Physician BHRT Training: Understanding Subdermal Pellets

Subdermal pellets, also known as subcutaneous pellets, are extremely small, cylindrical objects inserted under the skin – designed to deliver medications steadily over an extended period. These biocompatible pellets are typically composed of bioidentical hormones or other custom-compounded medications, allowing physicians to tailor individual, time-released treatment regimens for their patients.

Subdermal pellets have emerged as an innovative and effective medication delivery system, especially in the realm of bioidentical hormone replacement therapy (BHRT) as well as various other medical treatments. In this article the SottoPelle® Method BHRT Pellet experts delve into the technical aspects of subdermal pellets – offering physicians in-depth insights into their composition, compounding process, insertion techniques, and the distinct advantages pellets offer over traditional forms of BHRT and medication delivery.

Subdermal Pellets as a Medication Delivery System

The compounding of subdermal pellets involves precise formulation to meet the unique and specific needs of each individual patients. Custom-compounded pellet medications, including hormones like estradiol and testosterone, are blended with a binding agent. The resulting mixture is then compressed into small, rice-sized, sterile pellets.

This compounding process ensures that patients receive a medication dosage tailored to their unique physiological requirements. SottoPelle® Method physician BHRT pellet training offers comprehensive instruction on the blood testing and dosing methods that ensure patients receive only what they need – at the most accurate and conservative doses – for the best possible outcomes with the fewest possible side-effects.

Additionally, SottoPelle® Method BHRT physicians have exclusive access to our online, 24/7 Dosaggio™ proprietary BHRT dosing application. The Dosaggio™ system of hormone therapy pellet dosing has been voted “Easiest HRT Dosing Platform.” It offers physicians a convenient calculator that provides instant access to dosage calculation with fewer clicks, and without the need for inconvenient dosing appointments.

How Subdermal BHRT Pellets are Compounded

The compounding process for bioidentical hormone replacement therapy (BHRT) pellets is complex and begins with sourcing raw, plant-based active ingredients. Once raw materials are received, the formalizability (the ease of creating stable dosages capable of consistent delivery using raw ingredients) is evaluated. To confirm formalizability, several variables are reviewed including:

  • Particle size, as this influences absorption. Typically, smaller particles absorb faster.
  • Purity is a required metric of evaluation, as proper absorption is dependent upon concentration of active ingredients.
  • Stability testing must be conducted to verify the formulations’ ability to safely release hormones over time.

There are several factors manufacturers must conform to ensure the ability of the formulated hormone pellet to release hormones over time. These include size, shape, and content uniformity. Specific doses of hormone pellets must have the same length and width, surface area, are mixture of active and inactive ingredients to ensure patients do not receive a surge of hormone. Even the smallest deviations in size will change the delivery system.

Manufacturers who prepare hormone pellets must have special compounding equipment that is capable of mixing, drying, packaging, and sterilizing compounded pellets. Testing of potency and sterilization also calls for specialized analytical testing and equipment capable of physicochemical testing to ensure dissolution as confirmation of consistent deliver.

Hormone pellet compounding is a complex process – as such your local pharmacists cannot make customized BHRT pellets “on demand.” So finding and working with a trusted compounding facility is critical to ensure safe and effective patient results. SottoPelle® Method Physician BHRT pellet training helps connect physicians with recommended compounding facilities for hormone pellets.

How Subdermal BHRT Pellets are Inserted

The insertion of subdermal pellets is a minimally invasive procedure performed by SottoPelle® Method trained physicians using either disposable single use plastic or stainless-steel trocars, or reusable stainless-steel trocars.

A minute incision is made, typically in the upper buttock area, and the pellets are carefully placed beneath the skin with the trocar. The incision is typically closed with a single suture, and the patient can resume normal activities shortly thereafter.

Unlike most other Hormone Therapy CMEs and certifications, SottoPelle® Method physician BHRT pellet training includes live onsite and video insertion procedure training.

And, as a SottoPelle® Method trained BHRT physician, you will have access to deep discounts and bulk pricing on both disposable and reusable trocars and insertion sets through our partner manufacturers.

The Advantages of Subdermal BHRT Pellets

As discussed above, one of the primary advantages custom compounded subdermal BHRT pellets is the ability to compound medications according to each patient’s specific needs. This individualized approach allows for targeted treatment, optimizing therapeutic outcomes while minimizing potential side effects.

However, Subdermal BHRT pellets also offer several significant additional advantages over traditional medication delivery methods, such as oral pills or topical creams.

Steady Hormone Release: Pellets provide a continuous release of medication, eliminating the need for daily dosing and reducing fluctuations in hormone levels.

Convenience & Consistency: Patients do not have to remember daily medication doses like they do with pills, enhancing treatment adherence and eliminating the problem of skipped or missed doses.

Reduced Side Effects: Steady hormone levels typically lead to fewer side effects compared to peaks and troughs seen with other delivery methods – such as pills that spike hormone levels when taken, and then wear off throughout the day.

Longevity: Pellets can provide therapeutic effects for several months, reducing the frequency of medical appointments for medication administration. In female patients a single BHRT pellet insertion can provide hormone management for up to three months. And in men, bioidentical hormone replacement pellets using the SottoPelle® Method can last up to an astounding six months with a single insertion!

SottoPelle® Method Physician BHRT Pellet Training

From its inception almost 40 years ago, SottoPelle® Method subdermal BHRT pellet therapy has revolutionized hormone replacement therapy – offering a safe, convenient, reliable, and patient-centered approach to managing hormone imbalances. Patients receiving BHRT pellets can experience improved symptom relief, enhanced quality of life, and better hormonal stability compared to traditional HRT methods.

The hormone experts at SottoPelle® are passionate about educating healthcare providers through our original and proprietary physician BHRT pellet training. We have helped thousands of physicians across the United States and around the world benefit their patients with safe, effective, and reliable hormone replacement therapy.

If you are a physician who wants to elevate your patient care and clinical offerings, contact SottoPelle® today!

Physician BHRT Pellet Training: 323.986.5100 (press 1)

IMPORTANT DISCLAIMER: This article is provided as general information only and is not intended to be used as medical advice. While the benefits of hormone replacement are well documented through clinical research, we are not representing that hormone therapy is a “cure” for any disease. Only your treating physician can determine if hormone replacement may be a beneficial part of your healthcare regimen, based on your age, overall health, risk factors, and lifestyle.