NYC’s Leading Integrative Health Care Center
NYC’s Leading Integrative Health Care Center
Hormones regulate everything from your energy and weight to mood, libido, and brain function. Yet most women facing menopause, fatigue, or PMS are given a one-size-fits-all patch or pill. At Patients Medical in New York City, we use Bioidentical Hormone Replacement Therapy (BHRT) via pellets to restore hormonal balance with precision. Our approach supports you naturally—by testing first, treating gently, and personalizing care throughout your journey.
What Are Bioidentical Hormone Pellets?
Bioidentical hormones are derived from plants and chemically match the hormones your body naturally makes. In pellet therapy, small hormone pellets (testosterone or estrogen) are inserted under the skin and release hormones continuously over 3–6 months. Unlike pills or patches, pellets provide steady dosing, reducing mood swings, energy crashes, or forgotten doses—especially beneficial for women in perimenopause, menopause, or post-hysterectomy stages.
If you’re dealing with the following symptoms, you may benefit from BHRT:
Functional medicine digs deeper than symptom management. We identify why your hormone pathways are out of sync. Common root causes include:
Pellet therapy involves placing custom-compounded hormones (like estrogen or testosterone) under the skin in a quick in-office procedure. Once inserted, the pellets release hormones consistently over several months, mimicking your body’s natural rhythm. This eliminates hormone fluctuations, supports mood stability, and reduces symptoms like fatigue, night sweats, and low libido—all without the hassle of daily creams or pills.
No two women have the same hormone profile. We design treatment plans that may include BHRT pellets, herbal adaptogens, thyroid optimization, and detox support. Your program is guided by lab results and adjusted over time to keep your hormones in balance. This custom approach addresses estrogen dominance, progesterone deficiency, and testosterone decline—helping restore energy, confidence, and cycle control.
We offer IV nutrient infusions to correct deficiencies that impair hormone production and detoxification. Common blends include B-complex for energy, magnesium for stress relief, and glutathione for estrogen clearance. These nutrients support hormone metabolism in the liver, reduce PMS severity, and combat adrenal fatigue—making pellet therapy even more effective when combined with nutrient optimization.
Cortisol and thyroid hormones must be in harmony for BHRT to work properly. We assess adrenal fatigue, cortisol rhythm, and thyroid function, then support them with adaptogens, glandular extracts, or bioidentical thyroid as needed. Balancing these systems helps reduce fatigue, brain fog, anxiety, and weight gain—common symptoms in women with midlife hormone imbalance.
If your liver isn’t clearing hormones well, you may experience estrogen dominance—even with “normal” levels. We support Phase 1 & 2 liver detox using sulforaphane, DIM, milk thistle, and methylated B vitamins. This reduces side effects like bloating or breast tenderness and helps you process hormones efficiently for better balance and mood stability.
Hormonal health thrives on lifestyle. We guide you through stress reduction techniques, movement strategies, and sleep support to enhance hormone function naturally. Meditation, acupuncture, strength training, and yoga can boost endorphins, reduce cortisol, and improve insulin sensitivity—all of which amplify the effectiveness of BHRT and improve your long-term well-being.
Sarah, 48, came in with fatigue, irritability, poor libido, and disrupted sleep. Labs showed low estrogen, low testosterone, and high cortisol. We inserted estrogen/testosterone pellets, supported her adrenals with ashwagandha, and added IV magnesium and B vitamins. Within 6 weeks, Sarah reported better sleep, renewed sex drive, and stabilized mood. After 3 months, she felt like “herself” again—naturally.
Medical Director of Patients Medical
A holistic pain management physician
Consult Dr. Emine Cosar, MD. For Gynecology
Yes, when prescribed and monitored properly, pellets are a safe and effective hormone therapy used for over 70 years.
Most women need pellets every 3–6 months depending on metabolism and hormone levels.
The procedure is quick and performed under local anesthesia. Most women describe it as a mild pinch.
Some women may experience temporary symptoms like breast tenderness or mild acne. These usually resolve as levels stabilize.
We use FDA-registered compounding pharmacies and test all batches for purity, sterility, and dosage accuracy.
We are out-of-network but provide superbills for partial reimbursement. Some labs may be covered.
Patients Medical specializes in gently helping the patient identify the root cause of their medical issues and then assist them to recover from their problems to help them move forward to good health.
To schedule an in person on Tele-medicine appointment, please call our office at (212) 794-8800 or email us at info@PatientsMedical.com We look forward to hearing from you
Patients Medical PC
1148 Fifth Avenue, Suite 1B New York, NY 10128
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All information presented in this website is intended for informational purposes only and not for the purpose of rendering medical advice. Statements made on this website have not been evaluated by the Food and Drug Administration. The information contained herein is not intended to diagnose, treat, cure or prevent any disease. Patients Medical.
