Part 1
Basic Course Agenda
- Saturday
- 7:30am - 8:00am
- 8:00am - 10:30am
- Introduction to Hormone Replacement Therapy
- Importance of optimization of all hormones, including HGH
- Health and quality of life benefits
- Normal is not optimal
- Literature review: have we been doing it wrong?
- What we should know about hormones but were never taught
- 10:30am - 12:00 Noon
- Testosterone
- Various types and doses: How, when, where to apply
- Complications, precautions, side effects and monitoring (PSA levels and prostate cancer)
- DHT, Estradiol, Finasteride, Anastrazole
- Testosterone for women
- What doses and levels work best and how to adjust
- Side effects and Spironolactone
- Melatonin, DHEA and Pregnenolone
- The great sleep and immune enhancer
- DHEA: A literature review
- Indications and contraindications
- Pregnenolone: the mother of all sex hormones
- Memory enhancer?
- Administration, monitoring and adjusting
- 12:00 Noon - 1:00pm
- 1:00pm - 2:30pm
- Estrogen
- Risk vs. benefit – a literature review of types of estrogens
- Health benefits and feel-good benefits: informed consent for stopping HRT?
- What kinds, natural or synthetic?
- ACOG and NAMS: no study to show efficacy of BHRT – wrong!
- Doses, monitoring, levels, adjusting, selection: what works best
- Transdermal vs. oral
- Does age make a difference?
- Indication and contraindications
- Refuting the WHI Trial
- Different strategies for PMS, Perimenopause and Menopause
- 2:30pm - 3:30pm
- Progesterone
- Absolutely necessary in all women
- A literature review
- MP ≠ MPA, natural vs. synthetic
- If some is good, more is better?
- Dosing, monitoring and adjusting
- Serum vs. saliva
3:30pm - 3:45pm - Break
- 3:45pm - 5:30pm
- Thyroid
- The most misunderstood hormone
- Thyroid test is normal, so what?
- Does your patient need thyroid? You bet!
- Understanding lab values
- What is responsible for low thyroid symptoms when TSH is normal?
- Methods of administering thyroid medications
- Treatment of fatigue, TSH or Free T3?
- Literature support for optimization: treat the labs or the patient?
- 5:30pm - 6:30pm
- Sunday
- 8:00am - 12:00 Noon
- Case Management
Everything You Should Know
- Administration and appropriate dosing
- Monitoring the patient and adjustment
- Proper case management, problems and complications
- Mistakes to avoid
- Lab interpretation
- 12:00 Noon - 1:00pm
- Working Lunch Break
- Working Lunch/Guest Speaker, Carolyn Rouzier:
"Setting Up My Preventive Medicine Practice: What Works and What Doesn't"
- Outline, worksheet, forms, letters, and consents
- How to bill
- Different types of programs
- Necessary equipment
- Products and services
- 1:00pm - 2:00pm
- Review of Practical Application
- More treatment protocols
- Trouble shooting and case management
- 2:00pm - 3:15pm
- 100 Written Questions and Answers with Discussion
- 3:15pm
- Wrap-up/Evaluation/Adjournment
Part 2
Advanced Course Agenda
- Friday Morning Workshop
(9:00AM - 3:00PM - Additional Fee of $75 - Optional and Non-accredited)
- 9:00am - 9:30am
- 9:30am - 10:30am
- "The Wellness Crisis" - Timothy McKnight, M.D.
- An Introduction to oxidative stress, the obesity epidemic and our failing health care model of disease management.
- 10:30am - 11:30am
- "The Wellness Choice" - Timothy McKnight, M.D.
- A review on how to best help patients change behaviors that both support and sustain change: the ideas that individuals need to empower themselves by taking a proactive approach to their health and wellness.
- 11:30am - 1:00pm
- Working Lunch
- Join us for an informative tour of a working compounding pharmacy. Learn about hormone compounding and delivery methods from a staff Pharmacist, then enjoy lunch on-site with fellow attendees. Transportation will be provided.
- 1:00pm - 2:00pm
- "Nutrition and Disease" - Timothy McKnight, M.D.
- A discussion of the nutritional changes over the last 100 years that have resulted in drastic health consequences (i.e. enriched flour, HFCS, hydrogenated fats and super-sized servings). Could this have anything to do with women in the U.S. being estrogen dominant and needing HRT to feel normal?
- 2:00pm - 2:50pm
- "Nutritional Healing" - Timothy McKnight, M.D.
- A quick review of the history of the RDA, why we need to supplement, an overview of key dietary considerations for health and wellness, my personal supplement recommendations and how I approach this with patients.
- 2:50pm - 3:00pm
- Friday Afternoon (Original CME Course with Neal Rouzier, M.D.)
- 2:30pm - 3:00pm
- 3:00pm - 6:00pm
- Age Management Review
- Literature review of hormones
- Cancer and hormones, HGH, Testosterone,
Estrogen and Progesterone
- New studies refute the WHI mistakes
- 6:00pm - 7:00pm
- Informal Question and Answer Period
- Difficult cases
- Open discussion
- Saturday
- 8:00am - 10:00am
- Advanced Scientific Review
- Estrogen
- Progesterone
- New evidence contradicting the WHI Trials
- Transdermal vs. Oral: the debate continues
- 10:00am - 12:00 Noon
- Advanced Scientific Review, Continued
- 12:00 Noon - 1:00pm
- 1:00pm - 2:00pm
- Diabetes
- Insulin resistance
- EPA’s
- Benefits of exercise
- 2:00pm - 4:00pm
- Cardiology
- Preventive therapy markers
- Niacin
- Case studies
- 4:00pm - 6:00pm
- Sunday
- 8:00am - 9:00am
- Polycystic Ovary Syndrome
- 9:00am - 10:00
- 10:30pm - 11:00pm
- 11:00am - 12:00
- 12:00 - 1:00pm
- 1:00pm - 2:00pm
- 2:00pm - 3:00pm
- Test Your Knowledge
- 100 Questions with Answers
- 3:00pm
- Wrap-up/Evaluation/Adjournment
Part 3
Advanced Course Agenda
- Saturday
- 7:30am - 8:00am
- 8:00am - 9:00am
- Introduction and Review
- Compounded hormones and estriol: does the
science support the claims?
- Saliva testing
- Bioidentical hormone review
- Recent relevant literature review
- 9:00am - 10:00am
- Thyroid and Testosterone
- Thyroid T3 use in depression, functional hypothyroidism and prevention of CAD
- Thyroid does not cause osteoporosis
- Testosterone use after prostate cancer
- Different testosterone therapies have different
effects on lipids, blood levels and side effects
10:00am - 11:00am
- 200 Case Studies with Q & A
- 11:00am - 12:00 Noon
- Human Growth Hormone
- New articles for off-label use
- How to diagnose and treat deficiency
- HGH and cancer: a review of the world data
- New articles to support safety
- 12:00 Noon - 1:00pm
- 1:00pm - 2:00pm
- Hormone Literature Review
- Estrogen’s role in men for osteoporosis, CAD and prostate cancer
- 2:00pm - 3:00pm
- 200
Case Studies With Q & A continued
- 3:00am - 4:00pm
- PCOS: What the Books Don't Tell You
- How to handle tough PCOS cases
- Aldosterone: it must be treated
- Diagnosis and treatment of adrenal hyperplasia
- Focus on the vagina: the various ways to treat it
- 4:00am - 5:00pm
- Progesterone and Postpartum Depression
How to raise and lower SHBG: when and why
SHBG and CAD, DM and HTN
- 5:00am - 6:00pm
- Sunday
- 8:00am - 9:00am
- 200 Case Studies and Presentations, cont.
- 9:00am - 10:00pm
- Vitamin D
- Diagnosing, prescribing, monitoring and adjusting
- A literature review
- A lab review
10:00am - 11:00pm
- The Antiproliferative, Oncostatic, Immune Stimulatory and Thrhrombopoetic Effects of HRT
- 11:00am - 12:00 Noon
- Estrogen
- Oral vs. transdermal: which is best and why
- Hormones and clotting
12:00 Noon - 1:00pm
- 1:00pm - 2:00pm
- MMP, Clotting Factors, Inflammatory Proteins and Fatty Acid Esters in CVD
- 2:00pm - 3:00pm
- Androgen Deprivation Therapy: How to Prevent the Increased Mortality, CADCAD and DM Side Effects
200 Case Studies with Q & A, cont.
- 3:00pm
- Wrap-up/Evaluation/Adjournment
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