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BHRT Series – Part I


August 3rd - 5th, 2018

Hilton Salt Lake City Center
255 S West Temple
Salt Lake City, UT 84101

View Part I PDF Brochure

Course Description:

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.

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Course Details     Course Objectives     Agenda     Speakers     Hotel and Travel     Registration Fees     Accreditation    Contact Us     Location


Course Details



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COURSE DESCRIPTION


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

As a healthcare practitioner, have you ever struggled with patients who face gradual, steady decline in their overall health?

Do any of your patients try to lose weight, eat right, exercise . . . but never seem to get results?

Do you have patients with out-of-control numbers - cholesterol, LDL, C-reactive protein, blood glucose, and hemoglobin A1C?

Are the therapies you’ve prescribed for those patients (statins for hyperlipidemia, metformin for insulin resistance and diabetes, blood pressure drugs) making them better or worse?

Are your patients experiencing improvement in their numbers?

Are they really reducing their cardiac and metabolic risks?

Are they feeling as good as they ever have?

Are your female patients in menopause still suffering from hot flashes and night sweats? Are they sleeping soundly 8 hours a night? Are they free of paralyzing anxiety and hopeless depression?

Are your male patients experiencing low energy, muscle loss, and sexual dysfunction?

Transform Your patients’ lives By Optimizing Their Hormones.

In this course, world-renowned hormone expert, Dr. Neal Rouzier, teaches you everything you need to know about hormones and why your patients need you to help them optimize theirs for maximum health and wellness for the long-term.

The Prevailing View On Hormones

Physician groups like the American College of Obstetetrics and Gynecology (ACOG) and the North American Menopause Society(NAMS), as well as the US Food and Drug Administration encourage practitioners to prescribe the lowest dose of a specific hormone that relieves symptoms. They recommend treating patients with hormone replacement for the shortest amount of time possible and discourage hormone replacement for disease prevention.

Dr. Rouzier uses the data in the medical literature to support the concept of hormone optimization, as opposed to hormone replacement. Hormone optimization is the quest to get patients’ hormone levels within optimal ranges, for as many hormones as possible. The course begins with an overview of the Women’s Health Initiative study - the single most influential study about hormones ever published.

  • who received hormone replacement therapy
  • what hormones these patients received
  • where the WHI results have been blown out of proportion
  • when hormones were given to patients in the study
  • why the study is fundamentally flawed
  • how the WHI has had devastating implications on the health of women for over 15 years

Hormones Covered

In the course, you’ll receive a comprehensive overview of multiple hormones that can be optimized. Dr. Rouzier goes over lab tests, signs and symptoms, hormone dosing, and what pitfalls to be aware of in optimizing estradiol, progesterone, testosterone, and thyroid hormones T3 and T4. Dr. Rouzier also covers several lesser-known hormones like pregnenolone, DHEA, melatonin, and cortisol.

Normal vs. Optimal Hormone Levels

Dr. Rouzier emphasizes the difference between “normal” (age-adjusted) hormone levels and “optimal” hormone levels. He contends that the best hormone levels correlate to levels found in young adults. Rouzier dives deep into the medical research to back up his contention that optimal hormone levels are the most effective tool to help patients get healthy and stay that way. He shows how optimal hormones help you:

 Relieve symptoms in male and female patients:

  • eliminate hot flashes, night sweats, and vaginal dryness for women in menopause
  • decrease sexual dysfunction in men and women
  • improve patients’ sleep, energy, libido, and quality of lif
  • protect men and women from the frailty and broken bones of osteoporosis
  • help men and women gain muscle strength and stamina for more exercise benefits

Go beyond statins in reducing cardiovascular risks: 
  • reduce dyslipidemia
  • improve carotid artery calcium scores
  • lower inflammatory cytokines
  • optimal hormones are proven to reduce cardiovascular risk

Protect patients from metabolic syndrome and diabetes:

  • provide realistic ways for patients to lose visceral fat and reduce basal metabolic index (BMI) (even if they've struggled in the past)
  • reverse insulin resistance
  • lower blood glucose and hemoglobin A1C
  • reduce diabetes risk

Prevent senile dementia:

  • help patients stay sharp and independent longer
  • keep patients healthy and active so they can live the life they want

Worldlink's Part I Course is Unique, Comprehensive, and Practical 

No other program includes the comprehensive, in-depth analysis of evidence supporting hormone optimization that this course provides.

As a practitioner, you may walk into Worldlink’s Part I course on Friday, skeptical of the role of hormones in health. You may feel resolute in sticking with standard of care that dismisses the idea of hormones for disease prevention.

This course is not only comprehensive, it’s also extremely practical. Neal Rouzier teaches you the “nuts and bolts” of optimizing your patients’ hormones. He helps you understand the why’s of optimal hormones, but also gives you specific instruction on the hows. You’ll walk away with the practical knowledge that allows you to get started on Monday morning, optimizing your first patient’s hormones.

Get answers:

We’ve created an exclusive practitioner forum, where physicians ask questions and discuss difficult clinical situations with peers. This valuable resource is available to past attendees of Worldlink Hormone Optimization courses. Practitioners with years of experience, as well as Dr. Rouzier himself, are active on the forum, lending a helping hand to physicians just getting started.

Get Credit:

In addition to the scientific and practical knowledge you’ll receive from Dr. Rouzier’s course, you’ll also earn continuing medical education credit. Worldlink Medical is fully accredited in several healthcare disciplines to provide credit for physicians, nurses, and pharmacists.

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

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

20. Evaluate the lack of peer-reviewed studies for any compounded hormones in comparison to the standardized, pharmaceutical bioidentical hormones which are the only natural hormones utilized in medical studies..

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. Verify that prescribed hormones meet industry standards based on attaining adequate serum levels and symptom improvement.

25. Identify that some compounded hormones are poor in quality, poorly absorbed, not micronized, and usually prescribed in very inadequate amounts to conform to scientific standards of maintaining therapeutic levels.

26. 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.

27. 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.

28. 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.

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

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Agenda - Friday     Saturday      Sunday

Friday, August 3rd, 2018


Registration

7:15 AM  -  8:00 AM

Registration

 

Hormone Replacement Therapy

8:00 AM  -  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

Speakers:
 

Break

10:00 AM  -  10:15 AM

BREAK

 

Hormone Replacement Therapy

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
Speakers:
 
12:15 PM  -  1:15 PM

Lunch Fri

 

Hormone Replacement Therapy

1:15 PM  -  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?

Speakers:
 
4:00 PM  -  4:15 PM

Break

 

Hormone Replacement Therapy

4:15 PM  -  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

Speakers:
 
5:30 PM  -  6:00 PM

Question and Answer



Saturday, August 4th, 2018 - back to agenda


 

Registration

7:30 AM  -  8:00 AM

Registration

Registration

 

Hormone Replacement Therapy

8:00 AM  -  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

Speakers:
9:00 AM  -  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

Speakers:
10:30 AM  -  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

Speakers:
 

Break

11:00 AM  -  11:15 AM

BREAK

 

Hormone Replacement Therapy

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

Speakers:
 

Practice Development

12:15 PM  -  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

Speakers:
 
1:15 PM  -  2:15 PM

Thyroid: Why Patients Demand It, Con't

 

Hormone Replacement Therapy

2:15 PM  -  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

Speakers:
 

Break

3:15 PM  -  3:30 PM

BREAK

 

Hormone Replacement Therapy

3:30 PM  -  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

Speakers:
 
5:30 PM  -  6:00 PM

Question and Answer



Sunday, August 5th, 2018 - back to agenda

 
7:30 AM  -  8:00 AM

Registration

 

Hormone Replacement Therapy

8:00 AM  -  10:00 AM

Case Management: Everything You Should Know, con't

Speakers:
 
10:00 AM  -  10:15 AM

Break Sunday

 

Hormone Replacement Therapy

10:15 AM  -  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

Speakers:
11:15 AM  -  12:15 PM

100 Written Questions and Answers with Discussion

Speakers:
 

Adjourn

12:00 PM  -  12:00 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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Hotel and Travel




Hilton Salt Lake City Center

255 South West Temple, SLC, UT  84101

1-800-HILTONS  (Room block under Worldlink Medical)

Room Block Rate $169.00  -   Deadline for Room Block Rate is July 12, 2018. 

Reserve a ROOM HERE

Nearest Airport - Salt Lake City International Airport (SLC)

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Registration Fees

  1. Initial Enrollment

    $1,295.00
    Discounted Price If Registered By
    $1,195.00 Friday, July 6, 2018
  2. Part I Graduate

    $675.00
  3. Staff Member (MA, RN, Office Mgr)

    $675.00

Cancellation Policy

If cancellation is received more than 3 weeks in advance a full credit can be applied to your account for future use.  If less than 3 weeks a $350.00 cancellation fee applies and the balance will be applied as a credit to a future event.

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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 an approved provider of continuing nursing education by the Western Multi-State Division (WMSD), Approver of Continuing Nursing Education an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.  20 Nursing contact hour(s).

 Pharmacy Statement

The Foundation for Care Management is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. Program # 0347-9999-18-003-L01-P Objectives appropriate for pharmacists. This activity is 20 Contact Hours Pharmacy Credit.  *This CME is Knowledge Based (K). Initial release May 4, 2018

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Contact Us



Location


Hilton Salt Lake City Center
255 S West Temple
Salt Lake City, Utah 84101 USA

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