When your hormones are out of balance, your body can’t function the way it should. You may experience symptoms like brain fog, mood swings, weight changes, hot flashes, or disrupted sleep. These shifts can affect both how you feel and how your body operates day to day.
At RejuvaCare Aesthetics and Wellness in Golden, CO, we offer hormone optimization therapy using bioidentical hormone pellets from EvexiPEL®. This method steadily releases hormones over time, helping to stabilize your levels without daily medication. It is one of several approaches that we use for our patients in Golden, CO, to help them regain hormonal balance and feel better.
What Is Hormone Optimization Therapy?
Hormone optimization therapy focuses on restoring balance across multiple hormone systems. We assess your full hormone profile to identify where imbalances exist and use methods to help support a more stable internal environment. While there are different delivery options, we prefer to administer BHRT treatment using pellets because they can provide consistent hormone release without the spikes and drops seen with pills or creams.
What Types of Hormones Are Commonly Addressed?
We look at a range of hormones that influence how your body functions, including estrogen, progesterone, testosterone, thyroid hormones, and DHEA. These hormones affect energy, metabolism, sexual function, mood, sleep, and more. Balanced testosterone levels are crucial for both men and women, and these levels can decline with age or stress. Estrogen imbalances may lead to symptoms like night sweats or anxiety, while thyroid dysfunction can cause fatigue and weight changes. We do not treat just one hormone in isolation, because these systems interact and depend on each other.
How Is Hormone Imbalance Diagnosed?
We begin by reviewing your symptoms and medical history, then order detailed blood tests that go beyond standard lab panels. These tests allow us to evaluate hormone levels at different times and in relation to each other, which helps us understand the full picture. We base our approach to BHRT pellet therapy on both lab results and how you actually feel, not just numbers on a page. Your lab values might fall into the high or low sides of the “normal” range, but that does not always mean they are optimal for your body.
Differences Between Traditional HRT and Our Hormone Optimization Therapy
Type of Hormones
The bioidentical hormones used in our treatments are chemically identical to the hormones your body naturally produces, which can make them easier to metabolize and integrate into your system. Traditional hormones are often synthetic or derived from animal sources and may not match your natural hormone structure. The body may respond differently to these structural differences, especially when it comes to absorption and side effects.
Hormone Delivery
Most traditional HRT options involve daily pills, creams, or patches that deliver synthetic hormones in short bursts. BHRT therapy pellets release bioidentical hormones gradually and consistently, which helps minimize the ups and downs that can happen with other methods. Patients often appreciate not having to remember daily doses or deal with frequent fluctuations in how they feel.
Dosing
Standard HRT typically uses fixed doses based on general population averages, without much flexibility. We adjust pellet dosing based on your specific hormone levels, symptoms, metabolism, and response to treatment. We can make more precise changes that match your body’s needs rather than using a one-size-fits-all formula.
Monitoring
Traditional hormone replacement tends to rely on infrequent lab work or a basic symptom checklist. We take a more hands-on approach by ordering regular, detailed labs and checking in on how you feel as your hormone levels shift.
Focus
HRT often treats menopause or andropause as isolated hormone events. We look at how multiple hormones interact and influence each other and how they contribute to your body’s regulation of sleep, mood, energy, metabolism, and more. Our focus is systemic, not symptom-specific, because hormones rarely act alone.
The EvexiPEL® Method
The EvexiPEL method uses patented hormone pellets developed for consistent absorption and fewer complications. These pellets include triamcinolone, a mild anti-inflammatory that helps reduce irritation at the insertion site. Providers certified in the EvexiPEL method complete advanced training focused on the broader science of hormone balance, not just hormone replacement. Although EveiPEL pellets deliver estradiol and testosterone, your treatment plan may also include other hormones like progesterone or thyroid support, depending on your lab results and symptoms. The method pairs precise dosing with ongoing lab testing to make sure your treatment continues to meet your needs without major fluctuations.
Other Hormone Delivery Options
Other delivery methods for bioidentical hormone replacement therapy include creams, gels, patches, injections, and oral capsules. Each method has its advantages depending on your lifestyle, preferences, and how your body absorbs hormones. Injections may provide quicker relief, while topical options allow for more flexible dosing. Some patients prefer daily application methods, while others choose longer-acting options like pellets for convenience and steady absorption. We consider all delivery types based on your lab results and treatment goals.
Who Can Benefit From Hormone Optimization Therapy
Perimenopause and Menopausal Women
Hormone levels can start shifting years before menopause and cause sleep disturbances, anxiety, irritability, or memory issues that may not immediately seem hormone-related. Estrogen and progesterone both decline, but not always at the same rate, which can cause unpredictable symptoms. You may find that steady hormone levels improve not just hot flashes, but also cognitive clarity, mood, and energy.
Men With Low Testosterone
Testosterone levels in men tend to drop gradually, but the effects can be surprisingly broad. Fatigue, lower libido, increased belly fat, and trouble concentrating are all possible signs. Low testosterone can also impact muscle maintenance, mood stability, and even sleep quality. Hormone optimization therapy for men looks at testosterone in context with other hormones like DHEA and thyroid, since they often shift together.
Adults With Symptoms of Hormonal Imbalance
Fatigue, brain fog, stubborn weight gain, and disrupted sleep can sometimes be traced back to hormone shifts that are easy to overlook in routine lab work. With BHRT, we look at how multiple hormone systems interact rather than focusing on one isolated lab result. Even younger adults can experience imbalance due to chronic stress, poor sleep, or certain medications. Identifying and correcting subtle shifts in hormones can make a meaningful difference in how your body handles energy, metabolism, and mental focus.
What to Expect During the Process
We start by reviewing your symptoms and running detailed lab work to get a clear picture of your hormone levels. If hormone pellet therapy is a good fit, we schedule a quick in-office visit to insert the pellets just beneath the skin, usually near the upper hip. The insertion takes only a few minutes and requires no downtime afterward. We’ll follow up with additional lab testing and check-ins to make sure your dose stays aligned with how you feel and how your body responds.
Personalized Hormone Therapy in Golden, CO
Dr. Mark Paz brings years of experience in internal medicine, hormone replacement therapy, and functional health to his work at RejuvaCare Aesthetics and Wellness in Golden, CO. We use hormone optimization therapy with EvexiPEL to help stabilize hormone levels and improve how your body functions day to day. Every treatment plan is informed by detailed lab work, clinical insight, and direct patient feedback. To schedule a consultation, call (303) 903-3775 or contact us using the online form.
