Biote Testosterone Pellet Therapy for Men in San Antonio & Boerne
Low energy, fading drive, lost strength, and a shorter fuse aren’t just part of getting older. For many men, they’re signs of low testosterone. Biote testosterone pellet therapy restores levels with small pellets placed under the skin that release testosterone steadily for months, with no weekly injections. At Alamo Primary Care, every plan starts with a consultation and lab testing at our Westover Hills clinic in San Antonio or on Main Street in Boerne.
- No weekly injections
- Labs before treatment
- Pellets last 4–6 months
- Monitored by your primary care team
Signs of Low Testosterone in Men
Testosterone declines gradually after about age 30, and for some men it drops low enough to affect daily life. Common signs include:
- Low energy and afternoon crashes
- Reduced sex drive or erectile changes
- Loss of muscle and strength, even with regular training
- Weight gain around the middle
- Irritability, low mood, or less motivation
- Poor focus and mental fog
- Restless sleep and waking up unrefreshed
If several sound familiar, a morning blood test is the place to start.
Why Men Choose Testosterone Pellets
- Set it and forget itOne quick visit every 4–6 months instead of weekly injections
- Steady testosterone levelsPellets release hormone gradually, avoiding the peaks and dips some men feel between injections
- No needles at homeNo self-injection, no supplies to store
- Lab-based dosingEach pellet dose is set from your numbers and adjusted over time
- Good fit for busy schedulesIdeal for men who travel or don’t want a weekly routine
Biote Pellets vs. TRT Injections
| Biote testosterone pellets | TRT injections | |
|---|---|---|
| How often | Every 4–6 months, in clinic | Weekly or every 2 weeks, at home |
| Hormone levels | Steady release | Peaks and dips between doses |
| Who gives it | Your provider | You, after training |
| Dose changes | At the next insertion | Easy to adjust anytime |
| Cost structure | Per insertion, cash pay | $150/month membership + medication |
Prefer injections with a monthly membership? See our $150/month TRT program.
How Biote Works for Men
- 01
Consultation
We review your symptoms, health history, medications, and goals, including whether you plan to have children, since testosterone therapy can affect fertility.
- 02
Morning lab testing
Blood work, usually drawn in the morning when testosterone is highest, measures total and free testosterone, estradiol, PSA, a complete blood count (including hematocrit), and other markers as needed.
- 03
Lab review
Your provider explains your results and recommends a pellet dose based on your levels, body composition, and symptoms.
- 04
Pellet insertion
A quick in-office procedure of about 10–15 minutes. After local numbing, several small pellets are placed under the skin of the upper hip through a tiny incision.
- 05
Follow-up and monitoring
Repeat labs about 4–6 weeks after your first insertion check testosterone, hematocrit, and PSA. Before each new pellet, about every 4–6 months, we review your symptoms and labs and adjust your dose.
Aftercare
- Keep the site clean and dry, and leave the bandage on as instructed
- Avoid baths, hot tubs, and swimming for a few days
- Skip heavy lower-body workouts, running, and squats for about a week
- Mild soreness or bruising is normal and usually fades within a week
What Results Can You Expect?
Every man responds differently, but many notice:
- 2–4 weeks:better energy, mood, and sleep
- 1–2 months:improved libido and focus
- 3–6 months:gains in muscle and strength and reduced body fat, especially with regular exercise
Biote May Not Be Right for You If You:
- Want to have children soon, since testosterone can lower sperm production and fertility
- Have prostate or breast cancer
- Have high red blood cell counts (polycythemia)
- Have untreated severe sleep apnea or uncontrolled heart failure
Possible side effects include insertion-site soreness, acne or oily skin, fluid retention, higher red blood cell counts, and occasionally a pellet working its way out. We monitor hematocrit and PSA at every follow-up.
Cost of Biote for Men
Call 210-571-1338 for current pricing.
- Biote pellet therapy is paid out of pocket
- Lab testing may be covered by insurance
Why Men Choose Alamo Primary Care
- Hormone care connected to your whole healthHeart health, prostate screening, and testosterone therapy under one roof
- Labs first, every timeDosing based on your numbers, not a standard protocol
- Both options availablePellets or injections, whichever fits your life
- Straight answersAbout benefits, risks, and fertility
- Two convenient clinicsWestover Hills, 12047 Potranco Rd, San Antonio (Mon–Thu 7–5, Fri 7–3) and 1411 S Main St, Boerne (Mon–Fri 8–5)
Book your men’s hormone consultation
Westover Hills, 12047 Potranco Rd, San Antonio (Mon–Thu 7–5, Fri 7–3) and 1411 S Main St, Boerne (Mon–Fri 8–5). Serving Alamo Ranch, Helotes, Fair Oaks Ranch, and Kendall County.
Google Reviews
Alamo Primary Care
We are thrilled with our first visit here. Everything moved very quickly and efficiently, as they seem to have a very effective team of employees. The appointment lasted approximately 1 hour, and that included new patient intake forms, vitals, seeing the doctor and getting labs done. I love how fast the process went, while also feeling seen, heard and feeling like our concerns were valid and taken seriously. The receptionists were all very friendly, inviting and helpful, including Delilah, who checked us out and set our next appointment. Finding a new primary care provider can be quite overwhelming and time consuming, but not here, and the services offered go above and beyond anything we expected. We look forward to future visits with this practice.
Alamo Primary Care has the BEST staff! From the moment I walked in, I had such a great experience as a new patient. I’m especially thankful they were able to get me in for a same day appointment. Im finally feeling like I’m getting the answers I’ve been looking for. Highly recommend!
We came in to establish care with my new PCP, Dr. Vishal, and his staff were absolutely wonderful! Everyone was so informative, patient, and thorough throughout the entire process. I’m so happy that I made the change and feel confident knowing I’m in such great hands. Thank you, Dr. Vishal and team, for making us feel so welcomed and cared for!
I’ve had a great experience with Alamo Primary Care. Everyone in the office has always been friendly, welcoming, and willing to help. The front desk ladies are always kind and make everything easy, whether it’s scheduling appointments or answering questions. The doctor takes the time to listen and explain things without making you feel rushed, and the PA has been just as helpful and knowledgeable. It’s nice to go to a doctor’s office where you feel like they actually care about their patients. Highly recommend!
My senior mother had an appointment there today and let me know how well every member of your staff treated her from beginning to end. I appreciate your professionalism, empathy and amazing bedside manner. I’m happy to know she felt comfortable and in good hands. Highly recommend! Respectfully, patients daughter.
I had an excellent experience with this doctor and their entire office staff. From the moment I walked in, I was greeted warmly and treated with kindness and professionalism. The front desk team was efficient and helpful, making the check-in process smooth and stress-free. The doctor took the time to listen carefully to my concerns, explained everything clearly, and made sure I felt comfortable with the treatment plan. I never felt rushed, and it was clear that they genuinely care about their patients’ well-being.
I had a very positive experience at this primary care office. The staff was friendly, professional, and made me feel comfortable from the moment I walked in. Dr. Vishal Nemargommula took time to listen carefully to my concerns, answered my questions thoroughly, and never made me feel rushed. He was very kind, professional and easy to talk to. I especially appreciated how respectful and understanding everyone was during my visit. The office was clean, organized, and the overall atmosphere was welcoming.
This was my first time at this location and I was pleasantly surprised at every turn of this appointment. The front staff were incredibly welcoming and equally as funny. I’m a nervous talker so they humored me and it helped me calm down a lot. The doctor was punctual and very thorough for a first time visit which was a pleasant surprise. He had several follow up questions about each of my concerns and gathered more information as well as educated me more than any physician I’ve seen on a first visit. Excellent first impression and visit.
I cannot say enough good things about my experience with Dr. Vishal. From the moment I walked in, I felt comfortable from the check in with the ladies up front to the medical assistants in the back! He talked to me, not at me. He listened to my concerns, asked thoughtful questions, and made me feel validated. He came highly recommended and I never felt one ounce of regret. It’s such a relief to finally have a primary care doctor who makes you feel seen and heard. 10/10 recommend!
Very nice customer service it was a very pleasant visit of what I was dreading to be bad news. Every single nurse had a great attitude and made me feel very comfortable and welcomed. I’m glad I found this place and it’s only 5 minutes away from me. Plus they do IV therapy!!! Also the receptionist were awesome Andrea, Jen, Delilah were so nice to my kids they gave them Christmas light up necklaces because my kids asked for stickers. Great people
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Frequently Asked Questions
Where can I get Biote for men in San Antonio, TX?
Alamo Primary Care offers Biote testosterone pellet therapy for men at its Westover Hills clinic, 12047 Potranco Rd, San Antonio, TX 78253. Treatment starts with a consultation and morning lab testing, followed by a quick in-office pellet insertion every four to six months.
Where can men get testosterone pellets in Boerne, TX?
Alamo Primary Care provides Biote testosterone pellets for men at 1411 S Main Street, Boerne, TX 78006, open Monday to Friday, 8 am to 5 pm. Men from Boerne, Fair Oaks Ranch, and Kendall County receive lab-based dosing and regular monitoring.
What are testosterone pellets?
Testosterone pellets are small implants, about the size of a grain of rice, placed under the skin of the upper hip. They release testosterone steadily over several months. Alamo Primary Care offers Biote testosterone pellets for men in San Antonio and Boerne.
How long do testosterone pellets last in men?
Biote testosterone pellets typically last about four to six months in men. Activity level, metabolism, stress, and dose can affect how long they last. Alamo Primary Care schedules new insertions based on each man’s symptoms and lab results.
Are testosterone pellets better than injections?
It depends on each individual. Pellets offer steady levels and no weekly injections, while injections allow easier dose changes and lower upfront cost. Alamo Primary Care offers both in San Antonio and Boerne and helps men choose based on labs, lifestyle, and preferences.
How soon will I feel results from testosterone pellets?
Many men notice improved energy, mood, and sleep within two to four weeks of their first pellet insertion. Libido and focus often improve within one to two months, while muscle and body composition changes usually take three to six months.
Does Biote testosterone affect fertility?
Yes. Testosterone therapy, including pellets, can lower sperm production and reduce fertility. Men who want to have children should discuss this before starting. Because pellets can’t be removed once placed, Alamo Primary Care reviews family planning goals before treatment.
Does testosterone pellet insertion hurt?
Most men feel only pressure. The upper hip is numbed with local anesthetic before several small pellets are placed through a tiny incision. The procedure takes about 10 to 15 minutes, and mild soreness typically fades within a week.
Can I work out after getting testosterone pellets?
Light activity like walking is usually fine right away, but men should avoid heavy lower-body workouts, running, and squats for about a week after insertion to help the pellets settle and prevent them from working out of the skin.
What are the side effects of testosterone pellets?
Possible side effects include soreness or bruising at the insertion site, acne or oily skin, fluid retention, higher red blood cell counts, and occasionally a pellet working its way out. Alamo Primary Care monitors hematocrit and PSA at every follow-up.
What labs are needed before Biote for men?
Men typically need morning blood tests for total and free testosterone, estradiol, PSA, and a complete blood count, including hematocrit. Alamo Primary Care in San Antonio and Boerne may add other tests based on symptoms and health history.