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Hormone Replacement Therapy

Alliance OB/GYN

OBGYNs located in Delran, NJ & Hainesport, NJ

EvexiPEL Hormone Pellets For Wellness


As we age, our hormone levels decline, which can lead to a variety of symptoms such as fatigue, decreased sex drive, and weight gain. Hormone replacement therapy (HRT) has been a popular treatment option for those seeking to alleviate these symptoms

Correct Hormonal Imbalance

Our hormones are fundamental to everyday life, and changes in their balance require special management, whether it be due to a medical condition or a specific stage of life.

As men and women age, hormone levels – testosterone, estrogen, and others – naturally decline. However, hormone imbalance may happen to people as early as their 20s and beyond, due to the vast amount of toxins that enter the body from the environment, chemicals we consume in everyday products and toxic, stressful relationships.

The EvexiPEL method of bioidentical hormone replacement therapy with pellets provides a superior approach to optimize hormones and address health conditions and symptoms associated with unbalanced hormones in women and men.

How HRT Works

Hormone therapy is the use of hormones to treat and restore hormone balance within the human body. Hormone imbalance can occur for a variety of reasons, but is most commonly associated with aging. Symptoms of hormone imbalance that are effectively treated with hormone replacement therapy include hot flashes, night sweats, irritability, anxiety, weight gain, muscle loss, joint pain, poor sleep, and more. 

  1. Comprehensive Hormone Testing: Before beginning treatment, your healthcare provider will conduct comprehensive hormone testing to determine your current hormone levels and identify any imbalances 
  2. Personalized Treatment Plan: Based on the results of your hormone testing, your healthcare provider will create a personalized treatment plan tailored to your unique needs.
  3. Pellet Insertion: The pellet insertion procedure is quick and completed during a short in-office visit. Your healthcare providier will make a small incision and insert the pellets beneath the skin. Most patients report minimal discomfort during the procedure. 
  4. Relief from Symptoms: Once the pellets are inserted, they will release a consistent dose of hormones over the course of several months. Patients typically experience relief from symptoms within a few weeks of the procedure. 
  5. Follow-Up Testing: Your healthcare provider will monitor your hormone levels and adjust your treatment plan as needed to ensure optimal results.


Types Of HRT Treatment


Approximately 12 percent of the U.S. population suffers from thyroid dysfunction, yet 60 percent of Americans are undiagnosed. This is often due to the ambiguous nature of symptoms, which classically masquerade as symptoms of stress, aging, or even depression and anxiety. Untreated thyroid dysfunction can increase your risk of other diseases or worsen the impact of other conditions, such as diabetes or heart disease.

If you feel tired all the time, struggle with sleep, weight gain, depression, anxiety, or mood swings–it might be a hormone imbalance related to your thyroid. The thyroid influences nearly every cell in the body, making any dysfunction a significant issue.

The good news is that thyroid hormone imbalances can be treated; however, not just any treatment will do. Treatment must begin with accurate lab testing of all the hormones that play a role in thyroid function, including: thyroid stimulating hormone (TSH), T3, T4, reverse T3, and cortisol. Your practitioner should evaluate all of these hormones throughout the treatment process to adequately assess thyroid function and determine the progress of treatment.


As a woman ages, estrogen levels decline, with sharp decreases occurring near middle age. Low levels of estrogen have been shown to contribute to uncomfortable symptoms, such as hot flashes, night sweats, low libido, weight gain, mood swings, and more. Although the dramatic decline and affiliated symptoms are classically linked to perimenopause and menopause, low estrogen can occur before middle age.

Women experiencing symptoms of low estrogen should have their hormone levels evaluated by an expert who is trained to carefully analyze lab results and understands the delicate nature of hormonal imbalance. Though your lab results may show that your levels are within “normal” range, it may not be the definition of “normal” for you. Providers trained in hormone balance know that there is a distinct difference between “normal” and optimal.

Low levels of estrogen can impact your overall health and contribute to uncomfortable symptoms. Either condition can occur with menopause. Estrogen pellet therapy may be an effective solution to low estrogen and can help relieve symptoms of hormone imbalance. EvexiPEL estrogen pellet therapy is a bioidentical hormone therapy option that uses the highest-quality ingredients, proprietary formulation, and requires advanced-level training for all EvexiPEL-certified providers.


Many people believe that testosterone is the male hormone. However, both men and women make and need testosterone for optimal health. Testosterone plays a significant role in male and female sexual health, brain health, and weight management. As testosterone levels decline with age, you may experience a lack of focus, brain fog, low libido, an inability to build muscle, or weight gain.

Testosterone therapy helps patients identify and restore hormone levels to an optimal state to eliminate symptoms and enhance health and wellbeing. Testosterone therapy is also effective in supporting a reduced risk of cardiovascular disease, stroke and heart attack. Testosterone therapy is available as injections, creams, and pellets. Testosterone pellet therapy is renowned as the most effective form of testosterone therapy.

Hormonal Imbalance Symptoms

These symptoms may be a sign that you could benefit from hormone replacement therapy

  • Unexplained weight gain (or loss)
  • Brittle or weak bones
  • Chronic poor sleep
  • Irritability or anxiety
  • Chronic fatigue
  • Chronic headaches
  • Low libido / sex drive
  • Dry skin or rashes
  • Sensitivity to cold or heat
  • Unexplained excess sweating