Bioidentical Hormones & Testosterone Therapy

A pellet is a small implant placed under the skin, usually in the upper hip, during a brief in-office visit. It releases hormone steadily over several months rather than requiring a daily gel, patch or weekly injection. For many patients that consistency is the appeal — there is nothing to remember, nothing to apply, and no daily peaks and troughs.

The visit takes about fifteen minutes. The area is cleaned and numbed with local anesthetic, a small incision is made, the pellet is placed, and the site is closed with adhesive strips. Most patients describe pressure rather than pain. You go back to your day afterward, avoiding swimming, hot tubs and heavy lower-body exercise for a few days while the site heals.

Typically three to four months for women and four to six months for men, though it varies with your dose, metabolism and activity level. Rather than guessing, Dr. Kohli repeats your labs and reviews your symptoms to determine when you are due, so timing is based on your levels rather than a fixed calendar.

Because hormone therapy is medicine, not a service. It requires a diagnosis before treatment, interpretation of labs in the context of your full medical history, attention to your other prescriptions, and ongoing monitoring of the things that need watching — blood count and prostate markers in men, and continued age-appropriate screening in women. Dr. Kohli evaluates, places and monitors, and he is the same physician managing the rest of your health.

Treatment follows testing, never the reverse. Depending on your symptoms and sex, that usually means sex hormone levels, thyroid function, a complete blood count and metabolic testing. Testosterone is measured in the morning and confirmed on a second sample before any diagnosis of deficiency is made. Symptoms like fatigue and low libido overlap with thyroid disease, anemia, sleep apnea and depression, and those are evaluated too.

Risks depend on the hormone, dose, your age and your history, and are discussed with you individually before you start. Site effects such as bruising, tenderness or, uncommonly, pellet extrusion or infection can occur. Testosterone therapy can raise red blood cell count and affect fertility and prostate markers. A pellet also cannot be adjusted or removed as easily as an oral or topical dose once placed. Dr. Kohli monitors with scheduled labs and adjusts your dose over time.

The evaluation visit and laboratory testing are generally covered when medically necessary, and we verify your benefits before your appointment. Pellet insertion itself is most often a self-pay service. Dr. Kohli will give you the full cost — pellets, placement and follow-up labs — before you commit to anything.

Book a hormone evaluation. Bring your current medications and supplements and any lab work from the past year. You will have testing, a review of results with Dr. Kohli, and a plan — which may or may not include pellets, depending on what your labs show. Call or text 214-810-4331, or book online.

8210 Walnut Hill Lane, Professional 1, Suite 516, Dallas, TX 75231, on the Texas Health Presbyterian Dallas campus at Central Expressway. Convenient to University Park, Highland Park, Preston Hollow, North Dallas, Richardson and Addison. Call or text 214-810-4331.

Yes. We are accepting new patients, and same-week appointments are usually available.