The treatment.
Bioidentical hormone replacement (BHRT) using Biote pellets and other delivery methods, individualized to your labs and symptoms. For women navigating perimenopause and menopause, and men experiencing the symptoms of low testosterone.
Hormones decline gradually - fatigue, brain fog, low libido, weight that won't shift, disrupted sleep. Many patients are told it's 'just aging' and sent home with an antidepressant. We take a different approach: comprehensive lab work, a real conversation about your symptoms, and a plan calibrated to you.
Biote pellet therapy delivers a steady physiologic dose of bioidentical estradiol or testosterone over 3–5 months - no daily creams to remember, no roller-coaster levels. For patients who prefer alternatives, we also offer creams and injections. Every protocol is monitored with follow-up labs.
You might be a candidate if…
- Fatigue, brain fog, mood swings, or low libido
- Disrupted sleep or weight that won't shift
- Hot flashes, night sweats, or cycle changes
- Men with low energy, recovery, or motivation
Your visit, step by step.
- 1Comprehensive lab work and consult with our clinical team
- 2Individualized hormone plan - pellets, creams, or injections
- 3Follow-up labs and dose calibration
- 4Ongoing support, not a one-time prescription
What patients tell us they notice.
A 4.8★ experience
Words from real patients across hormones, weight loss, aesthetics, and pain care.
This place is wonderful! The team did an awesome job listening to my needs and came up with a fantastic individualized plan as a woman over 50 wanting to look her best. Very knowledgeable and puts your mind at ease about any treatment. I'm so happy with my results - highly recommend CHR!
Great service, feels very personalized - the staff know your name and address your needs and concerns. Best one in Fresno for weight loss treatment and IV services. Shout out to the CHR team for all the tips and advice. I lost 50 lbs.
I love the weight loss program at Cosmo Health. I've been in the program for months now and have lost over 70 pounds. I'm 100% happy with my ongoing results and the support and encouragement from the team.
Ready to talk it through?
Send us a note or give us a call. We'll get back the same business day.