Hormone pellet therapy delivers a consistent, steady level of hormones your body can use, without daily pills, weekly injections, or topical creams that transfer to others. At ThinMD MedSpa, Dr. Anthony Capasso MD supervises every pellet therapy protocol for both men and women. If your energy, mood, weight, sleep, or libido has shifted and you have not found an answer, hormone levels are worth looking at.
Pellets are small, compressed cylinders, roughly the size of a grain of rice, made from bioidentical hormones derived from plant sources. They are inserted just under the skin, typically near the hip, through a minor in-office procedure. Once in place, they release hormones gradually and consistently over three to six months, responding naturally to your body’s demand rather than delivering a fixed dose at a fixed time.
This is the core difference between pellets and other hormone delivery methods. Creams and gels require daily application and carry transfer risk, contact with children or partners can expose them to hormones unintentionally. Pills pass through the liver before reaching the bloodstream, which affects how efficiently the hormone is absorbed. Injections create peaks and valleys, higher levels right after the shot, declining levels before the next one. Pellets eliminate all of that. One brief procedure delivers months of steady hormone support.
Women most commonly seek pellet therapy during perimenopause and menopause, when estrogen and progesterone levels shift significantly. Symptoms that often improve with properly balanced hormones include:
Dr. Capasso reviews your lab work and symptoms before recommending a pellet protocol. Dosing is based on your specific hormone levels, not a standard formula.
Testosterone levels in men begin declining in the late twenties and continue dropping through midlife. Many men do not connect the symptoms to hormones because the decline is gradual. Pellet therapy for men typically delivers testosterone and supports:
If you have been told your testosterone is “normal” but you do not feel normal, ask Dr. Capasso about optimal ranges versus reference ranges. They are not the same thing.
Step 1: Lab Work and Consultation
Dr. Capasso starts with comprehensive bloodwork and a full review of your symptoms and health history. No pellets are ordered until he understands your baseline hormone levels and what you are trying to address.
Step 2: Pellet Insertion
The insertion is an in-office procedure. The area near your hip is numbed with a local anesthetic. A small incision is made, the pellet is placed, and the incision is closed with a small strip. The procedure takes under fifteen minutes.
Step 3: Hormone Optimization Over Time
Pellets typically last three to six months depending on your metabolism, activity level, and dosage. Dr. Capasso monitors your labs and symptoms at follow-up appointments and adjusts your next pellet dose based on your response.
Dr. Capasso is the Medical Director of ThinMD MedSpa and supervises all hormone therapy protocols at this practice. Every protocol is built on your lab results, your symptoms, and your goals, reviewed and managed by a licensed physician, not a wellness coordinator.
ThinMD also offers bioidentical hormone replacement therapy and testosterone therapy as standalone services. If you are unsure which approach is right for you, the consultation will clarify that.
The first step is a conversation with Dr. Capasso about your symptoms and your lab work.
ThinMD MedSpa, Jacksonville Beach, FL
Led by Dr. Anthony Capasso MD
The insertion itself takes only a few minutes. The area near the hip or buttock is numbed, a small incision is made, the pellet is placed just beneath the skin, and a small bandage is applied. Most patients find the experience far less involved than they expected based on descriptions they had read online.
Hormone pellet therapy is typically not covered by standard insurance plans. At ThinMD, we discuss pricing transparently during your consultation, before any commitment, so you understand exactly what is included in your protocol, including the initial bloodwork, insertion, and follow-up monitoring.
We ask that you avoid submerging the insertion site in water (pools, hot tubs, baths) for several days and limit strenuous lower-body exercise for a few days. Most patients return to normal daily activities the same day. Your ThinMD team will provide specific aftercare instructions at your appointment.
Pellets are not the only form of hormone therapy at ThinMD. Depending on your bloodwork, goals, and preferences, Dr. Capasso may recommend creams, patches, or other delivery methods. The protocol is always built around what fits your physiology and lifestyle, not a single standard approach.
ThinMD MedSpa offers hormone pellet therapy at our Jacksonville Beach and San Jose locations. Call (904) 694-0992 (Jacksonville Beach) or (904) 619-0130 (San Jose) to schedule your hormone screening consultation.
ThinMD MedSpa serves patients across the greater Jacksonville area from two physician-supervised locations. Same standard of care, same medical team, both fully equipped.
Hormone pellets are small, rice-sized pellets containing bioidentical testosterone or estrogen that are inserted under the skin, typically in the hip area. They dissolve gradually over three to six months, releasing a consistent level of hormones that avoids the peaks and valleys of injections, creams, or pills.
Men and women experiencing fatigue, low libido, brain fog, weight gain, mood changes, or poor sleep that may be linked to declining hormone levels are good candidates. Dr. Capasso reviews lab work and symptoms before recommending pellet therapy to confirm it is the right approach for each individual.
For women, hormone pellets typically last three to four months. For men, they commonly last four to six months. Individual metabolism, activity level, and dosage affect duration. ThinMD MedSpa schedules follow-up lab checks to track hormone levels and time reinsertion precisely.
Pellet therapy delivers a steady, consistent hormone level 24 hours a day without daily application or weekly injections. Most patients report more stable energy, mood, and libido with pellets compared to other delivery methods because there are no fluctuations tied to dosing schedules.
The insertion is done under local anesthetic, so the procedure itself is not painful. Most patients feel mild soreness at the insertion site for a few days afterward. The appointment is brief and patients return to normal activity the same day in most cases.
Reach us at either Jacksonville location. Our team responds to all inquiries.