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Wednesday October 26th
Practice Management Workshop: Launching and Growing a Successful Age Management Practice
Many attendees of the AMMG conferences are attracted to the field of Age Management Medicine, but do not feel qualified, or empowered with the necessary tools, to successfully transition from the well-established structure of disease-based medicine or from the traditional insurance-based reimbursement system into a system which relies to a significant degree upon direct pay.
In addition this workshop is also designed to complement the AMMG Certification in Age Management Medicine for physicians and healthcare professionals and to help educate and inform medical and office staff. Attendees will be guided through the process of developing an Age Management Practice. Our goal is for the attendee to be equipped with the basic tools for making the necessary decisions on what is required from a Practice Management point of view.
Non-CME Course
FACULTY: Chuck Guglin, M.D., Francesca Guglin, Tony Orlando, Jeff Rubnioff and Joel Suraci
Time |
Presentation |
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9:00 – 9:30 am | The Direct Pay/Partial Direct Pay Practice Model Chuck Guglin, M.D., FACS Owner, Hyperfit MD Age Management Center Understand what a direct pay practice is, learn what the best practices for this type of practice are and transcend the fear of moving from insurance-based to direct pay practice. Attendees will be asked to envision the ideal Age Management Practice they wish to develop. |
9:30 – 10:15 am | Development of Practice Services and Procedures Chuck Guglin, M.D., FACS Owner, Hyperfit MD Age Management Center Joel Suraci Clinical Specialist, Regenerative Medicine Technologies Alia Fox, M.D. IV Therapy Sarah Brice, RN VP of Sales, GAINSWave/FemiWave- USA It is critical to understand the scope of the Age Management practice and clearly define what services and procedures will be offered, and to develop a pricing structure. These can include Hormone Replacement, Nutrition, Weight Loss, Fitness, Regenerative Medicine, and Sexual Dysfunction, Aesthetic Procedures and others. |
10:15 – 10:30 am | Break |
10:30 – 11:15 am | Development of Diagnostic Tools and Procedures Chuck Guglin, M.D., FACS Owner, Hyperfit MD Age Management Center Tony Orlando President, DEXA Jeff Rubinoff Vice President, Ultrasound and C Arm Product Specialist, iRad Sales Group The development of diagnostic procedures is to a great extent a product of the practice services that will be offered to patients. What diagnostic procedures need to be offered to support the services to patients? What equipment will be required to implement the diagnostic procedures? This also includes development of relationships with pharmacies, laboratories and equipment providers. In this session AMMG would like to expose attendees to some of the diagnostic equipment practices frequently use; our goal is not to try to sell product but to give you exposure to some of the core equipment. |
11:15 am – 12:00 pm | Motivating Patients and Creating Programs Applying the Science of Age Management Medicine to Produce Positive Patient Outcomes Rudy Inaba, M.S. Vice President of Performance Health, Cenegenics Medical Institute, Las Vegas, NV Creating programs that will incorporate your defined services, creating a real change in the health of patients and retaining patients are critical to the success of your practice. |
12:00 – 1:00 pm | Lunch Break / Lunch provided by DEXA+ |
1:00 – 1:45 pm | Developing a Marketing and Branding Program Audrey Neff Director of Marketing, Patient Now How to secure new patients and retain current patients through appropriate branding and marketing programs is essential to success. |
1:45 – 2:30 pm | Employee Management and Engagement Rudy Inaba, M.S. Vice President of Performance Health, Cenegenics Medical Institute, Las Vegas, NV A culture of excellence starts with the right team and brand. How your patients perceive your practice is essential to developing trust, thus increasing referrals and patient retention. Learn how to engage your team in creatively promoting, not selling, your services to current patients and prospects. What employee skills will be essential? |
2:30 – 2:45 pm | Break |
2:45 – 3:30 pm | Client/Patient Experience Expectations Rudy Inaba, M.S. Vice President of Performance Health, Cenegenics Medical Institute, Las Vegas, NV In the process of transitioning from sick-care to preventive healthcare you don’t want to sound like a salesman. Learn the exact words to use to speak to your patients and help them get the results they want to achieve. Learn how to set achievable patient goals and expectations. |
3:30 – 4:15 pm | The Liability Entanglements of Running Your Own Practice: Don’t Let Your Corporate Veil Be Pierced Zach Parry, Esq. Fortune Law Firm, Las Vegas, NVBusiness owner doctors erroneously believe that setting up their practice as a corporation or LLC creates a shield of liability between their business assets and their personal assets. But setting up the entity is just one small step in creating protections that business entities afford. These protections, to be effective, also require adequate capitalization of the entity, observation of corporate formalities, and a strict division between what is the business and what is the individual. Learn what it takes to run a medical practice in a way that will afford all of the protections that the law provides. |
4:15 – 5:00 pm | Practice Landmines & Practice Pearls Chuck Guglin, M.D., FACS Owner, Hyperfit MD Age Management Center Learn what to avoid to eliminate or reduce the inevitable problems and those pearls from experienced Practice Management Professionals that can help you succeed. |
5:00 – 5:15 pm | AMMG Physician and Healthcare Provider Certification Program Francesca Guglin CEO, Hyperfit MD Age Management Center |
5:15 – 5:30 pm | Open Forum with Q and A All Speakers |
Thursday, October 27th
Workshop: Human Performance: Fitness in Age Management Medicine
Physicians treating an aging population must recognize the importance of using fitness as a basic diagnostic tool to effectively diagnose structural, muscular, chemical and psychological conditions of a patient, establish a baseline and then to incorporate fitness protocols into their practice both as preventative programs to optimize patient health and as therapeutic interventions to treat disorders of aging such as obesity and metabolic syndrome. Basic knowledge of fitness is critical for all physicians and more so for age management physicians, who need essential knowledge to be able to evaluate patient fitness levels and incorporate levels of fitness into individualized patient treatment programs.
Time |
Presentation |
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8:00 – 8:45 am | Defining Fitness in the Age Management Industry Rudy Inaba Vice President of Performance Health, Cenegenics Medical Institute, Las Vegas, NV Patients and providers alike understand the positive clinical outcomes associated with physical activity, exercise, and healthful lifestyles. While this is widely accepted, why do we continue to see a decline in fitness-related functional markers associated with increased risk in all-cause mortality and cardiovascular events? Adherence challenges are commonly observed in overweight, obese, and older populations who are limited in their access and understanding of data that represents their disease risk. By measuring various functional markers related to aerobic & anaerobic fitness, muscular strength & power output, and more, providers personalize and curate recommendations specific to a patient’s unique individual needs analysis. |
8:45 – 9:45 am | Principles of Exercise Physiology Rafid Fadul, M.D., MBA Executive Medical Director, BestLife The following principles govern the adjustments the human body will make in the response to the physical stress incurred from a single bout of exercise and the training adaptations that occur from participation in a regular training program. The umbrella principle is a return to homeostasis and is basis for why our body needs to make numerous adjustments in the physiological and biochemical systems in response to exercise. This presentation will delve into the more specific principles of specificity, overload, progression, variation, recovery, and reversibility. Understanding these principles affords clinical teams the ability to make individual assessments and advance the exercise prescription based on a progressive overload. All in attempt to adjust the homeostatic set-point and avoid a return to baseline. |
9:45 – 10:30 am | Diagnostic Fitness Assessments: Primary Assessments & Supporting Diagnostics Christopher Arboleda, MS Precision Performance & Health Lab, Comite Center for Precision Medicine & Health, New York, NY Fitness Diagnostic testing is designed to create a baseline of performance while assisting healthcare teams in the process of developing a comprehensive plan to help patients meet their desired wellness goals. There are different modalities of exercise testing that can provide valuable information to physicians about patient fitness, cardiopulmonary ranking, and overall health status. Additionally, these tests help assess the risks and limitations to exercise, provide objective data to ensure realistic goals, learn what motivates a patient, and ultimately equip the team with the necessary data to tailor an individualized program for each individual. Whether it is for optimizing a current plan or creating a new program, the appropriate series of diagnostic tests will help provide insight into how patients can focus their efforts for maximum results. |
10:30 – 10:45 am | Break |
10:45 am – 12:00 pm | VO2 max Practical Demonstration (LIVE Demo) Peter Hellberg, M.S. Performance Health Performance Coach, Cenegenics, Philadelphia, PA Assisted by Josh D’Alessandro, Sydney Brackett, M. A VO2 max test is a measurement that reflects an individual’s ability to perform sustained exercise. It is generally considered the best indicator of cardiovascular fitness and aerobic endurance. Routinely assessing a patient’s VO2 max enables age management teams to determine the efficacy of aerobic and anaerobic interventions, as well as a patient’s relative cardiovascular fitness. Contraindications aside, the VO2 max test is suitable for a wide range of patients, from sedentary to elite athletes. This presentation will provide an inside look at administering a VO2 max test, how to interpret live data, analysis of the results, and presentation to the patient. |
12:00 – 1:30 pm | Lunch Break |
12:00 – 1:00 pm | Proper Use of Legal Entities for Lawsuit Protection and Tax Reduction Presented by Gary Harker, Author Daily DOSE Open to all attendees and includes a complimentary lunch Non-CME symposium sponsored by Legally Mine |
1:30 – 2:30 pm | Aerobic & Anaerobic Training (LIVE Demo): Compare both in real time Peter Hellberg, M.S. Performance Health Performance Coach, Cenegenics, Philadelphia, PA Assisted by Josh D’Alessandro, Sydney Brackett, M. Physical exercise is one of the most effective interventions age management teams can implement to aid in the prevention of cardiovascular disease and promote cardiovascular health. Aerobic and anaerobic are two modes of training the cardiovascular system that vary based on intensity, duration, and type of muscle fiber recruitment. This presentation will provide insights into the rate of perceived exertion (RPE) during a live demonstration comparing the two modes of training, along with clinical applications for both modalities. |
2:30 pm | Exhibits Open |
2:30 – 3:15 pm | Aerobic Performance & Body Composition in Precision Medicine Sydney Brackett Exercise Physiologist, Comite Center for Precision Medicine & Health, New York, NY Routine surveillance of aerobic performance and body composition enable age management teams to track and assess intervention efficacy to lengthen the healthspan. The importance of maintaining optimal cardiovascular fitness, muscle mass, and fat mass with age cannot be overstated. This presentation highlights the role of these tests in Precision Medicine by reviewing the ubiquitous nature physical activity has on various disease states. We conclude by summarizing the recommendations utilized to continually improve test scores. Audience members will learn how to introduce these techniques into their clinical practices, gaining valuable insights that can increase patient longevity and quality of life. |
3:15 – 4:00 pm | Break / Visit Exhibits |
4:00 – 4:45 pm | Exploring the Science and Importance of Recovery: Includes Demo of Acoustic Ultrasound Therapy Peter Hellberg, M.S. Performance Health Performance Coach, Cenegenics, Philadelphia, PA Assisted by Josh D’Alessandro, Sydney Brackett, M.S. Internal and external stressors are an inevitable factor of life. The inability or inadequate recovery from a planned stress, such as exercise, can mitigate the interventional effects of a seemingly positive lifestyle adjustment. This presentation will explore various recovery protocols, review current scientific literature surrounding recovery tools, and demonstrate the utilization of acoustic ultrasound therapy. For age management teams, being well versed in the science and importance of recovery will allow for comprehensive lifestyle management and protocols surrounding exercise prescription. |
4:45 – 5:30 pm | Nutrition & Nutraceutical Strategies to Enhance Exercise-Mediated Clinical Outcomes Rudy Inaba, M.S. Vice President of Performance Health, Cenegenics Medical Institute, Las Vegas, NV The benefits of exercise are well-documented and recognized as one of the best therapies to positively impact the aging process. While lifelong adherence to a sustainable, personalized exercise program is paramount, aging adults must also focus on optimizing recovery through a variety of methods. In addition to an array of physical therapies to optimize mobility and speed the recovery process, enhancing exercise via nutrition & nutraceuticals is a proven adjunct to individual fitness. In this lecture we will review a battery of beneficial nutritional and supplemental strategies to influence human performance and enhance clinical outcomes. |
5:30 – 7:00 pm | AMMG Welcome Reception Open to all conference attendees, spouses, and guests Held in Conference Networking and Exhibits Center |
Thursday, October 27th | 8:00 AM - 12 PM
Workshop: Critical Issues in the Use of Nutrients and Nutrition to Improve Patient Outcomes (½ day)
According to the NIH basic nutrients are critical to better health, particularly in older and aging adults. Physicians need to understand the science and evidence-based use of essential nutrients in clinical practice. How clinicians direct their patients on the safe and evidence-based use of these nutrients should be part of every Age Management Practice. During this presentation we will review some of the controversies and evidence-based strategies for diagnosing nutrient depletion and the implementation of personalized patient treatment programs to increase nutrient levels and improve patient outcomes.
Time |
Presentation |
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8:00 – 9:15 am | Causes of Nutrient Depletions Derrick DeSilva, Jr., M.D. Teaching Faculty, JFK Medical Center, Edison, NJ Associate Attending Staff, Raritan Bay Medical Center, Perth Amboy, NJ Vitamins and minerals play a critical role in every organ system in our bodies. More importantly, these nutrients play a critical role on the cellular level. There are also many nutrients that function as cofactors for hormones and cellular energy production. Cellular senescence as we age is another major factor that must be looked at and these senescent cells must be given the “cellular energy” to perform at optimal levels. I have always believed that these nutrient deficiencies are the genesis of the many chronic disease that mankind faces. My beliefs are based in science and the numerous studies that have shown that many chronic diseases have significant nutrient deficiencies at the root of various disorders. So how do these nutrients become deficient and what can be done to diagnose and treat these issues? There are various reasons that we become deficient in nutrients. The top ones are, the deficient microbiome and lack of nutrient absorption, the deficiency of nutrients in our foods, environmental toxins that we are exposed to and the prescription medications that deplete our bodies of nutrients. There are of course many more reasons, but these four reasons play a significant role in the development of acute and chronic diseases. During this presentation we will look at these top reasons and pay particular attention to the role that prescription medications play in the depletions of nutrients and how these depletions contribute to the dysfunctional human body. |
9:15 – 10:00 am | Diagnosing Micronutrient Deficiencies Jennifer Speiser, NP-BC, LE Precision- Fitness, Medical Spa, Medicine, St Louis MO Micronutrient deficiency is a primary driver for the predisposition and development of both acute and chronic disease states. In the traditional healthcare setting, providers are taught to identify disease and medical conditions based on signs and symptoms experienced by a patient. Diagnosing micronutrient deficiencies can actually prove to be a more challenging process. The body’s capacity to compensate for prolonged periods of time and the inability of a patient to recognize subtle warning signs are common barriers in this diagnostic struggle. Mild fleeting symptoms of eye twitching, hair and skin changes and gut irregularities can easily go unmentioned. A thorough history and exam is imperative and must include details for potential exposures to environmental chemicals and toxins. Understanding genetic polymorphisms and the resulting epigenetic changes as it relates to nutrient absorption and vitamin utilization are an integral part of the diagnostic workup and treatment plan. Serology is the preferred diagnostic tool used to identify and assess micronutrient levels, SNPs, biological and hormonal factors that could be contributing to suboptimal absorption in the body. Serology should continue to be used to monitor therapeutic levels |
10:00 – 10:15 am | Break |
10:15 – 11:30 am | Customizing a Treatment Plan for the Aging Patient Derrick DeSilva, Jr., M.D. Teaching Faculty, JFK Medical Center, Edison, NJ Associate Attending Staff, Raritan Bay Medical Center, Perth Amboy, NJ Just like each of us has a unique fingerprint each individual has a unique set of needs to optimize their overall health. The advances in preventative diagnosis and treatments of individuals have evolved dramatically over the past few years. We are at a point in time that we can use various modalities to customize the care of our patients based on various preventative serologic markers. Based on these preventative serologic markers we can optimize the health and wellbeing of individuals so that they are able to function at a much higher level. Therefore, by repleting the nutrients, hormones etc. that are needed, these individuals will not only function at an optimal level but also be proactive in staving off various chronic diseases. Customizing treatments is not about getting lab (blood work) into normal ranges. Customizing treatments is all about getting these individuals into optimal ranges and being comfortable treating the patient and not treating the labs (blood work). |
11:30 am – 12:00 pm | Case Presentation & Discussion / Q & A Derrick DeSilva, Jr., M.D. Teaching Faculty, JFK Medical Center, Edison, NJ Associate Attending Staff, Raritan Bay Medical Center, Perth Amboy, NJ Jennifer Speiser, NP-BC, LE Precision- Fitness, Medical Spa, Medicine, St Louis MO |
12:00 – 1:30 pm | Lunch Break |
12:00 – 1:00 pm | Proper Use of Legal Entities for Lawsuit Protection and Tax Reduction Presented by Gary Harker, Author Daily DOSE Open to all attendees and includes a complimentary lunch Non-CME symposium sponsored by Legally Mine |
Thursday, October 27th | 1:30 - 5:30 PM
Workshop: Weight Loss Strategies to Improve Patient Outcomes (½ day)
Study after study has demonstrated that obesity is associated with higher risk of many chronic diseases including heart disease and type 2 diabetes. Weight loss may reduce the risk of developing chronic disease and other serious conditions and improve the quality of life. Age Management Physicians must understand the science behind weight loss, the causes of weight gain, and evidence-based treatments such as hormones, diets, exercise, pharmaceutical and even surgical options for treatment which will improve patient outcomes.
Time |
Presentation |
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1:30 – 2:10 pm | Beyond the Basics: Evidence for Strategies to Achieving Lean Body Mass Ashley Madsen, PA-C Comite Center for Precision Medicine & Health, New York, NY This presentation will explore how N-of-1 techniques can be utilized to improve lean body mass, an approach and emerging science that has never been more important given the current health landscape and cost of healthcare. We will discuss the multifactorial contributors of obesity including the carbohydrate-insulin model and the energy balance model. Clinicians will learn how to integrate precision diagnostics, biometrics/wearables, and targeted nonsurgical interventions to improve body composition, and health outcomes. |
2:10 – 3:00 pm | Weight Gain Causation: Metabolic Syndrome, Stress, Diet, Genetics Mizyl Damayo, M.D. Medical Director, Paradise Behavioral Health In this lecture we will explore all the different causes of weight gain: genetics, environmental, social reasons and metabolic syndrome. There is not one reason for weight gain but an interplay of all these factors. We will discuss all of these factors in detail and also touch on mental health reasons for weight gain such as binge eating disorder and bulimia. One will get a better understanding after this lecture on how to do a more thorough work up on patients who complaint of weight gain, to guide management. |
3:00 pm | Exhibits Open |
3:00 – 3:40 pm | Metabolic Syndrome and Hormonal Options for Reduction of Weight Jeffrey M. Galvin, MD Medical Director, Vitality Medical Wellness Institute, Charlotte, NC Nearly one hundred million Americans meet the definition of Metabolic Syndrome. Those affected are at high risk of developing cardiovascular disease, diabetes, and stroke. Obesity and insulin resistance play a key role in the disease and its treatment. Addressing the root cause of the syndrome can lead to its reversal and subsequent prevention of its associated diseases. In this lecture, we will cover the basics of treating Metabolic Syndrome with a focus on hormonal optimization and weight loss. The roles played by sex hormones, cortisol, Thyroid, Leptin, Ghrelin, and Glucagon-Like peptides will be explored. In addition, the use of specific therapies to target these hormonal pathways (such as Metformin and GLP-1 Agonists) will be discussed. Hormonal optimization, lifestyle change, nutrition, and fitness also play essential roles in the treatment and reversal of both obesity and Metabolic Syndrome and will be covered as well. |
3:40 – 4:10 pm | Break / Visit Exhibits |
4:10 – 4:50 pm | Weight Loss Diets: A Review of Healthy Diets for Weight Loss and Those to Avoid John E. Lewis, Ph.D. Voluntary Associate Professor, Departments of Psychiatry and Behavioral Sciences and Psychology, University of Miami This lecture will feature some of the latest nutrition science information, related to how to effectively lose weight. While the overweight/obesity epidemic is firmly entrenched in society, methods for losing weight are more pressing than ever. This lecture will highlight how nutrition modification is the obvious primary method to lose weight, while ensuring adequate nutrition and considering other health outcomes, e.g., cardiovascular, cognition, and mental health. Diets that should be avoided or chosen with considerable care will also be discussed. Having a proper understanding of at least some of the evidence base of nutrition and its relationships to weight loss is important for all allied health practitioners and wellness industry professionals, especially considering all of the marketing hype around weight loss methods. Dr. Lewis’s lecture provides attendees an evidence-based review of nutrition science that emphasizes some recent important findings that have an impact on weight, body composition, and overall quality of life. |
4:50 – 5:30Â pm | Tailored Interventions for Weight Optimization: Pharmaceutical & Surgical Options for Improved Patient Outcomes Lauren Klein, PA-C Comite Center for Precision Medicine, New York, NY Precision Medicine is grounded in the collection, integration, and interpretation of N-of-1 data to assess disease risk and improve health outcomes in every patient. Obesity is a multi-factorial disorder, often associated with other diseases of aging such as insulin resistance, diabetes, cardiovascular disease, sarcopenia, and some cancers. The epidemic of obesity is a leading cause of chronic illness that could be stopped early in its tracks. Family history, carbohydrate metabolism and baseline biomarkers are an essential piece to this assessment, which can be utilized when recommending weight-loss options. Together with family history, clinical insights derived from blood testing, body composition analysis and other modalities can revolutionize the quality and efficacy of preventive care. This presentation covers the core principles of Precision Medicine, followed by an extensive review on the utility of medications, peptides and surgical interventions used to optimize body composition and reverse disorders of carbohydrate metabolism in our clinical practice. Audience members will learn how to interpret biomarkers related to underlying insulin resistance to optimize metabolic and cardiovascular health, slow the aging process, improve body composition, and prevent chronic diseases associated with obesity. |
5:30 – 7:00 pm | AMMG Welcome Reception Open to all conference attendees, spouses, and guests Held in Conference Networking and Exhibits Center |
Thursday, October 27th
Workshop: Traumatic Brain Injury: A Clinical Approach to Diagnosis and Treatment
This full day program, TBI–A Clinical Approach to Diagnosis and Treatment, will provide to the attendees overwhelming information culled from peer-reviewed articles on Traumatic and Non-Traumatic Brain Injuries as causative factors for personality changes, cognitive impairment and mood disorders leading up to suicide. The attendees will be walked through the literature discussing the effects of primary traumas and the secondary effects of inflammation and oxidative stress on functionality. The rising cases of post-Covid neurological complications will also be discussed as a new entry into non-traumatic brain injury due to the “Cytokine Storm”. This program will prepare you for the treatment.
Course Faculty (all sessions in this track)
Mark L. Gordon, M.D.
Medical Director, Millennium-TBI & The Millennium Health Centers, Encino, CA; CBS Studios;
USC, Keck School of Medicine, Department of Family Medicine, Los Angeles, CA
Medical Director of Education, Access Medical Laboratories, Jupiter, FL
Member, AMMG Conference Planning Committee
Life Member, AMMG
Time |
Presentation |
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8:00 – 9:00 am | Introduction to Neuroinflammation and Traumatic Brain Injury A 60-minute overview of trauma and non-traumatic brain injuries and the social and medical impact and the need for a paradigm shift in evaluation and treatment. |
9:00 – 10:15 am | The Neurology Associated with Traumatic Brain Injury Using a group of 2 minute videos and published articles, we review some of the healthy neurological pathways that get disrupted by trauma and inflammation. Understanding how neurotransmitters are stopped being produced and released gives the foundation to the development of neuropsychiatric and cognitive decline |
10:15 – 10:30 am | Break |
10:30 – 11:30 am | Neuroinflammation of Traumatic Brain Injury The devastating effects of neuroinflammation, precipitated by trauma induced oxidative stress, are addressed in this lecture. Understanding neuroinflammation thereby allows for selecting treatments that are discussed in our final lecture. |
11:30 am – 12:00 pm | Endocrinology/Neuroendocrinology of Traumatic Brain Injury How the endocrine and neuroendocrine systems produce their hormones and regulate cerebral functioning is the focus of this lecture |
12:00 – 1:30 pm | Lunch Break |
12:00 – 1:00 pm | Proper Use of Legal Entities for Lawsuit Protection and Tax Reduction Presented by Gary Harker, Author Daily DOSE Open to all attendees and includes a complimentary lunch Non-CME symposium sponsored by Legally Mine |
1:30 – 2:30 pm | Neuropsychiatry and Traumatic Brain Injury It was just a matter of time before the recognition of neuroinflammation and hormonal deficiencies can cause neuropsychiatric conditions such as depression, anxiety, dementia and cognitive decline. We will review the literature relative to the major types of psychiatric conditions commonly arising post TBI. |
2:30 – 3:30 pm | The Laboratory Assessment of Traumatic Brain Injury The biomarker panel used to assess the effects of traumatic brain injury on neurosteroid and neuroactive steroid production requires an understanding of how these markers are affected by trauma and how to interpret their levels as low or optimal for recovery. |
2:30 pm | Exhibits Open |
3:30 – 4:10 pm | Break / Visit Exhibits |
4:10 – 5:30 pm | An Approach to the Treatment of Traumatic Brain Injury Understanding that traumatic brain injury leads to both neurosteroid insufficiencies and inflammation makes the approach to treatment about replenishment and reduction of neuroinflammation. |
5:30 – 7:00 pm | AMMG Welcome Reception Open to all conference attendees, spouses, and guests Held in Conference Networking and Exhibits Center |
Thursday, October 27th
Workshop: Office Based Aesthetics for the Age Management Medicine Clinician
In response to attendee requests for information on aesthetic protocols and treatments which are office based and can be done by non-board-certified Age Management Clinicians either full time or as an adjunct to their existing practice, the decision not to accredit this track was made so that attendees could be provided with business tools as well as the science and medical information necessary to implement these procedures. The goal is not to make this track commercial but to give speakers in this niche area the leverage to openly discuss procedures and answer questions that could be severely restricted in an accredited environment. This track is also very appropriate for Support Staff.
* Track is Non-CME
Time |
Presentation |
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8:00 – 8:45 am | Successful, Safe, Easy to Implement, Multi-Modality Treatments for Physicians Entering the Aesthetic Marketplace, or Expanding their Aesthetic Practice H. William Song, M.D. Founder & CEO, Omni Aesthetics, Oakland, NJ Tammy Polit, M.D. Medical Director, Beautopia Cosmetic Medicine, Colleyville, TX The multi-billion-dollar non-surgical aesthetic market continues to grow exponentially. This is representative of the concept of “Generational Aesthetics”, encompassing patients seeking treatments ranging from Generation Z (12-25 years), Millennials (26-40 years), Generation X (41-55 years), to Baby Boomers (56-75 years). These age groups share a similar demographic in that they request “preventative” aesthetic treatments (non-surgical), over “corrective” aesthetic treatments (surgical). Typically, non-surgical treatments improve the loss of volume, skin quality, clarity, and tone of patients, whereas surgical procedures remedy the muscular gravitational descent that patients experience with age. The fields of cellular medicine, regenerative and stem cell therapy have continued to show success in functional and aesthetic medicine. Extracellular vesicles or exosomes have proven success when applied topically for aging skin, acne, wound care, and scar therapy. Recent studies have shown expanded efficacy when employed synergistically with other technologies. This trend encompasses the topic of “Regenerative Aesthetics”. They will highlight simple, reproducible protocols, enabling any physician to offer their patients aesthetic, non-surgical, in-office treatments that ensure safe results. By combining Exosomes with ease-of-use technologies such as Salt Exfoliation, Cavitating Ultrasound, High Intensity LED Therapy, Microneedling, Needle Radiofrequency, Botulinum Toxins, Injectable Fillers, and medical grade products, ease of implementation regimens can be employed in any medical practice. This session is for any medical professional seeking to offer their patients safe, reproducible, and efficacious treatments that will build loyalty, and expand patient referrals. |
8:45 – 9:15 am | PRP or PRF: What is the Difference? Which Do I Use? H. William Song, M.D. Founder & CEO, Omni Aesthetics, Oakland, NJ Find out what qualifies for PRP, platelet count/how to constitute/what kind of centrifuge. What’s the difference in PRP to PRF and when to use which. Do I need a separate system or special kit? |
9:15 – 10:15 am | Latest Update on Stem Cells and Exosomes for Aesthetics Jordan Plews, M.D. When and how to use! What do I look for to evaluate quality/efficacy? Get the latest update on what’s approved and how to use it. Are there alternatives? |
10:15 – 10:30 am | Break |
10:30 – 11:15 am | Hair Restoration (Includes Demonstration) Brandy LeSaffre Why is the procedure so popular? Do I add this now and how? What’s the cost versus profit and does it work? Where do I get trained, how long is a course, and rough costs. Topics will include Introduction into Alopecia, Prevention Programs for Hair Loss, How to maximize the efficacy of injectables for the scalp, PRP, Exosomes, Microneedling + Growth Factors, How to increase workflow in the treatment room. |
11:15 am – 12:00 pm | Micro Needling (Includes Demonstration) H. William Song, M.D. Founder & CEO, Omni Aesthetics, Oakland, NJ Nadia Bixler, L.E.I. Medical Esthetician, Bobbi Bullock Medical Esthetics, Boise, ID Find out about reclassification, why it’s now a Class 2. What to look for in a device, how to incorporate into a business model, menu selection, training, and marketing. What’s the cost to implement and what is profitability? |
12:00 – 1:30 pm | Lunch Break |
12:00 – 1:00 pm | Proper Use of Legal Entities for Lawsuit Protection and Tax Reduction Presented by Gary Harker, Author Daily DOSE Open to all attendees and includes a complimentary lunch Non-CME symposium sponsored by Legally Mine |
1:30 – 2:15 pm | Treating Ethnically Diverse Skin & Unique Patient Issues for Ethnically Diverse Skin (Includes Demonstration) Tammy Polit, M.D. Medical Director, Beautopia Cosmetic Medicine, Colleyville, TX Proper skin assessments and aesthetic treatment delineations are necessary to meet the growing demand for aesthetic treatments in all ages that include various pigmentation levels and skin health needs. We will review client requests vs clinical recommendations in light of the Fitzpatrick pigmentation scale and evaluation of levels of skin health and skin aging. Treatment options will vary based on this combination of assessments. |
2:15 – 3:00 pm | Male & Female Sexual Wellness Using PRP and PRF Ian Levenson, D.O., FACOFP Medical Director & Founder, Colorado Center for Health and Longevity Taking the confusion out of Platelet Rich Plasma, Platelet Rich Fibrin Matrix, and their application to aesthetic and regenerative procedures. |
2:30 pm | Exhibits Open |
3:00 – 3:00 pm | Break / Visit Exhibits |
3:30 – 4:00 pm | Increase Retail Product Sales: Identify the Correct Products and How to Market Them Nadia Bixler, L.E.I. Medical Esthetician, Bobbi Bullock Medical Esthetics, Boise, ID Take the fear out of Retailing. Join us for a deep dive into your retail space! Learn some specific techniques when selling retail to your customers. Improve your communication skills and be a story teller of your own personal experiences. Why do your patients shop at Nordstroms, do they know more than you? How to make your retail area exciting. |
4:00 – 5:30 pm | Facial Mapping Using Ultrasound for Enhanced Precision in Aesthetic Medicine (Includes Demonstration) Luis MartĂnez, M.D., MPH President, XanoGene Clinic, San Juan, Puerto Rico President, Regenera Global, Ponce, Puerto Rico Filler injections are a popular and ever-growing part of the field of aesthetic medicine. Fillers can provide immediate results and high patient satisfaction when done properly. However, complications associated to improper filler administration can occur. In some cases, these complications can lead to serious, long-term effects. A thorough knowledge of facial anatomy is crucial for practitioners offering filler injections. Additionally, with the availability of portable ultrasound devices, practitioners can now identify and map facial anatomical landmarks prior to and during injections. This lecture will cover the fundamentals of utilizing ultrasound imaging in the context of facial filler injections. Practitioners will learn how to incorporate ultrasound mapping as part of the patient assessment prior to undergoing filler injections. Emphasis will be given to identifying relevant vasculature and determining proper filler placement. Management of filler complications utilizing ultrasound will also be reviewed. |
5:30 – 7:00 pm | AMMG Welcome Reception Open to all conference attendees, spouses, and guests Held in Conference Networking and Exhibits Center |
Friday, October 28th
General Session Curriculum
Time |
Presentation |
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7:00 – 8:00 am | Treating Growth Hormone Deficiency Presented by Mark Gordon, MD Open to all attendees and includes a complimentary breakfast Non-CME symposium sponsored by University Compounding Pharmacy |
8:00 – 8:05 am | Opening Remarks |
8:05 – 8:20 am | Presentation of the Alan P. Mintz, M.D. Award for Clinical Excellence in Age Management Medicine |
8:20 – 9:10 am | How Can Age Management Medicine Impact the Underserved in Low Income Communities: Learning to Live Better and Longer Kavita Prasad, BSc (Hons), M.D., FACP Medical Director, Integrated Medical Clinic, Zumbro Valley Health Center, Rochester, MN Persons with chronic mental illness die on average 25 years earlier than the general population. Tobacco use exerts a huge toll on persons with mental illnesses and substance abuse disorders. Smoking is the major contributor to that premature mortality. People with behavioral health conditions make up only 25 percent of the U.S. adult population, yet consume 40 percent of all cigarettes smoked. Along with this, patients are at increased risk of developing metabolic syndrome which causes an increased risk for developing type 2 diabetes, as well as cardiovascular disease. We will discuss Integrative Medicine approaches to improving wellbeing in the underserved population in the US. |
9:10 – 10:00 am | Innovations in Precision Medicine to Improve Patient Outcomes in Age Management Medicine Florence Comite, M.D. Founder, Comite Center for Precision Medicine & Health, New York, NY Member, AMMG Planning Committee Precision Medicine is bolstered by longitudinal ‘N-of-1’ data that enables the optimization of an individual’s health trajectory. In an increasingly digitized landscape, Precision Medicine is poised to capitalize on the unique advantages of AI and machine learning. The lecture will share the core principles of Precision Medicine & Health, and how the insights and actionable interventions can be integrated with sophisticated ergonomic algorithms that will enhance your ability to deliver on the promise of lifelong health. Genes do not have to be your patient’s destiny. Physicians and clinicians will learn how to extend their patients’ healthspans to match their lifespans today to achieve healthy longevity today and into the future. |
10:00 – 10:30 am | Break / Visit Exhibits |
10:30 am – 11:15 am | Extending Human Lifespan with AI, Genomics, Epigenetics, Senotherapeutics, TPE, GH and Cell Therapy George Shapiro, M.D. Chief Medical Innovation Officer, Fountain Life Adjunct Assistant Professor Clinical Medicine, New York Medical College, Valhalla, NY Founding Partner, Cenegenics, New York City Member, AMMG Conference Planning Committee Detection of human disease in its early stages will be reviewed Including AI to evaluate the Brain, Heart, Liver, Breast and Prostate, microbiomes of the Gi tract and oral cavity. I will also cover advanced blood and genetic biomarkers, epigenetic clinical applications, Immunosenescence testing and bio wearables. Advanced therapies will also be reviewed including Therapeutic Plasma Exchange, Crispr, Yamanka factors, Regenerative Medicine, hypoxia therapy, morphoceuticals and Senotherapeutics. |
11:15 am – 12:00 pm | Testosterone Therapy Risks:Â Prostate Cancer and Erythrocytosis William Clearfield, D.O. Medical Director, Clearfield Family Medicine, Reno, NV Executive Director, American Osteopathic Society of Rheumatic Diseases Testosterone adequacy produces a wide range of benefits for men and women with hypogonadism. Patients note improvement in strength, energy, sense of well-being, muscle mass and tone, mood, erythropoiesis, and cognition. Controversies arise, however, regarding the issue of risk, many times wrap up in myths vs. rewards. Major misconceptions have long plagued testosterone therapy. Fact or Myth: High testosterone levels result in prostate cancer. Fact or Myth: High testosterone levels result in polycythemia vera, a red blood cell tumor. Fact or Myth: Testosterone therapy leads to cardiovascular disease, deep vein thrombosis, pulmonary emboli, and premature death. We review the origins of these complaints, review the evidence-based literature both for and against the use of testosterone in these scenarios, and present common-sense recommendations that you may not have touched on in medical school for use of testosterone in the face of these issues. |
12:00 – 1:30 pm | Lunch Break / Visit Exhibits |
12:00 – 1:00 pm | Myths Doctors Believe Regarding Taxes, Lawsuits, and Estate Planning that Put Your Life and Practice at Risk Presented by Art McComber, Former FBI Special Agent Open to all attendees and includes a complimentary lunch Non-CME symposium sponsored by Fortune Law Firm |
1:30 – 1:45 pm | Why Undergo Certification in Age Management Medicine Derrick DeSilva, Jr., M.D. Teaching Faculty, JFK Medical Center, Edison, NJ Associate Attending Staff, Raritan Bay Medical Center, Perth Amboy, NJ |
1:45 – 2:30pm | Hypogonadism: Detection and Evidence Based Treatment Rob Kominiarek, D.O., FACOFP Member, AMMG Planning Committee Director, ReNue Health, Springboro, OH Assistant Clinical Professor, Ohio University College of Osteopathic Medicine Abstract TBD |
2:30 – 3:15 pm | Managing Complications of Hormone Therapy Derrick DeSilva, Jr., M.D. Teaching Faculty, JFK Medical Center, Edison, NJ Associate Attending Staff, Raritan Bay Medical Center, Perth Amboy, NJ Many age management physicians are introducing Bio-Identical Hormone Therapy (BHRT) into their age management medical practices. As far as I am concerned the use of BHRT with our patients is relatively straightforward. The concern I have is that many practitioners are not well enough versed/trained in how to manage the complications of BHRT. So, what are some of the “preventative interventions” that can be taken to stave off some of these complications. Also, what baseline testing must be done in order to protect the wellbeing of the patient and allow the practitioner to sleep at night. During this presentation we will review some of the common complications of BHRT and what can be done to prevent these complications from occurring in the first place. We will also review the baseline tests that I do on all my patients before starting any form of BHRT. This is one area of medicine in which “an ounce of prevention is worth a pound of cure.” |
3:15 – 4:00 pm | Break / Visit Exhibits |
4:00 – 4:45 pm | Enteroimmunology & Endocrinology: How Dysbiotic Gut Inflammation Leads to Hormone Imbalances, and How Reversing Them is the Key to Resolving Chronic Illness Dushyant Viswanathan, M.D., ABIM, ABoIM, AACE Chief Medical Officer, The Columbia Center for Integrative Medicine Gut dysbiosis is associated with inducing a chronic inflammatory state that affects every organ and is implicated in the pathogenesis of multiple chronic conditions in the scope of internal medicine. Here we articulate relevance, diagnostic/therapeutic concerns of translational mucosal immunology (“Enteroimmunology”) and articulate the impact on measured cortisone secretion patterns as demonstrated by 24-hour salivary cortisol testing. Inflammatory cytokines stimulate cortisol secretion, and over time, an endocrinopathy develops: dysfunctional diurnal cortisol secretion, depletion of beneficial hormones such as testosterone, DHEA, progesterone, pregnenolone, thyroid hormone, and sometimes estrogens (although elevations of estrogens due to impaired excretion is more common) occur. These physiologic events are implicit in the process of aging. We will describe treatment approach and cases featuring gut microbiome repair and restitution of optimal hormone levels as essential to lessening physiologic/cellular aging and inflammation. We will review case studies reflecting reversal of pathology, improvement of quality of life, and restitution of healthy physiology. |
4:45 – 5:30 pm | Awaking Health Project: Fusion of Biomedical Knowledge and AI Nursing Assistant Robot Grace to Transform Senior Care (Non-CME) Ben Goertzel, Ph.D. Founder & CEO, SingularityNET As AI and robotics advance, there are increasingly many ways for these technologies to help medical professionals meet the needs of the aging population. AI powered R&D can help create new therapies and practices prolonging human healthspan, and AI powered robots like Awakening Health’s Grace robot can help directly with patient care, providing social and emotional and cognitive support along with practical assistance. Toward this end, Grace is currently engaged in two university-based pilot projects demonstrating her impact for eldercare. These AI and robotics applications also provide an outstanding experimenting ground for novel AI techniques such as neural-symbolic and neural-evolutionary algorithms, and an opportunity to train and teach AI systems in a context where compassion, ethics and deep emotional interaction with humans plays a dominant role. |
Saturday, October 29th
General Session Curriculum
Time |
Presentation |
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8:00 – 9:00 am | Modifiable Contributing Factors To Cognitive Decline Sharon Hausman-Cohen, M.D., FAAFP, ABIHM Owner & Co-Founder, Resilient Health CMO, IntellxDNA While Apo E4 is the most well-known cause of cognitive decline, there are many other modifiable genomic pathways that have been shown to contribute to memory loss including specific hormone related receptors, inflammatory mediators, and nutrient transporters. In this talk Dr. Sharon Hausman-Cohen will provide in-depth insight into some of these specific modifiable genomic contributing factors to cognitive decline. As part of this talk she explains the ESR1/ESR2 paradox as to how these same receptors can either promote brain health or cause inflammation based on whether or not estrogen is bound to these receptors, helping to explain why estrogen conveys brain benefits, why T3 levels in blood do not necessarily reflect T3 levels in the brain and why higher levels of B12 are needed in some individuals but not all, as well as other topics relating to a genomic understanding of brain health. |
9:00 – 10:00 am | Photobiomodulation: Cellular Impact and Longevity Implications Luis MartĂnez, M.D., MPH President, XanoGene Clinic, San Juan, Puerto Rico President, Regenera Global, Ponce, Puerto Rico Photobiomodulation is a broad term for a series of non-thermal, light-based therapies that are capable of producing a therapeutic benefit through multiple pathways. The most common and best studied photobiomodulative therapies include low level laser therapy (LLLT) and LED therapies. Some of the benefits of photobiomodulation include increased ATP production, improvements in mitochondrial function and increased antioxidant capacity. This lecture will discuss the impact that photobiomodulation has at the cellular level and how PBM could be incorporated in Age Management Medicine as a strategy to promote longevity. |
10:00 – 10:30 am | Break / Visit Exhibits |
10:30 – 11:15 am | Environmental Toxins – Silent Aging Elliot Dinetz, M.D., ABFM, FAAMFM Timeless Health, Miami, FL Member, AMMG Conference Planning Committee In an ever growing, super-industrialized world, environmental toxins appear to be the next big health concern. We will explore an overview of environmental toxins, testing, and how much these contribute to some of the most commonly seen ailments. From here we will evaluate both clinical case reports of how the endocrine system is disrupted and how the research is trending, revealing how this impacts human life expectancy. We will show a case example of how to reverse the aging process due to properly addressing identified toxins based on translational research and advanced practice. |
11:15 am – 12:00 pm | Environmental Toxins, Mold, & POPs Andrew Campbell, M.D. Medical Advisor, Mymycolab LLC Climate change has affected most of the world with an increase in indoor molds due to flooding, hurricanes, etc. Diseases associated with molds and mycotoxins are called “The Great Masquerader of the 21st century” by the World Health Organization. There have been a number of recent studies published on how mycotoxins trigger autoimmunity and that the treatment is directed at getting rid of mycotoxins and not treating the autoimmunity. Included in this presentation will be before and after photos and labs of actual patients, including patients diagnosed with Alzheimer’s disease and other neurodegenerative conditions. Mast Cell Activation Syndrome is an emerging disorder and has recently been detected in a number of patients exposed to mycotoxins. Actual patient medical histories, before and after photos and labs are presented. There are some diagnostic studies and treatments that have recently been shown as not helpful in the diagnosis and treatment of mold/mycotoxin patients. These are reviewed. |
12:00 – 1:30 pm | Lunch Break / Visit Exhibits |
12:00 – 1:00 pm | Biological Age & Cenegenics Performance Health: How Treatment Influences Serum & Functional Health Outcomes Presented by Dr. Rafid Fadul, MD, MBA, Rudy Inaba, and Robert Brooke Open to all attendees and includes a complimentary lunch Non-CME symposium sponsored by Cenegenics |
1:30 – 2:15 pm | It’s In the Air We Breathe and the Water We Drink: A Genomic Exploration of How an Individual’s Genomics Contribute to Environmentally Related Illness Sharon Hausman-Cohen, M.D., FAAFP, ABIHM Owner & Co-Founder, Resilient Health CMO, IntellxDNA Environmentally related illnesses are not just limited to mold and mercury toxicity. Brain fog, Parkinson’s Disease, general fatigue and more can all relate to an individuals ability to remove a wide variety of toxins and toxicants from the blood, brain and gut. In this talk genomic underpinnings of response to the environment will be explored including glutathione related pathways, paraxonase pathways, NQO1 and other pathways involved in detoxification. Participants will also be educated as to how they can address these different detoxification pathways in a targeted fashion. |
2:15 – 3:00 pm | Detox Protocols with Chelation and Chemical Kathryn Retzler, N.D. Sole Owner, HormoneSynergy Clinic, Portland, OR This lecture will provide a brief overview for clinicians on ways to support detoxification in patients. Protocols offered will emphasize maximum benefits while minimizing side effects. The presentation will include testing options and questionnaires to use in practice with input from Dr. Retzler’s 20-year experience performing detox programs with patients. Besides being useful, the presentation will not be boring! |
3:00 – 3:45 pm | Break / Visit Exhibits (exhibits close 4:00 pm) |
3:45 pm – 4:45 pm | Systematic Approach to Complex Disease Chris Kleronomos, FNP, DAOM, MSc. Medical Director, MediPro Holistic Health Discussion of evidence based protocols which Dr. Kleronomos has developed that use a multi-system, non-linear strategy and would cover diet to FDA-approved peptides as well as specialized testing, IV’s etc. It covers: Food, Rehabilitation, Endocrine, Sleep, Hormones, Medications, Musculo-skeletal, Mitochondria, Exercise/Rehabilitation, Detoxification, Inflammation, Cognitive Behavioral, Immune/Infections, Nutrients, Environmental Stressors |
4:45 pm – 5:30 pm | Patient Access Threats: A Survey of the Pharmacy Compounding Policy Landscape Scott Bruner, CAE CEO, Alliance for Pharmacy Compounding Though specifically authorized in the federal Food, Drug & Cosmetic Act, compounded drug therapies are under assault like never before. From FDA to the U.S. Pharmacopeia to state boards of pharmacy, regulators are attempting to restrict pharmacy compounding. If successful, those restrictions would severely impede your ability to prescribe and your patients’ ability to access life-enhancing compounded drug therapies. In this session, the Alliance for Pharmacy Compounding’s CEO Scott Brunner, CAE, will brief attendees on the following:
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Sunday, October 30th
General Session Curriculum
Time |
Presentation |
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8:00 – 9:00 am | Biological Effects of Electromagnetic Fields (EMFs) Martin Pall, Ph.D. Professor Emeritus, Biochemistry & Basic Medical Sciences, Washington State University, Portland, OR Talk will include how EMFs act via voltage-gated calcium channel activation & consequent Increases in [Ca2+]I acts via excessive calcium signaling and via the proximities/free radical/oxidative stress/inflammation pathway to product many pathophysiogical effects. Both of these pathways act together to produce neurodegeneration including Alzheimer’s disease. EMFs also act via increased levels of Nrf2 to produce therapeutic effects. Many health-promoting factors also act via increases in Nrf2 to produce therapeutic effects including healthful aging effects. |
9:00 – 10:00 am | Your Brain on Oxygen: How Hyperbaric Oxygen Therapy Reverses Brain Age, Accelerates Recovery, and Optimizes Cognitive Performance Scott Sherr, M.D. Board Certified Internal Medicine, Certified in Hyperbaric Oxygen Therapy There is no molecule more important for brain healing, recovery, and long-term health than oxygen. As we age, our brain loses its vascular supply and with it, its oxygen supply. This leads to inflammation, degeneration, and eventually tissue death with subsequent brain atrophy and loss of cognitive capacity. But is this inevitable? Absolutely not. There is a simple and safe technology that can reverse these changes: Hyperbaric Oxygen Therapy (HBOT). In a hyperbaric chamber, we combine increased atmospheric pressure with increased inspired oxygen to drive up to 1200% more oxygen into the blood plasma compared to sea level. This massive oxygen infusion reverses hypoxia both immediately (potentially saving at-risk tissue) and in the long term by creating new blood vessels in areas of injury and/or degeneration. This extra oxygen also creates a systemic hormetic (oxidative) stress which leads to the exponential release of stem cells, telomere lengthening, senescent cell population downregulation, and a shift in epigenetic expression of over 8000 genes. In this lecture, I will discuss the basic physiology of HBOT in detail and how clinically this leads to accelerated recovery, performance, and reversing of brain age. I will detail the ongoing and compelling research in concussion and stroke recovery, vascular and Alzheimer’s Dementia, Long-Haul COVID, and how HBOT can reverse age/optimize cognitive performance in “normal” adults as well. Finally, I will also emphasize that an integrative approach is essential to maximize and sustain treatment benefits. In my practice, this includes assessing foundational biomarkers, lifestyle modification, personal practices, cutting-edge tech, supplements, and referrals to allied practitioners. |
10:00 – 10:15 am | Break |
10:15 – 12:15 pm | Case Presentations & Discussions
MCAS Induced from Vaccine Reaction Yogatherapeutics for Age Management Medicine: Theoretical Framework, Evidence, and Applications Exercise and Nutrition Management and Plan Development in Age Management Medicine Patients: A Case Study Central Pain Secondary to EDS with Tethered Cord |
12:15 – 1:15 pm | Cracking the Paradigm About Tobacco Smoking: New Perspective Allows New Treatment Solutions to Improve Patient Outcomes Harlan C. Bieley, M.D., MS President & Owner, Healthy Living and Longevity Medical Center, Palm Beach, FL Member, International Hormone Society, International Peptide Society, American Academy of Antiaging and Regenerative Medicine21 years ago, Dr. James LaValle proclaimed that about half of the medicines used in society have some kind of drug-induced nutrient depletions. Both Dr. LaValle and Dr. Pamela Smith gave lectures on the topic. Since I was investigating tobacco smoking and what to do to help smokers, their lectures inspired me to investigate tobacco smoking from a new perspective. I discovered all the antioxidants and micronutrients and other substances that are reduced/depleted from tobacco smoking and secondhand smoke exposure. I then asked the question, “What happens when you replenish these depleted antioxidants and micronutrients?” |