Module I-A: A Metabolic, Anti-Aging and Functional Approach to Endocrinology

This module provides a functional overview of hormonal changes that manifest in men and women with aging, including the functions and interplay of specific hormones in the body. It discusses how best to identify, test for and treat hormonal deficiencies and dysfunctions, such as with hormone replacement and medication compounding.

Upon completion of this module, the participants will:

  • Recognize the hormonal changes that women and men manifest with aging
  • Discuss the functions of estrogen, progesterone, testosterone, and DHEA in the body
  • Know the structure of the sex hormones and their metabolism
  • Understand the intricate web that the hormones are in the body
  • Discuss the risks and benefits of estrogen, progesterone, testosterone, DHEA, pregnenolone and melatonin
  • Know the symptoms of estrogen, progesterone, testosterone, and DHEA loss
  • Learn the symptoms of estrogen, progesterone, testosterone, and DHEA excess
  • Understand the differences between synthetic and bio-identical hormones
  • Review the literature on synthetic, and bio-identical hormone replacement
  • Understand the adrenal system and its affects on other sex hormones and hormone replacement
  • Initiate or suggest hormone replacement treatment
  • Understand reasons bio-identical hormone replacement should be considered
  • Monitor treatment, adjust dosages, alleviate side effects of BHRT
  • Recognize the clinical manifestations of hypothyroidism
  • Know the factors that cause decreased production of T4, affect 5'diodinase production, cause an inability to convert T4 to T3, and causes associated with decreased T3 or increased reverse T3
  • Learn factors that increase the conversion of T4 to T3
  • Understand the crucial role that iodine has in the function of the thyroid gland
  • Prescribe or suggest treatment for hormone replacement including compounded thyroid medications
  • Review of the key signs and symptoms of adrenal fatigue
  • Know the physical examination findings present in adrenal fatigue
  • Learn the laboratory tests that aid in the diagnosis of adrenal fatigue
  • Discuss the Women’s Health Initiative findings and its clinical implications
  • Understand the limitations of serum testing for steroid hormone levels and FSH
  • Understand the importance of measuring tissue level of hormones, in diagnosing hormonal imbalances and in monitoring bio-identical hormone replacement
  • Understand the impact of stress on the body
  • Understand the physiology of the stress response
  • Learn what tests best measure the physiologic response to stress
  • Understand how to identify and treat adrenal dysfunction
  • Understand how stress affects the cardiovascular system, insulin resistance, immune dysfunction, neurotransmitter balance, hormone balance, and thyroid function
  • Review information on safe and effective therapies to correct adrenal dysfunction
  • Discuss innovative testing that identifies thyroid dysfunction when TSH is normal
  • Differentiate between progesterone and synthetic progestins relating to structure, pharmacologic actions and risks
  • Explain the literature concerning the risk of breast cancer as it relates to differences in progesterone and synthetic progestins
  • Explain research and clinical studies suggesting that progesterone therapy protects against breast cancer
  • Discuss the advantages and disadvantages of testing hormone levels in different body fluids
  • Discuss the methodology of scientific support for, and the differences in, saliva, urine and blood testing of hormones
  • Present scientific and clinical studies that suggest conventional venipuncture serum testing underestimates tissue uptake of sex-steroids delivered topically
  • Be familiar with the basis of steroid synthesis
  • Understand the urine monitoring of hormone levels and metabolites. Specific algorithms will be shared to facilitate ease of use in clinical practice
  • Know the hormonal changes that occur with aging in males
  • Know the cardiovascular, cognitive, bone, sexual, and emotional effects of hormone depletion and hormone restoration in males
  • Learn to monitor and restore optimal hormone levels in males
  • Discuss the differences between compounding and manufacturing medications
  • Review the various licensure needs to compound medications
  • Discuss the various patient care areas that involve specialized compounding
  • Review various medication dosage forms that can be compounded
  • Discuss the various types of equipment needed in compounding
  • Learn how to evaluate a patient for iodine deficiency
  • Review the roles iodine plays in the body
  • Discover how to treat iodine deficiency
  • Recognize the symptoms of PMS
  • Study treatment modalities for PMS
  • Learn the criterion required to make the diagnosis of PCOS
  • Learn conventional and metabolic treatments for PCOS
  • Learn the different bases that hormones can be placed in along with their advantages and disadvantages
When is this module offered?