Pellet therapy involves a minor office surgery in which pellets that contain bio-identical hormones are surgically implanted under the skin. The procedure is relatively painless because a numbing shot is used. A scalpel is then used to make a small incision and a trocar (large needle) is used to place the pellets under the skin. These pellets last between 3-5 months and the procedure needs to be repeated for as long as therapy is desired.

Benefits of pellet therapy: it is something that does not need to be remembered every day, bio-identical hormones can be used, it avoids “first pass metabolism” so it is more gentle on the liver and better for lipid profile.

Disadvantages of pellet therapy: it is a surgical procedure that needs to be done 3-4 times per year. There are the typical risks of an office surgery, bleeding, infection, bruising. You need to go to the doctor's office every 3-5 months for the procedure. And, if you have side effects, you have to wait until the hormones wear off to get relief.

Winona provides bio-identical hormone therapy via pills, patches, or specially compounded creams. These therapies are highly effective without requiring a surgical procedure. In fact, Winona offers telehealth with an experienced physician and delivers your prescription directly to your home. You never need to go to a doctor's office or pharmacy. The dose can be adjusted up or down at any time depending on your symptoms and if you have a rare side effect the medications can be stopped at once, no waiting months for the hormone to get absorbed.

The cream and patch avoid first pass metabolism just like the pellets. Winona bio-identical hormone replacement provides excellent symptom relief without leaving your home and without an invasive procedure.

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