I get the Biote pellets and have lost 50 lbs. They might not be for everyone but I feel great, have a much better “relationship “ with my husband, no hot flashes, lots of energy, completely got rid of the edgy feeling and was able to drop the weight. Insurance does not pay for the pellets and mine are $350 every 14 weeks but you can use your flex to pay for them. My husband has told several people it is money well spent.