Hormone Replacement Therapy With EvexiPEL at Twenty-One Medical in Pineville, NC

Feel Like Yourself Again—with Personalized HRT Care 

We offer comprehensive and personalized Hormone Replacement Therapy (HRT) to help restore balance and vitality.As an EvexiPEL certified provider, we exclusively offer the EvexiPEL method of hormone replacement therapy at our Pineville, NC location., we specialize in advanced bioidentical hormone replacement therapy (BHRT), including EvexiPEL pellet therapy. Our partnership with EVEXIAS Health Solutions ensures that you receive the highest-quality care and the latest advancements in hormone therapy.

What Is Hormone Replacement Therapy?

HRT is a treatment designed to restore hormonal balance in the body, which can be disrupted by aging, medical conditions, or lifestyle factors. At Twenty-One Medical, we provide tailored HRT solutions to address hormone imbalances and alleviate related symptoms, enhancing your quality of life. Our approach includes the use of bioidentical hormones, which are chemically identical to the hormones naturally produced by your body, ensuring the safest and most effective treatment available.

Symptoms of Hormonal Imbalance

Both men and women can experience symptoms that indicate hormonal imbalances.

Weight gain or Difficulty losing weight

Brittle or Weak Bones

Poor Sleep

Irritability or Anxiety

Long Term Fatigue w/o Reason

Headaches

Low Libido Low Sex Drive

Very Dry Skin or Skin Rashes

Changes in Sensitivity to Cold and Heat

Erectile Dysfunction

Unexplained or Excessive Sweating

What are the Signs You Need Hormone Replacement Therapy?

Men and women who feel they may have lost their “zeal for life,” or frequently experience low energy, sleepless nights, hair loss, low or no desire for sex, hot flashes, night sweats, mood swings, irritability, erectile dysfunction (ED), and more are candidates for hormone replacement therapy.

Hormone imbalance is often an unfortunate side effect of aging that can diminish your quality of life and impact relationships. Bioidentical hormone therapy has been shown to be particularly effective for both women and men with few side effects and added benefits, such as reduced risk of disease.

Why Choose EvexiPEL at Twenty-One Medical?

EvexiPEL is a cutting-edge bioidentical hormone replacement therapy (BHRT) pellet that is custom-compounded for each patient to deliver consistent, steady hormone levels over time. Unlike other methods of hormone delivery, EvexiPEL pellet therapy offers a natural, convenient, and highly effective way to restore hormonal balance. As a certified provider of EvexiPEL, we offer our patients a safe and convenient solution for hormone restoration, tailored to their unique needs.

Benefits of EvexiPEL Pellet Therapy

Steady Hormone Release

EvexiPEL pellets deliver a continuous, consistent dose of hormones for 3 to 6 months, minimizing the fluctuations seen with other methods.

Convenience

The pellet is inserted under the skin during a simple in-office procedure, requiring no daily medications or application of creams.

Improved Well-Being

Many patients report increased energy, improved mood, better sleep, enhanced libido, and improved overall health after starting EvexiPEL therapy.

Safe and Effective

EvexiPEL pellets are made from bioidentical hormones, ensuring that your body receives the most natural form of treatment available.

Twenty-One Medical is providing EVEXIAS HRT

We are proud to be a certified provider of Evexias HRT, offering advanced, science-backed hormone replacement therapy through the EvexiPEL® method. Our partnership with EVEXIAS Health Solutions ensures that patients receive the highest quality bioidentical hormone therapies, expert provider support, and personalized treatment protocols.

Whether you’re managing symptoms of menopause, andropause, thyroid imbalance, or other hormone-related conditions, our Evexias-trained providers are equipped to guide you with care, accuracy, and compassion.

Evexias HRT means:

Expert-led therapy from EvexiPEL-certified providers

High-purity bioidentical hormone pellets

Thorough lab testing and symptom evaluation

Holistic, patient-centered wellness focus

Trust Twenty-One Medical to bring you the most advanced form of Hormone Replacement Therapy available today.

Types of Hormone Replacement Therapy

Hormone replacement therapy can help treat menopause, low testosterone, erectile dysfunction, vaginal dryness, sleep issues, and mood swings. At Twenty-One Medical, we offer personalized solutions using bioidentical hormones.

Thyroid Hormone Therapy

Thyroid imbalances often go undiagnosed but can cause fatigue, weight gain, mood swings, and poor sleep. We perform advanced lab testing to create personalized treatment plans that help restore thyroid function and improve overall wellness.

Estrogen Hormone Therapy

Low estrogen in women can lead to hot flashes, night sweats, low libido, and mood changes. Estrogen pellet therapy with EvexiPEL offers consistent hormone levels and relief from these symptoms.

Testosterone Hormone Therapy

Both men and women need testosterone for energy, mental clarity, and sexual health. Low levels can lead to fatigue, brain fog, and weight gain. Testosterone pellet therapy is a safe and effective solution to restore optimal levels.

Delivery Methods of Hormone Replacement Therapy

We offer a variety of HRT delivery methods to suit your lifestyle and health needs. Your provider will help determine the best option based on your symptoms, preferences, and lab results.

Pellet Therapy

Pellet therapy is one of the most effective and natural forms of hormone delivery. Tiny pellets, inserted just under the skin, provide steady, long-lasting hormone release for 3–6 months. It’s convenient, consistent, and mimics how your body naturally produces hormones.

Creams and Gels

Topical creams and gels are applied to specific areas of the body and are custom-compounded for each patient. While easy to use, they carry a risk of transferring hormones to others through skin contact.

Patches

Hormone patches are worn on the skin and deliver hormones continuously. They’re simple to use but may be visible and can fall off, making them less popular.

Pills

Oral hormone therapy is common for thyroid disorders and progesterone therapy. While familiar, pills can have more side effects, especially when used for estrogen or testosterone.

Injections

Injections offer fast or gradual hormone delivery depending on the method (intramuscular or subcutaneous). Though effective, they can cause hormone spikes and are less convenient than pellet therapy.

Why Choose Twenty-One Medical for Your HRT?

Certified EvexiPEL Provider

We are proudly certified in EvexiPEL, offering advanced, bioidentical hormone pellet therapy backed by EVEXIAS Health Solutions.

Experienced, Compassionate Providers

With deep expertise in hormone therapy, our providers offer attentive, ongoing care to help you feel like yourself again.

Personalized, Evidence-Based Care

Our team creates customized HRT plans based on your lab results, symptoms, lifestyle, and goals—no one-size-fits-all approach.

Convenient In-House Procedures

From labs to pellet insertions, we handle everything in our Pineville office—making treatment smooth, fast, and hassle-free.

Get Started Today

Reclaim Energy, Sleep, and Emotional Stability

If you’re ready to experience the benefits of hormone replacement therapy, contact Twenty-One Medical in Pineville, NC today. Our team is here to help you restore hormonal balance and improve your overall health and well-being.

Reach Out to Us!

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