Advanced Course - BHRT Practical Clinical Applications

16.5 CME Credits – $795.00

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 (cost is included).  This prerequisite offers basic information that is critical to understanding this advanced course.

Course Access: After purchasing  this course you will receive an email with your unique username and password to access the prerequisite Clinical Use of Hormones in Age Management Medicine Part 2.

NOTE: If you have already purchased and completed the prerequisite please contact us at admin@agemed.org.

Curriculum

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.

Angela DeRosa, D.O., MBA, CPE
Founder & President, Hormonal Health Institute, Scottsdale, AZ

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.

Melissa Loseke-Ablett, D.O.
Physician, Re-new Institute, Omaha, NE
Medical Director, Metro Men’s Health, National

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.

Melissa Loseke-Ablett, D.O.
Physician, Re-new Institute, Omaha, NE
Medical Director, Metro Men’s Health, National

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.

Angela DeRosa, D.O., MBA, CPE
Founder & President, Hormonal Health Institute, Scottsdale, AZ

Prescribing hormones for women and men is half the battle. Providers must understand 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.

Melissa Loseke-Ablett, D.O.
Physician, Re-new Institute, Omaha, NE
Medical Director, Metro Men’s Health, National
Teaching Faculty, Medical Advisory Board, and Mentor, BioTE Medical, Irving, TX

 

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 BHRTs. 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.

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.

Angela DeRosa, D.O., MBA, CPE
Founder & President, Hormonal Health Institute, Scottsdale, AZ

Attendees will be given an opportunity to review complex patient case scenarios as well as specific clinical questions related to BHRT application with presenters.

Angela DeRosa, D.O., MBA, CPE
Founder & President, Hormonal Health Institute, Scottsdale, AZ
Melissa Loseke-Ablett, D.O.
Physician, Re-new Institute, Omaha, NE
Medical Director, Metro Men’s Health, National

FACULTY

  • Founder, Hormonal Health Institute
  • Medical Director, Belmar Pharm Solutions
  • CEO & Founder, DrM Integrative Health

DeRosa-Angela-DO-MBA-CPE-Nov2019

Dr. Angela DeRosa, DO, MBA, CPE, is a dynamic professional on a mission to change the face of women’s health and wellness. As a respected, internationally recognized authority on women’s hormonal health, Dr. DeRosa understands the range of health issues women face leading up to and during menopause as she herself was in full-blown menopause by the age of 35.  Dr. DeRosa has more than 25 years experience in the medical field, both on the pharmaceutical side and in clinical practice. In 2006 she founded DeRosa Medical, which quickly became eponymous with bio-identical hormonal healthcare. She eventually sold her company in the fall 2017 to Houston-based, Nobilis Health in order to focus on new opportunities. 

Dr. DeRosa’s enthusiasm for educating patients on the realities of menopause and the risk factors hormonal health imbalances has never waned. It was the driving force behind her first bestselling book, How Your Doctor Is Slowly Killing You: A Woman’s Health Survival Guide.  Her book, along with its controversial title, caught the attention of the public, media and the medial community. In fact, she received an avalanche of requests from physicians across the country wanting to learn more. In 2018, she heeded their call by launching The Hormonal Health Institute: Executive Instruction for Medical Professionals, a hormonal healthcare consultancy designed to instruct medial providers and provide practice development training on bio-identical hormonal replacement therapies.  

Dr. DeRosa is a member of the International Menopause Society, European Andropause and Menopause Society, International Society of the Study of Women’s Sexual Health and a researcher on women’s health issues. Dr. DeRosa is Clinical Assistant Professor at Midwestern University, Arizona College of Osteopathic Medicine, Clinical Assistant Professor of the Department of Internal Medicine at the University of Arizona College of Medicine  Phoenix, and is the Immediate Past President of the Arizona Osteopathic Medical Association.  

FACULTY DISCLOSURE: No Relevant Relationships with a Commercial Interest to Disclose

  • Physician, Re-new Institute, Omaha, NE
  • Medical Director Metro Men’s Health, National

Loseke Ablett, Melissa - D.O.

Dr. Melissa Loseke is a family medicine physician who’s passion is innovative medicine. Dr. Loseke practiced primary care for 18 months before turning her focus to regenerative and functional medicine.  She joined a clinic specializing in treating chronic joint pain with Hyaluronic Acid injections, Platelet Rich Plasma (PRP), and Stem Cell therapies. With the constant desire to learn and for cutting edge treatments for her patients, she began to practice at a nationwide hormone replacement organization specializing in pellet therapy for hormone replacement as well as aesthetics. During her tenure there, Dr. Loseke expanded her scope of certifications to include the Vampire Facelift, Vampire Breastlift, O shot, and Priapus Shot, as well as Low-Level Laser Therapy, or photobiomodulation, used to treat various injuries and chronic conditions. After four years of service, she then took a role as Chief Medical Officer for a national testosterone replacement company and Medical Director of a partner female hormone replacement clinic. During that time, she expanded her knowledge as part of the inaugural A4M Peptide Certification group. Dr Loseke, recently entered into private practice with the quest for a better way in medicine, with pillars of innovation, education and an experience unlike any other.  Dr. Loseke constantly recommits herself to learning about the latest methods and treatments to help patients lead healthier lives, focusing on wellness not illness in treatment of patients. She has a passion for knowledge and educating, both patients and peers. One of her favorite sayings sums up the belief on the importance of not only balancing hormones but their vital role in overall health and well being, “Our hormone levels don’t decline because we age…Perhaps we age because our hormone levels decline.”

CME

This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Foundation for Care Management and Age Management Medicine Group. The Foundation for Care Management is accredited by the ACCME to provide continuing medical education for physicians.

FCM designates this education activity for a maximum of 25 AMA PRA Category 1 Credits

Physicians should only claim credit commensurate with the extent of their participation in this activity.

The ACCME defines ineligible companies as “those whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.”

Nursing Statement

The Foundation for Care Management is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation 25.0 Nursing contact hours.

  • The Foundation for Care Management cannot provide a statement of credit unless and evaluation form has been filled out online.
Disclosure Statements

Conference Planning Committee – Disclosure
Mary L. Corry, R.N. – No Relevant Relationships with a Commercial Interest to Disclose
Mark L. Gordon, M.D. – No Relevant Relationships with a Commercial Interest to Disclose
Rob A. Kominiarek, D.O. – No Relevant Relationships with a Commercial Interest to Disclose
Cesar M. Pellerano, M.D. – No Relevant Relationships with a Commercial Interest to Disclose
John Rush, M.D.  – No Relevant Relationships with a Commercial Interest to Disclose
George Shapiro, M.D. – No Relevant Relationships with a Commercial Interest to Disclose

Program Reviewers
Mary Corry, MSN and Dana Burnett, M. Ed. have no relevant financial relationships to disclose.

All relevant financial relationships for this event have been reviewed and mitigated.

Faculty Disclosures
Ardon Anderson, Ph.D. D. O. – No Relevant Relationships with a Commercial Interest to Disclose
Joseph E. Bosiljevac, J. R. M. D., Ph. D. – No Relevant Relationships with Commercial interest to Disclose
Katrina J. Breece, M. S.  – No Relevant Relationships with Commercial Interest to Disclose
William Clearfield, D. O. – No Relevant Relationships with Commercial Interest to Disclose
Carolyn DeLucia, M. D. – No Relevant Relationships with Commercial Interest to Disclose
Elliot Dinetz, M. D. – No Relevant Relationships with Commercial Interest to Disclose
Angela DeRosa, D. O. – Belmar Pharmacy, Medical Director and Hormone Health Institute, Founder
Derrick DeSilva, Jr. M. D. – No Relevant Relationships with Commercial Interest to Disclose
Mark L. Gordon, M. D.  – No Relevant Relationships with Commercial Interest to Disclose
Jay R. Hoffman, Ph.D. – Funding for Research Presented was funded in part by Carnosyn & Carnosyn Brand
Robert Kominiarek, D. O. – No Relevant Relationships with Commercial Interest to Disclose
Melissa Loseke Ablett, D. O. –  No Relevant Relationships with Commercial Interest to Disclose
Luiz Martinez, M. D., MPH – No Relevant Relationships with Commercial Interest to Disclose
Steven Masley, M. D. – Author, The Mediterranean Method
Abraham Morgentaler, M. D. – Consultant, Acerus, Antares, Clarus, Advisory Committee Bayer, Research Grant Endo
Daniel Purser, M. D. – No Relevant Relationships with Commercial Interest to Disclose
George Shapiro, M. D. – No Relevant Relationships with Commercial Interest to Disclose
Betty Wedman-St. Louis, Ph. D. – No Relevant Relationships with Commercial Interest to Disclose

Conflict of Interest Disclosure Policy
Identify, Mitigate, and Disclose Relevant Financial Relationships

Many healthcare professionals have financial relationships with ineligible companies. These relationships must not be allowed to influence accredited continuing education. The Foundation for Care Management (FCM) as the accredited provider is responsible for identifying relevant financial relationships between individuals in control of educational content and ineligible companies and managing these to ensure they do not introduce commercial bias into the education. Financial relationships are defined as relevant if the educational content is related to the business lines or products of the ineligible company. As an accredited provider, FCM collects information from planners, faculty and others in control of educational content and conducts an extensive review process. Financial relationships are identified, reviewed and mitigated. In some cases speakers and committee members may be excluded. All relevant financial relationships are disclosed to the learner in this handout as required by the ACCME.

Release Date: June 15, 2021
Expiration Date: June 15, 2022

  1. Describe the essential scientific evidence-based information for the use of approved Hormones in Age Management Medicine and how to critically apply this knowledge to individualized treatment plans to improve patient outcomes.
  2. Describe and discuss issues which occur related to Hormone Therapy such as the use of Natural Aromatase Inhibitors effects of Testosterone on Prostate Cancer and Post Finasteride Syndrome.
  3. Describe evidence-based information for the diagnosis and treatment of Traumatic Brain Injury and how to clinically apply this knowledge to individualized patient treatment plans and summarize the available scientific literature discussing the primary traumas and secondary effects of inflammation in patient with TBI.
  4. Explain evidence-based information on Precision Medicine applications such as Epigenetic Methylation, Epigenetics and implications for Cardiovascular Disease, and Stem Cell Therapy for Immune System Restoration.
  5. Compare and discuss essential scientific evidence-based information on the use of Food and Medicine and various approaches to diet and nutrition in an effort to provide for superior patient outcomes.
  6. Discuss new scientific evidenced-based information for disease prevention and intervention, specifically for COVID-19 and how to clinically apply this knowledge to individualized patient treatment plans to improve patient outcomes.

Instructions for Obtaining CME Credit

Completing all steps is a requirement in order to qualify for your CME and to receive your CME certificate.

  1. Review the Accreditation & Faculty Disclosures.
  2. Before watching the videos participants are required to take the short Pre-Test to determine your existing knowledge.
  3. After completing the Pre-Test “Click Here to Continue” and watch ALL videos on the course page.
  4. After watching all the videos take the Post-Test so we can determine the value of this course.
  5. After completing the Post-Test  “Click Here to Continue” and complete the entire Course Evaluation
  6. At the completion of the Course Evaluation you will be taken to a screen where you can immediately download and print a copy of your CME Certificate.
  • IMPORTANT: Do not exit the Evaluation until you have completed the Course Evaluation and downloaded your CME Certificate.
  • A copy will also be emailed to the address you used to sign up. If you don’t receive it immediately check your SPAM folder.
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