The pellets contain bio-Identical testosterone and may also contain the medication, anastrozole, to help prevent the overproduction of estrogens. Typically, patients receive 8 to 12 pellets at a time, depending on their needs. Blood tests are performed 8 weeks following the implantation procedure to determine the effectiveness of the dosage and the number of pellets to be implanted at the next procedure. These labs also ensure safety by tracking PSA, Estrogen, and your Red Blood Cell counts.
"In fact, pellet implants were a very popular mode of hormone administration in the U.S. until the 1970s, when many oral and topical commercial products were developed. While the demand for pellets diminished in the U.S., pellet implants continued to be a very popular mode of hormone administration throughout Europe and Australia. In the last 10 years, due to advances made in processes and a better understanding of the benefits of fused pellet implants for hormone replacement, this mode of hormone administration has grown in popularity in the U.S.”
With weekly injections, testosterone levels rise in the days following the injection and fall back to baseline before the next injection. During this rise, testosterone is more likely to be converted to estrogen or dihydrotestosterone (DHT). These weekly elevations can also be responsible for increasing red blood cell counts and side effects like acne or hair loss. Weekly injections also involve, well… …weekly injections. Some patients present to the clinic each week to receive their testosterone injection while most do it themselves at home. Pellets, on the other hand, eliminate the need for weekly intramuscular injections. The testosterone released from the pellets is released in a way that more closely mimics the release by healthy, young testicles better than any other form of testosterone supplementation.
Compared with the weekly fluctuations of injections, the release is relatively constant. However, there is a slight variation with physical activity or anything that increases the patient’s blood flow rate, such as exercise, sexual activity, or stress. As blood flow increases, more testosterone is released from the pellets. As blood flow decreases during rest, less testosterone is released from the pellets. This is a good thing as the testicles in a healthy, young man will release more or less testosterone during these times as well.
One drawback is that it can take longer to make adjustments to the dose. The dose cannot be adjusted until the next implantation procedure. With injections, adjustments can be made after lab testing is performed. However, sublingual testosterone boosters can be used in pellet patients at certain times if necessary.
A note on HCG: Our testosterone patients are prescribed Human Chorionic Gonadotropin (HCG) to help maintain testicular stimulation.The most effective form is injected twice weekly into the abdominal fat with an insulin-type needle. For those interested in pellets as a way of avoiding needles, a sublingual form of HCG is available.
We invite you to call any time to schedule a phone consult or in office consult to discuss testosterone pellet therapy in more detail. We are excited to offer this service because of the many advantages over injections and we feel our patients will agree!
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It could be said that testosterone is what makes men, men. It gives them their characteristic deep voices, large muscles, and facial and body hair. It plays a role in sperm production, fuels libido, and contributes to normal erections. It also fosters the production of red blood cells, boosts mood, and aids cognition.
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