Schedule: BHRT Part 1

Day 1

Friday

7:00 – 8:00 a.m. Registration

7:30 Live Stream is open

8:00- 10:00 a.m.

Introduction to Hormone Replacement Therapy

Importance of optimization of all hormones as per the medical literature
Health and quality of life benefits
AMA statement on anti-aging
The best preventive medicine to maintain well-being and reduce morbidity & mortality
Normal is not optimal, and optimal is best
Understand that simply replacing hormones to normal levels is not what is best for health and well-being
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

10:00- 10:15 a.m. Break

10:15 – 12:15 p.m.

Testosterone: Safe and necessary for both men and women

Various types and doses but which is best, simplest, easiest
Applications: How, where, when, to apply and why
Complications, precautions, side effects and monitoring

12:15 – 1:15 p.m. Lunch with Dana Burnett and Russ Campbell

1:15 – 4:00 p.m.

Testosterone: Safe and necessary for both men and women

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, indications & contraindications, and blood clots?

4:00 – 4:15 p.m. Break

4:15 – 5:30 p.m.

Testosterone for women: The feel-good hormone for women too

It is not just a male hormone but also a very important female hormone
What types, doses and levels work best
Application: How, where, when, why to apply
Side effects and treatment, and use of Spironolactone
Extensive literature review

5:30 – 6:00 p.m.

Question and Answer

Day 2

Saturday

7:30 – 8:00 a.m.

Registration and Live Steam is open

8:00 – 9:00 a.m.

Melatonin, DHEA and Pregnenolone: All hormones provide health benefits including these-

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

9:00 – 11:00 a.m.

Menopause: Estrogen & progesterone are absolutely necessary for health & well-being

Estrogen is very complex to decipher and understand

Natural vs. synthetic estrogen; 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 and timing is everything
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? Does timing make a difference? Understanding MMP
Indication and contraindications: Problems with synthetic vs. bioidentical vs. compounded
New evidence that contradicts the conclusions of the WHI Trial and HERS
Different strategies for managing PMS, peri-menopause, menopause, bleeding, problems, side effects and complications = no man’s land

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, safe vs. unsafe
If some is good, more is better? Absolutely
Dosing, monitoring, adjusting, and the importance of optimization
Serum vs. saliva testing and harm of inadequate dosing

Compounded BHRT: The Good, the Bad, and the Ugly

From worthless to lifesaving: It all depends on quality, correct dosing, and monitoring

11:00 – 11:15 a.m. – Break

11:15 – 12:15 p.m.

Thyroid: Why patients demand it and why physicians refuse to prescribe it

The most misunderstood and ignored hormone
Thyroid test is normal but symptoms persist. So now what?
Types of hypothyroidism and which ones you miss
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: Treat the TSH or Free T3 or the patient?
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
The consequences of low normal Free T3 as per JAMA

12:15 – 1:15 pm – Lunch with 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
Everything you will need to know before starting Monday morning

1:15 – 2:15 p.m.

Thyroid: Why patients demand it, Con’t

2:15 – 3:15 p.m.

Summary & Review

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

3:15 – 3:30 p.m. – Break

3:30 – 5:30 p.m.

Case Management: Why did you prescribe hormones if the levels were normal?

Administration and appropriate dosing
The nuts & bolts for practicing HRT correctly: Everything you should know
Administration and appropriate dosing
Monitoring the patient and adjustment for optimization
Proper case management, problems and complications
Mistakes to avoid
Lab interpretation & lab comparisons
Different optimal levels for different laboratories

5:30 – 6:00 p.m.

Question and Answer

Day 3

Sunday

7:30 – 8:00 a.m.

Registration and Live Stream Opens

8:00 – 10:00 a.m.

Case Management: Everything You Should Know, Con’t

10:00 – 10:15 a.m. – Break

10:15 – 11:15 a.m.

Review of Practical Application

More treatment protocols, problems, & solutions
Maintaining scientific standards
Troubleshooting and case management
Complicated cases: See if you get them correct

11:15 – 12:15 p.m.

Putting it all together

What did you learn and can you apply it
Managing troublesome cases with solutions

100 Written Questions and Answers

Cases with Discussion

12:15 p.m.

Wrap-up/ Evaluation/ Adjournment