BHRT SERIES – PART I

Mastering The Protocols for Optimization of Bio-identical Hormone Replacement Theory

Choose a session:

$675.00 – $1,195.00

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.

Accreditation:  20 AMA PRA Category 1 Credits, 20 Nursing Contact Hours (20 pharmacologic hours), 20 Hours Pharmacy Credit (knowledge based).

Course Objectives

  • 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.
  • Identify the uses of melatonin, DHEA and pregnenolone including correct dosing and monitoring.
  • Discuss the prescribing of testosterone for men and women including, methods for administration, complications, precautions and potential side effects of testosterone.
  • Evaluate new evidence that contradicts the experts conclusions from the HERS and WHI trials on estrogen treatment in women.
  • Compare and contrast the health benefits of estrogen and progesterone to the health detriments and harm of synthetic estrogen and progestin.
  • Describe the types, doses, and methods used to administer estrogen and progesterone in addition to how different formulations affect absorption, efficacy, side effects and complications.
  • Discuss recent literature, questions and answers that demonstrate the beneficial effects of hormones such as improved function, healing, and better quality of life.
  • Describe current concepts of thyroid replacement and compare and contrast different options available for thyroid replacement as supported in the medical literature and which lab tests are recommended.
  • Implement best clinical practices in diagnosing, prescribing, monitoring and adjusting of BHRT for improved function and patient symptomatology.
  • 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 US made source in order to guarantee efficacy and therapeutic endpoints.
  • 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.
  • Analyze and review treatment protocols in case management for both simple and complex cases as it pertains to BHRT and when to use oral versus transdermal HRT.
  • Evaluate the lack of peer-reviewed studies for any compounding hormones in comparison to the standardized, pharmaceutical bioidentical hormones which are the only natural hormones utilized in medical studies.
  • Identify the 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.

Speakers

Neal Rouzier, MD

Faculty Chairman

Neal Rouzier, MD

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.

Agenda

Friday

7:00 – 8:00 a.m. Registration

7:30 Live Stream is open

 8:00- 10:00 a.m. 

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

10:00- 10:15 a.m.  Break

 10:15 – 12:15 p.m.

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

12:15 – 1:15 p.m. Lunch with Dana Burnett and Russ Campbell

1:15 – 4:00 p.m.

Testosterone:  Safe and necessary for both men and women

  • 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?

4:00 – 4:15 p.m.  Break

4:15 – 5:30 p.m.

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

 5:30 – 6:00 p.m.

Question and Answer

Saturday

7:30 – 8:00 a.m.

Registration and Live Steam is open

 8:00 – 9:00 a.m.

Melatonin, DHEA and Pregnenolone:  All hormones provide health benefits including these-

  • 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

9:00 – 11:00 a.m.

Menopause:  Estrogen & progesterone are absolutely necessary for health & well-being

Estrogen is very complex to decipher and understand

  • 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

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

 Compounded BHRT:  The Good, the Bad, and the Ugly

From worthless to lifesaving:  It all depends on quality, correct dosing, and monitoring

11:00 – 11:15 a.m. – Break

11:15 – 12:15 p.m.

Thyroid:  Why patients demand it and why physicians refuse to prescribe 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

 12:15 – 1:15 pm – Lunch with Carolyn Rouzier

“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

 1:15 – 2:15 p.m.

Thyroid: Why patients demand it, Con’t

2:15 – 3:15 p.m.

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

3:15 – 3:30 p.m. – Break

3:30 – 5:30 p.m.

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

 5:30 – 6:00 p.m.

Question and Answer

Sunday

7:30 – 8:00 a.m.

Registration and Live Stream Opens

8:00 – 10:00 a.m.

Case Management:  Everything You Should Know, Con’t

10:00 – 10:15 a.m. – Break

10:15 – 11:15 a.m.

Review of Practical Application

  • More treatment protocols, problems, & solutions
  • Maintaining scientific standards
  • Troubleshooting and case management
  • Complicated cases: See if you get them correct

11:15 – 12:15 p.m.

Putting it all together

  • What did you learn and can you apply it
  • Managing troublesome cases with solutions

100 Written Questions and Answers

Cases with Discussion

12:15 p.m.

 Wrap-up/ Evaluation/ Adjournment

ACCREDITATION STATEMENTS

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 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

Foundation for Care Management is accredited as a provider of nursing continuing professional development
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 21 Contact Hours Pharmacy Credit. *This CME is Knowledge Based (K). Initial release February 28, 2020

 The Foundation for Care Management cannot provide a statement of credit unless an evaluation form has been filled out online. Please go to www.fcmcme.org to access the evaluation form.

Location & Travel Details

The Grand America
555 S Main St
Salt Lake City, UT 84111
(801) 258-6000

  • The room block rate is 189.99
  • Click here for the block rate reservation link
  • Nearest Airport -Salt Lake City International Airport (SLC)