Bioidentical hormones can be compounded for each individual and fused into very small cylinders. They are smaller than a tic tac and are placed right beneath the skin usually in the area of the hip. The insertion of pellets is a simple, relatively painless procedure done under local anesthesia. Hormone pellets deliver consistent, healthy levels of hormones, thus avoiding hormone fluctuations throughout the day. Hormone pellets typically last 3-5 months. Hormone pellets dissolve over time so they do not need to be removed.