Why Hormone “Optimization” and why “Pellets”?

For several years of my practice I have been helping patients relieve their symptoms due to menopause and the male version-“andropause” – with individually compounded creams, gels, liquids and patches.

Men have also traditionally been offered injections or testosterone gel, some of which may be covered by insurance, many times it is poorly covered.

My experience with such patients was that they did not consistently feel much better and definitely didn’t feel as well as they thought they should.

Since my advanced training in hormone optimization with BioTE, specifically as part of my ongoing role as an aging well expert, the possibility exists now to help people feel great, energized and like themselves again while going through menopause, andropause and beyond.  This goal is BIGGER AND BOLDER because it can be—because I am now using bioidentical hormone pellets.

My perspective has shifted with the goal of “optimization”. This means rather than nudging a patient up into the low end of the reference range (often called the “normal” range as misleading as that is), I am now treating with an adequate replacement dose with hormone pellets to raise levels into the higher end of the reference range- where patients typically feel their very best.
In our practice, with a consultation first to review symptoms, labs are done and the results determine the optimal dosing.

Pellets are a delivery method that allows for the steady release of hormones over 24H period-as well as a physiologic increase– or body-need driven- while stressing the body during exercise.
Other delivery methods create spikes and then lows such as testosterone injections, or never quite reach a therapeutic state, such as in creams, sublingual liquids or gels.

Pellets, on the other hand, are made of bioidentical testosterone or bioidentical estradiol from plant sources combined with a little stearic acid.

Bioidentical BioTE pellets are approximately the size of a grain of rice and are placed in the soft tissue of the buttock near the hip in a short office visit. This takes about 15 minutes and afterwards requires no swimming plus gluteal (or “butt) rest for 3 days for women and 7 days for men (normal activity is fine).
The pellets gradually release a steady state of estrogen or testosterone or both, and give a boost when needed- such as that long bike ride, Peleton spin session, or power yoga class.

The pellets are replaced every 3-4 months for women and every 4-6 months for men depending on how rigorously active they are. This delivery method is easy on the schedule, and promises a steady state of hormone balance.
So getting people to the levels where they feel their best- and staying there – is the name of the game now!

Check out upcoming blogs including “Top 10 Myths about Women and Testosterone Replacement”, “The What and Why of DIM supplementation” and “Why hormone imbalance is so insidious- its like the example of becoming a boiled frog!

Jen Nugent, is an NP at Silver Solutions Medspa as well as a DNP adjunct and clinical instructor. She is passionate about supporting people being in action and works with women and men to live their best lives with energy and vitality.

Both Jen Nugent, NP and Jackie Ramsey-Rosenhein DNP are available for hormone consultations at Silver Solutions Medspa in Pittsfield MA. Call or text the office at 413-441-8453.

Silver Solutions new office space at 75 North St., Pittsfield, is now open for business, as of  Monday, Aug 6!

It’s been a long time coming! We are still accessorizing, creating signage, printing materials and adding staff.  Take a look below and see why I am smiling!

Come on by for a visit!

Hope you are all having a wonderful summer.


Silver Solutions Pittsfield MA berkshires office waiting room

Waiting room with glowing Himalayan Salt Walls in the background.

Silver Solutions Pittsfield MA berkshires facial aesthetics

Philip Bastow, facing the camera, and my husband Angelo relaxing in those incredibly comfortable leather chairs, specially chosen for my office by Pam Rich from Paul Rich and Sons. Philip custom built the waiting room tables. He is a incredible artist whose furniture also graces Hotel on North.

Silver Solutions Pittsfield MA berkshires nutri IV

This is one of two treatment rooms. Looks quite empty here, but this weekend, I filled it up with extras from my previous office in Crawford Square. Remember how I had to pump up the exam table, getting the hydraulics to stay quite by resting my knee on the exam seat? No more of that! These exam tables are powered by electric buttons! Up, down, sideways, all at my fingertips! Yay!

Silver Solutions Pittsfield MA berkshires salt room

Salt Glow!

Silver Solutions Pittsfield MA berkshires office

These salt walls were installed by Tom Wickham, from Tom Wickham and Daughters, Inc. BTW, Tom is running for Senator! Eclectic guy!

Silver Solutions Pittsfield MA berkshires new office waiting room

Philip Bastow looking comfortable!

Ok, I’ll admit it! I was a bit naive thinking that converting a raw space into a beautiful office space, would be a piece of cake. I thought, how hard could it be? Put down a floor, build five walls, put up Himalayan Salt Walls, put in three sinks, furnish and stock, and boom, boom, boom, just like that it would be done. Not quite!

I’ve included some photos of the construction process.

My design team Pam and Tom Rich, of Paul Rich & Sons Furnishings in Pittsfield, are at this moment, sitting in chairs, looking at tables and picking wall colors. Pam introduced me to Philip Bastow who created all the custom furniture for Hotel on North. One week later, he had designs for my waiting room. The coffee/tea bar, tulip tables and a side bar for office info. Metal and wood, gorgeous! Dave of Berkshire Fabric & Wallpaper has the shades ready and waiting for hanging.

You can follow the building progress on Instagram @silversolutionsglow
or like my Facebook page silversolutionsglow

So much more news to come.
In the meantime, its starting to feel like spring!