If they are “bio-identical”, they are most likely similar to BioTE, which is what I am on.
You are correct about pellet insertions pain. Some of mine hurt like hell (on the left side) while others are no big deal (right side) – which makes no sense btw.
You said you have been on pellets 3 years. I am surprised you haven’t experimented with the quantity of pellets being inserted to find out where you feel the best. After my first insertion, I went back for a boost, because it wasn’t enough. I have blood work done monthly, so I could argue the point.
I also have been experiencing high hematocrit and had a blood let for the first time last month.
One of the biggest complaints about pellets is the end of cycle crash. And I blame that on doctors who do not want to adjust their procedures per patient. A higher starting dose helps to smooth out that end of cycle dump. In my case, it still wasn’t enough to stretch my insertions out past 3 months.
BioTE doctors are everywhere now. And they do not have the same oversight, which means they can modify the doses (substantially) as needed. And if your doctor will not, it is easy to find another doctor who will.
Four months after a “regular” insertion quantity, I felt like shit. I went back in and made my case for higher initial insertions. I spend twice as much on blood work as I do on pellet insertions — but that allowed me to prove my point.
And btw, if you have been a lurker here, you know that pellets are treated with disdain here. You have been on them 3 years – and are just complaining now. In my book, that is a success. You just need an adjustment in the cycle’s starting quantity, IMO.
Take a look at this article. It was written from the point of watching what you eat to REDUCE estrogen. In your case, you might go against what they say to raise E.