Mastering the Foundations of BHRT
December 4-6, 2026 • Salt Lake City, UT at The Le Meridien Hotel or Virtual
Hormone Optimization
This is not your typical course that looks at treating women in menopause or men in andropause. It is so much more. We will explore pre-, peri- and post-menopause and everything in between that affects your ability to feel good as you age.
Details
Course Description
Elevate your practice with Bioidentical Hormone Replacement Therapy (BHRT)
This is an immersive three-day training that covers the essential science, clinical strategies, and business practices needed to confidently offer BHRT to your patients. This course is not just about how (to do this) it’s also about the why. Understand how hormones work and science that supports your patient care decisions. You will learn the truth behind BHRT myths and controversies; how hormone deficiencies contribute to disease; safe and effective prescribing for testosterone, estrogen, progesterone, thyroid, and DHEA, and Melatonin. We will teach practical approaches to lab testing, billing, and documentation and present real-world case reviews to prepare you for success.
This course blends expert lectures, cutting-edge research, interactive quizzes, and hands-on case discussions to leave you confident, prepared, and inspired to help your patients optimize health.
- Describe the historical evolution and scientific foundation of Bioidentical Hormone Replacement Therapy (BHRT), including common misconceptions and the interpretation of landmark studies.
- Identify the pathophysiological mechanisms of hormone imbalance and articulate how disruptions in hormone production, resistance, and feedback loops contribute to clinical disease.
- Differentiate between testosterone therapy protocols for men and women, including indications, dosing, administration routes, safety concerns, and outcome monitoring.
- Compare and contrast the clinical effects and safety profiles of natural progesterone versus synthetic progestins, particularly in the management of menopausal symptoms and hormone-related conditions.
- Assess the therapeutic roles of estrogen and estradiol in female patients, including risk-benefit analysis related to cardiovascular health, bone density, cognitive function, and cancer risk.
- Design individualized treatment strategies for thyroid hormone replacement in men and women, utilizing clinical guidelines and patient-specific factors.
- Integrate the use of adjunctive hormones (DHEA, pregnenolone, melatonin) into personalized BHRT plans, with attention to clinical indications, safety, and appropriate dosing.
- Demonstrate effective clinical implementation of BHRT, including lab testing protocols (serum vs. saliva), interpretation of hormone panels, documentation, and billing practices.
- Apply evidence-based decision-making to the management of complex hormone therapy cases, using interactive case reviews to enhance diagnostic and therapeutic skills.
- Critically evaluate scientific literature related to BHRT, and incorporate research findings into patient education and clinical practice for improved outcomes.
Agenda
| 8:00 - 9:30 am MT | History and Overview of BHRT - we know there is a lot of confusion on the safety of BHRT, we’ll explain this in a way that makes sense. As part of this process we will do a detailed review of the landmark studies on BHRT and teach how to interpret the good literature from the bad. We aim to not just teach the how for BHRT but understanding the why.
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| 9:30 - 10:00 am MT | Pathophysiology of Hormones - a review of how disruptions in hormonal balance and function can lead to various diseases and disorders
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| 10:00 - 10:15 am MT | Break |
| 10:15 - 12:15pm MT | Testosterone for Men - Review of endogenous sources of testosterone in men, important metabolites and receptor site locations. We will look at research that shows cardiovascular benefits, bone and brain health, effect on muscles, libido, sexual performance and metabolism. This will also include a brief review of testosterone as it relates to prostate cancer.
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| 12:15 - 1:15 pm MT | Lunch |
| 1:15 - 2:15 pm MT | Testosterone for Men continued |
| 2:15 - 2:30 pm MT | Break |
| 2:30 - 4:00 pm MT | Testosterone for Women - What are the endogenous sources of testosterone in women, important metabolites and receptor site locations. A detailed review of the literature showing cardiovascular benefits, improvements in bone and brain health and depression scores. Lastly, we will look at benefits to vaginal and breast and overall sexual health
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| 4:00 - 4:15 pm MT | Break |
| 4:15 - 5:15 pm MT | DHEA
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| 5:15 - 5:45 pm MT | Panel Discussion |
| 5:45 pm MT | Adjourn |
| 8:00 - 8:30 am MT | Interactive Quiz - Let's test your understanding. Join the virtual event and respond in the chat with your answer, if confused send us a ?. Everyone learned a lot yesterday. Let's see how much you recall. It is designed to be fun and allow you to see if you understand concepts. .
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| 8:30 - 10:30 am MT | Progesterone for Women - Endogenous sources, important metabolites and receptor site locations. Progesterone vs progestin, understanding the differences. Literature review for decreased blood pressure, breast cancer protection, symptoms of PMS, menopause and post-partum depression. Protective benefits for osteoporosis as well as breast and endometrial cancer and improvements for sleep.
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| 10:30 - 10:45 pm MT | Break |
| 10:45 - 12:15 pm MT | Estrogen for Women -Endogenous sources of estradiol, important metabolites and receptor site locations. Different types of estrogen along with pros and cons. Estrogen vs estradiol. The benefits and misunderstanding for estrogen is vast; prepare to dissect it and come away with much more confidence in using this hormone.
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| 12:15 - 1:15 pm MT | Lunch |
| 1:15 - 3:00 pm MT | Estrogen for Women Continued |
| 3:00 - 3:15 pm MT | Break |
| 3:15 - 5:15 pm MT | Thyroid for Men and Women -A review of primary, secondary and tertiary hypothyroidism and thyroid hypofunction. What are symptoms of hypothyroidism and thyroid hypofunction. What does the literature show and what’s all the controversy around T4 replacement vs T3/T4 combination. A review of the AACE guidelines and discussion on why patients feel better on a T3/T4 combo.
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| 5:15 - 5:45 pm MT | Panel Discussion and open Q and A with Faculty |
| 5:45 - 6:00 pm MT | Optional Pellet Training Video and Q and A with Gayle Frazzetta, MD -We will be showing a 15 min training video for pellet insertion and an informal Q and A to follow. Its optional for those interested in doing pellets |
| 6:00 pm MT | Adjourn |
| 8:00 - 8:45 am MT | Melatonin
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| 8:45 - 9:30 am MT | Interactive Quiz - We will ask the questions, review answers in a fun and interactive way. Here is where we see what you understand and what you’re still struggling with that we can clarify.
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| 9:30 - 10:15 am MT | Clinical Practice Needs - What things should happen before you start seeing patients, a list of do’s and don’ts
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| 10:15 - 10:30 am MT | Break |
| 10:30 - 11:15 am MT | BHRT Case Review Common and more complex cases you will see. We will review labs for individuals of all ages both male and female with detailed case management discussions. This review brings together everything you learned over the weekend and prepares you to start seeing patients Faculty: Kristi Hales, RPh |
| 11:15 - 12:00 pm MT | Hormone Summary Review High level overview of things you need to know. Consider this a cheat sheet you can refer to as you get started Faculty: Kristi Hales, RPh |
| 12:00 pm MT | Adjourn |
In support of improving patient care, this activity has been planned and implemented by The Foundation for Care Management (FCM) and Worldlink Medical. FCM is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team
19.5 AMA PRA Category 1 for CME
19.5 Nursing Contact Hours
This activity was planned by and for the healthcare team, and learners will receive (19.5 hours) Interprofessional Continuing Education (IPCE) credit for learning and change.
Location and Travel Details
- Dec 4-6, 2026
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Salt Lake City International Airport
(SLC)
Pricing
| Early Bird (up to 3 weeks prior to event) |
Standard (within 3 weeks of event) |
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| Prescribers This rate applies to licensed medical professionals who prescribe hormone therapy. Applicable credentials include MD, DO, PA, NP, and ND. |
$1,595 | $1,695 |
| Non-Prescribers Ideal for clinical support staff, students, and Legacy BHRT Series alumni seeking to refresh their knowledge. Applicable credentials include MA, RN, RPh, Resident / Intern, Pharmacist, Office Manager, Dietician, Nutritionist, and Health Coach. |
N/A | $1,095 |
NOTE: The course material is the same for both provider types.
FAQ
Yes-this course is comprehensive in its literature review and designed to provide the tools necessary to get started as soon as you return to your practice. This includes information related to panels, and lab set up, legal information, documentation and case studies that help you get started.
This series is designed for MD, DO, PA, NP, ND, Pharmacists, health coaches, chiropractors, nutritionists and dieticians, practice administrators and support staff.
This course will provide recommended starting protocols, dosing, monitoring adjusting, delivery methods, indications, contraindications, treatment goals. BHRT is highly customized to fit the needs of individual patients, and you will be equipped with background research, information and support to make decisions that are best for your patients.
This first course for BHRT covers pre, peri, post menopause and andropause. It includes an extensive review of the health benefits, myths and controversies surrounding BHRT. Hormones covered include estrogen, progesterone, testosterone for men, testosterone for women, thyroid, DHEA and melatonin. This course also reviews the literature support for BHRT and its ability to support chronic disease management including osteoporosis, CVD, some cancers, metabolic function and inflammation.
The series is designed to build on information. We highly suggest you attend BHRT Foundations and BHRT Complexities first, after that the order is less important. Each course lays a foundation that builds on prior knowledge learned at previous courses. For example, in BHRT Foundations you learn all about how to prescribe, monitor and adjust BHRT. In BHRT Complexities, we do a deep dive in areas like endocrine disruptors, we look at fertility, PMOS (formerly PCOS) in all ages, cancer and hormones, hair loss and sexual dysfunction. These areas are all important but dependent on a foundation knowledge of BHRT. To provide more comprehensive care options for patients we highly recommend taking BHRT Complexities immediately after you attend BHRT Foundations. It will be frustrating when you start getting questions related to any of the topics covered in BHRT Complexities and you have not taken this course yet.
We do not recommend billing insurance for this kind of treatment. In some cases, we are optimizing health and recommending BHRT for reasons outside the standard of care. There are no diagnoses that support this treatment. Our recommendation is to establish a cash/subscription/concierge model where you can dictate the amount of time spent with a patient and customize treatment to meet a patient's individual needs. We also provide support finding employment with a provider that already practices this kind of medicine.
We host a provider exclusive community for clinical and business support as you get started practicing. This includes clinical case support and online events to help providers as they get started seeing patients.
To complete the certification exam you must have completed the entire Optimal Medicine Series.
What should I wear?
Business casual attire is encouraged.
What time does this event start and end each day?
Friday and Saturday are 8:00 AM - 5:30 PM MT with 1 hour lunch in between. Sunday is 8:00 AM -12:00 PM MT.
What is the difference in material for virtual vs in-person?
There is no difference in educational material for Virtual and In-Person attendees.
What is the difference in material for non-provider vs provider?
There is no difference in education material for Non-Providers and Providers.
What is the cost difference between virtual and in-person?
There is no cost difference between Virtual and In-Person.
What is the cost difference between provider and non-provider?
Please see pricing.
Do you offer any discounts?
We offer an early bird discount for $100.00 off if you are a provider that registers 3 weeks or more in advance. We also offer a discounted block rate for the hotel for in person attendees.
What is the graduate rate?
The graduate rate is a discount that applies if you have attended this specific course previously.
What is your registration cancellation policy?
Please see the policies.
Can I get a credit instead of a refund?
Yes, we can put a full credit on file if you opt to cancel your registration and plan to attend a future event.
How do I view this event if I'm attending virtually?
You will gain access to the online attendee hub 1 week before the event. You can watch the livestream within the attendee hub.
Can I purchase these courses on-demand?
No, these courses are meant to be taken live, but we offer the course recordings for up to 2 weeks post event.
Can I register for multiple courses at the same time?
No - since these are separate events that take place live, we have registration for each individually as details can change.
How do I access the course material/syllabus?
You will gain access to the attendee hub 1 week before the event. You are able to download the e-syllabus, or the printable syllabus.
How long are the recordings available?
We offer the course recordings for up to 2 weeks post event
Do you offer CME for this course?
Yes, this course is 19.5 CME. View Accreditation
Policies
Course Content Access
This training is offered both in person and virtually. Educational materials and the syllabus will be available online. A recording of each day’s session will be posted that evening and remain accessible until the second Sunday (2 weeks after the event) following the event, giving you time to review material or catch up on any missed sessions. Recordings will no longer be available after that date.
Group Discounts
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.
Refunds, Cancellations, and Course Credit
Up to 3 weeks prior to the course start date the cancellation fee is $100. If a cancellation is requested less than 3 weeks in advance the cancellation fee is $350. If a cancellation is received within two weeks of the event, 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.