Digital On-Demand Conference Agenda

NEW — DIGITAL ON-DEMAND CONFERENCE
Clinical Applications for Age Management Medicine

— Available November 14, 2020 —

Select A CATEGORY to view agenda & faculty

Introduction to Core Topics in Age Management Medicine

Designed to familiarize physicians and healthcare professionals with the basics of Age Management Medicine. Covers evidence-based use of nutrition, supplements, fitness, hormones—including a specialized lecture on hGH and assessment protocols—and legal basics, with some of the newest medical science on aging that may be in use now or in the near future; including relevant case presentations and discussion.

Length
Presentation
60 min Basic Hormone Replacement/Replenishment for Men
Neal Rouzier, M.D.
Chief Medical Officer, Precision Health by Science
Prescribing hormones for men is simple and straightforward. However, dealing with the problems and complications is not. This lecture will address common problems, complications, side effects, monitoring, understanding levels, erythrocytosis vs. polycythemia, prostate cancer and elevated PSA, use of 5 alpha reductase inhibitors, and aromatase inhibitors.
75 min Hormone Supplementation for Women: Essentials for Competent, Effective Prescribing
Kathryn Retzler, M.D.
Private Practice, HormoneSynergy Clinic LLC, Portland, OR
This lecture will provide an overview of proper assessment of women before hormone prescribing, available options for bio identical estradiol, progesterone, and testosterone, dosage ranges, and appropriate follow-up. Emphasis will be placed on research along with significant clinical experience of the speaker.
60 min Use of Supplements: Are They Effective?
Derrick DeSilva, Jr., M.D.
Teaching Faculty, JFK Medical Center, Edison, NJ
As practitioners in functional medicine and “age management,” our patients expect that we have and utilize the best options to guide them to optimize their health and protect them from the common problems associated with aging such as heart failure, stroke, osteopo-rosis, and cognitive impairment. Contrary to the standard RDA for nutrients, various factors that contribute to a person’s actual needs include: decreased ability to absorb nutrients, medications that many deplete the body of certain nutrients, and environmental factors that contribute to a greater need. This presentation will provide an overview of the mechanism of action of nutraceuticals and supple-ments in the protection from the untoward effects of inflammation, oxidative damage, endothelial dysfunction and how they can be ap-plied in your practice for the prevention and treatment of common medical conditions seen in the aging population.
65 min Improving Growth Hormone With and Without Growth Hormone
Edwin N. Lee, M.D., FACE
Assistant Professor of Internal Medicine, University of Central Florida, College of Medicine, Orlando, FL
Founder, Institute for Hormonal Balance, Orlando, FL
Member, AMMG Conference Planning Committee
Co-Founder, Clinical Peptide Society
The fetal body’s production of growth factors (GH, IGF-1, IGF-II) allow for the development and growth of each organ system from brain to bones. As our body takes on a more adult form the production of Growth Hormone diminishes over the years. Once thought to be the sole benefactor to linear growth (gigantism) has been found to participate in the optimal production and functioning of all hormones as well as 450 different cell types.
Growth hormone works with vitamin D in the kidneys to independently produce 25 (OH) Vitamin D, GH provides a stimulus for the con-version of T4 to T3, GH working with Testosterone enhancing memory at the level of the hippocampus, GH and Testosterone as well as Estradiol improve upon endothelial functioning and repair of the basilar membrane, IGF-1 produced by GH signaling improves protein synthesis by up regulating the 40-70S unit of the Ribosomes, rebuilds the tau protein based microtubules destroyed by Amyloid-Beta in Alzheimer’s disease, lowers homocysteine, cytokines and interleukins thereby reducing inflammation. In 2017, research showed that 61% of individuals with treatment resistant depression had a Growth hormone deficiency which resolved when corrected. Knowing how best to detect alterations in growth hormone and its by-products will allow for comprehensive preventative programs of wellness to be developed. Understanding the legal requirements for justifiable prescribing of growth hormone will allow the physicians to provide un-compromising services to and for the patient. In this lecture you will learn (1) the importance of GH and its related growth factors in body functioning, restoration, and protection, (2) how to detect deficiency and perform a Glucagon Stimulation Test, and (3) the myth about GH causing cancer, and (4) treatment protocols using secretagogues and growth hormone in combination.
48 min Use of Fitness & Exercise in an Age Management Medicine Practice
Mary Corry, MSN, Ed.
Medical Education Specialist, Worldlink Medical, Salt Lake City, Utah
Member, AMMG Conference Planning Committee
Member, Sigma Theta Tau International Honor Society of Nursing
One of the key components to Age Management Medicine is exercise. During this presentation, we will discuss the benefits of exercise and how to build an effective exercise program for beginner and advanced patients.
45 min Compliance with Federal and State Regulations as You Begin Your Age Management Practice
Paul D. Werner, Esq.
Member, Buttaci, Leardi & Werner Law Firm, Princeton, NJ
Recognize when relevant Federal and State regulations are implicated within your age management practice and measure and evalu-ate necessary steps to ensure compliance with these statutes and regulations. This workshop will focus on one essential element: compliance as an ongoing process. Compliance with Federal and State regulations depend entirely upon a provider’s willingness to be motivated, alert, and self-critical. Compliance and compliance plans are risk management tools that should address each and every area of potential exposure. Good faith efforts to focus on and implement thorough compliance mechanisms evidences a provider’s commitment to compliant and ethical practice and therefore undermines any allegation of intentional malfeasance. Compliance with Federal and State regulations is not only important when beginning a new practice, but is an essential element to the ongoing success of that practice. Continual monitoring of compliance “hot spots,” which requires a comprehensive understanding of the relevant regulato-ry framework, helps identify issues before they escalate into problems that could result in liability.
36 min
Age Management Medicine Clinical Recommendations for Diet and Weight Loss
Rob Kominiarek, D.O., FACOFP
Member, AMMG Planning Committee
President & Director, ReNue Health, Springboro, OH
Assistant Clinical Professor, Ohio University College of Osteopathic Medicine
Obesity has gained epidemic proportions and is now the leading cause of chronic medical illnesses that occur as we age. Correcting obesity should therefore be paramount for every physician who practices age management medicine. Old concepts of weight-loss, such as low-fat diets, have been shown to actually increase cardiovascular risks. The Mediterranean diet has been proven to have beneficial effects on health but, per se, may not provide a good option for losing weight. Newer concepts such as higher fat diets, ketogenic diets and fasting mimicking diets have accumulated a plethora of evidence that suggests these appear to be preferred options for patients to lose weight. Physicians should consider this new evidence when recommending weight-loss options.
72 min Assessing the Age Management Patient
Michale “Mickey” Barber, M.D.
CEO & CMO, Better Life Carolinas Charleston, SC & Charlotte, NC
This lecture will focus on the many aspects of a patient’s health and fitness that should be evaluated as part of the initial assessment. This assessment should provide the patient and clinician with information about the patient’s health and disease history, nutritional pat-terns, sensitivities and supplement history. An assessment of fitness, strength and balance are also considered to be essential to set-ting up goals for a healthy aging program. The measurement and interpretation of key aging biomarkers including hormones will be discussed. The impact of stress on our health and longevity is well known and should also be assessed from day one of beginning an age management program. Attendees should leave this lecture with a good understanding of a basic as well as advanced age man-agement assessment protocol.

Hormone Replacement Therapy & Sexual Medicine

Provides practical and concise information to be able to properly evaluate your patients and determine the best course of action to balance or replace the much-needed hormones; testosterone, estradiol, progesterone, and an understanding of laboratory interpretation and optimal levels, pros and cons of different hormone delivery systems, how to properly dose each system and the knowledge to properly manage inevitable complications of BHRT. 

Length
Presentation
45 min
Viagra Surprise, 2.0: Biggest Breakthrough in Age Management Diseases and Mortality in the History of Medicine, an Encore Lecture with Expanded Discussion
Eugene Shippen, M.D.
Author, “The Testosterone Syndrome”
The PDE5 Inhibitors were developed initially for cardiovascular effects. The use for ED was discovered during the initial trials and the drugs were approved for this indication. However, multiple uses for these drugs were discovered over the many years since they were released. Amazingly, cardiovascular benefits included phenomenal improvement in function and reduction in both cardiovascular dis-eases and mortality. These reported findings were documented in several observational studies and showed greater benefits and mor-tality reduction than ever reported in the medical literature! The presentation will outline these studies and other aging disease benefits, including dementia, and will outline the basic science behind these remarkable benefits. This information can be utilized immediately in your practices for health and longevity in both men and women.
60 min
The Moral Imperative of Integrative Medicine
Louis B. Cady M.D., FAPA
Founder, CEO , Cady Wellness Institute
Diplomate, American Board of Psychiatry & Neurology
Practice of Integrated Functional Neuropsychiatry
This presentation will review specific illustrative cases to show that conventional allopathic medicine, and even allopathic medicine practiced with simplistic bio-identical hormone re-placement therapy, may be doomed to fail in some of our patients. Principles of phar-macogenomics and appropriate, targeted nutritional supplementation, as well as multisystemic hormone replacement therapy will be reviewed. The need to avoid giving a patient a quick, cursory diagnosis of “depression”, or fatigue, or “chronic fatigue syndrome” will be cov-ered. Instead we will focus on precise, discrete interventions that can synergistically reveal a therapeutic effect greater than the sum of all the parts.
60 min The Estrogen Controversy: Estrogen vs No Estrogen in Men. What all clinicians should know about estrogen in men but don’t; a literature review in the use of aromatase inhibitors in men
Neal Rouzier, M.D.
Director, The Preventive Medicine Clinics of the Desert, Palm Springs, CA
It has become customary to use aromatase inhibitors to block formation of estrogen in men. Even though the use of AI’s is commonly taught, the utilization is not supported by the medical literature and can have significant adverse consequences on men’s health. The purpose of this lecture is to present the lack of need to block estrogen in men and the consequences of doing so. Using the medical literature, we will come to understand the importance of optimizing estrogen instead of blocking it. The medical literature, as it pertains to the harm of blocking estrogen and importance of optimizing E2, will be emphasized. The importance of following evidence-based standards, and not public opinion, will be explained and demonstrated.
68 min
Why Patients Choose BHRT
Daved Rosensweet, M.D.
Testifying Expert, National Academy of Science, Engineering and Medicine (NASEM) Committee on the Safety and Efficacy of cBHRT 2019

There’s nothing like the horrible sucking sound of silence! Sure some patients start coming in the door, but that practice-changing, catch-on-fire word-of-mouth, moment never seems to arrive. Why? We’re at a unique moment in time. 5 million women seek menopause treatment in America today, down from 18 million at its peak. That leaves 45 million more that would benefit! The change that the world may be on the verge of is that the fear-tsunami caused by the WHI may finally be subsiding. The National press, right now, is talking about the truth about risk. Yay! What if your entire practice is about to change? What if a new way of looking at your menopause practice and presenting it to the world, could lead you to more satisfaction, less burnout, healthier, happier patients, more time and a stronger bottom line! Today, we dive in.
48 min What is Robbing My Patients of Hormonal Health?
Andrew W. Campbell, M.D.
Editor-in-Chief, Alternative Therapies in Health and Medicine Medical Journal & Advances in Mind-Body Medicine Journal
Editorial Board, Integrative Medicine: A Clinician’s Journal
Medical Editor, Natural Solutions and Alternative Medicine Magazines
This lecture will provide basic “golden rules” which should be applied when prescribing BHRT as well as specific guidance on the starting doses and ways to adjust accordingly to clinical response to BHRT. Attention will be given to the differences in prescription writing for compounded hormones as well as understanding of industry standards of application.
33 min
The Top Ten Pellet Insertion and Dosing Mistakes: How to Avoid Common Pitfalls and Optimize Your Treatment
Angela DeRosa, D.O., MBA, CPE
Founder & President, Hormonal Health Institute, Scottsdale, AZ
Bio-identical hormone replacement therapy is a powerful tool in a clinician’s toolbox in treating patients’ symptoms of hormonal imbal-ances and deficiencies but also preventing chronic illness; addressing the desire for not only longevity but quality of life in our patients. Subcutaneous hormonal pellet therapy, specifically, provides the highest efficacy and most physiologic hormone response when properly dosed and implemented. In order to ensure proper response to these therapies, it is important to have proper training not only on the insertion techniques of pellets but the unique pharmacokinetic, physiologic and idiosyncratic nature of pellets and common pit-falls to avoid. This presentation will address the top ten most common mistakes clinicians make when inserting pellets procedurally (which affect extrusion and infection rates) but also the more important dosing considerations that can affect the patient’s overall re-sponse to therapy. In addition, the presentation will address how to best address consenting and documentation to protect one’s license from board actions and ensuring strong patient advocates.
82 min Introduction to Bioidentical Hormone Replacement
William Clearfield, D.O., FAAMA, DABMA, FAARFM
Medical Director, Clearfield Family Medicine, Reno, NV
Executive Director, American Osteopathic Society of Rheumatic Diseases
Lecture will review, and refute with peer reviewed literature, the 2009 position paper, review the rationale for a comprehensive BHRT program for men and women and review the three latest FDA approved BHRT medications released since 2016.

Precision Medicine

They’re here: technological advances for optimal health and living well longer. Now you can explore Precision Medicine and its smart, customized approach using emerging science and evidence-based protocols. Learn how Precision Medicine affects patient outcomes with better therapies and innovative, proactive, prevention strategies.

Length
Presentation
45 min Systems Approach to Age Rejuvenation
Daniel L. Stickler, M.D.
Co-Founder, Apeiron Center for Human Potential, Austin, TX
CME & Co-Founder, Apeiron Academy Medicine Education and Technology
Reverse aging is no longer science fiction. Leading edge science and technological advancements have provided unprecedented dis-coveries in the field of aging and age rejuvenation. Recently, nine hallmarks of aging were identified—genomic instability, telomere shortening, epigenetic alterations, loss of proteostasis, dysregulated nutrient sensing, mitochondrial dysfunction, cell senescence, stem cell loss, and altered intercellular communication. These discoveries provide us with an opportunity to create interventions which miti-gate the ravages of aging and importantly, provide the ability to rejuvenate the aging system to a place of youthful longevity. In order to achieve optimal age rejuvenation outcomes, a synergistic, stepwise approach is required.
45 min Current Applications of Senolytics and Their Role in Age Management Medicine
Luis Martinez, M.D., MPH
President, XanoGene Clinic, San Juan, Puerto Rico
President, Regenera Global, Ponce, Puerto Rico
Will discuss interventions including the use of rapamycin, metformin and more recent approaches such as the dasatinib/quercetin com-bo. A senolytic (from the words “senescence” and “lytic” – destroying) is among the class of small molecules under basic research to determine if they can selectively induce death of senescent cells. The goal of those working to develop senolytic agents is to delay, prevent, alleviate, or reverse age-related diseases
45 min Epigenetics and its Clinical Implications in Cardiovascular Aging and Precision Medicine
George Shapiro, M.D.
Adjunct Assistant Professor Clinical Medicine, New York Medical College, Valhalla, NY
Founding Partner, Cenegenics, New York City
Member, AMMG Conference Planning Committee
This lecture will begin with a brief summary of epigenetic basics. This lecture will review the evolving landscape of epigenetic research related to the cardiovascular system and the aging human. Then I will discuss epigenetics and the environment and how lifestyle modi-fications can influence epigenetic change from one generation to the next and affect individual epigenetics and health. Clinical applica-tions of epigenetics will also be reviewed along with selected case studies.

Disease Prevention and Intervention

Designed to familiarize physicians and healthcare professionals with the basics of  disease prevention and intervention using the Age Management Medicine model. Covers evidence-based use of nutrition, supplements and microbiome to treat inflamation and viral infections.

Length
Presentation
45 min COVID 19, Inflammation and the role of HRT
Cesar Pellerano, M.D.
Preventive Cardiologist, Miami, FL
President, Founding Partner and Chief Medical Officer, Hillstar Health LLC, Miami, FL
The COVID 19 pandemic has dominated the news and or lives over the last few months. This is a brand new disease that affected the entire world, so we have had to try and fight it and learn about it at the same time. One theme is consistent, that this is a highly “inflam-matory virus” when it affects and kills the at risk population. We have documented severe effects in the lungs, heart, kidneys and brain. Most of this damage seems to be mediated by inflammation. While this virus is more dangerous to the elderly and immunocompro-mised, it has also affected and killed younger people. Metabolic Syndrome and obesity appear to be a common finding when this dis-ease affects the younger population, that we did not expect to be at risk. Estrogen and testosterone deficiency are being looked at as possible “at risk scenarios” for this disease. This presentation will give the audience the available clinical data of the relationship be-tween COVID 19, Metabolic Syndrome and Obesity. It will also present the possible role of HRT in the fight against this disease
42 min Decoding Covid-19- How your Genes Influence your Risk
Elliot Dinetz, M.D., ABFM
Timeless Health, Miami, FL
In the current age of advanced data collection, mounting genetic information has become paramount in influencing human health. Through learning our own genetic strengths and risks we are able to meander around disease and inflammation in a way never before seen in humanity. With the current ongoing pandemic there has been key genomic findings which may influence ones risk to Covid-19 and it’s lethal inflammatory response. In this presentation we dive into the clinical evidence along and medical approaches that may help significantly quell inflammation and damage from the virus for optimal prevention and recovery.
60 min Supplements and Viral Infections
Derrick DeSilva, Jr., M.D.
Senior Attending Staff, Dept. of Medicine, Raritan Bay Medical Center (RBMC), Perth Amboy, NJ
Teaching Faculty, JFK Medical Center, Edison, NJ
The Centers for Disease Control has finally acknowledged that “certain vitamins & minerals may have effects on how the immune sys-tem works to fight off infections and inflammation.” “ .is the first time the federal agency has publicly recognized that supplements such as vitamin C, vitamin D, and zinc, might have a role in quelling the inflammation associated with COVID, and strengthening the immune system’s ability to fight off infections.” •Holistic Primary Care-August 2020 It has long been known that Vitamin C, Zinc and Vitamin D have a definite role in the prevention and perhaps even in the treatment of various bacterial and viral infections. During this presenta-tion various scientific studies will be presented to support the fact that these nutrients along with the proper dietary support will help prevent and perhaps heal these deadly infections.
45 min Gut Microbiome- Based Inflammation & Endocrinopathy are at the root of chronic disease, and how reversing them can be of service to your patients
Dushyant Viswa-nathan, M.D., ABIM, ABoIM, AACE
Medical Director, The Columbia Center for Integrative Medicine, Columbia, MD and Woodland Hills, CA
Dysbiotic gut environment originating in the gut microbiome not only can induce end organ damage and sepsis, but also can perpetuate low grade chronic inflammatory pathophysiology, or alter Th1 vs Th2 immunologic balance in our patients. Toll-like receptors facilitate direct com-munication between gut bacterial metabolites and the regulatory complex that controls the tran-scriptional/translational activities of our genetics. Such inflammatory processes are associated with increase cortisol production and lead to a decrease in beneficial anabolic steroid hormones, contributing to the known epidemics of deficiency of testosterone, Vitamin D, progesterone, while putting some patients at risk for high estrogen states, which precipitate breast cancer, prostate cancer, andropause, obesity, and uterine cancer. Over time cellular damage from de-pleted antioxidants or micronutrients and buildup of toxic chemicals contributes to the patho-physiology. This lecture articulates how microbiome repair strategiesi are used to promote reso-lution of dysbiotic inflammation along with endocrine, nutrient, and lifestyle-based treatments following comprehensive diagnostic workup. Such treatments efforts have been found to re-solve underlying physiologic imbalances and therefore resolve symptoms at the root cause.

Lifestyle, Nutrition, Fitness

Get down to the basic facts and sound principles regarding lifestyle, nutrition, and fitness. Expert presenters walk you through case histories, unpack the latest nutritional science, and broaden your perspective on how to realign your approach for optimal health and wellness.

Length
Presentation
45 min One for the Ages: a practical lifestyle plan/protocol for everyone
Michele L. Neil-Sherwood, D.O.
Founding Physician, Functional Medical Institute, Tulsa, OK
Mark Sherwood, N.D.
Naturopathic Physician, Functional Medical Institute, Tulsa, OK
When discussing protocols, many practitioners may be wondering “where to start”. Do you start in the gut, with hormones, or adrenal management? What about sleep, nutrition, and exercise? Age management protocol prescriptions can be a bit overwhelming. However, there are several principles that truly fit for everyone. By examining “what we do know” and considering what the majority of persons can/can’t do, there is much common ground. Understanding this common ground, combined with systems biology and functional medi-cine principles, one is able to deliver a general protocol in which everyone can benefit. When developing a protocol, it is important to look at all aspects of life – physical, emotional, intellectual, and spiritual. When one includes all of these critical factors, development of a protocol is both possible and actionable. This lecture will provide the explanation for and rational behind a foundationally sound proto-col that nearly everyone can employ immediately. The protocol includes nutrition, supplementation, stress management, sleep, and hormone optimization. Moreover, measurables (biomarkers) will be detailed along with a very clear “how to” program describing all as-pects of the “one for the ages” age management protocol with the clear objective being able to functionally and fully employ on Monday morning.

CBD, THC and Cannabis Derived Therapies for Age Management Medicine

The demand is soaring. How prepared are you to handle the latest legalized treatments and strategies?

AMMG fills the gap in education with dynamic lectures that will strengthen your foundation and take you to a deeper understanding, from the basics to a full-spectrum, whole-plant use, beyond CBD and THC: better cognitive brain health, optimized female health/fertility, osteoporosis treatment, improved autoimmune/inflammatory disease, and much more.

Length
Presentation
45 min Guidelines to Recommending Medical Cannabinoids
Rachna Patel, M.D.
Founder, Doc Patels CBD, Oak Brook Terrace, IL
What is the Endocannabinoid system? Learn about the basic science of the Endocannabinoid System – from agonists to antagonists to receptors and regulatory enzymes., What is the pharmacologic profile of the Cannabinoids? What are the indications for Cannabinoids? What are the contraindications of Cannabinoids? What are the side effects of Cannabinoids? How to avoid & manage side effects in patients. Drug Interactions to watch out for with Cannabinoids.
42 min Dangers of Vaping
Jordan Tishler, M.D.
Instructor of Medicine, Harvard Medical School
President, Association of Cannabis Specialists
CEO, InhaleMD
Vaporizing (or vaping) both cannabis and nicotine has been getting some scary press in recent months. As our patients use these sub-stances and devices, it’s important that we understand the benefits and risks involved for them. It’s just not as simple as advising them not to do it (and that sort of advice undermines our credibility as trusted practitioners). We will discuss what is known about vaporiza-tion, how the substance and the device affect safety, and how to minimize risk for our patients.
48 min Cannabis Metabolomics
Betty Wedman-St. Louis, Ph.D.
Licensed Nutritionist & Environmental Health Specialist, St. Petersburg, FL
Cannabis metabolomics takes a look at the unique chemical fingerprint of Cannabis sativa with over 421 chemical compounds. A major focus will be on cannabidiol (CBD) and its “non-intoxicating” diverse benefits. Misconceptions have resulted from Merrick, et al. (2016) claim that CBD can be converted into THC. Grotenherman, et al. (2017) refuted this biological study. Health care professionals need to understand the functional properties of cannabis products in order to appropriately recommend and dose. Selecting full-spectrum, broad spectrum or isolate products can make significant difference in patient outcome. Physicians need to be aware of drug interactions and SAMHSA recommendations

Clinical Issues in Age Management Medicine

Age Management Medicine has been—and continues to stay—ahead of the curve.  AMMG’s experts lecture on clinical issues in Age Management Medicine— cornerstone to revolutionizing your medical approach.

Discover how Age Management Medicine can help you add value to your practice, promoting optimal health and delaying age-related disease with evidence-based protocols.

Length
Presentation
45 min Introduction to Traumatic Brain Injury
Mark L. Gordon, M.D.
Medical Director, Millennium-TBI & The Millennium Health Centers, Encino, CA; CBS Studios;
Consultant – Medical Board State of California
Medical Director of Education, Access Medical Laboratories, Jupiter, FL
Member, AMMG Conference Planning Committee
The fetal body’s production of growth factors (GH, IGF-1, IGF-II) allow for the development and growth of each organ system from brain to bones. As our body takes on a more adult form the production of Growth Hormone diminishes over the years. Once thought to be the sole benefactor to linear growth (gigantism) has been found to participate in the optimal production and functioning of all hormones as well as 450 different cell types. Growth hormone works with vitamin D in the kidneys to independently produce 25 (OH) Vitamin D, GH provides a stimulus for the conversion of T4 to T3, GH working with Testosterone enhancing memory at the level of the hippocampus, GH and Testosterone as well as Estradiol improve upon endothelial functioning and repair of the basilar membrane, IGF-1 produced by GH signaling improves protein synthesis by up regulating the 40-70S unit of the Ribosomes, rebuilds the tau protein based microtubules destroyed by Amyloid-Beta in Alzheimer’s disease, lowers homocysteine, cytokines and interleukins thereby reducing inflammation. In 2017, research showed that 61% of individuals with treatment resistant depression had a Growth hormone deficiency which resolved when corrected. Knowing how best to detect alterations in growth hormone and its by-products will allow for comprehensive preventa-tive programs of wellness to be developed. Understanding the legal requirements for justifiable prescribing of growth hormone will allow the physicians to provide uncompromising services to and for the patient. In this lecture you will learn (1) the importance of GH and its related growth factors in body functioning, restoration, and protection, (2) how to detect deficiency and perform a Glucagon Stimulation Test, and (3) the myth about GH causing cancer, and (4) treatment protocols using secretagogues and growth hormone in combination
40 min
Fungicides & Mycotoxins
Betty Wedman-St. Louis, Ph.D.
Licensed Nutritionist & Environmental Health Specialist, St. Petersburg, FL
Azole fungal resistance has become a public health issue due to the extensive use of these compounds in agriculture over the past 20 years. The medical conditions associated with azole antifungals include: aspergillosis, bone marrow transplantation, candida UTI, fun-gal infections and vaginal yeast infections. The European Union has stringent mycotoxin regulations for imported crops- almonds, pista-chios, walnuts- due to widely used fungicides used to control fungal growth but not the United States. In medicine, administration of antifungal drug efficacy is at risk due to the broad spectrum of fungal pathogens infecting crops. Preharvest crops in the field are sub-jected to air blasts of fungicides from backpack or airplane sources. Postharvest crops in storage are drenched with fungicides while in the truck, line sprayed or fogged. The agricultural industry primarily uses azole fungicides, especially for aspergillus diseases on plants, but the increasing use of these fungicides has created azole-resistant strains reducing the likelihood of medical management of fungal disorders in humans. Fungal spores are present throughout the environment- decaying vegetation, in soil and air- and constantly in-haled by humans. Patients with pulmonary diseases, organ and stem cell transplantation, hematological malignancy and those treated with corticosteroids are prone to fungal infections. Common environmental sources can be the cause of azole therapy resistance- gar-dening, wood working, composting, raking leaves, housekeeping. Another contact issue occurs inside the body by ingesting azole con-taminated foods like strawberries and grapes. Azoles are inexpensive antifungals and used in cereals, grains, fruits and vegetables. Since there are only a few available therapeutic options in treating yeast and fungal infections, reducing the dietary intake is an im-portant first step. Shauer and Hanschke’s 1999 article Critical Annotations to the Use of Azole Antifungals for Plant Protection lists the frequency of yeast in common environmental sources:

  • Plants, leaves, flowers — 21%
  • Fruit juices — 9%
  • Beer, wine — 4%
  • Other food items — 8%
  • Earth, sludge — 11%
  • Water — 6%
  • Air — 1%

Studies have estimated about 25% of all harvested fruits and vegetables are lost to storage molds and/or mycotoxin contamination de-spite the use of fungicides applied preharvest and postharvest. Immune compromised and mycotoxin patients are especially compro-mised when they consume wheat and other cereal grain products that are contaminated with pesticide residuals. Aflatoxins and myco-toxins also contaminate corn (maize) which poses adverse health effects to humans and animals. Bacillus thuringensis (BT) corn has been touted as a bacterium toxic to insects without consideration for the results on human contamination. Indiscriminate use of azole fungicides can cause serious human and animal health risks resulting from liver damaging carcinogens. Mycotoxins also block P450 enzymes, estrogens and androgens. Treatment focuses on removal of mold and mycotoxin exposure, GMO-free & pesticide-free diet, along with frequent saunas to reduce inflammatory histamine reactions. A gluten-free, no dairy diet for 60 to 90 days with die-tary supplements: zinc, magnesium, vitamin D, and melatonin usually improve symptoms.

58 min Hair Rejuvenation
Joseph Greco, Ph.D., PAC
Greco Medical Group, Sarasota, FL
Faculty, George Washington University
A comprehensive review and updates of biologic therapy for the treatment of hair loss and hair loss diseases. The goal is to review the evolution of biologic treatments and share the latest protocols for Androgenic Alopecia, Alopecia Areata and Cicatricial Alopecias. New-er therapies include the use of exosomes and birth tissue including Amniotic Cells, Wharton’s Jelly and Medicinal Signaling Cells.
45 min Clinical Roadmap for the Treatment of Difficult or Recalcitrant SIBO Cases
Chris A. Kleronomos, FNP, DAOM, MSc
Comprehensive Pain and Functional Medicine Specialist
SIBO is an emerging problem gaining attention within the standard biomedical community though lack of in-depth clinical knowledge, lack of response to treatment, and high recurrence rates remain problematic. This presentation will provide an evidence based detailed protocol for therapeutic intervention outlined in an easy to follow, detailed, step by step process. It will in-clude specific information on diet strategy (including elemental), supplements, prescription and herbal motility, and antimicrobial agents (pharmaceutical and natural), as well as novel thera-pies such as Peptides and Electro-Acupuncture for Vagal modulation. This is not a research up-date (though it is inclusive of current state of science) but specifically designed for clinicians to have a framework to reduce symptoms, address SIBO, associated secondary infections (dysbi-otic flora, candida etc.), as well as Biofilms to improve outcomes.