February 15th, 2019 - Day One


 
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2:00 - 2:30 PM

Neuroendocrine Cornerstones

Presented by Lylen Ferris, ND

Participants will assess and clarify concepts in integrative medicine including estrogen dominance and progesterone insufficiency, HPA axis dysfunction/adrenal “fatigue.” Steroid hormone testing methods will be compared, including saliva, serum and urine.


Foundations of Chronic Disease: Infllammation, Inflammation, Inflammation

Presented by Lylen Ferris, ND

Chronic inflammation is recognized as the underlying basis of a significant number of diseases, including asthma, arthritis, Crohn’s disease, heart disease, diabetes, Alzheimer’s, stroke, cancer, autoimmunity, and various neurodegenerative disorders. It is increasingly recognized as an etiology of depression. Participants will be able to identify and assess the role chronic inflammation plays and recognize the significant obstacle to cure.  Participants will analyze treatment considerations which utilize proven nutraceutical options combined with BHRT, diet and lifestyle programs. This presentation will summarize an integrative approach in addressing inflammation, which has been shown to be effective both for short term and long term sustained improvement.

 
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2:30 - 3:30 PM


 
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3:30 - 4:00 PM

Clinical Evidence for Lifestyle Interventions

Presented by Krista Anderson Ross, ND

HPA axis dysfunction is a common finding in functional medicine, and many cases show improvement with support in the form of nutrients and adaptogenic botanicals. However, practitioners often observe that despite a compliance with a supplementation protocol, patients do not make the improvements in cortisol secretion and symptom management that they are striving for. Ongoing stress and an inability to manage it in a healthy way can inhibit even the best of intentions.

Practitioners are often told to implement “Lifestyle Interventions,” but what does that really mean? This lecture will outline a deeper understanding of what these lifestyle interventions actually are and examine the role these stress management strategies can play in helping to optimize HPA axis health.  Attendees will identify various non-supplemental strategies such as exercise, breathing, laughter, diet and sleep. The concept of perceived stress will be examined. Participants will leave with a deeper understanding of how lifestyle changes can optimize an HPA axis treatment protocol which has been shown to be more effective for long-term sustained improvement.

 

 

Sleep, the Secret Sauce for Health and Well-Being: Solutions for Successful Sleep

Presented by Krista Anderson Ross, ND

Hormones and neurotransmitters are directly involved with every aspect of what we know and are learning about sleep.  Sleep loss is associated with a higher incidence of insulin resistance and Type II Diabetes, and there is an increased risk of breast cancer in shift workers.  There is a growing body of research linking sleep with depression and suicide, and ADHD in children. Examine what we know and are learning about sleep: the science, the act of sleeping and what influences it, the effect of lifestyle on sleep and how sleep changes with age.  Participants will identify tools for accurate assessment and evaluation of each individual via clinical intake and state of the art testing, determine the benefits, risks and side effects of most commonly utilized conventional treatments, and compare natural, non-conventional therapies and advanced treatments utilizing CAM protocols.

 
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4:30 - 5:30 PM

 

February 16th, 2019 - Day Two


 
 
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8:00 - 9:00 AM

Hypocortisolism and Altered HPA Axis Regulation: the new normal? Deeper Clinical Direction for Complex Cases

Presented by Erin Lommen, ND

In the absence of other psychiatric diagnoses, adverse events in childhood can predict the plasticity (i.e. reactivity) of the diurnal cortisol curve for later adult life, which can also present as a precursor to many chronic diseases.  This intensive presentation will establish a deeper understanding of the HPA axis/adrenal glands, their pertinent laboratory markers and interpretation of these diagnostics. Participants will assess the complexities of the HPA axis, its interwoven neurochemistry and its regulation through the critical roles of melatonin, CRF and ACTH, in addition to cortisol and DHEA. This presentation will review researched treatment protocols as an option for complex cases of “adrenal fatigue.” 

 

 

Setting the Stage for Effective and Long-Lasting Health for Women Under 45: The Most Common Complaints

Presented by Robyn Kutka, ND

Peri-menopause can last 5-10 years for the average American woman. Women in their 30’s can often present with symptoms that sound like menopause. Add those together, and that’s a lot of symptomatic years for many women; essentially, an epidemic of hormonally-imbalanced young women. Environmental influences (xenoestrogens, for example) and declining nutrition are, in part, responsible for this change. Participants will review appropriate laboratory assessments and diagnostic strategies to identify HPA Axis (adrenal), hormonal, and neurotransmitter imbalances. Additionally, this lecture will summarize advanced diagnostic and therapeutic interventions to ultimately change the course for these young women to elicit balanced and vibrant health throughout their reproductive years.

 
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9:00 - 10:00 AM

 

 
 
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10:30 - 11:30 AM

Robust Health for Men: Balanced Solutions to Boost Stamina, Drive and Energy

Presented by Jay Mead, MD

By 2020, over 60% of the US population will be over age 60 and, approximately 50% of these are men. The focus for men’s hormone health is still primarily directed toward testosterone; it’s evaluation, monitoring and replacement.  Just as women need adequate amounts of testosterone, the male body also has a critical requirement for progesterone.  Progesterone is imperative for optimal functioning of the cardiovascular system, the nervous system and of particular importance, prostate health. The male endocrine system is made up of many hormones, and proper balance of the entire complement of these will keep cognitive, cardiovascular, urinary and sexual function working optimally through the latter decades. This lecture will examine the clinical presentation and appropriate assessment criteria for hormone balancing for men. Participants will be able to identify the pathophysiology of testosterone and progesterone’s effects on cardiovascular, neurological and glandular (prostate) tissue. This lecture will present treatment options including bioidentical hormone supplements, nutrition and botanical therapies.

 

 

Advanced Case Studies

Clinical theory is a wonderful thing, but the practice and application of that theory is where the rubber meets the road. Diving deep into real world clinical cases, participants will assess difficult symptom pictures, including intake, patient history and test results, as well as identify the in-depth questions that will lead to a more precise and tailored testing and treatment plan.  Pulling from a knowledge base of seasoned clinician’s private practices, providers will be able to obtain advanced treatment considerations, including bioidentical hormones, nutraceuticals, amino acids and lifestyle modifications, and review follow-up test results to learn how the patient responded to treatment, or if further evaluation and treatment is warranted.

 
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11:30 AM - 12:00 PM

 

 
 
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1:00 - 2:00 PM

Expert Functional Approach to Menopause: Achieving Balance and Sustaining It

Presented by Aimee Duffy, MD

In the United States, there are 11,000 Americans turning fifty every day. As the baby boomer population passes through mid-life and beyond, an unprecedented 6,000+ women are estimated to reach menopause every day in the U.S. While hot flashes remain a top concern for menopausal women there are as many as 30+ less obvious manifestations of menopause that can affect a woman’s quality of life.  From insomnia and joint pain to irritability, weight gain and anxiety, it is clear that it is no longer enough for a practitioner to assume that treatment for hot flashes alone will suffice. This presentation will summarize advanced tools for expert optimization of adrenal, hormonal and neurotransmitter imbalances, focusing on menopausal patients and foundational health solutions designed to last a lifetime.

 

 

Neurotransmitter Foundations

Presented by Scott Theirl DC

Patient’s symptoms rarely stem from just one imbalance in hormones and neurotransmitters. After the completion of this course, participants will be able to assess neurotransmitter levels in conjunction with adrenal and hormone profiles, as well as identify various obstacles to cure (blood sugar imbalance, stress, gluten sensitivity, microbiome, and inflammation.) Attendees will be able to identify and employ integrative treatment protocols which utilize proven nutraceutical options combined with BHRT, diet and lifestyle programs.

 
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2:00 - 3:00 PM

 

 
 
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3:30 - 4:30 PM

Clinical Applications of Neurotransmitter Balancing

Presented by Scott Theirl DC

 Attendees will identify how neurotransmitter imbalance can influence mental and physical symptoms. Participants will be able to assess neurotransmitter metabolites and trace amines and gain additional insight into metabolic pathways, thus leading to more individualized treatment interventions. Attendees will examine treatment protocols which utilize proven nutraceutical options combined with diet and lifestyle programs. Participants will assess an integrative, alternative approach, which has been shown to be effective in short term and long term sustained improvement.

 

 

Addiction, Cravings, and Chemical Imbalances: Integrative Testing and Treatment Options

Presented by Erin Lommen, ND

Laying a strong foundation for healing through neuroendocrine balancing is essential and will be discussed at length in this lecture. HPA axis/adrenal resilience, sex steroid optimization and balancing of the key neurotransmitters (serotonin, dopamine, GABA and norepinephrine) involved in cravings will be outlined and examined.  This presentation will provide the tools for evaluation and interpretation of lab assessments to discover the root causes of cravings and behaviors. Participants will evaluate potential solutions and successful practices to correct imbalances through the employment of natural bio agents which are designed to reduce/eliminate cravings.

 
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4:30 - 5:30 PM

 

February 17th, 2019 - Day Three


 
 
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8:00 - 9:00 AM

Wired, Tired and Mired: BHRT Solutions for PMS, Low Libido, Insomnia and Weight Management

Presented by Greg Zengo, MD

Transitioning one’s practice from conventional medicine to one that is centered on salivary hormone testing and correcting stress-induced imbalances is a never-ending evolution.  Dr. Zengo and his staff have reviewed over 2,500 salivary hormone panels and over 10,000 patient visits over the past 10 years. The most common and difficult to treat situations that seem to appear recurrently in many patients are PMS and cyclic symptoms, low libido in female patients, insomnia, and initiating a successful weight management regimen. Adrenal fatigue (HPA axis dysregulation) is often a backdrop to many of these nagging and common issues, and the lecture will analyze the integrative approach to treat the adrenals first and foremost.  Participants will identify the use of off-label pharmaceuticals, testing and treatment of neurotransmitter imbalances in addition to the typical bio-identical hormone therapies.

 

 

Clinical Organization for Chronic Disease: Clarifying the Approach for Complex Cases

Presented by Robyn Kutka, ND

Many patients increasingly present to integrative physicians – whether medical or naturopathicdoctors –with complex chronic illnesses that have defied effective conventional treatment, or contain features that have eluded precise diagnosis. These illnesses may include some known pathologies or signs and symptoms produced by a demonstrable mechanism, but alternatively, can also present with only a host of signs and symptoms transcending any one organ, system, or physiologic function.

 
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9:00 - 10:00 AM

 
 

In an evidence-based medical practice that serves these difficult patients, incorporating reliable data from laboratory tests is a critical step in gathering evidence for diagnosis and determination of appropriate and effective treatment. While evaluating neuroendocrine function for neuroendocrine illnesses is fairly straightforward, evaluating the same functions in more complex chronic disease can present challenges requiring that the information gathered be used appropriately and skillfully within a hierarchy of therapeutics for each unique case. In this presentation, Dr. Robyn Kutka will present a template to help participants identify the role of neuroendocrine testing with complex chronic disease. The evaluation of sex steroids, HPA-axis, and neurotransmitters fit into the larger context of illnesses involving the gastrointestinal system such as IBD, IBS, and SIBO, and patients presenting with chronic malaise and fatigue associated with autoimmune factors and suspected or demonstrated fungal, bacterial, or viral pathogens will be discussed. The presentation will answer the questions: When is it appropriate to order neuroendocrine testing in these cases? How is the information to be used to determine treatment? How is the treatment staged in these complex cases for the most effective outcomes when there are so many variables to address and clinical decisions to make? Participants will be able to utilize neuroendocrine testing to better assist chronic disease patients and understand how to implement treatments more effectively to support the goal of reversing illness and alleviating suffering.

 

 

Advanced Case Studies

Clinical theory is a wonderful thing, but the practice and application of that theory is where the rubber meets the road. Diving deep into real world clinical cases, participants will assess difficult symptom pictures, including intake, patient history and test results, as well as identify the in-depth questions that will lead to a more precise and tailored testing and treatment plan.  Pulling from a knowledge base of seasoned clinician’s private practices, providers will be able to obtain advanced treatment considerations, including bioidentical hormones, nutraceuticals, amino acids and lifestyle modifications, and review follow-up test results to learn how the patient responded to treatment, or if further evaluation and treatment is warranted.

 
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10:30 - 11:30 AM

 

 
 
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11:30 AM - 12:30 PM

Integrative Breast Health: Supporting Your Patients with the Best Tests and Safest Solutions

Presented by Aimee Duffy, MD

Separating fact from fiction when it comes to breast cancer can prove to be difficult. Diagnosis and treatment of cancer has become a “big business,” with many interests beyond just the health and well-being of each woman, propagating literature and media attention. It is imperative that physicians remain educated and poised to understand best practices for diagnostics and treatment, as breast cancer is one of the most common cancers affecting women today.  However, a more complete understanding of breast cancer is needed. Is estrogen “bad?” Does it cause cancer?

 
 

Participants will examine all three estrogens; estrone (E1), estradiol (E2) and estriol (E3) and the ratio between them (the Estrogen Quotient) as an independent risk marker. Additionally, participants will be able to identify the importance of estrogen in relation to progesterone as another critical risk preventative ratio, which can elucidate estrogens’ risk and promotes an approach of prevention.

General confusion and controversy still exists regarding screening mammography guidelines and also about the safety and efficacy of hormone replacement therapy. This lecture will summarize safe and non-invasive diagnostic methods, such as Digital Infrared Thermal Imaging as well as effective strategies to detect breast lesions and tissue changes early, spurring action to prevent major issues (such as malignancy). Focus of the discussion will include guidelines for the supplementation of vitamin D, iodine, phyto-nutrients, estriol and progesterone.