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BHRT Series – Part I

August 7-9, 2020 
Salt Lake City, UT 


Part One is a workshop utilizing a scientific literature review of HRT, case presentations, then case management requiring audience participation, an approach designed to help physicians successfully and knowledgeably treat their age management patients. The first day is a literature review of the importance of optimizing hormones for both men and women. The second day involves diagnosing, prescribing, monitoring, and adjusting dosing based on patient’s symptoms and lab tests. The Part I course is designed to provide the nuts and bolts of hormone replacement therapy. You’ll learn about monitoring and troubleshooting HRT through literature presentations, case studies, and open discussions. 

* This course tends to sell out please register for the course before securing airfare to ensure you have a seat at the event.

Course DeSCRIPTION and Details

 This course has been approved for 20 AMA PRA Category 1 Credits, 20 Nursing Contact Hours (20 pharmacologic hours), 20 Hours Pharmacy Credit (knowledge based).

*Workshop Schedule

  • Friday, 8:00 a.m. - 6:00 p.m.
  • Saturday, 8:00 a.m. - 6:00 p.m.
  • Sunday, 8:00 a.m. - 12:00 noon

Syllabus Information

All participants will receive an electronic syllabus with their registration.  A printed syllabus is available for an additional cost of $40.00.  The eSyllabus will be available for download at least one week prior to the course.  An email notification will be sent when it is available for download and will include links and instructions.  This early release provides an opportunity to download and review the materials prior to the course.

PLEASE NOTE: We request you download the material prior to the event as internet access in the meeting room may be limited.  We will also have flash drives available for those that find this easier than downloading.  The syllabus can be saved in Adobe Reader which allows participants to add "sticky notes" directly on the slide as the speaker is talking. These notes can be saved permanently to your document.  Other recommended applications include iBooks (for apple mobile devices) and iAnnotate (for mobile devices). Lastly, put perhaps most important for many of us, a printed syllabus is available with an option for good old fashioned note taking.


Exhibitors

MedQuest Pharmacy – A quality compounding pharmacy and platinum sponsor providing significant educational support for evidence based training. 

More exhibitor information coming soon.


Course Objectives:

1.     Evaluate and become proficient in the medical literature that supports biologically identical hormone replacement in contrast to chemically altered hormones and realize that “all hormones are not the same” as demonstrated per the literature.

2.     Implement therapeutic management of andropause based on studies reported in prestigious medical journals.

3.     Identify the types, doses and methods for administering testosterone to men and women.

4.     Discuss the prescribing of testosterone for men and women, including complications, precautions, potential side effects, and monitoring.

5.     Discuss the utilization of Finasteride, Dutasteride, and Anastrozole as they pertain to the management of side effects of testosterone.

6.     Identify the uses of melatonin including correct dosing and monitoring.

7.     Apply strategies for the effective uses of DHEA and pregnenolone including correct dosing and monitoring.

8.     Evaluate new evidence that contradicts the experts’ conclusions from the HERS and WHI trials on estrogen treatment in women.

9.     Demonstrate an understanding of the health benefits of estrogen and progesterone in contrast to the health detriments and harm of synthetic estrogen and progestin.

10.  Describe the types, doses, and methods used to administer estrogen and progesterone.

11.  Identify that different formulations can affect absorption, efficacy, side effects, and complications.

12.  Review lab tests that demonstrate that some compounded hormones are poor in quality, not micronized, and result in reduced efficacy and low serum levels.

13.  Discuss recent literature, questions and answers that demonstrate the beneficial effects of hormones such as improved function and healing and a better quality of life.

14.  Describe current concepts of thyroid replacement and compare and contrast different options available for thyroid replacement as supported in the medical literature.

15.  Recognize various methods of testing for thyroid deficiencies and what labs and approaches are best.

16.  Discuss and analyze interesting and complicated cases that involve hormone replacement therapy, which hormones are absorbed best, and when to use oral vs. transdermal HRT.

17.  Recognize the difference between “normal levels” and “optimal levels” of hormones and the benefits or detriments as demonstrated by current medical studies.

18.  Implement best clinical practices in diagnosing, prescribing, monitoring and adjusting of BHRT for improved function and quality of life.

19.  Develop and apply business management principles to set up a preventive medicine practice.

20.  Analyze and review treatment protocols in case management for both simple and complex cases as it pertains to BHRT.

21.  Describe how to write prescriptions for compounded hormones to pharmacies, and how different formulations can affect absorption, efficacy and side effects.

22.  Identify and correct any insufficient or inappropriately prescribed hormone therapy to conform to scientific standards in order to optimize hormone levels.

23.  Implement current strategies into your practice to improve the level of care and patient compliance in the treatment of adult hormone deficiencies.

24.  Identify that biologic endpoints (lab tests) are the only reliable assessments to assure that the HRT prescribed is as efficacious as pharmaceutical bioidenticals utilized in the literature.

25.  Recognize that it is the responsibility of the medical practitioner to assure that their compounding pharmacy dispenses only high-quality hormones from either a European or U.S. made source in order to guarantee efficacy and therapeutic endpoints.

26.  Apply current prescribing strategies for maintaining adequate hormone levels, which serum levels to follow, which tests not to use (saliva), and the literature supporting each.

27.  Review the literature describing anti-aging and how it pertains to hormones and improving function, healing, and provide a better quality of life even though no therapy is FDA approved for anti-aging.

28.  Analyze new treatment protocols to best diagnose, prescribe, monitor, and adjust BHRT for improved function and quality of life.

Register

Agenda: Friday     Saturday      Sunday

Friday, August 7, 2020

 7:15 - 8:00 AM

 Registration                                                                                                                                                        

 8:00 - 10:00 AM

Introduction to Hormone Replacement Therapy

• Importance of optimization of all hormones as per the medical literature

• Health and quality of life benefits

• AMA statement on anti-aging

• The best preventive medicine to maintain well-being and reduce morbidity & mortality

• Normal is not optimal, and optimal is best

• Understand that simply replacing hormones to normal levels is not what is best for health and well-being

• Examples of optimal labs vs. normal labs

• HRT replacement: Have we been doing it incorrectly all this time?

• What we should know about hormones but were never taught

• Why we do what we do based on the medical literature

Speaker: Dr. Neal Rouzier
 10:00 - 10:15 AM  BREAK
 10:15 AM - 12:15 PM

Testosterone: Safe and Necessary for Both Men and Women

  • Various types and doses but which is best, simplest, easiest
  • Applications: How, where, when, to apply and why
  • Complications, precautions, side effects and monitoring
Speaker: Dr. Neal Rouzier
 12:15 - 1:15 PM   Lunch
 1:15 - 4:00 PM

Testosterone: Safe and Necessary for Both Men and Women, Con't

• What levels are normal and what levels are optimal

• PSA, free PSA, and prostate cancer

• DHT, Estradiol, Finasteride, Anastrazole, 5α-reductase inhibitors, & aromatase inhibitors

• A literature review, indications & contraindications, and blood clots?

Speaker: Dr. Neal Rouzier
 4:00 - 4:15 PM  BREAK
 4:15 - 5:30 PM

Testosterone for Women: The Feel-Good Hormone for Women Too

• It is not just a male hormone but also a very important female hormone

• What types, doses and levels work best

• Application: How, where, when, why to apply

• Side effects and treatment, and use of Spironolactone

• Extensive literature review

Speaker: Dr. Neal Rouzier
 5:30 - 6:00 PM  Question and Answer

Saturday, August 8, 2020

 7:30 - 8:00 AM  Registration                                                                                      
 8:00 - 9:00 AM

Melatonin, DHEA and Pregnenolone: All Hormones Provide Health Benefits

• Melatonin: The great sleep and immune enhancer

• Treatment & prevention for cancer, HTN, migraines

• Administration & monitoring: How much is enough?

• DHEA: How DHEA improves health and longevity.

• DHEA: How to prescribe, monitor, and adjust for maximum benefit

• A literature review supporting optimal levels

• Side effects and use of spironolactone

• Pregnenolone: The mother of all sex hormones.

• Memory enhancer? And what about cancer?

• A literature review of these hormones

• Administration, monitoring and adjusting

Speaker: Dr. Neal Rouzier
 9:00 - 10:30 AM

Menopause: Estrogen & Progesterone Are Absolutely Necessary for Health & Well-being

• Natural vs. synthetic estrogen; risk vs. benefit – a literature review of types of estrogens

• Health benefits and feel-good benefits of HRT

• Don’t fear it: The most recent consensus and timing is everything

• Informed consent for stopping HRT and harm of hormone deprivation

• What types of estrogen: How, what, where, why?

• ACOG and NAMS: no study to show efficacy of BHRT – wrong!

• Doses, monitoring levels, adjusting, selection: What works best and when

• The importance of serum monitoring

• Transdermal vs. oral: Benefits and harm of each

• Does age make a difference? Does timing make a difference? Understanding MMP

• Indication and contraindications: Problems with synthetic vs. bioidentical vs. compounded

• New evidence that contradicts the conclusions of the WHI Trial and HERS

• Different strategies for managing PMS, peri-menopause, menopause, bleeding, problems, side effects and complications = no man’s land

Speaker: Dr. Neal Rouzier
10:30 - 11:00 AM

Progesterone: Just as Important as Estrogen

• Absolutely necessary in ALL women at whatever age

• A literature review: There is not one negative study

• Protection against breast cancer, uterine cancer, heart disease

• MP ≠ MPA, natural vs. synthetic, safe vs. unsafe

• If some is good, more is better? Absolutely

• Dosing, monitoring, adjusting, and the importance of optimization • Serum vs. saliva testing and harm of inadequate dosing

Speaker: Dr. Neal Rouzier
 11:00 - 11:15 AM  BREAK
 11:15 AM - 12:15 PM

Thyroid: Why Patients Demand It

• The most misunderstood and ignored hormone

• Thyroid test is normal but symptoms persist. So now what?

• Types of hypothyroidism and which ones you miss

• Does your patient need their thyroid to be optimal? You bet!

• Understanding lab values

• What is responsible for low thyroid symptoms when TSH is normal?

• Types of thyroid hormones, dosing, monitoring, adjusting

• Treatment of fatigue: Treat the TSH or Free T3 or the patient?

• Endocrine viewpoint (labs) vs. patient perspective (symptoms)

• Signs and symptoms of sub-optimal thyroid replacement and treatment

• Literature support for optimization: Treat the labs or the patient?

• Improvement of health and well-being through optimization • The consequences of low normal Free T3 as per JAMA

Speaker: Dr. Neal Rouzier
 12:15 - 1:15 PM

Working Lunch Break: Setting Up My Preventive Medicine Practice - What Works and What Doesn’t

• Outline, worksheet, forms, letters and consents

• How to bill

• Different types of programs

• Necessary equipment

• Evaluating pharmacies and laboratories

• Products and services

• Everything you will need to know before starting Monday morning

Speaker: Carolyn Rouzier
 1:15 - 2:15 PM

Thyroid: Why Patients Demand It, Con't

 2:15 - 3:15 PM

Summary & Review

• Interesting cases

• HRT indications, contra-indications, risks, benefits

• Side effects, problems, complications

• Dosing & adjustment of various types of HRT with lab reference comparisons

• Cautions, suggestions, things to do, and mistakes to avoid

Speaker: Dr. Neal Rouzier
 3:15 - 3:30 PM  Break                                                                                                                                                                 
 3:30 - 5:30 PM

Case Management: Why did you prescribe hormones if the levels were normal?

• Administration and appropriate dosing

• The nuts & bolts for practicing HRT correctly: Everything you should know

• Administration and appropriate dosing

• Monitoring the patient and adjustment for optimization

• Proper case management, problems and complications

• Mistakes to avoid

• Lab interpretation & lab comparisons

• Different optimal levels for different laboratories

Speaker: Dr. Neal Rouzier
 5:30 - 6:00 PM Question and Answer

Sunday, August 9, 2020

 7:30 - 8:00 AM  Registration                                                                                                                                                                                    
 8:00 - 10:00 AM

Case Management: Everything You Should Know, con't

Speaker: Dr. Neal Rouzier
 10:00 - 10:15 AM BREAK

 10:15 - 11:15 AM

Review of Practical Application

• Administration and appropriate dosing

• The nuts & bolts for practicing HRT correctly: Everything you should know

• Administration and appropriate dosing

• Monitoring the patient and adjustment for optimization

• Proper case management, problems and complications

• Mistakes to avoid

• Lab interpretation & lab comparisons

• Different optimal levels for different laboratories

Speaker: Dr. Neal Rouzier
 11:15 AM - 12:15 PM

100 Written Questions and Answers with Discussion

Speaker: Dr. Neal Rouzier
 12:00 - 2:00 PM  ADJOURN

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SPEAKERS:

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Neal Rouzier

Dr. Neal Rouzier is a pioneer in the bio identical hormone replacement field, practicing almost since its inception in the early 1990’s. He has dedicated his life’s work to uncovering the medical literature that supports safe and effective protocols for unique and personalized patient care. He is the Director of the Preventive Medicine Clinics of the Desert, specializing in the medical management of aging and preventive care for men and women. He has treated more than 2,000 patients with natural hormone replacement therapy and is recognized as a renowned leader and expert in the field. Additionally, Dr. Rouzier is the author of Natural Hormone Replacement for Men and Women: How to Achieve Healthy Aging. He has over 16 years of experience as an educator and practicing physician, and 29 years of Emergency Medicine experience at Queen of the Valley Hospital in West Covina, CA.


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Carolyn Rouzier

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REGISTRATION:

      EARLY BIRD PRICE    

 VALID NOW THRU:  JULY 10, 2020  

   REGULAR PRICE   

 EFFECTIVE:  JULY 11, 2020 

Medical Providers and Pharmacists

$1,195.00 

$1,295.00




Support Staff and Returning Attendees

$675.00 

$675.00

(MA, RN, Office Manager)




*Cancellation Policy

Cancellation and/or course change requests received more than 3 weeks in advance of the event will receive a full credit (less a $50.00 change fee) which will be applied to your account as a credit for use towards a future event/service. Any cancellations and/or changes received less than 3 weeks before the event, will incur a $350.00 processing fee and the remaining balance will be credited to your account.

Cancellations received less than 3 days prior to the start of the event are non-refundable. No shows are also non-refundable.

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ACCREDITATION:


AMA PRA Category 1 Statement

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Foundation for Care Management (FCM) and Worldlink Medical. 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 20 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.

 Nursing Statement

The Foundation for Care Management is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.


 Pharmacy Statement

The Foundation for Care Management is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. 
Program #0347-9999-20-001-L01-P  Objectives appropriate for pharmacists. This activity is 20 Contact Hours Pharmacy Credit.  *This CME is Knowledge Based (K).

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HOTEL AND TRAVEL:



Hilton Salt Lake City Center

255 South West Temple
Salt Lake City, UT 84101
801-328-2000

Group Block Room Rate Available $165.00/night.  Block rate available until July 7, 2020 or until rooms are full.

Click here for room reservation link



Nearest Airport - Salt Lake City International Airport (SLC)

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LOCATION:

Hilton Salt Lake City Center

255 South West Temple

Salt Lake City, UT 84101

801-328-2000

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