I started with bio-identicals in Michigan and when we moved to Arizona, I was referred to Dr. Tutera's office. Steve Nunn has been doing the majority of my insertions and I always prefer for him to do the job. He is the best, never leaving me sore or bruised. I consider my pellets to be a necessary part of my maintenance program to keep myself as youthful as possible. And sane! I have recommended them many times to women who were going through the change and suffering unnecessarily.