Dr. Lander is one of the few hormone experts in the Country who has extensive experience with long acting implantable Testosterone pellets. Data supports that hormone replacement therapy with pellet implants is the most reliable and bio-identical method to deliver Testosterone. The pellets are placed under the skin and consistently release small, physiologic doses of hormones providing optimal therapy 24 hours per day for many months at a time. Pellets deliver sustained, healthy levels of hormones avoiding the fluctuations, or ups and downs, of hormone levels seen with every other method of delivery.
Pellets are made up of Testosterone that is fused into very small solid cylinders. These pellets are slightly larger than a grain of rice. Each pellet contains 100mg of testosterone which is slow released. Usually six to eight pellets are used but dosing is variable and carefully controlled by Dr. Lander. Many patients don’t need pellets placed again until 6 or 8 months later. The pellets do not need to be removed since they completely dissolve on their own.
Pellets are safe, easy to implant and simple. The pellets are usually inserted via a 3 mm incision through the skin over the hip, which is then taped with Steri-strips. Local pressure is applied to prevent bruising and the area is then covered with an op-site clear plastic dressing for protection. The implantation procedure is nearly painless and takes less than five minutes. After the insertion of the implants, vigorous physical activity is avoided for 24 hours and ice should be applied for the first day intermittently. Patients can shower right away. Antibiotics may be prescribed if a patient is diabetic or has had a joint replaced. However, this is a clean procedure’ and antibiotics are usually not required.
Complications from the insertion of pellets can include; minor bleeding or bruising, discoloration of the skin, infection, and the possible rare infection with extrusion of the pellet.
The beneficial effects of the pellets occur almost immediately. Surveillance hormone levels will be drawn shortly after the pellets are inserted and then at frequent intervals to determine when additional pellets will be needed. Insurance does not usually cover the cost of the pellets but the significant convenience usually justifies the extra cost to the patient. Men who dislike the messy creams and gels or are inconvenienced by frequent painful injections are very satisfied with pellet placement. It is also very common for men who travel a great deal or who live in different parts of the world to choose pellet therapy.
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