Pellet Therapy with SottoPelle®
A Natural, Steady Approach to Hormone Balance
Hormone changes can impact everything — energy, mood, sleep, focus, and overall quality of life. At Westlake Women’s Health Specialists, Dr. Stephanie Mandelman offers SottoPelle® pellet therapy as a gentle, personalized, and effective way to help patients regain balance and feel well again.
This page answers the most common questions we receive and gives you a clear picture of what pellet therapy could look like for you.
Why Patients Choose SottoPelle® Pellet Therapy
Patients often tell us they appreciate pellet therapy because it feels:
- Natural — bio-identical hormones your body recognizes
- Consistent— no daily pills or fluctuating levels
- Long-lasting — benefits typically 3–6 months
- Personalized — dosing tailored specifically to you
- Supportive of daily life— steady energy, stable mood, improved sleep, and renewed vitality
Frequently Asked Questions
What exactly is pellet therapy?
Pellet therapy uses tiny, plant-based bio-identical hormone pellets placed just beneath the skin. These pellets dissolve slowly, releasing a consistent, steady dose of hormones over several months. This mimics how the body naturally produces hormones — without spikes, drops, or the daily maintenance of other methods.
Who is a good candidate?
Pellet therapy may be helpful if you’re experiencing:
- Fatigue or low energy X
- Brain fog or difficulty concentrating
- Mood swings, anxiety, or irritability
- Sleep disturbances
- Hot flashes or night sweats
- Weight changes
- Low libido or intimacy challenges
- Perimenopause or menopause symptoms
Both women and men can benefit from carefully-managed pellet therapy.
How does SottoPelle® differ from other pellet methods?
SottoPelle® takes a scientific and individualized approach. It prioritizes:
- recision dosing based on detailed lab work
- True bio-identical hormones
- Experienced, certified providers
- Ongoing monitoring, adjusting as your needs change
Dr. Mandelman has been a Certified SottoPelle® Provider since February 2023, offering pellet therapy with a gentle hand, decades of clinical experience, and a deeply patient-centered philosophy.
What is the insertion process like?
Simple and quick.
- A small area is numbed for comfort
- A tiny pellet is placed just under the skin (typically the upper hip area)
- A small bandage is applied and you can return to most daily activities right away
Pellets dissolve naturally — there’s nothing you need to remove or replace.
How long do pellets last?
Most patients feel the benefits for 3–6 months, depending on their metabolism, hormone levels, and individualized dosing. Before the next pellet cycle, we’ll re-evaluate your levels and adjust as needed.
How soon will I feel results?
Many patients begin noticing improvements within 1–3 weeks, with full effects building over the next several weeks. Everyone’s timeline is unique, and Dr. Mandelman monitors each patient closely.
Benefits Patients Often Report
While experiences vary, patients frequently share improvements such as:
- More sustained energy
- Better sleep and reduced night sweats
- Sharper focus
- Calmer, more stable mood
- Easier weight management
- Improved intimacy and libido
- Greater sense of well-being and confidence
Real-Patient Voice
“I finally feel like myself again — calmer, clearer, and with more energy than I’ve had in years.”
“I didn’t realize how much hormone changes were affecting me until everything started leveling out. The difference is remarkable.”
“The process was quick and surprisingly easy. I love that I don’t have to think about daily hormone pills anymore.”
Ready to Explore Pellet Therapy?
If you're curious about whether pellet therapy is right for you, Dr. Mandelman is here to help you make a confident, informed decision. During your consultation, she will:
- Review your symptoms and health history
- Order a comprehensive hormone panel
- Create a fully personalized treatment plan
Call the office at (818) 532-2154 to schedule your consultation.
