Hormone Replacement Therapy

What is BHRT and Why Do It?

Bioidentical hormone replacement therapy (BHRT) is a type of therapy that utilizes hormones, such as the ones used by Biote, that are structurally like other hormones found inside the human body. BHRT is well-known for its effectiveness in transporting hormones providing ideal therapy in both men and women. It has been prevalent in the United States for over 50 years.

What is Pellet Therapy?

Pellets consist of testosterone or estrogen that is fused into minuscule solid cylinders. Pellet therapy allows for the safe delivery of healthy and consistent levels of hormones for 4-6 months in men and 3-5 months in women. Pellets are optimal when compared to other techniques as they avoid fluctuation of hormone levels. Unlike conventional or synthetic hormone replacement therapy (HRT), pellets do not heighten the risk of blood clots.

Why Haven’t I Heard of Pellets?

You could ask why pellets haven’t been mentioned to you. Pellets have not been commercialized in the United States and are not patented. In Europe and Australia, where pharmaceutical companies make pellets, they are widely utilized. The majority of the study on pellets comes from Australia and Europe. From roughly 1940 until the late 1970s, when oral patented chemically altered estrogens and testosterones were marketed to the general public, pellets were widely used in the United States. The most intriguing research to date on hormone implants in breast cancer patients comes from countries other than the United States. There are clinics that focus on the use of pellets for hormone therapy even in the United States.

What Is Testosterone?

In both men and women, testosterone is a hormone that is generally involved in a number of vital bodily functions. As the body ages, both men and women may experience imbalances in testosterone hormones, which are produced in the testes and ovaries.

What Health Concerns Will Testosterone Pellets Relieve?

Testosterone pellets have been scientifically researched and clinically proven to relieve a large range of reproductive issues including emotional and non-reproductive conditions in both males and females. It increases lean body mass and decreases fat mass. Low testosterone levels can increase the chances of chronic diseases such as Parkinson’s and Alzheimer’s disease which is why it is pertinent to keep hormones at a healthy level.

What is Estrogen?

Estrogen in women is frequently linked to reproduction because it initiates the menstrual cycle and shapes the secondary sex traits of the female body.

How Do Estrogen Levels Change With Age?

As women age, their estrogen levels decrease. Women’s hormone levels fall most noticeably during perimenopause (the period right before menopause) and during menopause. The fundamental function of the ovaries is the creation of estrogen, so if a woman has undergone a radical hysterectomy that involves the removal of both ovaries, her estrogen levels will suffer significantly. Although adipose tissue and adrenal glands both create some estrogen, this is frequently insufficient to properly balance and sustain the hormone levels in women.

What Health Concerns Will Estrogen Pellets Relieve?

Estrogen pellets relieve health concerns, including but not limited to, side effects of menopause, mood, heart health, and bone density.

How and Where Are Pellets Inserted?

Providers that are certified in Biote insert subcutaneous pellets into the upper buttocks region after testing is finished to establish how much hormone to allot to the patient. To ensure the patient attains the exact concentration of hormones required, the dosage is tailored to the patient’s extensive lab work results and provider’s consultation.

How Long Do Pellets Last?

Depending on the patient’s gender, weight, absorption rates, and degree of hormonal shortage or excess at the time of insertion, pellets can last anywhere between three and six months. To help keep hormones adjusted and balanced, pellets are reinserted two to four times a year. It may take up to two insertions before you experience the full advantages.

Are There Any Side Effects or Complications From the Insertion Of the Pellets?

Small amounts of bleeding or bruising, skin discoloration, infection, and the pellet’s potential extrusion are all risks associated with pellet implantation. These problems are extremely infrequent and usually limited to minor bruising or skin discoloration. In some women, testosterone may result in a modest rise in facial hair. The formation of red blood cells is boosted by testosterone’s stimulation of the bone marrow. Anemia is brought on by older males having decreased testosterone levels. Red blood cells may increase when testosterone is administered via implants or other means.

For 48 hours after the implants are placed, intense exercise is prohibited for women, and for one to five to seven days, respectively, for men. A pellet pushing its way out is called “extrusion,” and it is caused by early physical activity. If a patient has diabetes or had a joint replaced, antibiotics may be recommended. Nevertheless, since this is a “clean surgery,” antibiotics are typically not required.

What If My Primary Care Physician or My Gynecologist Says That There is ‘No Data’ To Support the Use of Pellet Implants?

This is incorrect. Between having “no data” and not having read the data, there is a significant distinction. For busy practitioners, dismissing the patient is far simpler than considering alternative viewpoints and conducting research. Patients must make an educated decision.

Patients may feel happier, have more energy, and sleep better after receiving pellets. Fat tissue will decrease while muscle mass and bone density will strengthen. Patients might experience improved physical performance, coordination, and strength. Skin tone and hair texture might both be better. Memory and concentration, as well as general physical and sexual health, may all improve. The ‘long term’ safety of hormones implanted as pellets is supported by data.

Do Pellets Have the Same Risk of Breast Cancer as Other Forms of Hormone Replacement Therapy?

The higher risk of breast cancer associated with oral estrogens does not apply to testosterone pellets. The research suggests that bioidentical testosterone pellets lower the incidence of breast cancer. Analysis shows that testosterone shields against breast cancer

Will Hormone Therapy With Pellets Prevent Hair Loss and Support Hair Growth?

Many women who experience hair loss due to hormone imbalances may find relief with testosterone implants. With pellet therapy, hair frequently becomes thicker and less dry.


What Happens When Pellet Therapy Is Discontinued?

As the patient’s estrogen and testosterone levels start to fall, their symptoms will typically return to how they were before BHRT. Every person’s body is unique, weariness, dejection, and insomnia symptoms may return at the end of a pellet cycle or when discontinuing pellet therapy completely.

Medical Procedures

Surgical Procedures & Sophisticated Medical Therapy

Are you in need of a surgical procedure or sophisticated medical therapy? Leave your worries behind and book an appointment with Stone Ridge Family Medicine and receive care from expert specialists. Our professional team is quick, diligent, and focused at helping you come out of your misery and enjoy the gift of a healthy body. 

– Abscess incision and drainage

– Biopsy

– EKG (electrocardiogram ECG

Tag EKG/ Holter monitors

– Excision of skin lesion

– Excision shaving or destruction of skin and subcutaneous tissue

– Hormone replacement therapy

– Joint arthrocentesis

– Joint injection

– Laceration repair

– Mole removal

– Pap smear

– Pelvic exams

– Removal of wart

– Skin biopsy

– Spirometry

– Stitches

– Trigger point injections

Holistic Medicine

Holistic Medicine Practitioners in Aldie, VirginiaHolistic medicine practitioners take care of their patients as a whole making sure that the disease is not just treated by conventional methods, but also taking into consideration physical, emotional, and spiritual means of well-being. Searching for the underlying causes of disease is preferable to treating symptoms alone.

Weight Loss Consultation

Weight Loss Consultation - Long-Term Weight Loss Plan

At Stone Ridge Family Medicine, our healthcare professionals customize plans for effective weight loss that deliver long-term results. You will be provided with simple lifestyle changes, dietary, exercise goals along with medications (if qualified) and other options depending on individual history. 

Cancer Screenings

Cancer Screenings - Early Cancer Detection in Aldie, VirginiaEarly detection of cancer through cancer screenings or blood tests can provide more treatment plans for fighting the disease. These blood tests check for specific cancer markers such as CRP, CA-125, B hcg and prostate-specific antigen, which can determine diagnosis for ovarian cancer, choriocarcinoma and prostate cancer respectively.

We also do in-house pap smears to test for cervical cancer and H pylori tests for stomach cancers.

Sexual Health

Below are some common questions regarding sexual-related Sexual Health - ED & STD Commonly Asked Questionsconditions and diseases. Please review these commonly asked questions and call our office or schedule an appointment to learn more. 

Same Day/Walk-in Appointments

Same-Day Doctor Appointments - Walk-In Visits in Aldie, Virginia

Are you suddenly not feeling well? Dwindling temperatures, weather, or an allergy not allowing you to work efficiently? Our appointment services help patients receive access to prompt and quality care the same day. Get in touch with our experts and start treatment of acute illness or medical conditions, immediately. 

– Allergies

– Chest discomfort

– Colds and flu

– Cuts, scrapes, and minor injuries

– Headaches

– Hemorrhoids

– Pain

– Panic attacks

– Respiratory infections

– Skin rashes, moles, and lesions

– Sports injuries

– Upset stomach

– Urinary tract infections

Chronic Disease Management

Chronic Disease Management - Treatment & Ailment Management PlansBeing a holistic treatment center, we offer end-to-end treatment and ailment management plans for all chronic diseases. Our professional team believes in adopting a personalized approach and creating an effective disease management plan that suits your case. We strive to offer you best-in-class care and enable you to consult specialists for devising an effective treatment plan.

– Acne

– Anxiety and Depression

– Arthritis

– Asthma

– Bone Loss

– Cancer and cancer survivorship

– Chronic pain

– Diabetes (NCQA-certified high-quality diabetic care center)

– Digestive disorders

– Heart disease

– High blood pressure

– High cholesterol

– Insomnia

– Migraine

– Mood Disorders

– Osteoarthritis

– Osteoporosis

– Overweight and obesity

– Polycystic ovaries

– Sleep apnea

– Smoking cessation

– Thyroid conditions

– Weight management

– Other major and minor chronic ailments

Sleep Apnea Screening

Sleep Apnea Screening - Symptoms & Treatment Of Sleep DisordersObstructive Sleep apnea is not just snoring or feeling tired during the day – it is a serious medical condition which, not only affects your sleep, but can severely impact your health and your quality of life.

Cholesterol Screening

Cholesterol Screening - Advanced Lipid TestingMany people with “normal” lipid test still have heart attacks and stroke. That means the routine cholesterol tests which limits its focus on ‘good and bad’ cholesterol are failing to identify the majority of people who are at risk for heart attacks and stroke, especially in populations with risk factors. Cardiovascular risk assessment have evolved beyond lipid values to include inflammation, lipoprotein subfractions, and apolipoproteins and genetic testing. 

Make an appointment if you are interested in knowing more about these screenings. 

Pilot Physicals

Pilot Physicals - FAA Aviation Medical Examiner in Aldie, VAAre you a Pilot or planning to become one? Federal Aviation Administration (FAA) requires an aviation medical certificate from an FAA aviation medical examiner. With the exception of a Sport Pilot certificate, all student pilots must obtain a medical certification prior to flying solo or earning a pilot certificate. Dr. Shirsolkar is a certified class 2 and class 3 AME to conduct the FAA physicals in house. You can call us and book an appointment for Pilot physicals. In house EKG or, if needed, sleep apnea testing is also provided.

Pre-operative Clearance

Pre-Op Physical Examinations in Aldie, VirginiaHaving a surgery or a medical procedure? Pre-op physical examinations are the first step to help your surgeon receive the necessary information to provide the best care for you throughout the operation as well as the recovery period that follows.

Sports Physicals

Sports Physicals - Physical Evaluations in Aldie, VirginiaSports physicals may seem unnecessary or simple to the untrained eye, but they are very essential to ensure the health and well-being of your child athlete on and off the field. Our caring team ensures that your child is healthy and physically fit for safe participation in the desired sport.

Annual Physical and Well Child Check Ups

Annual Physical & Well Child Visits in Aldie, VirginiaBelow are some commonly asked questions about annual physicals and well child check ups. Please review the answers below and call our office if you have any questions!