Agenda April 2023

Select day or Workshop to view agenda/faculty

*Times, Titles & Faculty Subject To Change

Wednesday April 26th

Practice Management Workshop: Launching and Growing a Successful Age Management Practice

Time
Presentation
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 – 10:00 am Development of Practice Services and Procedures
Chuck Guglin, M.D., FACS
Owner, Hyperfit MD Age Management Center
Understand the range of services than can be offered from an Age Management Practice and understand how you can develop a menu of services that will fit you and your practice.
10:00 – 10:15 am Break
10:15 – 10:45 am Development of Diagnostic Tools and Procedures
Chuck Guglin, M.D., FACS
Owner,
Hyperfit MD Age Management Center
Diagnosing the Age Management Patient is critical to formulation of a personalized patient treatment plan. This lecture will provide attendees with options regarding diagnostic tools and procedures.
10:45 – 11:15 am Creating Revenue Through the Sales of Ancillary Products and Services from Your Office
Derrick DeSilva, Jr., M.D.
Teaching Faculty, JFK Medical Center, Edison, NJ
Associate Attending Staff, Raritan Bay Medical Center, Perth Amboy, NJ
We have a captive audience with the patients we see every day.  They trust our judgments and that is why they seek us out for their medical care.  The trust can be translated into other products and services that we provide in our clinical practice.  Everything from cosmetic products and procedures to carrying a line of high quality nutraceuticals. The educational process to “sell” these products and services does take some upfront time. Once the patient/consumer becomes part of the process to utilize these products and services it can become a critical recurrent part of your revenue stream. The questions is, what products and services should you offer and how do you decide what these products and services should be? During this presentation I will help you outline how to start with the basics and in time build/create that revenue stream even when you are not physically seeing the patient.
11:15 am – 12:00 pm Motivating Patients and Creating Programs Applying the Science of Age Management Medicine to Produce Positive Patient Outcomes
Peter Hellberg
Performance Health Coach, BestLife Holdings, Cenegenics PhiladelphiaCreating 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 – 12:45 pm

Building Your Practice with DEXA

Presented by Tony Orlando

Non-CME symposium sponsored by DEXA Plus

Includes a complimentary lunch

1:00 – 1:45 pm Developing a Marketing and Branding Program
Audrey Neff
Director of Marketing, Patient NowHow 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
Peter Hellberg
Performance Health Coach, BestLife Holdings, Cenegenics Philadelphia
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
Peter Hellberg
Performance Health Coach, BestLife Holdings, Cenegenics PhiladelphiaIn 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
Art McOmber
Fortune Law Firm, Las Vegas, NV
Co-Founder and President, Epic Life, Inc., Nutrition Specialty CompanyBusiness 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

Thursday, April 27th

Workshop: The Use of Hormone Modulation in Age Management Medicine

Physicians treating an aging population must recognize the importance of hormone optimization for their patients. As men and women age, all hormones are affected. For women, changes in estrogen and testosterone levels with aging are a major concern. This is true during pre-menopause, menopause, and post-menopause, and lifelong. For men, testosterone level changes are the dominant hormonal component of aging. Every physician and clinician who treat mature patients, beginning in the mid-thirties, must have adequate medical expertise in Hormone Modulation to achieve significant outcomes and enhanced patient satisfaction.

This activity has been approved for 7 AMA PRA Category 1 Credit™

Time
Presentation
8:00 – 8:45 am Estrogen
John C. Carrozzella, M.D., MSMA, AAARFM, FAARFM
Physician/CEO/Founder, Florida Center for Hormones and WellnessEstrogen, and specifically estradiol is an essential hormone in women. The science on this hormone is clear, as estradiol declines in the post-menopausal years, the rate of illness and debility increases. Specifically, as a result of estradiol decline, the rates of dementia, cardiovascular disease, osteoporosis, dyslipidemia, dysglycemia and a host of other metabolic and physiologic issues rise. This lecture will explore the medical literature and what it has to say about the importance of estradiol in women, the consequences of estradiol decline and the strong evidence behind the essential restoration of therapeutic levels of estradiol in the aging woman.
8:45 – 9:30 am Thyroid and Cortisol
William Clearfield, DO, FA, MA, DABMA, FAARFM

Medical Director, Clearfield Family Medicine, Reno, NV
Executive Director, American Osteopathic Society of Rheumatic Diseases
Adjunct Professor: Arkansas College of Osteopathic Medicine, University of Guadalajara School of MedicineThere is a significant co-relationship between these two essential hormones. Dr. Clearfield will discuss each and the importance of balance between Cortisol and Thyroid as well as treatment options optimum balance.
9:30 – 10:15 am Diagnosing and Treatment of Adult Onset Growth Hormone Deficiency
Edwin N. Lee, M.D.
Assistant Professor of Internal Medicine, University of Central Florida College of Medicine
Member, AMMG Planning Committee

Growth hormone is an essential hormone in lowering body fat, improving on lipids, keeping muscles healthy and improving on bone density. Adult growth hormone deficiency causes and  symptoms will be reviewed. The diagnosis of adult-onset growth hormone deficiency requires a stimulation test (insulin tolerance test, glucagon stimulation test or with macimorelin) instead of using an IGF-1 level. The treatment with recombinant human growth hormone and the 2 FDA approved peptides Sermorelin and Tesamorelin will be reviewed. In addition, the controversies of human growth hormone and cancer will be reviewed.
10:15 – 10:30 am Break
10:30 – 11:15 am Testosterone for Women
Florence Comite, M.D.
Founder, Comite Center for Precision Medicine, New York, NY
Member, AMMG Planning CommitteeTestosterone optimization has traditionally been associated with men, yet this hormone is vital for women. Despite the high circulating testosterone concentrations before perimenopause, testosterone levels are often overlooked in women, from the reproductive to postmenopausal decades. Androgen insufficiency in women will lead to various symptoms, including unexplained fatigue, anxiety, depression, changes in cognition, reduced libido, vasomotor symptoms, decreased muscle mass, increased visceral fat, sarcopenia, and osteoporosis. Optimizing hormones improve these symptoms, cardiovascular health, carbohydrate metabolism, and brain function. Additional benefits include increased bone density, enhanced musculoskeletal health, sleep, cognitive function, and memory, boosted aerobic capacity and endurance, and reversed biological aging and disorders of aging, yielding overall health optimization for women. The lecture will share the core principles of Precision Medicine & Health and promises a new outlook on hormonal optimization in women. The scientific data, derived from over two decades of clinical research, will enhance your ability to deliver on the promise of extending healthspan to match the lifespan in women.
11:15 am – 12:00 pm Testosterone for Men
Jeffrey Leake, M.D.
Senior Physician Cenegenics Elite Health, Las Vegas, NV
Director of Education, Cenegenics Elite HealthDr. Leake will present an introduction to the use of Testosterone in Men. Providing an evidence base for the medical use of Testosterone as well as discuss the protocols and methods used to correctly diagnose Testosterone deficiency and the protocols to treat patients.
12:00 – 1:00 pm

The Glycocalyx and Nitric Oxide: Revolutionizing Endothelial Health

Presented by Derrick DeSilva, Jr., M.D.

Open to all attendees and includes a complimentary lunch

Non-CME symposium sponsored by Calroy Health Sciences

1:30 – 2:00 pm Case Presentations: Human Growth Hormone
Edwin Lee, M.D.
Assistant Professor of Internal Medicine, University of Central Florida College of Medicine
Member, AMMG Planning Committee

Several case studies will be reviewed on the treatment of adult-onset growth hormone deficiency with human growth hormone and also with peptides. In addition, baseline labs, their stimulation tests and also growth hormone levels will be reviewed. Side effects and other benefits or lack of benefits will be reviewed.
2:00 – 2:30 pm Case Presentations: Testosterone for Women
Florence Comite, M.D.
Founder, Comite Center for Precision Medicine, New York, NY
Member, AMMG Planning CommitteeLike men, women’s testosterone starts declining in their 30s, contributing to truncal weight gain, decreased bone density, unexplained fatigue, anxiety, loss of libido, aging, and related disorders, such as diabetes, heart disease, stroke, dementia, more. This lecture will share several cases of testosterone optimization in pre-and post-menopausal women and the core principles of Precision Medicine & Health. The topics will cover a variety of Precision Medicine modalities with a focus on hormone optimization. Baseline and follow-up lab work, body composition analysis, and history will be reviewed in the context of decision-making and symptom resolution to reverse aging and aging diseases. When appropriate, adjunct studies such as carbohydrate and lipid metabolism, methylation pathways, and CT and DEXA scans will be reviewed as they pertain to hormone optimization.
2:30 pm Exhibits Open
2:30 – 3:00 pm

Case Presentations: Thyroid & Cortisol
William Clearfield, D.O.
Medical Director, Clearfield Family Medicine, Reno, NV
Executive Director, American Osteopathic Society of Rheumatic Diseases
Adjunct Professor: Arkansas College of Osteopathic Medicine, University of Guadalajara School of Medicine

Cases involving thyroid and cortisol will be discussed as well as the importance of balance between the two.

3:00 – 3:45 pm Break / Visit Exhibits
3:45 – 4:15 pm Case Presentations: Testosterone for Men
Jeffrey Leake, M.D.
Senior Physician Cenegenics Elite Health, Las Vegas, NV
Director of Education, Cenegenics Elite Health

Dr. Leake will present several cases of Testosterone Replacement for patients with documented deficiency. He will describe testing and appropriate clinical protocols.
4:15 – 5:00 pm Case Presentations: Estrogen
John C. Carrozzella, M.D., MSMA, AAARFM, FAARFM
Physician/CEO/Founder, Florida Center for Hormones and WellnessIn this lecture, the faculty will present several cases of estradiol replacement in post-menopausal women. The cases will cover the variety of estradiol administration modalities. Lab work will be reviewed in the context of decision making and symptom resolution. Where appropriate, adjunct studies such as metabolic blood work, CT Calcium Scans, DEXA scans will be reviewed as they pertain to estradiol therapy.
5:00 – 5:30 pm Complex Hormone Cases
Derrick DeSilva, Jr., M.D.
Teaching Faculty, JFK Medical Center, Edison, NJ
Associate Attending Staff, Raritan Bay Medical Center, Perth Amboy, NJHow do we manage the patient that presents with multiple symptoms where the differential diagnosis is a complex path to navigate. The answer is that the clinician needs to have a broad scope of training and experience and know when to ask for help. Many patients present with symptoms that could be due to manifestations of menopause or andropause but what about other cardiac and/or endocrinologic etiologies, etc. The case that will be presented will look at a variety of symptoms that could point to a variety of diagnosis. We will evaluate all the symptoms along with the patient’s serology and come up with a unitarian diagnosis. Very few patients are that unlucky to have three different disease states. It is our responsibility as clinicians to figure out what is actually going on with the patient, make the appropriate referrals to specialists and come up with a treatment plan that helps the patient improve their quality of life. Keep in mind that our ultimate goal is to DO NO HARM.
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 27th

Workshop: Regenerative Medicine for Aging

Regenerative medicine goes beyond disease management to search for and discover therapies that support the body in repairing, regenerating and restoring itself to a state of well-being. From prenatal surgical interventions to treatments for lifelong degenerative and disabling conditions, regenerative medicine therapies prompt the body to enact a self-healing response. These advancements in patient care across a wide range of medical specialties point to new solutions to expand and maintain optimal health and quality of life.

*Faculty have been asked to focus on FDA approved protocols, should they touch on off-label information they have been asked to clearly define any non-FDA approved information.

Non-CME Workshop

Time
Presentation
8:00 – 8:45 am Unlocking the Secrets of Age Reversal
Ian White, Ph.D.

CEO & CSO, NeoBiosis
Vice President & BOD, American College of Regenerative Medicine
Co-Founder, Space-Aging Research InstituteLoss of tissue-specific stem cells capable of repair and regeneration in adults drives the biological process that we recognize as “aging.” Many species have evolved mechanisms to uncouple biological aging from chronological aging so they might age slowly or in some cases, not at all. Reversal and recovery of endogenous stem cell regenerative functions have been achieved experimentally in mice by scientists using plasma from young laboratory animals transplanted into old animals and in old human skin cells using Yamanaka factors. Pregnancy is a natural form of heterochronic parabiosis. Extracellular vesicles produced by placenta, fetus and mother are essential for both fetal development and the modification of the maternal physiology to cope with the rigors of pregnancy. Interestingly, these EVs can he harvested from the amniotic fluid (AFEVs) and transplanted to promote anti-aging, tissue repair and regeneration in unrelated adults. Using freshly isolated AFEVs, we demonstrate their potent anti-“inflammaging” action in vitro and pro-regenerative capacity to promote tissue repair in small animal models and human patients. Together, this data, introduces a new paradigm in the quest for a natural solution to age-related degeneration through the utilization of birth tissues.
8:45 – 9:30 am Regenerative Medicine: A 360 Degree Approach
Mitchell J. Ghen, D.O., Ph. D.
Family Medicine Specialist, Boca Raton, FLThis lecture introduces the concept of “regenerative medicine” as a comprehensive approach to treatment and disease prevention. It explains how regenerative medicine is different from traditional medicine in that it focuses on stimulating the body’s natural ability to repair and regenerate itself. The lecture goes into detail about the specific novel therapies and tools associated with regenerative medicine as well as their potential applications in many different specialties. This presentation will provide an overview of regenerative medicine, highlighting its potential for creating the most effective treatments for a wide range of injuries and diseases.
9:30 – 10:15 am

Regenerative Medicine Injections for Managing Pain
Glenn M. Flanagan, II, M.D.
Naples Regenerative Institute

Regenerative medicine injections for managing pain as a field has been coined the “Wild Wild West”, because physicians and companies performing these treatments have had minimal over sight by governing bodies. However, this is not the whole story. Over the last few years the FDA has put forth regulations that can be followed by responsible physicians, allowing them to provide safe and effective treatments for their patients. Many patients interested in anti- aging and other more alternative, natural treatments are interested in these injections also. Attendees will be provided an over view of the field for physicians interested in understanding where there is evidence to use these treatments. Not all PRP is the same. Despite over 50 available products that claim to make “PRP,” there are very few that make good products. We will discuss how to tell the difference.  Understand how to avoid falling for false marketing by companies offering scam products.

10:15 – 10:30 am Break
10:30 – 11:15 am Evidence-Based Best Practices and Essentials in PRP Preparations to Achieve Significant Patient Outcomes
Peter A. Everts, Ph.D., FRSM
Chief Scientific Officer, EmCyte Corp., Fort Myers, FL
Program Director, Gulf Coast Biologics, Fort Myers, FL
Fellow, Royal Society of Medicine, London, UK
Professor, Max Planck University OrthoRegen, Indaiatuba, Sao Paulo, Brazil
International Professor, Frontiers Health Program, Faculty of Medicine, Max Planck University Center, Brazil

The human body employs an endogenous method of cellular tissue repair and regeneration through stem- and progenitor cells, growth factors, signaling cells, cytokines, and other cell types that are present in almost every type of tissue.  Autologous biological cellular preparations have materialized as a growing area of medical advancement in non-surgical interventional and surgical interventions, to provide an optimal tissue healing environment. Particularly, in tissues where standard healing is disrupted and repair and ultimately restoration of function is at risk.These cellular therapies, specifically platelet-rich plasma (PRP), and adipose tissue concentrate (ATC), are often referred to as biological preparations derived from patient’s own tissues, prepared at point of care. These autologous preparations are biological materials comprised of a wide variety of cell populations, cytokines, growth factors, molecules, signaling and mesenchymal cells. They can modulate and influence many other resident cells after they have been administered and are capable of reinstating tissue homeostasis. Furthermore, they can provide therapeutic treatment for conditions where conventional therapies are inadequate, or even inappropriate. These innovative biological technologies have demonstrated great promise in the field of non-surgical interventional cosmetic, aesthetic procedures (facial rejuvenation, hair restoration, dermatological pathologies), and as a bio-surgical adjunct in plastic reconstructive surgeries, and (chronic) wound healing therapies. Additionally, PRP has been introduced as an adjuvant to lipofilling procedures. Unfortunately, definitive, and accepted standards to prepare different orthobiological bioformulation are still lacking. Unmistakably, this has contributed to clinical studies with no positive, and on occasion negative, patient outcomes, leading to adversarial thinking. The “one-size-fits-all” PRP and ATC biological preparations and applications should be replaced by more nuanced and transformative approaches to realize significant positive outcomes. In this lecture, I will discuss recent developments regarding autologous biological PRP preparations and compositions regarding platelet dosing, leukocyte activities concerning innate and adaptive immunomodulation, inflammation, angiogenesis.

11:15 am – 12:00 pm Pre and Post Procedure Recommendations: Ensuring Your Patients Get the Most Out of Their Regenerative Medicine Treatment
Gayan Poovendran, M.D.
Family & Sports Medicine, Fort Lauderdale, FLIn this talk, we will discuss the evidence recommendations for pre and post regenerative medicine procedures. We will answer questions regarding NSAIDs and ice and some of the basic science questions as to why we have our prior recommendations. Post-procedure rehabilitation protocols will also be discussed. The audience should walk away understanding what needs to be done to optimize success for their procedure.
12:00 – 1:00 pm

The Glycocalyx and Nitric Oxide: Revolutionizing Endothelial Health

Presented by Derrick DeSilva, Jr., M.D.

Open to all attendees and includes a complimentary lunch

Non-CME symposium sponsored by Calroy Health Sciences

1:30 – 3:00 pm Regenerative Medicine for Optimum Sexual Wellness for Men and Women
Carolyn DeLucia, M.D., FACOG
Women’s Intimate Health Clinic, New York, NY
Member and Instructor, American Aesthetic Association & American Cosmetic Cellular Medicine Association
Fellow, American College of Obstetrics and Gynecology

Regenerative medicine is the new frontier in proactive healthcare. The uses of Biologics are expanding. One of the most promising uses of regenerative procedures is in sexual health. As anti-aging medicines succeeds in making us live longer in good health, intimate health grows in importance. Learn about
– what are the regenerative procedures available today?
– what are the FDA requirements and restrictions in regard to these therapies?
– how do these treatments work?
– where is the clinical evidence or is there any?
– what is the efficacy and duration of results?
– what are the latest protocols used in both women and men?
– where and how to keep up to date on the newest devices to aid in the regenerative realm.
2:30 pm  Exhibits Open
3:00 – 3:45 pm Break/Visit Exhibits
3:45 – 4:20 pm Peptides for Athletic Performance
Luis Martínez, M.D., MPH
President, XanoGene Clinic, San Juan, Puerto Rico
President, Regenera Global, Ponce, Puerto RicoOne of the more common uses of peptides has been their use in exercise and sports. Peptides are capable of enhancing tissue repair, increasing hormonal secretion and improving mitochondrial function. This lecture will cover the different peptides which can be used to improve athletic performance and overall physical health. Controversial aspects such as their use in elite sports, testing aspects and regulations will be covered. Mechanisms of action and protocols will be presented.
4:20 – 4:55 pm Peptides for Cancer Therapy and Prevention
Edwin Lee, M.D.
Assistant Professor of Internal Medicine, University of Central Florida College of Medicine
Member, AMMG Planning CommitteePeptides can be used as an adjuvant therapy and it is not meant to replace the cancer therapy recommended by the oncologist. The 4 peptides that will be reviewed will be Epitalon, GHK copper, Met- Enkephalin and Thymosin alpha 1. Clinical data will be reviewed and suggested dosing will be discussed.
4:55 – 5:30 pm Peptides for Pain
Luis Martínez, M.D., MPH
President, XanoGene Clinic, San Juan, Puerto Rico
President, Regenera Global, Ponce, Puerto RicoChronic pain affects millions of Americans. With the opioid crisis at its peak, the management and mismanagement of pain syndromes has called for novel alternatives to addressing pain. Peptides are a broad class of therapeutics that can modulate inflammation, cell repair, hormone secretion, and immune function among others. This lecture will look at the different types of pain, and how different peptides and peptide combinations can be used to help patients suffering from pain.
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 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 content 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 workshop 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 workshop is also very appropriate for Support Staff.

Non-CME Workshop

Time
Presentation
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, NJThe 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”. Dr. Song 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 Key Considerations When Evaluating Exosomes for Aesthetic, Peri-procedure Use
Jordan Plews, M.D.
Co-Founder, CEO Elevai Skincare
Dr. Plews will provide an overview on Exosomes with an emphasis on human stem cell (MSC) derived exosomes, review of exosome production process and differentiating factors between exosomes produced using different processing modalities and discuss Aesthetic topical uses and case studies involving the use of Stem Cell Derived Exosomes.
10:15 – 10:30 am Break
10:30 – 11:15 am Hair Restoration (Includes Demonstration)
Carly Klein
President, National Hair Loss Medical AestheticsReview what the main causes of hair loss are. How to microscopically know what type of alopecia your clients are experiencing. We will review COVID hair loss, autoimmune hair loss, chemo induced hair loss and hormone related loss. Epigenetic follicular testing, what your data your hair follicle holds. How is this affecting your patients hair loss?
11:15 am – 12:00 pm Micro Needling (Includes Demonstration)
Tammy Polit, D.O.
Medical Director, Beautopia Cosmetic Medicine, Colleyville, TXFind out about reclassification, why it’s now a Class 2. What to look for in a device, how to incorporate into a business model to be financially successful, combining treatments, training, and marketing. What’s the cost to implement and what is profitability?
12:00 – 1:00 pm

The Glycocalyx and Nitric Oxide: Revolutionizing Endothelial Health

Presented by Derrick DeSilva, Jr., M.D.

Open to all attendees and includes a complimentary lunch

Non-CME symposium sponsored by Calroy Health Sciences

1:30 – 2:30 pm Adding Aesthetic PDO Threads to your Aesthetic Repertoire
H. William Song, M.D.
Founder & CEO Omni Aesthetics, Oakland, NJThreads have become a mainstay of today’s aesthetics practice. Most patients have heard of threads and are eager to find a competent practitioner to place the threads for them. Many providers are intimidated by threads and have not yet made the leap, but for those who have, absorbable threads have opened up a lucrative revenue source that separates their practices from the competition. In this presentation, Dr. H. William Song will review the basics of placing PDO threads and show how even a beginner can start offering smooth and barbed thread treatments to the face and body with minimal risk of complications.
2:30 – 3:00 pm How “Dirty Skincare” Disrupts the Endocrine System
Jenny Califano, L.E.
Clinical Esthetician, House of Hilt Skincare, Sarasota, FLOur skin is the largest organ system in the body and receives approximately 1/3 of the circulating blood in the body.  American women use an average of 12 personal care products that contain 168 different chemicals and American men use an average of 6 personal care products that contain 85 different chemicals.  Many of the ingredients that are applied to the skin have the potential to disrupt the endocrine system and become triggers for various epigenetic (environmental triggers) changes that can disrupt numerous systems in the body.  A particularly harmful category of endocrine disruptors are called Xenoestrogens. These chemicals mimic the effects of the estrogen our body produces naturally and bind to estrogen receptors which can then block the action of our hormones that our bodies naturally produce. This can affect our thyroid function, can cause children to start puberty earlier and have been associated with numerous health conditions such as endometriosis, fibrocystic breasts, thyroid disease, decreased testosterone in men and increase in breast and uterine cancers—just to name a few.  Fortunately, there are a variety of nutrients and supplements that can block and negate the potential dangers of some of these toxic ingredients.  During this presentation we will examine the questions that need to be asked about the various skincare products/ingredients and look deeper into the safety of these ingredients that are used to produce these products.  We will also evaluate what basic nutrients can be used to clean these toxins out of the body and improve the efficacy of skin care.  The question is, are you willing to settle for the skincare you are currently using?  We will discuss healing the skin from INSIDE-OUT.
2:30 pm Exhibits Open
3:00 – 3:30 pm Break/ Visit Exhibits
3:30 – 4:15 pm Male & Female Sexual Wellness Using PRP and PRF
Ian Levenson, D.O., FACOFP
Medical Director & Founder, Colorado Center for Health and Longevity
Faculty, The Colorado Center for Health and Longevity
Regional Dean, AT Still UniversityTaking the confusion out of Platelet Rich Plasma, Platelet Rich Fibrin Matrix, and their application to aesthetic and regenerative procedures.
4:15 – 5:00 pm Business Development in the Aesthetic Field
Carly Klein
President, National Hair Loss Medical AestheticsHow to grow and diversify your business. How to market your business internally and organically. Client retention and maximizing your revenue.
5:00 – 5:30 pm Speakers Panel
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 27th

Workshop: Traumatic Brain Injury—A Clinical Approach to Diagnosis and Treatment

This full day program 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.

This activity has been approved for 7 AMA PRA Category 1 Credit™

Faculty For All Sessions in this Track:
Mark L. Gordon, M.D.
Medical Director, Millennium-TBI & The Millennium Health Centers, Encino, CA; CBS Studios;
Medical Director of Education, Access Medical Laboratories, Jupiter, FL
Member, AMMG Conference Planning Committee

Time
Presentation
8:00 – 9:00 am Introduction to Neuroinflammation and Traumatic Brain Injury

An 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 – 1:00 pm

The Glycocalyx and Nitric Oxide: Revolutionizing Endothelial Health

Presented by Derrick DeSilva, Jr., M.D.

Open to all attendees and includes a complimentary lunch

Non-CME symposium sponsored by Calroy Health Sciences

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

Friday, April 28th

General Session Curriculum

General Session CME’s:
This activity has been approved for 18.75 AMA PRA Category 1 Credit™

Time
Presentation
8:00 – 8:10 am Opening Remarks
8:10 – 9:00 am Advanced Cardiovascular Testing for Inflammatory Cardiovascular Disease
Cesar Pellerano, M.D.
Private Practice, Preventive Cardiologist, Coral Gables, FL
Member, AMMG Planning Committee
Cardiovascular Disease has been known to be an Inflammatory Disease for many years. It is well accepted that Cardiovascular events are primarily inflammatory and not occlusive. Yet, today, most of our treatment is still geared to occlusive disease rather than the inflammation. Patients always ask: “Do I have blockages in my arteries?” and the doctors try to address this. This lecture will take the audience through the history of Cardiovascular testing, comparing Cardiac Catheterization, Calcium Scores etc all the way to Artificial Intelligence. Using AI, we can now assess the degree of inflammation and true risk of Cardiovascular events. After this presentation, the audience will understand the modalities available for diagnosis and prevention of cardiovascular events; learn how to utilize them and apply them to their medical practice.
9:00 – 9:45 am Estradiol as an Alternative to Statins in the Management of Cholesterol in Men
John C. Carrozzella, M.D., MSMA, AAARFM, FAARFM
Physician/CEO/Founder, Florida Center for Hormones and Wellness
Among many physicians, estradiol has long been regarded as being detrimental to men’s health.  In many baseline, observational studies the association between elevated levels on estradiol and men’s illness is clear: high estradiol levels are associated with illness.  However, is it really causative? Association does not prove causation and strong emerging evidence is starting to more clearly indicate that the elevated levels of estradiol in men who are in declining health or are otherwise ill are an adaptive response in an attempt to heal rather than the causative factor in health decline.’ This lecture will review the literature to show how estradiol is good for men’s health and specifically, how proper management of estradiol in men is a more powerful treatment for dyslipidemia than are statins.
9:45 – 10:15 am Break/Visit Exhibits
10:15 – 11:00 am The Changing Demographic of Hypogonadism (low T Syndrome) and the Effect of Environmental Toxins on our Hormonal Health
Rudolph Eberwein, M.D.
Founder, A New You Wellness, Miami, FL
Dr. Eberwein will provide data to show that low Testosterone affects both older and younger men.  He will review a study by Ramasamy et Al that shows adolescents and young adults have a 20% incidence of hypogonadism . In addition he will describe how endocrine disrupting chemicals (EDCs)are contributing to this low T epidemic and provide clinical information for males affected by hypogonadism including an evidence based 4 pronged approach by optimizing nutrition, exercise, hormones and mindset.
11:00 – 11:45 am Emerging Treatment Paradigms in the Management of Parkinson’s Disease
Kimber Barnett, DMSc, MS, PA-C
Post-Doctorate Fellow, Medical Education, University of Lynchburg
Parkinson’s disease (PD) is the second most common neurodegenerative disease behind Alzheimer’s, but it is the most common movement disorder. Currently, no approved drug therapy is shown to slow progression and offer neuroprotection, cure, or reversal of neurodegeneration. Understanding the underlying cause of PD and the unique phenotypic variation of patients presents challenges in developing disease-modifying modalities. Various targets have been identified as critical areas to approach that can potentially change the course of disease progression in PD patients. Reaching these targets comes in multiple forms that involve either taking pills, infusions, subcutaneous injections, and surgery.
11:45 am – 12:00 pm Why Undergo Certification in Age Management Medicine
Derrick DeSilva, M.D.
Teaching Faculty, JFK Medical Center, Edison, NJ
Attending Staff, Raritan Bay Medical Center, Perth Amboy, NJ
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 McOmber, Former FBI Special Agent

Open to all attendees and includes a complimentary lunch

Non-CME symposium sponsored by Fortune Law Firm

1:30 – 2:15 pm Clinical Management of Post-Infectious Syndromes: How Model of Care for PANS/PANDAS Can Be Applied to Adult Population
Lindsey Wells, N.D.
Naturopathic Doctor, Wilton, CT
President
, Connecticut Naturopathic Physicians Association
There has been dramatic surge in neuropsychiatric symptoms in the adult population with the recent COVID-19 pandemic and the increasing rate of vector-borne Illnesses. These neuropsychiatric symptoms present acutely and can interfere with daily functioning. The acute onset of neuropsychiatric symptoms triggered by infections have been documented in the pediatric population for over two decades. Pediatric Autoimmune Neuropsychiatric Disorders associated with Streptococcal Infections (PANDAS) and Pediatric Acute-onset Neuropsychiatric Syndrome (PANS) are autoimmune disorders that present with physiological, behavioral, and cognitive challenges. Acute onset of symptoms such as OCD, tics, anxiety, food restriction, bedtime fears, inability to control urination, aggression, deficits in learning, and social interaction are among the many manifestations that result from post-infectious syndromes. These symptoms result from underlying infections including Streptococcus, Viruses, Mycoplasma, Bartonella, and other germs. PANS/PANDAS can be successfully treated with thorough clinical evaluation combined with a comprehensive integrative treatment approach focusing on antimicrobial, immune-modulating therapy, and symptomatic relief. This three-pronged treatment approach for PANS/PANDAS can be applied to adult post infectious syndromes that present with acute neuropsychiatric symptoms.
2:15 – 3:00 pm The Benefits of Orgasms in the Aging Population
Derrick DeSilva, Jr., M.D.
Teaching Faculty, JFK Medical Center, Edison, NJ
Associate Attending Staff, Raritan Bay Medical Center, Perth Amboy, NJ
Whatever the reason, female orgasm has traditionally been seen as somewhat of a taboo subject. Research into female orgasm has much to be desired, particularly when compared to research into male orgasm. In a 2014 study into the variation in orgasm occurrence, it was revealed that 63% of single women experienced an orgasm during sexual intercourse with their partner. This figure is in comparison to 85% of single men. Why the difference? It’s something that researchers are now beginning to study. One key factor could be that the male orgasm is typically linked with ejaculation and, therefore, potential reproduction. By contrast, it could be argued that the benefit of orgasm for women is of no obvious reproductive purpose and instead is just a source of pleasure. However, research is beginning to reveal the health benefits of orgasm for women and men beyond the exhilarating pleasure of climaxing. During this presentation the clinical benefits along with the data to support the clinical benefits of an orgasm will be reviewed.
3:00 – 3:45 pm Break/Visit Exhibits
3:45 – 4:30 pm Long COVID – A Multisystem Approach to Recovery
Chris Kleronomos, FNP, DAOM, MSc.
Medical Director, MediPro Holistic Health
Given the burden of sequelae from post COVID infections, this lecture will take a clinical approach to addressing the multi-system dysfunctions involves such as neural inflammation, endocrine disruption, and immune dysregulation. It will focus on testing, actionable findings and review the primary phenotypes involved. Interventions will be muti-disciplinary and easily integrated into current clinical practice. Items will include both typical and atypical medications, IV and nutrient therapy, vagal nerve modulation, photo biomodulation, mHBOT and more.
4:30 – 5:30 pm Implications of COVID Infection and Vaccine in Treating HRT Patients
Presentation & Panel Discussion with:
Melissa Loseke-Ablett, D.O.
Re-New Institute, Omaha, NE
Angela DeRosa, D.O., MBA, CPE

Founder & President, Hormonal Health Institute, Scottsdale, AZAre COVID vaccines and/or infections contributing to a clinical important inflammatory response in patients and specifically in those under-going hormonal therapies?
Since the onset of the pandemic, there have been an increasing number of discussions and concerns amongst experts as well as the general integrative medicine community wondering if there is a connection to the COVID vaccine and/or COVID infection, the inflammatory response and its possible role in changes to patients’ responses to hormone therapies and specifically more extrusions/infections with pellet therapies. Given these discussions, many folks expressed a desire to have open, honest and critical discussions about this as well as an opportunity to hear others clinical experience and possible approaches to this potential connection. During this 20-minute presentation followed by a round table of industry experts, we will review the following:
– Changes in hormonal requirements in previously stable patients without clinical explanation
– An increase in extrusion/infection rate compare to historical data within the patient population
– Understanding the inflammatory connection to the endocrine system
– Increase in autoimmunity or other inflammatory conditions in your patient population
– Possible ways to manage patients with these issues.
Panel Discussion Participants
Chris Kleronomos, FNP, DAOM, MSc.
Medical Director, MediPro Holistic Health
Sharon Hausman-Cohen, M.D., FAAFP, ABIHM
Owner & Co-Founder, Resilient Health
CMO, IntellxDNA
Rob Kominiarek, D.O., FACOFP
Director, ReNue Health, Springboro, OH
Assistant Clinical Professor, Ohio University College of Osteopathic Medicine
Member, AMMG Planning Committee
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
5:30 – 7:00 pm

AMMG Member & Faculty Reception

AMMG is bringing together our members, their guests and our esteemed faculty in a social setting to give them the opportunity to chat, network and exchange ideas.

An open bar, along with a carving station and hors d’oeuvres will be provided.

AMMG Members and Faculty may bring their spouse or significant other.

Reception for AMMG Members & Faculty only.
Not A Member Yet? JOIN HERE!

 

Saturday, April 29th

General Session Curriculum

General Session CME’s:
This activity has been approved for 18.75 AMA PRA Category 1 Credit™

Time
Presentation
8:00 – 9:00 am The Science of Methylation from the Gut to the Brain
Andrew Rostenberg, D.C. DIBAK
Clinic Director, Red Mountain Natural Medicine in Boise, IDThis course will explore the connections between gut health, genetic expression and optimum brain health. We will cover the recent research that explains how hidden gut infections influence genetic expression which then changes how the brain functions. We will investigate how common single nucleotide polymorphisms (SNPs) in the methylation-related pathways of the body are altered by hidden gut problems. The course will give attendees a logical, effective tool kit for identifying yeast overgrowth, small intestine bacterial overgrowth, hypochlorhydria, gastritis and other functional GI problems. Using this information on gut health and genetic imbalances, this course will give the practitioner insights into mood disorders such as insomnia, anxiety, worry, panic, depression, anger, ADD/ADHD and more.
9:00 – 10:00 am

Untangling Gut Issues with a Genomic Perspective
Sharon Hausman-Cohen, M.D., FAAFP, ABIHM
Owner & Co-Founder, Resilient Health
CMO, IntellxDNA
Maryelaine Sotos, D.O., MS, RD
Integrative and Family Medicine Physician, Austin, TX

This presentation will focus on how to better identify contributing causes to IBS.  About 25 – 45 million people a year complain to their docs about “gut issues” and get labeled with the basket diagnosis of irritable bowel. We will look at some of the modifiable root causes of IBS and how to identify and treat the various causes.

10:00 – 10:30 am Break / Visit Exhibits
10:30 – 11:15 am Human Imprintome in Health and Disease
Randy L. Jirtle, Ph.D.
Professor of Epigenetics, Dept Biological Sciences, North Carolina State University, Raleigh, NC

Genomic imprinting is a unique species-dependent epigenetic form of gene regulation that evolved about 150 million years ago in mammals with the development of the placenta and the advent of viviparity. It results in monoallelic gene expression regulated by parent-of-origin-dependent CpG methylation at imprint control regions (ICRs). Thus, imprinted genes are disease susceptibility loci since only a single genetic or epigenetic event is required to alter their function. Since ICRs are established before tissue specification, these methylation marks are similar across cell types. Thus, they are attractive for investigating, with the use of blood and other accessible tissues, the environmentally-induced epigenetic origins of adult diseases. We recently identified 1,488 hemi-methylated candidate ICRs using whole-genome bisulphite sequencing (WGBS) of DNA derived from the three germ layers and gametes (https://humanicr.org/). This draft of the human imprintome will allow for the systematic determination of the potential role of early-acquired imprinting dysregulation in the pathogenesis of all human diseases and behavioral disorders.

11:15 am – 12:00 pm The Endocrine/Neuroendocrine Laboratory Assessment for Age Management and Traumatic Brain Injury
Mark L. Gordon, M.D.
Medical Director, Millennium-TBI & The Millennium Health Centers, Encino, CA; CBS Studios;
Medical Director of Education, Access Medical Laboratories, Jupiter, FL
Member, AMMG Conference Planning CommitteeThe optimization of laboratory testing to extrapolate the highest level of healthcare for our patients’, has always been a technological challenge. Differences from one lab to another and the selection of best laboratory testing technologies to used, can deliver a span of accuracies that are miles apart. As clinicians, we rely upon the accuracy of these results to maximize our ability to provide for our patient’s nothing less than excellence. In this lecture we will touch upon the technologies, their differences, benefits, and limitations between Salivary, Serum and Urine testing, aligned with the standards of care within your medical communities.  We will address the legal dilemma based upon the lack of research standards for some of these testing formats.  We will discuss the formats, technical pitfalls, benefits, selection of lab protocols, and the individualized interpretation of the results all to optimize the patient’s outcome. Just having a numerical result that fits within the standardized range does not guarantee optimal benefits or risks. In the past 28 years, my practice has focused on raising the patient’s 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 number of benefits for our patients. Finally, we will address the influence of prescription medications on the endogenous production of many of our hormones. This usually leads to over and under treatment of the patients.
12:00 – 1:30 pm Lunch Break/Visit Exhibits
12:00 – 1:00 pm

Personalized Peptides: Advancing the Future of Individualized Medicine Today

Presented by Dr. Nathan Goodyear

Open to all attendees and includes a complimentary lunch

Non-CME symposium sponsored by Neo7Bioscience

1:30 – 2:15 pm Nutrition Strategies to Maximize Mitochondrial Function for Health, Performance, and Longevity
Emily Werner, Ph.D., RD, CSSD
Team Dietitian, Philadelphia 76ers
Nutrition Affairs, AmazentisWhether we like it or not, muscle degradation begins in our 30s, which can have a profound effect on strength and overall health. Additionally, mitochondrial decline is one of the hallmarks of aging, and recent research has linked mitochondrial dysfunction to many age-related chronic health conditions. One of the best ways to combat this age-related decline is to focus on mitochondrial health, as it produces 90% of our cellular energy. When optimally functioning, mitochondria can not only improve the health and longevity of skeletal muscle, but also of the heart, brain, eyes, gut, and other organs. Over the past few years, new research has been published demonstrating many different nutrition strategies to optimize the health and function of the mitochondria, such as Urolithin A, NMN, and Co-Q10. Such strategies can be used to improve muscular strength, cardiovascular health, neurodegenerative disorders, and other chronic diseases. During this lecture, a registered dietitian working with professional athletes will demonstrate how to apply the latest research findings targeting mitochondrial health to practical use to help clients optimize their mitochondrial function through nutrition strategies.
2:15 – 3:00 pm Standardized Approach to Assessing Aging and Longevity
Luis Martinez, M.D., MPH
President, XanoGene Clinic, San Juan, Puerto Rico
President, Regenera Global, Ponce, Puerto Rico

The fields of Age Management and Longevity Medicine continue to evolve at a rapid pace. Novel interventions, such as senotherapeutics, peptides, NAD precursors, and therapeutic plasma exchange are becoming more utilized in clinics. However, assessing these interventions and their impact on aging can be challenging, given a lack of consensus on optimal testing methods for determining biological age and the impact of different interventions on the aging process. This lecture will evaluate the different testing approaches that are available to address and quantify aging in patients. Epigenetic clocks, telomere testing, senescence testing, mitochondrial function tests and others will be discussed. Finally, a proposed standardized approach to assessing aging will be presented with the idea of helping standardize approaches that clinicians in the field should utilize when assessing aging.

3:00 – 3:45 pm Break / Visit Exhibits  (Exhibits Close 4:00 pm)
3:45 – 4:45 pm Exploring Inflammaging and the Microbiome: Slowing the Aging Process
Heather Zwickey, Ph.D.As we age, our immune system undergoes immunosenescence, making us more susceptible to infections, cancer, and autoimmune disease. At the same time, our inflammation increases leading to more pain, cardiovascular disease, and metabolic issues. This immunological imbalance, called inflammaging, may be heavily influenced by the microbiome and the metabolites it produces. In this seminar, we will discuss the mechanisms of inflammaging and how modulating the microbiome through prebiotics, probiotics, postbiotics and/or fecal transplant may slow the aging process.
4:45 – 5:30 pm The New Face of Weight Loss
William Clearfield, D.O.
Medical Director, Clearfield Family Medicine, Reno, NV
Executive Director, American Osteopathic Society of Rheumatic Diseases“I need to lose weight,” is a familiar cry throughout the fruited plain. Up to 70% of the adult population in some areas of the country, from a mere 15% in 1985, are considered obese. How did we get here? More importantly, what can we do about it? This lecture explores the problem of obesity first from a historical perspective, then as a metabolic and hormonal problem. In what has become a series of follies, modern medicine, in its quest for the “holy grail” of finding one pharmaceutical to prescribe to the entire planet, latched onto low-fat diets and zero cholesterol as a panacea for coronary artery disease. Removing fat from the diet was the goal, obesity, diabetes, and long-term cardiovascular insufficiency in younger and younger populations were the result. The audience will learn the diet of our stone-age hunter-gatherer ancestors is the exact same diet prescribed now, after the “low-fat” disaster of the 80s and 90s our new “experts” prescribe. We discuss inflammation as the underlying cause of chronic disease, with dietary intake the major culprit. The audience will review the four major nutritional plans, keto, paleo, Mediterranean, and the Autoimmune Protocol, determined to be most helpful in restoring homeostasis including weight control. The audience will learn of the major pharmaceuticals FDA approved for weight control. We focus on the latest “game-changing” breakthrough, Semaglutide, both the FDA-approved version (expensive, high incidence of side effects requiring discontinuation) and an off-label formulation, much less expensive and with dramatically fewer side effects. Semaglutide, on average, affects a 14.9% loss of weight over 68 months with 86% of patients losing at least 5% body weight. Lastly, we describe our easy-to-implement weight loss program complete with a metabolic balancing regimen and an exercise program.

Sunday, April 30th

General Session Curriculum

General Session CME’s:
This activity has been approved for 18.75 AMA PRA Category 1 Credit™

Time
Presentation
8:00 – 9:30 am

Triggers of Autoimmunity: Mycotoxins; Diagnostic and Treatment Methods
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

There are a number of environmental factors that can trigger autoimmunity.  Recently, studies have shown how mycotoxins can form adducts that bind to human tissue and can trigger autoimmunity, including multiple sclerosis, psoriasis, and others. In this evidence-based presentation, we shall review what studies have demonstrated, what are the most effective diagnostic tools, which treatments can help patients.

9:30 – 10:30 am Supplements for Life: A Review of Commonly Used Supplements and Disease Specific Evidence Supporting Their Use
Rafid Fadul, M.D., MBA
Director of Pulmonary & Critical Care Medicine, Blanchard Valley Health SystemDr. Fadul will present a literature review of Supplements used in Age Management Medicine, and focus on supplements which offer disease specific applications.
10:30 – 10:45 am Break
10:45 – 11:30 am

Peptides, Optimizing Health & Performance; Reversing Immune Dysfunction and Slowing the Aging Process
Elliot Dinetz, M.D., ABFM, ABAARM
Timeless Health, Miami, FL
Voluntary Associate Professor, Dept. of Integrative Medicine, University of Miami, Miami, FL

Both chronic disease and aging are intimately intertwined. We know aging is a risk factor for chronic disease, while risk factors for chronic disease accelerate aging.  Among the most influential risk factors for aging and chronic health issues is immune dysregulation. This lecture will discuss novel integrative peptides shown to restore immune function helping reverse health conditions and slow the aging process. The Objective of this lecture is to familiarize yourself with the different immune modulating peptides, explore incredible cases of recovery and the clinical implication that may have on the future of healthcare.

11:30 am – 12:30 pm Biochemical Issues in Neuropathy: Literature Review of Pteridin-4 (BH4)
Betty Wedman-St. Louis, Ph.D.
Nutritionist & Environmental Health Specialist, Pinellas Park, FLEvidence suggests that nutrition interacts with our genes and influences from one-carbon metabolism can influence mental health across the lifespan. Tetrahydrobiopterin deficiency (THBD, BH4D) also called THB or BH4 deficiency is a metabolic disorder that increases blood levels of phenylalanine which is found in all proteins and some artificial sweeteners. If not treated, excess phenylalanine can build up harmful levels in the body causing mental retardation, movement disorders, difficulty swallowing, seizures, behavioral problems, development issues and an ability to control body temperature. Genetic mutations in QDPR, PTS, PCBD1, and GCH1 along with methylation (MTHFR and DHFR) can interfere with recycling of BH4 causing clinical significance. If BH4 is not produced in adequate amounts, nerve cells in the brain can be damaged. Tetrahydrobiopterin deficiency disrupts certain neurotransmitters in the brain which affects the central nervous system and deregulates the nitric oxide cycle leading to peroxynitrite and inflammation.  Dietary restrictions have been the mainstay for BH4 deficiency for over 60 years. Folate deficiencies causing abnormal methylation beyond birth defects and developmental delays need to be assessed as an aging population identifies neurological conditions and diseases that impair catecholamine and serotonin responses in the body. Two case studies: 10 year old female and 88 year old male will be reviewed.
12:30 am – 1:30 pm Killing Ourselves by Forgetting the Brakes: A Deep Dive into GABA, Positive Allosteric Modulators, and Natural Equivalents
Scott Sherr, M.D.
Board Certified Internal Medicine, Certified in Hyperbaric Oxygen TherapyOver the last several years, levels of stress, insomnia, anxiety, and pain-induced anxiety have skyrocketed and prescriptions for Xanax, Ativan, and other drugs in the benzodiazepine class have correspondingly (and exponentially) grown as well. Unfortunately, these drugs are not usually the answer and will often lead to dependence, withdrawal, and tolerance. As clinicians, it’s imperative that we understand the essential roles of GABA — after all, it’s responsible for 20% of all brain neurotransmitter activity — and have safer alternatives that can bring the GABAergic system back into balance. In this lecture, we will discuss Gamma-aminobutyric acid (GABA), the major inhibitory neurotransmitter of the brain, the intricacies of the GABA receptor, as well as the various drugs, phytoceuticals, and lifestyle measures (including meditation!) that modulate GABA release via orthosteric or allosteric mechanisms.
We will also discuss the pitfalls of direct GABA supplementation (hint: there is zero blood brain barrier permeability!).  After this lecture, clinicians will have a detailed and advanced knowledge of the GABAergic system which they will then be able to immediately and directly apply to their clinical practice.