Initial Consulation

There is an initial consultation with a provider with a physical examination. There a complete history and a short physical is done. The patient’s history and medications and allergies are reviewed. The BioTe method and the pellet insertion are reviewed. The Nutraceutical supplements are reviewed, and their use is discussed. If the patient is still interested in pursuing BioTe therapy, they may have their blood drawn at that time to test for Complete Blood Count, Basic Metabolic Panel, Testosterone, Estrogen, Follical Stimulating Hormone, and Thyroid Hormone. At this time a staff member will review the costs of therapy and Nutraceuticals. 

Follow-up Dosing appointment

A follow up appointment is scheduled for one to two weeks later. At that time, the practitioner will review the blood work results. Prior to the patient’s arrival, the results will be input into the BioTe method dosing algorithm and a dosing recommendation will be obtained. The dosing will be discussed with the patient and pellet insertion will take place at that time. 

Check Levels

Women: Approximately four weeks later, women will be contacted by the staff or AHWC to determine if their symptoms have improved or resolved. If so, they will be directed to have a blood draw and follow up at the clinic in 2 weeks. If they are still having issue, then the patient will be directed to have an immediate blood draw and follow up within a week or two. At that time, their unresolved symptoms will be reviewed and if appropriate, they will be supplemented will an additional pellet insertion. 

Men: Men will return with blood work at four weeks. If they are continuing to have symptoms at that time, they may be supplemented with an additional round of pellets. If they are doing well, they will be given a return appointment for their next round of pellets at approximately five months. 

Follow up & Maintenance Dosing

At approximately three months, women will return for a second round of pellets. This will continue on a three-month basis for one year. At one year, a repeat of the patient’s blood work with be obtained and reviewed. At that point a patient’s dosage may be adjusted. 

Pellets are absorbed secondary to a patient’s activity level. The more active a patient is the faster the pellet will be absorbed.  The general feeling is that this is approximately 3 months in a female and 5 months in a male, but if a patient is particularly active this may be shorter or they are sedentary this may be longer. 

Pellet Therapy

Both Testosterone and estrogen pellets are about the size of a grain of rice. They are inserted under local anesthesia into the buttocks in the office. The procedure is easily done with minimal risk and possible complication. The risks included bleeding, infection, possible extrusion of the pellets.