Skip to content Feeling unlike yourself low energy, brain fog, disrupted sleep, or a fading sex drive? Get safe, natural, and consistent hormone restoration from Board-Certified physicians right here in Roseville.
At Laser Esthetica in Roseville, CA, our board-certified physicians, Dr. Shiree Fatch and Dr. Nalini Prasad, provide BioTE® bioidentical hormone replacement therapy (BHRT) using subcutaneous pellets to restore balance safely, naturally, and consistently.
Doctor-delivered care from start to finish – Labs, dosing, insertion, and follow-up are performed by our physicians.
Steady, consistent hormone levels – Pellets release small, physiologic doses 24/7, helping avoid the “ups and downs” common with pills, creams, and injections.
Personalized dosing – We base your plan on symptoms, medical history, and lab work, and adjust as your body responds.
Local authority – Trusted by Roseville for 20+ years; long-term patient relationships and privacy are core to our practice.
BioTE® pellets are tiny, plant-derived bioidentical hormones (typically testosterone for men; testosterone and/or estrogen for women) placed just under the skin through a quick in-office procedure. The pellets dissolve gradually, delivering a consistent dose for 3–4 months in women and 5–6 months in men.
How it helps: Optimizing hormones can support clearer thinking, steadier mood, improved sleep, energy, libido, and overall vitality so daily life feels easier and more you.
You may benefit from BioTE® if you’re experiencing one or more of the following:
Persistent fatigue or low motivation
Brain fog or trouble concentrating
Mood fluctuations, irritability, or anxiety
Poor sleep, night sweats, or hot flashes
Decreased libido or sexual function
Weight changes or difficulty building muscle
Reduced bone density (as advised by your physician)
Your doctor will assess your health history, medications, and labs to determine if pellet therapy is appropriate.
Physician Consultation & Labs
We review your symptoms, medical history, and goals, then order targeted labs.
Personalized Plan
Dr. Shiree Fatch or Dr. Nalini Prasad creates your dosing plan, including hormones and any supportive nutraceuticals or thyroid optimization if appropriate.
In-Office Pellet Placement
A tiny incision (usually in the upper hip/flank) is made under local anesthetic. Pellets are inserted in minutes; a small steri-strip covers the site.
Follow-Up & Optimization
Most patients begin noticing changes within 2–4 weeks, with full optimization often reached by 3–6 months. We recheck labs and symptoms to refine dosing.
Mental: fewer hot flashes/night sweats, improved sleep quality, clearer thinking, less brain fog
Physical: better daytime energy, support for lean body composition with exercise, help for bone health in consultation with your physician
Emotional & Sexual Wellness: steadier mood, reduced irritability, improved libido and sexual function
Results vary. Your physician will tailor therapy to your medical needs.
Many patients choose pellets for the convenience and consistency:
No daily dosing or messy application
More stable levels, which can help reduce the peaks/troughs linked to mood and energy swings
Fewer variables impacting absorption vs. topicals
Predictable re-dosing window (every 3–6 months)
Downtime: Minimal. Avoid vigorous glute/hip workouts, soaking, and swimming for ~3–5 days; light walking is fine.
Common, short-term effects: Mild soreness, bruising, or swelling at the insertion site.
Monitoring: We follow your symptoms and labs to keep dosing appropriate and safe.
Medications & conditions: Be sure to share your full medical history, including any history of hormone-sensitive conditions. Your physician will advise whether BHRT is right for you.
Pricing varies based on your personalized plan, hormones needed, and re-dosing schedule. After your consultation and labs, we’ll provide an exact quote. Financing options are available.
Board-certified physician and certified by the American Board of Aesthetic Medicine; expert in non-surgical facial rejuvenation, wellness, laser therapies, and hair restoration.
Board-certified physician who brings decades of medical treatment experience to the Laser Esthetica team.
Typically, 3–4 months for women and 5–6 months for men, depending on activity level and metabolism.
Many patients notice changes within 2–4 weeks; full optimization can take up to 6 months.
Bioidentical hormones (e.g., estradiol, testosterone) are FDA-approved molecules. Pellet therapy often uses compounded pellets, which are prepared by compounding pharmacies and are not individually FDA-approved. Your physician will discuss what’s appropriate for you.
Possibly. We evaluate thyroid and metabolic factors and may recommend natural desiccated thyroid or targeted nutraceuticals when clinically appropriate.
Mild site soreness or bruising is common and short-lived. Keep the area clean/dry; avoid soaking, swimming, and strenuous lower-body exercise for several days.
Pellets dissolve naturally over time. If concerns arise, contact us immediately for guidance.
Ready to feel like yourself again? Schedule your BioTE® consultation at our Roseville medical spa trusted by patients from Granite Bay to Folsom.
Call (916) 783-0580 or visit our office at 1650 Lead Hill Blvd #400, Roseville, CA 95661, near The Fountains at Roseville and Westfield Galleria, to schedule your personalized consultation. We proudly serve Roseville, Granite Bay, Rocklin, Lincoln, Sacramento, and the greater Placer County area.
We would love to hear from you.
