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Part I: Mastering the Protocols for Optimization of Hormone Replacement Therapy - January 2018

Agenda

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    • Friday, January 26, 2018
    •  

      Registration

      7:15 AM  -  8:00 AM
      Registration
       

      Hormone Replacement Therapy

      8:00 AM  -  10:00 AM
      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

      Speakers:
       

      Break

      10:00 AM  -  10:15 AM
      BREAK
       

      Hormone Replacement Therapy

      10:15 AM  -  11:15 AM
      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
      Speakers:
      2:00 PM  -  4:00 PM
      Testosterone: Safe and Necessary for Both Men and Women, Con't

      • 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?

      Speakers:
       
      4:00 PM  -  4:15 PM
      Break
       

      Hormone Replacement Therapy

      4:15 PM  -  5:30 PM
      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

      Speakers:
       
      5:30 PM  -  6:00 PM
      Question and Answer
    • Saturday, January 27, 2018
    •  

      Registration

      7:30 AM  -  8:00 AM
      Registration
      Registration
       

      Hormone Replacement Therapy

      8:00 AM  -  9:00 AM
      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

      Speakers:
      9:00 AM  -  10:30 AM
      Menopause: Estrogen & Progesterone Are Absolutely Necessary for Health & Well-being

      • 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

      Speakers:
      10:30 AM  -  11:00 AM
      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

      Speakers:
       

      Break

      11:00 AM  -  11:15 AM
      BREAK
       

      Hormone Replacement Therapy

      11:15 AM  -  12:15 PM
      Thyroid: Why Patients Demand 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

      Speakers:
       

      Practice Development

      12:15 PM  -  1:15 PM
      Working Lunch Break: 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

      Speakers:
       
      1:15 PM  -  2:15 PM
      Thyroid: Why Patients Demand It, Con't
       

      Hormone Replacement Therapy

      2:15 PM  -  3:15 PM
      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

      Speakers:
       

      Break

      3:15 PM  -  3:30 PM
      BREAK
       

      Hormone Replacement Therapy

      3:30 PM  -  5:30 PM
      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

      Speakers:
       
      5:30 PM  -  6:00 PM
      Question and Answer
    • Sunday, January 28, 2018
    •  
      7:30 AM  -  8:00 AM
      Registration
       

      Hormone Replacement Therapy

      8:00 AM  -  10:00 AM
      Case Management: Everything You Should Know, con't
      Speakers:
      10:15 AM  -  11:15 AM
      Review of Practical Application

      • 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

      Speakers:
      11:15 AM  -  12:15 PM
      100 Written Questions and Answers with Discussion
      Speakers:
       

      Adjourn

      12:00 PM  -  12:00 PM
      ADJOURN
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