Naturopathic Medicine
Hormones & Endocrine
Root-cause medicine, led by your doctor
Start with a 75-minute consultation, then a personalized plan built around what your labs actually show.
Book a consultationFeel your best, faster
Physician-formulated vitamin & iron IV drips and booster shots, starting at $90.
Explore IV therapySustainable weight loss, medically guided
A doctor-supervised GLP-1 program with nutrition, labs, and coaching, built around you.
Start weight lossSubtle, physician-led aesthetics
Physician-guided aesthetics that enhance what is already you, subtle and expertly placed.
Explore aestheticsEvery condition, one root-cause plan
We map the why behind your symptoms, then build one plan across medicine, hormones, and weight care.
See all conditionsHome / Naturopathic Medicine / Hormone Pellet Therapy
Hormone Replacement Therapy
Hormone Pellet Therapy in Gilbert, AZ
Explore personalized hormone pellet therapy in Gilbert, AZ, prescribed and monitored by licensed naturopathic doctors. At Onyx Integrative Medicine, your treatment plan considers your symptoms, health history, hormone levels, and individual goals, with ongoing follow-up to monitor your response.
★★★★★
5.0 · 213 Google reviews
Medically reviewed by
Dr. Stephanie Nichols, NMD
Placed in office
Gilbert, in a short visit

What are hormone pellets?
A hormone pellet is a small cylinder of hormone, roughly the size of a grain of rice. It is placed just under the skin, usually in the upper hip or buttock, during a short in-office procedure. Over the following months the pellet dissolves completely as the hormone is absorbed, so nothing needs to be taken out later.
Hormone pellets most often deliver testosterone, and for some women estradiol as well. Whether hormone therapy is appropriate for you, and which hormone you need, is determined by your evaluation and lab work with a licensed naturopathic doctor.
How do hormone pellets work?
Once a pellet is in place, it is absorbed gradually as blood flows past it. Hormone is released continuously rather than in the daily or weekly cycle produced by creams and injections. How much is absorbed, and the hormone levels that result, still vary over time and from patient to patient.
Because absorption depends on your circulation, pellets last different lengths of time in different people. Most patients are seen a few times a year, and your doctor will confirm the schedule that suits you once you have been through a first cycle.
One point to understand before choosing this method: the amount implanted is fixed once the pellet is placed and cannot be adjusted. Absorption and the resulting hormone levels still change over time and differ between patients. That is why your doctor will want an appropriate dose established before recommending pellets.

Who may be a candidate for hormone pellet therapy?
- Your evaluation and lab work support starting hormone therapy
- You would rather not manage a daily cream or a regular injection
- You have used another delivery method and know what dose works well for you
- You can come to the Gilbert office when each pellet is due
- You are starting hormone therapy and your dose is still being established
- You are pregnant, trying to conceive, or breastfeeding
- You may need to change or stop treatment quickly
- You have had a reaction at a previous insertion site
Benefits
Benefits of hormone pellet therapy
Most of the advantages of pellet therapy come from how the hormone is delivered rather than from the hormone itself. Responses vary from person to person.
Fewer daily peaks and dips
Hormone is released continuously rather than in daily or weekly doses, which avoids the peaks and dips of frequent dosing. Individual responses vary.
No daily routine
Nothing to apply each morning and no injections to schedule at home.
A few appointments a year
For most patients, treatment is a small number of short office visits annually.
No transfer to others
Unlike creams and gels, a pellet cannot transfer to a partner or child through skin contact.
Nothing to store or carry
No refrigeration, no supplies and no doses to pack when you travel.
Easier to stay consistent
Staying on schedule does not depend on remembering a daily or weekly step.
Hormone pellets for women and men
Hormone pellets are used for both women and men. Your evaluation determines which hormone is appropriate and whether a pellet is a suitable way to deliver it.

Hormone pellets for women
For women, pellets typically deliver testosterone, and in some cases estradiol. Patients often come in during perimenopause or menopause, or because of persistent fatigue, low libido, or changes in mood and sleep.
Your doctor will go through the delivery options available to you, including methods whose dose can be changed more easily, before recommending pellets. Menopause and perimenopause care is where many of these conversations begin.

Hormone pellets for men
For men, pellets deliver testosterone and are one of several options for testosterone replacement therapy. Treatment begins with lab work and continues with follow-up testing to monitor your response.
Testosterone pellets tend to suit men who have already used another method and know what dose works for them, since the implanted amount cannot be changed once the pellet is placed.
In both cases your doctor confirms the hormone, the dose and the delivery method after reviewing your evaluation.
Delivery methods
Hormone pellets vs. creams, gels, injections and patches
Hormones can be delivered several ways. The practical differences come down to how often you need to think about treatment and how easily the dose can be changed.
Pellets
Placed in office, a few times a year. Continuous release with no daily step to remember. Trade-off: the implanted amount cannot be changed until the next insertion.
Creams
Applied daily at home. The easiest method to adjust, which often suits the period while a dose is being established. Trade-off: easy to miss a day, and care is needed around skin contact.
Gels
Applied daily at home. Grouped with creams clinically; the preparation differs rather than the route. Trade-off: easy to miss a day, and care is needed around skin contact.
Injections
On a set schedule, usually self-administered. Most often used for testosterone, and straightforward to adjust. Trade-off: a routine to keep, and levels move between doses.
Patches
Changed on a set schedule. Worn on the skin, with no daily step to remember. Trade-off: a routine to keep, and levels move between doses.
Oral medication
Taken by mouth, often at night. Most commonly used for progesterone. Trade-off: the route affects how the hormone is processed.
The process
The hormone pellet therapy process
Treatment generally follows these steps.
01
Consultation
A licensed naturopathic doctor reviews your symptoms, health history and goals, and explains which options are available to you.
02
Evaluation and lab work
Hormone testing, along with thyroid, metabolic and nutrient markers where they are relevant. Your doctor interprets the results alongside your history.
03
Pellet insertion
The area is cleaned and numbed with a local anesthetic, a small opening is made, the pellet is placed, and the site is closed with adhesive strips. The procedure takes a few minutes.
04
Follow-up and monitoring
Repeat lab work and a symptom review show how you are responding and help determine when the next pellet is due.
What to expect after pellet insertion
Keep the insertion site clean and dry. Some tenderness, bruising or swelling around the site is normal.
Avoid heavy exercise, swimming, hot tubs and soaking the site for the first few days. Your doctor will confirm when you can return to your usual activity.
Most patients drive themselves home after the appointment. Your doctor will tell you what to expect as the site settles.
Call (480) 531-2557 if the site becomes increasingly painful, red or swollen, if there is drainage or fever, or if you think a pellet has worked its way out.
Risks and side effects of hormone pellet therapy
Tenderness, bruising and minor swelling are common in the first few days. The site can also become irritated or infected, or a pellet can work its way out. Tell your doctor if the site becomes more painful, red or swollen, or if you think a pellet has come out.
As with any hormone therapy, side effects can occur and vary with the hormone and the dose. Follow-up lab work is part of how these are identified and managed.
Some conditions and medications affect whether hormone therapy is appropriate. Your full history is reviewed before treatment begins, so bring your current medication list to your consultation.
Hormone therapy is followed with repeat testing and symptom review rather than left unchanged, and your doctor uses those results to decide what happens at the next visit.
Tell your doctor before treatment if you are pregnant, trying to conceive, planning a pregnancy, or breastfeeding, since this affects whether hormone therapy is appropriate for you. A pellet is not designed to be taken out, and removing one requires a minor procedure, so contact the office right away if you become pregnant or think you might be while a pellet is in place.
How long do hormone pellets last?
Not sure which hormone delivery method is right for you? Start with an evaluation.
Why choose Onyx for hormone pellet therapy in Gilbert, AZ?
Onyx Integrative Medicine is an integrative clinic in Gilbert with three licensed naturopathic doctors on staff. Hormone care here starts with an individualized evaluation rather than a standard protocol, and we work with every common delivery method, so your doctor can weigh your results, your symptoms and your preferences before recommending one. Your care is supervised by an NMD from the first consultation through follow-up testing.
- Individualized hormone evaluationYour symptoms, history and lab results are reviewed together before any treatment is recommended.
- Care supervised by licensed NMDsThree naturopathic doctors on staff at one Gilbert clinic.
- Multiple delivery optionsPellets, creams, gels, injections, patches and oral preparations.
- Appropriate lab testingHormone, thyroid, metabolic and nutrient markers, ordered when they are relevant to your case.
- Ongoing monitoringFollow-up lab work and symptom review guide adjustments over time.
Meet your doctors
Dr. Stephanie Nichols, NMD
Onyx's founder, working mainly in women's hormones, thyroid health and the conditions that overlap with both.
Founder · Naturopathic Physician
Dr. Kasey Nichols, NMD
Connects hormones, digestion, metabolism and mindset, and treats thyroid and gut concerns at the root.
Co-Founder · Naturopathic Physician
Dr. Chelsea Deveson, NMD
Focused on the root causes of chronic disease. Dr. Chelsea treats thyroid conditions, adrenal fatigue, PCOS (now officially PMOS), perimenopause and digestive issues with individualized, lab-guided care.
Naturopathic Physician · Root-Cause Care
In their own words
What our patients say
Locations
Hormone pellet therapy near you in Gilbert and the East Valley
Onyx Integrative Medicine & Aesthetics is on W Elliot Rd in Gilbert and treats hormone patients from across the East Valley. Pellet insertion is performed in the office. Consultations and results reviews can often be done by telemedicine, and lab work is drawn at LabCorp, Sonora Quest or Patient's Choice, whichever is most convenient for you.
GilbertChandlerMesaQueen CreekTempeSan Tan ValleyApache Junction
Onyx Integrative Medicine & Aesthetics1425 W Elliot Rd Ste. 104, Gilbert, AZ 85233(480) 531-2557
FAQ
Questions About Hormone Pellet Therapy
How long do hormone pellets last?
It varies from person to person. A pellet dissolves as your blood supply absorbs it, so circulation, activity level and body composition all affect the pace. Most patients need a small number of insertions each year. Your doctor will give you a clearer picture of your own schedule after your first cycle and your follow-up lab work.
Does hormone pellet insertion hurt?
The area is numbed with a local anesthetic first, so most patients describe pressure rather than pain during the procedure itself. The site can feel tender or bruised for a few days afterwards. The appointment takes only a few minutes and most people drive themselves home.
Can a hormone pellet be removed?
A pellet is designed to dissolve completely, so it is not intended to be taken out once it is placed, and it continues releasing hormone until it is absorbed. If removal becomes medically necessary, a pellet can be taken out, but that requires a minor procedure rather than a routine visit. This is the main reason your doctor will want an appropriate dose established first. If you think you may need to change or stop treatment quickly, tell your doctor before anything is placed so another delivery method can be considered.
Are hormone pellets FDA approved?
Partly, and the distinction matters. TESTOPEL is an FDA-approved testosterone pellet, approved for testosterone replacement in certain males. Compounded hormone pellets, which are prepared by a compounding pharmacy, are not FDA-approved finished products. Using testosterone pellets in women is off-label, which means it is not an FDA-approved use. Your doctor can tell you which preparation is being recommended for you and why.
Do hormone pellets work better than creams or injections?
Not better, but differently. The hormone is the same. What a pellet changes is the delivery: continuous release with nothing to remember day to day, in exchange for an implanted amount that cannot be adjusted until the next insertion. Absorption and the levels that result still vary over time and between patients. Which method suits you depends on your lab results, your symptoms and how much flexibility your plan needs, which is why the choice is made after your evaluation.
What are the risks of hormone pellet therapy?
There are two categories. The first relates to the hormone itself and applies to any delivery method, which is why hormone therapy is monitored with follow-up testing. The second relates to the procedure: the site can be tender or bruised, and it can become irritated or infected, or a pellet can work its way out. Tell your doctor if you are pregnant, trying to conceive or breastfeeding, since that affects whether hormone therapy is appropriate. Your doctor will go through the risks that apply to your history before treatment begins.
How much does hormone pellet therapy cost, and does insurance cover it?
Onyx is primarily cash-pay, and HSA and FSA funds are accepted. Some naturopathic visits may be eligible for out-of-network reimbursement. Your cost has separate parts: the consultation, any lab work, which is billed by the laboratory, and the treatment itself if it is prescribed. Nothing is ordered before it has been explained to you. Call (480) 531-2557 to go through your situation. A deposit secures your first appointment.
Do I have to use pellets?
No. Pellets suit patients who would rather not manage a daily step, but they are one option among several. Creams, gels, injections, patches and oral medication are all available, and your doctor will recommend the method that best suits you, taking your results and your preferences into account.
Related care at Onyx
Next step
Is hormone pellet therapy right for you?
That depends on your hormone levels, your symptoms and your health history. Book a consultation with a licensed naturopathic doctor at Onyx in Gilbert and you will get a clear recommendation on whether hormone therapy is appropriate and which delivery method fits you.




