wellness. We’re proud to serve patients throughout the Seattle area.
What Is Bioidentical Hormone Replacement Therapy?
Bioidentical hormone replacement therapy (BHRT) with pellets is a natural alternative to synthetic hormone replacement therapies. Bioidentical hormones—testosterone, estrogen, or both—are plant-based and metabolize in the body just like natural hormones. Unlike synthetic hormones, which are artificially formulated in a lab, bioidentical hormones closely match the body’s natural chemistry, providing better compatibility and optimal results.
What Are Bioidentical Hormone Pellets, and How Do They Work?
Bioidentical hormone pellets, made of either estradiol or testosterone, are tiny cylinders implanted under the skin. These pellets, sourced from FarmaKeio, a leading compounding pharmacy, release a steady stream of hormones into the bloodstream based on physical activity and emotional stress. This method ensures a consistent hormone level, avoiding fluctuations common with other delivery methods like creams or pills. The procedure is quick and performed under local anesthesia, with no need for stitches. Research shows that BHRT pellet therapy is the most effective hormone delivery method for both men and women.
Who Can Benefit From BHRT With Pellets?
As we age, testosterone, estrogen, and progesterone naturally decline, leading to symptoms of hormone imbalance. If you experience any of the following, BHRT may be right for you:
- Fatigue, lethargy, and lack of motivation
- Weight gain, especially belly fat
- Reduced libido and sexual dysfunction
- Mood swings, anxiety, or depression
- Brain fog and memory issues
- Insomnia and poor sleep quality
The EvexiPEL Difference: An Integrated Approach to Care
EvexiPEL practitioners go beyond standard hormone therapy, integrating functional medicine, nutrition, and mental health support for optimal results. Our approach considers:
- Gut Health: A healthy gut supports hormone balance, so gut repair is a key component of treatment.
- DNA & Hormone Metabolism: Some patients metabolize hormones differently, requiring personalized adjustments.
- Toxin Exposure: Environmental and emotional toxins impact hormone health, requiring a detoxification strategy.
Common Symptoms of Hormone Imbalance
For Men:
- Fatigue and loss of motivation
- Mood swings, anxiety, and depression
- Decreased muscle mass and increased body fat
- Insomnia and memory issues
- Reduced libido and erectile dysfunction
For Women:
- Unexplained weight gain and food cravings
- Hot flashes, night sweats, and vaginal dryness
- Mood swings, depression, and brain fog
- Hair loss and aging skin
- Frequent UTIs and menstrual irregularities
Why Choose Eterna Vein & Medical Aesthetics
Dr. Mark Kim brings over 20 years of medical experience to Eterna Vein & Medical Aesthetics, with a holistic approach to health and wellness. As a board-certified physician and member of the American Board of Venous & Lymphatic Medicine and the American Academy of Family Physicians, Dr. Kim understands the complex interplay between hormones, nutrition, lifestyle, and overall well-being. His commitment to personalized care ensures that your BHRT treatment plan is tailored to your unique needs and health goals.
Our experienced team includes aesthetic nurse practitioners and medical assistants with decades of combined experience, all dedicated to providing expert care in our state-of-the-art Puyallup facility. We take the time to listen to your concerns, conduct thorough evaluations, and develop comprehensive treatment plans that address your complete health picture.
BHRT Pellet Therapy FAQ
Pellets provide a steady hormone release, mimicking natural hormone secretion. Unlike pills, creams, or patches that require daily use and vary in absorption, pellets offer convenience with only 2-3 procedures per year.
Pellets last 5-6 months for men and 4-5 months for women. Most patients experience little to no discomfort, and benefits are noticeable within a few weeks. Avoid strenuous exercise for 72 hours (women) and 5-7 days (men) after the procedure to prevent complications.
The duration of BHRT varies per individual. Many patients continue therapy long-term to maintain energy, mental clarity, and overall well-being.
Yes! Testosterone supports mental clarity, libido, muscle tone, and serotonin production for emotional balance.
While not a weight-loss treatment, BHRT improves energy, muscle mass, metabolism, and sleep, making weight management easier.
Yes! Hormonal imbalances are a major cause of sexual dysfunction, and BHRT often restores libido and performance.
Testosterone and estrogen help maintain collagen, hydration, and blood flow to the skin, leading to a more youthful appearance.
Possible side effects include mild bruising, increased hair growth, and temporary skin breakouts. Serious complications, such as infection or pellet extrusion, are rare.
Most people are good candidates for BHRT. However, treatment plans are tailored for breast and prostate cancer survivors to ensure safety.
Pre and Post Care Instructions
Female BHRT Pellet Pre/Post Procedure Instructions
Male BHRT Pellet Pre/Post Procedure Instructions
Schedule Your BHRT Consultation Today
Ready to restore your energy, vitality, and overall well-being with bioidentical hormone replacement therapy? Eterna Vein & Medical Aesthetics in Puyallup, Washington, is here to help. Our experienced team, led by Dr. Mark Kim, provides personalized BHRT pellet therapy designed to address your unique needs. Serving patients throughout the Seattle area, we’re committed to helping you feel your best. Schedule a consultation today by calling (253) 268-3400 .