Paper Folders to Glitchy Systems
It all started with a question nobody expected to change an industry. In 1992, in Rancho Mirage, California, a physician asked a simple favor: "Hey, would you help me put in a pellet?" A hormone pellet is a tiny, rice-sized dose of bio-identical hormone inserted just under the skin, where it slowly and steadily releases hormones into the body over several months. That one favor opened the door to hormone pellet therapy and once Dr. Gino Tutera saw what it could do, he began expanding this treatment to more patients who needed it.
Then came the insight that changed everything: "You all don't wear the same size shoes, so why am I giving you the same size dose?" That question became individualized hormone dosing, and individualized dosing became a mission — treating the whole body, not just the symptoms, for men and women alike. The company trained physicians through the late 1990s, moved its headquarters to Scottsdale, Arizona, and has since trained thousands of physicians worldwide, still carrying on that same founding belief today.
But as the physician network grew, the operations behind it hadn't caught up. That's according to CarolAnn Tutera, SottoPelle's Founder and CEO: "We were a basic paper and pencil office, and we were using folders online. We would go to our servers and everything was done that way," she recalled. Then COVID hit, the team dispersed overnight, and the manual system that had barely been holding together finally broke. SottoPelle moved to a customer relationship management (CRM) tool to cope, but it brought its own headaches.