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Bioidentical Hormone Replacement Therapy (BHRT) in Ponte Vedra Beach
Custom-compounded bioidentical hormone pellets, dosed from your lab results using the Evexias method, for steady relief from the symptoms of hormonal decline in women and men.
Treatment time
15 to 20 minutes
Repeat
Every 3 to 6 months
Downtime
Minimal
Method
Evexias pellets
What is bioidentical hormone replacement therapy (BHRT)?
Short answer
BHRT restores the hormone levels that decline with age, using hormones molecularly identical to those your body makes. At Dermagnify, Dr. Cappel uses the Evexias method: a custom-compounded pellet, dosed from your lab results, is placed just beneath the skin, where it releases a steady stream of hormones around the clock for several months.
As hormone production falls, many people notice persistent fatigue, mood swings, mental fog, weight gain and a lower libido. Women feel it through perimenopause and menopause, and men through the gradual decline in testosterone known as andropause.
Hormones can be given as creams, gels, patches, injections or pellets. Our practice uses pellet therapy exclusively, from Evexias, because a pellet releases hormones steadily and avoids the daily peaks and troughs of other methods.
We use bioidentical hormones derived from plant sources, which are structurally identical to your own. Treatment is planned from your lab work and symptoms, not a standard dose.
Key concerns addressed
What BHRT treats
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Menopause and perimenopause
Hot flashes, night sweats, mood swings and vaginal dryness, relieved by replenishing estrogen and other key hormones.
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Low testosterone in men
Fatigue, low libido, muscle loss and mental fog from andropause, addressed by restoring testosterone to optimal levels.
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Chronic fatigue
Tiredness that rest does not fix can be a hallmark of hormonal imbalance. Optimized hormones can improve energy and stamina.
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Mood swings and anxiety
Hormones help regulate mood. Restoring balance can ease irritability and anxiety and improve your sense of wellbeing.
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Weight gain and slow metabolism
Hormonal shifts add belly fat and slow metabolism. BHRT helps improve body composition alongside medical weight loss.
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Low libido and poor sleep
Declining estrogen or testosterone can lower libido and disturb sleep. Balanced hormones can improve libido, sleep and overall wellbeing.
Why the Evexias pellet method?
The Evexias method is a patient-first approach to BHRT built around precise dosing and steady delivery.
- Personalized dosing: comprehensive lab testing sets the dose, and Dr. Cappel orders a pellet compounded for you.
- Steady delivery: a tiny pellet beneath the skin releases hormones 24 hours a day, closer to your body's natural rhythm.
- Bioidentical: plant-derived hormones structurally identical to your own, which your body recognizes and uses effectively.
- Long-lasting: pellets typically last 3 to 6 months, with no daily creams or weekly injections.
Hormones, energy and vitality
Persistent low energy is rarely caused by one thing. Declining estrogen, progesterone or testosterone and thyroid problems can bring fatigue, weight gain, brain fog and low motivation. Chronic stress keeps cortisol high and disrupts sleep and recovery, poor sleep prevents repair, and low iron, B12, vitamin D or magnesium impair energy production.
That is why we take a root-cause approach. Your evaluation may include hormone testing, nutritional assessment and a review of your history and lifestyle, and BHRT is often combined with other treatments.
- Peptide and IV therapy: nutrients, vitamins and peptides to address deficiencies and support energy and recovery. About peptide therapy
- Red light therapy: red and near-infrared light that stimulates cellular energy production. About red light therapy
- Hormone lab panel: evaluates androgen, estrogen, adrenal and pituitary markers for women and men. About Health Journey Panels
What else can balanced hormones support?
Beyond symptom relief, balanced hormones contribute to bone density, cardiovascular health, cognitive function and a stronger immune system, which is why we consider them a cornerstone of healthy aging.
Many patients begin to feel better within 2 to 4 weeks. The full benefit can take up to 6 months as your body adjusts, and Dr. Cappel monitors your levels and symptoms throughout.
Treatment overview
What to expect with pellet therapy
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01
Consultation
Dr. Cappel discusses your symptoms, health history and goals, and orders detailed lab work to assess your hormone levels.
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02
Lab work
Your results show which hormones are low and set the dose for your pellet.
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03
Your pellet
A personalized pellet is custom-compounded for you, and the insertion is scheduled once it is ready.
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04
Insertion
After numbing a small area on the hip or buttock, Dr. Cappel makes a tiny incision, places the pellet and covers it with a small bandage.
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05
Aftercare
The area may be slightly sore for a day or two. Minor bruising or swelling can occur, and downtime is minimal.
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06
Ongoing care
Women typically repeat every 3 to 4 months and men every 5 to 6 months, guided by your levels and symptoms.
Suitability
Is BHRT right for you?
A good fit if
- You have hot flashes, night sweats, fatigue or low libido
- You experience mood swings, anxiety or mental fog
- You struggle with weight gain, muscle loss or poor sleep
- You are a woman in perimenopause or menopause, or a man with low testosterone
- You want a personalized approach to hormone therapy
- You prefer a convenient, long-lasting option over daily applications
Not the right treatment if
- You have a history of certain cancers, such as breast or prostate cancer
- You have a blood clotting disorder
- Your evaluation and lab work show BHRT is not safe or appropriate for you
If fatigue has other causes, peptide therapy and lab-guided supplements address nutritional and recovery factors.
Compared
Pellets compared with other hormone therapies
| Method | How it works | Downtime | Considerations |
|---|---|---|---|
| BHRT with Evexias pellets | Tiny pellets under the skin release a steady dose of bioidentical hormones | Minimal | Convenient and long-lasting, with stable hormone levels |
| Synthetic HRT (pills, patches) | Chemically derived hormones taken daily or weekly | None | Traditional approach; may carry more side effects and fluctuation |
| Bioidentical creams and gels | Bioidentical hormones applied to the skin daily | None | Can be effective, but absorption can be inconsistent |
| Injections | Hormones injected weekly or every other week | None | Significant peaks and troughs in hormone levels |
Cost
What BHRT costs
Pricing
The cost of your BHRT plan is discussed at your consultation and covers your lab work, custom-compounded pellets and the insertion procedure. Flexible payment options are available.
Costs vary with the number of sessions and the areas treated. We give you transparent pricing at your consultation, before any treatment. Cost and payment options
Who performs this
Dr. Mark A. Cappel, MD
Double board-certified dermatologist and dermatopathologist
Dr. Cappel is a certified Evexias provider. He reviews your symptoms and lab work, prescribes your custom-dosed pellet, performs the insertion and monitors your levels to set your schedule.
Read full profileQuestions
Questions about BHRT
Many patients feel improvement within 2 to 4 weeks, but it can take up to 6 months to experience the full benefit as your body adjusts to optimal hormone levels.
Women typically have pellets inserted every 3 to 4 months and men every 5 to 6 months. Dr. Cappel monitors your hormone levels and symptoms to set the right schedule for you.
The area is numbed with a local anesthetic, so the procedure itself is not painful. You may feel mild pressure, and the area can be slightly sore for a day or two.
Bioidentical hormones are structurally identical to the hormones your body produces, so they are metabolized more naturally and may carry a lower risk of side effects than synthetic hormones.
Yes. BHRT treats perimenopause and menopause in women and low testosterone (andropause) in men, which can cause fatigue, low libido, muscle loss and mental fog.
Hormonal imbalance is often a factor in weight gain and a slow metabolism. Restoring hormones can help regulate metabolism and body composition, making weight easier to lose with a healthy diet and exercise.
BHRT is not suitable for people with a history of certain cancers, such as breast or prostate cancer, or with blood clotting disorders. Dr. Cappel reviews your history and lab work before recommending it.
Pricing is discussed at your consultation and includes your lab work, custom-compounded pellets and the insertion procedure. Flexible payment options are available.
Where
BHRT in Ponte Vedra Beach, FL
At our office at 100 Executive Way, Suite 114, Ponte Vedra Beach, under the care of Dr. Cappel, a double board-certified dermatologist and dermatopathologist.
Patients see us from Ponte Vedra Beach, Ponte Vedra, Nocatee, Jacksonville Beach, Atlantic Beach, Neptune Beach, Jacksonville, St. Augustine and Palm Coast and across Northeast Florida.
- HoursMonday to Friday, 8:30 am to 3:30 pm
- Phone(904) 686-7771
- PaymentCoverage varies by plan; we verify your benefits
Also consider
Treatments that pair with this one
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LongevityRead about Peptide TherapyPeptide Therapy
Targeted peptides that complement hormone therapy.
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LongevityRead about Supplements and Lab PanelsSupplements and Lab Panels
Hormone and core wellness panels with a supplement plan.
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