Hormone Replacement Therapy

Alvin-Manvel Family Clinic is a certified Biote provider — one of the most trusted names in bio-identical hormone replacement therapy (BHRT). As we age, our hormone levels naturally decline, often leading to symptoms that can significantly impact quality of life. BHRT helps restore those levels using hormones that are molecularly identical to the ones your body produces naturally.

Unlike synthetic hormones, bio-identical hormones are derived from plant sources and customized to your specific lab values. Our pellet delivery method is preferred by many patients because it provides consistent, sustained hormone release over 3–6 months — no daily pills or creams to remember.

The procedure is quick and performed in-office. A small pellet (about the size of a grain of rice) is inserted under the skin, typically near the hip. Most patients notice significant improvement in symptoms within 2–4 weeks, with full benefits felt by 6–8 weeks.

Symptoms That May Indicate a Hormone Imbalance

• Fatigue and low energy
• Brain fog and difficulty concentrating
• Low libido or sexual dysfunction
• Mood swings, irritability, or depression
• Hot flashes and night sweats
• Poor or disrupted sleep
• Weight gain and difficulty losing fat
• Loss of muscle mass and strength
• Vaginal dryness (women)
• Erectile dysfunction (men)
• Decreased bone density
• Thinning hair or dry skin

What to Expect

We begin with a comprehensive lab panel to assess your current hormone levels. Your provider reviews the results with you and designs a personalized pellet dose based on your biology and symptoms. Follow-up labs are done at each recheck to fine-tune your protocol over time.

Both men and women benefit from BHRT. For women, it commonly helps with menopausal and perimenopausal symptoms. For men, it addresses testosterone decline (andropause) that begins in the 30s and 40s.