Module IV: Gastroenterology

This module focuses on comprehensive metabolic, functional, and nutritional approaches to gastrointestinal dysfunction and disease. Physiology and pathophysiology, GI microbiome and dysbiosis, gut permeability, hormones, diet, inflammatory bowel diseases, celiac disease and gluten sensitivity, the gut-immune-brain connection, irritable bowel syndrome, and other digestive and glandular disorders are highlighted.

Upon completion of this module, the participants will:

  • Learn factors associated with intestinal permeability
  • Discuss the consequences of inflammation on the neurological system
  • Look at the effects of endocytic receptors, scavenger receptors & RAGE's have on the inflammatory response
  • Learn the importance of the gastrointestinal tract's role in the immune system
  • Know the crucial role that neurotransmitters have in the body & how they impact various organ systems
  • Learn the many reasons why patients have a difficult time losing weight & keeping it off
  • Have a comprehensive understanding of the relationship between the GI tract & neurotransmitter function
  • Evaluate the role of diet & antibiotics in the management of gastrointestinal dysfunction
  • Demonstrate the unique biochemistry of individual patients & examine the ramifications of nutrition, medications & stress on the immune system during the first years of life
  • Explain the gastrointestinal system's interface with the environment
  • Discuss the role of nutrition & digestion in the balancing of gut flora
  • Identify the symptoms & diseases associated with yeast overgrowth
  • Learn the causes of yeast overgrowth
  • Be knowledgeable about the treatments of yeast overgrowth
  • Know the symptoms associated with dysbiosis
  • Recognize signs of poor digestion
  • Know the causes of dysbiosis
  • Learn the common conditions associated with leaky gut syndrome
  • Learn the 4R program
  • Determine the common signs & symptoms of low gastric acidity
  • Know the diseases associated with low gastric acidity
  • Learn the protocol for HCL acid supplementation
  • Realize the symptoms & diseases associated with food allergies
  • Ascertain the symptoms of pancreatic insufficiency
  • Learn how to replace bile salts
  • Determine the symptoms of bile salts deficiency
  • Know the causes of gas & bloating
  • Learn the causes of heartburn
  • Find out new treatments for hiatal hernia
  • Learn the causes of chronic diarrhea
  • Learn the treatment of chronic diarrhea
  • Learn the causes & treatment of hemorrhoids
  • Look at the risk factors for IBS
  • Learn the treatment for inflammatory bowel disorders
  • Realize the symptoms of acute & chronic gallbladder problems
  • Find out how to treat gallbladder disease
  • Know the incidence of celiac disease
  • Learn the increased mortality associated with celiac disease
  • Know the changes that occur in the bowel with celiac disease
  • Learn testing methods to evaluate if a patient has celiac disease
  • Discover the false positives & false negatives that can occur with antibody testing for celiac disease
  • Learn about dermatitis herpetiformis
  • Learn treatment methods for all forms of celiac disease
  • Recognize other autoimmune diseases that are associated with celiac disease
  • Know the differential diagnosis for celiac disease
  • Know the definition of probiotics
  • Recognize that gastrointestinal & vaginal flora change with age
  • Learn the mechanism of action in probiotics
  • Know which bacteria that occur in the gastrointestinal tract are friendly & which are pathogens
  • Learn about bacteriocins
  • Learn the desirable characteristics of an effective probiotic
  • Recognize what foods can be used as probiotics
  • Learn the beneficial effects of normal gut flora
  • Learn which disease processes can be treated with probiotics
  • Learn the differential diagnosis of irritable bowel disease
  • Learn treatment modalities for irritable bowel disease
  • Know what an allergy elimination diet is & be able use this treatment modality with a patient
  • Learn the role of probiotics in the treatment of antibiotic-associated diarrhea
  • Recognize the reasons for false positive results that can occur with biopsy when evaluating a patient for celiac disease
  • Know the extraintestinal manifestations that can occur with celiac disease besides dermatitis herpetiformis
  • Know the definition of prebiotics
  • Learn the criteria to be a prebiotic
  • Review the medical literature on the use of prebiotics
  • Learn food sources of prebiotics
  • Recognize prebiotic substances & the organisms they work on
  • Know that protozoan infections of the gastrointestinal tract may be the cause of unrecognized systemic illnesses
  • Learn conventional & natural therapies for parasitic infections
  • Know the role that neurotransmitters play in weight loss
  • Recognize the importance of hormonal imbalance in weight loss
  • Learn that the ingestion of foods that the patient is allergic to can cause weight gain
  • Recognize the role that sleep deprivation plays in weight issues
  • Know that the body's ability to effectively detoxify also plays a role in weight gain
  • Learn that weight gain creates an inflammatory response in the body
  • Know the chemistry behind why some foods are addicting
  • Review the scientific literature on nutrients that can aid in weight loss
  • Know the role that yeast overgrowth plays in weight gain

Join Us Live September 28-30, 2018 in Nashville, Tennessee


Module IV - Gastroenterology


Allied Health

Module IV - Gastroenterology


Can’t Attend Live? Take Module IV Online

Online Physician

Module IV - Gastroenterology


Online Allied Health

Module IV - Gastroenterology


Here’s What Fellows Are Saying About Module IV

"Course covers in details importance of GI microbiome, hormones, diet, the gut-immune -brain connections, IBD, IBS, celiac disease."

- Anna Sagan, MD

"Learned more how the GI, immune system and CNS form a triad - treat the GI may help other disease associated with autoimmune and also mental health conditions."

- Lenard Walser

"I have already begun to discuss how some of my patient's in my pain practice may have chronic pain issues that could be improved by better gut health and improved food choices."

- Joseph Cardinale, MD

"This module has given me tools to treat the really sick patients."

- Dawn Frankwick, MD


 “This activity is jointly provided by Global Education Group and Metabolic Medical Institute.”

Physician Accreditation Statement

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Global Education Group (Global) and MMI. Global is accredited by the ACCME to provide continuing medical education for physicians.

This activity has been approved for 24.0 AMA PRA Category 1 Credit™.

Nursing Continuing Education

Global Education Group is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s COA

This activity has been approved for 24.0 nursing contact hours.

Pharmacist Accreditation Statement

Global Education Group is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.

This activity has been approved for 24.0 contact hours (2.4 CEUs) of the Accreditation Council for Pharmacy Education


Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed in this activity should not be used by clinicians without evaluation of patient conditions and possible contraindications on dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities