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From Texas to Provo: How Diane Found Her Hormone Therapy Home
Rachel Gunderson, NP · October 28, 2026
Moving across the country means finding new everything: a new grocery store, new routines, new neighbors. For Diane, one search mattered more than the rest. She needed a hormone therapy provider she could trust.
A Recommendation That Came Full Circle
Diane had been a Biote patient in Texas for years. She believed in it so much that she encouraged her adult daughters to find a Biote provider after they settled in Utah. Her daughters came to Avara Medical in Provo first. In Diane’s words, they “had a wonderful experience, and that’s ultimately how I found my way here too.”
What Is Biote Pellet Therapy?
If you haven’t heard of Biote, it’s a hormone optimization method built around bioidentical hormone pellets. Bioidentical hormones are structurally identical to the ones your body makes on its own. The pellets are about the size of a grain of rice and are placed just under the skin of the upper hip during a quick in-office visit. Over the following months, they release a steady, consistent dose. There are no daily creams to remember and fewer peaks and dips.
Before starting pellets, Avara’s providers review detailed lab work so dosing is based on your levels, symptoms, and goals.
Diane had tried other options first. A progesterone cream “helped somewhat,” she says, “but discovering pellet therapy completely changed things for me.” She noticed the difference physically and emotionally.
A Smoother Transition and a Gentler Procedure
Switching providers can feel risky when something is working. For Diane, the move to Avara was “incredibly smooth,” and she found the pellet insertion “even better and much more comfortable” than before.
The biggest change was the numbing shot. At her previous clinic, the injections burned enough that she braced herself every visit. At Avara, the experience is different: “The way this clinic does it is so gentle and easy that I don’t have any anxiety about appointments anymore.”
Beyond Hormones: IV Therapy and Emsella
Hormone health is often one part of a bigger picture, and Diane has explored several of Avara’s other services. “The IV therapy has been fantastic,” she says, noting she feels better after every session.
The real surprise was the Emsella chair. Emsella uses focused electromagnetic energy to stimulate thousands of pelvic floor muscle contractions while you sit fully clothed. Each session takes about 30 minutes, with no downtime. It’s commonly used for bladder leakage and urgency, issues many women live with quietly.
Diane had struggled with incontinence, especially first thing in the morning. She calls Emsella “truly life-changing.” Her words: “I’m no longer rushing to the bathroom, and the benefits have lasted even long after completing the sessions.”
Support When Things Get Harder

Not every journey is easy. Diane recently started Avara’s medical weight loss program and admits it has been “a little more challenging” for her personally. What has kept her going is the team: “I’ve received incredible support and guidance from the team every step of the way.”
That’s what provider-led care looks like in practice. Progress is monitored, plans are adjusted, and patients aren’t left to figure it out alone.
Why Diane Recommends Avara
“I genuinely love everyone here,” Diane says. “They’re knowledgeable, caring, and they truly take the time to help you feel your best.”
Her advice to anyone in Utah Valley considering hormone therapy or wellness care is simple: “You can trust them to give you great advice, provide excellent care, and make you feel comfortable throughout the entire process.”
Could Hormone Therapy Help You?
If you’re dealing with fatigue, mood changes, poor sleep, low libido, or bladder control issues, you don’t have to accept them as normal. Whether you’re new to hormone therapy or transferring care from another Biote provider, Avara Medical serves patients across Provo, Orem, Lehi, and the Wasatch Front.
Call (801) 999-8356 to schedule a consultation.
The patient’s name has been changed to protect her privacy. Individual results vary.
Looking for a New Health Practitioner?
Whether you are looking for hormone replacement, weight loss solutions or strengthening your pelvic floor. We can help.
Frequently Asked Questions by Utah Valley Patients
Biote is a hormone optimization method that uses bioidentical hormone pellets placed just under the skin of the hip. The pellets release a steady dose of hormones over several months, so there are no daily creams or pills to manage.
Yes. Many patients who move to Provo and Utah Valley continue pellet therapy at Avara. Bring any recent lab work and treatment history to your consultation, and your provider will review it and order updated labs as needed.
The area is numbed with a local anesthetic before the pellets are placed, and the visit is quick. Avara’s providers focus on making the numbing injection as gentle as possible, and most patients return to normal activity the same day.
Most women/men return every three to five months, depending on their labs, symptoms, and how quickly their body uses the hormones. Your provider adjusts timing and dosing over time.
Emsella is a chair that uses focused electromagnetic energy to strengthen the pelvic floor muscles while you sit fully clothed. It is often used for bladder leakage, urgency, and pelvic floor weakness after childbirth or with age. Sessions take about 30 minutes with no downtime. Also available for men to treat weak pelvic floor muscles and ED.

About the Author: Rachel Gunderson, NP, AGACNP, NP
Dual Board-Certified Nurse Practitioner (AGACNP & Family Practice NP) · Founder, Avara Medical · Provo, Utah
Rachel spent more than a decade caring for patients in internal medicine, cardiology, intensive care, neurology, and oncology at Houston Methodist Hospital, and in internal medicine at Utah Valley Regional Medical Center. She founded Avara Medical to practice medicine the way she believes it should work — taking time to listen, running the right labs, and building a care plan around the patient rather than a checklist.
Her clinical focus includes hormone therapy and optimization, peptide therapy and regenerative protocols, medical weight loss including GLP-1 therapy, IV nutrient therapy, and integrative functional medicine.