Stop settling for a "new normal" and start feeling like yourself again with the gold standard of hormone optimization. Our pellet therapy offers a steady, natural release of hormones that mimics your body’s own rhythm for long-lasting vitality.
At Reaching for Wellness, we understand that your hormones are the "command center" of your entire interconnected system. When they are out of sync, everything—from your sleep and mood to your metabolism and bone density—suffers. We offer bioidentical hormone replacement therapy (BHRT) via pellet insertion because it is the most consistent and effective method available.
As an Evexias/Evexipel-certified provider, Kisha Gilliard-Wise and our nursing team provide expert care that doesn't just mask symptoms but also protects your heart, brain, and bones for the long term.
Pellet therapy involves the insertion of tiny, custom-compounded cylinders (about the size of a grain of rice) under the skin. These pellets release a steady stream of bioidentical hormones into the bloodstream as your body needs them.
Subcutaneous bioidentical pellet
3–5 days (activity restriction only)
Initial relief in 7–10 days; full optimization after the second insertion.
Pellets dissolve naturally over 3–6 months.
Bioidentical hormones are plant-derived and chemically identical to the hormones your body produces naturally. Unlike synthetic options, your body recognizes these as its own.
At Reaching for Wellness, we use the pellet delivery method because it provides a constant, low-dose release of hormones 24/7. This prevents the peaks and valleys often associated with weekly injections or daily creams, providing a sophisticated, "set-it-and-forget-it" solution for modern wellness.
Your journey begins with a deep-dive consultation and comprehensive functional lab work. Once we’ve determined your precise optimal dose, the insertion itself is quick and nearly painless. After we numb a small area on the hip or upper buttock with a local anesthetic, a tiny incision is made, and the pellets are placed just beneath the skin. The area is closed with a simple Steri-Strip and a small bandage. You’re in and out of our Catonsville suite in about 15 minutes.
The hormones contained in the BHRT pellet circulate systemically, optimizing a wide range of physiological processes.
Pellet therapy is highly effective for addressing:
The primary benefit of pellet-based hormone therapy is consistency. Because the hormones are released based on cardiac output (blood flow), your body gets more hormones when you are active and less when you are resting—just like it did in your 20s. Beyond helping you feel better, BHRT is a powerful preventative tool. It helps preserve muscle mass, protects against osteoporosis, and has been shown to improve long-term brain and heart health. It is an investment in your future self that allows you to age with resilience and strength.
If you are tired of being told you are "just getting older" or that your labs are normal despite feeling terrible, you are likely a candidate. We treat women in all stages of menopause and men experiencing andropause.
During your consultation, we review your health history and specific lab markers (like FSH, testosterone, and astradiol) to ensure BHRT is safe and appropriate for you. We prioritize patient education, so we’ll explain the "why" behind every part of your plan.
Recovery following pellet-insertion is simple. You will have a small bandage and a Steri-Strip over the insertion site. To ensure the site heals properly and the pellets stay in place, we ask that you avoid bathtubs, hot tubs, and heavy lower-body exercise (like squats or running) for 3 to 5 days. You can shower normally and go about your daily work routine immediately. A small amount of bruising or redness at the site is completely normal and fades quickly.
Most patients begin to feel changes, like better sleep and improved mood, within 7 to 10 days. The physical and cognitive benefits typically peak at the 4-week mark. Pellets for women generally last 3 to 4 months, while men’s pellets last 5 to 6 months. We schedule your next insertion based on your symptom return and follow-up lab work to ensure your levels stay in the optimal zone year-round.
We don’t just prescribe BHRT — we live it. Kisha Gilliard-Wise and her team of providers use pellet therapy themselves, meaning we understand the journey from both a clinical and personal perspective. We are Evexias/Evexipel-certified, ensuring you receive the highest quality compounding and the most accurate dosing available.
We offer expert, high-end, and precise care delivered with a family-like warmth that makes you feel heard, supported, and confident.
We don't guess; we test. We perform labs 4–6 weeks after your first insertion to see exactly where your levels are. If adjustments are needed for your next round, we fine-tune your formula to your specific biology.
No. This is bioidentical optimization, not "megadosing." We aim for high-normal physiological levels that help you feel like your best self, not an artificial version of yourself.
No. The pellets are made of pure hormones and a small amount of stearic acid (a natural fatty acid). They dissolve completely on their own over a few months, leaving nothing behind.
Yes. In fact, many women who have had hysterectomies find that BHRT is essential for managing the menopause that follows. We will tailor your plan (including whether or not you need progesterone) based on your surgical history.
While not BHRT is not a weight-loss pill, optimizing your hormones helps fix metabolic resistance. When your testosterone and thyroid are balanced, your body is much more efficient at burning fat and building muscle.
