✦ Biote® Certified Provider — Folsom, CA

Reclaim Your Energy.
Bioidentical Hormone
Pellet Therapy.

Cascade Medical Wellness & Aesthetics is a Biote® Certified Provider in Folsom, CA — physician-supervised by Dr. James P. Dickens, M.D. Precision hormone optimization, backed by 34 years of research.

Call (916) 351-9457 Schedule Free Consultation
Over 4 Million Pellet Insertions Worldwide 34 Years of Research-Backed Results Physician-Supervised by MD Biote® Certified Provider

Watch & Learn

What is Biote® Hormone Pellet Therapy?

Why Biote® Therapy Works

Six Life-Changing Benefits of Hormone Optimization

Bioidentical hormone pellets work with your body's natural rhythms — not against them — delivering consistent, steady hormone levels 24 hours a day.

Sustained Energy

Sustained Energy

Feel like yourself again with stable, all-day energy levels — no afternoon crashes, no midday fatigue. Optimized hormones restore the vitality that hormone imbalance quietly steals.

Lean Muscle & Body Composition

Lean Muscle & Body Composition

Build and maintain lean muscle while reducing stubborn fat, especially around the midsection. Proper testosterone and estrogen levels are foundational to healthy body composition at any age.

Mental Clarity & Focus

Mental Clarity & Focus

Eliminate the brain fog that clouds concentration and memory. Patients consistently report sharper thinking, better recall, and improved mood within weeks of hormone optimization.

Deeper, Restful Sleep

Deeper, Restful Sleep

Hormonal imbalance is one of the leading disruptors of sleep quality. Biote® therapy helps restore natural sleep architecture — so you wake rested, restored, and ready.

Cardiovascular & Heart Health

Cardiovascular & Heart Health

Optimized hormone levels are associated with reduced risk of cardiovascular disease, healthier cholesterol profiles, and improved circulatory function — protecting you for the long term.

Bone Density & Strength

Bone Density & Strength

Estrogen and testosterone play a critical role in bone density. Biote® therapy helps prevent osteoporosis, maintain skeletal strength, and reduce fracture risk as you age.

Our State-of-the-Art Facility

Where Precision Medicine Meets Comfort

Our Folsom clinic is designed to make every visit calm, confidential, and exceptional — from your first consultation through each treatment.

Treatment Suite — Cascade Medical Folsom
Treatment Suite
Consultation Room — Cascade Medical Folsom
Consultation Room
Patient Care — Cascade Medical Folsom
Patient Care
State-of-the-Art Facility — Cascade Medical Folsom
State-of-the-Art Facility
Expert Team — Cascade Medical Folsom
Expert Team
Your Wellness Journey — Cascade Medical Folsom
Your Wellness Journey

Do These Sound Familiar?

Signs You May Have a Hormone Imbalance

Hormone decline is gradual — and often dismissed as "just aging." But these symptoms have a clinical cause, and a clinical solution.

Call to Discuss Your Symptoms
Depression & Mood Swings
Extreme Fatigue
Difficulty Sleeping
Low Sex Drive
Memory Loss & Brain Fog
Joint Aches & Pain
Night Sweats & Hot Flashes
Unexplained Weight Gain
Loss of Muscle Mass
Anxiety & Irritability
Decreased Motivation
Bone Loss / Osteopenia
4M+ Pellet Insertions Worldwide
34 Years of Research
M.D. Physician-Supervised
4–6 Months Per Treatment

The Biote® Process

Hormone Optimization in 4 Simple Steps

From your first call to optimized hormones — Biote® pellet therapy is straightforward, fast, and life-changing.

01

Lab Work & Consultation

Meet with Dr. Dickens for a comprehensive consultation. We review your labs and health history to design a precise, personalized hormone protocol tailored exclusively to your biology.

02

Pellet Insertion (10–15 Min)

A quick, minimally-invasive in-office procedure. We numb the area, make a tiny incision near the hip, and insert your custom-compounded Biote® pellets. Most patients feel no pain — just slight pressure.

03

24/7 Steady Delivery

Unlike creams, pills, or injections, pellets dissolve slowly and release hormones consistently — exactly as your body demands. No peaks, no valleys. Just optimal levels around the clock for 4–6 months.

04

Results & Follow-Up

Most patients notice improvements within 2–4 weeks, with full results by 6–8 weeks. We monitor your progress and re-insert pellets 2–3 times per year to maintain optimal hormone balance.

Dr. James P. Dickens M.D. - Cascade Medical Folsom CA
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James P. Dickens, M.D. Medical Director — Cascade Medical Wellness & Aesthetics

Expert Medical Leadership

Your Physician. Every Step.

Dr. James P. Dickens, M.D. has built Cascade Medical Wellness & Aesthetics into one of the Folsom region's most trusted physician-supervised practices. As a Biote® Certified Provider, Dr. Dickens has undergone rigorous training in the science of bioidentical hormone optimization.

When you come to Cascade for Biote® therapy, you're not seeing a nurse practitioner or an esthetician — you're receiving the full oversight of a board-certified physician who personally reviews your labs, designs your pellet protocol, and monitors your progress.

That's a level of medical credibility you won't find at most hormone clinics. It's the Cascade Medical standard.

Biote® Certified Provider Board-Certified MD Medical Aesthetics Hormone Optimization Regenerative Wellness
Schedule with Dr. Dickens

Common Questions

Everything You Need to Know About Biote® Therapy

Transparent answers to the questions patients ask most. Have more? Call us — we're happy to talk.

Biote® uses custom-compounded bioidentical hormone pellets matched precisely to your body's specific needs based on lab work. Unlike creams, patches, or oral pills — which create unpredictable hormone spikes and valleys — pellets dissolve slowly beneath the skin and deliver a consistent, physiologic hormone dose 24 hours a day for 4–6 months. With over 4 million insertions performed and 34 years of published research, Biote® is the most thoroughly studied and evidence-backed form of BHRT available.
The insertion takes only 10–15 minutes in our Folsom office. Dr. Dickens numbs the area, makes a tiny incision near the hip, inserts your custom Biote® pellets under the skin, and applies a small bandage. Most patients experience only slight pressure during the procedure and return to normal activity the same day.
Most patients begin noticing improvements within 2–4 weeks of their first insertion, with optimal results typically achieved by 6–8 weeks. Because pellets deliver hormones steadily as your body demands them, results are natural-feeling and consistent — no dramatic swings, just a gradual return to feeling like yourself.
Yes. Biote® is extremely safe when administered by certified providers like Dr. Dickens. The bioidentical hormones are chemically identical to those your body naturally produces. All pellets are third-party tested and compounded in FDA-registered facilities with only a 3% dosing variance — ensuring precision and purity. Dr. Dickens reviews your full health history before any treatment.
Biote® pellets typically last 4–6 months depending on your metabolism, activity level, and hormone needs. This means you only need 2–3 treatments per year — making it the most convenient and consistent form of hormone replacement therapy available. We monitor your labs between insertions to ensure your levels remain optimized.
Absolutely. Many of our patients combine Biote® BHRT with our Medical Weight Management program, Microneedling, Cosmetic Injectables, PRP Therapy, or our Acorn Biolabs Stem Cell services for a comprehensive approach to wellness, aesthetics, and longevity. Dr. Dickens will help design a holistic protocol aligned with your specific goals.
Pricing is personalized based on your hormone protocol, dosing, and whether you're receiving testosterone, estrogen, or combination therapy. We encourage you to call us at (916) 351-9457 or schedule a consultation to discuss pricing, any available financing, and which Biote® protocol is most appropriate for your needs and goals.

Begin Your Transformation

Ready to Reclaim Your Energy, Clarity & Vitality?

Folsom's Biote® Certified physician-supervised hormone therapy. Call or visit Cascade Medical today — same-week appointments often available.

📞 Call (916) 351-9457 Email Us
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2140 E Bidwell Street
Folsom, CA 95630 Folsom Clinic
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(916) 351-9457 Call or Text
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folsom@cascadewellnessca.com Email Us Anytime