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Hormone Replacement Therapy
at MK Aesthetics

At MK Aesthetics in Nicholasville, KY, we offer bioidentical hormone replacement therapy using Evexias pellets—a proven, physician-supervised approach to restoring hormonal balance for both men and women. Whether you are navigating the effects of menopause, andropause, or simply the gradual hormonal decline that comes with age, our HRT program is designed to help you reclaim your energy, clarity, mood, and vitality from the inside out.

If You Have Not Felt Like Yourself Lately, Your Hormones May Be Why


Hormonal decline is gradual, and because its symptoms overlap with the demands of everyday life—fatigue, brain fog, mood shifts, low libido, disrupted sleep, weight gain—it often goes unaddressed for years. Many people simply accept these changes as an inevitable part of aging. But there is a meaningful difference between aging and hormonal imbalance, and addressing that imbalance can change the quality of your life in profound ways. At MK Aesthetics, we use Evexias bioidentical hormone pellets—tiny, precisely dosed implants that deliver a consistent, natural release of hormones over several months. Unlike oral or topical hormone therapies that can fluctuate throughout the day, pellet therapy provides steady hormone levels that mirror the body’s own rhythms. Our physician-supervised program begins with comprehensive lab testing and a thorough consultation to create a treatment plan that is calibrated specifically to your body, your symptoms, and your goals.

Why Patients Love Hormone Pellet Therapy

Consistent hormone levels. Lasting relief. A renewed sense of who you really are.

What patients tell us most often after starting pellet therapy is that they forgot what normal felt like—and that they are grateful to feel it again. The brain fog lifts. Sleep improves. Energy returns. The emotional steadiness that seemed to disappear comes back. For many, it is one of the most meaningful health decisions they have ever made.

Evexias pellets are compounded from plant-based, bioidentical hormones that are molecularly identical to those your body produces naturally. Because they are implanted just beneath the skin and absorbed gradually, you avoid the peaks and valleys that come with daily pills or gels. Most patients notice a difference within two to four weeks of their first insertion and continue to feel benefits for three to six months before their next treatment cycle. This is not a temporary fix—it is an ongoing, physician-guided investment in how you feel every single day.

Patients feeling energized and balanced after hormone replacement therapy with Evexias pellets at MK Aesthetics in Nicholasville, KY

How Evexias Pellet Therapy Works

A simple, consistent, and clinically proven path to hormonal balance
Step 01

Lab Testing & Consultation

Your journey begins with a comprehensive blood panel and an in-depth consultation with our provider. We review your symptoms, health history, and lab results together to build a complete picture of your hormonal health and determine the optimal pellet dosage for your body.
Step 02

Pellet Insertion Procedure

The pellet insertion is a brief, minimally invasive in-office procedure. A small pellet—about the size of a grain of rice—is placed just beneath the skin in the upper buttock area using a local anesthetic. The entire appointment typically takes less than 30 minutes, with minimal downtime afterward.
Step 03

Ongoing Monitoring & Repletion

Your pellets dissolve naturally over three to six months, delivering a steady, physiologic hormone release the entire time. We schedule follow-up labs and check-ins to monitor your response and fine-tune your dosage over time—ensuring your treatment continues to be optimized for you.
Evexias hormone pellet therapy for women at MK Aesthetics in Nicholasville, KY

HRT for Women


For women, the hormonal shifts of perimenopause and menopause can arrive as a slow erosion of everything that once felt effortless—restful sleep, emotional steadiness, physical energy, sexual wellness, and a clear, focused mind. Estrogen and testosterone both play essential roles in female health, and as their levels decline, the symptoms can be wide-ranging and deeply disruptive to daily life.

Evexias bioidentical pellet therapy for women restores estrogen and testosterone to optimal physiologic levels using hormones that are structurally identical to those your body has always made. Patients commonly report relief from hot flashes, night sweats, mood swings, vaginal dryness, low libido, weight gain, and cognitive fog. Many also experience improved bone density, cardiovascular protection, and a general sense of vitality that returns in the weeks following their first pellet insertion.

HRT for Men


Testosterone decline in men—commonly referred to as andropause or Low T—is a gradual process that often goes unrecognized for years. The symptoms are easy to dismiss: persistent fatigue that rest does not fix, reduced drive and motivation, difficulty building or maintaining muscle, increased body fat, brain fog, irritability, and a diminished interest in sex. These changes are not simply the result of getting older—they are the result of a hormone deficiency that can be directly addressed.

Evexias testosterone pellet therapy for men delivers a consistent, natural release of bioidentical testosterone that mimics the body’s own production patterns far more accurately than injections or topical gels. Within weeks, most men notice meaningful improvements in energy, mental sharpness, physical performance, mood, and libido. Over the course of treatment, many also see improvements in body composition, sleep quality, and an overall restoration of the drive and confidence that define their best self.

Testosterone pellet therapy for men at MK Aesthetics in Nicholasville, KY

Common Symptoms HRT Can Address

Hormonal imbalance can affect virtually every system in the body. Here are some of the most common signs that pellet therapy may help.

Fatigue & Low Energy

Persistent exhaustion, afternoon energy crashes, and the inability to feel rested even after a full night of sleep are hallmark signs of hormonal deficiency in both men and women.

Weight Gain & Muscle Loss

Hormonal imbalance often leads to increased fat storage—particularly around the abdomen—as well as difficulty maintaining or building lean muscle, even with regular exercise and a healthy diet.

Brain Fog & Poor Concentration

Difficulty concentrating, memory lapses, and a persistent mental fuzziness are frequently reported by patients with hormone imbalance—and one of the first symptoms to improve following pellet therapy.

Hot Flashes & Sleep Disruption

Hot flashes, night sweats, insomnia, and disrupted sleep cycles are among the most commonly reported symptoms in women going through perimenopause and menopause—all of which pellet therapy is well-known for relieving.

Mood Changes & Irritability

Irritability, anxiety, depression, and emotional reactivity that feel out of character are common hormonal symptoms. Patients often describe a striking improvement in their emotional baseline after beginning HRT.

Low Libido & Sexual Health

Reduced sexual desire, difficulty with arousal, and discomfort during intimacy are deeply personal symptoms that hormone therapy frequently addresses with meaningful, lasting improvement.

Frequently Asked Questions about Hormone Replacement Therapy

What are bioidentical hormones, and how are they different from synthetic hormones?
Bioidentical hormones are derived from plant sources and are molecularly identical to the hormones your body produces naturally—estrogen, testosterone, and progesterone. Unlike synthetic hormones used in some conventional HRT approaches, bioidentical hormones are recognized and processed by the body in the same way as endogenous hormones, which many patients and providers believe contributes to better tolerance and outcomes.
What exactly are Evexias pellets and how are they inserted?
Evexias pellets are small, custom-compounded cylinders roughly the size of a grain of rice. They are inserted just beneath the skin—typically in the upper buttock—using a local anesthetic during a brief in-office procedure. Once in place, the pellets dissolve gradually over three to six months, releasing a steady, consistent dose of hormones without daily administration or fluctuating levels.
How soon will I feel results?
Most patients begin to notice improvements within two to four weeks following their first pellet insertion. Symptoms like fatigue, mood, and sleep often improve earliest, while changes in libido, body composition, and cognitive clarity may continue to develop over six to twelve weeks as hormone levels stabilize and optimize.
Are there any side effects?
Pellet therapy is generally well-tolerated. The insertion site may be slightly tender or bruised for a few days after the procedure. Rare side effects can include mild acne, slight fluid retention, or temporary breast tenderness, particularly in the early weeks of treatment. Your provider will monitor your labs and adjust your dosing over time to minimize any unwanted effects and ensure your treatment remains well-calibrated.
How often do I need to come in for pellet insertions?
Most women receive new pellets every three to four months, while men typically require repletion every four to six months. Your treatment cycle is determined by your individual hormone metabolism, your dosage, and how your labs look at follow-up. Your provider at MK Aesthetics will work with you to establish your ideal schedule.
Who is a good candidate for HRT pellet therapy?
Good candidates include men and women who are experiencing symptoms consistent with hormonal decline and whose lab work confirms a deficiency or imbalance. HRT is not appropriate for everyone—certain personal or family health histories may affect candidacy. Your provider will review your complete health profile during your consultation to determine whether pellet therapy is the right fit for you.
Can I combine HRT with other treatments at MK Aesthetics?
Yes. Many patients pair HRT with other services at MK Aesthetics, including aesthetic treatments and medical weight loss. Optimizing your hormones can actually enhance your results from other treatments—improving skin quality, supporting body composition goals, and increasing your overall energy and motivation to invest in your health and appearance.
What does the process look like from start to finish?
Your journey begins with a consultation and comprehensive lab work to establish your baseline hormone levels and review your symptoms. Once your provider has analyzed your results, a personalized pellet dosage is compounded specifically for you. At your insertion appointment, the procedure is completed in the office in under 30 minutes, and you will typically leave with minimal restrictions and a follow-up plan already in place.
Happy older patients after hormone replacement therapy at MK Aesthetics in Nicholasville, KY

Ready to Restore Your Balance with MK Aesthetics?

Schedule Your HRT Consultation in Nicholasville, KY
Hormonal imbalance is real, it is measurable, and it is treatable. If fatigue, mood changes, low libido, weight gain, or a persistent sense that something is simply off have become part of your daily life, you do not have to accept that as normal. The team at MK Aesthetics will take the time to truly understand what you are experiencing, review your labs with care, and design a personalized Evexias pellet therapy plan built around your body and your goals. Your best years are not behind you—they may simply be waiting on the other side of this conversation.