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Bio-Identical Hormones

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Compounded Bio-Identical Hormones

Sterile Hormone Pellets offer another alternative for bio-identical hormone replacement therapy. A trained physician implants tiny pellets, usually every 3 to 6 months. The sterile hormone pellets supply a steady supply of hormones without the peaks and valleys of other therapy choices. Both men and women can benefit from pellet therapy.

Pavilion Pharmacy has been compounding sterile bio-identical hormone pellets both for estradiol and testosterone for over twenty years. Many leading physicians across the country depend on Pavilion Compounding Pharmacy for quality pellets. Our BHRT pellets are sterilized by a unique method called E-beam irradiation. This methodology provides a product that meets our criteria for safety, efficacy, and patient acceptance. Irradiation is the only USP compliant way to sterilize pellets. See our blog post for more information about our hormone pellets:

There are many types and dosage forms of hormone replacement therapy available for men and women. Hormone replacement can be taken in the form of an injection, patch, pill, sublingual troche, pellet implants or transdermal cream. Each method has its own benefits and risks. If you’re using hormone therapy but are having difficulty with it, talk to your doctor or pharmacist about other methods or dosages. It often takes several months of adjusting to find the optimum hormone combination for each patient.

Click here to read our blog post about micronized progesterone from PCCA.

Atrevis™ Hydrogel: The Next-Generation Base for Testosterone Delivery.

Pavilion Compounding Pharmacy is proud to now offer Atrevis™ Hydrogel by PCCA for our compounded topical Testosterone formulations. Click here for more information about this new technology and to see how it can help men achieve optimal Testosterone levels.

BENEFITS of Atrevis™ Hydrogel:

• Superior testosterone delivery: Independent testing shows that Atrevis Hydrogel delivers more testosterone through the skin than both a hydro-alcoholic surfactant solution and a competitor base

• Alcohol-free: Atrevis is formulated without alcohol, reducing the risk of evaporation and maintaining chemical stability while not drying the skin

• Quick absorption: It absorbs quickly when rubbed into the skin, leaving a smooth texture without a greasy residue

• Non-comedogenic

Natural vs. Synthetic Hormone Replacement


Natural hormones, also referred to as bio-Identical, are considered “natural” because the original source is from a plant. Wild yam and soybean plants contain precursor molecules that can be chemically processed into steroid hormones such as progesterone, estradiol and testosterone. Patient demand for natural (bio-identical) hormones, which has consistently been addressed by compounding pharmacies, has gained the attention of some manufacturers. Bio-identical hormones now available from manufacturers include Estrace, Climara, Vivelle, Fempatch, Androgel, Androderm and Prometrium.

Pharmacists licensed by their respective state boards to compound, can also formulate hormones using chemicals approved for use in the United States. Compounded dosage forms are available in transdermal creams, sublingual troches, pellet implants, suppositories, delayed release capsules or tablets and injectables. A patient using a compounded product can receive the exact amount of hormone needed instead of being locked into strengths made commercially.


Synthetic hormones can be patented which can allow a single company to corner the market. Beginning in the late 1800’s, U.S. law allowed patenting only on products that were not natural substances. Synthetic hormones include the following; Provera (medroxyprogesterone), Estinyl (ethinyl estradiol), Halotestin (fluoxymesterone), Prempro and Estratest. An example when a doctor may prefer synthetic hormones is the case of a patient with previous or family history of estrogen dependent tumors. Synthetic progestin or testosterone does not convert to estrogen once in the human body, however a small percent of natural progesterone or testosterone can convert.

Recommended Reading for Hormone Replacement Therapy

  • Dr. Whitaker’s Guide to Natural Hormone Replacement by Julian Whitaker, M.D.
  • Natural Women, Natural Menopause by Marcus Laux, N.D. & Christine Conrad, M.D.
  • Hormones of Desire by Susan Rako, M.D.
  • Testosterone Syndrome by Eugene Shippen, M.D. & William Fryer
  • The Sexy Years by Suzanne Somers
  • Are Your Hormones Making You Sick? by Eldred Taylor, M.D. & Ava Bell Taylor, M.D.
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