BHRT pellets are rice-sized implants containing bioidentical hormones, typically testosterone and/or estradiol, inserted under the skin of the hip via a small trocar incision. They dissolve over three to five months, releasing a consistent, physiologic hormone level, no peaks, no troughs, no daily application.

Fatigue, low libido, difficulty maintaining body composition, mood changes, brain fog, sleep disruption, or perimenopausal symptoms. These are symptoms of hormonal imbalance, they affect both men and women. Labs are required before initiating. The biology guides the decision.

Every three to five months. Follow-up labs before each insertion confirm levels and guide the next dose.

TRT restores testosterone to physiologic levels in men and women with confirmed deficiency. Essential for energy, muscle mass, bone density, libido, mood, and cognitive clarity in both sexes. Delivered via injection, topical cream, gel, or BHRT pellet. Labs confirm deficiency before treatment begins.

Yes, significantly underrecognized. Women produce testosterone in smaller quantities but it plays the same essential role. Female testosterone deficiency is underdiagnosed. Symptoms often attributed to stress or aging, fatigue, low desire, brain fog, difficulty building muscle, may be testosterone-driven. At VIO, both men and women are assessed.

Hormone support begins with labs, comprehensive baseline assessment of hormones relevant to your picture: testosterone, estradiol, progesterone, thyroid, DHEA, and others as indicated. Your provider designs a personalized protocol with bioidentical hormones. Follow-up labs guide dose adjustment over time.

Symptoms of hormonal imbalance include fatigue that sleep does not fix, difficulty maintaining body composition, low desire, mood instability, brain fog, poor sleep quality, and perimenopausal symptoms. These can have many causes, but hormones are frequently central. Labs tell the story.

Bioidentical hormones have a molecular structure identical to the hormones your body naturally produces, processed through the same pathways as endogenous hormones. Your provider reviews your individual risk profile and monitors your response through regular labs.

Most clients begin experiencing meaningful improvement six to twelve weeks after treatment begins. Hormone optimization is a gradual process, the body takes time to recalibrate to balanced levels.