San Antonio Hormone Replacement Therapy
We offer highly-effective, personalized treatment plans designed for long-term success.
What are Bio-Identical Hormone Pellets?
History of Bio-Identical Pellet Therapy
Pellets for hormone replacement have been around since the late 1930’s. However, their popularity declined in the 50’s and 60’s with the growth of the U.S. pharmaceutical industry and the availability of the synthetic, oral hormone called Premarin. Premarin is derived from pregnant horses’ urine, which contains large quantities of estrogen-like chemicals. Premarin and the progestin, Provera, were the two hormones utilized in the Women’s Health Initiative that linked certain forms of hormone replacement with an increased risk of thromboembolic disease, stroke, and breast cancer. Fortunately, pellet therapy never went away, and it is now recognized as a thorough way to manage symptoms related to hormone deficiency.
Procedure.
Pellet therapy is the most natural way to replenish hormone levels for women and men. Implants, placed under the skin, consistently release small, physiologic doses of bioidentical hormones just like those found normally in your body providing optimal therapy. This method is simple, convenient, and has one of the best safety records. Although we offer many bioidentical hormone replacement options, we believe pellets are the best hormone replacement therapy for women. When hormones are absorbed rather than swallowed, they go directly to the tissues and are not altered by the liver. This is called the “first pass effect.”
Advantages.
- The hormones are absorbed directly into the bloodstream avoiding the liver and gastrointestinal system.
- Continuous availability of the hormones 24/7
- Your body controls the release of the hormone. You absorb more hormone during exercise and stress, and you absorb less hormone when you are at rest.
- Convenience – the pellets typically last 3-5 months.
- You don’t have to apply creams or gels daily.
- Studies show this method to be best for mental clarity and sexual function.
- Great for bone density
If your thinking, ‘ Is there a COMPETENT wellness center for hormone replacement therapy near me? Then Sana Vida Wellness Center is your best option, offering a holistic, personalized and interconnected approach to your well being
What is
Menopause?
- hot flashes
- night sweats
- irritability
- mood swings
- depressed mood
- fatigue
- low libido
- low energy
- memory loss
- insomnia
- weight gain
Learn more about perimenopause symptoms.
Learn more about thyroid treatment.
What is
Andropause &
TRT?
- Diabetes
- Erectile Dysfunction
- Long term use of pain opioid medications
- HIV
- Difficulty with erections
- Reduced sex drive
- Loss of lean muscle mass
- Fatigue
- Central obesity (belly fat)
- Mood changes
- Memory loss / Fogginess
- Symptoms of depression
- Smaller testicle size
- Decreased bone mass
- Loss of body hair
- Less beard growth
Learn more about low testosterone symptoms.
Adult Growth Hormone
Deficiency
(AGHD)
Adult Growth Hormone Deficiency (AGHD)
Like other hormones naturally produced in the body, HGH production and levels begin to decline during early adulthood. Although there are well known external factors that can influence HGH levels (poor sleep, stress, dietary factors, lack of exercise/activity) it is understood that most adults generally produce 50% less HGH by their mid 30’s and early 40’s. This leads to:
- Decrease in muscle mass
- Decrease in bone density
- Impaired cardiac function
- Decrease in insulin sensitivity
- Decrease in skin elasticity
- Fatigue / Lethargy
- Increased fat deposits/tissue
- Poor memory and cognitive function
- Reduced cardiovascular function
Early identification and intervention are recommended to help reduce the physical and physiological signs of aging that accompany Human Growth Hormone deficiency.
Growth Hormone Releasing Hormone (GHRH) and Growth Hormone Releasing Peptide (GHRP)
Treatment for AGHD was once cost-prohibitive due to the expense associated with recombinant Growth Hormone. Use of recombinant GH today is discouraged because of the many negative effects it has and is reserved for those with muscle wasting disease associated with HIV/AIDS, pituitary tumors causing GH deficiency, and children with blunted growth. Cost of therapy today is only about 10% of what it was in the early 2000’s due to the development of other treatment options like Growth Hormone Releasing Hormones (GHRH) and Growth Hormone Releasing Peptides (GHRP) such as CJC-1295/Ipamorelin and GHRP-2/Sermorelin.
Growth Hormone Releasing Hormones (GHRH) act directly on the pituitary gland to stimulate release and increase circulating HGH levels with studies showing a 2-10 fold increase, especially during REM sleep. With that being said and due to its site of action, HGH levels are still susceptible due the effects of regulatory hormones like Somatostatin which can have direct effect on GH secretion. This is where GHRPs play a role.
The addition of Growth Hormone Releasing Peptide (GHRP) can counter this effect increasing the release of Ghrelin which is not only a potent stimulator for GH release, but also inhibits somatostatin release.
Therapy with GHRH and GHRP does not cause supra-physiologic levels of circulating Growth Hormone and IGF-1 levels as found in therapy with rHGH requiring less frequent monitoring. Adverse side effects are greatly reduced, as well.
Plan For Your Visit

Questions
A simple set of questions will be sent to you for completion prior to your virtual visit. This helps guide your care and setup a treatment plan for long-term weight loss success.

Recent Lab Results
We can use your recent labs or you can go to any local Quest, LabCorp, Pathgroup, or AnyLabTestNow patient service center near you for a blood draw before your virtual visit.

Schedule Consultation
We offer virtual visits for convenience to those in Texas, Colorado, and Wyoming at this time. Florida, New Mexico and Arizona care coming soon!
Men 35 and older in Texas: learn about our online testosterone replacement therapy.