Age healthier…live happier! siouxcityjournal.com symptoms hormonal imbalance

The good news is that not all hormone therapies are created equal. Hormone balance can be restored with BioTE (Bio-identical Hormone Pellet Therapy), administered by Dr. Mark Carlson at Siouxland Adult Medicine and Rose Hill Medical Arts Building, 1605 Douglas St.

BioTE pellet therapy uses bio-identical, all-natural estrogen and testosterone, delivered by tiny pellets inserted just under the skin. The pellets, compounded by a compounding pharmacy using strict federal guidelines, are the tiny storehouse of hormones which the body can access as needed. Pellets deliver a consistent level of hormone and outperform oral, injection, patch and cream prescriptions with fewer side effects. It provides sustained hormone levels throughout the day, for up to four to six months.

This treatment is neither new, nor is it one of the latest fads.


Hormone replacement using pellet implants has been used with great success in the United States, Europe and Australia since 1939. In the U.S., it has recently experienced resurgence in the South, and is making its way around the East and West Coasts. It is slowly coming around to the Midwest. Dr. Mark Carlson is the only practitioner within a several state radius that performs this natural form of hormone replacement.

Dr. Carlson said he started offering BioTE pellet therapy in March after looking into safe ways of providing hormone replacement for his patients. So many of his patients were symptomatic, suffering from low energy levels, menopausal fatigue, low sexual stamina, problems sleeping, moodiness and irritability, diminished libido and night sweats, among others.

Hormone replacement benefits the bones, and I was running out of options to help my patients with osteoporosis. Prior to the 2000s, oral estrogen and progestin was used for hormone replacement. Estrogen provides cardiovascular protection, but there was a question of whether or not the progestin negated the cardiovascular benefits. And there was an increased risk of breast cancer, heart attacks and strokes, said Dr. Carlson, the medical director of Siouxland Adult Medicine and Rose Hill Medical Arts.

Then the Women’s Health Initiative came out with a study that showed an increased risk of heart attacks in women taking oral estrogen combined with progestin. So doctors began taking women off of hormone replacement or not starting them on it. The pendulum swung from everyone being on it to virtually no one.

They would experience major hormone swings with peaks and valleys, and profoundly deficient at the end of the cycle. It’s not a good way to replace hormones. When men use topical hormones, the absorption rate is unpredictable and hormone levels are often inadequate, he said.

Dr. Carlson did his own research and concluded that bio-identical hormone replacement therapy with pellet implants is the safe and effective route to hormone replacement. His research is in addition to decades of research, clinical studies, and hundreds of patients who testify that bio-identical hormone replacement therapy using pellets is the answer for them.

Both men and women who receive pellet implant therapy will experience greater mental clarity, increased libido and interest in sex, decreased body fat and an increase in muscle tone and mass, enhanced energy level and less fatigue, and a decrease in depression, irritability and mood swings.

The strategy with BioTE is not only to replace hormones but to optimize hormone levels to what is typically present in healthy young adults for the best symptom relief and to experience optimal improvement in muscle, body fat and bone density, he said.

The longer women go without the protection of estrogen or go without replacement therapy, the greater the risk of developing serious health problems including osteoporosis, diabetes, heart disease, many cancers, impaired vision and Alzheimer’s Disease.

Women also need testosterone therapy, he said. The ovaries make testosterone, which results in less body fat. They lose testosterone faster than estrogen. Women lose 50 percent of their testosterone production between the ages of 20-40. Men begin losing 1-3 percent of their testosterone a year starting in their late 20s. With reduced testosterone levels, both men and women have more central body fat, loss of muscle mass, and diminished libido.

Patients who are on the pellet implant therapy are experiencing pretty dramatic results, he said. Ninety-five percent of people who get the pellet implants return for further treatment. The pellets last an average of 3-4 months for women and 4 1/2 to 6 months for men.

For more information about BioTE Medical Hormone Pellet Therapy, call Siouxland Adult Medicine at (712) 234-1005 or (712) 224-0004. Also, be sure to attend their upcoming seminar on BioTE Medical Hormone Pellet Therapy at 5:30 p.m. on Wednesday, July 15.