Conference Evaluation for CME Credit

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Once your evaluation is completed, you will be able to print out your CME certificate.

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Accreditation November 2014

Outcome Objectives

• Discuss the initiation and resolution of inflammation mediated by the innate immune system and the role and clinical use of diet, nutrition and supplements in the activation and resolution of the inflammatory response.
• Identify clinical “biomarkers” that indicate the presence of inflammation and what clinical testing methods are indicated for measurement.
• Discuss the role of detoxification as a role in reducing inflammation, particularly as it applies to heavy metal toxicity.
• Describe the impact of inflammation on cerebral functioning and discuss the benefits of specific interventions.
• Describe etiology of inflammation and the limitations of employing biologics to mitigate occurences and alternative methods of inflammation treatment and how a diverse array of cytokines can tempter systemic and specifics regional areas of inflammation.
• Discuss methods for patient assessment of endothelial function and inflammation, the importance of the diagnosis and lean clinical methods for reducing endothelial inflammation and the need for ongoing surveillance.
• Identify adrenal fatigue and associated risk factors, using appropriate testing methods and how to develop an evidence based patient treatment regime that will result in improved patient outcomes.
• Discuss methods to correct low testosterone in male patients including appropriate patient assessment, food sensitivity testing and nutrient levels.
• Identify, compare and contrast the different methods for testing hormones, discussing the advantages and disadvantages of each and their clinical significance and utilization.
• Identify peak and trough levels used for multiple steroid hormones and compare and contrast the various delivery methods, their benefits and potential complications.
• Identify the risk factors, lifestyle, metabolic and hormonal changes that decline with age, ultimately leading to weight gain and other disease states and understand specific laboratory and diagnostic work-ups to apply an individualized treatment plan to optimize hormonal and metabolic equilibrium.
• Describe the importance of Estrogen Metabolism plays in HRT and the role xenoestrogens and other toxins play in the metabolism of hormones.
• Review the importance of Growth Hormone, and learn appropriate methods of patient evaluation, particularly how to perform a Glucagon Stimulation Test. Discuss treatment protocols using secretagogues and growth hormones in combination to maximize patient outcomes.
• Diagram the metabolic pathways by which estrogens are metabolized, highlighting the primary biochemical purpose of the pathway and describe how aberrant genes may contribute to great risk of impaired metabolism and consequent disease.
• Utilize genetic testing to develop personalized patient treatment plans with targeted outcomes.
• Describe the relationship between Precision Medicine and personalized prevention and process of individualized patient treatment programs.
• Evaluate the concept of Epigenetics as it applies to Age Management Medicine.
• Differentiate between association and causation and interpret studies as to whether they prove association versus causation. Determine whether administering estrogen to women results in an increase in dementia or protection against dementia.
• Discuss the role and importance of nitric oxide (NO) in human health, identify symptoms of nitric oxide insufficiency in patients and learn how to apply the latest technologies as well as diet and lifestyle modification to restore NO homeostasis in patients.
• Discuss the role of environmental toxins which may cause endocrine disorders and the latest diagnostic testing protocols.
• Discuss the latest legal issues surrounding the use of testosterone.
• Assess the safety of testosterone therapy and make appropriate clinical decisions in order to safely administer testosterone when indicated.
• Describe the link between stress and inflammation and discuss clinical approaches to treating patients with diseases associated with stress.
• Gain an understanding of how disorders in mood and cognition reflect an imbalance in internal biochemistry, especially in neurotransmitter and hormone function along with appropriate laboratory testing and treatment options such as dietary changes, targeted nutritional supplementation and bio-identical hormones.
• Discuss mechanisms of how SHBG impacts hormone levels and is reflected on subsequent lab results and understand other ways that SHBG contributes to health beyond its influence on hormones, particularly as a risk marker for numerous health conditions.
• Identify the systemic effects related to ED; discuss natural therapies and show that combinations of some of these ingredients may be a viable evidence based alternative, but stress that these must also be used with caution.
• Discuss the pathophysiogy of food allergies contributing to various pain syndromes and the diversity of non-gastrointestinal effects of food allergies including the mechanism of cellular mimicry and potential initiating process of many auto immune mechanisms and the use of nutraceutical inventions.
• Discuss why certain supplements may not provide an observable clinical response even when there are published papers to describe the effect of that supplement’s key bioactive in human cells and the significance of bioavailability in the dose response of diet derived bioactive compounds.
• Discuss the importance of intracellular testing for accurate micronutrient management in elderly patients including a portfolio of tests to consider for a reasonably comprehensive multisystem assessment of patients.
• Discuss the concept that brain cancer is primarily a metabolic disease and that effective treatment protocols such as mitochondrial enhancement therapies using calorie restricted ketogenic diets administered in combination with drugs that target glucose and glutamine metabolism can be a nontoxic, cost effective treatment alternatives.
• Describe the characteristics of stable and unstable plaque and discuss testing and clinical interventions that can be performed to reduce the risk of cardiovascular event.
• Discuss new genomic research data on supercentenarians.
• Discuss new treatments involving adipose derived stem cells for a variety of conditions including COPD and compare and contrast the potential of these stem cells with traditional methods of treatment acute and degenerative diseases.
• Identify symptoms and diseases created by EMF exposure and discuss ways to identify and decrease sources of EMF radiation, alleviating symptoms and reducing the risk of future illness.