Upon completion of this seminar, the primary care provider will be able to:

1. Describe the diagnosis and treatment of adult onset growth hormone deficiency
2. Identify the techniques used to administer acceptable levels of Human Growth Hormone (HGH).
3. Examine and discuss possible side effects of HGH and how to properly adjust dosing
4. Distinguish the different types of secretagogues and evaluate their effectiveness as an alternative to HGH therapy.
5. Implement therapeutic management of andropause based on studies reported in prestigious medical journals.
6. Identify the types, doses and methods to administer testosterone to men and women.
7. Determine the uses of testosterone for men and women, including complications, precautions, side effects and monitoring.
8. Discuss the uses of Finasteride, Dutasteride, Arimidex in the management of testosterone.
9. Identify the uses of melatonin including correct dosing and monitoring.
10. Evaluate and become proficient in the medical literature that supports biological identical hormone replacement in contrast to chemically altered hormones, "all hormones are not the same" as demonstrated in the literature.
11. Review and evaluate new evidence that contradicts the WHI Study on estrogen treatment in women.
12. Acquire an understanding of the health benefits of estrogen and progesterone in contrast to the health detriments of synthetic estrogen and progestin.
13. Describe the types, doses and methods used to administer estrogen and progesterone.
14. Review and discuss recent literature, questions and answers that demonstrate the beneficial effects of hormones in improved function and healing and a better quality of life.
15. Apply strategies for the effective uses of DHEA and pregnenolone including correct dosing and monitoring.
16. Determine how DHEA and pregnenolone benefit the physical and mental well-being of patients and overall quality of life.
17. Explain current concepts of thyroid replacement and compare and contrast their efficacy as supported in the medical literature.
18. Recognize various methods of testing for thyroid deficiencies and what labs and approaches are best.
19. Discuss and analyze interesting cases in Bio Identical Hormone Replacement Therapy.
20. Recognize the difference between "normal levels" and "optimal levels" of hormones and the benefits or detriments as demonstrated by current medical studies.
21. Apply current prescribing strategies for hormones to maintain adequate levels.
22. Implement best clinical practices in diagnosing, prescribing, monitoring and adjusting of BHRT for improved function and quality of life.
23. Develop and apply business management principles to set up a preventive medicine practice.
24. Analyze and review treatment protocols in case management and trouble shooting techniques used in BHRT.
25. Utilize the knowledge gained to improve patient outcomes in BHRT.

Upon completion of this seminar, the primary care provider will be able to:

1. Review and outline key elements in age management presented in Part I: Mastering the Protocols for Bio Identical Hormone Replacement Therapy.
2. Identify important issues in the relationship between hormones and cancer: cause, provocation or protection.
3. Outline problem solving techniques for difficult cases presenting with multiple disease processes.
4. Discuss literature citing new indications, risks, benefits and complications of estrogen and progesterone therapy.
5. Determine advanced treatment modalities and dosing strategies for estrogen and progesterone, including new and specific approaches to these therapies.
6. Describe important aspects of the WHI findings: identify the experts that refute this study, and other factors not included in the trials that would change the conclusions.
7. Determine advanced treatment modalities, including new and specific approaches to HGH, thyroid and testosterone in age management and disease prevention.
8. Discuss over 40 articles that demonstrate thyroid replacement does not cause osteoporosis, even in TSH suppressive doses.
9. Distinguish various new therapies for erectile/sexual dysfunction in men and women
10. Evaluate the epidemiology of cardiovascular disease and diabetes and the various treatment strategies as they pertain to medication, diet, exercise, lifestyle change and nutritional supplements.
11. Explore the role of omega 3 fatty acids, antioxidants and glucose and their influence on insulin, inflammation, disease progression and atherosclerosis.
12. Describe the strategies for using the new cardiovascular risk markers, inflammation markers, new lipid parameters and how to make sense of all the new lipid fraternization components.
13. Explore the role of niacin in diabetes and atherosclerosis.
14. Identify rational approaches to vitamins and supplements with a review of the medical literature supporting their use in wellness as well as citing any harmful effects and interactions.
15. Determine current screening methods and management strategies of the most common pre-menopausal hormone disorder, Polycystic Ovary Syndrome (PCOS).
16. Implement diagnostic and treatment strategies for PCOS.
17. Apply diagnostic and treatment strategies for hirsutism and hair loss
18. Implement strategies for treating osteoporosis using hormone replacement therapy.
19. Discuss interesting cases in Bio Identical Hormone Replacement Therapy.
20. Identify current indications, risks and benefits of using cortisol for the treatment of chronic fatigue.
21. Determine rational approaches for the evaluation of fatigue with emphasis on cellular hypofunction as it pertains to thyroid hormone.
22. Analyze and review questions and answers from A-Z in Bio Identical Hormone Replacement Therapy.
23. Utilize the knowledge gained to improve patient outcomes in BHRT.