Course Schedule: Agenda
Mastering Protocols for Optimization of HRT is a two-day course.
Faculty: Louis Cady, MD
2018 Course Discounts
Early Bird Discount in Austin: Register by November 6th and enter code EarlyDecember
to save $100
Book two courses in Austin and save $200 - enter code Austin2
Earn up to 16 AMA PRA Category 1 credits™ and AAFP Prescribed Credits
2018 Course Location Information
Course Dates: December 6-7, 2018
Omni Austin Hotel at Southpark
- Book your room online!
4140 Governors Row
Austin, Texas 78744
Group Rate per room night: $129
Mastering Protocols for Optimization of HRT Course Description
This training course utilizes a case study approach designed to help physicians and practitioners successfully and knowledgeably treat their age management patients. This intense 2 day mini-residency teaches everything you should know about hormones, the various types of hormones, both good and bad, problematic, and life-saving, synthetic (non-human) vs. pharmaceutical bioidentical (human identical) vs. compounded (human identical but not FDA tested or approved). Learners will get the real nuts and bolts needed to prescribe hormone replacement therapy (HRT), which ones to use and which ones to avoid, how much, when, and why. Participants will learn about monitoring and adjusting HRT through literature presentations, case studies, and open discussions. Emphasis is placed on understanding the difference between normal and optimal levels of hormones based on our medical studies.
Day two involves extensive review of 100 cases that involve laboratory evaluation, prescribing, adjusting, troubleshooting, and discussing various hormone therapies for different scenarios for both men and women. Your practice of hormone replacement therapy will be based on peer-reviewed medical research and a wealth of clinical experience. This is the most comprehensive course taught on HRT, designed to give you practical information and skills that can be used on a daily basis. The curriculum is an evidence-based program on preventive medicine designed to enhance your diagnostic and prescribing skills when optimizing hormones for both men and women.
Although most clinicians are fully aware of the need to replace hormones in cases of sub-normal hormone levels, most have not been trained to optimize hormone levels if the baseline hormone level is normal. Many participants frequently inquire why a patient is treated with various hormones when the baseline lab test indicates “normal.” Just as confusing is the realization that the medical literature supports that normal is simply not optimal. A multitude of studies support optimization of all hormones regardless of the baseline levels, both for maintenance of quality of life and for future health benefits. In addition, the medical literature demonstrates that optimization of hormones results in relief of symptoms, improvement in well-being, and a decrease in morbidity and mortality by attaining levels in the upper range of normal. It is imperative that practitioners understand both the need and benefit for optimization, what levels are considered to be optimal, as well as have command of the literature that supports it. One important aspect of this course is the extensive review of the medical literature that provides the credence and support as to why we optimize with certain hormones as well as avoid the use of non-isomolecular hormones. Remember that normal is definitely not optimal when it comes to hormone replacement and this applies to both men and women.
By the end of this activity, the participant should be better able to:
2018 Course Accreditation
- 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 in the literature.
- Implement therapeutic management of andropause based on studies reported in prestigious medical journals.
- Identify the types, doses and methods for administering testosterone to men and women.
- Discuss the prescribing of testosterone for men and women, including complications, precautions, potential side effects, and monitoring.
- Discuss the utilization of Finasteride, Dutasteride, and Anastrozole as they pertain to the management of side effects with testosterone administration.
- Identify the uses of melatonin including correct dosing and monitoring.
- Apply strategies for the effective uses of DHEA and pregnenolone including correct dosing and monitoring.
- Evaluate new evidence that contradicts the experts’ conclusions from the HERS and WHI Trials on estrogen treatment in women.
- Demonstrate an understanding of the health benefits of estrogen and progesterone in contrast to the health detriments and harm of synthetic estrogen and progestin.
- Describe the types, doses, and methods used to administer estrogen and progesterone.
- Discuss that different formulations can affect absorption, efficacy, side effects, and complications.
- Review lab tests that demonstrate that some compounded hormones are poor in quality, not micronized, and result in reduced efficacy and low serum markers.
- Discuss recent literature, questions and answers that demonstrate the beneficial effects of hormones such as improved function and healing and a better quality of life.
- Explain current concepts of thyroid replacement and compare and contrast different options available for thyroid replacement as supported in the medical literature.
- Recognize various methods of testing for thyroid deficiencies and what labs and approaches are best.
- Discuss and analyze interesting and complicated cases that involve hormone replacement therapy, which hormones are absorbed best, and when to use oral vs. transdermal HRT.
- Recognize the difference between “normal levels” and “optimal levels” of hormones and the benefits or detriments as demonstrated by current medical studies.
- Implement best clinical practices in diagnosing, prescribing, monitoring and adjusting of BHRT for improved function and quality of life.
- Develop and apply business management principles to set up a preventive medicine practice.
- Analyze and review treatment protocols in case management for both simple and complex cases as it pertains to BHRT.
- Evaluate the lack of peer-reviewed studies for any compounded hormones in comparison to the standardized, pharmaceutical bioidentical hormones which are the only natural hormones utilized in the medical literature.
- Describe how to write prescriptions for compounded hormones to pharmacies, and how different formulations can affect absorption, efficacy and side effects.
- Correct any insufficient or inappropriately prescribed hormone therapy to conform to scientific standards as seen in medical literature.
- Implement current strategies into your practice to improve the level of care and patient compliance in the treatment of adult hormone deficiencies.
- Assure that prescribed hormones meet industry standards based on attaining adequate serum levels and symptom improvement.
- Discuss 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.
- Discuss that 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.
- Realize 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 U.S. made source in order to guarantee efficacy and therapeutic endpoints.
- Apply current prescribing strategies for maintaining adequate hormone levels, which serum levels to follow, which tests not to use (saliva), and the literature supporting each.
- Analyze new treatment protocols to best diagnose, prescribe, monitor, and adjust BHRT for improved function and quality of life.
The Texas Academy of Family Physicians designates this live activity for a maximum of 16 AMA PRA Category 1 credits™
Physicians should claim only the credit commensurate with the extent of their participation in the activity.
This Live activity, Mastering Protocols for Optimization of HRT, from 01/01/2018 - 12/31/2018, has been reviewed and is acceptable for up to 16.00 Prescribed credit(s) by the American Academy of Family Physicians. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
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