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Hormone Pellet Therapy

Explore a personalized approach to hormone therapy for men and women at Vega Vitality in Cary, North Carolina. Hormone pellets are small implants placed beneath the skin that release hormones gradually over time. Our medical team evaluates your symptoms, health history, and treatment goals to help determine whether pellet therapy or another treatment option may be appropriate for you.

A different approach to hormone treatments

What is pellet therapy?

At Vega Vitality in Cary, North Carolina, we offer hormone pellet therapy for men and women using the EvexiPEL® Method, developed by EVEXIAS Health Solutions.

EvexiPEL uses small, bioidentical hormone pellets placed just beneath the skin during an in-office procedure. These pellets gradually release hormones, typically testosterone or estradiol, over several months.

The EvexiPEL Method combines specialized pellet formulations, individualized dosing protocols, and a standardized insertion technique. Treatment begins with a medical evaluation that considers your symptoms, health history, laboratory findings, and personal goals.

For patients who are appropriate candidates, pellet therapy offers the convenience of longer-lasting hormone delivery without daily applications or frequent injections. Because pellets cannot be easily removed or adjusted once inserted, our team also discusses the risks, limitations, and available alternatives before treatment.

long-lasting delivery

Gradual hormone release over several months.

Individualized dosing

Treatment planning informed by your clinical evaluation.

evexipel Method

A defined treatment approach with specialized provider training.

understanding your hormonal health

could hormone therapy be right for you?

Hormonal changes can affect men and women at different stages of life. While some changes are a natural part of aging, certain symptoms may warrant a closer look at your hormonal health.

At Vega Vitality, we take an individualized approach to evaluating symptoms, reviewing medical history, and identifying appropriate treatment options. When hormone therapy is indicated, we can discuss whether the EvexiPEL Method or another form of treatment best fits your needs.

for men:

Changes during perimenopause and menopause may include:

  • Hot flashes or night sweats
  • Sleep disturbances
  • Vaginal dryness or discomfort
  • Changes in sexual desire
  • Mood changes or fatigue

for women:

Symptoms that may prompt an evaluation for low testosterone include:

  • Reduced sexual desire
  • Fewer spontaneous erections
  • Persistent fatigue
  • Reduced muscle mass or strength
  • Changes in mood or concentration

Your symptoms are only part of the picture

A comprehensive evaluation helps determine whether symptoms are hormone-related, whether treatment is appropriate, and which delivery method may be most suitable.

the evexipel treatment method

Hormone pellet therapy begins with understanding your individual health needs. At Vega Vitality in Cary, our medical team follows a personalized evaluation and treatment process to help determine whether the EvexiPEL Method is appropriate for you.

From your initial consultation through ongoing follow-up, our goal is to provide thoughtful, medically guided care at every step.

what to expect at Vega vitality

your evexipel treatment

Hormone pellet therapy begins with understanding your individual health needs. At Vega Vitality in Cary, our medical team follows a personalized evaluation and treatment process to help determine whether the EvexiPEL Method is appropriate for you.

From your initial consultation through ongoing follow-up, our goal is to provide thoughtful, medically guided care at every step.

personalized consultation

We begin by reviewing your symptoms, medical history, medications, and treatment goals. This helps us understand your concerns and identify whether further hormonal evaluation may be appropriate.

laboratory evaluation and planning

When clinically indicated, laboratory testing helps guide our assessment. We review your results alongside your symptoms and health history, discuss available hormone therapies, and determine whether pellet treatment is a suitable choice.

In-Office Pellet Placement

If you proceed with EvexiPEL, small hormone pellets are inserted beneath the skin, typically near the upper buttock or hip, using local anesthetic. The procedure is generally brief, and you’ll receive instructions for caring for the insertion site.

monitoring and ongoing care

Following treatment, we assess your response, review any side effects, and arrange follow-up testing when appropriate. Pellets typically release hormones over several months, and future treatment decisions are based on your individual response and clinical needs.

Additional tools for your success

supporting your body through
hormone imbalance

Hormonal changes can affect many aspects of your health and well-being. Beyond hormone therapy, we offer complementary services and treatments designed to support your energy, vitality, body composition, and overall wellness at every stage of life.

Frequently asked questions

Hormonal changes can affect women differently throughout life, particularly during perimenopause and menopause. Common symptoms include hot flashes, night sweats, sleep disturbances, vaginal dryness, mood changes, and changes in menstrual patterns. Some women also experience fatigue, reduced sexual desire, or difficulty maintaining their usual body composition.

Because these symptoms can have multiple causes, a comprehensive evaluation is important before determining whether hormone therapy or another treatment is appropriate.

Hormone therapy may be an option for women experiencing bothersome symptoms related to perimenopause, menopause, or certain hormonal conditions. The decision depends on your symptoms, medical history, treatment goals, and individual risk factors.

At Vega Vitality, we take a personalized approach to evaluating your concerns and discussing available treatment options. Hormone therapy is not appropriate for everyone, and recommendations are based on your individual circumstances.

Hormone pellets typically release hormones over approximately three to six months, although duration varies depending on the individual, hormone formulation, and dose. Your provider will discuss an appropriate monitoring and follow-up schedule.

Pellets are placed beneath the skin, typically in the upper buttock or hip area, using local anesthetic. You may feel pressure during insertion and experience temporary soreness, bruising, or swelling afterward. Our team provides instructions for caring for the insertion site.

Yes. Vega Vitality offers evaluations for both men and women at our Cary location. Hormone therapy is prescribed only when clinically appropriate. For men, testosterone deficiency generally requires compatible symptoms and repeatedly low morning testosterone levels. Testosterone treatment for women has more limited evidence-supported indications.

EvexiPEL hormone pellets are compounded medications and are not FDA-approved. Compounded products are not reviewed by the FDA for safety, effectiveness, or quality before marketing. During your consultation, we discuss their limitations and FDA-approved alternatives when available.

Potential insertion-site risks include bruising, infection, scarring, and pellet extrusion. Hormone-related adverse effects depend on the hormone and dose and may include acne, unwanted hair growth, breast tenderness, or changes in blood counts. Because pellets release hormones over time, dosing cannot be quickly adjusted after insertion.

The first step is a medical consultation. We review your symptoms, health history, medications, relevant laboratory findings, and treatment goals. If hormone therapy is appropriate, we help you understand whether EvexiPEL or another delivery method may be the better option.

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Take the first step toward a healthier you

Schedule a consultation with our medical team and let's create a plan to reach your goals.