EvexiPEL® Pellet Therapy
Fatigue, brain fog, low libido, and unexplained weight gain aren’t just signs of aging—they are symptoms of hormonal decline that affect both men and women. Bioidentical Hormone Replacement Therapy at ANU in Elizabethtown, KY goes beyond temporary fixes. We restore your body’s natural hormonal balance with EvexiPEL® bioidentical hormone pellet therapy, a proven, long-lasting solution for sustained vitality.
Meet the Founder At ANU Face, Mind & Body in Elizabethtown, KY, board-certified adult-geriatric nurse practitioner Amy Nunn, APRN, AGPCNP-BC, PMHNP-BC combines 20 years of healthcare expertise with personalized hormone protocols to deliver precise, natural-looking results for patients throughout Hardin County and surrounding communities.
Restoring Natural Balance
For women, it’s the hot flashes, night sweats, and mood swings of menopause. For men, it’s the slow decline of andropause—loss of muscle mass, decreased stamina, and a sharp drop in motivation and libido. For both, it’s the fatigue that coffee can’t fix, the sleep that never feels restful, and the weight that accumulates despite your best efforts.
These are not just inevitable parts of getting older; they are signs of profound hormonal imbalance. EvexiPEL® Pellet Therapy addresses these symptoms at their root cause. Using bioidentical hormones that are molecularly identical to those your body produces, we don’t just mask symptoms—we restore your physiological foundation for energy, clarity, and peak performance.
The Power of EvexiPEL® Pellet Therapy
Bioidentical Hormone Replacement Therapy (BHRT) is a medical treatment that restores your hormone levels to their optimal state. At ANU, our primary method is EvexiPEL® Pellet Therapy, an advanced system that uses subcutaneous pellets to deliver a steady, consistent dose of bioidentical hormones over several months.
This "set it and forget it" approach avoids the daily hassle and hormonal fluctuations of creams, gels, or injections. The pellets, which are smaller than a grain of rice, are placed just under the skin in a simple, in-office procedure. They release a consistent stream of hormones that your body can use as needed, mimicking its natural physiological rhythm. We are proud to be a certified EvexiPEL® provider, utilizing their proven protocols and superior hormone formulations to ensure safe, effective, and predictable results for both men and women.
Restore Your Vitality
Reclaim the energy levels you once had as optimized hormones support cellular function and natural energy production throughout your body
Lift the fog and sharpen your focus with balanced hormones that support cognitive function, memory, and concentration
Fall asleep easier and wake refreshed as hormone optimization restores your body's natural circadian rhythm and sleep architecture
Experience fewer mood swings, reduced anxiety, and improved emotional resilience through hormones that regulate neurotransmitter balance
Support lean muscle maintenance and healthy metabolism, making it easier to manage weight and maintain strength
Restore libido, improve sexual function, and reconnect with your partner as hormone levels return to optimal ranges
Finding Your Best Approach
| Treatment | Mechanism | Results Appear | Duration | Best For |
|---|---|---|---|---|
| Bioidentical HRT | Molecularly identical to endogenous hormones | 2-4 weeks | Ongoing with treatment | Comprehensive hormone optimization |
| Synthetic Hormones | Chemically modified hormone analogs | 2-6 weeks | Ongoing with treatment | Cost-effective symptom management |
| EvexiPEL® Pellet Therapy | Bioidentical pellets inserted under the skin | 3-6 months | Steady, continuous release | Consistent hormone levels, low maintenance |
Eligibility Criteria
Hormone replacement therapy helps patients experiencing symptoms of hormonal decline or imbalance across various life stages.
Ideal Candidates:
We often recommend waiting if you have active hormone-sensitive cancers, untreated blood clotting disorders, or severe liver disease.
Your hormone journey begins with an in-depth conversation about your symptoms, health history, lifestyle, and goals. We discuss how hormonal changes are affecting your daily life and what improvements you're hoping to achieve. This comprehensive understanding guides every decision in your treatment plan.
We order detailed bloodwork to assess your complete hormonal profile including sex hormones, thyroid function, adrenal markers, and metabolic indicators. These results reveal the full picture of your hormonal health and identify specific imbalances driving your symptoms.
Once your labs return, we review every result together, explaining what each marker means and how it relates to your symptoms. Based on your unique profile, we design a personalized hormone replacement protocol including delivery method, dosing, and timing tailored specifically to you.
We begin your hormone therapy with careful dosing, typically starting conservatively and adjusting as needed. Whether using creams, injections, pellets, or other delivery methods, we ensure you understand proper administration and what to expect as your body adjusts.
Our comprehensive program is designed for continuous support. It includes your initial intake, necessary lab work, monthly visits with your Nurse Practitioner, and dedicated support from our Medical Assistant (MA). During your regular follow-up appointments, we track your progress and hormone levels, assess symptom improvement, monitor for any side effects, and fine-tune your protocol to achieve optimal balance. This ongoing partnership ensures you continue feeling your best.
Hormone needs can shift over time. We provide continued support with periodic reassessments, protocol adjustments, and lifestyle recommendations to maintain your results and support your overall health for years to come.
What to Know
Common side effects of hormone replacement therapy include mild breast tenderness, headaches, or mood fluctuations during the initial adjustment period, which typically resolve within 4-6 weeks.
More serious but rare risks include increased blood clot formation, cardiovascular events, or hormone-sensitive cancer development. However, bioidentical hormones demonstrate superior safety profiles compared with synthetic alternatives.
Amy Nunn's expertise and careful monitoring help minimize risks while optimizing therapeutic outcomes through personalized dosing protocols.
Hormone Replacement Therapy (HRT) is personalized based on your unique hormone profile, treatment goals, and the level of monitoring needed to support optimal results. During your consultation, your provider will review your medical history, discuss symptoms, and evaluate appropriate lab testing to develop a treatment plan tailored specifically to you.
For patients interested in longer-lasting hormone support, pellet therapy may also be recommended as part of your treatment plan. This approach delivers a steady release of hormones over time and can be an effective option for maintaining balanced levels between visits.
To learn more about hormone replacement therapy and discuss the options available to you, schedule an appointment with our team. Flexible payment options are available to help make treatment more accessible.
20 Years of Clinical Excellence
We use advanced lab panels to assess your complete hormonal picture, identifying imbalances and underlying causes before creating your
treatment plan
Your hormone therapy is precisely dosed and tailored to your unique biochemistry, symptoms, and goals - not a standard one-size-fits-all
prescription
Amy's psychiatric expertise recognizes the profound connection between hormones and mental health, addressing both physical and emotional
symptoms together
Regular monitoring and adjustments ensure your hormone levels stay in optimal ranges, with accessible support as your body's needs evolve over time
About Hormone Replacement Therapy
It's a simple, quick in-office procedure. After numbing an area on your upper hip, a tiny incision is made and the pellet is inserted. The site is covered with a small bandage, and you can return to your normal activities immediately.
Most patients experience no pain at all. The area is numbed with a local anesthetic before the insertion, and the sensation is typically described as a feeling of slight pressure, not pain. Mild tenderness at the insertion site for a day or two is normal but rare.
Pellets deliver a consistent dose of hormones and typically last between 3-5 months for women and 4-6 months for men, depending on your metabolism and activity level. We will create a personalized schedule for you.
While both treat low testosterone, our EvexiPEL® approach uses bioidentical hormones and provides a steady, continuous release, avoiding the weekly "roller coaster" of peaks and troughs common with the synthetic testosterone injections used at many low-T centers.
While the initial consultation and lab work may be covered depending on your plan, the pellet therapy itself is typically not covered by insurance. We offer flexible payment options to make this investment in your health accessible.
EvexiPEL® is a comprehensive, certified method that emphasizes a superior training protocol for providers, high-quality hormone sourcing, and a data-driven approach to dosing. This ensures you get a safe, effective, and consistent result every time.
Complement your hormone therapy with our other services.
Comprehensive wellness therapies focused on restoring balance, optimizing metabolism, and enhancing long-term vitality.
Integrated mental health services that support mood stability, cognitive clarity, and emotional resilience.