Hormone optimization is tailored to individual needs—there’s no one-size-fits-all solution. Here you can familiarize yourself with the terminology and compare the various methods of hormone delivery. Dr Jemison works with you to ensure optimal hormone integration while aligning with your lifestyle. Discover your options in the quick guide below!
Compare Hormone Therapy Administration Routes
Troches – Dissolves in the mouth
Pronounced “Trow-key(s)”
- Dissolves under the tongue or in the cheek
Pros:
- Multiple hormones can be combined.
- Easy to use and dose-adjustment.
- Easy absorption into the blood stream via oral tissues.
Cons:
- Requires frequent dosing (often 1–2 times daily).
- Variable absorption depending on saliva and placement.
- Significant amount potentially swallowed, then subjected to liver modification affecting response.
- May cause oral irritation or taste / flavor issues.
Best for:
- Patients preferring non-invasive, customizable dosing.
- Males and Females.
Patches (Transdermal)
- Adhesive patch applied to the skin and remains for 3-4 days before replacing.
Pros:
- Convenient and easy to use.
- Provides steady hormone levels.
- Avoids first-pass liver metabolism.
Cons:
- Limited dosing.
- Single hormone only (estrogen).
- May cause skin irritation at the application site.
- Visible on the skin.
- Requires regular replacement (e.g., 1-2 times per week).
Best for:
- Patients seeking convenient, non-invasive application.
- Females.
Creams (Transdermal)
- A measured amount of cream or lotion applied and rubbed into the skin
Pros:
- Non-invasive and easy to apply.
- Avoids first-pass liver metabolism.
- Easy dose adjustments.
- Absorption is through the skin.
- Multiple hormones can be combined.
- Variable application sites; inner forearm, inner thigh, scrotum, vaginal / labia.
Cons:
- Absorption can vary based on skin type and application site.
- Risk of transferring hormones to others via skin contact.
- Requires daily application and consistent routine.
- Poorly absorbed in some people.
- Degrades in extreme temperatures.
- Possible sensitivity to the base cream.
Best for:
- Those seeking a gentle, adjustable method with fewer systemic effects.
- Patients who can maintain regular daily application.
- Males and Females.
Injections (Intramuscular or Subcutaneous)
- Administered in office or at home after learning proper technique.
Pros:
- Delivers a consistent, potent dose.
- Less frequent dosing (weekly to biweekly).
- High bioavailability and predictable absorption.
- No exposure to others
- Levels relatively stable if injected weekly
Cons:
- Requires needle use (may be uncomfortable or anxiety-inducing).
- Risk of injection site reactions.
- Hormone levels may spike and dip between doses.
- Potential soreness at the injection site
Best for:
- Patients needing strong, reliable hormone levels (e.g., testosterone therapy).
- Primarily males, some females.
Pellet Implants (Subdermal)
- Small sterile pellets implanted deep under the skin of upper buttock.
Pros:
- Long-lasting (3–6 months per implant).
- Steady hormone release with minimal maintenance.
- No daily dosing required.
- No exposure to others.
- Not subject to first-pass liver metabolism.
- Convenient.
Cons:
- Requires minor surgical procedure for insertion/removal.
- Difficult to adjust dose once implanted.
- Risk of infection or extrusion at the implant site.
Best for:
- Patients seeking convenience and long-term consistency.
- Males and Females.
Dr Jemison Works With You
“I am committed to working closely with patients, understanding their unique health goals, and providing thoughtful guidance every step of the way. By actively listening to concerns and answering questions with clarity, I aim to empower individuals with the knowledge and support they need to achieve optimal health and vitality. My approach is centered on collaboration, ensuring that each patient feels heard and confident in their path to wellness.”
Dr Tom Jemison
Specializing in Hormone Balance and Vitality
Understanding the Pros and Cons of Hormone Pellet Therapy
Things to consider when thinking about hormone pellet therapy.
Pros:
- Ease of Use: Once implanted, hormone pellets require no daily or weekly maintenance. They provide a steady release of hormones over several months, typically 3-6 months.
- Consistent Hormone Levels: Pellets help maintain stable hormone levels, avoiding the highs and lows associated with other methods.
- Convenience: No need to remember to take medication or apply creams/gels.
- Customizable: Dosage can be tailored to individual needs.
Cons:
- Procedure Required: Implantation involves a minor surgical procedure, which may not be suitable for everyone.
- Potential Side Effects: As with any hormone therapy, there can be side effects such as skin irritation, infection, or pellet extrusion.
- Cost: Pellet therapy can be more expensive than other hormone replacement methods.
- Limited Adjustability: Once implanted, it’s difficult to adjust the dosage without another procedure.
Is Hormone Pellet Therapy Right for You?
Hormone pellet therapy offers a unique approach to hormone replacement, but it’s essential to consider various factors before deciding if it’s the right choice for you.
1. Consider Your Health Goals:
- Are you looking to balance hormone levels for improved vitality, libido, energy, and overall well-being?
- Do you have specific conditions like adrenal, thyroid, or sex hormone imbalances that need addressing?
- These are common concerns for both men and women.
2. Evaluate Your Lifestyle:
- Would you prefer a low-maintenance treatment that doesn’t require daily administration?
- Can you commit to periodic procedures for pellet insertion?
- Requires 7 days of limitations to exercise and lifestyle to allow the procedure site to heal properly.
3. Assess Medical Suitability:
- Are you in good health to undergo minor surgical procedures? Local anesthetic used only.
- Do you have any allergies or medical conditions that might affect your suitability for hormone pellet therapy? Discuss with Dr Jemison if needed.
4. Consider Potential Side Effects:
- Are you aware of possible side effects such as skin irritation, infection, or pellet extrusion?
- How do you feel about the possibility of needing another procedure to adjust dosage if necessary?
5. Financial Considerations:
- Are you prepared for the potential costs, which might be higher than other hormone replacement methods?
6. Discuss with Dr Jemison:
- Have you talked with your healthcare provider about your symptoms, health goals, and whether hormone pellet therapy is a suitable option for you?
- Are you informed about alternative hormone replacement methods and their pros and cons?
Remember:
- Hormone pellet therapy can be highly effective for those who prefer a steady release of hormones and minimal maintenance.
- It’s essential to have a thorough discussion with your healthcare provider to ensure it aligns with your health needs and lifestyle.
Next Steps:
- Schedule a consultation with Dr Jemison to discuss your symptoms, health history, and treatment options.
- Ensure you have all the information needed to make an informed decision about hormone pellet therapy.
By working with Dr Jemison and carefully considering these points, you can determine if hormone pellet therapy is the right choice to help you feel more awesome than you already are.
Troches
Individualized prescriptions sent to Compounding Pharmacies. Flavors vary between pharmacies.
Hormone options: Estrogen, Testosterone, DHEA, Progesterone.
Patches
Prescription sent to either Compounding or Retail Pharmacies.
Primarily used for estrogen delivery.
Hormone options: Estrogen
Cream
Dosing is customized for each individual.
Prescriptions sent primarily to Compounding Pharmacies. Creams from retail pharmacies are not customizable.
Hormone options: Estrogen, Testosterone, DHEA, Progesterone.
Injections
Prescriptions sent primarily to Compounding Pharmacies.
Some prescriptions can go to retail pharmacies.
Pellets
Requires in office procedure.
Not available from retail pharmacies.
Capsules
Prescriptions sent to Compounding or Retail Pharmacies depending on dose.
Hormone options: Progesterone (prescription only), DHEA (available with or without a prescription)