Hormone Pellet Therapy in Vero Beach

Long-Acting, Steady Support for Hormone Balance

Hormone pellet therapy offers a consistent, time-released method of supporting hormone levels using small pellets placed just beneath the skin. These pellets are designed to dissolve slowly over several months, gradually releasing hormones over time without requiring daily administration.

EvexiPEL pellet therapy is tailored to individual needs, allowing us to customize dosing based on symptoms, lab results, and long-term wellness goals. The expected treatment interval is determined individually, and hormone levels, response, and duration can vary.

Long-Acting, Steady Support for Hormone Balance
Key Benefits of Hormone Pellet Therapy

Key Benefits of Hormone Pellet Therapy

Hormone pellet therapy may support:

  • Improved daily energy and reduced fatigue
  • Enhanced mood and emotional steadiness
  • Better sleep quality
  • Support for metabolism and healthy body composition
  • More consistent hormone levels throughout the day
  • Long-lasting convenience without daily dosing
  • Support for wellness goals related to aging

Many patients choose pellet therapy for its steady, reliable hormone delivery.

What Symptoms Might Be Discussed During an Evaluation?

Hormone pellet therapy may be considered for:

Fatigue or low stamina

Steady, long-lasting hormone delivery may help support more consistent energy through the day.

Mood changes or irritability

Hormone levels shift with age, and pellets are designed to reduce the swings that can affect emotional steadiness.

Menopausal or perimenopausal symptoms

May help reduce hot flashes, night sweats, and sleep disturbances.

Weight changes or slowed metabolism

May support metabolic function affected by hormonal decline.

Low libido or sexual wellness concerns

May support hormone levels that influence desire and comfort.

Brain fog

Some patients report difficulty concentrating alongside other hormonal symptoms. Hormone evaluation can help identify whether levels are a contributing factor.

How Hormone Pellet Therapy Works

Pellet therapy involves placing a small, customized hormone pellet under the skin, typically in the hip or upper buttock area. Once inserted, the pellet gradually dissolves, releasing consistent levels of hormones into the bloodstream over time.

The pellet releases hormones over time and does not require daily dosing. Individual absorption, hormone levels, symptom response, and duration of effect can vary. If pellet therapy is considered appropriate, the provider will select a dose based on the clinical evaluation, relevant laboratory findings, medical history, and treatment goals.

Safety and Considerations

Before starting pellet therapy, it helps to understand how it differs from creams, pills, or patches.

  • Limited adjustment or removal: Once inserted, pellets release hormones until they dissolve. The dose cannot be changed between insertions, and removal would require reopening the site, so dosing is approached conservatively.
  • Regulatory status: Compounded hormone pellets are prepared by licensed pharmacies, and the FDA does not review compounded preparations for safety, effectiveness, or quality before use.
  • Insertion-site effects: Temporary soreness, bruising, or swelling may occur. Infection or pellet extrusion is uncommon but possible.
  • Hormone-related effects: Breast tenderness, acne, fluid retention, or increased hair growth may occur depending on the hormone and dose.
  • Not for everyone: Hormone-sensitive cancer history, blood clots, liver disease, or cardiovascular disease may affect candidacy.
Safety and Considerations

Your Pellet Insertion Visit

Hormone pellet placement is a minimally invasive procedure performed in the office after clinical evaluation and informed consent.

1

Consultation

We review your symptoms, medical history, and wellness goals to determine the best course of action.

2

Testing

Hormone evaluation may be recommended to guide dosing and treatment planning.

3

Pellet Placement

A small numbing injection is applied, followed by placement of the pellet through a tiny incision.

4

Aftercare

A small bandage is placed over the site. Mild soreness may occur for a few days.

5

Follow-Up

We monitor your response and plan your next insertion accordingly.

When Might Patients Notice Changes?

Response to hormone pellet therapy varies according to the hormone prescribed, dose, absorption, symptoms being treated, and individual health factors. Some patients may notice changes within several weeks, while others may not experience the intended improvement.

The practice will monitor symptoms, possible adverse effects, and laboratory findings when appropriate. Because a pellet cannot be readily adjusted after insertion, patients should contact the practice if they experience concerning or unexpected symptoms.

Key Benefits of Hormone Pellet Therapy

Key Benefits of Hormone Pellet Therapy

Pellet therapy may suit adults who have:

  • Persistent symptoms of hormonal imbalance confirmed or supported by lab testing
  • A preference for steady, time-released dosing over daily creams, pills, or injections
  • Difficulty staying consistent with a daily hormone routine
  • No history that would make hormone therapy inadvisable, which we review together
  • An understanding that the dose cannot be readily changed after insertion and that the duration of hormone release can vary

We will review your symptoms, medical history, medications, relevant laboratory findings, treatment goals, and available alternatives to determine whether the potential benefits of pellet therapy outweigh the risks in your situation.

Why Choose Sikora Integrative Medicine

Our approach to hormone pellet therapy is built around careful dosing and consistent follow-up.

  • Physician-led care: The team is led by Dr. Alita Sikora, MD, who is board certified in Physical Medicine and Rehabilitation and has practiced in Vero Beach since 2007.
  • Testing-informed dosing: Hormone testing helps guide pellet dosing based on symptoms, lab results, and goals.
  • Integrated support: Care may also consider sleep, metabolism, and stress.
  • Clear follow-up: Our team explains your plan, expected results, and next steps, and monitors your response.
  • Patient-recognized care: Dr. Sikora is a Patients’ Choice 5-Year Honoree and Castle Connolly Regional Top Doctor 2020.
Why Choose Sikora Integrative Medicine

Other Hormone Optimization & Wellness Programs We Offer

Our wellness program blends multiple integrative therapies, which may include:

Other Hormone Optimization & Wellness Programs We Offer

Frequently Asked Questions

How long do Hormone Pellets last?

Most pellets last three to six months, depending on your dosage and how quickly your body absorbs them.

Can hormone pellets be removed?

Not easily. Once a pellet is placed, it continues releasing hormone until it dissolves, and removal would require reopening the insertion site. This is why dosing is approached conservatively and why your history and labs are reviewed carefully first.

What are the side effects of hormone pellets?

Temporary soreness, bruising, or swelling at the insertion site is common. Hormone-related effects can include breast tenderness, acne or oily skin, fluid retention, or increased hair growth, depending on the hormone and dose. Infection or pellet extrusion is uncommon but possible.

Is the hormone pellet procedure painful?

Most patients feel only mild pressure, since the area is numbed first. Any discomfort typically resolves quickly.

Can I exercise after hormone pellet insertion?

Follow the aftercare instructions provided by the practice. You may be advised to limit strenuous lower-body exercise and avoid soaking the insertion site for a specified period while it heals.

Do I need bloodwork before starting hormone pellet therapy?

Hormone testing is often recommended to determine appropriate dosing and to establish a baseline for follow-up.

Does insurance cover hormone pellet therapy?

Coverage varies by insurance plan, treatment, and pharmacy arrangement. Contact your insurer and the practice to confirm expected costs. Financing through M Lend Financial may be available for eligible services, subject to terms and approval. 

Book Your Consultation

Connect with Sikora Integrative Medicine to review your symptoms, discuss Evexipel pellet therapy, and receive personalized guidance based on your hormone needs and goals. Financing through M Lend Financial may be available for eligible services, subject to terms and approval.

Disclaimer: This information is provided for educational purposes only and is not intended to be medical advice. It should not be used to diagnose, treat, or cure any condition. Always consult your healthcare provider for personalized guidance. Services are available exclusively to Florida residents.