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AVIVA logo of a stylized lotus flower next to elegant type reading AVIVA WO/MAN It's time to feel like you again

Bioidentical Hormone Replacement Pellets Therapy

Start feeling like yourself again

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This isn’t your grandmother’s hormone replacement therapy pellets

We’ve learned a lot about hormone pellet therapy over the last decade – and it’s shifting everything we once accepted as a “normal part of being a woman.”

Today, The North American Menopause Society, the American Society for Reproductive Medicine, and The Endocrine Society all agree that hormone therapy can play an important role in managing peri-menopausal and post-menopausal symptoms.

If you’re struggling with symptoms like hot flashes, night sweats, vaginal dryness, painful intercourse, mood swings, and more, bioidentical hormone pellet therapy may be able to help you fight back and reclaim your right to feel normal again.

At AVIVA, we start with one single premise: It’s not all in your head

Bio-identical pellet hormone replacement therapy helps us prove it

Symptoms of low hormones:

  • Extreme fatigue | Mid-day energy crash
  • Mood swings
  • Depression
  • Anxiety, tension, irritability
  • Lack of sleep | Early AM waking
  • Memory loss | Lack of focus | Brain fog
  • Hot flashes | Night sweats
  • Weight gain
  • Migraine | Severe headaches
  • Joint pain
  • Decreased sex drive/performance

Benefits of optimized hormones:

  • Increased energy
  • Depression relief
  • Anxiety relief
  • Feelings of well-being
  • Improved cognitive clarity, memory, focus
  • Prostate, breast, and cardiovascular protection
  • Increased bone and muscle strength
  • Reduced body fat
  • Lower cholesterol
  • Enhanced libido and performance

Wondering if your hormone levels could be to blame?

Take the Hormone Balance Quiz to see if you could benefit from hormone or thyroid optimization.

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How does Bioidentical Hormone Replacement Pellet Therapy work?

It all starts with a single visit.

(And because we do in-office and virtual appointments, we can help you no matter what state you call home.)

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We start by asking lots of questions

We never assume we have the answers about YOUR body. During your free consultation session, we simply listen to how you’re feeling, and then, we search for solutions.

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We do a deep-dive lab analysis

We start by ordering a comprehensive lab panel to identify your optimal hormone levels, optimal thyroid function, and any recommended supplements and dietary suggestions.

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We meet to review your results

Whether you schedule an in-office or a virtual visit, we’ll review your lab panels and talk about how to optimize your health and well-being – specific to your body and your unique needs.

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We empower you to feel better

Once you have your lab results in hand, you can work with our team to implement next steps, or you can partner with another provider. We’re here to help as much (or as little) as needed.

“If this helps me have a better quality of life for a while and I can be myself and be present with my kids and my family, it’s worth it.”


–Alicia Hadlock

View Pricing

Bio-identical Hormone Replacement Therapy is an ongoing process. Here are some of the fees to expect as we work to optimize your hormones.

Lab Work
Initial Comprehensive Blood Work Test Order…$295+
Follow-up Lab Work Order…$125+
Yearly Lab Work Order…$295+

Office Visits
Lab Results Evaluations…$125

Bio-Identical Hormone Pellets
Placement for Women (2.5-4 times a year)…$425

Placement for Men (2-3 times a year)…$750

Bio-Identical Hormone Creams, Injections, and Orals
Starting at $125 per month*
*See membership pricing for more information

LabCorp** Blood Work Panels
Hormone Tests…$85
Thyroid Tests…$85
Vitamin Tests…$85
Health Indicator Tests…$85
Complete Panel…$355
Follow Up Labs…Varies
** We only work with LabCorp locations. The pricing listed is for cash paying individuals.

Bio-Identical Hormone fees listed above, unless specified, do not include labs. They do include all follow up visits and/or phone calls and prescription management.

Still wondering if bioidentical hormone therapy is right for you?

No question is off limits at AVIVA WO/MAN

Bio-Identical Hormone Therapy FAQs

How do I know if I need bioidentical hormone replacement therapy?

Try taking our Hormone Balance Quiz. If you answer YES to many of the questions, you may benefit from a bioidentical hormone therapy program or learning what and how to include specific supplements to your daily nutrition for optimal health.

How do I get started with bio-identical hormone replacement therapy?

When you take our Hormone Balance Quiz, our team will review your answers and give you a personalized assessment of how bio-identical hormones may/may not help you. You can also start by researching the different methods of bio-identical hormone therapy. Creams, patches, synthetic injections, prescription pills, and hormone pellets all work differently and can have different results. At AVIVA WO/MAN, we like using bio-identical hormone pellets. You can read about that here.

How do I find a provider for bioidentical hormone replacement therapy?

Read online reviews. Ask your primary doctor for a referral. Ask for a preliminary consultation. See if you can ask basic questions over the phone.

Remember, you can always find a new provider if the one you are seeing doesn’t ‘feel right’ with you.

The key to success is finding a provider you can establish a long-term relationship with. As you age, and as life changes, your provider will stay in tune with changes in your body and make adjustments along the way and as needed.

How much does bioidentical hormone replacement therapy cost?

You can view our hormone replacement specific fee schedule above.

I'm not even sure this is the right thing for me. What questions should I ask?

Here are 9 questions that we recommend you ask any potential provider:

  • Can you help with hormone optimization?
  • What method of bio-identical hormone therapy do you use?
  • How much does the program cost?
  • What labs are needed to get started?
  • Are there any restrictions?
  • How do I know if I am a candidate?
  • What are the side effects?
  • How long will I be using these for?
  • What changes in my life do I need to make to ensure a greater chance of success?

Lab FAQs

My labs came back as "normal." Now what?

First, “normal” results don’t mean that you are crazy or making up the fact that you aren’t feeling yourself.

Lab results in the normal range only mean that, on average, most individuals in your age range have a similar level of the reading on the test.

Bio-identical hormone therapy is looking for OPTIMAL over normal. A provider who aims to achieve optimal results will be looking for optimal hormone levels as well as, optimal thyroid function, supplements and dietary suggestions. Each of these components work together to help treat the whole individual.

What lab panels do you order?

For both men and women, will order a lipid panel, Vitamin B, Vitamin D-25 hydroxy, CMP CBC.

We will also check a thyroid panel to include a TSH, T4 total, T3 Free, and TPO.

Additionally, for women, we will order the estradiol, testosterone total, and FSH.

For men, we will order the estradiol, testosterone free & total, and a PSA for men ages between 55-69.

How long will my lab results take to come in?

It can take up to 10 days for our office to receive your lab results. After our office receives the results, we call you to set up a hormone evaluation visit (either in-person or virtually).

What can I expect once my labs have been received?

We’ll schedule a lab evaluation visit and spend anywhere from 45-55 minutes reviewing your results.

You will learn about what your present baseline is, areas that can be improved, and receive suggestions on a hormone therapy program, thyroid support, and supplements and dietary options all geared toward optimal health and wellbeing specific to your body and needs.

If you would like to proceed with therapy suggestions, we are happy to proceed with the recommended treatment or help you connect with another provider who can help you implement a plan that works best for you.

Clinic FAQs

Should I tip my aesthetician or medical practitioner?

Nope! The best tip you can offer us is your repeat business.

Do you accept insurance or HSAs?

We do not work with any insurance group.
However, we do accept HSA and FSA Cards for covered health services (mostly services that aren’t cosmetic but check with your plan first!)

What payment methods do you accept?

We accept cash and all major credit cards: Visa, MasterCard, American Express, and Discover.

Do I need to schedule an in-office visit or do you offer virtual visits?

Depending on the service, we can do both.

We are happy to invite you to our office located in Millcreek, UT for your initial consultation OR we can schedule a virtual visit.

Certain services are available virtually, and some follow ups can be conducted virtually as well.

Discover how to feel and live better – on your own terms