Hormone replacement can be administered in several different ways.  We utilize specific delivery methods for specific hormones based on what the patient needs and what they can tolerate.   Testosterone can be administered through an shot, cream, or pellet. We usually start men on shot or pellet and women on cream or pellet.   Estrogen can be administered through a pill, cream or pellet. We usually start with cream or pellet.  Progesterone can be administered through cream or pill. We usually start with a pill at night.   Thyroid is usually administered in a pill in the morning.  DHEA can be administered through a cream or pill. We usually use a pill.