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
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
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