BHRT Part 3: Solve Troubling Symptoms
The educational process for BHRT education workshop in Part III is both didactic and interactive, with workshop sections devoted to Q and A.
Details
Course Description
Prerequisites:
The educational process for BHRT education workshop in Part III is both didactic and interactive, with workshop sections devoted to Q and A. Some of the exciting topics to be discussed include:
- Vitamin D – Its function as a prohormone, best form and ideal levels, how to prescribe, monitor, and adjust.
- Part “B” – PCOS “atypical” presentations of PCOS and how to diagnose. Alternative insulin sensitizers for PCOS patients. PCOS and thyroid (T3 deficiency) dysfunction connection. PCOS and Nonalcoholic fatty liver disease connection.
- Treating Vaginal atrophy
- Perimenopausal transition & early menopause
- Prophylaxis of postpartum depression with progesterone
- Aromatase inhibitors and cognitive decline
- Male insulin resistance issues (corresponds to PCOS) – effects on SHBG, prostate cancer risk; diagnosis and treatment.
- Deep dive into prostate cancer (Understanding PSA and free PSA, harm of ADT, and new research on alternatives to treating prostate cancer.
Only the most interesting, complex, and convoluted cases that Dr. Neal Rouzier has experienced over the last ten years will be presented. Many concepts taught in other academies are contrary to the medical literature presented in this workshop, but this is only because the attendee will decide therapy based on evidence-based guidelines rather than public opinion or popularity.
Clinical cases will be analyzed to decide upon the appropriate treatments and level of care provided to patients. In BHRT Parts I & II, the cases and studies are simple and straightforward. However, a thorough understanding of BHRT Parts I and II are necessary to understand many of the more complex cases presented in the Bioidentical Hormone Training Part III.
Extensive literature summaries that provide credence and support are presented so that providers have all the available data to defend their practice if necessary. There are many examples of studies that justify BHRT. For example, one study showed that standard statin treatments for cholesterol caused more cancer occurrence than PremPro®. Progesterone causes decreased absorption of estrogen, yet it can be anticipated and prevented. Each of these controversial topics and more will be thoroughly addressed in the Bioidentical Hormone Training Part III.
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)
Course Objectives
Upon completion of this workshop the health care professional will be able to:
- Identify CFS/Fibromyalgia in addition to, diagnosing, testing, and treating it to improve patient outcomes.
- Describe the data demonstrating that androgen suppression therapy, as well as estrogen deprivation, is associated with poor survival in men in comparison with placebo.
- Identify the inverse relationship between estrogen and prostate cancer and the two mechanisms by which estrogen treats and protects against prostate cancer.
- Examine literature reviews as to what level of Vitamin D helps protect against cancer, CAD, osteoporosis, dementia, type II DM and AMD as well as how to treat Vitamin D deficiency and how much is too much
- Determine current management strategies for preventing loss of pregnancy in Polycystic Ovary Syndrome (PCOS) as well as improving pregnancy rates with aromatase inhibitors and the importance of maintaining low levels of aldosterone with PCOS.
- Discuss the pathophysiology of vaginal atrophy and the use of rings, tabs, troches, creams, and DHEA.
- Determine the risks and benefits of transdermal estrogen vs. oral estrogen, why one vs. the other one, and review the statistics that claim HRT increases blood clots, or does it?
- Describe how thyroid replacement therapy does not cause osteoporosis and how it can be protective against heart disease and dyslipidemia.
- Recognize the data demonstrating that only certain types of estrogen increase the production of fatty acid esters that result in protection against atherosclerosis and plaque deposition at the blood vessel wall.
- Examine current policy statements for hormone replacement therapy by the North American Menopause Society (NAMS) and American College of Obstetricians and Gynecologists (ACOG), with a critique and review of their recommendations.
- Discuss the most current literature for bio-identical hormone replacement therapy (BHRT), thyroid, testosterone, DHEA, estrogen, and progesterone.
- Describe the difference in clotting between Premarin®, Provera®, esterified estradiol, and micronized progesterone as per JAMA.
- Discuss the importance of sex hormone binding globulin (SHBG) in men and women and why it is predictive of CAD, MS and cancer.
- Examine the medical literature to understand how hormones affect cardiovascular disease for both men and women and how Testosterone can both increase and decrease CVD in women by interpreting the correct approach.
- Discuss new therapies for prostate cancer as well as better diagnostic sensitivity and specificity of MRI-S scan in addition to treatment rationale for prostate cancer survivors through case presentations and literature review.
- Recall how estrogen therapy can be beneficial in the treatment of prostate cancer and reversing the side effects of ADT.
- Demonstrate skills in multiple case studies with interactive discussion to ensure interpretation and treatment protocols are as demonstrated in our evidenced based scientific literature.
- Describe rational approaches for the use of progesterone in treating PMS and PPD.
- In addition to the clinical skills learned in this course group discussions contribute to the collaborative nature of pharmacists working with physicians and nurse practitioners and their patients to determine a personalized approach to prescribing HT. This collaborative provides a continuum of care for patients in ensuring improved patient outcomes and consistency in care.
Agenda
7:00 - 8:00 am | Registration |
7:30 am | Live Stream opens |
8:00 am - 12:00 pm | 5-10 minute break at the top of every hour Section A – Chronic Fatigue Syndrome / Fibromyalgia
|
12:00 - 1:00 pm | Lunch Break |
1:00 - 6:00 pm | Section D – Advanced PCOS and Vaginal Atrophy
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6:00 pm | Adjourn |
8:00 am - 12:00 pm | Section G – Harm and Benefit of Testosterone and SHBG in Women
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12:00 - 1:00 pm | Lunch Break |
1:00 - 6:00 pm | Section I – The Saturation Theory – Testosterone Treatment of Prostate Cancer Survivors
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6:00 pm | Adjourn |
8:00 am - 12:00 pm | Section K – Relative Risk of BHRT in Contrast to SHRT
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12:00 pm | 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), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team
20 AMA PRA Category 1 for CME
20 Nursing Contact Hours
20 Contact hours Pharmacy Credit. Program # XXXX-XXXX-XXX-XXX-X
This activity was planned by and for the healthcare team, and learners will receive (20 hours) Interprofessional Continuing Education (IPCE) credit for learning and change.
Location and Travel Details
- April 25-27, 2025
-
555 South Main Street
Salt Lake City, UT 84111 -
Salt Lake City International Airport
(SLC)
Info
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 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.
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.