Part IV: Complexities of Hormone Replacement Therapy: An Evidence Based Protocol Review - June 2018


Course Details


Workshop Schedule

  • Friday, 8:00 a.m. - 6:00 p.m.
  • Saturday, 8:00 a.m. - 6:00 p.m.
  • Sunday, 8:00 a.m. - 12:00 noon

Syllabus Information

All participants will receive an electronic and printed syllabus with their registration.  The eSyllabus will be available for download at least one week prior to the course.  An email notification will be sent when it is available for download and will include links and instructions.  This early release provides an opportunity to download and review the materials prior to the course.

PLEASE NOTE: We request you download the material prior to the event as internet access in the meeting room may be limited.  We will also have flash drives available for those that find this easier than downloading.  The syllabus can be saved in Adobe Reader which allows participants to add "sticky  notes" directly on the slide as the speaker is talking. THese notes can be saved permanently to your document.  Other recommended applications include iBooks (for apple mobile devices) and iAnnotate (for mobile devices).  Lastly, put perhaps most important for many of us, a printed syllabus is available with an option for good old fashioned note taking.

Pre-Course Test

In our efforts towards continuous improvement for our course curriculum, the Foundation for Care Management has requested that all attendees take a pre-test.  Visit the FCM website to take the pre-test: FCM Pre-Test

The course code is :  BHRT462918X2

Notification will be sent out after the course with links to complete the post-test and survey.  These must be completed to claim your credit.  Your certificate will be available to print online once the survey has been completed.



We will not be providing breakfast however the hotel serves breakfast at the RED Kitchen featuring farm-to-table cuisine focusing on fresh and flavorful dishes.  Breakfast ala carte menu or breakfast buffet.




Friday, Sat. and Sunday

7:00 - 8:00 a.m. (Meeting Start-Time is 8:00 a.m.)

Meeting Room is Gateway East (18th Floor)


Buffet Luncheon Friday and Saturday

12:00 - 1:00 pm

Gateway West (18th Floor)

Friday Luncheon - Steve Goldring, RPh.

     How a little-known generic Drug could revolutionize treatment for autoimmune diseases

Saturday Luncheon - Networking Lunch


The Hotel is situated 15 miles from the St. Louis Lambert International Airport



This course has been approved for 21 AMA PRA Category 1 Credits, 21 Nursing Contact Hours (21 pharmacologic hours), 21 Hours Pharmacy Credit (knowledge based).

Prerequisites:  Part I, II and III

One would think that 3 courses on HRT would be all that is needed to adequately practice BHRT. However attendees have requested that they want more, but with more complexity and problem solving as opposed to didactic. Hence Part IV.

Although there are new articles, research, updates, literature critiques, and sarcasm (of course), the majority of this course will be problem solving, case management, mistakes to avoid, and tricks of the trade. The audience will consist of those with significant experience, questions, and issues that make for an excellent experience for both me and participants as we all learn from patients and ourselves. Extensive literature review in Parts I, II, & III have not allowed me to present all the interesting and complicated cases and situations that I have encountered in the last 15 years of practice. I have included 60 of my most complex and problematic cases from the last 15 years but it will require you to have masterful understanding of Parts I, II, and III in order to understand the reasoning behind the treatment and management of these problematic cases.
First we will review the latest NAMS recommendations. It is a step in the right direction. However I will use the medical literature to, of course, prove to them what they should have said and done as opposed to their sole reliance on the WHI trial. It should be the summation of all available data that should dictate our treatment, not just one study. We will then review the evolution from testosterone causes prostate cancer to maybe it protects against cancer to now where we prescribe it to men with active cancer. Although commonly (incorrectly) thought to cause prostate cancer, estrogen has been a mainstay to treat and protect against prostate cancer. In fact it may be through aromatization that testosterone can protect against prostate cancer. We will also review at what level of estradiol results in a flip of the lipids that then become cardio-protective. Although it has been customary and fashionable to utilize aromatase inhibitors to block aromatization of testosterone to estrogen, the most recent study demonstrates using an AI increases gynecomastia, visceral and subq fat, cholesterol, and sexual dysfunction.
Please read the agenda and course outline for a more complete synopsis of topics and objectives. So bring your tough cases, comments, thoughts and ideas and have another fun weekend with your talented peers. This will be a collection of the most talented and experienced physicians in this industry. Caution: Part IV will be thought provoking, intense, and very complex. And just maybe you’ll be able to pass that Certification Exam.

  • When

  • Friday, June 29, 2018 - Sunday, July 1, 2018

  • Where

  • Hyatt Regency St. Louis at the Arch
    315 Chestnut St.
    St. Louis, Missouri 63102



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