Regain Balance with Hera Health Care

Hera Health Care recognizes the significant impact of hormones on your well-being, and our mission is to offer you safe and efficient solutions for restoring hormonal balance and optimizing your health. Under the guidance of Dr. Mirela Cernaianu, a renowned authority in women's wellness, our practice seamlessly combines compassion with advanced medical expertise from a holistic approach. Through personalized hormone therapy plans tailored to your specific needs, we aim to provide relief from menopausal symptoms, enhance energy and vitality, and promote emotional well-being. Trust Hera Health Care to deliver the highest standard of hormone treatment, customized just for you, ensuring the cleanest and safest approach to optimize your hormonal health. Learn more about pellet therapy in Thousand Oaks and Westlake Village below.

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What is Pellet Therapy?

Pellet therapy is a highly effective and innovative approach to hormone replacement therapy (HRT). It involves the insertion of tiny pellets containing bioidentical hormones under the skin. These pellets release a consistent and steady dose of hormones into the body, replicating the natural hormone production of the ovaries or testicles.

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Mirela Cernaianu, M.D.

Meet Mirela Cernaianu, M.D.

Dr. Mirela Cernaianu is a board-certified OB/GYN and a trusted leader in bioidentical hormone replacement therapy. With over 30 years of clinical experience, she brings deep expertise and a personalized, integrative approach to every treatment plan.

Her hormone therapy credentials include:

  • Board certification in obstetrics and gynecology
  • Training in bioidentical hormone management with the American Academy of Anti-Aging Medicine
  • Board certification in anti-aging and restorative medicine
  • Fellow of the American Academy of Anti-Aging Medicine with advanced training in endocrinology
  • Sottopelle pellet therapy trained physician (2014–2023)
  • BioTE pellet therapy trained physician (2023–present)

Under Dr. Cernaianu’s care, you can feel confident that your hormone replacement therapy will be guided by deep expertise and a compassionate, whole-body approach.

What Can Pellet Therapy Achieve?

Pellet therapy in Thousand Oaks can achieve a range of positive effects on your well-being, including the following:

Alleviate symptoms of hormone imbalance:

Pellet therapy can effectively reduce symptoms such as hot flashes, night sweats, mood swings, fatigue, decreased libido, and sleep disturbances.

Improve energy levels and vitality:

Hormone optimization through pellet therapy can enhance energy levels, improve stamina, and promote an overall sense of well-being.

Enhance mental and emotional well-being:

Many individuals experience an improvement in cognitive function, mental clarity, and mood stability with pellet therapy. It can alleviate symptoms of anxiety, depression, and brain fog.

Restore bone density:

Hormone imbalance can contribute to the loss of bone density, leading to an increased risk of osteoporosis. Pellet therapy can help improve bone density and reduce the risk of fractures.

Support cardiovascular health:

Balanced hormones are essential for maintaining cardiovascular health. Pellet therapy can help regulate cholesterol levels, improve blood circulation, and reduce the risk of heart disease.

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Is Pellet Therapy Right for Me?


Pellet therapy may be suitable for individuals experiencing symptoms of hormone imbalance, such as menopausal or andropausal symptoms. It is important to consult with a healthcare provider specializing in hormone therapy to determine if pellet therapy is the right choice for you. They will evaluate your symptoms, medical history, and hormone levels to create a personalized treatment plan.

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The Pellet Therapy Process: What to Expect

During the pellet therapy procedure, a small incision is made in the hip or buttock area, and the hormone pellets are inserted under the skin. The incision is then closed with sterile tape or sutures. The entire process is quick and typically performed in the office under local anesthesia.

After the procedure, it is common to experience some minor soreness or bruising at the insertion site. The pellets will gradually release hormones into the body over several months, providing consistent and optimal hormone levels. We will schedule follow-up appointments to monitor your progress and determine the need for additional pellet insertions.

Results and Recovery

Many individuals start noticing improvements in their symptoms within a few weeks of pellet therapy. However, it may take a few months for the full benefits to manifest as the hormone levels stabilize. With pellet therapy, the hormone levels remain balanced for several months before a new pellet insertion is required.

The recovery process is minimal, and most individuals can resume their normal activities immediately after the procedure. It is advisable to avoid excessive sweating and pressure on the insertion site for a few days to ensure proper healing.

Pellet therapy in Westlake Village provides long-lasting results, and individual experiences may vary. Regular monitoring and follow-up with your healthcare provider are essential to ensure optimal hormone balance and make any necessary adjustments to your treatment plan.

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