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Feeling groggy, difficulty sleeping, hot flashes, loss of sex drive, depression – these are not uncommon problems.

Many of us chalk them up to being part of the process of getting older. Other times, we may seek out a doctor who will prescribe medications to combat these symptoms.

However, the medications often come with side effects that in turn require additional medications. Additionally, medications or creams do not provide consistent treatment, which keeps the symptoms coming and going like the tide.

There may be a much simpler explanation – and treatment – for these side effects: hormones. Hormone production decreases with age and can lead to a variety of debilitating symptoms. Thankfully, there’s BioTE Medical Hormone Pellet Therapy, a natural way to restore and balance hormones in the body.


Find out more about this revolutionary hormone treatment and then contact the office of Dr. Silvia Rotemberg in Miami to schedule a personal consultation and find out if hormone therapy would be right for you!

What is BioTE Hormone Therapy?

biote pellet therapy

BioTE Hormone Therapy uses small pellets – smaller than a grain of rice – that release bio-identical estrogen and testosterone into the body to promote hormone balancing. The pellets are embedded in the tissue under the skin and release small doses of hormones to consistently stabilize the body’s natural hormone levels. Unlike creams or medications, which can have a “roller coaster” effect on symptoms, pellet therapy offers regular doses that maintain positive results.

After the age of 30, hormone production decreases by 3-10% each year. BioTE uses comprehensive blood work analysis to determine the proper hormone dosage for each individual patient. The hormone pellets used in BioTE Pellet Therapy are created by specialized compounding pharmacists who fuse natural plant derived bioidentical estrogen or testosterone with small cylinders. Once placed in the body, the pellet will deliver hormones 24/7 and naturally dissolve over the course of 3-5 months.

What BioTE Pellet Therapy Can Treat

Hormone imbalance can have negative effects on the mind and body in countless ways. Here are just a few of the symptoms that BioTE may be able to improve or correct.

  • Difficulty falling or staying asleep
  • Low energy
  • Loss of memory and mental focus
  • Depression, anxiety, and mood swings
  • Weight gain and stubborn midsection fat
  • Decreased muscle strength
  • Muscle and joint discomfort
  • Low libido and sexual performance
  • Frequent headaches

Furthermore, BioTE Pellet Therapy has been shown to reduce the risk of and/or prevent:

  • Diabetes
  • Heart disease
  • Osteoporosis
  • Alzheimer’s disease

Good Candidates

Good candidates for BioTE Hormone Therapy are patients who suffer from any of the aforementioned symptoms. They also may be suffering from symptoms of menopause or andropause, the male equivalent of menopause.

Most of our patients begin BioTE Pellet Therapy at age 30 or older. However, in some cases, the therapy may be beneficial for patients in their 20s. In order to determine one’s candidacy, please contact our office in Miami, Florida to schedule a private consultation with Dr. Silvia Rotemberg.

Benefits of BioTE Pellet Therapy

With BioTE Pellet Therapy, the pellet is placed underneath the skin for 3-5 months. This means that patients don’t need to remember to take pills every single day or apply creams. Plus, the pellet consistently releases hormones to maintain the body’s individual hormone levels, eliminating the roller coaster effect.

Furthermore, the hormone pellets used by BioTE are all natural and include no synthetic materials. They are plant derived and contain the same chemical structure as the body’s natural hormones. The pellet is metabolized by the body organically as needed. It’s a purely biological approach to greater overall health and wellness.

How BioTE Pellet Therapy Works

For Women


Hormonal imbalances can affect the quality of a woman’s life. For example, the negative implications of menopause have historically been thought of as something women simply had to suffer through in silence. However, BioTE Pellet Therapy can change that.


Estrogen is a woman’s primary hormone. As women lose estrogen production with age, they become more susceptible to a variety of health concerns, including Parkinson’s disease, diabetes, Alzheimer’s disease, and premature ovary failure. Loss of estrogen can also negatively impact the appearance of the skin, bone strength, and cognitive abilities. By repairing this estrogen loss, BioTE Pellet Therapy can reduce and reverse these health issues. Furthermore, studies have shown that normal estrogen levels can play a critical role in a woman’s overall mood and happiness.

Many women suffer from menstrual migraines or recurrent headaches. BioTE Hormone Therapy has proved incredibly beneficial in minimizing or eliminating recurring head pain.


Sometimes we forget that women produce testosterone too. Testosterone is important for maintaining muscle tone and mass. It also affects mental clarity and weight stabilization. When women lack normal testosterone levels, they may experience weight gain or poor muscle tone, despite continuing a regular diet and exercise regimen. They may also experience mental confusion or distraction.

A regular balance of both estrogen and testosterone is necessary for women to produce serotonin, the chemical responsible for mood, appetite, sleep, memory, and libido.

Women typically need new pellets every 3-4 months.

For Men


While men only produce one hormone, testosterone, poor levels of this hormone are linked to many serious conditions. For example, loss of testosterone has been linked to andropause – the male equivalent of menopause. However, hormone balancing, like that provided by BioTE Pellet Therapy, can reduce or erase these symptoms.


Low testosterone levels in men can lead to excessive tiredness, mental confusion, loss of libido, and difficulty achieving or maintaining an erection. Bio-identical hormone pellet therapy helps restore a man’s natural testosterone levels. Plus, since the hormones are delivered to the body at a consistent rate right for the patient’s body, there is no need to take medication when a symptom appears. Medications can often leave men feeling like they are chasing their symptoms, but never addressing the root cause. BioTE Pellet Therapy is there for men, before they even know they need it.

Men typically need new pellets every 4-5 months.

What to Expect During your Consultation

In order to determine whether or not a patient would be a good candidate for BioTE Hormone Therapy, Dr. Silvia Rotemberg must first consult with the patient in her Miami, Florida office.

During the personal consultation, Dr. Silvia Rotemberg will ask the patient about the symptoms that they are experiencing. She will also ask them about any prior treatments, therapies, or medications that have used in attempt to combat these symptoms. She will also ask them about their medical history, including any illnesses they suffer from or surgeries they have had in the past.

If Dr. Silvia Rotemberg believes that the patient may be a good candidate for BioTE Hormone Therapy, then she will complete a comprehensive blood work analysis. This may be performed at the time of the consultation or at a later date.

BioTE Pellet Insertion Procedure

After performing blood work and determining the patient’s unique doses of estrogen and/or testosterone, Dr. Silvia Rotemberg will receive a package personalized for the patient and containing the pellets and sterile equipment for insertion.

First, Dr. Silvia Rotemberg will use local anesthetic to numb the area for gluteal insertion. Using a sharp blade, she will make a small incision about 5mm long and 5mm deep into the subcutaneous tissue. Then, she will insert a cannula into the incision and the pellets will be placed inside of the cannula. Using a blunt trocar, she will gently slide the pellets through the cannula and into the subcutaneous tissue.

After the pellets have been inserted into the body, she will make sure that the incision is closed using adhesive strips called steri-strips. Then, the entire area will be properly bandaged.


The patient may return to their daily activities following the procedure.

Following the procedure, patients will be instructed to avoid vigorous activity for at least two days. There may be slight redness and swelling around the insertion site, which is normal and will disappear on it’s own over the course of 2-3 days. The bandages may be removed and the patient can shower 24 hours after the procedure. However, the steri-strips must remain on the incision for one week.

Patients may experience minor discomfort around the procedure site in the days following insertion. This is normal and can be controlled with over-the-counter medications such as Tylenol. A warm washcloth or heating pad may also be used to soothe the area.


biote hormone therapy

Patients may start noticing an improvement in their symptoms in as little as 24 to 72 hours. However, optimal results will not appear until about the three-week mark. For patients who are using BioTE Hormone Therapy to counteract hormonal weight gain, their results will depend on their diet and exercise routine. It is important to maintain a steady diet and exercise routine following the procedure.

In order to maintain results from BioTE Pellet Therapy, patients will need to regularly return to Dr. Silvia Rotemberg’s office to receive a new pellet. Women will require new pellets every 3-4 months, while men will require them every 4-5 months.

Find out how all-natural BioTE Pellet Therapy can revolutionize your life by calling the offices of Dr. Silvia C. Rotemberg today and scheduling a personal consultation in Miami!