Low Testosterone

We offer evidence-based and effective treatment of men with symptoms of low testosterone, with focus on the cause, restoration of natural production, prevention, holistic education, and effective supplementation. We believe that every man with symptoms of low testosterone requires a personalized approach and treatment as indicated.
Meticulous follow up is necessary for optimal results and prevention of side effects and other related diseases, such as prostate cancer.

OUR UROLOGY CLINICS ARE LOCATED IN LEESBURG, VIRGINIA | CALL 703-687-3601 TODAY FOR A CONSULTATION

Testosterone Pellet Therapy at our Leesburg Clinic

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What is Testosterone pellet therapy?

Testosterone hormone replacement therapy is the most reliable way to overcome hormone deficiencies and imbalances.

There are many ways to replace bio-identical hormones: creams, troches, pills, patches, injections, gels and pellets. Pellets offer benefits that the others do not.  Both men and women benefit from pellet therapy.

Substances that are absorbed from your intestines are delivered to the liver for processing prior to getting into the blood flow for your whole system. This is called first pass metabolism. Testosterone and estrogen should not be taken by mouth (either troches or pills), because you want to bypass first-pass metabolism. It’s better to deliver these two straight into the body’s blood stream instead of from the intestines. Troches allow for absorption across the lining of your cheek, but there is also some dissolved in your saliva which is swallowed and goes to the intestines resulting in a mix of delivery. Estrogen and testosterone are too hard on the liver which causes inflammation and the liver enzymes to go up. Pellets deliver the hormones into the body’s blood stream.

Another benefit from pellets is lack of transference. It is possible to transfer hormone to other people through body contact if hormones are delivered transdermally (lotion, cream, gel). If you gave someone a hug, they could pick up hormone onto their skin. This could involve spouses, kids, grandkids, friends, co-workers, and pets even. With pellets, that’s never a concern.

Our clients really enjoy the nice consistent, stable hormone levels they receive from their pellets. It’s a nice even distribution from the pellet without the ups and downs of daily application from other methods. However, if the body heat or blood flow go up, like in exercise, then more hormone will come off the pellet. On the flip side, we don’t need as much hormone when we are sleeping which is also when our body temp and blood flow are lower.

The thing people really love about pellets is the convenience. We place our pellets every 3 months, so there’s no daily hassle. Some people have a hard time remembering to apply or inject their hormones. Life is so busy that it can be hard to remember one more thing. It’s a disruption of a daily schedule when you are just trying to get out the door. With pellets, you pop into our office once every 3 months and then, you’re back out onto the road. It’s a quick, easy 10 minute procedure and you’re good to go. Once people start their pellets, they won’t give them up, because they feel so much better on them!

Why are Testosterone pellets such a great idea?

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Why is this such a great idea?

• The first and the foremost benefit of such a treatment modality addresses the issue of noncompliance or poor compliance of a patient.
  • It is not a big secret to say that we live in a fast-paced world. Furthermore, Los Angeles life style and traffic has everyone doing more for others and less for themselves. This includes taking time for personal healthcare including appropriate timing to take medications that are prescribed by physicians at the prescribed timing. Many patients are reporting to their doctors–more and more– different reasoning behind why they are unable to keep track of their medication regimens. Furthermore, more and more people forget to take their medications steadily on a given day by day basis. The pellets alleviate this problem as it stays in your body for 3 -5 months without you needing to remember anything.
    • Some hormone formats are prescribed on a day by day basis. Some pills are to be taken one or two times per day. The most popular form of hormone application—creams are to be applied 1 to 2 times per day by patient. However, most people have problems with this consistency. And when dealing with hormone application, missing doses could be problematic.
    • Other hormone prescription formats are weekly or semimonthly injections. Although this is less cumbersome than a daily application, it is still harder to remember and more frequently prone to missing doses. A lot of patients on such protocols have a wide array of fluctuating hormones if not totally compliant with the regularity of their frequency.
• The second but also important benefit of such treatment modality is the decrease of side effects as compared to other modalities of hormone therapy such as injections, pills, cream applications, or patches.
  • Because of the method of release of such medications into the bloodstream, the body does not get exposed to higher than needed strengths. Therefore, is a lot less likely to produce unwanted side effects which that particular hormone is known for.
  • Therefore, the common side effects of a particular hormone can be significantly reduced by the method of administration of that hormone being in a pellet format versus other formats such as injections, skin applications, or pills.

Physiology of pellet release

In general, when the cells and tissues and organs of our body require a certain hormone for certain activities or functions, the capillaries open and invite and absorb that certain hormone which the body is calling for at the moment that it needs it.

In the usual case– our body pumps enough of this hormone to be absorbed and utilized for that specific function. However, if our gland (testes or ovaries or adrenal) is slow in the production of that hormone (testosterone, estrogen, progesterone, DHEA) then it is useful to have a depot reserve of such hormone embedded in the fat tissue where our capillaries can easily absorb as much of this hormone as they need. This is exactly the reason why hormone “pellets” are so effective.