No. If you already know you want pellets, enroll. Use the $99 consult only if you are not sure. That visit does not start treatment. If you join after the consult, the $99 is credited toward the $200 enrollment fee.

Enroll online. Do not buy the $99 consult. We contact you within one business day to finish onboarding. Calling 918-935-3636 is optional.

That is REV Membership, not Pellet Membership. Use the REV Membership path on Start Here.

Pellet insertion is a quick, in-office procedure that typically takes about 10–15 minutes. After numbing a small area of the upper buttock with local anesthetic, your clinician makes a very small incision and places the prescribed hormone pellets just beneath the skin.

The incision is closed with Steri-Strips—no stitches are typically needed—and covered with a dressing. You can leave the office immediately afterward and return to most normal daily activities, with a few temporary restrictions while the insertion site heals.

Most patients tolerate pellet insertion very well. The area is numbed with a local anesthetic before the pellets are inserted, so you should feel little to no discomfort during the procedure itself. You may feel a brief sting or burning sensation while the numbing medication is administered.

Afterward, mild soreness, tenderness, or bruising around the insertion site is common for a few days and typically improves as the area heals.

Most patients are able to return to their normal daily routine immediately after pellet insertion. It is common to have some mild soreness, tenderness, swelling, or bruising around the insertion site for a few days.

You’ll leave with a dressing over the insertion site and receive instructions on how to care for the area while it heals. There are a few temporary restrictions on exercise and water exposure, which we’ll review with you before your procedure.

Yes. For at least 3 days after pellet insertion, avoid strenuous lower-body exercise and activities that place significant stress on the insertion site. Walking and normal daily activities are generally fine.

You should also avoid soaking or submerging the insertion site for at least 3 days. This includes baths, hot tubs, swimming pools, lakes, rivers, oceans, and similar activities. Showers are fine.

These temporary restrictions help protect the insertion site while it begins to heal. We’ll provide complete aftercare instructions at your appointment.

Response time varies from person to person. Some women notice a difference within the first 24 hours, but most begin noticing changes within several days after pellet insertion.

The effects generally continue to build over the following weeks, with peak effect typically occurring around 4 weeks. Different symptoms may improve at different rates, so we evaluate the overall response rather than expecting every symptom to change at the same time.

We’ll use your response to treatment, along with appropriate laboratory monitoring, to help individualize future dosing.

Most women find that their pellets provide benefit for approximately 3–4 months, although the exact duration varies from person to person. Some women metabolize their hormones more quickly or slowly than others.

Rather than placing everyone on the same rigid schedule, we time your next insertion based on your individual response and when your symptoms begin to indicate that hormone levels are declining.

With our Pellet Membership, there is no additional pellet insertion fee when it is clinically appropriate for your next treatment.

For women, hormone pellets can contain estradiol, testosterone, or a combination of both. The hormones and doses used are individualized based on your symptoms, medical history, laboratory results, treatment goals, and response to previous hormone therapy.

Many women benefit from a combination of estrogen and testosterone, while others may need only one. We don't use a one-size-fits-all pellet dose—the goal is to replace the hormones you actually need at doses appropriate for you.

Progesterone is not typically delivered by pellet and, when needed, is prescribed separately.

Possibly. If you have a uterus and receive estrogen therapy, progesterone is generally an important part of your hormone treatment plan. Progesterone helps protect the uterine lining from the effects of estrogen and may provide additional benefits for sleep and other symptoms.

Progesterone is not typically given as a pellet. When appropriate, we generally prescribe bioidentical micronized progesterone separately, usually as an oral medication.

If you have had a hysterectomy, progesterone may or may not be recommended depending on your individual symptoms, history, and treatment goals.

Your pellet dose is individualized specifically for you. We consider your symptoms, medical history, laboratory results, current or previous hormone therapy, treatment goals, and how you have responded to hormones in the past.

Your first pellet dose establishes a starting point—not necessarily the dose you will receive forever. We evaluate how you feel and how your body responds, and future doses can be adjusted when appropriate.

Our goal is not simply to achieve a particular laboratory number. The goal is to find the dose that provides the best clinical response for you while avoiding unnecessary or excessive hormone exposure.

Not everyone metabolizes hormone pellets at the same rate. While many women find that their pellets last approximately 3–4 months, some may notice their symptoms beginning to return sooner.

If you feel your pellets are wearing off earlier than expected, contact us. We can evaluate your symptoms and, when appropriate, check laboratory values to determine whether it is time for your next insertion or whether your treatment plan should be adjusted.

We don't require you to wait for an arbitrary date on the calendar. If another insertion is clinically appropriate, your Pellet Membership includes it without an additional pellet insertion fee.

Hormone pellets should be considered a non-reversible treatment for the life of that pellet dose. Once inserted, the pellets are designed to remain under the skin and gradually dissolve over time. We do not routinely attempt to locate and remove pellets after they have been inserted.

This is one reason careful evaluation and individualized dosing are so important. When patients are appropriately selected and pellets are properly dosed, significant problems related to excessive dosing are uncommon.

If you experience an unexpected response or side effect after treatment, contact us. We will evaluate what is happening and determine the appropriate way to manage your symptoms while the pellets gradually dissolve.

Pellet therapy is generally not covered by health insurance and Revolution Health does not bill insurance for the Pellet Membership or pellet insertion procedures. Pellet therapy is provided as a cash-pay service through our monthly membership program.

Laboratory testing and other medical services outside the Pellet Membership may involve separate charges. Depending on your insurance plan and where testing is performed, some laboratory services may be eligible for insurance coverage.

We recommend reviewing your individual insurance benefits if you have questions about coverage for services outside the Pellet Membership.

Then this is not your path. Cream, injections, or a broader workup belong in REV Membership (Core, or Access if you truly fit that exception). If a pellet is already in place, it dissolves on its own; we manage you through that and then move you to the right path.