Steady hormones, sustained vitality
Hormone balance that lasts months
Hormonal decline doesn't happen overnight, and neither should your treatment. BioteRx hormone pellets deliver bioidentical testosterone and estrogen in a steady, sustained release that mirrors your body's natural rhythms – eliminating the peaks and crashes of traditional hormone replacement while restoring the vitality, clarity, and resilience that hormonal balance provides.
At Lifetime Performance we specialize in precision pellet therapy – a simple in-office procedure that provides 3-6 months of consistent hormonal support. Through comprehensive testing and personalized dosing, we restore optimal hormone levels that transform how you feel, perform, and age.
Hormone pellet therapy starts with comprehensive lab work measuring your current hormone levels, metabolic markers, and overall health status. From this data, we calculate precise pellet dosing customized to your physiology, symptoms, and goals – delivering consistent hormonal support without daily pills or weekly injections.
RESTORE VITALITY, STRENGTH, AND DRIVE
Testosterone pellets provide steady hormone delivery that eliminates the rollercoaster of injections or the inconsistency of gels and patches. Each rice-sized pellet is inserted just beneath the skin, releasing testosterone continuously over 4-6 months to restore optimal levels.
This approach mimics your body's natural testosterone production – stable, consistent levels throughout the day – supporting energy, muscle mass, sexual function, cognitive clarity, and overall masculine vitality.
Benefits include:
• Sustained energy and elimination of fatigue
• Increased muscle mass and strength
• Enhanced libido and sexual performance
• Improved mood, focus, and mental clarity
• Better body composition and fat loss
• Increased bone density and cardiovascular health
• No daily pills or weekly injections required
• Consistent levels without peaks and crashes
ESTROGEN & TESTOSTERONE FOR COMPLETE BALANCE
Women require both estrogen and testosterone for optimal health, yet both decline significantly during perimenopause and menopause. BioteRx pellets can deliver either hormone individually or in combination, providing relief from hot flashes, mood swings, low energy, and declining sexual function.Unlike synthetic hormones or oral estrogen that increase health risks, bioidentical pellets deliver hormones in their natural molecular form through a delivery method that bypasses the liver – providing benefits without the risks associated with traditional hormone replacement therapy.
Benefits include:
• Elimination or significant reduction of hot flashes and night sweats
• Improved energy, mood stability, and mental clarity
• Enhanced libido and sexual satisfaction
• Better sleep quality and reduced insomnia
• Increased bone density and osteoporosis protection
• Improved skin elasticity and reduced vaginal dryness
• Weight management support and metabolic optimization
• Consistent hormone levels for 3-4 months per insertion
BEYOND BASIC LAB WORK
Effective hormone optimization requires understanding your complete hormonal landscape – not just testosterone or estrogen, but thyroid function, cortisol patterns, metabolic markers, and nutrient status.
Our comprehensive testing includes total and free hormone levels, SHBG (sex hormone binding globulin), metabolic panels, thyroid function, vitamin D, and other key markers that influence how your body produces, metabolizes, and responds to hormones.
Testing approach:
• Baseline comprehensive hormone panel before treatment
• Follow-up testing 4-6 weeks post-insertion to verify optimal levels
• Ongoing monitoring to track long-term optimization
• Metabolic and cardiovascular health markers
• Adjustment of dosing based on symptoms and lab values
PELLETS + LIFESTYLE + METABOLIC SUPPORT
While pellet therapy provides the hormonal foundation, maximum results come from comprehensive optimization – combining hormone replacement with nutrition, exercise, sleep optimization, stress management, and complementary therapies like peptides or NAD+.
We design integrated protocols that address the complete picture of hormonal health, ensuring you achieve not just better lab values, but transformative improvements in how you feel and function daily.
Integration includes:
• Nutritional guidance for hormone metabolism support
• Exercise protocols that enhance hormone optimization
• Sleep and stress management strategies
• Complementary peptide or NAD+ therapy when beneficial
• Ongoing support and protocol refinement
Hormone pellet therapy represents the most physiologically sound approach to hormone replacement – delivering bioidentical hormones in steady concentrations that match your body's natural patterns, without the artificial peaks and valleys of other delivery methods.
Steady-State Delivery: Pellets release hormones consistently based on your body's demands – more during physical activity or stress, less during rest. This mirrors natural hormone production far better than fixed-dose pills or weekly injection spikes.
No Daily Compliance: Unlike daily pills, weekly injections, or twice-daily creams, pellets require no ongoing effort. Once inserted, they work continuously for months – ensuring consistent hormone levels even during travel, busy periods, or schedule disruptions.
Superior Absorption: Pellets bypass the digestive system (avoiding liver metabolism that can create problematic hormone metabolites) and provide direct bloodstream delivery for optimal bioavailability and effectiveness.
Bioidentical Formulation: BioteRx pellets use hormones that are molecularly identical to those your body produces naturally – not synthetic analogs with different chemical structures. Your body recognizes and utilizes these hormones as it would its own.
Cardiovascular Safety: Research demonstrates that pellet delivery – particularly for women – avoids the increased clotting risk associated with oral estrogen, making it a safer option for hormone replacement.
Convenience Factor: With insertions needed only every 3-6 months, pellet therapy is remarkably convenient – no refrigeration, no daily routines, no concerns about transfer to partners or children (as with topical hormones).
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Optimal hormone levels eliminate the crushing fatigue that defined your days. Patients report sustained energy from morning through evening, enhanced physical stamina, and the drive to fully engage with life's demands and pleasures.
Balanced hormones restore your body's ability to build lean muscle, burn fat efficiently, and maintain healthy metabolism. The stubborn weight that resisted diet and exercise finally responds when hormones are optimized.
Hormonal optimization clears brain fog, sharpens focus, stabilizes mood, and restores emotional resilience. Patients rediscover mental clarity and emotional balance they thought were permanently lost.
Restored libido, enhanced performance, and improved satisfaction in intimate relationships. Hormonal balance revitalizes aspects of life that directly impact relationship quality and personal confidence.
We don't prescribe antidepressants for hormone-induced mood changes, stimulants for hormone-related fatigue, or sleep medications for hormone-driven insomnia. We identify and correct the underlying hormonal imbalances creating these symptoms.
Through precision BioteRx pellet therapy – combined with comprehensive testing, metabolic optimization, and lifestyle integration – we restore the hormonal foundation that determines your energy, cognition, body composition, sexual health, and overall vitality.
This isn't symptom suppression; it's biological restoration that addresses the root cause of age-related decline and transforms multiple aspects of health simultaneously.
With Dr. Richard Nguyen and Morgan Carmean, ARNP, you gain practitioners who understand endocrinology at expert levels, applying evidence-based hormone optimization to create measurable improvements in how you feel, function, and age.
Comprehensive hormone testing and personalized dosing calculations
BioteRx pharmaceutical-grade bioidentical hormone pellets
Sterile in-office insertion with minimal discomfort
Ongoing monitoring and dose optimization based on your response
Integration with complementary therapies for comprehensive results
Expert guidance throughout your hormone optimization journey
Hormone pellet therapy requires medical precision and ongoing oversight. Our protocols prioritize your safety while maximizing therapeutic benefit.
Medical Oversight: Dr. Richard Nguyen personally reviews all hormone panels and calculates precise dosing based on your lab values, symptoms, body composition, and health history – ensuring safe, effective treatment.
Personalized Protocols: Dosing is never one-size-fits-all. We calculate pellet strength and quantity based on your individual physiology, then refine based on your response and follow-up testing.
Continuous Monitoring: Follow-up labs at 4-6 weeks post-insertion verify optimal levels. Ongoing assessments track long-term optimization and allow dosing adjustments to maintain ideal hormonal balance.
Pharmaceutical Quality: BioteRx pellets are manufactured in FDA-registered facilities under strict quality standards, ensuring purity, potency, and consistency. Each pellet is precisely dosed and sterility-tested.
Patient Education: We provide thorough education about what to expect, post-insertion care, signs of optimal vs. suboptimal dosing, and when to contact us with concerns or questions.
Considering hormone pellet therapy? Below we address the most common questions about the procedure, what to expect, safety considerations, and who benefits most from this transformative treatment.
Hormone pellets are tiny cylinders (about the size of a grain of rice) made of bioidentical testosterone or estrogen compressed into solid form. Each pellet is inserted just beneath the skin – typically in the hip or buttock area – during a simple in-office procedure taking less than 10 minutes.
Once inserted, pellets dissolve slowly over 3-6 months, releasing hormones in steady, consistent amounts directly into your bloodstream. This provides stable hormone levels without the peaks (right after a dose) and valleys (right before the next dose) common with pills, patches, or injections.
Why this matters: Your body responds best to steady hormone levels that mirror natural production patterns – not artificial spikes and crashes that can cause symptom fluctuation and side effects.
The procedure is quick and minimally invasive:
Preparation:
• The insertion site (upper buttock or hip area) is cleaned and numbed with local anesthetic – the only discomfort is a brief pinch from the numbing injection.
Insertion:
• A small incision (about 3mm) is made, and pellets are placed beneath the skin using a specialized insertion tool.
• Most patients feel pressure but no pain.
Closure:
• The tiny incision is closed with surgical tape or a single stitch, then covered with a small bandage.
Duration:
• The entire procedure takes 5–10 minutes.
Recovery:
• Most patients return to normal activities immediately, avoiding vigorous lower body exercise and swimming for 3–5 days to allow proper healing.
• Mild soreness or bruising at the insertion site is common for a few days but typically resolves quickly.
You may be an ideal candidate if you experience:
• Persistent fatigue despite adequate sleep
• Decreased libido or sexual dysfunction
• Difficulty building muscle or losing fat despite diet and exercise
• Mood changes, irritability, anxiety, or depression
• Brain fog, poor memory, or reduced mental clarity
• Sleep disturbances or poor sleep quality
• Hot flashes, night sweats (women)
• Decreased motivation and drive
• Low testosterone levels confirmed by lab testing
For men:
Typically ages 35+ experiencing symptoms of testosterone decline (though younger men with clinically low testosterone may benefit).
For women:
Those in perimenopause, menopause, or post-menopause experiencing hormonal symptoms; also younger women with surgical menopause or hormonal imbalances.
Who may need additional evaluation:
Those with current hormone-sensitive cancers, certain cardiovascular conditions, untreated sleep apnea (men), or specific clotting disorders require careful assessment before treatment.
Timeline for improvements:
Women:
• Week 1–2: Initial subtle improvements in energy and hot flash frequency
• Week 3–4: Noticeable reduction in symptoms – better sleep, mood, energy
• Week 6–8: Full therapeutic effect – optimal symptom relief
• Duration: 3–4 months of symptom control per insertion
Men:
• Week 2–3: Early improvements in energy and motivation
• Week 4–6: Enhanced libido, better workouts, improved mood
• Week 8–12: Full benefits – body composition changes, peak energy, optimal performance
• Duration: 4–6 months of steady testosterone levels per insertion
Important notes:
First-time patients sometimes need dose adjustments after the initial insertion. Your second and subsequent insertions are typically optimally dosed based on your response and follow-up labs.
Common minor side effects:
• Temporary insertion site tenderness, bruising, or minor discomfort (resolves within days)
• Mild fluid retention initially (typically resolves as body adjusts)
• Acne or oily skin (usually manageable with dose adjustment)
• Mild mood fluctuations during the first insertion cycle
Hormone-specific considerations:
• For men: Mild increase in red blood cell production (monitored via labs), potential for increased DHT conversion (can cause hair loss in predisposed individuals — manageable with medication).
• For women: Mild androgenic effects from testosterone (if dosed too high) — voice deepening or facial hair are rare and reversible with dose reduction.
How we minimize risks:
Conservative initial dosing, comprehensive pre-treatment screening, proper insertion technique, clear post-procedure instructions, and regular monitoring labs ensure maximum safety.Serious adverse effects are extremely rare with proper patient selection, dosing, and medical supervision.
Most patients who switch from other delivery methods report that pellets provide better symptom control, more stable energy and mood, and remarkable convenience compared to previous methods.
Pellets vs. Injections:
• Pellets provide steady levels for months vs. weekly injection peaks and valleys.
• No ongoing injections needed, more stable mood and energy, better long-term compliance.
Pellets vs. Topical Gels/Creams:
• More consistent absorption (no variability from skin differences).
• No transfer risk to partners or children.
• Superior convenience and typically more effective symptom control.
Pellets vs. Oral Hormones:
• Bypass liver metabolism (safer metabolite profile).
• No daily pills to remember.
• Steady levels vs. daily fluctuations.
• Better bioavailability and effectiveness.
Pellets vs. Patches:
• No skin irritation.
• No daily or weekly applications.
• Swimming and activities unrestricted.
• More consistent hormone delivery and better cosmetic acceptance.
Insurance coverage:
Most insurance plans do not cover bioidentical hormone pellet therapy as it's considered elective wellness treatment. However, diagnostic lab work may be partially covered. We provide documentation for HSA/FSA reimbursement.
Value perspective:
Compare the cost to daily medications treating individual symptoms (antidepressants, sleep aids, erectile dysfunction drugs) that address effects rather than causes. Many patients find hormone optimization more cost-effective than managing multiple symptoms separately while providing superior quality of life improvements.
Frequency of pellet therapy:
Men (testosterone pellets):
Frequency: Every 4-6 months (2-3 insertions yearly)
Women (estrogen and/or testosterone pellets):
Frequency: Every 3-4 months (3-4 insertions yearly)
Pellet therapy is not dependency-creating. If you discontinue treatment, your hormone levels gradually return to their pre-treatment baseline as the pellets are fully absorbed.
What to expect:
During treatment discontinuation: As pellets deplete (typically over 2-4 weeks after their effective period ends), hormone levels decline gradually—not abruptly—allowing your body to adjust.
After discontinuation: Symptoms that were resolved by pellet therapy will typically return over several weeks to months as your natural (low) hormone production resumes.
No withdrawal syndrome: Unlike some medications, there's no withdrawal or adverse effects from stopping pellet therapy – you simply return to your pre-treatment hormonal state.
Restarting treatment: If you decide to restart pellet therapy after a break, you can do so at any time with the same safety profile and effectiveness.
Most patients choose to continue long-term because the quality of life improvements are so significant that returning to suboptimal hormone levels feels unacceptable once they've experienced optimal balance.
Look no further for your wellness solution. Our practice combines advanced diagnostics with innovative treatments to address the health challenges that have resisted conventional approaches. Here, you'll find the personalized answers and transformative results you've been searching for.
