Agenda May 2016
Course is designed to teach physicians and healthcare professionals a basic understanding of the science of the human genome and how it can be applied in a medical practice. Attendees who registered in advance for this course have been offered an opportunity to submit a blood sample and participate in whole genome sequencing. Clinical whole genome sequencing is performed in a CLIA-certified CAP-accredited laboratory and includes analysis and interpretation of over 1200 clinical conditions found in approximately 1700 genes. Participants will be able to upload their genome to an educational and visualization tool. Those that did not submit a sample will have access to a demo genome during the hands-on workshop.
7:00 AM - 7:45 AM
Proven Low Cost Ways To Successfully Reinvent Your Practice Now!
Presented by Ken Janson, M.D., Derrick DeSilva, Jr., M.D., Tim Patel, M.D.
Open to all attendees and includes a complimentary breakfast
Non-CME symposium sponsored by PrevientMD
8:00 AM - 8:30 AM
The Integration of Genomics & Precision Medicine in Age Management
Florence Comite, M.D.
CEO & Founder, Comite Center for Precision Medicine, New York, NY
Member, AMMG Conference Planning Committee
Lecture Description:
Precision Medicine: President Barack Obama made it a priority, startups are making it sexy, and now, the N-of-1 approach to health is poised to redefine age management medicine as we know it. By integrating individual genomic and phenotypic data, precisionists can provide each patient with a comprehensive health assessment, and a personalized, actionable plan to effectively “switch off” genes associated with disorders of aging – decades before they are expressed. Each assessment relies on the unique interpretation and integration of patient-specific metrics to provide precise therapeutic and diagnostic guidance on lifestyle, sleep, stress management, nutrition, exercise, supplements and medications. The ultimate goal as a clinician: Detect and reverse disease, sustain healthy lifestyle, and offer each and every individual the opportunity to attain a health span that matches his or her lifespan.
8:30 AM - 9:15 AM
Genetics 101
Jeanette McCarthy, MPH, Ph.D.
Adjunct Associate Professor, Center for Applied Genomics and Precision Medicine, Duke University
Adjunct Associate Professor of Medicine, University of California, San Francisco, Division of Medical Genetics
Lecture Description:
This presentation will convey vocabulary and basic concepts about the human genome, genetic variation and its relation to disease. Specifically, it will cover the following:
• DNA, chromosomes, genes, gene expression
• Variation in the average human genome, including mutation types, allele frequencies
• Consequences of genetic variation on protein structure and function
• Mendelian diseases - modes of inheritance, genetic basis
• Common, complex diseases – genetic basis
9:15 AM - 10:00 AM
Empirical Studies on the Path to Genomic Medicine
Robert C. Green, M.D.
Director, genomes2people Research Program, Division of Genetics, Department of Medicine, Brigham and Women's Hospital, Broad Institute and Harvard Medical School, Boston, MA
Lecture Description:
Distinguish Mendelian variation from common complex risk variation and describe the clinical and personal utility of each. Provide information about the impact of disclosing genetic risk information in these categories. Explain models of direct-to-consumer genetic testing vs medically mediated genetic testing.
10:00 AM - 10:15 AM
Break
10:15 AM - 10:45 AM
The Genomics Opportunity
Dawn Barry
Vice President, Applied Genomics, Illumina
Lecture Description:
History of the Genome: Where it started, where we are now and what the future looks like. Recognizing attendees to be among the first to have whole genome sequencing.
10:45 AM - 11:30 AM
Clinical Whole Genome Sequencing in a Healthy Population
Erica Ramos, MS, LCGC
Staff Genetic Counselor, Illumina
Lecture Description:
Ground attendees in the basics of clinical whole genome sequencing in a healthy population including the interpretation process prior to the reveal of their genomes. Ensure participant understanding of what is included in the TruGenome Predisposition Screen as well as set expectations on the current state of whole genome sequencing. Highlight the value of having whole genome sequencing for today and in the future, and emphasize the rapid advancement of genetic discoveries means more answers in your genome as future unfolds.
11:30 AM - 12:00 PM
Your Genome Revealed
Molly McGinniss, MS, LCGC
Genetic Counselor, Illumina
Lecture Description:
Introduction, history and direction of the genome visualization tool, as well as a live demonstration and hands-on walkthrough of uploading genome.
12:00 PM - 1:30 PM
Lunch Break
12:00 PM - 1:00 PM
Beyond Telomeres - TA65MD® Making Real Impact With Your Patients and Your Practice
Presented by Thomas Berenguer, M.D.
Open to all attendees and includes a complimentary lunch
Non-CME symposium sponsored by T.A. Sciences
1:30 PM - 2:00 PM
Holding and Exploring Your Genome
Erica Ramos, MS, LCGC
Staff Genetic Counselor, Illumina
Molly McGinniss, MS, LCGC
Genetic Counselor, Illumina
Lecture Description:
Small group workshops with genetic counselors available to help participants walk through the visualization tool guide and/or answer attendee questions, network, explore your/demo genome.
2:00 PM - 2:40 PM
Fat Jeans, Fit Genes: How DNA Impacts Diet & Exercise
Andrea Perales, M.D., MPH
Staff Physician, ComiteMD, New York, NY
Lecture Description:
No two people are alike, so why are we still prescribing, and following, a one-size-fits-all approach to diet and exercise? The human genome is a treasure trove of deeply personal information that, when considered with environmental factors, can help us to live longer, healthier lives. In particular, advances in the fields of nutrigenetics and kinesiogenomics bring a new level of understanding to individual nutrition and exercise response. This presentation will describe the interaction and influence of nutrition, exercise and genetics on disease susceptibility and weight management. Specific genes associated with detoxification, nutrient uptake and metabolism, food sensitivities and intolerance, power and endurance, injury resilience and recovery will be discussed. Discover the power of a personalized “fit genes” approach to diet and fitness.
2:30 PM - 7:00 PM
Exhibits Open
2:40 PM - 3:30 PM
Moving from Precision Medicine to Precision Wellness through a Systems Understanding of Health and Disease
Joel Dudley, Ph.D.
Assistant Professor, Genetics and Genomic Sciences & Director of Biomedical Informatics, Icahn School of Medicine at Mount Sinai, New York, NY
Lecture Description:
This talk will explain and give examples on how the convergence of genomics, digital health, clinical medicine, and data science are creating powerful new opportunities to understand health and disease. The speaker will offer examples of precision medicine in action and provide a vision on how to realize precision wellness from current advances in precision medicine.
3:30 PM - 4:15 PM
Break - Visit Exhibits
4:15 PM - 5:15 PM
Case Presentations & Panel Discussion with Q & A: Chance to Reflect, Investigate, and Inquire
Florence Comite, M.D.
CEO & Founder, Comite Center for Precision Medicine, New York, NY
Member, AMMG Conference Planning Committee
Joel Dudley, Ph.D.
Assistant Professor, Genetics and Genomic Sciences & Director of Biomedical Informatics, Icahn School of Medicine at Mount Sinai, New York, NY
Jeanette McCarthy, MPH, Ph.D.
Adjunct Associate Professor, Center for Applied Genomics and Precision Medicine, Duke University
Adjunct Associate Professor of Medicine, University of California, San Francisco, Division of Medical Genetics
Erica Ramos, MS, LCGC
Staff Genetic Counselor, Illumina
5:15 PM - 5:30 PM
Wrap-Up Talk & Closing Remarks
Florence Comite, M.D.
CEO & Founder, Comite Center for Precision Medicine, New York, NY
Member, AMMG Conference Planning Committee
5:30 PM - 7:00 PM
AMMG Welcome Reception
Open to all conference attendees, spouses and guests
Held in Conference Networking and Exhibits Center
Course is designed to familiarize physicians and healthcare professionals with the basics of Age Management Medicine. Covers evidence-based use of nutrition, supplements, detox protocols, mind-body medicine, hormones and assessment protocols, with some of the newest medical science on aging that may be in use now or in the near future; including relevant case presentations and discussion.
7:00 AM - 7:45 AM
Proven Low Cost Ways To Successfully Reinvent Your Practice Now!
Presented by Ken Janson, M.D., Derrick DeSilva, Jr., M.D., Tim Patel, M.D.
Open to all attendees and includes a complimentary breakfast
Non-CME symposium sponsored by PrevientMD
8:00 AM - 8:40 AM
Nutrient Strategies for the Age Management Clinician
Derrick M. DeSilva, Jr., M.D.
Chairman, AMMG Conference Planning Committee
Senior Attending Staff, Dept. of Medicine, Raritan Bay Medical Center, Perth Amboy, NJ
Teaching Faculty, JFK Medical Center, Edison, NJ
Lecture Description:
Basic nutrients are critical to better health. The safe use of these nutrients in clinical practice is even more critical. How clinicians inform their patients on the safe use of these supplements needs to be part of their daily routine. During this presentation we will review some of the basic strategies the physician can use to make patients in their practice, and the public in general, aware that what they are doing is not only beneficial but safe.
8:40 AM - 9:15 AM
Clinical Use of Supplements in the Age Management Practice
Derrick M. DeSilva, Jr., M.D.
Chairman, AMMG Conference Planning Committee
Senior Attending Staff, Dept. of Medicine, Raritan Bay Medical Center, Perth Amboy, NJ
Teaching Faculty, JFK Medical Center, Edison, NJ
Lecture Description:
Estimates are that 70% of the U.S. population is using some type of “Integrative Medicine.” Supplement use by our patients is above 50%. During the presentation we will discuss the safe and best way for the clinician to direct their patients on the use of supplements.
9:15 AM - 9:50 AM
The Role of Detox: Key in Achieving Optimal Health is Detoxification
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:
We live in a toxic environment and there is no place on earth that is free from environmental toxins (including the North Pole). In one recent study it was noted that 206 million pounds of toxic chemicals were dumped into U.S. waterways in one year. Toxic chemicals not only affect our environment but also our own health. Many of these chemicals are endocrine disrupting agents that are associated with the increase of hypogonadism, infertility, obesity, autism, autoimmune diseases and many more. Removing fat-based chemicals is only performed through the liver by a two-step process. In this talk phase 1 and phase 2 detoxification pathways will be reviewed and also a step-by-step way on how to detoxify will be covered.
9:50 AM - 10:30 AM
How to Address the Effect of the Mind and Body on Hormone Therapies
Sangeeta Pati, M.D., FACOG
Medical Director, SaJune Institute for Restorative and Regenerative Medicine, Orlando, FL
Board Certified, American Board of Obstetrics and Gynecology
Diplomat, Anti-Aging & Regenerative Medicine
Lecture Description:
In the practice of restorative medicine, it is a challenge to help patients manage the stress which is a root cause of depletion. What we find is that the external stressors place high demands on nutrients and hormones as we replace them, leading to continuing depletion and symptoms such as anxiety, panic attacks, fatigue, body aches, allergies, insomnia, and the general feeling of being overwhelmed by normal life. Learning to use techniques that reduce the conversion of external stressors to internal effects is a key component of hormone restoration. Using our 5-point restorative framework over 12 years in over 11,000 patients, it has become clear that we can be instrumental in helping patients make choices about controllable external factors and helping patients reduce the effect of these stressors on their hormonal/nutrient reserve. In this lecture you will learn about the simple tools that we have used effectively to support our hormone therapies. In fact, with these tools we have been significantly more successful in all patients across the board and especially those with high stress. This lecture will contain evidence-based didactic data illustrated by cases.
10:30 AM - 10:45 AM
Break
10:45 AM - 12:00 PM
Introduction to HRT in Women
Sangeeta Pati, M.D., FACOG
Medical Director, SaJune Institute for Restorative and Regenerative Medicine, Orlando, FL
Board Certified, American Board of Obstetrics and Gynecology
Diplomat, Anti-Aging & Regenerative Medicine
Lecture Description:
In this presentation, you will learn about the data and the practicalities that are considered when optimizing hormones in women. We will cover the data that supports the use of estrogen for protection from disease of the brain, bone, and heart. Learn about the symptoms and conditions that indicate low estrogen. Does estrogen cause cancer or protect from cancer? Is it appropriate to use estrogen without progesterone? Should you use oral or transdermal estrogen? What are the forms and routes (oral, transdermal, vaginal, pellets) and doses? How do the adrenals, thyroid and nutrition affect these therapies? All principles will be demonstrated through cases.
12:00 PM - 1:30 PM
Lunch Break
12:00 PM - 1:00 PM
Beyond Telomeres - TA65MD® Making Real Impact With Your Patients and Your Practice
Presented by Thomas Berenguer, M.D.
Open to all attendees and includes a complimentary lunch
Non-CME symposium sponsored by T.A. Sciences
1:30 PM - 2:45 PM
Introduction to HRT in Men: What All Clinicians Should Know About HRT for Men, But Don’t
Neal Rouzier, M.D.
Director, The Preventive Medicine Clinics of the Desert, Palm Springs, CA
Lecture Description:
There is no other therapy that physicians can offer that has the impact and importance in improving how we feel and function as does hormone replacement, and this applies to both men and women. There is no other therapy that has the long-term studies and literature support for improving longevity and decreasing the diseases of aging which can lead to deterioration in our function and ultimate demise. The purpose of this lecture is several-fold. Using the medical literature, we will come to understand the importance of all hormones for both men and women and the detrimental effects of hormone depletion. Secondly, there are many different hormones of importance in both men and women (testosterone, thyroid, DHEA). Thirdly, a review of our literature will demonstrate surprising benefits of hormones that most physicians remain unaware of. All of the hormones listed have well documented protective effects on all of our organs, tissues, and aesthetics, all of which are important to any cosmetic or preventive medicine practice. There is not one surgical procedure that can affect skin thickness, wrinkles, collagen, muscle tone, subcutaneous fat, visceral fat mass, improve longevity & health, plus improve our quality of life and well-being. However this is precisely what hormone replacement can accomplish. Sound too good to be true? Well let’s examine the evidence based medical literature to get an understanding of the science that supports this and why men too demand HRT.
2:30 PM - 7:00 PM
Exhibits Open
2:45 PM - 3:30 PM
Break - Visit Exhibits
3:30 PM - 4:15 PM
The Use of Fitness in the Clinical Age Management Practice: Assessing the Patient and Developing Individualized Treatment Plans
Mary L. Corry, RN, BSN
Medical Education Specialist, Worldlink Medical
Member, AMMG Certification Committee
Member, AMMG Conference Planning Committee
Lecture Description:
A systematic review of the effects of customized training interventions on measures of functional outcomes in healthy older adults. The importance of assessing the patient, categorizing them based on strength and cardiovascular ability, and developing an individualized treatment plan will be reviewed.
4:15 PM - 5:00 PM
Assessing the Age Management Patient
C.B. Daniel, M.D.
CEO & CMO, Cenegenics, Phoenix, AZ
Lecture Description:
What is the current evidence based approach to the initial clinical assessment of the age management patient? How has the clinical evaluation evolved over the last several years and where is it headed in the future? What are the current diagnostic tools we have available to evaluate and to monitor patients in age management medicine? What is our relationship to our traditionally practicing medical colleagues? How do we understand what our roles and responsibilities are to our patients in age management medicine?
5:00 PM - 5:30 PM
Core Case Presentation and Discussion
Derrick M. DeSilva, Jr., M.D.
Chairman, AMMG Conference Planning Committee
Senior Attending Staff, Dept. of Medicine, Raritan Bay Medical Center, Perth Amboy, NJ
Teaching Faculty, JFK Medical Center, Edison, NJ
Sangeeta Pati, M.D., FACOG
Medical Director, SaJune Institute for Restorative and Regenerative Medicine, Orlando, FL
Board Certified, American Board of Obstetrics and Gynecology
Diplomat, Anti-Aging & Regenerative Medicine
Neal Rouzier, M.D.
Director, The Preventive Medicine Clinics of the Desert, Palm Springs, CA
5:30 PM - 7:00 PM
AMMG Welcome Reception
Open to all conference attendees, spouses and guests
Held in Conference Networking and Exhibits Center
AMMG presents this track 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. 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, which could be severely restricted in an accredited environment.
7:00 AM - 7:45 AM
Proven Low Cost Ways To Successfully Reinvent Your Practice Now!
Presented by Ken Janson, M.D., Derrick DeSilva, Jr., M.D., Tim Patel, M.D.
Open to all attendees and includes a complimentary breakfast
Non-CME symposium sponsored by PrevientMD
8:00 AM - 9:00 AM
Maximizing the Power of Microneedling
Marie Piantino, L.E.
President, Aesthetic Education Group LLC
Founder, American Academy of Medical Microneedling
Lecture Description:
Micro Fractional Collagen Stimulation, also referred to as microneedling/stamping/rollers, has been around since 1950. A procedure by which the body’s natural response to healing is used to increase the amount of extracellular matrix (such as collagen or elastin) in the skin, microneedling creates a fractional series of thousands of micro-channels, which allow for leakage of blood, serum and lymph in a controlled and temporary manner. These “injuries” are enough to initiate the “wound healing cascade.” This is an overview of current microneedling technology used for Collagen Induction Therapy in Skin and how CIT fits into the aesthetic practice.
9:00 AM - 10:00 AM
The Use of Platelet Rich Plasma (PRP) and Adipose Derived Regenerative Cells (ADRCs) in Aesthetic Medicine: Solving Cosmetic & Genital Problems with PRP. A Literature Review.
Charles Runels, M.D.
Founder, American Cosmetic Cellular Medicine Association
Founder, Runels Center for Lifelong Health
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. Runels is an innovator of PRP techniques to improve facial aesthetics as well as sexual function in men & women will review the current literature and offer a preview of what’s coming.
10:00 AM - 10:15 AM
Break
10:15 AM - 10:45 AM
Chemical Peels: Facts, Benefits & Precautions When Used with Non-Invasive Skin Care Procedures
Sheila Malmanis, L.E.
President, MS Skintechnical, Inc., Phoenix, AZ
Lecture Description:
This lecture will provide an understanding of which type of peel is the right range from the intensity of the procedure…There are basically three types of chemicals peels…light, helps remove acne scars, medium, smooths visible wrinkles, and deep can treat sun-damaged skin, etc. Learn more about resorcinol, glycolics, jessners, citric acid or TCA. What percentages should and or should not be used with certain procedures such as microneedling, microdermabrasion, or stand alone? What are the precautions and or benefits with each of these chemical peels and what type of results to be expected? Find the answers to some of these questions in this advanced chemical peel class.
10:45 AM - 11:15 AM
Learn How to Use Social Media to Reach Aesthetic Patients and Fit Your Budget
Marcus Sanchez
Director Marketing, Rejuvapen, Jacksonville Beach, FL
Lecture Description:
When businesses want to reach the masses, they no longer look to television, radio or print media like newspapers and magazines. Instead, they turn to social media networks to connect with consumers and other businesses, with surprisingly good results. The medical industry has been slow to embrace this method of communication. As a result, doctors, medical device manufacturers, medical institutions and companies may be losing out on a chance to connect with potential patients. Many doctors, hospitals and other medical institutions tend towards caution when it comes to entering the world of social media, and the majority of practitioners avoid social media altogether. Among the biggest concerns that medical practitioners and institutions have with the use of social media is the need to protect patient privacy and fears that entry into social media may compromise security. Another concern is that it would be necessary for doctors, hospitals and other healthcare providers to create a monitoring system to prevent employees from abusing the social media connection, and to ensure that information that is shared is factually correct and has a positive impact on the image and reputation of the institution. In addition to adding a virtual face to an otherwise faceless establishment, using social media allows quick communication between businesses and consumers. This is especially helpful for pharmaceutical companies, medical supply companies and other medical businesses. If there is
information to be shared—whether it’s for upcoming events or sales or for new inventory—there’s no better way to get the word out quickly without having to pay costly postage.
• How organizations can use this platform to alleviate damage to brand equity
• The importance of transparency
• Examples of how social media has fomented health care brand negativity
• How being proactive on social media can pay significant dividends
11:15 AM - 12:00 PM
Combination Treatment
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:
Learn how to incorporate the many noninvasive procedures available in the office. Utilizing Botox and filler can create significant visual change in the patient's facial profile. Combine with that some skin resurfacing, all of which involves little to no downtime to the patient.
12:00 PM - 1:30 PM
Lunch Break
12:00 PM - 1:00 PM
Beyond Telomeres - TA65MD® Making Real Impact With Your Patients and Your Practice
Presented by Thomas Berenguer, M.D.
Open to all attendees and includes a complimentary lunch
Non-CME symposium sponsored by T.A. Sciences
1:30 PM - 2:15 PM
Growth Factors: Myth vs. Science
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:
Growth factors: why are they so special? What do we look for to qualify the right ones for the condition we are treating? How do we place them into an aesthetic practice and why? Understand the importance of knowing the source of the gf in how a product is manufactured. Get the medical foundation to select the ideal gf combination to achieve the desired effect for your patient's condition. Expand your knowledge of how YOU can implement the use of gf into your Medical or Aesthetic practice.
2:15 PM - 3:00 PM
Hidden Hormone Issues that Affect Your Skin Health
Sanjay Kapur, Ph.D., MBA
CEO, AYUMETRIX, Portland, OR
Lecture Description:
Skin health is a major concern, especially in aging women. It is no coincidence that the decline in hormone levels as people age parallels the decline in skin properties frequently associated with aging. Hormones are intrinsically involved with processes affecting the maintenance of skin health, such as collagen content, skin lipid levels, elasticity, wound healing, glycoaminoglycan content, and facial hair patterns. This program addresses the importance of hormones in skin wellness, but also cautions women and men seeking to reverse skin deterioration by using hormone replacement. Hormonal deficiencies can be identified with minimally invasive laboratory testing and treated with hormone replacement to improve overall health and wellness as well as to mitigate the effects of aging. However, hormone replacement should be done with appropriate monitoring to ensure physiological hormone levels are achieved. The irresponsible use of topical or systemic hormones for cosmetic purposes cannot be recommended, and it is important to understand the powerful effects of hormones throughout the body. The cosmetic and anti-aging industry is big business. Yet a major culprit for the skin thinning, wrinkling, and dryness associated with aging is the decline in hormones such as estrogen and progesterone in women, and testosterone in men. This program examines the relationship between hormones and skin properties and explores the effects of hormone replacement on some of the skin problems
associated with hormonal decline. While hormone replacement cannot be recommended solely for cosmetic purposes, proper monitoring of hormone levels in an aging population can help identify deficiencies that can be resolved with judicious hormone use, which may have the added benefit of improving skin wellness and thereby saving substantial costs in cosmetic treatments.
2:30 PM - 7:00 PM
Exhibits Open
3:00 PM - 3:45 PM
Break - Visit Exhibits
3:45 PM - 4:30 PM
Light Emitting Diodes: Fact or Fiction
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 wave lengths 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.
4:30 PM - 5:30 PM
How to Take All the Information and Put it Together and Add Aesthetic to Your Practice
Marie Piantino, L.E.
President, Aesthetic Education Group LLC
Founder, American Academy of Medical Microneedling
Lecture Description:
Where do I start? How do I create a road map that is interesting and financially successful, what do I start with and why? Do I have staff that can help me or am I adding more? How do I create an aesthetic menu and what do I charge? How do I put packages together and to what type of patient do they apply? All these questions will be discussed and answered so you are better prepaid to make financial choices.
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
How to Build a Strong Age Management Business by Implementing Medical Weight Loss into Your Practice
Presented by Dr. Kimball Lundahl, D.C.
Open to all attendees and includes a complimentary breakfast
Non-CME breakfast symposium sponsored by Healthy Habits
8:00 AM - 8:05 AM
Opening Remarks
Derrick M. DeSilva, Jr., M.D.
Chairman, AMMG Conference Planning Committee
Senior Attending Staff, Dept. of Medicine, Raritan Bay Medical Center, Perth Amboy, NJ
Teaching Faculty, JFK Medical Center, Edison, NJ
8:05 AM - 8:55 AM
Estrogen for Women: Benefits, Risks, Modes of Delivery
Kathryn Retzler, N.D.
HormoneSynergy Clinic, Portland, OR
Lecture Description:
This lecture will cover the basics of estrogen supplementation for peri- and postmenopausal women. Risks and benefits will be covered. Modes of delivery will include patent pharmaceuticals such as oral, transdermal (patch), topical gel, and injectable estradiol. Compounded options presented will include vaginal cream, troche/sublingual tablet, oral, injectable, topical cream/gel, and pellet implants. Pros and cons of all available options will be reviewed and laboratory testing will be outlined. Participants will be given dosage ranges and be able to prescribe ERT with appropriate follow up after attending.
8:55 AM - 9:55 AM
Featured Speaker: 9 Resolutions Representing Expert Consensus and State of the Art in Testosterone
Abraham Morgentaler, M.D., FACS
Director, Men’s Health Boston, Boston, MA
Associate Clinical Professor of Urology, Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, MA
Lecture Description:
At a recent conference we arrived at 9 resolutions representing the state of the science. Several of these address key issues for MDs who offer testosterone, including whether the benefits are "proven," the utility of total testosterone in making the diagnosis, the FDA's recent restriction on treating "age-related hypogonadism," and whether the widely believed risks re prostate cancer and CV risks are real.
9:55 AM - 10:35 AM
Break - Visit Exhibits
10:35 AM - 11:15 AM
Addressing the Benefits of Continued Sexual Activity in the Elderly Population: The Use of Addyi, Viagra and Alternative Holistic Methods of Enhancement
Elizabeth M. Prusak, M.D.
Gynecologist and Associate Professor, Lahey Medical Center, Peabody, MA and Tufts University, Boston, MA
Lecture Description:
Senior citizens have sex, but why is this so difficult for society to think about? Why we might not want, or like, to address sex among older people involves reasons that are both obvious and complex. Perhaps another reason it's difficult to acknowledge sexuality in older generations has to do with the ways that women were not encouraged to act sexually prior to the "Sexual Revolution" in the 1960s. Such a cultural prohibition led to a tendency among many older women to deny this normal human need and natural desire. However, with the development of Viagra for men and most recently Addyi, for women, sexuality in the older generation has come to the forefront. While these drugs have revolutionized sexual activity with the aged population, other natural methods have contributed including pelvic floor physical therapy with biofeedback sensors, vaginal dilators, compounded estrogen vaginal therapy, and natural vitamins and herbs. This presentation will concentrate on how to address sexuality in the aged population as a provider, common areas of concern in the elderly, traditional treatments, and what alternative therapies are available to them in addition to prescription medications.
11:15 AM - 12:15 PM
Progesterone Optimization
Neal Rouzier, M.D.
Director, The Preventive Medicine Clinics of the Desert, Palm Springs, CA
Lecture Description:
Optimization of progesterone and case examples, multiple studies that prove transdermal cream is worthless and harmful, and saliva testing for monitoring therapy is fraught with error. Scientific studies prove where your levels should be for maximum protection, and where they should not be if one wants to protect against cancer. Case studies with labs show the good and bad. Case studies show the good of optimization and the harm of relying on saliva levels. Progesterone Optimization: Oral vs. transdermal vs. SL, which is better and protective and which is worthless but most often prescribed.
Progesterone: Just as important as estrogen
• Absolutely necessary in ALL women at whatever age
• A literature review: There is not one negative study
• Protection against breast cancer, uterine cancer, heart disease
• MP ≠ MPA, natural vs. synthetic, safe vs. unsafe
• If some is good, more is better? Absolutely
• Dosing, monitoring, adjusting, and the importance of optimization
• Serum vs. saliva testing and harm of inadequate dosing
12:15 PM - 1:30 PM
Lunch Break - Visit Exhibits
12:15 PM - 1:15 PM
Sub-Cutaneous Hormone Pellet Therapy - Alternative Medicine or an Alternative to Bad Medicine
Presented by Gary S. Donovitz, M.D.
Open to all attendees and includes a complimentary lunch
Non-CME symposium sponsored by BioTE
1:30 PM - 2:15 PM
Behavioral Change Technology: How to Successfully Motivate Healthy Lifestyle Choices After a History of Failure
Kenneth Janson, M.D., FACS
Senior Attending Physician, Northwestern Lake Forest Hospital
Lecture Description:
For many if not most of the patients that we care for in the field of age management medicine, helping them develop the motivation to make positive lifestyle changes is the primary factor which determines success or failure in achieving their goals. For some, motivation to change is strong. In these patients, our efforts as physicians and caregivers are rewarded by consistent success. However, for many, no matter how hard they try, or no matter how much effort we give these patients, success eludes them because of the inability to make positive changes in their lifestyle. Food addiction, unwillingness to do productive exercise, intractable stress, are among the common reasons that we fail to help our patients succeed in accomplishing their goals. In this presentation, we will discuss current research and clinical experience which has been shown to successfully transcend these barriers to success. Understanding what we now know as the “stages of change,” is at the heart of developing a successful strategy. Only a minority of a population at risk is prepared to take action at any given time. Traditionally behavior change was often construed as an event, such as quitting smoking, drinking, overeating, or beginning to exercise. However, we now understand that this process gradually unfolds over time, involving progress through a series of stages. Once we understand these “stages of change,” and document where our patients are in their stage of change, we can then develop a plan
of action that will frequently lead to success, even when there previously was failure. We will discuss how one can make this therapeutic process is even more powerful and durable by applying new innovative methods of leveraged technology. Positive lifestyle reinforcement using technological support can then empower our patients to effect lasting change for a lifetime.
2:15 PM - 3:15 PM
Featured Speaker: The Role of Testosterone Therapy in Patients with Active Prostate Cancer
Abraham Morgentaler, M.D., FACS
Director, Men’s Health Boston, Boston, MA
Associate Clinical Professor of Urology, Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, MA
Lecture Description:
Ever since the work of Charles Huggins in 1941 the use of testosterone (T) therapy in men with prostate cancer (PCa) has been considered an absolute contraindication. Indeed, standard treatment for men with advanced or metastatic prostate cancer is androgen deprivation. However, as new understanding of the biological relationship between androgens and prostate tissue has evolved, there has been a conceptual revolution in this area. A key advance was recognition of the saturation model, which describes exquisite sensitivity of the prostate to changes in androgen concentrations at very low concentrations, but becomes indifferent to changes at higher androgen concentrations. This suggests a finite response to androgenic stimulation of PCa, which in turn has emboldened some investigators to offer T therapy to selected men with a history of PCa, particularly those who have undergone definitive treatment of localized disease. In this lecture, I will present data regarding T therapy in a population with a more uncertain prognosis, specifically men on active surveillance for PCa, i.e., men who have not yet undergone any treatment for their cancer. Preliminary data are reassuring, however it must be recognized that some of these men will undergo progression, whether or not it results from T therapy, and there are important collegial and medico-legal ramifications for offering this controversial treatment, as the conventional wisdom is that the T therapy must be responsible for cancer
progression.
3:15 PM - 3:45 PM
Break - Visit Exhibits
3:45 PM - 4:40 PM
Hormone Replacement and Breast Cancer: Friend or Foe?
Gary Donovitz, M.D., FACOG, FRSM
Founder and CEO, BioTE Medical, Irving, TX
Founder and President, Institute for Hormonal Balance
Lecture Description:
The talk will describe the very high incidence of breast cancer in the United States. It will then show how and why HRT became the culprit as a causative agent. Finally using the receptor theory and its relation to different hormones explain how we can improve quality of life for women with breast cancer and reduce recurrence of their disease.
4:40 PM - 5:30 PM
Vitamin K2 and Vitamin D: The Magic Combo for Better Health?
Derrick M. DeSilva, Jr., M.D.
Chairman, AMMG Conference Planning Committee
Senior Attending Staff, Dept. of Medicine, Raritan Bay Medical Center, Perth Amboy, NJ
Teaching Faculty, JFK Medical Center, Edison, NJ
Lecture Description:
It is estimated that over 75% of the U.S. population is deficient in Vitamin D. This pro-hormone has numerous critical functions in the human body from Immune System support to Cardio-Vascular support and Cancer prevention. It is estimated that about 80 percent of Americans do not get enough vitamin K2 in their diet to activate their K2 proteins, which is similar to the deficiency rate of vitamin D. Vitamin K2 deficiency leaves you vulnerable for a number of chronic diseases from Osteoporosis to Cancer and more. The synergy of these two nutrients and the critical role they play will be discussed.
7:00 AM - 7:45 AM
Options for Working Within the Regulations of Growth Hormone
Presented by Mark L. Gordon, M.D.
Open to all attendees and includes a complimentary breakfast
Non-CME symposium sponsored by Specialty Drug
8:00 AM - 8:15 AM
Presentation of the 1st L. Stephen Coles, M.D., Ph.D. Award for Research and Science Innovation in Aging and Age Management Medicine
8:15 AM - 9:00 AM
Opportunities for Early Intervention Offered by Early Cancer Detection
D. James Morre, Ph.D.
Emeritus Professor of Medicinal Chemistry, Purdue University, West Lafayette, IN
CEO & Director of Research, MorNuCo, Inc., West Lafayette, IN
Editorial Boards, Biochimica et Biophysicia Acta Biomembrane Reviews and Nonlinerarity in Biology, Toxicology and Medicine
Lecture Description:
Recent clinical advances, such as the identification of the ENOX2 universal serum cancer marker, have enabled the detection of cancer significantly earlier than previously possible, often prior to the onset of clinical symptoms. The detection of cancer at such an early stage presents an opportunity for early cancer intervention prior to metastasis, when the disease is most susceptible to curative treatments. By employing the concept of Curative Prevention® whereby cancer is detected and treated at the earliest possible stage, it may be possible to relegate cancer from an acute, frequently fatal, disorder to that of a chronic, potentially curable, illness. Unfortunately, the cancer interventions have almost exclusively been developed to treat advanced disease, usually after the onset of clinical symptoms and metastatic spread. What is needed are safe, early interventions, directed to cancers too small to be easily located by standard imaging techniques for surgical resection. Although such interventions are currently not within the standard of care arsenal, the ENOX2 protein target, a protein universally required for the unregulated growth of cancer cells, offers a target for development of such safe and effective early intervention strategies. One such approach is afforded by green tea polyphenols and Capsicum vanilloids either alone or in combination, both of which block the ability of ENOX2 to support cancer cell growth. Upon inhibition of the cancer-specific ENOX2 protein,
the growth of cancer cells is arrested and these cells eventually undergo apoptosis. Non-cancer cells, lacking ENOX2, are not affected. The combinations of polyphenol plus Capsicum vanilloids are safe, effective and without dose-limiting toxicities. Other ENOX2-directed substances that occur naturally include the acetogenins from the plant species Asimina triloba (paw paw) and certain isoflavones from legumes. Potential early intervention strategies based on ENOX2 inhibition will be discussed along with the potential for immune system potentiation and other reported interventions supported by clinical evidence of effectiveness worthy of further study and evaluation.
9:00 AM - 9:45 AM
Nutritional Evaluation: The Link Between a Patient’s Depression & Fatigue Issues and Nutritional Biochemistry
Kathy O'Neil-Smith, M.D., FAARM
Private Internal, Integrative and Regenerative Medicine Practice, Newton, MA
Lecture Description:
Studies suggest that nutrient-based therapies have the potential to alleviate residual symptoms and improve the outcomes of standard pharmacotherapy in patients with mood disorder. Such nutritional supplementation appears to be an effective means for promoting health and maintaining wellness as well. Over the past 30 years there has been an exponential increase in the utilization of nutritional supplements, though the development of empiric tools to quantitate the need for these supplemental nutrients – in the form of vitamins and minerals – has not been well characterized. Through the deepening understanding of nutritional biochemistry and biochemical individuality, tools are now available, utilizing in silica processing to determine the functional effect of nutritional deficiencies in: B-vitamins, anti-oxidants, amino acids, nutritional co-factors, essential minerals, and essential fatty acids. The proper application of essential minerals, B-vitamins, anti-oxidants, amino acids, and essential fats promotes the body’s ability to recover from illness and disease. With advances in specialty diagnostics, practitioners now have tools to assess nutrient need and personalize nutritional supplement recommendations. This is exactly what patients have been asking for from their physicians.
9:45 AM - 10:30 AM
Break - Visit Exhibits
10:30 AM - 11:15 AM
Smart Food for Optimal Aging
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:
For decades, the nutrition dogma by national experts has been to reduce fat intake, in particular saturated fat and in its place, increase consumption of whole grains. Recent clinical studies have challenged these recommendations and the newest published data suggests that the new recommendations for fat should be: 1. Eat more smart fat. 2. Distinguish between smart fat, neutral fat, and dumb fat. 3. It isn't smart to eat more fat unless it is also combined with eating more low glycemic load fiber, clean protein, and flavor from added herbs and spices. 4. Don't cook fat at the wrong temperature and change it from smart fat to toxic fat. The author's recently published clinical benefits from following these updated recommendations would be: enhanced weight control, a reduction in type 2 diabetes and cardiovascular disease with a reduction in arterial plaque load, and enhanced cognitive performance.
11:15 AM - 12:00 PM
Diabesity and the Gut Microbiome
Filomena F. Trindade, M.D., MPH
Private Practice, Capitola, CA
Professor, Fellowship in Metabolic & Nutritional Medicine, Morsani School of Medicine, University of South Florida
Faculty, Hormone Module, Institute for Functional Medicine, Gig Harbor, WA
Lecture Description:
Diabesity is at record numbers in the United States. Our patients are suffering the consequences of obesity and undiagnosed insulin resistance with a variety of diseases. It is the major cause of aging and death in the developed world as well as much of the developing world. The health problems resulting from diabesity is our biggest global health epidemic. Health problems include heart disease, premature death, cancer and dementia to name a few. At the core however, is the gut microbiome and how changes in it contribute to obesity, insulin resistance, pre-diabetes and diabetes. Understanding the pathophysiology of insulin resistance, with specific stages as well as its potential antecedents, triggers and mediators will clarify the relationship between it and the continuum of impaired glucose tolerance to diabetes and beyond to other diseases. This presentation this will focus on:
1. Early recognition of signs and symptoms as well as clinical presentations indicative of insulin resistance and diabesity.
2. How the gut microbiota contribute to diabesity and its relation to inflammation and cardiovascular disease.
3. Treatment options to address the changes in the gut microbiota and diabesity.
4. Patient case study.
12:00 PM - 1:15 PM
Lunch Break - Visit Exhibits
12:00 PM - 1:00 PM
Peptides and their Clinical Application
Presented by Nima Alavi, Pharm.D.
Open to all attendees and includes a complimentary lunch
Non-CME symposium sponsored by Tailor Made Compounding
1:15 PM - 2:00 PM
Recognizing and Treating Hyperparathyroidism: Understanding the Long-Term Risks of Even Mild Calcium Elevation
James Norman, M.D., FACS, FACE
Founder and Senior Surgeon, Norman Parathyroid Center, Tampa, FL
Lecture Description:
It has long been known that high blood calcium due to primary hyperparathyroidism is associated with the development of multiple secondary health problems, including kidney stones, hypertension, osteoporosis, atrial fibrillation, and higher rates of coronary heart disease. It has always been assumed that the higher the serum calcium level, the worse the hyperparathyroidism and the higher the incidence of these complications. Therefore, we were taught that it was acceptable to “monitor” the calcium levels in patients with modest elevations, referring them for parathyroid surgery if the calcium rose to some arbitrary higher number (often 1 mg/dl above normal) or the patient developed a complication. We now know that none of the complications or symptoms of primary hyperparathyroidism occur more commonly as the calcium raises higher. In fact, a calcium of 12.5 mg/dl is not associated with a higher incidence of any sign or symptom of pHPT than is a calcium of 10.5. An examination of 20,000 consecutive patients has shown that hyperparathyroidism, like all endocrine diseases, is a disease of “duration. Most patients do not develop “higher” serum calcium levels over time, yet the complications, and the often debilitating symptoms will nearly always occur. The new treatment recommendations are to cure the hyperparathyroidism as soon as it is discovered, long before the patient develops osteoporosis, stones and A-fib. Of course, their chronic fatigue, hair loss, body aches, muscle
cramps and general malaise will also likely subside. There are few patients happier than those cured of hyperparathyroidism.
2:00 PM - 3:30 PM
Featured Speaker: Does Iodine Cause/Worsen or Prevent/Treat Autoimmune Thyroid Disorders?
David Brownstein, M.D.
Medical Director, Center for Holistic Medicine, West Bloomfield, MI
Lecture Description:
This lecture will dispel the myths behind iodine use in autoimmune thyroid illnesses. The history of iodine and autoimmune thyroid illnesses will be discussed. This lecture will also review how to use iodine in the autoimmune thyroid patient.
3:30 PM - 4:15 PM
Break - Visit Exhibits (exhibits close 4:30 pm)
4:15 PM - 5:00 PM
Omega-3 Fatty Acids 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:
Omega-3 fatty acids (n-3FA) have numerous proven benefits throughout our lifecycle from being essential for the development of the fetal brain to the support of cardiovascular health to the maintenance of mental health of the aging brain. Promising preclinical research and evolving clinical experience now indicate that n-3FA also are useful and effective following traumatic or acquired brain injuries such as concussions or stroke by exerting a neuroprotective mechanism at the cellular level. Discussed is the use of n-3FA for the maintenance of health versus high doses as a therapeutic intervention for the compromised brain. While not a drug or “cure,” n-3FA are a powerful nutritional tool. It is perhaps the single most important supplement to be recommended for patients to maintain brain health as we age as well as those younger athletes at risk of head injury.
5:00 PM - 5:45 PM
Integrating Neuroscience Methods into a Peak Performance & Functional Medicine Practice
Nicole Hagedorn, D.O., FACOOG, ABAARM
Chief Medical Officer, Evoke Neuroscience, Inc., Jacksonville, NC
President, Coastal Neurotherapy, Jacksonville, NC
David Hagedorn, Ph.D., BCN
Chief Executive Officer, Evoke Neuroscience, Inc., Jacksonville, NC
Assistant Professor of Family Medicine, Uniformed Services University of the Health Sciences School of Medicine, Bethesda, MD
Lecture Description:
Central and autonomic nervous system dysfunction associated with the full spectrum of brain functionality is ideally quantified with integrative electrophysiology and biochemical analysis. The multifactorial nature of cognitive impairment and peak performance necessitates rapid, inexpensive, and easily applied multimodal analysis methods that can offer greater sensitivity and specificity. Recent research findings of cognitive decline evidence by middle age highlights the need for more objective and physiologically precise screening methods that not only identify early markers but direct specific early interventions for enhanced longevity. Current neuroscience technologies in the areas of electrophysiology (e.g., QEEG, ERPs, ECG, HRV, brain stimulation) and biochemistry (e.g., GI health, organic acids, etc.) will be discussed in the context of case analysis with emphasis on ease-of-use and accessibility to any clinical practice or peak performance program.
8:00 AM - 9:00 AM
Neurosteroids and Neuropsychiatric Illnesses
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 neuro-psychobehavioral characteristics of any one individual are frequently perceived to be the results of environmental influences. The debate over “nature and nurture” pit our genome against the influences of our environment in that, we are who we are based upon the company we keep or is it the genes we express? Neuroplasticity under the control of genes and regulated by the hormones that bathe our cerebral lobes appears to have both genomic and epigenomic influences on how we respond to a variety of environmental challenges. Whether or not it is Nurture or Nature. The Neuropsychopharmacology of hormones is an expanding field showing us that the regulation of reactive emotions from the limbic system is due in part to changes in the gated-ion channels of neurons and their receptors, thereby influencing our intelligence and emotional presence. It is through the modulation of receptors such as GABAA, GABAB, NMDA, Sigma-1, and AMPA that a group of hormones produced in the brain and referred to as Neurosteroids influence who and what we are perceived to be and are in the moment. The most influential Neurosteroids are those that not only regulate receptors, but also the health and regeneration of neurons. Representatives of this classification are Progesterone, Allopregnanolone, Estradiol, Testosterone, Dihydrotestosterone, Pregnenolone and their active sulfated forms all manufactured de novo in the brain. It is the absolute or relative loss of these Neurosteroids or a sudden
and precipitous change in their relative balances that can lead to alterations in how we react and how we manage our mental well-being. This presentation will walk us through some of the science that has helped redefine a cost-effective approach to provide improvement in patients where no improvement was thought possible.
9:00 AM - 10:00 AM
Quantum Interventional Endocrinology
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:
A new perspective for best directing the care of our hormonal patients, loosely analogous to quantum physics, which describes reality by explaining the simultaneous existence of that which appear as mutually exclusive conditions. Lecture will describe and explain the limitations of both traditional Endocrinology and Epidemiology with respect to advancing the field of Interventional Endocrinology and build upon the works of the greatest minds in our field, such as Drs. Dach, Gordon, Mintz, Rouzier, Shippen and Pati to provide an incrementally more unified theory of actions within the hormonal matrix. That while a fundamental understanding of the workings of the body will always be foundational to the practice of medicine, getting the “feel” for actions within the hormonal matrix is necessary in a field where we have just begun to scratch the surface with respect to our understanding of same. At this point the top Thought Leaders agree achieving the best results sometimes seem more an art than a science, after dedicated and constant study, combined with years of acquired clinical experience. This always has been how clinicians evolve into true healers. Abundant application of some of the latest techniques in Interventional Endocrinology, in illustrating the above points, will provide the participant with practical clinical “pearls” they may immediately implement into their own practices. Case studies will be provided.
10:00 AM - 10:30 AM
Break
10:30 AM - 11:15 AM
Multi-spectral Imaging of Subclinical Micro Aneurysms is Correlated with Insulin Resistance Parameters and Vitamin D Liver Reserve Status
Kerry M. Gelb, O.D.
Private Practice, New York & New Jersey
President and Board Member, ALLDocs
Lecture Description:
We utilized a sensitive and specialized retinal camera, enabling us to identify the earliest blood vessel abnormalities within the living human eye of middle aged male and female optometrists, attending a professional conference. The images of these blood vessel abnormalities are associated with early diabetes, and furthermore the changes are associated with how well the body utilizes the hormone called insulin. Use of this technology may enable doctors to screen patients at an earlier age for diabetes, when therapy is often more effective.
11:15 AM - 12:00 PM
Understanding Nutritional Therapy and Exercise in the Role of Treating Chronic Kidney Disease: An Update on Novel Alternative Therapies
Mark Siegel, M.D., J.D.
Staff Physician, Erickson Health Medical Group
Internal Medicine Physician, Board Certified, and Specialist in Nephrology and Alternative Medicine, Linden Ponds Geriatrics, Hingham, MA
Patent Attorney
Lecture Description:
With the epidemic of obesity in the United States today, there has been an increased incidence of diabetes and hypertension. These conditions are the major cause of chronic kidney disease and end stage renal failure. Current medicine has attempted to control this issue with therapies such as insulin, dialysis, beta blockers and diuretics. Few treatments and alternatives to these have been utilized by providers. Alternative therapies such as resistance training and Hatha yoga based exercise, specialized dietary changes and use of herbals and vitamins such as calcium, potassium and Vitamin C can vastly improve the health of a patient with chronic kidney disease. Specifically, they act by decreasing the indicators of oxidative stress (malondialdehyde - MDA, protein oxidation - POX, phospholipase A2 - PLA2 activity). This presentation will focus on these specific alternate therapies and measures to manage patients with chronic kidney disease.
12:00 PM - 12:30 PM
Laboratory Assessment of Nutritional & Heavy Metal Status is Critical for Effective Hormone Regulation
Anthony G. Beck, N.D., DOM
Medical Director, Task Force Dagger Foundation
Founder, Chief Medical Officer, Balance Protocol Institute
Founder, CEO, Helion Nutraceuticals
Board Member, American Association of Integrative Medicine
Lecture Description:
Every hormone requires specific nutrients as cofactors, regulators and for receptor activation. All of these can be disrupted by the presence of heavy metals. In the absence of specific nutrients or in the presence of bioaccumulated heavy metals, hormones cannot properly activate the cellular response. Often, hormone therapy does not produce the desired result due to such nutrient deficiencies and/or deleterious effects of heavy metals. Understanding these processes and how hormones are influenced by competition of nutritional factors versus heavy metals is of critical importance in the effective application of hormone therapy to optimize efficacy. Proper clinical understanding of nutrient roles in hormone regulation and how heavy metals impede them begins with laboratory assessment of physiological bio-markers as well as tissue specific assessment of bioaccumulation. Additionally, hormonal replacement strategies place increased nutritional demands on the body. When such increased demand is coupled within the presence of increased heavy metal load, the body comes under tremendous taxation. Evaluation of patient status can be determined by through functional laboratory assessment of nutrients, metabolic organic acids and various tissue depositions. This presentation will address the supporting role of nutrients in hormone regulation activity, how heavy metals disrupt hormone function pathways, provide practical methods to evaluate and correct nutrient deficiencies as well as
the proper approach to removal of heavy metals. In addition, it will provide first hand patient case study accompanied by empirical application of nutrient repletion guidelines in hormone regulation therapy as well as protocol to support removal of heavy metal burdens.
12:30 PM - 1:15 PM
Introduction to NeuroFeedback (NFB) in Aging Medicine
Robert E. Longo, MRC, LPC, NCC
Board Certified in Neurofeedback
Serendipity Healing Arts, Lexington, NC
Lecture Description:
This brief presentation is for those who are new to neurofeedback (NFB), considering entering the field or incorporating NFB into an existing practice. NFB has been used for decades as a tool or modality to improve brain function after appropriate replenishment of age related hormonal deficiencies. Many disorders of the brain can be treated with NFB including but not limited to age related cognitive decline, ADD/ADHD and related symptoms, and promising research shows NFB can be effective in treating insomnia, anxiety, depression, substance abuse, TBI, autism and chronic pain. Quantitative Electroencephalography (qEEG) brain mapping is a tool used to assess brain function including emotional and cognitive deficits. An overview of qEEG will also be addressed. The presentation will cover the basic key concepts and skill areas including the theory and methods behind NFB and qEEG, practical applications in clinical settings, basic assessment and treatment procedures, neurofeedback software, and basic dimensions of brain maps.
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