Hormone Replacement Therapy
Reclaim your vitality and hormonal balance with therapies that address the unique needs of women. Our treatments include comprehensive hormone assessments and advanced solutions such as pellet insertion, providing steady, long-lasting hormone delivery to enhance energy, mood, and overall well-being.
Over the last 50 years, research in the fields of endocrinology and immunology has improved our knowledge as to how and why we age. Unfortunately, both men and women experience a drop in life-sustaining hormones as we get older, producing both the physiological and emotional effects of aging. However, Balanced Health & Beauty offers several methods to ease this transition.
Pellet implants deliver consistent, physiologic levels of hormones. The consistent and physiologic dosing has been shown to maintain and improve bone density. Pellet implants bypass the liver and don’t negatively impact clotting factors, blood pressure, lipid levels, glucose, or liver function. Pellet implants have consistently been shown to improve:
Cardiovascular Health
Sex Drive and Libido
Headaches and Migraines
Insomnia
Hot Flashes
Mood and Depression
Joint Aches and Pains
We use one of the more experienced compounding pharmacies in the U.S., we were one of the first compounding pharmacies to work with healthcare practitioners in the mid-1980s that wanted their patients to have access to this dosage form that had been popular into the 1970s. Unlike earlier versions, our fused pellet implants were created using more advanced compounding technology and BHRT formulations. The entire compounding process is an important “ingredient” in creating a BHRT pellet implant. Unstable pellets that crack or crumble can have a negative impact on the quality of treatment. We have spent many years perfecting the technique to ensure the quality of our materials meets the highest expectations.
Pellet insertion is a relatively simple in-office procedure done under local anesthesia. The pellets are inserted subcutaneously (under the fatty lining of skin), either in the lower abdomen or the upper buttocks through a very small incision. The incision is then closed with surgical glue or sterile-tape strips. If inserted correctly, patients cannot feel the implants under their skin. Implants placed under the skin consistently release small, physiologic doses of hormones, which have been shown to have many benefits.
Fused Pellet Implants typically last between 3-5 months, depending on how rapidly the hormones are metabolized. After insertion of the pellets, vigorous physical activity should be avoided for 2-3 days, or as suggested by the healthcare practitioner. Some patients begin to feel symptom relief within 48 hours, while others may take up to two weeks to notice a marked difference. The pellets do not need to be removed. They are completely dissolved by the body.
Before starting any hormone replacement therapy, patients should work directly with a knowledgeable healthcare practitioner to have hormone testing done to evaluate their personal hormone profile. Based on existing hormone levels and health history, the practitioner will make a hormone replacement recommendation. Once pellets have been inserted, hormone levels will be reevaluated prior to the insertion of the next round of pellets. After the first year of therapy, the practitioner may suggest testing less frequently based upon patient feedback and prior hormone levels.
Not ready to commit?
You can still schedule a one-time consultation for hormone health.
💲 Consultation Fee: $225
This includes a provider visit, lab order, and review of your results. Should you choose to enroll in the HRT program afterward, the $225 will be applied toward your start-up fee.
Pay As You Go:
Office visit - $225/visit
Custom compounded hormones - $350 pellet insertion + $65/pellet
Cancellation Policy
The membership includes a one-year commitment. If you choose to cancel before completing the year, a $250 early cancellation fee will apply.
Alma Esthetics Hormone Membership
Initial Start-Up Fee* - $400
Monthly Fee* - $100
What’s Included:
A comprehensive initial consultation
Lab orders and full review of your results
A customized hormone plan with prescription placement
Ongoing adjustments to your hormone prescription as needed throughout the year
Direct access to your provider throughout the year for support and follow-up
Pellet therapy (if recommended) is not included in the program fee. The pellet insertion procedure and the cost of pellets are listed below.
Note: Lab work and prescriptions may incur out-of-pocket costs depending on your insurance.
*Effective 6/15/2025.