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Agenda April 2018
Discover the best practices for adding Age Management Medicine to your existing practice, whether it’s part- or full-time. This open-forum workshop lays it all out for you, helping you build a vital infrastructure to smoothly, efficiently run a patient-focused practice—starting with a smart direct-pay model and understanding your local demographics, then guiding you through compliance issues, diagnostic equipment, protocol training, latest technology, and even nutraceuticals/supplements for added value.
Non-CME symposium sponsored by AMMG
6:00 PM - 7:00 PM
● Evaluation of Personal, Professional and Financial Goals: Decision to Practice Full vs. Part Time vs. Gradually Incorporate Direct Pay Model into Your Practice
● Local Demographics and Resources Relative to a Direct Pay Practice
● Anticipating Practice Needs: Diagnostic Equipment, Lab Services, HIPPA Compliant Records, Compounding Pharmacy Relationships
● Education, Support & Mentoring: Training in Age Management Medicine Protocols, On-Going Peer Relationships and Continuing Education
Kenneth Janson, M.D., FACS
Senior Attending Physician, Northwestern Lake Forest Hospital
7:00 PM - 7:45 PM
● Reaching Patients Online: Search Engine Optimization, Websites, Social Media and Email Marketing Frank Mitchell
Medical Enterprise Consultant, WebtoMed
7:45 PM - 8:30 PM
● Nutraceuticals and Supplements as an Adjunct Revenue Generator to your Practice Rebecca R. Murray, APRN, FNP-BC, CDE
Endocrine Nurse Practitioner, Institute for Hormonal Balance, Orlando, FL
Medical Director, Ward-Murray HealthCare Consulting, Groton, CT
Scientific Advisory Board, Designs for Health
8:30 PM - 9:00 PM
● Open Forum Q&A for All Speakers Kenneth Janson, M.D., FACS
Senior Attending Physician, Northwestern Lake Forest Hospital
Frank Mitchell
Medical Enterprise Consultant, WebtoMed
Rebecca R. Murray, APRN, FNP-BC, CDE
Endocrine Nurse Practitioner, Institute for Hormonal Balance, Orlando, FL
Medical Director, Ward-Murray HealthCare Consulting, Groton, CT
Scientific Advisory Board, Designs for Health
This course is designed to provide clinicians with focused lectures on the topic of Hormone Use. Speakers will discuss optimization of hormone levels within the context of Age Management Medicine. Each lecture will include a case presentation and discussion. At the end of the day a more in-depth case discussion will take place giving attendees an extended opportunity for interaction with the speaker.
7:00 AM - 7:45 AM
What You Need to Know About Compounding
Presented by David J. Metayer
Open to all attendees and includes a complimentary breakfast
Non-CME symposium sponsored by University Compounding Pharmacy
8:00 AM - 9:00 AM
Testosterone for Men
John K. Crisler, D.O.
President, Founder & CMO, Superior Age Management, AllThingsMale Center for Men's Health, Lansing, MI
Dept. of Community & Family Medicine, Michigan State University College of Osteopathic Medicine, East Lansing, MI
Lecture Description:
This lecture will, in only one hour, demonstrate how to diagnose, and treat, male hypogonadism: subjective complaints, laboratory analysis, treatment modalities, and the general strategy for managing this insidious condition. Included will be the new low dose clomiphene therapy, HCG use in hypogonadism, managing estrogen, and the concept of “Backfilling the Pathways”, to optimize health and happiness in your adult male patients.
9:00 AM - 10:00 AM
Estrogen
William Clearfield, D.O., FAAMA, DABMA, FAARFM
Medical Director, Clearfield Family Medicine & Ageless Zone Medical Spa, Reno, NV
Lecture Description:
With some 400 identified functions in the body, estrogen is perhaps the most studied compound in the history of humanity. As an introduction, Dr. Clearfield discusses estrogen in context of maintaining metabolic rate, improving insulin sensitivity, body temperature regulation, muscle maintenance, improved sleep, reduced incidence of cataracts, increased blood flow, decreased accumulation of arterial plaque, reducing visceral fat, memory enhancement, mood enhancement and preserving the amount of collagen in the skin, Estrogen replacement in the peri-and postmenopausal era, however, is not without controversy. The 2002 Women’s Health Initiative identified prescription estrogen as potentially inducing an increased incidence of breast cancer, blood clots, and strokes. This lecture discusses the physiology of estrogen, the indications and contraindications of estrogen as replacement therapy in the menopausal period, the safety of plant-based “natural” estrogens as opposed to equine based synthetic estrogen, the estrogen dominance syndrome, and the use of estrogen replacement therapy in the face of various hormonally related cancers. Lastly, we will review a case study, pointing out the intricacies of estrogen metabolism, its replacement in physiologic doses when indicated and clinical pearls gleamed from Dr. Clearfield’s twenty plus years of hormone replacement.
10:00 AM - 10:15 AM
Break
10:15 AM - 11:15 AM
Testosterone for Women
William Clearfield, D.O., FAAMA, DABMA, FAARFM
Medical Director, Clearfield Family Medicine & Ageless Zone Medical Spa, Reno, NV
Lecture Description:
By maintaining adequate, youthful, physiologic levels of testosterone, women enjoy increased energy, mood, mental clarity, sexual desire, and fulfillment, increased muscle and tissue strength. Despite thousands of peer-reviewed studies described in reputable medical journals, testosterone remains unapproved by the FDA for administration as a means of relieving the above lifestyle symptoms. This lecture discusses the physiology of testosterone in women, the rationale for prescribing “natural” plant-based testosterone to restore youthful hormonal levels including effects on brain and bone metabolism, sexual energy and sexual desire, mood, and memory versus commercially available synthetic compounds. No hormone is an island. We discuss the laboratory evaluation of testosterone and its derivative hormones, DHEA, dihydrotestosterone and estradiol and its relationship with the other hormones in the female hormonic symphony. We discuss treatment options including creams, injectables, and pellets. We will present a case study that includes a discussion of short and long-term benefits, side effects and contraindications of testosterone therapy in women.
11:15 AM - 12:00 PM
Progesterone
Rebecca R. Murray, APRN, FNP-BC, CDE
Endocrine Nurse Practitioner, Institute for Hormonal Balance, Orlando, FL
Medical Director, Ward-Murray HealthCare Consulting, Groton, CT
Scientific Advisory Board, Designs for Health
Lecture Description:
Although progesterone is often referred to as the “hormone of pregnancy” as the origin of the name comes from the importance in “pro-gestation,” this hormone goes far beyond its role in placental integrity and maintenance of a pregnancy to full term. Progesterone is also a crucial metabolite intermediate in the production of endogenous hormones, including the sex hormones, corticosteroids, and the important role in the brain as a neurosteroid. This lecture will explore the signs and symptoms of “estrogen dominance/progesterone deficiency,” when and how to measure levels, ß and the benefits of various delivery systems such as oral, sublingual, transdermal, and intravaginal.
12:00 PM - 1:30 PM
Lunch Break
12:00 PM - 1:00 PM
To Pee or Not to Pee: That is the Question. An In-Depth Comparison of Urine, Serum and Saliva Testing
Presented by Stacy Hinz, President, Clifford Morris, Chief Chemist and Research Scientist, Physician Lab
Open to all attendees and includes a complimentary lunch
Non-CME symposium sponsored by Physician Lab
1:30 PM - 2:15 PM
Adrenal and Thyroid
John K. Crisler, D.O.
President, Founder & CMO, Superior Age Management, AllThingsMale Center for Men's Health, Lansing, MI
Dept. of Community & Family Medicine, Michigan State University College of Osteopathic Medicine, East Lansing, MI
Lecture Description:
Because thyroid hormone’s effects are as hand-in-glove with the adrenal hormone cortisol, these two hormones are discussed together. Diagnosing subclinical hypothyroidism often requires more focus upon patient subjective report while interpreting labwork and subsequent clinical decision making. As it takes cortisol to then get the thyroid hormone into the cells, and these patients often have endured long periods of hormonal imbalance, stress, fatigue and nutritional deficiency, adrenal function must be kept in mind. Here we will explore the “myth” of Adrenal Fatigue.
2:15 PM - 3:00 PM
A Precision Medicine Approach to hCG and Testosterone
Todd House, M.D.
Physician, Comite Center for Precision Medicine, New York, NY
Lecture Description:
Hormone optimization is fundamental to increasing the health span and optimizing longevity. While hormones are not the only answer, a Precision Medicine approach to testosterone therapy can help move the body into a sweet spot that’s primed for vitality and performance. This lecture looks critically at the literature and uses case studies to explore the benefits of an n-of-1 approach to hCG (human chorionic gonadotropin) and testosterone to reverse disease and optimize energy, cognition, sexual function, libido, metabolism and body composition (with the loss of visceral fat and gain in muscle) in the pre- through later stages of andropause in men.
2:30 PM - 7:00 PM
Exhibits Open
3:00 PM - 3:45 PM
Break / Visit Exhibits
3:45 PM - 4:30 PM
Adult Onset Growth Hormone Deficiency
Edwin N. Lee, M.D., FACE
Assistant Professor of Internal Medicine, University of Central Florida College of Medicine, Orlando, FL
Founder, Institute for Hormonal Balance
Member, AMMG Conference Planning Committee
Lecture Description:
Growth hormone is an essential hormone in lowering body fat, improving on lipids, keeping muscles healthy and improving on bone density. In addition, adult growth hormone deficiency symptoms will be reviewed, as well as the role of growth hormone deficiency increasing inflammation, and the association of higher mortality with growth hormone deficiency. The normal physiology and role of IGF-1, IGF Binding Protein 3 will be discussed. Clinical trials with recombinant growth hormone will be covered. The diagnosis of adult growth hormone protocols will be reviewed, as will the treatment of recombinant growth hormone, IGF-1 and also the use of peptides CJC-1295, Ipamorelin and Tesamorelin.
4:30 PM - 5:30 PM
Complex Case Presentations and Discussion
Neal Rouzier, M.D.
Director, The Preventive Medicine Clinics of the Desert, Palm Springs, CA
Lecture Description:
Dr. Rouzier will present a series of Hormone related complex clinical cases for discussion with attendees. Prescribing hormones to men & women is easy 90% of the time. However, it is the other 10% that requires skill, experience, insight, and command of the medical literature to appropriately treat complex cases. This lecture will review many complex cases and scenarios that will enable the experienced clinician to handle those difficult cases. A literature review will be provided to support why we do what we do in complex cases.
5:30 PM - 7:00 PM
AMMG Welcome Reception
Open to all conference attendees, spouses and guests
Held in Conference Networking and Exhibits Center
Over the past decade, the medical use of marijuana, CBD, and other derivates of cannabis has increased exponentially in the U.S. Currently, 29 states and the District of Columbia have enacted laws in some form to allow physicians to prescribe marijuana medically—and by 2021, all 50 states may have laws allowing medical marijuana in some capacity. AMMG takes no political position on such uses—we are medical educators. That said, it is clear a definite gap exists in medical education for physicians/healthcare professionals who treat a rising patient base that is requesting or inquiring about medical marijuana for a gamut of disorders. AMMG bridges that gap to better educate and inform physicians so they are qualified to respond to this changing medical climate.
7:00 AM - 7:45 AM
What You Need to Know About Compounding
Presented by David J. Metayer
Open to all attendees and includes a complimentary breakfast
Non-CME symposium sponsored by University Compounding Pharmacy
8:00 AM - 9:00 AM
Scientific Rationale for the Use of Marijuana, CBD, and other Derivatives for Use as Clinical Interventions
Greg Gerdeman, Ph.D.
Chief Scientific Officer, 3 Boys Farm, Ruskin, FL
Lecture Description:
Modern research and clinical experiences are driving a global resurgence in the therapeutic use of cannabis and its primary bioactive compounds, most notably including delta-9-tetrahydrocannabinol (THC) and cannabidiol (CBD), which act in distinct ways to modulate the body’s endocannabinoid system (ECS). Understanding the scientific rationale for using cannabis derived compounds in clinical medicine requires an understanding of the ECS that is unbiased by its association with a stigmatized recreational drug. Indeed, although the ECS was discovered as a direct result of investigating cannabis as a drug of abuse, it comprises a key system of lipid signal transduction that is so widespread in mammalian physiology as to be viewed now as a master regulator of homeostasis. The ECS is a critical mechanism within neuronal, immune and endocrine systems. Thus both THC and CBD are known to have anti-inflammatory effects throughout the body, and have important influence on cognitive/affective, sensory and motor functions of the central nervous system. CBD is of special interest because it is very well tolerated, does not produce an acute psychoactive “high,” and appears to buffer the psychoactivity and potentially negative cognitive outcomes produced by THC alone. Myriad research studies combine to illustrate that these cannabinoids have potential therapeutic value for a very wide range of clinical conditions, the scientific basis of which will be reviewed.
9:00 AM - 10:00 AM
Clinical Practice and Practice Guidelines for the Use of Medical Marijuana
David Bearman, M.D.
Practicing Physician, Goleta, CA
Executive Vice President, American Academy of Cannabinoid Medicine
Lecture Description:
The presentation includes a brief history of cannabis as medicine, a medical-legal concerns, addresses patient screening, chart documentation, patient forms, patient orientation; laws, endocannabinoid system, routes of administration. A visit includes overview applicable California laws, patient questions, review of patient history form and all records, take oral history, do physical. If the patient meets your and your patient’s approval criteria I provide the patient with written documentation of my approval/recommendation. In the visit I provide pertinent information as appropriate.
10:00 AM - 10:15 AM
Break
10:15 AM - 11:15 AM
Reversing Osteoporosis with CBD Oil
Eric I. Mitchell, M.D., MA, FACPE, CPE
President
CEO, TelMed Group, Bangor, ME
Clinical Director, Pine Tree Alternative Pain Clinic, Bangor, ME
Medical Director, AGRiMed Industries, LLC
Medical Director, Hemp Commodity Industries, LLC
Lecture Description:
The agonists and the antagonists affects on the body's CB1 and CB2 receptors affecting osteoblastic and osteoclastic activity of bone.
11:15 AM - 12:00 PM
Proper Dosages of Cannabis
Barry Gordon, M.D.
President, Chief Medical Officer, Compassionate Cannabis Clinic, Venice, FL
Lecture Description:
For millennia, the cannabis plant and its extracts have been used to treat a variety of illnesses. From the ancient Chinese to being added to the United States Pharmacopeia in 1850, cannabis was routinely prescribed as a “use as directed” medication until 1942. Now, with 30 states and Puerto Rico having legal programs, contemporary practitioners are struggling to understand how to integrate newly legal cannabis into patient treatment protocols. From micro dosing to macro dosing, the results collected by Dr. Gordon’s Compassionate Cannabis Clinic in the past year demonstrate the importance of individualized recommendations based upon debilitation and the healthcare goals of the patient. Dr. Gordon will explain his patient encounter protocol, including how determining a patient’s past use of cannabis is vital in crafting an effective treatment plan. Additionally, Dr. Gordon will detail the importance of education and teaching is in conjunction with patient control and delivery, as opposed to dosage protocols found in conventional pharmaceutical medications.
12:00 PM - 1:30 PM
Lunch Break
12:00 PM - 1:00 PM
To Pee or Not to Pee: That is the Question. An In-Depth Comparison of Urine, Serum and Saliva Testing
Presented by Stacy Hinz, President, Clifford Morris, Chief Chemist and Research Scientist, Physician Lab
Open to all attendees and includes a complimentary lunch
Non-CME symposium sponsored by Physician Lab
1:30 PM - 2:15 PM
Cannabis Use in Neurological Disorders - Parkinson's Disease, ALS, MS, Crohn's Disease
Betty Wedman-St. Louis, Ph.D.
Private Practice, Specializing in Renal Disease, Digestive Disorders, Food Allergies, Diabetes, Environmental Illness
Lecture Description:
The endocannabinoid system interconnects all systems and tissues of humans through the CB1 and CB2 receptors found throughout the body. Cannabinoids govern mood, sleep, and hormone production so as individuals age, these organ systems are constantly under stress which can manifest as headaches (migraines), gastrointestinal inflammation (IBS, Crohn's disease), motor dysfunctions (Multiple Sclerosis, Amyotropic Lateral Sclerosis, Parkinson's Disease). Endocannabinoid ligands and receptors are highly abundant in the basal ganglia which are affected in Parkinson's disease (PD). Animal models of PD show that CB1 receptors are down regulated during the early stages of the disease but abruptly change in the later stages suggesting that the antioxidant potential of CBD may reduce levodopamine- induced dyskinesia (Neurology 2001). Neuronal cell death and loss of neurotransmitters in Alzheimer's disease (AD) and dementia leads to memory deficits with cognitive and motor impairments (Molecular Neurobiology 2007). Cannabinoids can help protect against excitotoxicity and oxidative stress/inflammation that is associated with the development of AD. CB1 receptors have been shown to control tremors and spasticity in multiple sclerosis (MS) while CB2 receptor function is unclear (Natural Medicine 2007). Published reports for over one hundred years have suggested people with spasticity may experience relief from using cannabis (Marijuana/Cannabinoids as Therapeutic Agents, CRC Press, 1986). MS
patients report improved sleep, less spasticity and reduced pain (Neurology 2004). Cannabinoids have many functions in the digestive system including intestinal motility, inhibition of gastric acid production, and inflammation control (Pharmacology Therapeutics 2010). Irritable bowel syndrome (IBS) and Crohn's disease or ulcerative colitis are characterized by inflammation of gut tissue. Endocannabinoid system changes have been observed in experimental animal models and patients have reported improved stress and sleep using cannabis. Cannabis use has also been associated with reversible cerebral vasoconstriction syndrome and severe headaches/migraines (Brain 2007). Cannabidiol (CBD) treatment has been indicated for a therapeutic role in schizophrenia or psychosis. Vaporizing or oral consumption of cannabis is difficult to dose for achieving therapeutic effects and avoiding adverse symptoms. A slow and gradual dose approach is recommended to avoid overdosing and reactions of hypotension, anxiety or agitation. Edibles (cookies, baked goods) should be consumed in small amounts with adequate time - 1 hour or more- between ingestion doses to better gauge effects.
2:15 PM - 3:00 PM
How Cannabis Battles the So-Called Opiate Epidemic
David Bearman, M.D.
Practicing Physician, Goleta, CA
Executive Vice President, American Academy of Cannabinoid Medicine
Lecture Description:
Opiate abuse does not occur in a vacuum. Treating it requires taking a holistic approach that involves not only medical treatment but changing the paradigm. Treatment involves more than use of a substitute drug such as Suboxone or Methadone, or a psychoactive drug like Ayauasca or alternative and complementary pain killers like tumeric, Kraytom and/or cannabis. Opiate abuse is often a red flag to a history of growing up in a dysfunctional family, PTSD, ADD/ADHD or autism spectrum disorder. These comorbid diagnoses should be kept in mind when treating opiate abuse. Cannabis is an analgesic and an anti inflammatory. Its use in a chronic pain patient can decrease opiate dosage by 30-50%. Cannabis is also a harm reduction substitute.
2:30 PM - 7:00 PM
Exhibits Open
3:00 PM - 3:40 PM
Break / Visit Exhibits
3:40 PM - 4:35 PM
Longitudinal Study on the Benefits of CBD on Decreasing Pain, Anxiety and Increasing Sleep
Steve E. Warren, M.D., DPA
Medical Director, Regenerative Stem Cell and Wellness Center
Lecture Description:
The lecture will focus on the results of an IRB approved longitudinal study determining how significant a highly bio-available precisely dosed CBD (full spectrum hemp based cannabidiol) product will alter the research subject’s pain levels and with the lessening of the pain, anxiety and if they will be able to better manage their sleep.
4:35 PM - 5:30 PM
CBD and the Brain
Michael Lewis, M.D., MPH, MBA, FACPM, FACN
Colonel (Retired), U.S. Army
President and Founder, Brain Health Education and Research Institute
Physician, Cenegenics, Washington, D.C.
Lecture Description:
There is much recent interest in medicinal uses of cannabidiol, or CBD, for health maintenance and certain medical indications. CBD has application in limiting neurological damage following ischemic insults, such as stroke and trauma, or in the treatment of neurogenerative diseases such Alzheimer's and Parkinson's Diseases. Dr. Lewis will address the science behind the cannabinoid system, particularly in the brain, and the interaction with endocannabinoids and phytocannabinoids. Additionally, Dr. Lewis will discuss his clinical experience using hemp-derived CBD, particularly the value of using CBD for anxiety.
5:30 PM - 7:00 PM
AMMG Welcome Reception
Open to all conference attendees, spouses and guests
Held in Conference Networking and Exhibits Center
In response to attendee requests for information on aesthetic protocols and treatments which are office based and can be done by non-board certified Age Management Clinicians either full time or as an adjunct to their existing practice, AMMG presents this track in conjunction with the Advanced Aesthetic Education Group. The decision not to accredit this track was made so that attendees could be provided with business tools as well as the science and medical information necessary to implement these procedures. The goal is not to make this track commercial but to give speakers in this niche area the leverage to openly discuss procedures and answer questions that could be severely restricted in an accredited environment.
(In conjunction with the Advanced Aesthetic Education Group)
7:00 AM - 7:45 AM
What You Need to Know About Compounding
Presented by David J. Metayer
Open to all attendees and includes a complimentary breakfast
Non-CME symposium sponsored by University Compounding Pharmacy
8:00 AM - 8:45 AM
How to Make the Transition into the Aesthetic World: What to Offer, What the Latest Trends are with Patients etc.
H. William Song, M.D.
Founder and CEO, Omni Aesthetics, Oakland, NJ
Lecture Description:
This informative lecture will introduce the multiple facets as to why physicians and spas are moving towards branding themselves through their own product line. Learn how the growth of private label has surpassed most premium brands in the medical aesthetic products market. Making the right choice and knowing the right questions to ask when researching a manufacturer or compounding pharmacy, knowing the percentages of active ingredients required when making claims, and knowing where to look for sources to research packaging are key to marketing your brand to make it successful.
8:45 AM - 9:30 AM
How to Introduce Aesthetic Laser, Non-Laser Devices and Products Into Your Practice- Part I
John Cumiskey, D.C., CLSO
Certified Laser Safety Officer and Instructor, Co-Owner, Integrated Laser Solutions, LLC, Phoenix, AZ
Lecture Description:
The presentation will focus on introducing aesthetic lasers, non-laser devices and products into your practice. This presentation is for the practitioner who is thinking about expanding or transitioning their practice into the medical aesthetics field. It will first focus on decision making and commitment process needed to start an aesthetics practice. Dr. Cumiskey will go over the details of what it means to open and run an aesthetics practice. The importance of a business plan will be discussed followed by the actual steps to take before you make commitments to purchase laser and other devices. A review of the laser and non-laser devices and products will be presented. This will be followed by what appropriate training for the practitioner and and staff is needed prior to operating laser devices. An emphasis on laser science and safety will be discussed. Laser State and federal requirements for operating lasers in the practice will be discussed.
9:30 AM - 10:15 AM
How to Introduce Aesthetic Laser, Non-Laser Devices and Products Into Your Practice- Part II
Cherie Morgan, R.N.C., N.P.
Owner and Clinical Director, Skin + MedSpa, San Dimas, CA
Senior Clinical Trainer, Cynosure Lasers
Clinical Advisor, Omni Biomedical, Phoenix, AZ
Lecture Description:
Cherie Morgan, NP will continue the presentation with an emphasis on knowing the demographics of your area(s) prior to purchasing devices or products. This will describe the skin type and socioeconomic factors that determine the demographics for the aesthetic practice. The importance of surveying you existing clients (patients) will be discussed. Evaluating your work space, supporting staff and marketing plan will be discussed. This will be followed by the appropriate research required on the part of the practitioner prior to purchasing devices or products. Strategies for negotiation with laser companies will be emphasized. Practice development and expansion will be highlighted. Practitioner motivation will be discussed followed by Q & A.
10:15 AM - 10:30 AM
Break
10:30 AM - 11:15 AM
New Trends in Skincare: How Do Stem Cell Factors Stack Up?
Jordan R. Plews, Ph.D.
Chief Scientific Officer & Co-Founder, Xytogen Biotech
Lecture Description:
What are the best factors for improving and maintaining healthy skin? The science of skin rejuvenation and healing has advanced significantly in recent years thanks to recent innovations and advances in human stem cell research. Despite this, the topical skincare market remains flooded with outdated products that fail to leverage the latest technology. Here we review the current state of growth factor and stem cell derived skincare ingredients in an attempt to delineate fact from fiction.
11:15 AM - 12:00 PM
Ingredient Knowledge and Procedure Protocols
Sheila Malmanis, L.E.
President, MS Skintechnical, Inc., Phoenix, AZ
Lecture Description:
Non-invasive cosmetic procedures continue to drive the marketplace in the aesthetic world, but this is only step one. To truly enhance and maintain the results of procedures, i.e., for microneedling, microdermabrasion, and peels for instance, one must have the understanding of what protocols can accomplish that. This lecture will help you understand what type of ingredients to incorporate into your practice, along with the appropriate steps to enhance those results ongoing after the procedure.
12:00 PM - 1:30 PM
Lunch Break
12:00 PM - 1:00 PM
To Pee or Not to Pee: That is the Question. An In-Depth Comparison of Urine, Serum and Saliva Testing
Presented by Stacy Hinz, President, Clifford Morris, Chief Chemist and Research Scientist, Physician Lab
Open to all attendees and includes a complimentary lunch
Non-CME symposium sponsored by Physician Lab
1:30 PM - 2:15 PM
PRP Used with Fillers
H. William Song, M.D.
Founder and CEO, Omni Aesthetics, Oakland, NJ
Lecture Description:
Platelet-rich plasma (PRP) has been used for over 10 years in the areas of orthopedics, oral surgery, & wound care. These same tissue healing strategies are now increasingly being used for the treatment of facial cosmetics and for the relief of sexual dysfunction. Dr. Song will discuss the use of PRP facial aesthetics as well as sexual function in men & women. Learn about the uses of PRP in combination services and get a preview of what’s coming.
2:15 PM - 3:15 PM
Microneedling: Amplifying Results with Radiofrequency Energy - Lecture & Demonstration
H. William Song, M.D.
Founder and CEO, Omni Aesthetics, Oakland, NJ
Lecture Description:
Creating a controlled injury to activate the healing cascade is the basis behind most of the non-surgical skin treatments in aesthetic medicine. The microneedling procedure is a very popular way of utilizing this concept because of the relatively low cost and rapid recovery time. The down side is the need for multiple treatments and a long lag time between receiving the treatment and seeing results. Fractionated laser treatments are available for those seeking faster and more robust results. Unfortunately, the cost, risks and down time associated with a laser makes it a less attractive option for most clinicians. Combined microneedling / radiofrequency devices are now available to bridge the gap between these approaches. Dr. H. William Song will discuss the mechanism of action of microneedling and radiofrequency and explain how this combination can be a safe and very effective way to amplify the results for common conditions like skin laxity and acne scars.
2:30 PM - 7:00 PM
Exhibits Open
3:15 PM - 3:45 PM
Break / Visit Exhibits
3:45 PM - 4:30 PM
Micro Dermabrasion plus Infusion – Lecture & Demonstration
Julie Quijada, M.A., CLT
Regenerative Skin Care, Skin Beautiful, Scottsdale, AZ
Lecture Description:
Learn about the simplicity of combining Mechanical Resurfacing with Infusion and Peels. Julie Quijada will explain the science behind mechanical resurfacing and how to combine with the science of peeling: what works what doesn’t. Also, utilizing such infusions as stem cell conditioned media and other topical ingredients. Julie will discuss why combining mechanical resurfacing with the peels is beneficial and how to implement into your practice
4:30 PM - 5:30 PM
Light Emitting Diodes: Fact or Fiction? – Lecture & Demonstration
Bertica M. Rubio, M.D.
Medical Director, Antiaging Regenerative Medicine Clinic, Redlands, CA
Medical Advisor, Rejuvenate Image Restoration, Refine and AQ Skin Solutions
Lecture Description:
LED or Light Emitting Diodes were first used in a NASA program for healing. How do we choose the right equipment and what are the key factors to look for? What do we use it for and what are the protocols for each treatment? Does price reflect quality? What wavelengths are needed and how many photons per square centimeter? All these questions will be answered in this lecture, as LED is rapidly becoming a vital part of the aesthetic menu and is an inexpensive addition to the physician office based protocols.
5:30 PM - 7:00 PM
AMMG Welcome Reception
Open to all conference attendees, spouses and guests
Held in Conference Networking and Exhibits Center
This full day program will provide attendees overwhelming information culled from peer-reviewed articles on Traumatic Brain Injury as the causative factor for personality changes, cognitive impairment and mood disorders leading up to suicide. The attendees will be walked through the literature discussing the effects of primary trauma and the secondary effects of inflammation and oxidative stress on functionality.
In conjunction with the Warrior Angels Foundation, a 501(c)(3) non-profit organization
A portion of the proceeds from this course will be donated to the Warrior Angels Foundation as they work towards their goal of providing personalized assessment and treatment for U.S. military service members and veterans who have sustained Traumatic Brain Injury (TBI) while in the line of duty.
7:00 AM - 7:45 AM
What You Need to Know About Compounding
Presented by David J. Metayer
Open to all attendees and includes a complimentary breakfast
Non-CME symposium sponsored by University Compounding Pharmacy
8:00 AM - 8:30 AM
An Introduction to Traumatic Brain Injury
Mark L. Gordon, M.D.
Medical Director, Millennium-TBI & The Millennium Health Centers, Encino, CA; CBS Studios;
USC, Keck School of Medicine, Department of Family Medicine, Los Angeles, CA
Medical Director of Education, Access Medical Laboratories, Jupiter, FL
Member, AMMG Conference Planning Committee
Life Member, AMMG
Lecture Description:
A 30-minute overview of trauma, inflammation, and how it impacts the cognitive and emotional functionality of the brain.
8:30 AM - 9:30 AM
Neurology, Neuropathology and Neuroendocrinology in Traumatic Brain Injury
Mark L. Gordon, M.D.
Medical Director, Millennium-TBI & The Millennium Health Centers, Encino, CA; CBS Studios;
USC, Keck School of Medicine, Department of Family Medicine, Los Angeles, CA
Medical Director of Education, Access Medical Laboratories, Jupiter, FL
Member, AMMG Conference Planning Committee
Life Member, AMMG
Lecture Description:
60-minute discussion based upon literature about the specific cellular and biochemical cascades that are initiated by neuro-trauma. Expanding discussion on the indolent and stealth progression of the initial injury (primary) and the years of damage produced by the secondary injury.
9:30 AM - 10:15 AM
The Laboratory of Traumatic Brain Injury
Mark L. Gordon, M.D.
Medical Director, Millennium-TBI & The Millennium Health Centers, Encino, CA; CBS Studios;
USC, Keck School of Medicine, Department of Family Medicine, Los Angeles, CA
Medical Director of Education, Access Medical Laboratories, Jupiter, FL
Member, AMMG Conference Planning Committee
Life Member, AMMG
Lecture Description:
The assessment of neurotrauma using trophic, neurosteroids, and neuroactive steroids as markers for hormonal deficiencies that are caused by both the primary and secondary injuries associated with neurotrauma (TBI). The literature supported view that the “standard reference” ranges and “normal” reference ranges are not relative to the patient. Interpretation of the lab results using the Median Theory of optimal levels.
10:15 AM - 10:30 AM
Break
10:30 AM - 11:30 AM
Traumatic Brain Injury and Neurobehavior
Mark L. Gordon, M.D.
Medical Director, Millennium-TBI & The Millennium Health Centers, Encino, CA; CBS Studios;
USC, Keck School of Medicine, Department of Family Medicine, Los Angeles, CA
Medical Director of Education, Access Medical Laboratories, Jupiter, FL
Member, AMMG Conference Planning Committee
Life Member, AMMG
Lecture Description:
The impact of neurosteroid deficiencies on both personality and mental abilities is clearly discussed in peer-reviewed articles. Those same articles provide support for mood and anxiety disorders developing from loss of the regulatory effects of many of the neurosteroids that are produced in the brain.
11:30 AM - 12:00 PM
Supplementation for Traumatic Brain Injury - Part I
Mark L. Gordon, M.D.
Medical Director, Millennium-TBI & The Millennium Health Centers, Encino, CA; CBS Studios;
USC, Keck School of Medicine, Department of Family Medicine, Los Angeles, CA
Medical Director of Education, Access Medical Laboratories, Jupiter, FL
Member, AMMG Conference Planning Committee
Life Member, AMMG
Lecture Description:
The major impact of trauma is the production of secondary injury precipitated by free radicals and oxidative stress. The use of specific anti-oxidants and the regeneration of the glutathione system in the brain can help to regain a neuro-permissive environment that can allow for cellular repair and regeneration.
12:00 PM - 1:00 PM
To Pee or Not to Pee: That is the Question. An In-Depth Comparison of Urine, Serum and Saliva Testing
Presented by Stacy Hinz, President, Clifford Morris, Chief Chemist and Research Scientist, Physician Lab
Open to all attendees and includes a complimentary lunch
Non-CME symposium sponsored by Physician Lab
1:30 PM - 2:30 PM
Supplementation for Traumatic Brain Injury - Part II
Mark L. Gordon, M.D.
Medical Director, Millennium-TBI & The Millennium Health Centers, Encino, CA; CBS Studios;
USC, Keck School of Medicine, Department of Family Medicine, Los Angeles, CA
Medical Director of Education, Access Medical Laboratories, Jupiter, FL
Member, AMMG Conference Planning Committee
Life Member, AMMG
Lecture Description:
Continuation of the 5th lecture with specific application and treatment of traumatic brain injury. A number of cases will be discussed.
2:30 PM - 7:00 PM
Exhibits Open
2:30 PM - 3:30 PM
Case Studies - Part I
Mark L. Gordon, M.D.
Medical Director, Millennium-TBI & The Millennium Health Centers, Encino, CA; CBS Studios;
USC, Keck School of Medicine, Department of Family Medicine, Los Angeles, CA
Medical Director of Education, Access Medical Laboratories, Jupiter, FL
Member, AMMG Conference Planning Committee
Life Member, AMMG
Lecture Description:
15 comprehensive cases will be dissected and presented with attendees’ participation as a means of consolidating the information that will be shared throughout the day.
3:30 PM - 4:10 PM
Break / Visit Exhibits
4:10 PM - 5:30 PM
Case Studies - Part II
Mark L. Gordon, M.D.
Medical Director, Millennium-TBI & The Millennium Health Centers, Encino, CA; CBS Studios;
USC, Keck School of Medicine, Department of Family Medicine, Los Angeles, CA
Medical Director of Education, Access Medical Laboratories, Jupiter, FL
Member, AMMG Conference Planning Committee
Life Member, AMMG
Lecture Description:
Continuation of the cases with attendee participation and Q & A. The goal of these cases is to allow the audience an opportunity to work out with the lecturer the initial evaluation of the patient, laboratory testing, interpretation of the test results, and selection of an optimal treatment protocol.
5:30 PM - 7:00 PM
AMMG Welcome Reception
Open to all conference attendees, spouses and guests
Held in Conference Networking and Exhibits Center
7:00 AM - 7:45 AM
Use Medical Weight Loss To Expand Your Age Management Practice
Presented by Kimball Lundahl, D.C.
Open to all attendees and includes a complimentary breakfast
Non-CME symposium sponsored by Healthy Habits
8:00 AM - 8:15 AM
Opening Remarks
Florence Comite, M.D.
CEO & Founder, Comite Center for Precision Medicine, New York, NY
Member, AMMG Conference Planning Committee
8:05 AM - 5:30 PM
INNOVATIVE CLINICAL TECHNOLOGY IN AGE MANAGEMENT MEDICINE
8:15 AM - 9:15 AM
Artificial Intelligence for Aging Biomarkers & Age Management Research
Ivan Ozerov, Ph.D.
Director, Drug Discovery, Aging and Age-Related Diseases, Insilico Medicine, Inc.
Lecture Description:
Recent advances in machine learning techniques led to their routine use in biomarker development and rapid increment in labeled medical data enables the entry of deep neural networks into the game. Methods based on deep architectures have outperformed classical approaches not only in image analysis, but also in solving a wide range of complex genomics, transcriptomics and proteomics problems. Here we discuss the application of deep learning techniques for the development of aging biomarkers and customer-oriented age-management systems that utilize multiple AI-driven approaches stacked into an ensemble and trained on multiple medical and biological data.
9:15 AM - 10:15 AM
Precision Medicine Innovations In the Digital Health Era
Florence Comite, M.D.
CEO & Founder, Comite Center for Precision Medicine, New York, NY
Member, AMMG Conference Planning Committee
Lecture Description:
Precision Medicine innovations are revolutionizing the way we think about health and longevity, transforming health care from a passive model, into an interactive, dynamic system. By integrating longitudinal n-of-1 data from wearables, apps, and digital health tools, together with an individual’s genomics, personal and family history, lifestyle, and evolving metabolomic data, a Precision Health Analysis can reveal a patient’s unique health trajectory. This lecture explores the power and practical application of Precision Medicine innovations in the clinic to tailor health interventions and optimize vitality and performance for the n-of-1.
10:15 AM - 11:00 AM
Break / Visit Exhibits
11:00 AM - 12:00 PM
Top 10 Genomic Markers & What to Do With Them
Michael Nova, M.D.
Chief Innovation Officer, Pathway Genomics, San Diego, CA
Lecture Description:
Which genetic markers and genes have the most clinical validation in regards to providing actionable information useful for wellness and/or chronic disease management? Use of Artificial Intelligence to help curate and identify actionable traits.
12:00 PM - 12:15 PM
Morning Session Q &A
12:15 PM - 1:30 PM
Lunch Break / Visit Exhibits
12:15 PM - 1:15 PM
The Spectacular Role of the Human Microbiome in Preventing Metabolic Endotoxemia, the Number One Cause of Mortality Worldwide
Presented by Kiran Krishan, Microbiologist
Open to all attendees and includes a complimentary lunch
Non-CME symposium sponsored by Microbiome Labs
1:30 PM - 2:20 PM
Personalized Enhancement of Deep Sleep and Memory for Optimal Aging
Giovanni Santostasi, Ph.D.
Chief Scientific Officer, DeepWave Technologies, Encinitas, CA
Lecture Description:
We spend more than 30% of our life sleeping. Sleep is a fundamental physiological process with many implications for optimal health. In particular, the stage of sleep called Slow Wave Sleep (SWS) has many implications for memory consolidation, cardiovascular health, immune system resetting, and hormone regulation. The lecture will cover some fundamental aspects of sleep science such as its different stages, typical neurotransmitters, electrical signals produced by the brain, and how aging affects the efficiency and depth of sleep. We will also discuss exciting developments in neuroscience that open the possibility for a non-pharmacological approach to enhance the benefits of sleep through audio-stimulation synchronized to brain wave typical of SWS. Dr. Santostasi has developed patent pending technology in this new field of neuroscience and will share his findings in regards to significant cognitive improvement in an older population with the class.
2:20 PM - 3:15 PM
A Precisionist Approach to Stem Cell Therapy
Drew DeMann, D.C., CCSP, MA, FNP, RMSK, GCSRT
Director, Board Certified Pain Management, Manhattan Medicine, New York, NY
Lecture Description:
We spend more than 30% of our life sleeping. Sleep is a fundamental physiological process with many implications for optimal health. In particular, the stage of sleep called Slow Wave Sleep (SWS) has many implications for memory consolidation, cardiovascular health, immune system resetting, and hormone regulation. The lecture will cover some fundamental aspects of sleep science such as its different stages, typical neurotransmitters, electrical signals produced by the brain, and how aging affects the efficiency and depth of sleep. We will also discuss exciting developments in neuroscience that open the possibility for a non-pharmacological approach to enhance the benefits of sleep through audio-stimulation synchronized to brain wave typical of SWS. Dr. Santostasi has developed patent pending technology in this new field of neuroscience and will share his findings in regards to significant cognitive improvement in an older population with the class.
3:15 PM - 3:45 PM
Break / Visit Exhibits
3:45 PM - 4:45 PM
Blood Serum Transfusions for Aging Rejuvenation
Dipnarine Maharaj, MB.ChB, M.D., FRCP (Edin.), FRCP (Glas.), FRCPath, FACP
Medical Director, The Maharaj Institute of Immune Regenerative Medicine, Boynton Beach, FL
Lecture Description:
Dr. Maharaj is going to share details about his most recent clinical study aimed at extending healthy lifespan, the ‘Young Blood Plasma Project’. This study, which has FDA and WIRB approval, is already underway and recruiting participants between the ages of 55 and 95 who are showing signs of frailty. These participants will receive 12 monthly infusions of Stem Cell Mobilized Fresh Frozen Plasma (GMFFP) from young donors between the ages of 18 and 35. This will be followed by 1 year of follow ups. Dr Maharaj will share previous animal models and clinical papers, and discuss how they have shown that this GMFFP can enhance the Immune System and ameliorate frailty.
4:45 PM - 5:30 PM
Panel Discussion: Accelerating Innovation in Precision and Age Management Medicine
Florence Comite, M.D.
CEO & Founder, Comite Center for Precision Medicine, New York, NY
Member, AMMG Conference Planning Committee
Ivan Ozerov, Ph.D.
Director, Drug Discovery, Aging and Age-Related Diseases, Insilico Medicine, Inc.
Michael Nova, M.D.
Chief Innovation Officer, Pathway Genomics, San Diego, CA
Drew DeMann, D.C., CCSP, MA, FNP, RMSK, GCSRT
Director, Board Certified Pain Management, Manhattan Medicine, New York, NY
Dipnarine Maharaj, MB.ChB, M.D., FRCP (Edin.), FRCP (Glas.), FRCPath, FACP
Medical Director, The Maharaj Institute of Immune Regenerative Medicine, Boynton Beach, FL
Giovanni Santostasi, Ph.D.
Chief Scientific Officer, DeepWave Technologies, Encinitas, CA
Panel Chair: Florence Comite, M.D.
Lecture Description:
• What are the challenges of integrating/practicing/scaling innovative healthcare?
• What are the top 5 health innovation "areas to watch"?
• How will healthcare innovation change day-to-day practice in the clinic in the next 5 years?
• How does medical education need to adapt to ensure "no doctor left behind" ?
• How can we democratize access to precision age management medicine?
5:30 PM - 7:00 PM
Reception Introducing AMMG’s Training and Certification in Age Management Medicine
Presentation by Kenneth Janson, M.D.
Non-CME reception open to all conference attendees
7:00 AM - 7:45 AM
Get The Most Out of Your Pharmaceutical Compounding - FDA Registered 503B Approach - Patient Safety, Effective Therapies & Profitable Office Solutions
Presented by Confidence Ekeanyanwu, M.S., CMQ/OE & Dan Powell, B.S.
Open to all attendees and includes a complimentary breakfast
Non-CME symposium sponsored by Olympia Pharmacy
8:00 AM - 9:00 AM
High Dose Melatonin
Russel J. Reiter, Ph.D.
Professor of Cell Biology, Dept. of Cellular and Structure Biology, UT Health Science Center, San Antonio, TX
Lecture Description:
This presentation will be concerned with the ability of melatonin to prevent the initiation, progress and metastasis of cancer. The mechanisms as to how melatonin exerts these actions will also be discussed. Additionally, the role of melatonin in decreasing the toxicity of standard cancer chemotherapies will be considered along with the role of melatonin in sensitizing drug-resistant cancers to these treatments. Finally, since endogenous melatonin production is inhibited when humans are exposed to light at night, the rationale for avoiding excessive light exposure at night will be considered.
9:00 AM - 10:00 AM
Peptides and Nutrients in “Difficult to Treat Cases”
Rebecca R. Murray, APRN, FNP-BC, CDE
Endocrine Nurse Practitioner, Institute for Hormonal Balance, Orlando, FL
Medical Director, Ward-Murray HealthCare Consulting, Groton, CT
Scientific Advisory Board, Designs for Health
Lecture Description:
Inflammatory Bowel Disease (IBD), such as Ulcerative Colitis and Crohn’s Disease, include very “difficult to treat cases” as they involve life-long relapsing episodes of extreme inflammation and pain and commonly suffer nutrient deficiencies. As there is no known cure, treatment entails long term, high dose steroids and “immune modulating” pharmacologic agents that have the possibility of negative health consequences.
This lecture with include the testing options for nutrient deficiencies and gut dybiosis, an overview of nutrients shown to be beneficial in reducing inflammation and restoring a healthy gut microbiome. and will also include the cutting edge role of “peptide therapy” BPC-157 in the healing of the gastrointestinal mucosa.
10:00 AM - 10:30 AM
Break / Visit Exhibits
10:30 AM - 11:25 AM
Optimizing Testosterone Without Using Testosterone in Men
Edwin N. Lee, M.D., FACE
Assistant Professor of Internal Medicine, University of Central Florida College of Medicine, Orlando, FL
Founder, Institute for Hormonal Balance
Member, AMMG Conference Planning Committee
Lecture Description:
It is estimated that one out of four men over 30 years old has low testosterone. Having low testosterone in men is considered a lethal disease with a higher incidence of heart disease, stroke and cancer. The number of prescriptions for testosterone is climbing rapidly. The use of exogenous testosterone is an option however one should always consider using a treatment that can help with boosting their natural production of testosterone. A review of using DHEA, Clomid, Enclomiphene, HCG, SARM and some new peptides will be discussed.
11:25 AM - 12:15 PM
Gut-Brain Axis and Immune Modulatory Treatments: Restoring "Gut Instinct"
Kathy O'Neil-Smith, M.D., FAARM
Private Internal, Integrative and Regenerative Medicine Practice, Newton, MA
Lecture Description:
Optimal functioning of the brain is dependent upon a healthy gut. The opposite is also true. Perhaps you've heard the saying... "what happens in the gut, does not stay in the gut!" We will look at neuro-endo-imunology as it relates to gut health and brain health. Using case studies, we will discuss diagnostic and therapeutic options for gut healing and neuroprotection.
12:15 PM - 1:30 PM
Lunch Break / Visit Exhibits
12:15 PM - 1:15 PM
NeuroRegenesis: Treating Memory Loss and the Aging Brain
Presented by A.J. Farshchian, M.D.
Open to all attendees and includes a complimentary lunch
Non-CME symposium sponsored by Center for Regenerative Medicine
1:30 PM - 2:45 PM
Brain, Memory, Dementia and How to Protect the Brain
Neal Rouzier, M.D.
Director, The Preventive Medicine Clinics of the Desert, Palm Springs, CA
Lecture Description:
Hormone replacement in both men and women is controversial. Primarily this is due to misunderstanding or extrapolation and assumption that is not correct or appropriate. Nevertheless, overwhelming evidence supports the protective effects of estrogen in women and testosterone in men. Despite the inability of the Pharmaceutical Industry to develop a treatment or preventive therapy, the medical literature is overlooked as it is there that we find the prevention of dementia and Alzheimer’s Disease. Physicians should be aware of the science that supports the protective effects of hormones on the brain and cognitive function which is ignored and suppressed by our medical societies.
2:45 PM - 3:15 PM
Break / Visit Exhibits (exhibits close 3:30 pm)
3:15 PM - 4:00 PM
How to Assess and Enhance Cognitive Function, and Prevent Memory Loss
Steven C. Masley, M.D., FAHA, FACN, FAAFP, CNS
President, Masley Optimal Health Center, St. Petersburg, FL
CEO, Heart Tune-Up, LLC
Medical Director, Ten Years Younger Program™
Clinical Assistant Professor, University of South Florida, Tampa, FL
Special Program Instructor, Eckerd College and the University of Tampa
Lecture Description:
Objective: Rates of mild cognitive impairment and Alzheimer’s disease are increasing rapidly. None of the current treatment regimens for Alzheimer’s disease are effective in arresting progression. Lifestyle choices may prevent cognitive decline. This study aims to clarify which factors best predict cognitive function. Methods: A prospective cross-sectional analysis of 799 men & women undergoing health and cognitive testing every 1-3 years at an outpatient center. This study utilizes data collected from the first patient visit. Subjects ages were 18-88 (mean = 50.7 years) and were 26.6% female/73.4% male. Outcome Measures: Measurements were made of body composition, fasting laboratory and anthropometric measures, strength & aerobic fitness, nutrient & dietary intake, and carotid intimal media thickness (IMT). Each subject was tested with a computerized neurocognitive test battery. Cognitive outcomes were assessed in bivariate analyses using t-tests and correlation coefficients and in multivariable analysis (controlling for age) using multiple linear regression. Results: The initial bivariate analyses showed better Neuro Cognitive Index (NCI) scores with lower age, greater fitness scores (push up strength, VO2max, and exercise duration during treadmill testing), and lower fasting glucose levels. Better cognitive flexibility scores were also noted with younger age, lower systolic blood pressure, lower body fat, lower carotid IMT scores, greater
fitness, and moderate alcohol intake. After controlling for age, factors that remained associated with better NCI scores include no tobacco use, lower fasting glucose levels, and better fitness (aerobic and strength). Higher cognitive flexibility scores remained associated with greater aerobic and strength fitness, lower body fat, and moderate intake of alcohol.
Conclusions: Modifiable biomarkers that impact cognitive performance favorably include greater aerobic fitness and strength, lower blood sugar levels, moderate alcohol intake, lower body fat, and avoidance of tobacco. Further studies are warranted to study whether modifying these lifestyle factors improves cognitive function and slows cognitive decline.
4:00 PM - 4:45 PM
Improving Cognitive High Performance: Cognitive Enhancement, Smart Drugs, Neuroplasticity, Brain Stimulators, Wearables, etc.
Paula Martin-Marfil, M.D., MSc
Anti-Aging & Stress Management Medicine (Europe-Middle East)
Lecture Description:
Creativity, memory and attention represent three different cognitive domains, which are interconnected and contribute the "cognitive performance" of an individual. Modern neuroscience has investigated some of the neuronal circuits and of the neurotransmitters and molecular events underlying the above-mentioned cognitive functions. Within this renewed reference context, some of the properties of the components of the remedies to increase mental performance have been studied and validated in experimental models and, to date, these substances are named "smart drugs", "memory enhancing drugs" or "nootropic drugs." Also the application of TMS or neuro/biofeedback to cognitive enhancement appears to be a fruitful area of investigation that may shed light on the basic mechanisms of cognitive function and their therapeutic modulation.
4:45 PM - 5:30 PM
Molds and Mycotoxins: How they affect our brain, and how to treat patients affected by them
Andrew W. Campbell, M.D.
Editor-in-Chief, Alternative Therapies in Health and Medicine Medical Journal & Advances in Mind-Body Medicine Journal
Editorial Board, Integrative Medicine: A Clinician’s Journal
Medical Editor, Natural Solutions and Alternative Medicine Magazines
Lecture Description:
This evidence based lecture reviews the effects of molds and mycotoxins; a historical medical perspective is explained. How molds grow, an explanation of mycotoxins that affect human health is given and their toxicities presented. The diseases and disorders caused by molds and mycotoxins are described. An explanation of published studies is reviewed. What are the best tests to order to help in diagnosing whether a patient has been affected by molds and mycotoxins, followed by a section on treatment, including natural supplements and probiotics as it affects the gut, where 80% of the immune system resides.
8:00 AM - 9:00 AM
The Triad of Gut Destruction: The Dance of Diamine Oxidase, Zonulin, LPS and Dysbiosis
Cheryl Burdette, N.D.
Education Director and Owner, Dunwoody Labs, Dunwoody, GA
Director of Education and Naturopathic Residency Program, Progressive Medical, Atlanta, GA
Faculty, Integrative Medicine Program, George Washington University, Washington, D.C.
Lecture Description:
A symphony of signaling occurs in the gut which results in immune regulation or inflammation. This lecture will review the interplay between complement activated food reactions, diamine oxidase the enzyme that degrades histamine, and Zonulin a regulator of tight junctions. Understanding the interplay of signaling gives clinical direction for treatment.
The gut is the major interface to the outside world. It is our first line of defense as well as where our first exposure happens. It is where we decide if we are immune tolerant of the world or inflamed by the world. Recent research by Dr. Fassano demonstrates that the inflammatory contribution from the gut results in a host of systemic conditions, from neurologic to auto-immune but even contributing to diabetes and some cancers. He
also affirms that movement away from a disease centered paradigm is possible by recognizing underlying processes that are occurring before pathology is evident. We will review highly evidenced biomarkers that map care. The gut is our window to prevention and remission. By addressing the triggers of histamine, pathogens such as LPSand food sensitivities, as well as the body’s ability to handle the assault, through enzymes such as diamine oxidase that degrade histamine, we can halt inflammation and truly practice healthcare and promote wellness. This will further ICNM knowledge and practice as the knowledge of biomarkers and their meaning direct clinical practice. Oral immunoglobulin therapy, strains of probiotics and other innovative therapies are specific for targeting the cause of Zonulin alterations and minimized Diamine Oxidase production. This lecture will enhance knowledge around the area of gut and its interplay between obesity, diabetes, and neuroendocrine dysfunction further widening our tools for treatment.
9:00 AM - 10:00 AM
Sexual Enhancers
Michael L. Krychman, M.D.
Clinical Associate Professor, University of Southern California, Los Angeles, CA
Medical Director of Sexual Medicine, Hoag Presbyterian Hospital, Newport Beach, CA
Lecture Description:
The Food and Drug Administration (FDA) has defined an aphrodisiac drug product as “any product that bears labeling claims that it will arouse or increase sexual desire, or that it will improve sexual performance.” Presently, there are limited medically approved pharmaceuticals for the treatment of sexual problems in both men and women. Since sexual medical conditions are troublesome and cause significant distress, many individuals currently opt for herbs, supplements and complementary products to help ease the sexual suffering they are experiencing. The aim of this presentation is provide an evidence based scientific overview of the most popular and currently used herbal and supplements, products that are designed for the treatment of sexual problems. The safety and efficacy of animal and plant-based aphrodisiacs, vitamins and minerals, and popular over-the-counter combination supplements will be reviewed. The astute clinician must be able to differentiate between fact and fiction and critically examine the evidence to best help patients in their quest for treatment for sexual complaints. This comprehensive multifaceted approach involves many potential options for treatment including but not limited to medical intervention, conventional medications, herbs/dietary supplements, cognitive behavioral interventions and psychological counseling.
10:00 AM - 10:30 AM
Break
10:30 AM - 11:30 AM
Female Sexual Interest Arousal Disorder
Michael L. Krychman, M.D.
Clinical Associate Professor, University of Southern California, Los Angeles, CA
Medical Director of Sexual Medicine, Hoag Presbyterian Hospital, Newport Beach, CA
Lecture Description:
Hypoactive sexual desire disorder (HSDD) is described as persistent or recurrent deficiency or absence of sexual thoughts, fantasies and/or desire for sexual activity that causes marked personal distress or marked interpersonal difficulties not better accounted for by another primary disorder, drug medication, or general medical condition (DSM IV-TR). With the new revision of the DSM V, researchers now have combined both Arousal and Desire Disorders into one combined diagnosis now called Female Sexual Interest Arousal Disorder (FSIAD). FSIAD has diagnostic overlap of both conditions and includes a time duration of symptomatology in the range of 75% to 100% of the time. HSDD may be a condition that is either lifelong or acquired. The woman may experience lowered desire with distress with one partner (situational) or with all partners (generalized). Some clinical studies have estimated that sexual problems encompassing issues surrounding desire, arousal, and orgasm may exist in over 40% of women. However, when one factors in the issues related to personal distress that number decreases and the most prevalent disorder remains HSDD. It is estimated that HSDD has a frequency of approximately ten percent. Women with lowered sexual desire may suffer from lowered sexual self-esteem, poor self-image, mood instability, depression and relationship discord. In addition to these issues, research demonstrates that when sexual activity is satisfying and enjoyable it adds approximately
15-20% of positive value to the relationship. Conversely, when sex is nonexistent or unsatisfying, it disproportionally drains an inordinate amount of value (of about 50-70%). Loss of libido not only affects the psyche of the woman herself but certainly has direct effects on her partner. The woman with HSDD may suffer from underlying mood concerns, and HSDD also has an impact in multiple domains of sexual responsivity. Diagnosis, evaluation and assessment of sexual complaints is paramount even for the busy health care clinician. Currently there is only one approved pharmaceutical medication approved for the treatment of premenopausal generalized acquired HSSD, named Flibanserin/ Addyi®. While approved, flibanserin has a boxed warning prohibiting alcohol use and explicit concerns regarding adverse events such as hypotension and or syncope. In addition, there are interactions
with conventional commonly prescribed medications. Health care professionals and patients alike are utilizing and seeking alternative evidence based therapies to help ease the burden of distressing sexual complaints. A comprehensive and detailed discussion concerning the treatment paradigm for sexual dysfunction is not only timely, but given the growing incidence of sexual complaints in the general population, and the lack of safe and effective treatment options, number of women suffering in silence is growing to staggering proportions. A detailed discussion concerning treatment options will be reviewed discussed during the evidence based scientific lecture: hormones, approved and investigational medications, herbs, vitamins, supplements, lifestyle modifications (diet, exercise, stress and time management). Complementary and alternative therapies that are used to treat sexual problems will also be discussed. Mindfulness, acupuncture and aromatherapy will be reviewed.
11:30 AM - 12:30 PM
Coffee/Caffeine to Improved Health.
Kenneth R. Thomas, M.D.
Founder and Medical Director, Thomas Urology Clinic, Starkville, MS
Founder and Medical Director, Complete Health Integrative Wellness Clinic, Starkville, MS
Owner & Roaster, Umble Coffee Co., Starkville, MS
Lecture Description:
Coffee is one of the most ubiquitous beverages on the planet and has been for around one thousand years. We drink this magic elixir because we flat out like it and/or enjoy the stimulation caused by caffeine, but is it healthy for us? It wasn’t too long ago that doctors cautioned against coffee consumption. We have more data now, and the pendulum is swinging back towards coffee showing long-term health benefits. In this lecture, we’ll discuss these health benefits, the factors in coffee that positively and negatively impact our health, and come away knowing what it takes to make a cup of coffee optimized for the health of ourselves and the community we serve.
12:30 PM - 1:30 PM
Optimizing Male Hormonal Output Through the Triangle of Performance: Biochemistry, Exercise and Nutrition
Ali Gilbert
Founder, Metabolic Golf, Cos Cob, CT
Partner, Greenwich DX Sports Labs, Cos Cob, CT
Director of Performance, CLAY Health Club & Spa, Greenwich, CT
Lecture Description:
Biochemistry is the one variable fitness professionals do not have control over, yet medical professionals do. Providing there is communication between to the two fields, could yield some powerful results for patients from a fat loss and vitality standpoint, as both these professions have a large amount of crossover in terms of information and relevancy.
This talk will focus on bridging the gap between the conventional medical model and the science of metabolism, nutrition and exercise as it is relevant to Men. In order for patients to truly experience ultimate results it requires an amalgamation of both fields within a “triangle of performance” that includes addressing exercise protocols, nutrition/ lifestyle, and biochemistry/hormone optimization. In our current 24/7
stressed out society, many men turn to exercise as an outlet. However, it is important to be able to determine what someone can effectively handle from a subjective and objective standpoint, specifically their hormonal health and physical state. If we can determine how to effectively prescribe weight training, cardio and nutrition from a physiological understanding of a person’s current hormonal state, we are likely to improve results more so than with one variable by itself.
Ali will draw upon research based evidence for the type, load, and frequency of exercise that drives hormonal output in men. Ali will cover the current state of male hormonal health, how the male physiology has adapted to the current estrogenic environment, and what can be done from the exercise & nutrition side to help Men live a more optimal life. Attendees will walk away with a practical understanding of how to optimize the relationships of the triangle of performance-lifting, nutrition, and biochemistry in order to forge the highest performing humans.
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