Agenda April 2021

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Wednesday, April 14th

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. This workshop is for those physicians and management staff. Attendees will be guided through the process of evaluating their professional goals, and then be helped to create a successful strategy to achieve those goals. Our goal is for the attendee to be equipped with the basic tools for making the decision whether to consider moving into an Age Management Medicine practice, and if so, to create a successful transition into this exciting field.

Non-CME Course

Time
Presentation
1:00 – 1:45 pm What Does Direct Pay Practice Ownership Mean?
Kenneth Janson, M.D., FACS
Chief Medical Officer, Precision Health by Science
Attendees will be asked to create their vision of the ideal Age Management Practice they wish to develop. Understand what Direct Pay actually is, learn the best practices for this type of practice and transcend the fear of moving from insurance-based to direct pay practice.
1:45 – 2:30 pm Creating the Effective Business Map for One Year, Three Years, and Beyond: The Medical Services and Procedures Planning Process
Kent Rilling, PA-C
Chief Executive Officer, Precision Health by Science
Practice Business Models: Legal and Operational Considerations You Don’t Want to Get Wrong
2:30 – 3:15 pm Location Can Make or Break Your Practice
Kent Rilling, PA-C
Chief Executive Officer, Precision Health by Science
Critical Considerations When Choosing a Clinic Site
3:15 – 3:30 pm Break
3:30 – 4:15 pm Developing the Branding and Internal Marketing of Your Center
Cynthia Rilling, M.A.
Chief Operating Officer, Precision Health by Science
Culture of Excellence Starts with The Right Team: Clinical Staffing Model Determination – Engaging your team in the promotion to your current patients and prospects of your practice objectives, products and services.
4:15 – 5:00 pm External Marketing: Promotion and Branding of Your Services
Cynthia Rilling, M.A.
Chief Operating Officer, Precision Health by Science
What Business Are You Really In? Understanding and defining your practice scope of services utilizing social media, marketing, advertising, and public relations in order to generate greater demand for your products and services with the objective of increasing revenue and profits.
5:00 – 6:30 pm Working Dinner
Clinic Startup: “I Want Only the BEST but NOT to go Broke”

Dinner provided by TBD

  • Choosing the Right Compounding Pharmacy to Partner with Your Practice – Tyler Harrold, PharmD, Universal Arts Compounding Pharmacy
  • Choosing the Appropriate Laboratory Services – Cynthia Rilling, M.A., Chief Operating Officer, Precision Health by Science
6:30 – 6:45 pm Break
6:45 – 7:45 pm Bringing It All Together
Kenneth Janson, M.D., FACS
Chief Medical Officer, Precision Health by Science
Kent Rilling, PA-C
Chief Executive Officer, Precision Health by Science

  • Business Plan and Pro Forma Development: Strategies for Pricing and Staying Compliant
  • Geometric Growth of Your Practice: Three Ways to Strategically Grow your Business
  • Building a National Professional Support Network of Like-minded Physicians
7:45 – 8:30 pm WATCH OUT! Practice Landmines to Avoid
Kenneth Janson, M.D., FACS
Chief Medical Officer, Precision Health by Science
Kent Rilling, PA-C
Chief Executive Officer, Precision Health by Science
Cynthia Rilling, M.A.
Chief Operating Officer, Precision Health by Science

  • 5 Risk Management Dangers You Must Prevent
  • 5 Marketing Landmines
  • 5 Top Reasons Age Management Centers Fail and How to Best Position Your Practice for Success
8:30 – 9:00 pm Open Forum Q and A

Thursday, April 15th

Advanced Workshop - BHRT Practical Clinical Applications

So, you have attended lectures, talked to colleagues and studied the literature. Now you are ready to jump into the fray of actually wanting to implement BHRT into your clinical practice. This course will provide you with very 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. This is a nuts and bolts series providing understanding on 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. Lastly, you will be given a basic framework of best practices in protecting your license while practicing in the area of hormonal medicine. 

* In conjunction with the Hormonal Health Institute

Course Prerequisite

Completion of the Online Education Course Clinical Use of Hormones in Age Management Medicine Part 2, 9.5 hours of CME.

Complete this home self-study at your own pace prior to the conference. This prerequisite offers basic information that is critical to understanding this advanced course.

Course Access: After registering you will receive an email with your unique username and password to access the online course. NOTE: It can take up to 5 days to process.

Time
Presentation
7:00 – 7:45 am Breakfast Presentation
Presented by TBD
Open to all attendees and includes a complimentary breakfast
Non-CME symposium sponsored by TBD
8:00 – 9:15 am Proper Clinical Evaluation of Patients, Including Lab Interpretation
Angela DeRosa, D.O., MBA, CPE
Founder & President, Hormonal Health Institute, Scottsdale, AZ
The lecture will provide the framework of how to properly evaluate patients to determine who will benefit from hormone replacement as well as which hormones, and when. The elusive laboratory assessment will be covered giving simple foundational understanding to be able to assess the hormonal status of your patient as well as the degree of deficiencies. Attendees will also learn what are the “optimal laboratory targets” when treating with BHRT and how to assess clinical response.<
9:15 – 10:00 am Pros and Cons of Different BHRT Therapy Systems
Melissa Loseke-Ablett, D.O.
Chief Medical Officer, Limitless Male Medical, Omaha, NE
Medical Director, Trillion, Omaha, NE
There are different advantages and drawbacks to each BHRT delivery system. This lecture will address the pros and cons of each system as well as notable uniqueness that providers should consider when tailoring treatments to each individual patient.
10:00 – 10:15 am Break
10:15 am – 11:00 am Prescribing & Dosing BHRT
Melissa Loseke-Ablett, D.O.
Chief Medical Officer, Limitless Male Medical, Omaha, NE
Medical Director, Trillion, Omaha, NE
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.
11:00 am – 12:00 pm Prescribing & Dosing Using Pellet Therapies
Angela DeRosa, D.O., MBA, CPE
Founder & President, Hormonal Health Institute, Scottsdale, AZ
Hormone pellet replacement has increased in popularity for both men and women because of the convenience, consistent delivery of hormone, superior clinical outcomes as well as higher compliance rates for patients. Providers will learn the best way to achieve optimal results by properly dosing pellets based on appropriate clinical parameters, understanding of the pharmacokinetics of pellets and physiologic differences of the various implanted hormones.
12:00 – 1:30 pm Lunch Break
12:00 – 1:00 pm Lunch Presentation
Presented by TBD
Open to all attendees and includes a complimentary lunch
Non-CME symposium sponsored by TBD
1:30 – 2:15 pm Management of Adverse Events & Complications
Melissa Loseke-Ablett, D.O.
Chief Medical Officer, Limitless Male Medical, Omaha, NE
Medical Director, Trillion, Omaha, NE
Prescribing hormones for women and men is half the battle. Providers must be understanding how to address the most common side effects, adverse events and possible complications associated with BHRT; including the pellet insertion procedure risks. This lecture will address how to best manage these issues as well as how to avoid them in the first place. The role of progesterone and how to properly evaluate uterine bleeding/spotting while on hormone therapies will also be addressed.
2:15 – 3:15 pm Basic Protections / Legal
Angela DeRosa, D.O., MBA, CPE
Founder & President, Hormonal Health Institute, Scottsdale, AZ
This lecture is designed to review practical steps you can take to protect your medical license while practicing in the space of anti-aging medicine as well as utilizing BHRT’s. We will review the Federation of State Medical Boards guidance on the “standard of care” as it applies to complimentary/alternative medicine as well as best practices in documentation, consenting and operational pitfalls.
2:30 pm Exhibits Open
3:15 – 4:00 pm Break / Visit Exhibits
4:00 – 4:30 pm Video Demonstrations of Pellet Insertions (Male and Female Patients)
Angela DeRosa, D.O., MBA, CPE
Founder & President, Hormonal Health Institute, Scottsdale, AZ
Videos will demonstrate actual pellet insertion procedures performed on actual patients. These demonstrations will review the proper techniques for pellet insertion as well as the differences between the male and female pellet procedure techniques.
4:30 – 5:30 pm Complex Case Discussion
Angela DeRosa, D.O., MBA, CPE
Founder & President, Hormonal Health Institute, Scottsdale, AZ
Melissa Loseke-Ablett, D.O.
Chief Medical Officer, Limitless Male Medical, Omaha, NE
Medical Director, Trillion, Omaha, NE
Attendees will be given an opportunity to review complex patient case scenarios as well as specific clinical questions related to BHRT application with presenters.
5:30 – 7:00 pm AMMG Welcome Reception
Open to all conference attendees, spouses, and guests
Held in Conference Networking and Exhibits Center

Thursday, April 15th

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
7:00 – 7:45 am Treating Adult Growth Hormone Deficiency
Presented by Mark Gordon, M.D. 
Open to all attendees and includes a complimentary breakfast
Non-CME symposium sponsored by University Compounding Pharmacy
8:00 – 9:00 am An Introduction to 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 Laboratory of Traumatic Brain Injury
The assessment of neurotrauma using trophic, neurosteroids, and neuroactive steroids as markers for hormonal deficiencies that are caused by both the primary and secondary injuries associated with neurotrauma (TBI). The literature supported view that the “standard reference” ranges and “normal” reference ranges are not relative to the patient. Interpretation of the lab results using the Median Theory of optimal levels.
10:15 – 10:30 am Break
10:30 am – 11:30 am Traumatic Brain Injury and Neurobehavior
The impact of neurosteroid deficiencies on both personality and mental abilities is clearly discussed in peer-reviewed articles. Those same articles provide support for mood and anxiety disorders developing from loss of the regulatory effects of many of the neurosteroids that are produced in the brain.
11:30 am – 12:00 pm Neuroinflammation and Oxidative Stress, the Foundation for Treating Traumatic Brain Injury, Part I
The major impact of trauma is the production of secondary injury precipitated by free radicals and oxidative stress. The use of specific anti-oxidants and the regeneration of the glutathione system in the brain can help to regain a neuro-permissive environment that can allow for cellular repair and regeneration.
12:00 – 1:30 pm Lunch Break
12:00 – 1:00 pm Lunch Presentation
Presented by TBD
Open to all attendees and includes a complimentary lunch
Non-CME symposium sponsored by TBD
1:30 – 2:30 pm Neuroinflammation and Oxidative Stress, the Foundation for Treating Traumatic Brain Injury,  Part II
Continuation of the 5th lecture with specific application and treatment of traumatic brain injury. A number of cases will be discussed.
2:30 – 3:30 pm Putting it All Together with Case Studies
10 comprehensive cases will be dissected and presented with attendees’ participation as a means of consolidating the information that will be shared throughout the day.
2:30 pm Exhibits Open
3:30 – 4:10 pm Break / Visit Exhibits
4:10 – 5:30 pm Case Studies & Q&A
Continuation of the cases with attendee participation and Q&A. The goal of these cases is to allow the audience an opportunity to work out with the lecturer the initial evaluation of the patient, laboratory testing, interpretation of the test results, and selection of an optimal treatment protocol.
5:30 – 7:00 pm AMMG Welcome Reception
Open to all conference attendees, spouses, and guests
Held in Conference Networking and Exhibits Center

Friday, April 16th

General Session Curriculum

Time
Presentation
7:00 – 7:45 am Breakfast Presentation
Presented by TBD
Open to all attendees and includes a complimentary breakfast
Non-CME symposium sponsored by TBD
8:00 – 8:05 am Opening Remarks
8:05 – 9:00 am The Endocrine/Neuroendocrine Laboratory of Age Management Medicine
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
The optimization of laboratory testing for our patients has always been a challenge. Understanding the differences between the technologies used to assess our hormonal well-being as well as what constitutes an optimal hormone level is the focus of this lecture. Looking at the differences between Salivary, Serum and Urine testing aligned with the gold standards of medical communities, can create a legal dilemma based upon the lack of research standards for some of these testing formats. We will discuss the technical formats, selection of lab protocols, and the interpretation of the results all to optimize the patients outcome. Just having a numerical result that fits within the standardized range does not guarantee optimal benefits or risks. In the past 20 years, my practice at Millennium has focused on raising the patients hormonal levels to the 50th – 75th percentage of the accepts medical community’s parameters. It has been within this paradigm shift that we have achieved the greatest amount of benefits for our patients.
9:00 am – 9:45 am Natural Aromatease Inhibitors
Derrick DeSilva, Jr., M.D.
Teaching Faculty, JFK Medical Center, Edison, NJ
Co-Chair, Department of Complimentary Medicine and Senior Attending Staff, Raritan Bay Medical Center, Perth Amboy, NJ
One of the most dangerous enemies to men when it comes to boosting testosterone is the Aromatase enzyme. This destructive enzymes main role is to convert testosterone into the female hormone estrogen.
It goes without saying that men who want to keep their testosterone at optimal levels need to take measures to keep this enzyme at reasonable levelsbecause this will ensure that they are protecting testosterone and not allowing it to be converted into estrogen.
Of course, we can control aromatase activity with the use of prescription medications but what about the potential nutrient depletion and the side effects from the prescription drugs.
There are “natural aromatase inhibitors” that have well documented effects without the side effects and have the potential for “side benefits” vs side effects.
We will review these natural aromatase inhibitors along with some of the other potential side benefits that these natural compounds process.
9:45 – 10:15 am Break / Visit Exhibits
10:15 – 12:15 pm Testosterone Therapy in Men with Prostate Cancer: A Revolution in Understanding
Abraham Morganthaler, M.D.
Associate Professor, Harvard Medical School
Staff, Beth Israel Deaconess Medical Center
History of the concern re T and prostate cancer (PCa) -Current status of the contraindication to use T therapy in men with PCa, Does testosterone cause PCa? Do men with higher levels of T have greater risk than men with low levels? Do men on T therapy have higher risk of developing PCa?
The saturation model, Evidence in men following radical prostatectomy or radiation -Evidence in men on active surveillance—My recent experiences in men with metastatic prostate cancer—How I treat, Recommendations for treatment, monitoring, and medico-legal con-cerns.
12:15 – 1:30 pm Lunch Break / Visit Exhibits
12:15 – 1:15 pm Lunch Presentation
Presented by TBD
Open to all attendees and includes a complimentary lunch
Non-CME symposium sponsored by TBD
1:30 – 1:45 pm Why Undergo Certification in Age Management Medicine
Derrick DeSilva, Jr., M.D.
Teaching Faculty, JFK Medical Center, Edison, NJ
Co-Chair, Department of Complimentary Medicine and Senior Attending Staff, Raritan Bay Medical Center, Perth Amboy, NJ
Abstract TBD
1:45 – 2:30pm Post Finasteride Syndrome
William Clearfield, D.O., FAAMA, DABMA, FAARFM
Medical Director, Clearfield Family Medicine, Reno, NV
Executive Director, American Osteopathic Society of Rheumatic Diseases
Approved in 1992 to reduce benign prostatic hypertrophy, finasteride competitively inhibits type II and type III isozymes of 5a-reductase, resulting in reduced dihydrotestosterone (DHT). Elevated DHT is the primary driver of testosterone-related issues in men and women. DHT causes benign prostatic hypertrophy and androgenic alopecia. A not so funny thing happened on the way to a bushy head of hair and better urinary flow, however. Termed “Post Finasteride Syndrome (PFS),” an estimated to be 3-5 % of all finasteride users, repre-senting nearly 400,000 patients in 2018 alone, began reporting a constellation of severe adverse effects persisting long after discontinu-ing finasteride use. Symptoms included sexual and neurologic disorders, including decreased or complete loss of sex drive, erectile dysfunction, impotence, chronic anxiety, depression, and an altered gut microbiome. Many patients claim these symptoms are perma-nent. Etiologies of PFS include changes in penile vascular architecture, interference, and reduction of the neurosteroid that influences GABA, the calming neurotransmitter production, allopregnanolone. We discuss finasteride in detail, the symptoms of PFS, along with recommended laboratory studies and a remedial program. Finasteride is frequently cited in AMMG’s TBI program as a drug to avoid due to long-lasting behavioral and mood changes. Our goal is to explore the growing problem of PFS in depth.
2:30 – 3:15 pm The Emergence of Epigenetic Methylation for Aging and Preventive Medicine Interventions
Luis Martínez, M.D., MPH
President, XanoGene Clinic, San Juan, Puerto Rico
President, Regenera Global, Ponce, Puerto Rico
Anti-aging interventions have always been difficult to measure due to the lack of a good biological age measurement. However, due to recent advances in methylation testing, biological age now has a highly effective and highly precise biomarker. Through epigenetic methylation testing, we have a biomarker which is the most highly correlated to most age related diseases such as alzheimer’s, cardio-vascular disease, cancer and even death. Additionally, unlike genetics, these DNA markers are changeable which allow for a truly per-sonalized, preventative, and real-time approach to treatment. Epigenetic methylation’s ability to be a clinical tool goes well beyond just aging as well and is an important piece of a multi-omic picture. Already we can use this test to create treatment plans which improve healthspan and lifespan. If you reduce the biological age of everyone in the world by 7 years, you would cut morbidity in half. In this lecture we will discuss how to use this biomarker for the best clinical outcomes.
3:15 – 4:00 pm Break / Visit Exhibits
4:00 – 4:45 pm Artificial Intelligence in Early Detection of Coronary Artery Disease
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
Abstract TBD
4:45 – 5:30 pm The Use or Artificial Intelligence in Evidence Based Wellness
Michael Gillam, M.D.
Chief Digital Officer, Fountain Life
CEO, HealthLab
Abstract TBD.
5:30 – 7:00 pm Reception for AMMG Members, Faculty and VIPs
Please come and meet a distinguished member of our AMMG Faculty, Georgia Congressman Earl L. “Buddy” Carter, the only Pharmacist in Congress.

Saturday, April 17th

General Session Curriculum

Time
Presentation
7:00 – 7:45 am Breakfast Presentation
Presented by TBD 
Open to all attendees and includes a complimentary breakfast
Non-CME symposium sponsored by TBD
8:00 – 9:00 am Food as Medicine
Arden Andersen, Ph.D., D.O., MSPH
Family and Occupational Medicine Physician, McDonough Medical Center, Gladstone, MO
Medicine is most often thought of strictly as manufactured synthetic substances limited to 1 or 2 specific physiologic functions, e.g. blood pressure or blood sugar. Food, though specific foods can target specific physiologic functions, e.g. ginger for gastritis, is generally thought of as related to the entire organism physiology or no physiology at all, just food. However, the Standard American Diet is the most disease causing diet on earth, is highly inflammatory – the initiating mechanism for most all chronic disease – and is rare discussed in the context of “medicine.”  Further, just as we are finding more and more medicines carrying/contaminated with undesirable substances – e.g. metformin and losartan – we find foods, especially conventionally grown foods to be contaminated with pesticides, heavy metal, and other undesirable contaminants that further adversely the consumer. Just a food causes chronic disease, different food can reverse and ameliorate chronic disease just as can “medicine.” Lastly, the third leading cause of death in the US is the medical system itself. A corollary would be that conventional agriculture – including the processing industry – is the number one contributor to death and disease via its lobbying and imposition of the SAD.
9:00 – 10:00 am Food as Medicine: Updated Research on Carnosine, Beta-alanine
Jay R. Hoffman, Ph.D., FACSM, FNSCA
Professor, Dept. of Molecular Biology & Director of Health & Sport, Ariel University, Israel
β-alanine is a non-proteogenic amino acid that combines with histidine to form the dipeptide molecule carnosine. β-alanine is the rate-limiting precursor of carnosine formation, and supplementation with β-alanine increases muscle carnosine. Carnosine is found in high concentrations in both meat and fish. Carnosine is a H+ buffer that has an important role in muscle function and may impact ischemic events. In addition, carnosine has been suggested to have various other roles in the body, including acting as an antioxidant, antiglycating agent, and ion-chelator, which may have significant effects on aging and other health benefits. β-alanine supplementation has been shown to improve mood and reduce anxiety in both human and animal studies. This presentation will provide an overview of the health benefits known, and potential other benefits associated with elevations in both muscle and brain tissue carnosine levels.
10:00 – 10:30 am Break / Visit Exhibits
10:30 – 11:15 am Evidence-based Review of the Impact of the Mediterranean Diet on Heart Health, Cognitive Function, Longevity and Weight Contro
Steven C. Masley, M.D., FAHA, FAAFP, FACN, CNS, CCD
President, Masley Optimal Health Center, St. Petersburg, FL
The World Health Organization has recommended that planet-wide, people should follow a Mediterranean diet as populations that follow the Mediterranean diet, even outside the Mediterranean region, have longer lifespans and better overall health than those who adhere less. In 2020 US News and World Report listed the Mediterranean diet as the #1 overall best diet, #1 best diet for diabetes, #1 best diet for health, and #1 easiest diet to follow, and the #2 diet for heart health. Multiple randomized clinic trials show that if properly followed, the Mediterranean diet will reduce rates of cardiovascular disease, dementia rates, extend both lifespan and health span, and help with long term weight loss. Plus, the food is delicious, simple to prepare, and easy to find in a local grocery store, increasing long-term adherence. Yet there are myths regarding the Mediterranean diet that should be corrected, and physicians generally lack evidence based nutritional recommendations that are effective, and easy to implement, and this talk will help bridge that gap.
11:15 am – 12:00 pm Nutrition Controversies in Patient Care
Betty Wedman-St Louis, Ph.D.
Nutritionist & Environmental Health Specialist, Pinellas Park, FL
Is Nanotechnology Safe in Foods? Nanotechnology in foods is used as a delivery system for colors, flavors, preservatives, nutrients and nutraceuticals. There is eveidence that some of them can have harmful effects. Neither consumers, regulators nor medical personnel are fully aware of the toxicity + food products are not labeled as produced using nanotechnology. CDP-Choline as an Essential Nutrient, Cytidine 5-diphosphocholine is essential for cellular membranes, especially in phosphatidylcholine, and can be administered in intravenous or oral format. CDP choline increases cerebral metabolism and acts on neurotransmitters to increase noradrenaline and dopamine in CNS. Why is it not used in CVD, head traumas, and cognitive disorders?  Digestion of A1 vs A2 Milk, Food-derived peptides, especially from milk, may adversely affect gastrointestinal health and has been shown to increase the risk of insulin-dependent diabetes. Beta-casomorphin-7 (BCM-7) may function as an immunosuppressant and impair gut immune tolerance. Cow’s milk intolerance may be more than lactose intolerance caused from lactose malabsorption. Increasing evidence shows that A1 beta-casein (protein produced by European-origin cattle) is associated with milk intolerance compared to A2 beta-casein (Asian or African cattle). A1 beta casein increases production of dipepitidl peptidase-4 and the inflammatory marker myeloperoxidase compared to A2 beta casein.Risk Management Issues in Food Delivery Programs, In a pandemic world and after, food delivery options need to adhere to essential food safety requirements. We’ve come a long way from pizza delivery. Today consumers can order everything from shelf-stable ingredients to perishable produce/meat/poultry to prepared meals and meal kits. No regulations for food delivery exist to insure safety of cold foods (delivered below 40*F), hot foods (delivered above 135*F) or food tampering assurance.
12:00 – 12:45 pm Lunch Break / Visit Exhibits
1:30 – 2:15 pm Nutrigenomics and Epigenetics: How Environmental Factors and Nutrient Deficiencies Affect our Genetic Expression
Derrick DeSilva, Jr., M.D.
Teaching Faculty, JFK Medical Center, Edison, NJ
Co-Chair, Department of Complimentary Medicine and Senior Attending Staff, Raritan Bay Medical Center, Perth Amboy, NJ
Reverse aging is no longer science fiction. Leading edge science and technological advancements have provided unprecedented discoveries 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 mitigate 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.
2:15 – 3:00 pm Ketogenic Diets: Good or Bad?
Katrina J. Breece, M.S.
There has been much talk about ketogenic diets. Many medical “experts” feel these diets are bad for people and should be shunned. Many feel that eating more grains and carbohydrate foods are better for you. The data simply does not support these ideas. Ketogenic diets can be not only very good for improving your health, but also are very food for weight-loss. In fact, they could be the cure we are searching to reduce the expanding obesity epidemic we are presently experiencing, and which is predicted to continue. Many studies have confirmed benefits to heart disease, cancers, Alzheimer’s and other neurological diseases by using healthy ketogenic diets. A summary of many studies that support the use of appropriate ketogenic diets is presented.
3:00 – 3:45 pm Break / Visit Exhibits (exhibits close 3:45 pm)
3:45 pm – 4:45 pm Developing a Personalized Nutrition Plan: Epigenetics, Genetic Testing Integration with Correlated Health Factors and Patient Engagement
Galen M. Eversole, MD, FCAP, MBA
Nutrigenomics and genomic testing have added to the toolkit for helping patients improve their nutritional status. Evidence suggests that just having this data available does not necessarily motivate patients to comply with a nutritional plan. An effective approach must include integration with other health goals such as fitness, preventive practices, and hormonal approaches. A multimodal approach with processes for patient engagement and compliance is critical to achieving an effective and lifelong practice of nutritional optimization. This presentation will explore: the role of epigenetics and cell signaling with respect to micro, macronutrients and supplements; personal nutritional genomic testing; nutrition planning tools and the medical record; integration of nutrition planning into overall health maintenance (fitness, prevention practices, hormonal status); patient engagement tools.
4:45 pm – 5:30 pm Age Management Medicine Clinical Recommendations for Diet and Weight Loss
Rob Kominiarek, D.O., FACOFP
Member, AMMG Planning Committee
President & Medical 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.

Sunday, April 18th

General Session Curriculum

Time
Presentation
8:00 – 9:00 am Evidence Based Health Measures to Deal with Covid-19 Virus
Joseph E. Bosiljevac, Jr., M.D., Ph.D., FACS
Senior Partner, Cenegenics
Viruses can never be eliminated and will mingle with humans as we live together in the same world. What lessons have we learned from CoVid-19?
I present health measures that have been useful in understanding and fighting this disease. This is from a medical standpoint as well as living in the epicenter in New York City. Personal hygiene such as masks and handwashing are important. Iodine spray can be used to kill virus before it penetrates the mucous membrane of the mouth and throat. Personal health is a big factor for resistance and recovery. Hormone optimization is a very important aspect to prevent and recover from this disease. Gut flora can be improved to boost the im-mune system using whole food sources as nutrition, probiotics, and/or the use of a breastmilk substitute. There is supplemental sup-port for resistance and recovery. These include melatonin monolaurin, vitamin D, curcumin, zinc and other trace mineral replacement. Stem cells have been used to treat patients with CoVid-19. Social measures such as the use of dogs to sniff out coronavirus contami-nated areas and ultraviolet light to eliminate the virus have been introduced. I expand what has been learned with this pandemic to in-clude upcoming viruses that may arise.
9:00 – 10:00 am Building & Judging Disease Targeted Designer Nutrigenomics that Work
Daniel Purser, M.D.
Genetic errors many of us carry affect our lives in numerous ways — from causing low testosterone and other hormones to causing dementia. These transcription errors cause deficiencies or pathway problems. Ill patients often cannot eat enough to supply severe de-ficiencies (that have built up over time) of some of these errors. So they’ll need to supplement — with products that have been carefully designed to work around the errors or to offset them. Examples are given as to how you could judge or design some of these pathway supplements (my team and I have designed more than a hundred, some which are million plus bottle bestsellers, and some now wend-ing their way through FDA approvals — though none of these will be named, mentioned, or discussed.) This approach is critical to find-ing and using the correct supplement in your therapeutic approach.
10:00 – 10:15 am Break
10:15 – 11:00 am Using Stem Cell Therapy to Reboot Cell Function and the Immune System
Joseph E. Bosiljevac, Jr., M.D., Ph.D., FACS
Senior Partner, Cenegenics
In an age management practice, I soon found out that body parts wear out. I have 13 year experience with stem cell treatment starting with joint and musculoskeletal issues. My first patients were retired NFL and NBA players, and then treatment was expanded to military professional forces. As my experience grew I began to do systemic treatment. Many illnesses are the result of autoimmune imbalance. The anti-inflammatory aspects of stem cells and exosomes have been used to treat many autoimmune conditions. Treatment is accom-panied by wound healing principles to stimulate stem cell function and promote regeneration and healing.
11:00 am – 12:00 pm Using Artificial Intelligence to Predict Biological Age
Speaker TBD
Abstract TBD
12:00 – 12:45 pm New Techniques for Pain Management Therapy- “Hydrodissection with Biologics”
Speaker TBD
Abstract TBD
12:45 – 1:30 pm Advanced Healing and Regenerative modalities Used in Professional Athletes
Matt Burnett, D.C.
Chief Clinical Officer, Fountain Life
President/ Clinic Director/Owner, Legacy Medical Centers
The presentation will cover protocols utilizing the most up to date technology, review and pathophysiology of laser and electromagnetic field therapies in conjunction with biologics. Additional topics that will be covered include tissue regeneration, neurological regeneration, and TBI recovery.