Hormone Use in Clinical Age Management Medicine - Module 1

8.5 CME Credits – $395.00

Stay current and broaden your medical thinking with this 8.5 hours course presenting lectures on hormone basics to the latest techniques in interventional endocrinology, lab results, and significant literature for patient success. Expert presentations debunk the myths, deliver the latest research, discuss appropriate screening laboratories, nutrient-level testing and help you gain a deeper understanding of these often-misunderstood approaches to hormone balance.

Curriculum

A new perspective for best directing the care of our hormonal patients, loosely analogous to quantum physics, which describes reality by explaining the simultaneous existence of that which appear as mutually exclusive conditions. Lecture will describe and explain the limitations of both traditional Endocrinology and Epidemiology with respect to advancing the field of Interventional Endocrinology and build upon the works of the greatest minds in our field, such as Drs. Dach, Gordon, Mintz, Rouzier, Shippen and Pati, to provide an incrementally more unified theory of actions within the hormonal matrix. While a fundamental understanding of the workings of the body will always be foundational to the practice of medicine, getting the “feel” for actions within the hormonal matrix is necessary in a field where we have just begun to scratch the surface with respect to our understanding of same. At this point the top thought leaders agree achieving the best results sometimes seems more an art than a science, after dedicated and constant study, combined with years of acquired clinical experience. This always has been how clinicians evolve into true healers. Abundant application of some of the latest techniques in Interventional Endocrinology, in illustrating the above points, will provide the participant with practical clinical “pearls” they may immediately implement into their own practices. Case studies will be provided.

John K. Crisler, D.O.

Neal Rouzier, M.D. is still a practicing board certified emergency physician and former assistantdirector of a large trauma center in Southern California. After completing residencies in family practice and emergency medicine at UCLA, he has practiced emergency medicine for over 30 years. In addition, Dr. Rouzier is the medical director of the Preventive Medicine Clinic of Palm Springs that specializes in hormone replacement for both men and women. He is the author of the popular book on hormone replacement entitled “How to Achieve Healthy Aging for Men & Women” which introduces BHRT. Dr. Rouzier teaches the most popular and successful courses in the U.S. on bioidentical hormone replacement and preventive medicine that focus on the research and EBM supporting hormone replacement. Dr. Rouzier teaches all the complexities of BHRT as well as the nuts and bolts of prescribing, monitoring, adjusting, and all there is to know about hormones. His basic, advanced, and complex age management courses are accompanied by 300-page workbooks referencing the medical literature that provide the basis and science behindthis new paradigm in preventive medicine. Dr. Rouzier lectures at various medical academies in the U.S. and abroad and uniquely critiques the medical literature to provide the audience with insight into treatments that are not understood by most practitioners. Attendees to AMMG conferences have enjoyed his unique and passionate teaching style since their inception.

Neal Rouzier, M.D.

“Wired and tired” is a phrase that describes so many patients that are seen in our practices but have been told by previous providers that there is NOTHING wrong as they do not fulfill the diagnostic criteria for an ICD-10 code. This lecture will explore in depth both the very subtle signs and symptoms of adrenal fatigue and suboptimal thyroid function in addition to the differential diagnosing of overt endocrine disorders of the adrenal and thyroid glands. The steroidogenic pathways in relation to the production and contribution of pregnanalone and DHEA in “hormonal balancing” will also be discussed. Treatment options will be reviewed that include pharmacology, lifestyle changes, natural therapies and the importance of nutritional supplements.

Rebecca Murray, APRN, FNP-BC, CDE

Although progesterone is often referred to as the “hormone of pregnancy” as the origin of the name comes from the importance in “pro-gestation,” this hormone goes far beyond its role in placental integrity and maintenance of a pregnancy to full term. Progesterone is also a crucial metabolite intermediate in the production of endogenous hormones, including the sex hormones, corticosteroids, and the important role in the brain as a neurosteroid. This lecture will explore the signs and symptoms of “estrogen dominance/progesterone deficiency,” when and how to measure levels, ß and the benefits of various delivery systems such as oral, sublingual, transdermal, and intravaginal.

Rebecca Murray, APRN, FNP-BC, CDE

Hereditary hair loss or Androgenetic Alopecia affects approximately 40 million men in the United States. In 2017 it was estimated that 2.3 million American men receive testosterone replacement therapy. Numerous clinical trials have supported and confirmed that the progression of hair loss is an often-unwanted sign of aging and a significant trigger for decreased Quality of Life in the affected population. In men, the chronic progressive miniaturization of hair follicles and hair loss in response to an inherited sensitivity to endogenous, normal levels of dihydrotestosterone (DHT) can begin to occur soon after puberty, and eventually affecting more than half of all men by the time they age to 50. Because DHT, the primary trigger for androgenetic alopecia, is created from testosterone through the 5-alpha reductase pathway, actions/activities and treatments that are designed to beneficially replace or enhance testosterone levels are often associated with accelerated hereditary hair loss as DHT levels rise. Unwanted, unexpected and accelerated hair loss may be a barrier for continued androgen replacement therapy, resulting in patient’s cessation of therapy. An understanding of the stratagems used to elucidate risk factors, diagnose, measure/monitor signs and symptoms, as well as the initiation of therapeutic interventions for Androgenetic Alopecia, can be used to avoid and-or manage this increasingly common unintended and unwanted consequence of androgen replacement therapy and ensure continued patient compliance with their androgen replacement therapy regimen.

Alan J. Bauman, M.D.

While taking a thorough Medical History produces about 80% of clinical decision making, laboratory testing is unarguably a crucial factor in the diagnosis, treatment, and follow-up care of the Interventional Endocrinology patient. During the “Quantum Interventional Endocrinology” lecture, we explored the implicit inability of classical Epidemiology in describing the hormonal landscape. Now with a new perspective of the benefits, limitations, and even the pitfalls of the various forms of laboratory testing, how is the practicing physician able to obtain an accurate picture of their patients’ true hormonal status? The available laboratory matrixes include blood, urine and saliva. Here we—in an unbiased fashion–delve into the claims made by those who provide these forms of testing. We also must appreciate the evolution of our laboratory methodologies, i.e. abandonment of inferior immunoassay techniques for more accurate and reliable mass spectroscopy. And because physicians must “operate” in the real world, how do we strategize the logistics of objective information management: patient lifestyle, compliance, ability to pay, and medical insurance coverage? The attendee will leave this lecture with not only a thorough understanding of all, but ready to implement same as soon as they return to their office.

John K. Crisler, D.O.

Hormone replacement therapy has been given a bad rap from many physicians who have not kept up with the literature. Most lay-people, many physicians, and the FDA still do not understand the immense benefit versus risks that hormone therapy can provide. Hormones are one of the best methods to decrease the risk of developing age-related degenerative diseases if started early and taken for over ten years. Moreover, they have the potential to improve patient’s quality of life with better stamina, muscles, sex life, and much more. Fears of heart disease, stroke, breast cancer and prostate cancer from hormones have been proven to be non-founded, while benefits continue to remain high. Hormone therapy, particularly hormone pellet therapy, should be considered an essential therapy by age management physicians to help patients live longer and with better quality of life.

Robert L. True, M.D.. FACOG, FACS 

The benefits and risks of bio-identical hormone replacement will be presented, along with ways to synergize their effects with nutrition and lifestyle support. The importance of respecting human cyclic biorhythms will be outlined, with various ways to balance hormones without using hormones. The advantages and disadvantages of different application sites will also be reviewed. Explanation and treatment of hyperexcretion syndrome will be presented. Laboratory screening techniques will also be discussed comparing saliva, blood, and urine, with advantages and disadvantages of each. Techniques discussed can make your BHRT practice more reliable and highly successful.

John Sherman, N.D.

This lecture will synthesize the evidence-based concepts which you have been exposed to in this conference into a coherent package trying to bring together the essentials of an Age Management BHRT program. The participant, on Monday morning, can take the information in this lecture and apply it, in a coherent fashion, to his or her office routine. A review of the 5 main areas of inquiry—inflammation, nutrition, hormone optimization, mind and body—essential for a successful BHRT program. Lecture will review the essential laboratory studies, either serum, saliva or urine, including “normal” and “optimal” values to successfully and safely treat patients seeking relief from hormone deficiency symptoms, review the treatment strategies for 8 essential elements, c Reactive Protein, Blood Sugar, Insulin, Homocysteine, Vitamin D, the Sex Hormones, Growth Hormone, and Thyroid function, of a BHRT program. A review, with an eye toward implementing a simple office based 8-week Mind/Body program.

William Clearfield, D.O., FAAMA, DABMA, FAARFM       

FACULTY

  • Founder & Medical Director, Bauman Medical Group, Boca Raton, FL

Bauman, Alan J. - M.D., ABHRS

Alan J. Bauman, M.D. is a full-time board-certified hair restoration physician who has treated over 17,000 patients and performed over 8,000 hair transplant procedures since starting his medical hair loss practice, Bauman Medical in 1997. Currently located in Boca Raton, Florida, Dr. Bauman received his M.D. degree from New York Medical College and surgical residency training at Mt. Sinai Medical Center and Beth Israel Medical Center in New York. Dr. Bauman is one of approximately only 200 physicians worldwide to achieve the certification from the esteemed American and International Board of Hair Restoration Surgery (ABHRS), is an accepted member of the International Alliance of Hair Restoration Surgeons (IAHRS), and is also recommended by the American Hair Loss Association. Dr. Bauman has achieved the coveted Fellow status within the International Society of Hair Restoration Surgery (ISHRS) and is a frequently invited faculty member at numerous international scientific meetings and live surgery workshops.

Faculty Disclosure: Dr. Bauman reported he has no relevant financial interests

  • Medical Director, Clearfield Family Medicine & Ageless Zone Medical Spa, Reno, NV

Clearfield, William - DO, FA, MA, DABMA, FAARFM

Dr. William Clearfield, a graduate of LaSalle College, completed his medical training at the College of Osteopathic Medicine and Surgery, now Des Moines University in Des Moines, IA. He completed a rotating internship and served as an OB/GYN resident at Metropolitan Hospital, Philadelphia, PA and a Family Practice resident in 1982 at United Health and Hospital Services in Kingston, PA. He was certified by the American Board of Family Medicine and opened a private practice devoted to family and integrative medicine. Dr. Clearfield obtained a certificate degree in Cardiac Rehabilitation from the University of Wisconsin/Lacrosse and implemented a supervised diet and exercise program for cardiac patients at Nesbitt Hospital in Kingston, PA. Dr. Clearfield graduated from UCLA’s “Acupuncture for Physicians” program, served as Secretary of the American Academy of Medical Acupuncture, and was editor of the journal “Medical Acupuncture” from 1994 through 1996. In 1994, Dr. Clearfield established the first combined conventional and alternative medicine pain clinic at John Heinz Rehabilitation Hospital in Wilkes-Barre, PA. In 2002 Dr. Clearfield attended a workshop with instruction on testosterone hormone replacement implants and neuromodulators for facial rejuvenation, and his career took a different direction. Dr. Clearfield studied the intricacies and subtleties of anti-aging and wellness and safe hormone replacement therapy. He became a leading authority with many speaking engagements and publications throughout the United States. Also, Dr. Clearfield trained and in turn became an instructor in neuromodulator, dermal filler, laser therapies, the PDO Thread Lift, and Platelet Rich Plasma techniques, including facial, joint, genitourinary rejuvenation and is certified as a “Vampire” technique practitioner. Dr. Clearfield is one of three Nevada Delegates to the American Osteopathic Association’s House of Delegates and the Executive Director of the American Osteopathic Society of Rheumatic Diseases. He lectures extensively for A4M, the Nevada Osteopathic Medical Association, the Age Management Medicine Group, and along with Dr. Pamela Smith, presented a breakthrough six-hour mini-course on Bioidentical Hormone Therapy in 2017 at OMED, the American Osteopathic Association’s scientific conference in Philadelphia. So successful was this course, Dr. Clearfield expanded the curriculum to eight hours at OMED in San Diego, CA in October 2018.

FACULTY DISCLOSURE: Dr. Clearfield reported he has no relevant financial interests.

 

  • President, Founder & CMO, All Things Male Center for Men’s Health, Lansing, MI
  • Consulting Physician, Defy Medical Centers
  • Dept. of Family and Community Medicine, Michigan State University-College of Osteopathic Medicine, East Lansing, MI

John K. Crisler, D.O.

“Dr. John” Crisler is an Osteopathic Physician located in Lansing, MI. Dr. Crisler got his start in hormone modulation and recovery therapies protecting professional and non-professional athletes from the adverse affects of anabolic steroid use. He has distinguished himself in the field of Age Management Medicine by developing new treatment protocols for Testosterone, and Thyroid optimization, which have influenced the way physicians all over the world treat their patients. His patients also derive the benefits of his substantial experience in treating Adrenal Fatigue, and is one of few physicians who address the dreaded Post Finasteride Syndrome (PFS). Commanding a substantial Internet following, Dr. Crisler founded the first Internet Forum on TRT moderated by a physician, and has answered more medical questions pro bono than any doctor in the history of the Internet. Dr. Crisler is a strong advocate for TRT, which he describes as “the most significant advancement in men’s health in history.” His ethical standards led to a feature article in Playboy magazine in April 2007, called “Dr T to the Rescue” (“Dr T” standing for testosterone, is Dr. John’s nickname). Dr. Crisler has proudly become a mainstay at medical conferences in our field, for whom he has lectured, co-hosted and moderated across the country and around the world. His paper, “Testosterone Replacement Therapy: A Recipe for Success” after becoming the most highly read in the history of the field of Endocrinology, has now been expanded into a very popular book. Dr. John enjoys training fellow physicians, as well as the public. Note: Dr. Crisler passed away suddenly on January 16, 2019

Faculty Disclosure: Dr. Crisler reported he has no relevant financial interest in any products or services to be discussed

  • Endocrine Nurse Practitioner, Institute for Hormonal Balance, Orlando, FL
  • Medical Director, Ward-Murray HealthCare Consulting, Groton, CT
  • Scientific Advisory Board, Designs for Health

Murray, Rebecca - APRN, FNP-BC, CDE

Rebecca Murray is a board-certified Family Nurse Practitioner who specializes in Functional Medicine and Endocrinology. After graduating from Columbia University, she spent the first 12 years of her career in Critical Care Medicine, overseeing the care of patients with debilitating medical conditions that most often could have been prevented. In 2001, she joined and eventually became the Medical Director for CT Holistic & Integrative Medicine in Groton, CT, where she specialized in the prevention and treatment of Metabolic Syndrome, Diabetes, Autoimmune Diseases, and Risk Reduction of Hormonally-Related cancers. In 2016, she joined Dr. Edwin Lee, a renowned Functional Medicine Endocrinologist, at the Institute for Hormonal Balance in Orlando, FL, where she focuses her practice as an Endocrine Nurse Practitioner on the optimization of hormones across the lifespan, including hormonal imbalances that contribute to infertility, early pregnancy loss, and premature births. She follows her passion for sharing the “constantly evolving” knowledge of functional medicine by lecturing both nationally and internationally on the topics of Insulin Resistance, Diabetes, Obesity, Adrenal and Thyroid Dysfunction, and Hormonal Imbalances that decrease one’s quality of life.

FACULTY DISCLOSURE: Ms. Murray reports she is on the Speakers Bureau for Designs for Health.

  • Director, The Preventive Medicine Clinics of the Desert, Palm Springs, CA

Rouzier, Neal - M.D.

Neal Rouzier, M.D. is still a practicing board certified emergency physician and former assistantdirector of a large trauma center in Southern California. After completing residencies in family practice and emergency medicine at UCLA, he has practiced emergency medicine for over 30 years. In addition, Dr. Rouzier is the medical director of the Preventive Medicine Clinic of Palm Springs that specializes in hormone replacement for both men and women. He is the author of the popular book on hormone replacement entitled “How to Achieve Healthy Aging for Men & Women” which introduces BHRT. Dr. Rouzier teaches the most popular and successful courses in the U.S. on bioidentical hormone replacement and preventive medicine that focus on the research and EBM supporting hormone replacement. Dr. Rouzier teaches all the complexities of BHRT as well as the nuts and bolts of prescribing, monitoring, adjusting, and all there is to know about hormones. His basic, advanced, and complex age management courses are accompanied by 300-page workbooks referencing the medical literature that provide the basis and science behindthis new paradigm in preventive medicine. Dr. Rouzier lectures at various medical academies in the U.S. and abroad and uniquely critiques the medical literature to provide the audience with insight into treatments that are not understood by most practitioners. Attendees to AMMG conferences have enjoyed his unique and passionate teaching style since their inception.

FACULTY DISCLOSURE: Dr. Rouzier reported he is a member of Avanir Speakers Bureau

  • Consulting Physician, Tahoma Clinic, Tukwila, WA
  • Guest Host, Green Medicine Radio Show, KVI-AM, Seattle, WA

John Sherman, N.D.

Dr. John Sherman’s 38 years of naturopathic practice has provided him a wealth of experience — from natural childbirth to complex health challenges. His eclectic background has also provided him with a unique perspective on the treatment of many different ailments and disorders. Dr. Sherman has served as Clinic Director for Bastyr University of Kenmore, Washington, and also as associate professor for both the National College of Natural Medicine and Bastyr University. He has authored a classic naturopathic textbook on herbal medicine titled, The Complete Botanical Prescriber; and also coauthored, Alternative Medicine: The Definitive Guide. Additionally, he has produced an instructional DVD titled, Cancer and Diet: Using Food to Eliminate Cancer and Promote Recovery. Dr. Sherman sees patients with diverse health problems, including men and women interested in bio-identical hormone therapies. His areas of special interest include naturopathic endocrinology, auto-immune challenges, chronic fatigue, immune system disorders, detoxification of the body, individualized nutritional programs, and preventive whole-health programs for both men and women. Dr. Sherman’s many years of practice have taught him that helping patients find the correct diet and supplements for their unique metabolism is essential when addressing imbalances or illness.

FACULTY DISCLOSURE: Dr. Sherman reported he has no relevant financial interests.

  • Private Practice Specializing in Cosmetic Surgery, Anti-Aging, and GYN, Colleyville, TX

True, Robert - M.D., FACOG, FACS

Dr. Robert True is passionate about helping patients learn how to live better through prevention of chronic illnesses that occur as they age. His multiple trainings in gynecology, anti-aging and cosmetic surgery have given him the expertise and the experience in knowing what patients want and what it takes to help patients become healthier. Media appearances include multiple TV shows, including Housewives of Dallas and Good Morning Texas. His lectures at conferences and teachings have covered multiple disciplines including hormone pellet therapy, weight-loss programs, and cosmetic surgeries. He is blessed with having two wonderful children and lives in Colleyville, Texas with his beautiful wife, Pam, and their two Italian greyhound dogs.

Faculty Disclosure: Dr. True reported he is owner of TrueMD

 

CME

AMA PRA Category 1 Accreditation Statement

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 (FCM) 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 educational activity for a maximum of 8.5 AMA PRA Category 1 CreditsTM.

Physicians should only claim credit commensurate with the extent of their participation in this activity. The ACCME defines a “Commercial Interest” as any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients.

Faculty / Planner Disclosures

The Foundation for Care Management (FCM) requires everyone in a position to control the content of this activity to disclose any relevant financial conflict of interest they may have as related to the content of this activity. All identified conflicts of interest are thoroughly vetted by The Foundation for Care Management (FCM) for fair balance, scientific objectivity of studies mentioned in the materials or used as the basis for content, and appropriateness of patient care recommendations.

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
  • Edwin Lee, 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

No member of The Foundation for Care Management or the Age Management Medicine Group has any relevant financial relationships to disclose in regards to this activity.

Faculty – Disclosure

  • Alan J. Bauman, M.D., ABHRS – No Relevant Relationships with a Commercial Interest to Disclose
  • William Clearfield, D.O., FAAMA – No Relevant Relationships with a Commercial Interest to Disclose
  • John K. Crisler, D.O. – No Relevant Relationships with a Commercial Interest to Disclose
  • Rebecca Murray, APRN, FNP-BC, CDE – Speakers Bureau – Designs for Health
  • Neal Rouzier, M.D. – Speakers Bureau – Avanir
  • John Sherman, N.D. – No Relevant Relationships with a Commercial Interest to Disclose
  • Robert L. True, M.D.., FACOG, FACS – Owner- True MD

Complete Hormones Part One Course Objectives:

1. Discuss the evidence-based theory of Interventional Endocrinology and the science behind and clinical applications of hormone therapy for patients who have been property assessed and diagnosed as deficient.

2. Summarize and discuss the science and protocols in properly assessing patients who may have a hormone deficiency.

3. Discuss the latest evidence-based research in the field of hormones and hormone replacement.

4. Discuss the latest evidence-based Literature and Clinical Information on Estrogen Dominance.

5. Discuss the signs and symptoms of adrenal fatigue & suboptimal thyroid and understand how to diagnose oververt endocrine disorders of the adrenal and thyroid.

6. Summarize the signs of “estrogen dominance/progesterone deficiency,” when and how to measure levels, and the benefits of various delivery systems

7. Discuss the latest evidence-based benefits and risks of bio-identical HRT and understand clinically based techniques to make this HRT more reliable and more successful.

8. Discuss the latest evidence-based stratagems used to elucidate risk factors, diagnose, measure/monitor signs and symptoms, as well understanding therapeutic interventions for Androgenetic Alopecia.

9. Summarize and discuss the essentials of an Age Management BHRT program.

INSTRUCTIONS FOR OBTAINING CME CREDIT

  • Review the Learner Notification.
  • Watch ALL videos in this course.
  • After watching each video you will click the ” Go to Course Evaluation & Certificate” button at the bottom of the video page.
  • Complete each Course Evaluation in it’s entirety.
  • At the completion of each Course Evaluation you will be taken to a screen where you can immediately print a copy of your CME Certificate.
    • IMPORTANT NOTE: Do not exit until you have completed both the Course Evaluation and downloaded the CME Certificate.
    • A copy of the CME Certificate will also be emailed to the address you used to sign up.
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