What is BHRT Pellet Therapy? 10 FAQS Answered!

Reviewed by Dr. Kenton Bruice, MD

Reading time: four minutes

Hormonal imbalance affects more than just your energy levels. It influences sleep, mood, metabolism, sexual health, and overall well-being. That’s why choosing the right type of hormone replacement therapy, and the right provider, is so important.

At the St. Louis Hormone Institute of Missouri, Dr. Kenton Bruice specializes in bioidentical hormone replacement therapy. Unlike clinics that rely on standardized pellets and dosing protocols, Dr. Bruice works with compounding pharmacists to create pellets tailored to each patient’s unique needs.

What Are Bioidentical Hormones?

Bioidentical hormones are derived from natural sources and designed to be an exact molecular match to the hormones your body produces. Because of this close match:

  • Your body recognizes and uses them as if they were its own.
  • They are metabolized more naturally than synthetic hormones.
  • They reduce the risk of side effects often linked to non-bioidentical alternatives.

Because these hormones are structurally identical to those your body naturally produces, pellet therapy supports more precise balance and long-term safety.

Why Pellets Are Often the Best Delivery Method

There are many ways to deliver hormone therapy — pills, creams, patches, injections — but pellets are often preferred because they provide:

  • Stable hormone levels with fewer fluctuations.
  • Long-lasting results, typically 3–6 months.
  • Convenience, since there’s no need for daily or weekly applications.
  • Improved compliance, as treatment is maintained automatically by the pellet.

This consistency helps relieve symptoms and also supports long-term health by maintaining optimal hormone levels around the clock.

Dr. Bruice’s Approach To Pellet Therapy

Not all hormone pellets are the same. Some clinics use pre-manufactured pellets and one-size-fits-all protocols. This method may be convenient, but it does not account for individual differences in hormone needs, metabolism, or medical history.

Dr. Bruice takes a more specialized path:

  • Custom compounded pellets: Each pellet is prepared by trusted compounding pharmacists to match your exact requirements.
  • Personalized treatment plans: Your treatment plan is based on thorough hormone testing, your medical history, and your goals.
  • Physician-led expertise: As a board-certified physician with decades of experience, hormone optimization is Dr. Bruice’s sole focus.
  • Ongoing monitoring: Regular follow-ups ensure your dosage remains correct and adjustments can be made as your body changes.

This customized, physician-driven approach makes pellet therapy safer, more effective, and better suited for long-term wellness.

What Patients in St. Louis Can Expect

Hormone care under Dr. Bruice includes:

  1. Comprehensive hormone testing to identify imbalances in estrogen, testosterone, thyroid, cortisol, and more.
  2. Personalized treatment planning based on your results and health history.
  3. Simple pellet insertion, done in-office under local anesthetic in just a few minutes.
  4. Steady results that typically last for several months.
  5. Follow-up visits to monitor progress and make adjustments as needed.

Patients often begin noticing improvements in sleep, energy, mood, and sexual health within a few weeks, with full optimization achieved over several months.

Why Work With Dr. Kenton Bruice in St. Louis

Dr. Bruice has devoted his career to hormone therapy. Unlike providers who add hormones as one of many services, his practice is dedicated to hormone optimization and weight management.

At the St. Louis Hormone Institute of Missouri, you’ll find:

  • A physician with decades of specialized experience
  • Individually compounded pellets, not mass-produced formulas
  • A personalized approach that considers your entire health picture
  • Convenient access for patients across St. Louis, Ladue, Creve Coeur, and surrounding communities

Patients trust Dr. Bruice because he combines advanced medical training with a commitment to individualized care.

Schedule a Consultation in St. Louis, MO

If you are tired of fatigue, weight struggles, mood changes, or low libido, bioidentical hormone therapy may be the solution you’ve been searching for.

To book an appointment with Dr. Bruice at the St. Louis Hormone Institute of Missouri, call (314) 222-7567 or visit us at 9909 Clayton Rd, Suite 225, St. Louis, MO.

📍Other Locations

Centennial Hormone Institute of Colorado

7009 South Potomac St, Suite 111, Centennial, CO 80112

📞(314) 222-7567

Denver Hormone Institute of Colorado

90 Madison Street Suite 704 Denver, Colorado 80206

📞(303) 957-6686

FAQs

What are the benefits of BHRT Pellet Therapy?

Pellet therapy can improve energy, sleep, mood, libido, and focus while relieving hot flashes, night sweats, and other symptoms of hormone imbalance.

Are there any side effects or risks associated with BHRT Pellet Therapy?

Possible side effects include bruising, swelling, or tenderness at the insertion site, and in some cases mood changes or hormone fluctuations.

Who is a suitable candidate for BHRT pellet therapy?

Men and women experiencing symptoms of hormone imbalance, such as fatigue, weight gain, mood swings, low libido, brain fog, or sleep disturbances,may be good candidates. A consultation with Dr. Bruice, including hormone testing, is the best way to determine eligibility.

What causes hormone pellet extrusion?

Pellet extrusion is uncommon but can happen if the insertion site becomes irritated, infected, or if strenuous physical activity disrupts healing. Following post-insertion care instructions helps minimize this risk.

How long does it take for hormone pellets to work?

Most patients feel improvements within two to four weeks, with full benefits often taking up to three months as hormone levels stabilize.

Do bioidentical hormones help with weight loss?

Balanced hormones can support weight loss by improving energy, metabolism, and muscle mass, but pellets are not a direct weight loss treatment.

How long do testosterone pellets last?

Testosterone pellets usually last three to six months, depending on individual factors and activity level, before reinsertion is needed.

Is there a BHRT provider near me?

If you are located in St. Louis or nearby communities such as Ladue, Creve Coeur, or Frontenac, you can visit the St. Louis Hormone Institute of Missouri. Conveniently located at 9909 Clayton Rd, Suite 225, St. Louis, MO.

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