Jade Carboy, WHNP-BC/AGNP-C is available by appointment at Hawthorn Healing Arts Center! With a deep-rooted dedication to holistic women’s health and a wealth of experience, Jade is committed to empowering women to achieve optimal wellness at every stage of life.


As we age, our bodies undergo numerous changes, many of which are influenced by a decline in hormone levels. Subcutaneous pellet therapy, also known as hormone pellet replacement therapy, supports the aging process by maintaining balanced hormone levels. This minor procedure involves inserting tiny hormone pellets under the skin, which then consistently release hormones into the bloodstream, providing a steady and natural hormone supply.

Understanding Subcutaneous Pellet Therapy

Subcutaneous pellet therapy is a minimally invasive procedure where small hormone pellets, about the size of a grain of rice and no larger than a Tic-tac, are placed just beneath the skin, typically in the hip area. These pellets are made from a combination of hormones such as estradiol (a form of estrogen) or testosterone, and organic plant materials. The organic plant materials used in the pellets ensure that the hormones are bioidentical, meaning they are chemically identical to the hormones naturally produced by the human body.

How It Works

Once inserted, the hormone pellets gradually dissolve, releasing a controlled and consistent level of hormones into the bloodstream lasting several months. This method mimics the body’s natural hormone secretion more closely than other hormone replacement therapies, which often result in fluctuating hormone levels.

Benefits of Subcutaneous Pellet Therapy

Consistent Hormone Levels:

The primary advantage of pellet therapy is the steady release of hormones, which helps avoid the peaks and troughs associated with other hormone replacement methods like pills, creams, or injections. This consistent delivery can lead to more stable moods, energy levels, and overall well-being.

Supports Healthy Aging:

By maintaining balanced hormone levels, pellet therapy can alleviate many symptoms of aging. For women, this includes relief from menopausal symptoms such as hot flashes, night sweats, mood swings, and vaginal dryness. For men, it can address issues like decreased libido, fatigue, and muscle loss associated with andropause (male menopause).

Bone Density and Muscle Mass:

Hormones like estradiol and testosterone play crucial roles in maintaining bone density and muscle mass. Regular, balanced hormone levels can help prevent osteoporosis and sarcopenia, common concerns as we age.

Cognitive Function:

Hormone balance is linked to cognitive health. Proper levels of estradiol and testosterone are associated with better memory, focus, and overall cognitive function, which can decline with age.

Cardiovascular Health:

Adequate hormone levels can contribute to heart health. Estradiol, for example, has been shown to have a protective effect on the heart, reducing the risk of cardiovascular disease in postmenopausal women.

The Procedure

The insertion of hormone pellets is a straightforward and quick procedure, usually performed in a healthcare provider’s office. After applying a local anesthetic, the practitioner makes a small incision and inserts the pellets into the subcutaneous tissue, typically in the hip area. The incision is then closed with steri-strips or a small stitch. Patients can return to normal activities shortly after the procedure, with minimal downtime required.

Safety and Considerations

While many individuals experience significant benefits, the therapy must be tailored to individual needs and monitored regularly. Possible side effects can include minor bruising or discomfort at the insertion site, and in rare cases, infection or pellet extrusion.

Subcutaneous pellet therapy offers a promising solution for those looking to manage the effects of aging through hormone balance. Its ability to provide consistent hormone levels, along with its convenience and minimal invasiveness, makes it an attractive option for many. By addressing the hormonal changes that accompany aging, this therapy supports not only physical health but also emotional and cognitive well-being, helping individuals to age more gracefully and maintain a higher quality of life.

If you are experiencing symptoms of hormone imbalance or are interested in exploring this therapy, feel free to schedule a consultation. We are available to answer questions about the potential benefits and risks. Embracing the advancements in hormone replacement therapy can be a significant step towards a healthier, more vibrant aging process.