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Biote® Hormone Therapy for Men and Women in Peabody, MA
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Feel Like Yourself Again—Naturally
At CosmeticsMD, we believe that when your hormones are in balance, everything just works better—your energy, your mood, your motivation. If you've been feeling off, you're not alone. Hormonal shifts can creep in quietly but impact nearly every part of your life.
That’s why we’ve partnered with Biote®, a trusted name in bioidentical hormone therapy. We use their time-released pellet method to bring our patients long-lasting relief and support—so you can get back to feeling like you. Our experienced clinical team guides you every step of the way with compassion, expertise, and care tailored to your goals.
As a physician-led practice, every service we offer is carefully vetted through a clinical lens. Our Biote program is led and developed by Gary Mendese, MD, Robert Murgia, DO. Our lead clinician is Sarah Duffy, FNP, a trusted provider known for her compassionate care and clinical expertise. We selected Biote only after an in-depth evaluation to ensure it met the high medical standards we apply across every specialty at CosmeticsMD.
We weren’t looking for a trendy solution—we were looking for one that would stand up to rigorous scrutiny and deliver consistent, evidence-based results. Biote stood out for its:
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Proven research and published clinical outcomes
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Personalized dosing guided by real lab data
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Strict training and certification process for providers
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Safe, consistent compounding in FDA-registered pharmacies
Why CosmeticsMD Chose Biote®
The Benefits of Biote Pellet Therapy
Biote pellets are designed to deliver consistent, long-lasting hormone balance with fewer ups and downs than pills or creams. Most patients experience meaningful improvements in:
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Energy and stamina
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Mental clarity and focus
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Mood and emotional stability
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Libido and sexual performance
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Sleep quality
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Muscle tone and metabolism
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Overall sense of well-being
These benefits aren’t just anecdotal—Biote’s method is grounded in over a decade of clinical experience and more than 2.5 million pellet insertions. It’s trusted by patients and providers across the country.
Learn more about the science:
🔗 What is Biote BHRT?
🔗 Research & Clinical Studies
These symptoms aren’t “just aging.”
Hormonal health plays a key role in how you feel every day. Biote offers a proven path forward.
Biote uses custom-compounded pellets made from plant-derived hormones that are structurally identical to those naturally produced by your body. These pellets are inserted just under the skin during a short, in-office procedure and dissolve slowly over 3–6 months, providing a steady release of hormones.
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No daily pills, injections or creams
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No peaks or crashes
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Minimal maintenance
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Lasting results
Biote’s dosing protocols are built on comprehensive lab testing, evidence-based guidelines, and personalized care to ensure safe and effective outcomes for every patient.
How Biote Works
Who Can Benefit from Hormone Replacement Therapy?
Hormone imbalance can affect both men and women—especially during times of life transition like menopause, andropause, or periods of high stress. Even subtle hormonal shifts can disrupt your mood, metabolism, sleep, and more.
For Women
Hormonal fluctuations during perimenopause, menopause, postpartum recovery, or after a hysterectomy may cause:
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Hot flashes, night sweats
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Irregular periods or heavy bleeding
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Anxiety, depression, or irritability
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Brain fog or memory issues
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Low libido or vaginal dryness
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Fatigue, bloating, or weight gain
Difficulty sleeping
For Men
Testosterone decline can begin as early as your 30s and lead to:
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Low energy or chronic fatigue
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Loss of muscle mass or strength
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Decreased motivation or mental clarity
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Weight gain, especially around the midsection
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Low libido or erectile dysfunction
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Mood swings or depression
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Poor sleep
WATCH
Biote® vs. Other BHRT Options
Feature | Biote® BHRT Pellets | Other BHRT Methods (Creams, Pills, Injections) |
|---|---|---|
Years of Clinical Use | 10+ years, 2.5M+ insertions | Varies widely by provider and method |
Pharmacy Standards | Compounded in FDA-registered facilities | Varies; not all use certified compounding pharmacies |
Provider Oversight | Biote-certified medical providers only | Varies by clinic and provider training |
Lab-Guided Personalization | Required with every treatment cycle | Sometimes skipped or loosely monitored |
Compliance | No daily maintenance | Requires daily or scheduled doses |
Treatment Frequency | 3–4 times/year (women), 2–3 times/year (men) | Daily or weekly, depending on format |
Dosing Consistency | Time-released, steady hormone levels | Fluctuating levels depending on dose timing & type |
Delivery Method | Subcutaneous pellet under the skin | Oral pills, topical creams, patches, or injections |
What to Expect on Your BHRT Journey
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Initial Consultation & Lab Work
We start with a comprehensive evaluation and hormone lab panel to determine if BHRT is right for you. -
Personalized Dosing Plan
Your results are reviewed by our experienced medical team and used to craft a custom pellet dose based on Biote’s proprietary system. -
Pellet Insertion
In a quick, in-office visit, the pellet is inserted under the skin. No downtime. Most patients return to normal activity right away. -
Timeline for Results
Many people begin noticing symptom relief in 2–4 weeks, with full effects building over time. Pellets typically last 3–6 months. -
Ongoing Monitoring
We’ll check your levels, symptoms, and outcomes regularly to fine-tune your therapy and ensure lasting results.
Let’s Talk About What’s Going On
Every patient’s story is different—and that’s why we take the time to listen. Whether you're curious, ready, or just exploring your options, we’re here to help you feel empowered, informed, and supported.
Reach out with your questions or book a consult to start your hormone health journey with us.
Why Choose CosmeticsMD for Biote?
Physician-Led, Medically Sound
Our practice combines cosmetic expertise with medical excellence. We deliver hormone therapy safely, with ongoing care and oversight.
Trusted Local Experts
We serve the North Shore community with a reputation for high-quality, patient-centered care.
Comfortable, Private Setting
Enjoy your consultations and procedures in our serene, spa-like medspa in Peabody, MA.
Tailored, Integrated Support
We view hormone therapy as part of a broader wellness journey—one that includes personalized care, thoughtful follow-up, and long-term partnership.
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What are BOTOX & Dysport?BOTOX® Cosmetic and Dysport are injectables that uses botulinum toxin type A (OnabotulinumtoxinA) to temporarily reduce or eliminate facial fine lines and wrinkles. The FDA has approved the use of Botox® for frown lines and crow's feet, while Dysport® is approved for frown lines. It is the most widely researched and studied treatment.
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What do Botox and Dysport treat?At CosmeticsMD, we commonly use Botox and Dysport to treat: Frown lines (aka “11s” / glabellar lines) Forehead creases Crow's feet near the eyes Gummy smiles Facial asymmetries Lip flips (with or without dermal filler) Face slimming Dimpled chins Symptoms and swelling due to TMJ
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When should I start using Botox or Dysport?Botox is FDA approved for women and men 18 years and older. We recommend starting treatments in your late 20s and early 30s.
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How quickly can I get a Botox Treatment?We can often schedule clients within a few days of requesting an appointment, and can treat them on the same day. Book online or call us at 978-871-2181 to see if a Botox appointment is available with one of our top Botox providers at our Peabody office. We try our best to accommodate our client’s busy schedules.
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How much does a Botox or Dysport treatment cost?The total cost of a Botox or Dysport is based on the number of units injected. Treatment varies by client and depends on your facial anatomy and desired result. Our experienced injectors will consult with you prior to your treatment to recommend the proper dose to help you achieve your goals. We specialize in providing our clients with a natural look (your face won't look frozen!) The enjoy savings at every visit, we recommend signing up for one of our membership programs as well as reregistering for Alle (Botox) or Aspire (Dysport) to earn points on your treatments.
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How do Botox and Dysport work?Botox and Dysport are made of a purified protein that works by preventing your facial muscles from contracting by temporarily blocking the nerve signals. Because the muscles are relaxed, wrinkles are reduced.
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Can Botox and Dysport be used with other treatments?YES! To improve and extend your results, we recommend combining BOTOX with other cosmetic skin procedures including chemical peels, IPL, dermal fillers, SkinPen microneedling, HydraFacials, and DiamondGlows. You can even have BOTOX added to an Aquagold facial to tighten pores and improve the appearance of reds in the skin [link to internal pages]. We also love to pair it with SkinMedica’s TNS Advanced+ serum, and/or a vitamin C and E serum, and a retinol and medical-grade SPF to use at home.
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How do I save money on Botox or Dysport treatments?Be very careful of ads for “cheap” BOTOX, “faux-tox” – they are not as effective at best, and at worst can be very dangerous, causing paralysis, botulism poisoning, facial drooping, and infection. The best way to save money on your treatments is to enroll in Allē or Aspire, loyalty programs where you can earn points and rewards for savings on future treatments including… You can also become a Rose Gold member, where you can save 15% on every BOTOX treatment as well as enjoy other other member discounts and perks. Additionally, Botox Cosmetic Day happens right before Thanksgiving, offering amazing deals. Visit the official Botox Cosmetic Day website to participate in the savings! New Botox or Dysport clients can save $100 on their first treatment at CosmeticsMD. Claim the offer by filling out the form on the top of this page.
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Where is your office located?CosmeticsMD performs Botox treatments at our conveniently located Northshore practice at 21 Centennial Drive, Peabody, MA. Book online or call us at 978-871-2181 to schedule your Botox consultation.
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Who is injecting me?At CosmeticsMD, you will always receive the highest standard of care. Our team is led by board-certified dermatologist, Dr. Robert Murgia, and all of our Botox injectors are licensed medical professionals--PA, NPs, and a CANS certified RN. We take the highest precautions to ensure that our injectors performing Botox treatments are extensively trained, qualified, and experienced. Our team of injectors have extensive aesthetic training and have over 30 years of combined experience in medical aesthetics. Our injectors treat patients knowing that everyone is different, and everyone’s aesthetic goals are different, therefore they treat each patient with a customized treatment every time.
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How long does a Botox treatment take?Typically a Botox treatment requires only 10-20 minutes and has minimal to no discomfort. Initial consultation take about 45 minutes with one of our certified cosmetics injectors and treatment can be administered on the same day. Clients usually are able to return to work immediately. However, we advise clients to refrain from strenuous activity for the next 24 hours.
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How long does Botox last?First results can appear in as little as 2 days, and typically last from 90-120 days. Because Botox treatments last between 2 to 4 months, we recommend patients be treated every 3 months to maintain their results and investment in their refreshed appearance.
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Is Botox right for me?Botox is the most popular aesthetic procedure in the country. At CosmeticsMD, we offer a consultation with the best Botox providers on the Northshore to ensure Botox is the right treatment for you.
