163: The Truth About Hormone Pellets for Women: 10 Reasons I'll Never Recommend Them

163: The Truth About Hormone Pellets for Women: 10 Reasons I'll Never Recommend Them

May 7, 2026 · 39 min · Episode 163

About this episode

In this episode, Shawn Tassone discusses the complications and risks associated with hormone pellets for women and offers alternative hormone therapy options.

Confession #163: I can't emotionally, spiritually, psychologically, or physically bring myself to recommend hormone pellets for women. And after years of seeing the complications in clinical practice… I stand by that. Hormone pellets are small implants placed under the skin that release hormones like testosterone or estrogen over the course of 3-6 months. They're often marketed as the "easy," or "best" form of hormone replacement therapy for women, but in my experience, as a Double Board-Certified OBGYN and Integrative Medicine physician, many women are never told the full story before getting them. I've seen patients first-hand struggle with: • Hormone levels that spike too high • Hair loss and acne • Mood changes and anxiety • Irregular absorption • Testosterone side effects that can become permanent • Feeling "stuck" once the pellets are inserted And yes… I tried pellets myself years ago. It was one of the worst experiences I've personally had with hormone therapy. The reality is: there are often more personalized and adjustable ways to use bioidentical hormones, including topical creams, troches, rapid dissolve tablets, and other delivery methods that allow dosing changes…

People in this episode

Host: Shawn Tassone

Topics covered

Keywords

Mentioned in this episode

Products: hormone pellets, bioidentical hormones, topical creams, troches, rapid dissolve tablets

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