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Utilizes hormones that are structurally the same to the substances as they naturally occur in your body. Designed for both men and women, hormone pellets are composed of estrogen and testosterone. Most patients report symptom improvement within 2-4 weeks; however, full hormone optimization can take 6-12 weeks.
Sitting down Katherine Fernandez, PA and owner of Cosmetic & Wellness Institute, and Dr. Alejandro Fernandez-Tatum, Physician and Medical Director, having one of the most important conversations we can have for both women and men Bio-Identical Hormone Replacement Therapy, or BHRT and how we age.

It is crucial to develop a comprehensive treatment plan for your symptoms, one that not only aims to resolve your pain but also addresses other aspects of your health potentially impacted by hormone imbalance. Utilizing hormone therapy, such as BHRT, can be an effective approach to achieving this balance.
The symptoms of hormone imbalance include:
- Unexplained weight gain or weight loss
- Brittle or weak bones
- Poor sleep
- Irritability or anxiety
- Long-term fatigue without reason
- Headaches
- Low libido and low sex drive
- Very dry skin or skin rashes
- Changes in sensitivity to cold and heat
- Unexplained or excessive sweating
If you are experiencing symptoms of a hormone imbalance, don’t dismiss them; talk to an expert in hormone health. A hormone imbalance will not resolve on its own. Seeking hormone therapy from a skilled practitioner can help you identify the root of your symptoms and offer effective solutions. Bioidentical hormone replacement therapy (BHRT), combined with integrated functional medicine treatment plans from a highly trained professional, is often the first step toward achieving relief.
Hormone replacement therapy (HRT) is proven to be an effective treatment of hormone imbalance related to conditions such as andropause (low testosterone in men), menopause, premenstrual syndrome (PMS), and thyroid dysfunction.
If you have tried various treatments or are hesitant to explore options due to the well-known side effects, it’s time to consider BHRT with pellet therapy. This innovative approach is recognized as one of the most effective delivery methods for hormone therapy and is often the preferred choice among both patients and providers.
In addition to the ease of eliminating the need for pills, creams, or patches, pellet therapy offers the most optimal solution for natural hormone balance and bioavailability. It closely mimics the slow and steady hormone release that occurs naturally within the ovaries or testicles of the human body. Tailored specifically to fit the unique hormonal needs of the individual, pellet therapy ensures you receive exactly what your body requires, precisely when it needs it. Act now and schedule your consultation for hormone imbalance treatment today.

Untreated hormonal disorders have been linked to various diseases such as:
Patients who neglect effective hormone imbalance treatment may struggle not only with their health but also with personal relationships, as hormonal imbalances often result in lowered sex drive, irritability, anxiety, and memory loss in both men and women. Utilizing hormone therapy, particularly bioidentical hormone replacement therapy (BHRT), has been shown to significantly improve mood, increase energy levels, and enhance overall well-being. By addressing hormonal imbalances through proper treatment, individuals can also experience better sleep quality, increased motivation, and a greater ability to manage stress, ultimately contributing to a higher quality of life.
Your initial appointment includes a 90-minute in-depth consultation with Katherine or Dr. Fernandez-Tatum, where you'll review your medical history, explore health goals, and, using a variety of comprehensive diagnostic tools, move beyond superficial symptoms to uncover the root cause(s) of your hormone imbalance.
During this evaluation, we will discuss options for BHRT (bioidentical hormone replacement therapy) and other hormone therapy approaches. Advanced Functional Lab Testing is included, which provides a detailed analysis of hormone levels, thyroid function, adrenal stress, and metabolic markers to give a complete picture of your body's systems.
Once the root cause of your symptoms is identified, we will develop a personalized treatment plan tailored to your unique biology and health goals. This comprehensive plan may include:
BHRT (Bioidentical Hormone Replacement Therapy): Utilizing the proprietary EvexiPEL Method, we implement hormone pellets to ensure consistent hormone levels, providing long-lasting relief from symptoms associated with hormone imbalance.
Your journey doesn't end with a protocol when it comes to BHRT. We offer ongoing monitoring and support to ensure your hormone imbalance treatment is working effectively. Through retesting and follow-up consultations, we can fine-tune your hormone therapy plan as your body responds, leading to continuous improvement and sustained wellness.
New to the Cosmetic & Wellness Institute? Your initial hormone therapy consultation is designed to give us a complete picture of your health, not simply review a hormone level.
Because we already have an established relationship with you, we'll build upon your existing medical history while taking a deeper look at the factors that may be contributing to changes in energy, sleep, mood, weight, body composition, libido, sexual health, and overall well-being.
**Please note: a deposit is required to schedule your consultation, and it will be fully applied toward your appointment.** Laboratory testing, medications, hormone pellets, and other treatments are priced separately unless otherwise specified.
The Cosmetic & Wellness Institute
7810 Ballantyne Commons Parkway, Suite 201, Charlotte, North Carolina 28277, United States
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