Hormone Pellet Information
Our Quality Standards in Hormone Pellets!
Although a secondary goal of the Midwest Hormone Centers is competitive costs our primary focus is to ensure we use pellets that meet the Highest Quality Standards for our patients.
- We select and inspect compound pharmacies that exceed the FDA regulations for 503b pharmacies related to their sterile environment.
- We select pharmacies that have 3rd-Party Stability Studies conducted for on all pellet offerings.
- We randomly request 3rd-Party batch release testing results that accompany each lot.
- We select companies that have terminal sterilization of pellets utilizing electron beam.
- All active pharmaceutical ingredients (API) must be purchased from Manufactures that are registered with the FDA.
What What Types of Hormone Replacement TRT / HRT Treatments Do We Offer?
- Intramuscular Injection (IM), which is an injection in the upper portion of the hip.
- Pellets, which are implanted under the skin on the fattiest tissue of the hip
What Are Hormone (HRT) Pellets?
- Hormone pellets are tiny, highly compressed “discs” or “cylinders” containing pure bio-identical hormone (the same hormones that are already present in the human body). They are placed under the skin with a very quick, simple, and painless procedure and will deliver hormone to the body as needed while slowly dissolving over time.
Which Form of Treatment Does the MWHC Recommend?
- Both forms of treatment are effective delivery methods for hormone replacement our patients are split on which they prefer. Pellet patients often talk about the consistent delivery “controlled release over time” of the hormone. The body draws from the hormone when it is needed. The also appreciate only having to visit the office every 3 months versus 7-10 days. Patients often prefer the IM injections because weekly injections can be adjusted based on the patient response to the hormones.
What are Pellet Implants / How Are They Inserted?
- Sterile pellets are a small, cylindrical form of compounded medication prepared using bio-identical hormones. They are used to treat hormone deficiencies and imbalances in both men and women. The pellet is only about the size of a grain of rice and is implanted below the skin in the gluteal during a simple office procedure. The area is numbed using a local anesthetic and a tiny incision is made through which the pellet is inserted using a trocar. Once it is in place, a sterile strip is used to close the incision and covered with an adhesive bandage. Over the course of three to four months, the pellet slowly dissolves as the body draws small, physiologic dosages of the hormone to maintain a more consistent delivery. Once it is dissolved, the procedure is repeated and a new pellet is inserted.
Are Pellet Insertions Painful? What is The Recovery Time?
- Pellet implants are quick are relatively painless and usually completed within 17 minutes here in our office. The procedure is minimal: First, an area on the back of your hip is numbed with a local anesthesia, then a small puncture is made and the pellets are inserted into subcutaneous tissue just under the skin. You may feel a slight pulling when the tiny pellet is inserted. After the procedure is finished, steri-strips and a gauze bandages are placed over the puncture. In rare situations stitches are applied to men who are highly active.
Why Use Hormone Pellets Over Injections or Creams?
- One of the benefits of pellets is that pellets can be used to deliver hormones to the body that are both structurally and biologically identical to the body’s own hormones. Bio-identical hormones such as Estradiol (E2) and testosterone are the most commonly used. They are slowly released over a period of three to four months, allowing for more consistent delivery. Because the pellet is placed beneath the skin, once it is inserted, the body naturally does the rest. Patients do not have to remember to take a pill or give an injection. Patients also do not have to worry about getting the pellet removed because it is safely dissolved by the body over time. Once it is dissolved, the next pellet can be inserted by the physician.
How are Hormone Pellets Made?
- For a more natural product, implantable pellets are created fusing together hormone powder and stearic acid without the sue of chemical binders. These compressed pellets are about the size of a grain of rice and are resistant to breakage and have a consistent color and texture for higher quality results. Pellets go through extensive safety and sterility testing before leaving the compounding pharmacy.
How Often Are Hormone Pellet Implants Needed?
- Implants are generally conducted every 3-4 months depending on the patients symptoms and how quickly they individual metabolize the implant. Pellets need no removal because they slowly dissolve into the blood stream.
Does a Woman Have to be in Menopause to Benefit from Pellets or Injection Treatments?
- NO – Woman at any age or stage of life can experience symptoms of hormone imbalance and may need to have their levels checked by a Doctor. Levels can decline for various reasons and pellet therapy is able to combat symptoms of fatigue, libido, hot flashes, night sweats, depression, severe PMS, menstrual or migraine headaches, sleeping disorders.
What is Bioidentical Hormone Replacement Therapy (BHRT)?
- Bioidentical hormone replacement is whole-body therapy. Hormones impact nearly every function of the human body; in fact there are hormone receptors on nearly every cell in your body.
- As you age your hormone levels change and your organs produce less natural hormones. Hormone replacement slows down the aging process in every organ in your body.
- Hormone therapy is important for all aging women both perimenopausal and menopausal, women with and without ovaries, as well as men. While not as common, young women and men can also have hormonal imbalances and must be given equal consideration for treatment based on comprehensive lab results and full evaluation of medical history, and symptoms.
- Bioidentical hormones are structurally identical to what your body makes. They restore the body’s natural balance and are essential to healthy aging.
What are Bioidentical Hormones?
- Bioidentical hormones use plants and generate an identical in organic structure and function to human hormones. Bioidentical hormones are identical to the hormones already found in your body and follow the blue print of human life.
What are Bioidentical Hormones Derived from?
- The “Bioidentical” hormone powders are derived from soy and primarily yams. Those that are chemically sensitive to one, can chose the other option.
Why Aren’t Bioidentical Hormones FDA Approved?
- Bioidentical hormones are not patentable. Because of this, drug companies won’t spend an inordinate amount of money to seek FDA approval. Because of reliance on FDA approval, many great healthful supplements, vitamins and other treatments are largely unrecognized and unused. This has resulted in many misguided opinions and a lack of knowledge regarding Hormone Replacement. The FDA has produced the following statement “FDA is not aware of any credible scientific evidence to support claims made regarding the safety and effectiveness of compounded BHRT drugs.
- Director of FDA’s Office of Women’s Health in another statement regarding the use of BHRT drugs to prevent or cure heart disease, Alzheimer, disease, breast cancer the FDA stated the BHRT drugs have not been shown to prevent or cure any of these diseases. In fact, FDA approved MHT “Menopausal Hormone Therapy” Drugs (i.e. Premarin and Provera) may increase the risk of heart disease, breast cancer, and dementia in some women. No large, long term study has been done to determine the adverse effects of bioidentical hormones. The FDA does not have evidence that bioidentical hormones” are safer or more effective than other hormone products.
Is Premarin Bioidentical?
- Absolutely NOT – Premarin is derived from a pregnant mare’s horse urine, and therefore contains many horse estrogen’s that are not found in the human body. Therefore, Premarin is not a bioidentical hormone.
How Do I Schedule and Appointment with the Midwest Hormone Centers?
- Our Central Scheduling Number is 816-525-2535 or submit your contact information and symptoms through the website and we will reach out to speak with you.
New Patient Process – What Are the Cost and What is Included with Those Fees?
- We have a one-time new patient fee of $350 dollars after that there are no contracts or annual renewal fees it includes:
- Your fist visit includes and a review of your medical history, medications, and a light patient exam.
- The provider will then spend most of the visit learning about you and your symptoms attempting to understand their severity and impact on your life.
- If it is determined that you’re a candidate for treatment we will draw your blood here in our office. We will test for the hormones above but will also perform a full thyroid panel. If an issue is discovered with your thyroid we are specialists in optimizing its function as well.
- We will then perform an extensive body composition test detailing the breakdown of muscle mass, body fat, and water in your body. That will end visit one.
- During your second visit the provider will review your lab work in detail and provide you an individualized treatment plan to fit your specific conditions.
Note: Both visits, lab work, body comp, and treatment plan are part of the $350 new patient fee.
Note: After the initial new patient fee we do not require any contracts or annual renewal fees. You are considered a "Patient for Life" at all of our centers.
Is Financing Available for Hormone Replacement Therapy and Stem Cell / PRP Treatments?
- Yes our facilities are approved for the use of the Advance Care Card? There direct contact number is Phone: 1-800-432-9470.
- How do I apply? – To receive the fastest turn around time on your application, you may apply on-line. The entire process is usually completed in 5-10 minutes.
- What are the minimum requirements? – You must be at least 18 years of age, must not have filed for bankruptcy in the last 5 years and not have been sent anything NEW to collections in the previous 3 years. Your monthly income must be at least $1,500. These are the minimum requirements for approval with Advance Care. If you do not meet these minimal requirements you may wish to consider utilizing a co-signer.
- What is the maximum amount I can be approved for? – You can be approved for up to $25,000 or more with excellent credit.
- What will my interest rate be after the initial interest free period? – Your interest rate and terms are based on your own individual credit history as well as your current financial situation. The better your credit, the better interest rate and terms you are likely to receive.
- Are there any pre-payment penalties? – No. As long as you make your minimum monthly payments as required, you can pay your balance off at your own pace. You may pay the balance as quickly as you like or take as long as necessary.
- Can I use my card for other people in my family or just myself? – Once you are approved you may choose to use your card for other members of your family.
What Are the Prices for HRT & TRT, and Other Services You Provide? What are the Average Treatment Intervals?
- Women: Bio-identical Hormone Replacement Therapy – $60 per injection treatment, B12 injections are included in this pricing. Injection treatments typically last an average of 10-14 days. Pellet insertions treatments typically last an average of 3-4 months and cost $485 per insertion.
- Men: Bio-identical Testosterone Replacement Therapy – $60 per injection treatment, B12 injections are included in this pricing. Injection treatments typically last an average of 7-10 days. Pellet insertions treatments typically last an average of 3-4 months and cost $700 per insertion.
- HCG Assisted Fat Loss – 30 day sessions $400 for existing hormone patients. Each 30 day session includes: (HCG Kit, (Needles, Hormone, Swabs), 4 Consults with Coach, Meal Plan, Tracking Binder,4 Body Composition Readings, daily text communications as needed with coach.
- Growth Hormone Replacement “HGH Peptide Therapy” – 30 day supply (2 daily SubQ injections) Sermorelin, GHRP 2, GHRP 6 – $325
- B12 injections with Methylocabalamin “most biological form” of B12 Injection – $25
- Lipotropic Metabolic Enhancer Injections – for Fat Los $25
- Gluthathione Injections (Antioxidant) – $40 per injections
- Body Protection Compound Peptide (BPC) 157 Healing Peptide “Wolverine” – 30 day supply $ Call for Pricing
- Stem Cell Therapy – Call for Pricing
- PRP Therapy – $950 per joint
- PRP Male Sexual Enhancement – $950 treatment last 12-18 months
- PRP Female Sexual Enhancement – $950 treatment last 12-18 months
- Natual Joint Injection for Pain – $60 per injection
- Therapeutic Phlebotomy – $60 treatment
- New Patient Start Up Fees – $350
- Lab Redraws- $100
- Discounted Lab Services – $40 per test or $100 for 3. “Some Restrictions Apply”
Does Midwest Hormone Centers Accept Insurance/HSA/FSA?
- We accept HSA Health Savings Accounts / Flex Spending Account FSA cards, cash, check, and credit cards.
- Our office does not do insurance billing.
- With our types of treatments insurance reimbursement is very inconsistent from carriers, often considering what we do as “wellness, or experimental.” Most facilities that utilize bio-identical hormones follow a similar model.
- If you have insurance that covers any parts of treatments or medications we can provide you a coded receipt that states your Diagnosis and Treatment Codes. Those receipts can be mailed into the carrier with the address typically found on the back of the card.
- We are an Out-of-Network provider treatment typically reimburses for eligible charges at the rate of 60% of the fees. Reimbursement for claims will be mailed directly to patients by insurance carriers.