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  • November 14, 2012 1:09 PM | Christiaan Killian (Administrator)

    Known as the “bonding hormone”, oxytocin is naturally produced in the body and acts as a neurotransmitter in the brain to influence social behavior and emotions. Oxytocin is available as a prescription drug to more commonly stimulate uterine contractions during pregnancy. However, researchers are finding oxytocin may improve symptoms of libido, depression, stress, and fear, as well as aid cardiovascular function and weight management. In this webinar, Dr. Hall discusses the fundamental role of oxytocin in the human body, as well as its association with aging and vitality.

    Learning Objectives

    • Get an overview of oxytocin's role in the human body.
    • Discuss the effect of the “Love Hormone” on libido and vitality.
    • Identify the relationship oxytocin has on the aging brain.
    • Evaluate common symptoms that require treatment.
    • Learn key takeaways to implement into practice.

    About the Presenter

    Dr. Prudence Hall obtained a Master’s Degree in Health Sciences at the University of California, Berkeley, followed by an M.D. degree at the University of Southern California (USC) School of Medicine. She went on to do her residency in Gynecology at USC, and spent years as a busy surgeon and traditional practitioner. As her practice matured, she began focusing on the causes and treatments of aging illnesses, acquiring a broad base of knowledge in integrated healing and Functional Medicine. Dr. Hall, who has studied with the noted endocrinologist Dr. Diana Schwarzbein, has long been on the frontier of modern advances for menopause and rejuvenation therapies.

  • August 10, 2012 2:13 PM | Christiaan Killian (Administrator)


    The growing interest in telomere research is providing significant information on cellular health and the aging process. In this webinar, Dr. Joseph Raffaele discusses telomeres and their role in cellular anatomy. Telomeres are protective caps on the end of chromosomes that prevent chromosome deterioration and aid replication. Over time, telomeres shorten making it difficult for chromosomes to replicate. When chromosomes can no longer replicate, cellular dysfunction and aging occur. Researchers find the aging process is better understood by measuring telomere length. Dr. Raffaele discusses the role of telomeres as a valid biomarker for aging and the development of chronic diseases.

    Objectives

    • Get key takeaways to enhance preventive and anti-aging treatments.
    • Describe how telomeres and telomerase are related to the common diseases of aging.
    • Define the biomarkers of aging and how to determine the REAL age of unique patients.
    • Identify methods of preventing telomere shortening, resulting in increased patient quality of life.
  • July 16, 2012 2:15 PM | Christiaan Killian (Administrator)


    This webinar will provide a general understanding for physicians, practitioners and patients regarding the use of hormone levels in women. A plethora of evidence demonstrates that loss of estrogen increases cardiovascular disease, Alzheimer's Disease, osteoporotic fractures, urogenital atrophy, macular degeneration and depression. Furthermore, data demonstrates that synthetic progestins increase the risk of breast cancer, heart disease, strokes, bleeding, and depression. Recent studies sort out the confusion created by the WHI (Women's Health Initiative) and conclude that certain types of hormones cause harm in some women, whereas different hormones avoid the harm and provide a significant protection. This webinar discussion will be based on the medical literature that Dr. Rouzier has uncovered throughout his experience as a provider of hormone replacement therapy and preventive medicine.

    Objectives:

    • Describe what happens when women lose hormones
    • Describe what happens when women replace hormones
    • Identify which hormones women should use and which ones they should not use
    • Discuss what happens when you don't replace hormones to optimal
  • May 10, 2012 2:16 PM | Christiaan Killian (Administrator)


    Dr.Louis Cady, M.D. shared key takeaways drawn from his experience with integration of exciting new therapies into his practice. This webinar will provide an overview of what to expect during his lectures at the Part I course, which will include the following topics: Mental Health and Hormones, "Petal to the Metal" Allopathic Psychiatry for Generalists, How to Transition from an Allopathic Practice to a Hollistic and Integrated Medical Practice. Louis B. Cady, M.D. is the CEO and Founder of the Cady Wellness Institute, and is a practicing Integrative Functional Neuropsychiatrist

    Objectives

    • Describe how to make the transformation from "practitioner" to "respected clinician"
    • Learn what it takes to be irreplaceable, non-interchangeable, and in-demand.
    • Recognize the gratitude and loyalty received from patients as a result of this transformation
    • Cease being a "commodity" in the healthcare system and be paid what you are worth.
  • March 29, 2012 2:18 PM | Christiaan Killian (Administrator)


    Due to an overwhelming number of responses from the 1st Q&A session, we decided to host another live web conference. But really, I think it has to do more with the fact that Dr. Rouzier has an addiction he cannot get away from- his willingness to go over the time limit to ensure all questions are answered. Get real HRT guidelines from this truly enlightening presentation.

    The following questions were answered during the web conference:

      • What is your usual starting dose of hormone replacement in perimenopause and menopause. If a woman has family history of breast cancer would you change your course of treatment?

     

      • What would be your typical dose of testosterone cream in perimenopause?

     

      • If a woman develops bleeding on treatment how would you adjust the dose?

     

      • Any specific time of the cycle you suggest to check serum hormone levels in perimenopausal lady, or random test?

     

      • A young woman with PCOS not obese, gained weight on Progesterone p.o and Metformin. Can progesterone cause that? Metformin should promote some weight loss so could it be Progesterone 100 mg qhs?

     

      • After attending Part 1, I have been doing full thyroid work ups and have found a lot of low, non-optimized free T3's. Some of my patients are on levothroid/synthroid. What is the best course, increase the synthetic, add Armour and how much, or switch to Armour alone.

     

      • Please discuss your treatment protocol for providing estrogen and progesterone in a lady who is 5 years out breast cancer?

     

      • Can you discuss your treatment recommendations for patients who you believe would benefit from HgH but fearing prescribing this medication?

     

      • I can't get around the problem of bleeding that happens in the early menopausal female who starts BHRT. Also the perimenopausal female who may not bleed for 6 weeks then gets heavy menses. I've tried pushing progesterone up to 400 mg daily but did not resolve.

     

      • I have a pt on armour thyroid 60 mg daily. Her repeat thyroid labs show a suppressed TSH, with a low Free T3 (2.7) and Free T4 (<1). She did 4 point cortisol testing and this showed mild adrenal fatigue. Could this be the reason? How would you proceed?

     

      • Would you start HGH on a very physically active 53 yr old male with hypothyroidism, hypoandrogenism and pre metabolic syndrome, who has had DHEA, Testosterone, and Thyroid optimized, who been on a low glycemic high protein diet, but he remains frustrated with little improvement on abdominal and visceral adiposity. IGF -1 values baseline 129 and most recently 151.

     

      • I have many hypo gonadal male patients who experience dramatic improvement in mood, body composition and libido during the first four months of testosterone supplementation but these benefits seem to taper off after 9 to 12 months even though their hormone values have been optimized. Is this a reset of their expectations, receptor saturation or are they secretly not as rigorous in their diet and exercise routine.

     

      • Would supplementing a 45 yo man with transdermal testosterone in addition to HCG affect fertility?

     

      • A 48 year old male symptomatic of hypo gonadism with a free testosterone 74, still wanted to have children. I placed him on HCG 500 IU SQ QD with a repeat level in 8 weeks. My question is titrating the HCG up and how much. What are the risks of depressing spermatogenesis if I add Testosterone cream to the HCG?

     

      • With long standing insufficiency especially in elderly what is exp. with rate of replacement?

     

      • Why would the DHEA be high in someone on no hormonal supplements as yet? Does that effect my choice giving other hormones that may be DHEA precursors?

     

      • What is the best plan for a perimenopausal woman whose goal is to loose visceral fat?

     

      • How do you increase the increments of the hormonal dosing?

     

      • Nipple tenderness is a side effect of which hormone? How is it treated?

     

      • Bleeding is a side effect of estrogen only, correct?

     

      • If you place a woman on pregnenolone for memory improvement, would you see an increase in DHEA, progesterone, testosterone, or estrogen?

     

      • Which pharmacy do you recommend for the best price on Testosterone Cypionate 200mg/ml . Is it safe to use Testosterone that appears coagulated or crystalized upon delivery?

     

      • Are concerns or suggestions for women currently on Mirena IUD that are interested in starting BHRT. Please advise.

     

      • What labs, markers, and functional tests would you consider the nominal baseline for a new client? Vit. D? Full thyroid panel? VAP cholesterol? DXA, IMT, VO2 Max, EKG? Saliva cortisol?

     

      • My internist would not renew my T therapy started elsewhere unless I underwent a Stress Echo [14.5 minutes out of 15] and an IMT [negligible plaque], probably because I had elevated cholesterol numbers and a family Hx of CAD. Cholesterol is not the defining factor I know, but would you want these baseline exams anyway in someone over 55?

     

      • What baseline labs do you draw to screen for thyroid?

     

      • How do you treat an elevate rT3?

     

      • What are your thoughts re bio identical HRT after breast cancer with positive estrogen receptors in DCIS? Are there clinical studies to support use of this type go HRT for this patient type?

     

      • What are the ideal levels of estradiol for men on HRT?

     

      • What are the most rationale strategies to combine HCG and Testosterone injections in patients?

     

      • Using Armour thyroid, I'm getting levels all over the map. I test at 11:30 am which is 6 hours after the dose. I've used bid dosing as well as larger am doses and I'm still getting a lot of variation. Words of wisdom?

     

      • I have a 52 yo male who's testosterone level at 100mg bid, 150mg bid or 200mg bid is always below 500 (i.e., his latest level is 300 and that is on 200mg bid!?! Is he cheating, not taking it day of test, or is it possible that he just can’t absorb it?

     

      • Use of Progesterone in patient on Tamoxifen s/p breast cancer, mastectomy, receptors strongly positive for estrogen and progesterone: Is it indicated? If so, oral or cream? Is it contra-indicated? Her estrogen level is 500, Progesterone 0.5, DHEA Sulfate is 150, T3 is 2.4. Should I be thinking of DHEA or 7-Keto DHEA to optimize her levels?

     

      • Use of 17keto DHEA? Transdermal vs oral estrogen therapy? Should I treat patients under 40 for low testosterone?

     

      • Review the pro and cons of PO or cream bio identical hormones.

     

      • Thyroid: What is the best indicator TSH or Free T3? Pro's and con's IM Testosterone vs. SQ and Test replacement with HCG combined.
      • Please comment on hormone replacement in type 1 diabetic, no other risk factors.

     

      • How do you treat Type 1 diabetes in 41 yo that is very symptomatic and blood sugars are getting worse and are all over the place? She is worried about stroke risk with estrogens.

     

      • My daughter has PCOS. She is not overweight. Her endocrinologist has her on BCPs. Can she take bioidentical progesterone along with her BCPs? She is 25 years old. She has not taken metformin.

     

      • My dad is 83 and early Alzheimer's. My mom is 73 healthy but has a pancreatic duct stent for a stenosis likely resulting from an injury in childhood (Yes, thats what the GI guy says). How does one begin age management rx in an old feeble man and an older woman NOT on any HRT?

     

      • Is there a way to improve the transdermal absorption of progesterone?

     

      • In men, do you prefer testosterone in lipoderm or carbogel and why? (HI NEAL)

     

      • If I want to add progesterone as a treatment for fibromyalgia patients, where would I begin?

     

      • If a 56 year old post-menopausal woman has been on premarin and provera for 10 years already...is it ok to have her stay on hormones (estradiol and prometrium) now?

     

      • I have a 50 yo woman with a carotid dissection history, otherwise healthy, going through menopause and her neurosurgeon warns her about HRT because it will increase her risk of strokes. Am I correct by advising her that transdermal estradiol and progesterone replacement are okay. What data do I have to support this?

     

      • I am constantly adjusting Armour for a female whose eyebrows are diminishing. She is up to 3 Gr. bid after 3 months, and the eyebrows are again starting to decrease. I will measure Iron and ferritin soon, but any other supplements that can help?

     

      • I am attending the A4M conference for another perspective, and the consensus of the speakers here is to not prescribe any oral post-menopausal estrogen due to the inflammatory component. Their preference is Bi-est. Your comments?

     

      • How do you assess for adrenal insufficiency/ adrenal fatigue?

     

      • What is your initial therapy (i.e. hormones and doses) for adrenal fatigue for women and for men?

     

      • What are the preferred options and doses for transdermal testosterone for initial replacement therapy?

     

      • Endometriosis- Patient is currently perimenopausal and symptoms are well controlled on BCP. Will changing from BCP to BHRT cause the endometriosis to recur

     

      • Prostate cancer and testosterone therapy. What parameters do you use to determine if/when safe for testosterone replacement. eg - pt is 2 years s/p proton radiation Rx for contained, gleason 7 tumor. current total psa= 0.5

     

      • Does spironolactone for acne decrease free testosterone levels?

     

      • Confusion about progesterone and estrogen use in women who have had breast cancer and the benefits the literature suggests. But they seem to lump all breast cancers and stages together. Can you help me - when to use hormone therapy (estrogen or progesterone) and which what types and stages. I was at the AMMG conference in Vegas and heard your talk 2011 which I found very enlightening.

     

      • Best time to measure serum testosterone? How many hours after using it transdermally?

     

      • Can you comment on each of the following determinants of penile blood flow and their contribution to correcting ED: exercise? plant-based diet and it's favorable effects on Nitric Oxide? Testosterone supplementation? Can you prioritize this list with regards to treating ED?

     

      • 48 yo patient who has markedly elevated FSH and LH and almost zero estradiol levels but is still having periods, can we start them on estrogen replacement or wait till at least 6 months till no periods?

     

      • For the perimenopausal patient, is there any advantage of only 2 weeks per month progesterone vs. continuous?

     

      • Please give pros and cons of route of administration of estrogen especially as some data suggests that transdermal may be the safest route with regards to risk of dvt.

     

      • Does the "positivity ", estrogen or progesterone receptors of breast cancer cells have any significance in the treatment of a woman post breast cancer?

     

      • I had the understanding that breast cancer is an estrogen responsive tumor, but not progesterone responsive? Can you clarify?

     

      • Is it necessary in testosterone replacement, also to use HCG?

     

      • Is it possible for oral DHEA supplementation in men (50-100mg) to feedback and decrease endogenous testosterone production?

     

      • WHI showed that in the ERT group the results re: breast cancer were neutral or showed perhaps slight benefit as to reduction of breast cancer. We are also talking about protecting the breast with progesterone from the cancer promoting effects of bio identical estradiol. Is that relating only to endometrial cancer? Or is that being over cautious?

     

      • Does Braca or receptor status of breast cancer affect decision to give bio identical hormones in a patient after 5 year cure? E+, P+ HER, or triple negative? What about receptor status of breast cancer in a family member. Should that affect our decision making?

     

      • These questions are coming up from the women's health practitioners who send me patients for cardiovascular risk stratification, and the patients are more worried about breast cancer risk!

     

  • March 01, 2012 1:21 PM | Christiaan Killian (Administrator)


    On leap year day, we launched our first online Q&A session and received an outstanding response. It provided a wealth of knowledge and HRT guidelines for physicians and practitioners who are newbies, and for those who have been practicing it for years. This web conference was presented by Neal Rouzier, M.D.

    The following questions were answered during the web conference:

      • Would you please walk us through your bleeding algorithm for female patients on estrogen, progesterone, and testosterone therapy. i.e. from increasing progesterone dosage to referring out for embolization, ablation etc.

     

      • Will the FSH in a post-menopausal woman who is on adequate E2 replacement revert to follicular levels, or are the feedback receptors desensitized so it stays elevated?

     

      • What is the best way to follow a male's testosterone level if he is maintained on a compounded transdermal cream?

     

      • When should we stop treating symptomatic postmenopausal females or symptomatic post-hysterectomy females with estrogen and estradiol?

     

      • Are there any post-menopausal or post-hysterectomy females who should not receive progesterone?

     

      • Should progesterone also be used on a peri-menopausal basis or for younger females with PMS symptoms?

     

      • When is the optimal time for testosterone to be rechecked in men who inject every 2 weeks?

     

      • What is your opinion on using Bhcg as an aid to weight loss?

     

      • What is the ideal route of testosterone supplementation?

     

      • What is your opinion and experience with sublingual testosterone drops?

     

      • What is your current opinion regarding the relationship between optimal thyroid hormone replacement and the risk for osteoporosis? If free T4 and free T3 are optimal, Is there a TSH blood level that you would consider too low?

     

      • Do you think it is important to include pregnenolone in a balanced approach to promote healthy aging?

     

      • What is the cut off point for elevated h&h in patients that are being treated with testosterone?

     

      • What is your current treatment for hairloss in females when all your hormone adjusted levels are normal?

     

      • What is the best way to test for testosterone level and adjust the dose?

     

      • Can we replace the thyroid hormones only with T3 slow release?

     

      • What guidelines do you use when providing BHRT to women with a family history of breast cancer?

     

      • What clinical significance has elevated DHEA levels after oral supplementation has started with low dose (50-75mg day orally)?

     

      • What are some situations in which prolonged-release micronized progesterone is better than the regular-release micronized progesterone?

     

      • Use of testosterone after prostate cancer- how long do you wait?

     

      • Thyroid question: What do you think of patients that need increasing doses of thyroid meds?

     

      • Do you think there is evidence that we should prescribe T4 & T3 in a particular ratio?

     

      • Testosterone Cream vs IM : What are your considerations? (assuming patient has no preference and transfer is not an issue)

     

      • Is it possible to achieve the same levels of free and total testosterone using cream? Is there a significant difference in monthly cost to the patient?

     

      • Stage 4 sleep: At what age do men and women start losing it? What are typical subjective complaints and changes in lab values? How and when do you treat?

     

      • Starting BHRT on post-menopausal woman who starts vaginal bleeding. What steps should be taken and how do we introduce the estrogen, progesterone and testosterone (order and dosages) to prevent the bleeding?

     

      • Patient has a "breakout" (acne) on progesterone, how do we treat it so that we can get to therapeutic blood levels?

     

      • Since progesterone is only produced by the corpus luteum in the luteal phase of the cycle wouldn't it seem contradictory to administer during the proliferative phase and likely interfere with the ovulation mechanism?

     

      • Recommended hormonal therapy for breast cancer patients on Anastrazole? Can they have some progesterone and testosterone back in a transdermal cream or even some estrol?

     

      • Patient with TSH 10, free T3 3.7, free T4 1.35?

     

      • Post-menopausal bleed, sometimes it is not transitory. Now what?

     

      • Premenopausal women are starting to come to me wanting to start bioidentical progesterone and testosterone. I am concerned with the ones who chose to keep their IUD with progestin. Can they still receive progesterone and testosterone, their levels are low but they want to keep their IUD's? Some of these women want to use bioidentical progesterone, I have not found a study to support this use?

     

      • Oral or transdermal estrogen: which is better & why?

     

      • What is your take on 17 keto DHEA?

     

      • Is it possible to increase estradiol levels using a cream to protective levels for bone and heart?

     

      • Indication for prolactin?

     

      • I am watching men on testosterone and the estradiol is getting quite high....can you review the issues there.

     

      • In women who already on estrogen, can you treat with progesterone only for extended periods of time?

     

      • I am finding that often Armour thyroid is not optimizing both T4 and T3 simultaneously, and I am thus reverting to liothyronine and levothyroxine. What has been your experience? Is it preferable to have thyroid compounded?

     

      • How to increase testosterone without supplementing or when supplementing is not enough?

     

      • Hair loss for women: their thyroid has already been treated.

     

      • How to handle irregular bleeding in perimenopause. Short cycles, long cycles, no cycles?

     

      • For male patients on trans-dermal testosterone replacement is high/increasing estradiol levels an indicator for increased risk of prostate cancer?

     

      • I have come across some BHRT practitoners including Progesterone and aromatase inhibitors to the transdermal testosterone formulation. What is your comment on this?

     

      • Is corionic gonadotrophin used in a man and when?

     

      • I get the impression that IM testosterone was good for muscle development, but peaked and dropped out too soon. Is it advisable to use IM testosterone twice weekly and use the creams in the off days to maintain levels? (Of course, appropriate monitoring of blood levels would be employed.) Would this not give the best of both worlds?

     

      • After 3 months of testosterone replacement (compounded transdermal), free and total blood levels have fallen off. Is this due to lack of absorption in some patients What would you recommend in the future, injections or pellets?

     

      • Do "normal" FSH and LH levels in a woman on HRT mean that the HRT is adequate?

     

      • Should a woman with normal premenopausal levels be cycling?

     

      • With the changing healthcare environment, cost of overhead, and retirement looming, I would like to continue to provide hormones through an internet-based practice. What would be some concerns that need to be addressed to do this safely and legally?

     

      • Is there a commercial DHEA supplement that you like? or melatonin? Any good branded products?

     

      • Testosterone supplementation, either injectable or cream, causes significant rise in HCT. What is best resolution and/or replacement?

     

      • Please discuss preference and reasons for choosing armour thyroid or synthroid or other forms of compounded thyroid.

     

      • Oral, topical, or pellet form estrogen replacement. Which is the best form to use and in what case. There is argument about them being safer than oral. What guidelines do you suggest?

     

  • January 13, 2012 1:23 PM | Christiaan Killian (Administrator)


    This nutrition webinar with Dr. Timothy McKnight reveals statistics for the Obesity Epidemic in America, along with case studies and proven solutions from his successful wellness program, Fit for Life.

    The World Health Organization has defined obesity as, “one of today’s most blatantly visible – yet most neglected – public health problems.” Also referred to as “globesity”, because it is affecting a large majority of the world population, obesity rates have increased more than three-fold since 1980. It is considered a complex health condition that reaches all ages and socioeconomic groups. Approximately 1 billion people are overweight worldwide, while over 300 million of these individuals are considered obese. This is a great concern to health practitioners, as obesity is a major risk factor for several chronic diseases, including high blood pressure, stroke, cancer, type 2 diabetes, and cardiovascular disease.

    What has led to the obesity epidemic? Two main contributing factors are an increase in the consumption of nutrient-poor, calorie-dense foods and a reduction in physical activity. In more recent decades, there has been a change in society’s behavioral patterns, as urban living, passive leisure activities, and hours spent sitting at work or at home have led to more consumption of processed foods, a lack of physical activity, and consequently - a higher rate of obesity.

    What can be done to reverse this epidemic? Dr. Timothy McKnight provides real answers for Practitioners from all backgrounds in this nutrition webinar.

    Learning Objectives

    • Demonstrate clinical knowledge of America's Nutritional Crisis
    • Describe the Health and Economic Impact
    • Implement techniques to maximize Nutritional Replenishment
    • Analyze the impact of food choices and supplementation
    • Empower patients to change behavior and FEEL BETTER
  • October 05, 2011 2:24 PM | Christiaan Killian (Administrator)


    Dr. Gregory Petersburg effectively addresses how to change practice and integrate preventive-aging medicine.

    Objectives

    • Learn the market conditions before integrating Preventive-Aging into practice.
    • Know where to start before making the switch.
    • Discover the risks and benefits of the industry.
    • Learn to differentiate yourself by creating unforgettable patient experiences.
    • Interact with a Preventive Medical Expert who has practiced for 11 years and teaches world-wide.

    People travel from coast to coast seeking Dr. Gregory Petersburg’s clinical expertise in managing the aging process through the Living Younger Preventive-Aging Medicine & Business System. He is board certified by the American Board of Anti-Aging Medicine and the American Board of Osteopathic Family Physicians, with a busy clinical Preventive-Aging practice in Tucson, Arizona. A graduate of Michigan State University College of Osteopathic Medicine, his 32 years of clinical experience includes Preventive-Aging medicine, Family Medicine, and Emergency Medicine. Dr. Petersburg is also a popular national speaker for physicians and the public about preventive-aging medicine. He is a former Clinical Assistant Professor of Family Medicine at the Oklahoma State University College of Osteopathic Medicine and Western University of Health Sciences College of Osteopathic Medicine of the Pacific.

  • June 17, 2011 2:27 PM | Christiaan Killian (Administrator)


    As usual, Dr. Neal Rouzier attracted a massive crowd of students seeking to learn about natural estrogen replacement therapy. Definitely one of the most profound Q&A sessions I have experienced yet…

    This age management webinar will review the literature supporting optimal hormone levels for Physicians and Healthcare Practitioners interested in Natural Hormone Therapy. Although most Physicians are fully aware of replacing hormones in cases of sub-normal levels, most have not been trained to optimize hormone levels no matter what the baseline level is. A multitude of studies will be discussed to provide Healthcare Practitioners with accurate knowledge regarding the risks and benefits when implementing BHRT into practice. Specifically the webinar will focus on Estrogen Levels in Women.

    Objectives

    • Have command of the literature that supports optimization.
    • What type of estrogen is preferred and when?
    • Which estrogen is beneficial and which one is worthless?
    • Is the "safe" estrogen really that safe?
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