Schedule: BHRT Part 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

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