HRT restores the hormones that naturally decline or fluctuate over time — estrogen, progesterone, and testosterone — which shape your mood, sleep, metabolism, libido, bone density, and cognitive health. Hormones are for women and men.
For women and men · about 5 minutes · your provider reviews it before your visit.
Women — perimenopause & menopause. Perimenopause can begin in the mid-30s to early 40s and is marked by fluctuating hormone levels. Menopause is defined as 12 consecutive months without a menstrual cycle. Symptoms may include:
Men — low testosterone. Fatigue, low mood, muscle loss, and reduced drive can all point to declining testosterone — and they respond to treatment, too.
Many patients are told their labs are “normal” despite significant symptoms. That often happens when lab interpretation lacks context, or optimal ranges aren’t considered. Our approach integrates your symptoms, your trends, and comprehensive testing.
The symptoms of perimenopause are what matter most.
We offer oral, topical, injectable, and pellet-based hormone therapy — and every plan is personalized to your goals, labs, and medical history.
Daily tablets or capsules — a familiar, flexible starting point that’s easy to adjust as your plan evolves.
Creams and gels absorbed through the skin for steady daily dosing without pills or needles.
Scheduled injections for dependable, adjustable dosing on a routine that fits your plan.
A small bioidentical hormone pellet — about the size of a grain of rice — placed under the skin for steady release over 3–4 months. Insertion starts at $350+, depending on hormone type and dosing.
Pellet therapy at Little By Little is offered through the Biote Method of bioidentical hormone therapy — smooth, consistent hormone levels without daily pills or weekly shots. Learn more on our BIOTE Pellet Insertion page →
Best-practice monitoring includes lab assessments at 30, 60, and 90 days after starting hormone therapy. These labs ensure safety and optimization, and carry additional fees based on the panels ordered.
Book a consultation to receive hormone care personalized to you — in clinic in Stone Mountain or via telehealth.
Book Appointment Hormone Questionnaire Call (404) 860-2425Some medications may require a 24-hour ordering window depending on availability.
Tell us a little about you — we'll confirm your appointment by phone.
New patients take a short eligibility test before booking — it's required, and it tells you right away whether GLP-1 medication may be a fit. Existing patients go straight to the form.
Request received — we'll call you within one business day to confirm your appointment.