Part I in the BHRT Workshop Series
DISCOVER THE POWER OF BHRT FUNDAMENTALS
Mastering the Protocols for Optimization of Hormone Therapy
BHRT Part I is a workshop involving an in-depth scientific literature review of HRT fundamentals, case presentations, and case management, an approach designed to help physicians successfully and knowledgeably treat their patients, whether younger or older, male or female, premenopausal, postmenopausal, or andropausal.
BHRT Course Overview
Worldlink Medical teaches you beginning-level concepts such as:
- The overall relationship of BHRT and the integration with your overall health
- Tools and resources involving bioidentical hormonal replacement therapy and its uses helping ailments
After an in-depth literature review of the importance of optimizing hormones for men and women, guidelines for diagnosing, prescribing, monitoring, and adjusting dosages based on both patient symptomatology and lab tests when applicable are delineated. Some of the hormones discussed and their associated benefits include the following:
- Testosterone for men and women
BHRT Part I is designed to provide the nuts and bolts of hormone replacement therapy. In addition to learning the fundamentals of BHRT, you’ll learn about troubleshooting HRT challenges through literature presentations, case studies, and open discussions.
Once you complete Part I: Discover the Power of BHRT, we encourage you to start seeing patients and recommend for those patients that would benefit. We cover each hormone in detail that includes research, protocols, monitoring, adjusting and case studies. We also provide online Hormone Summary Recommendations and access to the online Forum for case questions as you get started.
Access: This workshop is offered in-person and/or virtually. You can choose if you would like to be shipped printed educational materials. We will also post a recording for each day that same evening. The recording will be available until Thursday of the week after the event to re-watch or catch up on anything you may have missed, but it will not be available after this time.
Accreditation: 20 AMA PRA Category 1 Credits | 20 Nursing Contact Hours (20 pharmacologic hours) | 20 Hours Pharmacy Credit (knowledge based)
- Evaluate and become proficient in the medical literature that supports biologically identical hormone replacement in contrast to synthetic hormones (chemically altered) 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, monitoring, adjusting, and troubleshooting.
- 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 hormones, 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 medications as supported by the medical literature in which lab tests are recommended.
- Implement best clinical practices in diagnosing, prescribing, monitoring, and adjusting of BHRT for improved function and patient symptomatology.
- 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 be able to recommend the most appropriate mechanism of delivery.
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.
7:00 – 8:00 a.m. Registration
7:30 Live Stream is open
8:00 a.m.- 12:00 p.m.
5-10 minute break at the top of every hour
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
12:00 – 1:00 p.m. Lunch with Dana Burnett, M Ed. (CME)
“Keeping an Open Mind”
1:00 – 6:00 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
- 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?
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
6:00 p.m. Adjourn
7:30 – 8:00 a.m.
Registration and Live Stream is open
8:00 a.m. –12:00 p.m.
5-10 minute break at the top of every hour
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
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
12:00 – 1:00 pm – Lunch
1:00 – 6:00 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
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
6:00 p.m. – Adjourn
7:30 – 8:00 a.m.
Registration and Live Stream Opens
8:00 a.m. – 12:00 p.m.
Q and A and Lab/Case Study Review
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
Literature Review to Understand the Complexity of HRT
NEJM Meta-analysis on Testosterone/ Review of NAMS on BHRT
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
12:00 p.m. – Adjourn
Refund / Cancellations / Bulk Discounts / Course Credit
Early bird discount ($100.00 savings) is available up until 3 weeks prior to the event. This discount does not need a code but is applied automatically.
Up to 3 weeks prior to the course start date the cancellation fee is $100.00. If a cancellation is requested less than 3 weeks in advance the cancellation fee is $350.00. If a cancellation is received one week prior there are no refunds allowed.
To cancel a registration, a credit can be held on file without penalty so long as the cancellation is received more than 2 weeks in advance of the start date. This credit will be applied automatically to your next registration before a credit card is charged.
If two or more prescribers register as a group under one registration ticket there will be a 10% discount applied to each registration after the first one.