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Hormones and Beyond symposium

October 4 - 6, 2019
Austin, TX


COURSE DEscription:

In the Psychiatric Clinics Journal article, "OBESITY: OVERVIEW OF AN EPIDEMIC", researchers take an in-depth look at the growing obesity crisis.  

“Despite growing recognition of the problem, the obesity epidemic continues in the U.S., and obesity rates are increasing around the world. The latest estimates are that approximately 34% of adults and 15–20% of children and adolescents in the U.S. are obese. Obesity affects every segment of the U.S. population. Obesity increases the risk of many chronic diseases in children and adults. Substantial public health efforts are being directed toward addressing obesity, but there is not yet clear evidence of success. Because of the complexity of obesity, it is likely to be one of the most difficult public health issues our society has faced.” (Mitchell, Catenacci, Wyatt, and Hill, 2011).

At Worldlink Medical we are an Academy of Innovative and Preventive Medicine.  We are consistently looking for creative healthcare solutions that are practical, research oriented and make sense for your patients.  There are lots of fad diets out there but they don’t work.  Let’s understand why and explore what we as a community can do about this.  You all practice in unique settings striving for out of the box solutions for every day common healthcare concerns.  We have another such solution for you this year.

We are bringing in the author of The Obesity Code and The Diabetes Code, Jason Fung, MD to help crack the code on helping patients understand weight loss.  Not only will we focus on the WHY with Dr. Fung’s researched-based science, but we are bringing in his Program Director, Megan Ramos to teach everyone HOW to successfully implement the program in your practice. 

This just may be our best event yet! Combine this with Neal’s hormone research focus on obesity and a host of other speakers and topics and we promise you a life changing event for you and your patients.  We are planning two and half full days of cracking the code from obesity to diabetes to hormones, to genetics and exosomes to keeping you practicing safe with medical legal advice you won’t want to miss!

Make this the yearly event you don’t want to miss.  Join your colleagues as we take you beyond hormones to deal with some of the most important issues facing our society today.


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COURSE OBJECTIVES:

 1)     Discuss and review hormone therapy updates based on the latest literature review.  This includes:

      •  Hormones and cancer
      •  Inflammation, chronic disease and hormones
      • Weight-loss, recidivism and hormones
      • Benefits of testosterone for heart disease
      • Why not to fear estrogen  
2)     Identify the genetic markers that places patients at high-risk for Obesity and Type 2 Diabetes
      • Provide biochemistry overview of the function of these genetic markers
      • Provide clinical tools to assist in identification, treatment and education of high-risk individuals

3)     Describe how to practice defensive medicine with advice and tips from a medical legal expert specializing in malpractice and
medical 
board defense cases. 

4)     Recognize the new modalities and mechanisms that stimulate our own cells to produce growth and healing factors that result in
clinical benefit
i.e. Exosomes, Stem Cells, PRP

5)     Review and examine the roots, origins and theory surrounding the obesity epidemic

6)     Explain how to apply techniques to engage patients in behavioral changes

7)     Apply in your practice intermittent fasting strategies for your patients based on existing programs with known patient success

8)     Introduce and analyze a new paradigm for insulin resistance.  Knowing why the meds don’t work and learning what does work to
better help patients manage and get rid of type 2 diabetes.

9)     Review the literature that supports the benefits of thyroid hormone replacement in increasing weight loss, providing CVD
protection and improving symptomology.

10)   Decipher the literature that sensationalizes blood clots in the administration of testosterone replacement therapy.


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Agenda - Friday     Saturday      Sunday

Friday, October 4th, 2019

    • 7:00 AM  -  8:00 AM

      Registration

      7:45 AM  -  8:00 AM

      Welcome and Introduction

      Guest Speaker – Herman Pang, MD

      8:00 AM  -  9:15 AM

      What’s New in The World of Preventive Medicine and Hormones? Why Others Don’t Get It.

      Learn about the surprising new literature demonstrating the benefits of hormones, why optimization is necessary, the literature that supports that view, and the recent push back against it.  Somehow our journals and medical societies focus on medications that treat the diseases once established instead of preventing them. Many doctors/patients ask, “What does Neal do?” “What literature supports this industry?” “How do we respond to the rebuttals?” Literature-challenged physicians always want proof and explanation from a scientific perspective. This introductory lecture provides the evidence but also articles that physicians wish to use for documentation as well as for proof in evidence. what Neal does and why.  As you would expect, everyone is always interested in “What does Neal say,” both for himself, patients, and colleagues. This will segway into open audience participation and discussion. Due to recent anti-HRT hype, the original lecture on cancer will be changed as CVD/DM/weight loss/obesity is more pertinent to everyone’s practice and current controversy with HRT.


        Guest Speaker – Neal Rouzier, MD

        9:15 AM  -  10:15 AM

        Inflammation is the Buzz Word for most Chronic Diseases. The Real Word is Prevention.

        Physicians typically treat the end result of the inflammation as opposed to preventing it. We will review the literature that addresses how to lower inflammation with medications, hormones, and supplements. There is more than just diet and exercise. However, the rest of the world is not familiar with or conversant in this specialty of Cardio-Metabolic Medicine. Unfortunately, insulin secreting drugs make CVD worse (except for GLP-1 agonists and SGLT-2 inhibitors which are expensive and not covered well by insurance). Unfortunately, statins do not reverse or stop disease in the majority of patients and neither do diabetes medicines. That is due to the fact that most drugs increase visceral fat or decrease hormone levels. An exhaustive view of the recent literature demonstrates what we should be doing in addition to traditional medicines but are not.


        Guest Speaker – Neal Rouzier, MD

        10:15 AM  -  10:30 AM

        Break

        10:30 AM - 11:30 AM

        Understanding Weight-Loss, Recidivism, and Hormones.

        What you need to know about plateaus and hypothalamic set points, metabolism and fat and energy, and optimizing hormones to assist in weight loss.  We’ll review recent literature supporting the benefit of hormones for weight loss as well as maintenance of weight which is not possible unless hormones are supplemented to prevent the recidivism seen in all weight loss programs and diets. Recent studies demonstrate the harm of cramming glucose into cells with meds but show benefit when glucose is excreted or metabolized. IL-1β antagonists dramatically reduce HgbA1C and inflammation but are not affordable.  HRT accomplishes the same and is affordable but ignored by everyone that is not aware of the literature. We’ll review how and why hormones are the perfect “drugs” for CVD protection. Even more recent evidence demonstrates that oral estrogen is far more preferable than transdermal to prevent the metabolic deterioration due to menopause.


        Guest Speaker - Neal Rouzier, MD

        11:30 AM - 11:45 AM

        • Q and A

        11:45 AM - 1:00 PM

        Lunch Break

        1:00 PM - 2:00 PM

        Avoiding the Lightning Strikes of Legal Issues.

        Learn how to practice defensive medicine with advice and tips from a medical legal expert in malpractice and medical board defense cases.

        Guest Speaker – Rick Collins

        2:00 PM - 3:00 PM

        Exosomes, Stem Cells, PRP, and the Future of Medicine

        Learn about the new modalities and mechanisms that stimulate our own cells to produce growth and healing factors that result in clinical benefit. This is definitely the future of medicine and the question is not whether or not you will use these modalities, but when. Not sure as how to treat those patients with disease and illness that is difficult to diagnose and treat? Well, here you go.

        We are at the very beginning of our learning curve for PRP, stem cells, and exosomes. PRP is extensively used, simple and easy to extract and administer. However, PRP increases inflammation which thereby increases healing but also pain. Might there be a better option? Stem cells are also in their infancy and there is tremendous research and experience with administration of stem cells demonstrating clinical benefit for relieving pain, inflammation, and reversal of tissue destruction secondary to illness and aging. The theory is that stem cells can differentiate into other cells that improve healing and function.  Or do they? Recent research demonstrates that stem cells may not differentiate and grow into other cells, rather stem cells produce growth factors that allow our own cells to differentiate into new cells.  It may be these growth factors (exosomes) that are responsible for the efficacy of stem cells in growth and differentiation of new cells as opposed to stem cells differentiating into new, younger cells. Exosomes are easily obtained commercially and can be injected locally as well intravenously.  This lecture will provide and update to the recent advances in medicine and explore new treatment modalities that you can incorporate into your practice.

        Guest Speaker – George Shapiro, MD

        3:00 PM - 3:15 PM

        Break

        3:15 PM - 4:45 PM

          The Power of Genetics in Obesity and Diabetes Prediction and Reversal

          The recent advancement in Nutrigenomics (Genetics of Nutrition) has allowed significant progress in the area of risk analysis and pre-emptive therapeutics in the areas of Obesity and Type 2 Diabetes.  This lecture will cover the biochemistry and cell biology associated with Obesity and Diabetes and provide a detailed education of the genetic markers that can identify high risk individuals. 

          Guest Speaker – Kendall Stewart, MD

          4:45 PM - 5:30 PM

            Prostate Cancer - My 3 Year Journey

            Guest Speaker – Herman Pang, MD

            5:30 - 6:00 PM 

             Recent Literature Proving that Higher Testosterone levels from Treatment result in Protection Against Prostate Cancer than Lower Levels

            Guest Speaker - Neal Rouzier, MD 
        •  
        • SATURDAY, OCTOBER 5TH, 2019

        • 8:00 AM  -  9:00 AM

          The Roots of the Obesity Epidemic

          •  The development of the epidemic
          •  The origins of the dietary guidelines
          •   Dietary total fat and saturated fat’s health impact

          Guest Speaker – Jason Fung, MD

          9:00 AM  -  10:00 AM

          The Hormonal Obesity Theory

          • The flaws of the calories in/calories out model
          • Review Insulin Signaling
          • How hormones cause fat gain and loss

          Guest Speaker – Jason Fung, MD

          10:00 AM  -  10:15 AM

          Break

          10:15 AM  -  11:15 AM

          Engaging Patients

          • Effective clinical practice set-up (group appointments vs one-on-one appointments)
          • Engaging the patient in consultation
          • Key phrases to open the resistant patient’s mind

          Guest Speaker – Megan Ramos

          11:15 AM - 12:15 PM

          Intermittent Fasting

          • The myths of fasting
          • Physiology review of the fasted state
          • Understanding the advantages of fasting in weight loss

          Guest Speaker – Jason Fung, MD

          12:15 PM - 1:30 PM

          • Lunch

          1:30 PM - 2:30 PM

          Intermittent Fasting Strategies for Patients

          • Time restricted eating patterns
          • Intermittent fasting protocols
          • What protocols work best for each patient group
          • Fasting fluids
          • Fasting training wheels

          Guest Speaker – Megan Ramos

          2:30 PM - 3:30 PM

          Common Side-Effects of Fasting

          • Most common side effects to be aware of
          • Patient groups to be mindful of
          • Trouble shooting strategies for each

          Guest Speaker – Megan Ramos

          3:30 PM - 3:45 PM

          Break

          3:45 PM - 4:15 PM

          The New paradigm of Insulin Resistance

          • What causes insulin resistance?
          • Understand the hepatic and pancreatic fat that comes before insulin resistance
          • Why meds don’t work
          • Why using meds actually makes CAD, DM, CVD and diabetic complication worse

           Guest Speaker – Jason Fung, MD

          4:15 PM - 5:30 PM

          Listening Your Patient to “Yes” – Helping patients flip the switch that favors positive changes

          • Evoke your patient’s own desire, reasons and need for change
          • Move your patient to a state of readiness, willingness and ability to pursue a new behavior or action
          • Culminate in both planning and action steps that produce lasting change and healthful outcomes

          Guest Speaker – Gregory Petersburg, DO

        Sunday, October 6th, 2019

        • 7:00 AM  -  8:00 AM

          Registration

          8:00 AM  -  9:00 AM

          The Pendulum Swings Back: Current research-based evidence supports a decrease in all-cause mortality from cardiovascular disease to cancer when testosterone is administered to all men.  The same applies to hormones in women

          Explore the importance of testosterone for the prevention of:

          • Diabetes   Metabolic syndrome    Cardiovascular disease
          • ED   Depression  Osteoporosis  Dementia

          Clinicians should have updated information to support the use of testosterone. Get the information and academic literary support for the safety and efficacy of testosterone based on the most recent literature. These are must have articles for anyone that prescribes testosterone and has to deal with the criticism of testosterone and heart disease. The last 2 years have resulted in tremendous push back in the use of testosterone for multiple reasons, from flawed studies to confirmation bias. The most up-to-date literature will be provided and discussed that makes not prescribing testosterone unconscionable. An up-to-date literature review and for all other hormones will also be provided. The title of this talk should be, “Here, read this!” And that’s the agenda for this talk to provide our peers with the literature that they should know but don’t which will hopefully alleviate any fear, concern, or any negative attitudes towards HRT. Several surprising comparative studies demonstrate the superiority of oral E2 & P4 in comparison to CEE/MPA.

          Guest Speaker – Neal Rouzier, MD

          9:00 AM  -  10:00 AM

          The Effect of Thyroid Hormone on Weight Loss, CVD Protection, Statin Alternative, and Improved Symptomology.

          Well, the number one item on my “Life’s Bucket List” is to get on the podium at AACE. Someone needs to show then all the studies from their literature that they should know and embrace but don’t. I’m just the messenger boy but I have a profound message. That just might come to fruition this year as I think I have my foot in the door. In the meantime, I think it’s time to get an update on thyroid hormone that I hope to present to AACE. Recent papers reviewed in the WLM webinars demonstrate that T4 alone provides no improvement in symptoms and QOL. However, not true for T3. There is a plethora of data and information on the importance of thyroid hormone in CVD protection, diabetes, and weight loss., but only when the correct thyroid hormone is utilized and in the correct dose. Recent literature that addresses the efficacy of thyroid hormone administration and safety. Gain a thorough understanding of the concept that observation does not prove causation when we review how to interpret a thyroid study.  A recent update of thyroid is always refreshing in having to deal with the industry that pushes against the optimization of thyroid function in society guidelines.

          Guest Speaker: Neal Rouzier, MD

          10:00 AM  -  10:15 AM

          Break

          10:15 AM  -  11:15 AM

          The Fear of Estrogen: The Unproven, Unrealistic, and Unnamed Phobia. 

          Debunk the myths surrounding menopausal hormones, particularly estrogen. Understand how estradiol

          ·        Protects against plaque formation

          ·        Results in plaque reversal at proper doses

          ·        Protects against CVD and the NOTCH pathway

          ·        Protects against breast cancer

          ·        Does NOT cause plaque rupture as does Premarin.

          There is a recent landmark article that summarizes the use/benefit of E2 and P4 over CEE/MPA. This review puts the nail in the coffin for synthetic HRT and chastises ACOG/NAMS for their use of SHRT. All clinicians must have this article to give to patients and PMD’s or anyone that questions the use of HRT in women. There are several recent studies proving safety and efficacy of menopausal hormones.

          Guest Speaker: Neal Rouzier, MD

          11:15 AM - 12:15 PM

          The Blood Clot Study, Critique and Challenge. Hormones Cause Blood Clots. Or Do They? 

          Learn and understand how to review and critique a study in addition to grasping the concepts that your peers do not.  Negativity leads to media sensationalism and fear, but critical thinking and analysis will allow us to accept and reject certain studies. Explore how this is applied in an examination of hormones and blood clots. We’ll review recent statements from American Academy of Urology and Hematology as to the evidence supporting testosterone not causing blood clots despite the “polycythemia.”

          Lastly, we will look at other surprising therapies that are synergistic in protecting against cardiovascular disease, diabetes, and cancer. That will conclude this year’s “Everything that you would ever want/need to know to treat and prevent cardio-metabolic disease.”

          Guest Speaker: Neal Rouzier, MD

           12:15 PM - 12:30 PM

           Closing Remarks and Q&A

          Led by: Neal Rouzier, MD

        Speakers:

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        Neal Rouzier, MD

        Faculty Chairman

        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.


        Herman Pang, MD

        Herman Pang, M.D., is double board certified in Cardiovascular and Thoracic Surgery and General Surgery. Dr. Pang is a fellow of the Southwestern Surgical Congress, American College of Chest Physicians, American College of Cardiology, American College of Surgeons, and a member of the American Medical Association, Arizona Medical Association, Maricopa County Medical Society, Western Thoracic Surgeons, and Society of Thoracic Surgeons. Dr. Pang graduated with honors from Loma Linda University School of Medicine. As a way to meet increasing patient demand for new, safe technologies as well as advanced approaches to regenerative medicine, With his already diverse and extensive background in Cardiothoracic and vascular surgery, Dr. Pang began to broaden his scope of expertise, and sought out high level training in many facets of regenerative medicine, including BHRT, advanced body contouring and fat transfer procedures using pluripotent / stem cells. Dr. Pang’s interests in regenerative medicine extends beyond the operating room, as he spends much of his free time with peers researching and collaborating on the development of new techniques for regenerative medicine.

        Jason Fung, MD

        Dr. Jason Fung is a Canadian Nephrologist. He’s a world-leading expert on intermittent fasting and low carbs, especially for treating people with Type 2 Diabetes. He has written three best-selling health books  The Obesity Code, The Diabetes Code and The Complete Guide to Fasting.  He is also co-founded the Intensive Dietary Management program (IDM) which provides the support, education and guidance necessary to help patients achieve successful weight-loss and reverse type 2 diabetes naturally through simple lifestyle modifications. Dr. Fung graduated from the University of Toronto and completed his residency at the University of California, Los Angeles. He lives and works in Toronto, Canada. Dr. Fung works with Team Diet Doctor.


        Megan Ramos

        Megan Ramos is the Intensive Dietary Management (IDM) Co Founder with Dr. Fung and Program Director where she facilitates the patient’s education on the IDM dietary principles and counsels them on fasting regimens.  She works with patients both in office and  long distance with patients in Europe, Asia, Australia, South Africa, and all over the United States of America and Canada.  She has learned so much from all of her patients, especially since they all come from such different parts of the globe.  She also loves to share recipes, intermittent fasting tips, and dietary advice on her blog.


        Kendal Stewart, M.D. 

        Dr. Stewart graduated from the University of Texas at Austin with a BA in Biology with Honors as well as a minor in Chemistry. He graduated with a Medical Doctorate from the University of Texas Medical School, where he also received a Distinguished Student of Clinical Medicine Award for the class of 1988. He served as a biomedical research assistant under Takahashi Yamora, PhD, in the Department of Biochemistry and Molecular Biology at MD Anderson Cancer Institute. There, he researched biochemical analysis of surface protein markers in colorectal cancers. Dr. Stewart completed his residency at University of Texas Houston Affiliated Hospitals and MD Anderson Cancer Institute. 

        Dr. Kendal Stewart is a Board-Certified Otolaryngology/Head and Neck Surgery specialist and has sub-specialty training in Otology and Neurotology - Skull Base Surgery. He served as a Clinical Associate Professor at the University of Texas Medical School at San Antonio’s Department of Otolaryngology from 1994 to 1996. He’s been tapped to speak at national conferences over 40 times as a result of his expertise. Additionally, Dr. Stewart has volunteered his time for numerous academic pursuits, including assisting in designing Masters and Doctorate candidate projects for the University of Texas Department of Kinesiology, Psychology, and Speech and Language Development. He founded and serves as Chairman for the Neurosensory Centers of America.

        Gregory Petersburg, DO

        Dr. Gregory Petersburg is a popular international speaker, educator, and consultant for physicians’, medical professionals, and the public on lifestyle, proactive aging medicine, the ‘art’ of medicine and providing unique patient experiences. With expertise as a clinician, lifestyle coach and practice consultant to hundreds of lifestyle clinics across the country he brings a plethora of knowledge and experience to the human dimension of a medical practice.  He teaches the power of creating patient & practitioner experiences that create lifetime relationships for you and your patients and life-transforming change in patients’ lives.

        Collins, Rick - JD, CSCS

        Rick Collins, JD, CSCS

        Rick Collins is a nationally recognized defense attorney and one of the foremost authorities on the legalities of androgens and human growth hormone.  Rick has defended countless individuals, including physicians, against allegations involving testosterone replacement, anabolic steroids, peptides, and growth hormone from coast to coast. He was part of the United States Sentencing Commission’s working group that reevaluated anabolic steroid quantity considerations, appeared in the acclaimed documentary “Bigger, Stronger, Faster*”, and has written extensively on the subject of hormones and the law. He has contributed chapters to several texts on sports nutrition and is a nationally Certified Strength and Conditioning Specialist (NSCA-CSCS).  Rick attended law school on a full academic scholarship and has served as a prosecutor in New York. You can read more about Rick at www.steroidlaw.com.

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        Registration:


        SUPER EARLY BIRD   

        VALID THRU: MAY 15, 2019

              EARLY BIRD PRICE    
          EFFECTIVE:  MAY 15, 2019 - SEPT. 6, 2019 

           REGULAR PRICE   
          EFFECTIVE:  SEPT. 7TH, 2019  


        STAFF RATE

           VALID NOW THRU OCT. 4TH  

        $895.00  

        $995.00 

        $1,095.00

         $775.00
            

        *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 21 AMA PRA Category 1 Credits

        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  Objectives appropriate for pharmacists. This activity is 21 Contact Hours Pharmacy Credit. *This CME is Knowledge Based (K). Initial release 0347-9999-19-008-L01-P 


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        Hotel and Travel:


        Hyatt Regency Lost Pines Resort and Spa
        575 Hyatt Lost Pines Rd
        Cedar Creek, TX 78612

        Room Block price is $189.00 and the $35.00 per day resort fee has been waived for our group. 
        Interested in a room share?  click here.  We will provide further information to you via email

        Room block expires 9/5/2019 or when full. Our room block is filling quickly. We encourage reservations be made early to secure a spot. You can reserve using the link below or call their reservation line at 1-800-233-1234 and mention the Worldlink Medical Group for the block rate.

        Nearest airport is the Austin-Bergstrom International Airport (AUS)

        Reserve a room!

        NOTE IF YOU ARE NOT ABLE TO RESERVE A ROOM USING THE ABOVE LINK, THE ROOM BLOCK IS FULL FOR THURSDAY NIGHT.  THERE ARE PLENTY OF ROOM AVAILABLE FOR FRIDAY AND SATURDAY.  WE HAVE SET UP ANOTHER ROOM BLOCK FOR THURSDAY NIGHT AT THE AUSTIN HILTON AT THE AIRPORT.  WE RECOMMEND STAYING HERE ON THURSDAY NIGHT AND BOOKING AT THE HYATT FOR FRIDAY AND SATURDAY NIGHTS.  WE WILL FACILITATE TRANSPORTATION ON FRIDAY MORNING TO THE HYATT HOTEL.

        HERE IS THE  LINK  FOR THURSDAY NIGHT AT THE AUSTIN HILTON HOTEL

        IF YOU HAVE FURTHER QUESTIONS PLEASE CONTACT WORLDLINK AT 888.222.2966

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        Location:

        Hyatt Regency Lost Pines Resort and Spa

        575 Hyatt Lost Pines Rd

        Cedar Creek, TX 78612


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