Frequently Asked Questions
Q: What is EvexiPEL?
A: EvexiPEL is a cutting-edge bioidentical hormone therapy that has transformed the way we manage hormone imbalances. It’s the flagship treatment offered through EVEXIAS Health Solutions, and we deliver this therapy by partnering with a top compounding pharmacy and an FDA-registered 503B outsourcing facility. EvexiPEL combines scientific principles with innovative techniques to help optimize hormone levels for both women and men.
Q: How do I know if I’m a candidate for hormone pellets?
A: If you’re struggling with symptoms like fatigue, a low or absent libido, or feeling down, you could be experiencing Androgen Insufficiency Syndrome (AIS). Bioidentical Hormone Replacement Therapy (HRT) is a great option for addressing these symptoms. You’re a perfect candidate if you’re looking for a minimally invasive solution every 3-4 months (or 4-6 months for men). Other symptoms that improve with hormone optimization include insomnia, anxiety, lack of energy, joint pain, and daytime sleepiness. To confirm this, we’ll start with lab work to assess your hormone levels, and we’ll discuss the results during your initial consultation.
Q: Do I need blood work before each treatment?
A: You’ll have initial blood work to establish your baseline hormone levels and check for any imbalances in your thyroid, and other hormone systems. This helps us determine your starting dosage. Four weeks after your first pellet insertion, we’ll do a smaller panel of labs to review at your six-week follow-up. After that, we’ll perform a full panel of labs annually. If you experience any significant changes in symptoms, we can reassess your hormone levels at that time.
Q: What are the pellets made from?
A: The EvexiPEL pellets are plant-based, derived from yams, and are designed to match exactly what your body naturally produces. This is a much more natural approach compared to synthetic hormones, and the pellets offer sustained, steady dosing throughout your treatment cycle.
Q: How long will the treatment last?
A: For women, the effects of the pellets typically last around 3-4 months. However, if you’re very active, you might need them more frequently, while less active individuals or seniors might enjoy longer-lasting results. For men, the average cycle is 4-6 months. If symptoms like fatigue, joint pain, or reduced libido return, it could be a sign that it’s time for your next treatment.
Q: Is the therapy FDA-approved?
A: While the individual ingredients in the pellets are FDA-approved, the actual procedure for pellet insertion is not FDA-approved. It's not uncommon for doctors to use treatments off-label if they believe they’re safe and effective for patients. Bioidentical hormone therapy (which uses compounded drugs) isn’t FDA-approved because each patient’s dosage is tailored to their individual needs.
Q: How are the pellets inserted?
A: Inserting the pellets is a simple, minor procedure that’s done in the office with local anesthesia. A small incision (1-2 cm for women and 3-4 cm for men) is made just below the belt and above the buttock for women, and in the posterior flank for men. The recovery is quick and straightforward—just avoid exercise for 3 days (women) or 5 days (men) to ensure no complications.
Q: Does it matter if I’m on birth control?
A: Not at all! While certain types of birth control might have some effect on hormone therapy, we’ll review this with you during your consultation to make sure everything aligns properly.
Q: Are there any side effects?
A: Generally, there are no serious or permanent side effects with EvexiPEL. Occasionally, some temporary side effects like hair growth or acne might occur, but these are usually easy to manage and treat.
Q: What if I’m already using HRT (creams, patches, pills, etc.)?
A: Many patients transition from other forms of hormone replacement therapy to pellet therapy. If you’re already on a different type of HRT, we can discuss how pellets might work better for you. If you’re not ready to switch just yet, we offer alternative options to suit your needs.
Q: What if I’ve had breast cancer?
A: There’s no direct link between bioidentical hormones like estrogen or progesterone and the development of breast cancer. Although a study in 2003 raised concerns, a follow-up study in 2017 showed no increased risk of breast cancer over an 18-year period. While hormone therapy isn’t standard care for those with hormone-receptor-positive breast cancer, many women in remission are choosing HRT after discussing it with their doctors. If you’ve had breast cancer, we can still provide testosterone therapy to help manage symptoms related to hormone insufficiency or menopause.