
Steady, bioidentical hormone support for feeling like yourself again
Hormones touch everything—energy, sleep, mood, libido, weight, focus. When they drift out of balance, you can feel “off” in ways that are hard to explain but impossible to ignore.
At Horizon Hormone & Health Concierge, we offer BIOTE® pellet therapy as a convenient, steady option for bioidentical hormone replacement—designed to support your body around the clock, not just when you remember a pill or apply a cream.
BIOTE pellet therapy may be considered for adults experiencing symptoms related to hormone changes or decline, such as:
Low energy or fatigue that doesn’t match your lifestyle
Hot flashes, night sweats, or temperature swings
Brain fog, difficulty concentrating, or memory changes
Mood changes, irritability, or feeling “not like yourself”
Decreased libido or sexual satisfaction
Sleep disruption
Changes in body composition, such as increased abdominal fat or loss of muscle tone
Your candidacy is always determined through a thorough history, symptom review, and lab evaluation—this is not a one-size-fits-all therapy.
BIOTE pellet therapy is one option within the broader world of hormone replacement. It may be a good fit if you:
Prefer a “set it and forget it” approach rather than daily pills or creams
Want more stable hormone levels throughout the day
Value a personalized, concierge-style relationship with your clinician
It may not be appropriate if you have certain medical conditions or risk factors. That’s why a thorough evaluation is always the first step.

1. Comprehensive consultation & labs
We start with a detailed visit to understand your symptoms, health history, medications, and goals. Targeted lab work is ordered to evaluate your hormone levels and overall health picture.
2. Personalized dosing plan
Using your labs, symptoms, and clinical guidelines, a customized dosing plan is created. The goal is not just to “hit a number,” but to support symptom relief and overall wellbeing while prioritizing safety.
3. In-office pellet insertion
Pellet insertion is a brief in-office procedure:
A small area (often the upper buttock/hip) is cleansed and numbed.
A tiny opening is made, and the pellets are placed just under the skin.
No stitches are typically needed; the site is covered with a small dressing.
Most people describe it as pressure with minimal discomfort once numbed.
4. Ongoing monitoring & follow-up
Pellets gradually dissolve over several months, releasing hormones steadily. We check in with you, repeat labs as appropriate, and adjust dosing over time based on your response and goals.
While individual responses vary, hormone optimization may support:
More stable energy throughout the day
Improved sleep quality
Reduced hot flashes and night sweats
Improved mood and sense of wellbeing
Enhanced libido and sexual function
Support for lean body mass and body composition
Clearer thinking and reduced brain fog
We’ll talk honestly about what’s realistic for you, and we’ll always frame BIOTE as one tool within a broader, whole-person plan.
All hormone therapies carry potential risks and are not appropriate for everyone. Before starting BIOTE pellet therapy, we review:
Your personal and family history, including clotting disorders, cardiovascular disease, breast or reproductive cancers, liver disease, and other conditions
Medication interactions and other therapies you’re using
Potential side effects, which may include breast tenderness, acne, hair changes, mood shifts, fluid retention, or changes in bleeding patterns (for those with a uterus)
We’ll discuss alternatives, answer questions, and ensure you have time to make an informed decision. You are never rushed into treatment.
Concierge-level access: Direct, relationship-based care with clear communication and follow-up.
Data-informed decisions: We use labs, symptoms, and your lived experience—not just a single number—to guide therapy.
Whole-person focus: Hormones are important, but they’re not the only piece. We’ll also talk about sleep, stress, nutrition, movement, and other factors that influence how you feel.
Transparent pricing: Pellet therapy and any additional labs or services are discussed clearly up front so there are no surprises.
We offer transparent, concierge‑level pricing with no surprises. Your initial consult is a paid visit, but the fee is credited toward your pellet procedure if you move forward.
Initial Consultation
Comprehensive hormone consult: $125
Credited toward pellet procedure if you proceed.
Lab Panels
Initial hormone panel: $150
Post‑insertion labs: $75
Optional add‑ons: thyroid panel, vitamin D, B12 injection available at discounted rates
Insurance Note
Labs can be run through your insurance, but coverage is unpredictable and varies by plan. We are not responsible for what your insurance does or does not cover.
For clarity and cost control, we recommend our discounted cash‑pay lab option.
Female Pellet Therapy
Pellet insertion: $425
6 week follow up visit: $75
Total (first‑time): $500 + labs
Follow‑up insertions: $425 + post‑labs
Male Pellet Therapy
Pellet insertion: $725
6 week follow up visit: $75
Total (first‑time): $800 + labs
Follow‑up insertions: $725 + post‑labs