Hormone Pellet Therapy in San Antonio, TX
If you are battling fatigue, brain fog, low libido, weight gain, or mood swings, your hormones may be the missing piece. Bioidentical hormone pellet therapy at Jovem Med Spa in San Antonio delivers a steady, natural stream of hormones to help you feel like yourself again — overseen by Dr. Abha Gyani and our medical team.
What Is Hormone Pellet Therapy?
Hormone pellet therapy uses tiny, custom-compounded pellets — about the size of a grain of rice — placed just under the skin to release bioidentical hormones that are chemically identical to the ones your body makes naturally. As your body needs them, the pellets release a consistent dose of estrogen or testosterone over several months. This steady delivery avoids the peaks and valleys of pills, creams, or injections, helping you maintain balanced hormones day to day.
How Hormone Pellets Work
Hormone levels naturally decline with age, leading to symptoms like fatigue, weight gain, low libido, poor sleep, and mood changes in both women and men. During a quick in-office procedure, your provider inserts the pellets under the skin near the hip. From there they dissolve gradually, releasing hormones into your bloodstream based on your activity and needs — more when you are active, less at rest. Your dosing is customized to your lab work and symptoms.
What Hormone Pellet Therapy Can Help With
Fatigue & Low Energy
Fatigue & Low Energy
Weight Gain
Weight Gain
Low Libido
Low Libido
Mood & Brain Fog
Mood & Brain Fog
Bioidentical hormone therapy may also help with:
- Hot flashes and night sweats
- Sleep disruption and insomnia
- Decreased strength, stamina, and recovery
- Menopause and andropause (low testosterone) symptoms
- Loss of mental clarity and focus
Who Is a Good Candidate for Hormone Pellets?
Hormone pellet therapy can benefit women navigating perimenopause or menopause and men experiencing the effects of low testosterone, as well as anyone with symptoms of hormonal imbalance. The process starts with lab testing and a consultation with our medical team to evaluate your hormone levels and symptoms. From there we design a personalized plan — pellet therapy is not right for everyone, and we will make sure it is a safe, appropriate fit for you.
What to Expect During Treatment
After lab work and a consultation, the pellet insertion itself takes only a few minutes. Your provider numbs a small area near the hip, makes a tiny opening, and places the pellets just under the skin — no stitches needed. You may have minor tenderness or bruising for a few days, with light activity restrictions we will review. Most clients begin noticing improvements in energy, mood, and sleep within a few weeks as hormone levels stabilize.
Benefits of Hormone Pellet Therapy
Steady, Consistent Levels
Steady, Consistent Levels
Bioidentical & Natural
Bioidentical & Natural
Low Maintenance
Low Maintenance
Personalized Dosing
Personalized Dosing
How Long Do Hormone Pellets Last?
Most hormone pellets last about three to six months, depending on the individual and dose — women typically re-pellet every three to four months, and men every four to six months. Because the pellets work in the background, there is nothing to remember daily: no pills to take or creams to apply. We track your symptoms and labs over time to keep your dosing dialed in.
Hormone Optimization at Jovem
At Jovem Med Spa, hormone therapy is guided by Dr. Abha Gyani, who brings 25 years of internal medicine experience to every plan. We use lab-based, individualized dosing — never one-size-fits-all — and pair hormone optimization with our broader wellness services like medical weight loss, IV therapy, and peptide therapy. Men can also explore our dedicated testosterone replacement therapy options.
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Frequently Asked Questions
Does pellet insertion hurt?
We numb the area first, so most clients feel only mild pressure. The insertion takes just a few minutes and requires no stitches.
How soon will I feel better?
Many clients notice improvements in energy, mood, and sleep within a few weeks, with full benefits as levels stabilize.
How often do I need new pellets?
Typically every 3 to 4 months for women and 4 to 6 months for men, based on your symptoms and labs.
Are bioidentical hormones safe?
Bioidentical hormones are chemically identical to your body own hormones. We base every plan on lab testing and ongoing monitoring with our medical team.
Is hormone therapy just for women?
Not at all. Men with low testosterone benefit from pellet therapy too — ask about our testosterone replacement options.
Not sure what treatment is right for you? We can help!
Our friendly team will help you make sense of it all and build a plan that fits your vibe. Book a free consultation - we’re here to help, no pressure.