Hormone pellets and Biote

Hormone Pellets Near Me: How to Find and Vet a Provider

The short answer

To find hormone pellets near you, look for a licensed clinician with real menopause training, such as an OB-GYN or a Menopause Society Certified Practitioner, who reviews your full history, explains the risks and follows up after each insertion. Pellets need an in-person visit every three to six months, so choose a clinic you can reach easily and get a written cost estimate first.

Where are hormone pellets offered?

Search results for “hormone pellets near me” usually mix several kinds of practices:

  • OB-GYN and family medicine offices that offer pellets alongside other menopause care.
  • Clinics certified by a pellet network, such as Biote, which trains clinicians in its method and lists them on its website.
  • Functional, integrative or anti-aging medicine practices.
  • Medspas and wellness clinics, where a nurse practitioner or physician assistant often does the insertion.

How to search for a pellet provider

A few approaches tend to work better than a single map search:

  • Start with your own clinicians. Your OB-GYN or primary care clinician may offer pellets, or know who does locally, and they already have your history.
  • Search more specifically, for example “estradiol pellet menopause” plus your city, or “menopause specialist” plus your city, rather than only “hormone pellets near me.”
  • Read the clinic’s own site carefully. Look for who actually sees patients, their credentials, and whether they describe risks as well as benefits.
  • Read reviews for patterns, such as how easy it is to reach the clinic with a problem, rather than single glowing or angry posts.
  • Use the directory below to find menopause-certified clinicians, then ask whether they offer pellets or would recommend another approach for you.

What credentials should a pellet provider have?

At minimum, the person evaluating you and choosing your dose should be a licensed clinician: a physician (MD or DO), nurse practitioner or physician assistant. Beyond that, look for signs of real menopause expertise:

  • Board certification in obstetrics and gynecology, family medicine, internal medicine or endocrinology.
  • Menopause Society certification. The Menopause Society certifies clinicians who pass an exam in menopause care, and its practitioner directory is searchable by location. It is a good way to find someone who knows the full range of options, even if they don’t offer pellets.
  • Experience with the procedure. Ask how often they insert pellets and how they handle complications.

A pellet network certification shows a clinician has been trained in that method. It doesn’t, on its own, tell you how broad their menopause knowledge is.

Questions to ask before you book

  • Which hormones do you use in pellets, and how do you decide whether I need testosterone?
  • How do you choose my dose, and what hormone levels are you aiming for?
  • If I have a uterus, how will you protect my uterine lining?
  • When will you follow up after insertion, and how can I reach you if I have side effects?
  • How do you decide when I need the next pellet? Do you check levels first?
  • Which pharmacy prepares your pellets?
  • Do you also offer FDA-approved options, and when would you recommend those instead?
  • What will a full year cost, including labs and visits?

A good provider will welcome these questions. If answers are vague or you feel rushed, keep looking.

Red flags when choosing a pellet clinic

  • No real history or exam. Your personal and family history (breast cancer, blood clots, stroke, heart and liver disease) should be reviewed before any hormone therapy.
  • Pellets presented as the only option, with no discussion of patches, gels, pills or non-hormone treatment.
  • No plan for side effects other than waiting for the pellet to wear off.
  • Testosterone promised for energy, weight loss or anti-aging. The international consensus statement supports testosterone for women only for low sexual desire causing distress after menopause, at doses in the normal female range.
  • No mention of progesterone for a woman with a uterus who is getting estrogen.
  • Pressure to prepay for several insertions or buy supplements before your first one.
  • Claims that pellets are FDA-approved or risk-free. Pellets for women are compounded, and the FDA notes compounded drugs are not FDA-approved.

What to expect at your first visit

A thorough first visit usually includes a detailed symptom and menstrual history, your medications and supplements, personal and family medical history, and a discussion of your goals. Some clinicians order blood tests. For women over 45 with typical symptoms, menopause is usually diagnosed from symptoms rather than hormone levels, which swing widely during perimenopause. If testosterone is being considered, a baseline testosterone level is recommended. You should leave with a clear explanation of the options, the risks, the cost, and the follow-up plan.

The insertion itself is a short in-office procedure under local anesthetic. Our guide to how hormone pellet therapy works walks through it step by step.

Location matters more for pellets than for other options

Pellets need an in-person visit every three to six months for as long as you use them, and a 2025 review noted that safe pellet use depends on individualized dosing and monitoring. Choose a clinic close enough that you will actually go back for follow-up, not just for the next insertion. If you travel a lot or live far from a clinic, factor that in.

Local pellet clinicTelehealth hormone therapy
In-person visitsEvery 3 to 6 months for insertionUsually none; some people need an in-person exam
What’s prescribedPellets, sometimes other formsPatches, gels, pills or creams used at home
Changing the doseAt the next insertionAt the next prescription
Typical paymentOut of pocket per insertionVaries; FDA-approved products often go through insurance

If there’s no good pellet provider nearby

The hormones in pellets are also available in forms you use at home, and The Menopause Society recommends individualizing the type, dose and route rather than favoring one method. Options include FDA-approved estradiol patches, gels, sprays or pills with progesterone if you have a uterus, and compounded creams. Amie HRT+ is one telehealth option: a compounded estradiol and progesterone cream, with the strength chosen by a licensed clinician after an online review. It is not FDA-approved, needs no insertion procedure, and a clinician decides whether it is appropriate for you.

Next steps

Shortlist two or three clinics, call with the questions above, and ask each for a written annual cost estimate. Our hormone pellet cost guide explains what is usually included, and our Biote reviews roundup summarizes what people commonly report. If you’re open to methods other than pellets, our guide to finding a bioidentical hormone provider covers a broader range of clinicians.

Medically reviewed by

Dr. Jessica Russell, MD

Obstetrician-gynecologist · Reviewed October 12, 2026

NPI 1447397583 · verify

Common questions

Who can insert hormone pellets?

Licensed clinicians such as physicians, nurse practitioners and physician assistants who have been trained in the procedure. Many work in OB-GYN, family medicine, functional medicine or wellness practices.

What is the difference between a Biote provider and other pellet clinics?

Biote trains and certifies clinicians in its pellet method. Other clinics offer pellets independently. In both cases the pellets are compounded, and the quality of care depends mostly on the individual clinician.

Can I get hormone pellets through telehealth?

Not entirely. Pellet insertion has to be done in person. Telehealth can handle consultations and follow-up, and it can prescribe other forms of hormone therapy that you use at home.

How do I find a menopause specialist near me?

The Menopause Society’s online directory lets you search for certified menopause practitioners by location. Your OB-GYN or primary care clinician can also refer you.

Sources

  1. The Menopause Society. Find a Menopause Practitioner directory
  2. The 2022 hormone therapy position statement of The North American Menopause Society. Menopause 2022
  3. Jacobsen L et al. Subcutaneous estradiol pellets as hormone therapy in menopause. J Clin Med 2025
  4. Davis SR et al. Global Consensus Position Statement on the Use of Testosterone Therapy for Women. J Clin Endocrinol Metab 2019
  5. FDA. Compounding and the FDA: Questions and Answers