Friday Morning

7:30am- 8:00am

Registration

Changing Patient Behavior to be Fit for Life

Timothy McKnight, M.D.

8:00am- 9:00am

Motivating your Community to Become Fit for Life
–Overview of a successful wellness program
–Results of a successful wellness program
–Lessons learned
–What the participants (critiques) have taught us
–What the results have taught us

9:00am- 10:00am

Influencing Behavioral Change for Positive Outcomes
–Altering Behavior Chemistry: the Mind-Body Connection
–How we learn
–How we re-program behavior
–Mind-Body Awareness Techniques
–Meditation Exercise
–Eating Exercise
–Body Balance exercise
–Forming new habits exercise (signing name)
–Get outside the box exercise (9 dots puzzle)
–Perception exercises
–Neurolinguistic programming

10:00am – 10:30am Break

10:30am- 11:30am

Formulating a Promising Wellness Program
–Plan, Execute, Evaluate, Revise
–Key ingredients to being successful in wellness
–Educate, motivate, inspire, change
–Learning from AA and other treatment programs
–How to help patients ask the right questions about healing
–Start asking the right questions (examples of “wrong” and “right” questions)
–Individualizing Your Wellness Program
–Your Personal Belief Systems – Exercises
–Formulating your own Program
–Begin with the End in Mind
–Know your strengths, weaknesses, resources, partnerships

11:30am- 12:15pm

Collaborating to Enhance Change
–The power of collaboration/teamwork
–Partnering within your program
–Lessons learned
–Partnering within your community
–Lessons learned

12:15pm- 2:30pm Lunch Break

NON-CME activity:
Compounding Pharmacy Tour
Includes lunch and business development sessions
Transportation to and from the Hilton Garden Inn will be provided

Friday Afternoon

Louis Cady, M.D.

2:30pm- 3:15pm

How to transition from a Traditional Allopathic Practice to a Holistic and Integrated Medical Practice

3:15pm- 4:00pm

Mental Health and Hormones: What in the world do hormones have to do with current Allopathic Psychiatry?

4:00pm – 4:30pm Break

4:30pm- 5:15pm

“Petal to the Metal” Allopathic Psychiatry for Generalists
–Your patients are on HRT but their mental health issues persist – What to do next?

Saturday

Neal Rouzier, M.D.

8:00am- 9:00am

Introduction to Hormone Replacement Therapy
–Importance of optimization of all hormones as per the medical literature
–Health and quality of life benefits
–The best preventive medicine to maintain well-being and reduce morbidity & mortality
–Normal is not optimal; and optimal is best
–Examples of optimal labs vs. normal labs
–HRT replacement: Have we been doing it incorrectly all this time?
–What we should know about hormones but were never taught
–Why we do what we do based on the medical literature

9:00am- 10:00am

Human Growth Hormone = Human Healing Hormone
–HGH: What doesn’t it do? It does everything good
–A literature review demonstrating improvement in health & well-being
–The safest hormone without side effects when administered correctly
–Prescribing, monitoring, adjusting, documenting for HGH
–Which test is best: growth hormone levels, ITT, IGF-1, IGF-PB3

10:00am- 10:15am Break

10:15am- 12:00pm

Testosterone: Safe and necessary for both men and women
–Various types are available but which is best
–Applications: How, where, when, and why to apply
–Complications, precautions, side effects and monitoring
–What levels are normal and what levels are optimal
–PSA, free PSA, and prostate cancer
–DHT, Estradiol, Finasteride, Anastrazole, 5α-reductase inhibitors, & aromatase inhibitors
–A literature review

Testosterone for women: The feel-good hormone for women too
–It is not just a male hormone
–What types, doses and levels work best
–Application: How, where, when, why to apply
–Side effects and treatment with Spironolactone
–Extensive literature review

12:00- 1:00pm Lunch Break

1:00- 2:00pm

Melatonin, DHEA and Pregnenolone: All Hormones Provide Health Benefits
–Melatonin: The great sleep and immune enhancer
–Treatment & prevention for cancer, HTN, migraines
–Administration & monitoring: How much is enough?

–DHEA: How DHEA improves health and longevity
–DHEA: How to prescribe, monitor, and adjust for maximum benefit
–A literature review supporting optimal levels
–Side effects and use of spironolactone

–Pregnenolone: The mother of all sex hormones
–Memory enhancer? And what about cancer?
–A literature review of these hormones
–Administration, monitoring and adjusting

2:00pm- 3:45pm

Menopause: Estrogen & Progesterone Are Absolutely Necessary for Health & Well-being
–Natural vs. synthetic; Risk vs. benefit – a literature review of types of estrogens
–Health benefits and feel-good benefits of HRT
–Don’t fear it: The most recent consensus views
–Informed consent for stopping HRT and harm of hormone deprivation

–What types of estrogen: How, what, where, why?
–ACOG and NAMS: no study to show efficacy of BHRT – wrong!
–Doses, monitoring levels, adjusting, selection: What works best and when
–The importance of serum monitoring

–Transdermal vs. oral: Benefits and harm of each
–Does age make a difference?
–Indication and contraindications: Problems with synthetic vs. bioidentical vs.compounded
–New evidence that contradicts the conclusions of the WHI Trial.
–Different strategies for managing PMS, Peri-menopause, and Menopause

Progesterone: Just as important as estrogen
–Absolutely necessary in all women at whatever age
–A literature review: There is not one negative study
–Protection against breast cancer, uterine cancer, heart disease
–MP ≠ MPA, natural vs. synthetic, good vs. harmful
–If some is good, more is better? Absolutely
–Dosing, monitoring, adjusting, and the importance of optimization
–Serum vs. saliva testing and harm of progesterone deprivation

Compounded BHRT: The Good, the Bad, and the Ugly
–From worthless to lifesaving: It all depends on quality and dosing

3:45pm- 4:00pm Break

4:00pm- 5:30pm

Thyroid: Why Patients Demand It
–The most misunderstood and ignored hormone
–Thyroid test is normal, so what?
–Types of hypothyroidism
–Does your patient need their thyroid to be optimal? You bet!
–Understanding lab values
–What is responsible for low thyroid symptoms when TSH is normal?
–Types of thyroid hormones, dosing, monitoring, adjusting
–Treatment of fatigue: TSH or Free T3?
–Endocrine viewpoint (labs) vs. patient perspective (symptoms)
–Signs and symptoms of sub-optimal thyroid replacement and treatment
–Literature support for optimization: Treat the labs or the patient?
–Improvement of health and well-being through optimization

5:30pm- 6:00pm

Summary & Review
–Interesting cases
–HRT indications, contra-indications, risks, benefits
–Side effects, problems, complications
–Dosing & adjustment of various types available with lab reference comparisons
–Cautions, suggestions, things to do, and mistakes to avoid

Sunday

Neal Rouzier, M.D.

8:00am- 9:45am

Case Management: Everything You Should Know
–The nuts & bolts for practicing HRT correctly
–Administration and appropriate dosing
–Monitoring the patient and adjustment

9:45am- 10:00am Break

10:00am- 12:00pm

Case Management: Everything You Should Know
–Proper case management, problems and complications
–Mistakes to avoid
–Lab interpretation & lab comparisons
–Different optimal levels for different laboratories

12:00- 1:00 p.m. – Working Lunch Break

Special 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
–Evaluating pharmacies and laboratories
–Products and services

1:00pm- 2:00pm

Review of Practical Application
–More treatment protocols
–Maintaining scientific standards
–Troubleshooting and case management
–Complicated cases: See if you get them correct

2:00pm- 3:15pm

What did you learn and can you apply it
–100 Written Questions and Answers with Discussion

3:15pm

Wrap-up/ Evaluation/ Adjournment