Patients have reported that one of the most effective treatments for relief of their hormone imbalance symptoms is through bioidentical hormone replacement therapy, or BHRT. Certified BioTE providers use pellets, which can be inserted in only a few minutes during an office visit. Within two to four weeks after pellet insertion, bioidentical hormone replacement therapy (BHRT) may begin to relieve symptoms of hormonal imbalance in men, and patients are back to their regular activities.