If you have been running on empty, blaming your fatigue on a busy schedule and your brain fog on a bad night’s sleep, the real explanation may be quieter than you think. Hormones shift with age, and when they do, energy, mood, sleep, and libido tend to follow. BIOTE bioidentical hormone replacement therapy (BHRT) at Skin Artisans is a physician-guided way to bring those levels back into balance so you can stop pushing through the sluggishness and start feeling like you again.
Skin Artisans was founded in 1991 by the board-certified plastic surgeons of Edina Plastic Surgery, and that clinical foundation is exactly why patients trust us with wellness care, not only aesthetics. Our BIOTE Certified Providers, Allison Heimer, MD, Rachel Snyder, APRN, CNP, and Nicole Putratz, RN, base every plan on your labs and your goals, never a template. It is the same standard that earned us a perfect five-star Google rating with hundreds of reviews across the Twin Cities.
Book your appointment to talk through your symptoms with a certified provider and find out whether hormone optimization is right for you.
Minnetonka: (612) 930-1111
Woodbury: (651) 252-1999
Edina: (952) 767-3163

BIOTE is a form of bioidentical hormone replacement therapy that uses a small subcutaneous pellet, roughly the size of a grain of rice, to replace the hormones your body produces less of over time. A bioidentical hormone has the exact molecular structure of the hormones your body makes on its own, which is what sets it apart from synthetic versions. BIOTE pellets are derived from the yam plant to create estradiol and testosterone molecules, while many synthetic hormones are made from animal sources and carry a different structure than what your body recognizes.
Once a pellet is placed just beneath the skin, usually near the upper hip, it releases a steady, continuous stream of hormones that dissolves over several months. Because the hormones enter your bloodstream directly, they bypass the liver, do not affect clotting factors, and avoid the peaks and crashes that some patients experience with pills or creams. That consistency is the point. Instead of a daily rollercoaster, your body absorbs the right level at the right time, which is why so many patients describe the change as gradual and natural rather than sudden.
Hormone imbalance rarely shows up as one dramatic symptom. More often, it is a collection of small changes that add up: the coffee stops working, the workouts stop paying off, and you feel a step behind your own life. When your hormones are optimized, many of these symptoms ease.

The medicine matters, but so does who is prescribing it. Hormone therapy is only as good as the provider interpreting your labs, and at Skin Artisans, your care is led by professionals who do this every day. Dr. Allison Heimer, Rachel Snyder, APRN, CNP, and Nicole Putratz, RN, are all BIOTE Certified. That certification means they have completed dedicated training in the method, dosing, and monitoring that safe hormone optimization requires.




We are not an average upscale med spa, and our history is a big part of why. Established by the board-certified plastic surgeons of Edina Plastic Surgery, Skin Artisans was built on medical oversight and patient safety from day one. Our Aesthetic Injection Specialists and Advanced Practice Estheticians average more than 10 years of experience, and that culture of expertise carries straight through to our wellness services. It is the reason we have been consecutively recognized as Best Med Spa in Edina and hold a five-star Google rating built on hundreds of patient reviews.
What also sets us apart is our refusal to treat hormones in isolation. A patient struggling with fatigue and weight gain may benefit from pairing BIOTE with our GLP-1 medical weight loss program, since hormone imbalance and weight loss resistance often go hand in hand. Because Rachel Snyder oversees both programs, that coordination happens under one roof, with one provider watching the full picture. This is care designed around how your body really works, not around a single product.
To learn whether hormone optimization is right for you, book your appointment for BIOTE BHRT near Minneapolis at any of our three Twin Cities locations.
Minnetonka: (612) 930-1111
Woodbury: (651) 252-1999
Edina: (952) 767-3163
Hormone imbalance can affect anyone, and because hormones influence so much of how your body functions, even a slight imbalance can ripple outward into energy, mood, and sleep. That said, certain groups tend to feel the effects most acutely.
Women in perimenopause and menopause are especially susceptible, as the shift can bring hot flashes, night sweats, sleep disturbances, anxiousness, low mood, and a drop in libido. Men experience their own gradual decline in testosterone with age, a change sometimes called andropause. Testosterone levels typically fall about 1% per year after age 30 or 40, which helps explain why the fatigue, reduced focus, loss of muscle mass, and low drive that come with those testosterone reductions can feel so gradual that many men write them off as simply getting older. The best way to know whether your symptoms trace back to hormones is a consultation and lab work, which is where every BIOTE plan at Skin Artisans begins.
Hormone therapy is not appropriate for everyone. Patients who are pregnant or breastfeeding, or who have certain hormone-sensitive conditions, may not be candidates. Your provider will review your full health history and lab results during your consultation to determine whether BIOTE is safe and suitable for you.

Your BIOTE care starts with a conversation, not a needle. A consultation is required before any pellet is placed. During an in-depth, in-office appointment, Dr. Allison, Rachel, or Nicole will review your symptoms and order comprehensive lab work to analyze your current hormone levels and overall health. Only after those results are in will your provider determine whether you are a candidate and, if so, calibrate your dose to you.
The pelleting appointment itself is quick and virtually painless. You will be brought into a private exam room, and the insertion site, usually around the upper hip, is numbed with a local anesthetic. Your provider makes a small incision, places the pellet, and covers the site with a small bandage or steri-strip. No stitches are needed. Most patients are surprised by how straightforward the whole visit is.
Downtime is minimal, but a few short-term precautions protect your results. Your provider will ask you to avoid strenuous lower-body exercise for a brief period so the pellet stays in place. Walking is perfectly fine. Showers are permitted, but you should skip baths, hot tubs, and swimming for three days to a week while the insertion site heals. Beyond that, most patients return to their normal routine right away.
Hormone optimization is a gradual process, and everyone’s timeline is a little different. Most patients report some relief within about four weeks, sometimes sooner, as their levels begin to stabilize. Complete optimization, though, can take up to six months as your body settles into its new balance. It may also take up to two pellet insertions before you feel the full benefits, so patience through the first cycle pays off.
A single pellet typically lasts three to six months. The exact duration depends on your gender, weight, activity level, absorption rate, and how significant your imbalance was at the time of insertion. To keep hormones optimized year-round, most patients schedule reinsertions two to four times per year. Working consistently with your provider allows dosing to be fine-tuned over time, which is how results tend to hold steady rather than fluctuate.
Consideration |
BIOTE® Pellets |
Pills, Creams, or Gels |
| Hormone release | Steady and continuous over months | Rises and falls between doses |
| Frequency | Reinserted two to four times per year | Applied or taken daily |
| Liver processing | Bypasses the liver | Often processed through the liver |
| Consistency of levels | Avoids peaks and crashes | Can fluctuate day to day |
BIOTE pricing is determined after your consultation and lab work, since dosing is personalized to your results. Your provider will walk you through the cost of your specific plan, and financing options are available. Visit our treatment menu and pricing page for more information.
BIOTE uses bioidentical hormones that match the molecular structure of the ones your body produces naturally, and it is administered only after lab work and a medical evaluation by a BIOTE Certified Provider. That physician oversight, combined with ongoing monitoring, is central to how we keep treatment safe.
Yes. Men experience a steady decline in testosterone with age, and low testosterone can bring fatigue, reduced focus, loss of muscle mass, increased body fat, and low libido. Many men are excellent candidates for hormone optimization.
Often, yes. Because hormone imbalance frequently overlaps with weight loss resistance, some patients pair BIOTE with our GLP-1 medical weight loss program for a more complete approach. Your provider will advise whether combining treatments makes sense for your goals.
For many women, yes. By restoring hormone balance, BIOTE may ease common perimenopause and menopause symptoms such as hot flashes, night sweats, sleep disturbances, and mood changes.
Every BIOTE plan begins with a consultation and lab work at one of our Twin Cities locations. From there, your provider will determine your candidacy and design a plan around your results.
Fatigue, brain fog, and that persistent sense of feeling off are not something you simply have to accept. With BIOTE bioidentical hormone replacement therapy, our BIOTE Certified Providers can help you understand what your hormones are doing and bring them back into balance. Join the hundreds of Twin Cities patients who have trusted Skin Artisans, founded by the board-certified plastic surgeons of Edina Plastic Surgery and consecutively named Best Med Spa in Edina, to help them feel like themselves again.
Call now to book your appointment!
Minnetonka: (612) 930-1111
Woodbury: (651) 252-1999
Edina: (952) 767-3163