November 2016 Agenda
       
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Agenda November 2016




 

Thursday, November 10th Pre-Conference Track 1 : Telomere Biology: Applications for Clinical Practice
Telomeres are nucleoprotein structures found at the termini of linear eukaryotic chromosomes. They serve as a buffer against the end replication problem and protect chromosome ends from inappropriate DNA repair; thus, telomeres are essential for the maintenance of genome stability and continued cellular proliferation. Research has shown telomeres are an important part in the aging and disease process. This track will review the fundamentals of Telomere Biology, discuss considerations with lifestyle, stress, diet & exercise and the role that telomeres play in the disease process and how it can be applied to Age Management Medicine. Additionally, attendees will be offered the opportunity to participate in two key Telomere Lab Tests which will reveal not only the attendee’s individual results but will be reviewed by faculty as a cohort study with those in the track participating.
7:00 AM - 7:45 AM
How Menopause Changes The Biology Of Skin And The Cosmeceutical Ingredients That Reverse It
(includes complimentary breakfast)
Presented by Amy Colo, LE
Non-CME symposium sponsored by University Compounding Pharmacy
8:00 AM - 9:00 AM
Fundamentals of Telomere Biology
William H. Andrews, Ph.D.
President & CEO, Sierra Sciences, Reno, Nevada
Lecture Description:
We age because a clock ticks inside every dividing cell of our bodies. This clock is called the telomere clock and is found at the tips of our chromosomes. I will be discussing ways to slow down, stop, and even reverse this clock.
9:00 AM - 10:00 AM
Making the Case: Why Telomeres ARE Important to the Aging Process
Joseph M. Raffaele, M.D.
CEO, PhysioAge Systems, New York, NY
Co-Founder, PhysioAge Medical Group, New York, NY
Lecture Description:
There is an ongoing debate about how important telomere length is in determining the rate of aging in humans. Resolution of this controversy is critical because it will determine if efforts to develop therapies to maintain and/or increase telomere length continue to be supported. I will present data from mortality and morbidity studies of humans with extremely short telomeres due to inherited monogenic telomere disorders, telomerase KO mouse models mimicking human aging, and successful reversal of aging in mouse models in support the causal role that telomere length attrition plays in human aging. I will then discuss molecular (multigenic and mitochondrial) and cellular mechanisms through which telomeres might be causing aging in support of an integrated model of the role of telomeres in human aging.
10:00 AM - 10:15 AM
Break
10:15 AM - 11:15 AM
Telomere Measurement Technologies
William H. Andrews, Ph.D.
President & CEO, Sierra Sciences, Reno, Nevada
Lecture Description:
The importance of telomeres in health and longevity is now well established but in medical practice, selecting the best technology is crucial to getting clinically useful results. In this lecture, world-renowned expert Dr. Andrews will discuss the different techniques that exist and why some technologies are far more suitable for use in patient practice where n = 1 and accurate results are vital in making treatment decisions.
11:15 AM - 12:00 PM
Clinical Outcomes with Interventions that Incorporate Telomere Activation
Florence Comite, M.D.
CEO & Founder, Comite Center for Precision Medicine, New York, NY
Member, AMMG Conference Planning Committee
Lecture Description:
The future of health care is already here. New tools and technologies have generated novel ways to detect, predict, and reverse disease—and aging itself—at the cellular level. Discover the power and promise of precision medicine to integrate and translate these “new world” technologies into actionable advice, tailored to the individual. This presentation will use clinical case studies to illustrate the practical application of telomere science in the clinic, as one of the integral components of an individual’s Precision Health Analysis.
12:00 PM - 1:30 PM
Lunch Break
12:00 PM - 1:00 PM
Telomeres and Telomerase Activation with TA-65MD – Science and Clinical Observations
(includes complimentary lunch)
Presented by Ron Rothenberg, M.D.
Non-CME symposium sponsored by T.A. Sciences
1:30 PM - 2:15 PM
Telomere and Disease: Are Telomeres the Key to Cardiovascular and Pulmonary Disease?
Earl H. Eye, M.D., FACCP
President, Cenegenics, Jacksonville, FL
Lecture Description:
Telomeres, the end-caps of our chromosomes, protect our genetic data, permit cell division, and hold the secrets to how we age. Certain lifestyle factors can cause our telomeres to prematurely shorten. These stunted telomeres trigger cell apoptosis, senescence, or oncogenic transformation of somatic cells. The end result: a decline in our health and lifespan. New studies reveal the extent to which telomeres play a role in our health. For example, recent research shows a direct effect between shortened telomeres and cardiac and pulmonary diseases. The good news is, lifestyle interventions, supplements, astragalus extracts and more can reverse telomere attrition. In this presentation, I will review the fundamentals of telomeres: what they do and why they're important. In more depth, I'll then highlight how cardiovascular and pulmonary diseases are directly affected by shortened telomeres. I'll wrap things up by offering ways to maintain our telomere length.
2:15 PM - 3:00 PM
Telomere and Disease: Cancer
David Woynarowski, M.D., CPT
Anti-Aging Physician & Author of Immortality Edge, Philadelphia, PA
Lecture Description:
The association between telomere length, function and health and cancer is unequivocal. But what is the application of this in our particular practice of Age Management Medicine? What answers does the literature provide to common associations and questions we have and get from our patients regarding telomere length, measurements and using the safety of telomere modification agents? Is there a role for telomere measurement and therapy in predicting or treating cancer?
2:30 PM - 7:00 PM
Exhibits Open
3:00 PM - 3:30 PM
Interpreting Lab Results: Examination and Analysis of Attendee Cohort
Joseph M. Raffaele, M.D.
CEO, PhysioAge Systems, New York, NY
Co-Founder, PhysioAge Medical Group, New York, NY
Lecture Description:
The results of the lymphocyte subset (helper/suppressor ratio, senescent and naïve suppressor cells) and telomere length (HT-QFISH) testing of the attendees who were tested prior to the workshop will be analyzed as a group and individual cases exhibiting interesting findings will be looked at in detail. The objective is to make attendees comfortable explaining the results of advanced immune function and telomere testing and its importance to patients.
(Individual Lab Results Provided to Attendees who Opted in to the Optional Lab Analysis)
3:30 PM - 4:10 PM
Break / Visit Exhibits
4:10 PM - 4:50 PM
Telomere Maintenance: The Role of Stress, Exercise, Diet & Supplements
David Woynarowski, M.D., CPT
Anti-Aging Physician & Author of Immortality Edge, Philadelphia, PA
Lecture Description:
Ever since the Nobel Prize was awarded for the elucidation of Telomere/Telomerase biology a huge and growing interest in the role telomeres play in aging and disease has developed. There has been solid and exciting progress in literature supported life style modifications that may benefit telomere health and thus age management and regenerative medicine. When one examines what really is supported literature it is often different than what hears in the news. What should we practice personally and what should we tell our patients? How can we apply the literature to all of our mutual benefit?
4:50 PM - 5:30 PM
Telomere Treatment Strategies; Case Studies with Q & A
Joseph M. Raffaele, M.D.
CEO, PhysioAge Systems, New York, NY
Co-Founder, PhysioAge Medical Group, New York, NY
Florence Comite, M.D.
CEO & Founder, Comite Center for Precision Medicine, New York, NY
Member, AMMG Conference Planning Committee
Earl H. Eye, M.D., FACCP
President, Cenegenics, Jacksonville, FL
5:30 PM - 7:00 PM
AMMG Welcome Reception
Open to all conference attendees, spouses and guests
Held in Conference Networking and Exhibits Center



 

Thursday, November 10th Pre-Conference Track 2: Clinical Lifestyle Modifications to Achieve Optimal Health
The leading causes of mortality and healthcare costs worldwide are chronic diseases resulting from lifestyle and environmental factors. The prevention of disorders caused by lifestyle factors such as poor nutrition, lack of physical activity and chronic stress are huge issues for Age Management physicians and one of their biggest challenges is dealing with patients who can be uninterested, unmotivated or uneducated on the negative health implications that poor lifestyle choices can bring. This track will attempt to provide clinicians with tools to communicate more effectively with their patients and provide them evidence based clinical treatment options to ultimately provide better healthcare and optimal patient health.
7:00 AM - 7:45 AM
How Menopause Changes The Biology Of Skin And The Cosmeceutical Ingredients That Reverse It
(includes complimentary breakfast)
Presented by Amy Colo, LE
Non-CME symposium sponsored by University Compounding Pharmacy
8:00 AM - 9:00 AM
The Cortisol Meditation Connection
Mary L. Corry, RN, BSN
Medical Education Specialist, Worldlink Medical
Member, AMMG Certification Committee
Member, AMMG Conference Planning Committee
Lecture Description:
During this presentation, the pathophysiology of cortisol will be reviewed and its physiological actions in regard to chronic diseases. Meditation as a clinical lifestyle intervention has been proven to reduce cortisol levels and improve chronic health issues. Different forms of meditation will be discussed and practiced in the course of this presentation. Some of the different types of meditation covered will be: Kundalini Yoga, tai chi and Qi gong. This presentation is interactive so bring a towel and be ready to participate. Participation is voluntary of course.
9:00 AM - 10:00 AM
Lifestyle Changes for Continual Healing
Edward J. James, M.D., MBA
Independent Health Researcher
Public Speaker
Lecture Description:
The United States health care system is currently in crisis, principally due to a toxic food and water supply. Obstacles to meaningful health reform include many powerful corporations, too often incentivized by profit over the health and well-being of our nation's citizens. These companies, including some large agribusinesses and pharmaceutical companies, exert considerable influence upon our nation's legislators, impacting dietary recommendations, agriculture subsidies, medical practice/education, and our environment, often to the health detriment of U.S. citizens. Disease should be addressed on a cellular level, principally through dietary and lifestyle changes, implementing organic, plant based, whole foods (OPBWF), in order to most effectively improve health outcomes and significantly reduce health care expenditures. Once our nation's significant nutritional deficiencies are addressed and toxins are removed from the food and water system, by implementing an OPBWF diet, bowel flora and immune function will be markedly improved, resulting in real opportunities for our nation's citizens to experience optimal health, and to escape food addiction. These steps will also help to preserve our planet, resulting in a more healthful living environment.
10:00 AM - 10:15 AM
Break
10:15 AM - 11:10 AM
Exercise Programs for Lifestyle Enhancement
Rudy M. Inaba
Director, Nutrition & Exercise, Cenegenics Elite Health
Instructor, AMMEF Certification Course
Lecture Description:
After engaging in a physician-driven age management program, patients aim to improve their body composition, strength and conditioning. Although patients share similar goals, they do not share similar exercise experiences and have varying availability and accessibility to resources such as free weights and other fitness equipment. This presentation will review a variety of methods that may be used to provide strategic progressions in exercise programs for those with little to no history of structured exercise.
11:10 AM - 12:00 PM
The Art of ‘Therapeutic Communication’: Pragmatic Approaches to Enhance Clinical Outcomes and the Therapeutic Relationship
Gregory W. Petersburg, D.O.
Owner & Medical Director, Renascence, Tucson, AZ
Owner, Living Younger Lifestyle & Proactive Aging Medicine System
Lecture Description:
The patient’s presenting problem, which can usually be handled with little difficulty, is frequently not the main reason for the patient’s visit. Too often, patients are only treated with pills that relieve the most obvious symptoms, but do not treat the underlying condition. But, by “turning off” the symptom (which is a signal that something is wrong) the clinician removes the evidence without addressing the problem. By analogy, if you were to turn off the bell on your phone, you would never know when someone was calling and therefore you could not respond by either giving or receiving information. Patients’ interpretations of subjective experiences are stored in their memories. This recorded information is used to develop expectations for subsequent events, becoming part of the patient’s ‘story.’ These stories then continue to affect the patient’s behavior and lifestyle choices, and cause expectations to become self-fulfilling prophecies. The problem is rooted in three perceptual filters influencing patients to choose lifestyle behaviors that are unhealthy or risky, because the context for the choices was not based in reality. This presentation teaches simple, pragmatic lifestyle and anti-aging practitioners new ‘Therapeutic Communication’ techniques that work: patients respond, practitioners save time, clinical outcomes improve, and provider-patient relationships become richer. gwpetersburg@msn.com
12:00 PM - 1:30 PM
Lunch Break
12:00 PM - 1:00 PM
Telomeres and Telomerase Activation with TA-65MD – Science and Clinical Observations
(includes complimentary lunch)
Presented by Ron Rothenberg, M.D.
Non-CME symposium sponsored by T.A. Sciences
1:30 PM - 2:15 PM
Turbo Metabolism: 12 Steps to a New You
Pankaj Vij, M.D., FACP
Medical Director, Kaiser Medical Weight Management Program, Pleasanton, CA
Lecture Description:
This presentation provides the outline for a 12 week transformation. It provides a stepwise approach to getting the patient on track with their health, fitness and weight goals. Harnessing the power of a nutrient dense plant rich real food diet, integrating components of emotional resilience: stress management and sleep, while making physical activity a part of life, it can help them get optimal results. By shifting the perspective, this presentation can move our patients from resisting change to collaborating with us while achieving their own higher purpose in life: to become who they want to be, to have more of what they want and to be able to give more of whatever it is that they would like to offer the world.
2:15 PM - 3:00 PM
Positive Effects of Lifestyle Modification on Sexual Function
Kenneth Janson, M.D., FACS
Senior Attending Physician, Northwestern Lake Forest Hospital
Lecture Description:
It has been clearly documented that sexual function in both men and women is an excellent barometer of overall health and well being. Healthy sexual function is the result of maintaining well balanced cardiovascular, neurological, psychological and hormonal/metabolic systems. Over the last several years there has been a great deal of emphasis on the association of hormone optimization with healthy sexual function. However, the positive effects of lifestyle modification on sexual function, with or without concurrent hormone optimization, has not been given nearly enough attention. Healthy lifestyle optimization is at least as important as hormone optimization, and best results can only be obtained when all areas of health are addressed appropriately. In this presentation, we will review the primary lifestyle modification issues that have a direct effect on sexual function. As a byproduct of improved sexual function, our patients also have the potential to experience dramatically improved overall health.
2:30 PM - 7:00 PM
Exhibits Open
3:00 PM - 3:40 PM
Break / Visit Exhibits
3:40 PM - 4:35 PM
Lifestyle Genomics and Medicine - A Health Focused Approach to Medicine
Mansoor S. Mohammed, BSc (Hons Mol Gen), Ph.D.
Founder & President, ManaGeneDx
Lecture Description:
Do we aspire to simply live longer, or to live longer while maintaining vitality and health? Most would concur with the latter. Pan-ethnic, -culture and -geographic studies have affirmed a poignant truism: the individuals most likely to maintain health and vitality throughout their lives are those that adopt lifestyle and nutrition practices cognizant of their unique genomic legacy and environment. This axiom has served as the foundation of a new field in human genomics and medicine referred to as Lifestyle Genomics. Lifestyle genomics is the study of how an individual’s genomic legacy converges with lifestyle and environment to contribute to health and wellbeing. Importantly, it eschews dogmatic adherence to (often) outdated statistical, population-based, biomarker reference ranges, which may only poorly reflect the reality of the individual. The tenets of lifestyle genomics are particularly relevant to practitioners and patients alike who appreciate that the maintenance of health and wellbeing is a proactive pursuit as opposed to a reactive one. Lifestyle genomics acknowledges that most human diseases are in reality chronic diseases, and that the symptomatic presentation of disease is most often on a continuum that begins with health, progresses through early, and often missed, pathway/cellular/systemic dysfunction, escalates to measurable and observable symptoms, and culminates in disease. The insights gleaned from lifestyle genomics facilitate this continuum by recommending lifestyle, and where possible, environmental choices that are in optimal harmony with the genomic legacy of the individual. This presentation covers pertinent examples of the use of lifestyle genomics as they apply to a paradigm shift in anti-aging and functional medicine.
4:35 PM - 5:30 PM
Culinary Medicine as an Adjunct Clinical Protocol in Lifestyle Modification
Chef Lee Sarris
Chef & Program Director, Goldring Center for Culinary Medicine, Tulane University
Lecture Description:
In 2012, Tulane University School of Medicine launched the nation’s premier medical school-based teaching kitchen, The Goldring Center for Culinary Medicine (GCCM). The center focuses on teaching medical students, medical professionals and the community culinary skills and evidence-based nutrition practices to incorporate into everyday practices, a program which has now been licensed by 15% of the medical schools in the U.S. This presentation will review the programming and investigate the tenets of the Mediterranean Diet, the core of the curriculum at GCCM. We will investigate the successes and challenges of this hands-on learning approach as well as the literature and outcomes of the culinary medicine movement.
5:30 PM - 7:00 PM
AMMG Welcome Reception
Open to all conference attendees, spouses and guests
Held in Conference Networking and Exhibits Center



 

Thursday, November 10th Pre-Conference Track 3: Office Based Aesthetics for the Age Management Clinician*           *non-CME 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, AMMG presents this track in conjunction with the American Academy of Microneedling. 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 American Academy of Medical Microneedling
7:00 AM - 7:45 AM
How Menopause Changes The Biology Of Skin And The Cosmeceutical Ingredients That Reverse It
(includes complimentary breakfast)
Presented by Amy Colo, LE
Non-CME symposium sponsored by University Compounding Pharmacy
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
Stem Cells for Aesthetics: What Are They? What Kinds Exist? What is their Biological Purpose?
Jordan R. Plews, Ph.D.
Chief Scientific Officer & Co-Founder, Xytogen Biotech
Lecture Description:
Lecture will discuss Stem Cells: What are they? What kinds exist? What is their biological purpose? Including: adult (mesenchymal) vs embryonic stem cells and the relative abundance of stem cells in the body + differentiation capacity/potential. Proteins: Cytokines, Peptides, Growth Factors, etc. & Healing in relationship to; Natural (Wound) Healing Process; 4 Stages of Healing and the Role of Stem Cells; How mesenchymal stem cells catalyze and guide healing; Adipose Derived Stem Cell Secretome; and review of Mesenchymal Stem Cell treatments/research/advancements. Discussion will also include the results: The Power of Stem Cells for the Skin, review of latest research & results pertaining to stem cells & the skin.
10:00 AM - 10:15 AM
Break
10:15 AM - 11:15 AM
Optimizing Skin Health and Chemical Peels
James S. Beckman, Jr., M.D.
CEO, Medical Director & Founder, Therapon Skin Health, Springdale, AR
Lecture Description:
Sun exposure causes daily, incremental, and cumulative damage to skin over a lifetime. 90% of wrinkles, pigment dyschromia, skin laxity, and skin cancers result from cumulative damage caused by free radical formation. The daily inflammatory response by skin to the injury can be minimized through effective skincare product use, harnessing the immune system to our advantage. After damage has occurred, chemical peeling can be a part of reversing the potential for skin cancers and to restore a younger appearance. This presentation shares my proven personal technique for skin peels, preferences for peeling agents, and for product ingredients to optimize skin health!
11:15 AM - 12:00 PM
Hair Restoration
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:
Find out about all the available advancements in the hair restoration field. The use of Growth Factors, PRP, microneedling and transplants. How to diagnose each patient and plan a successful restoration program. This is an exciting emerging field.
12:00 PM - 1:30 PM
Lunch Break
12:00 PM - 1:00 PM
Telomeres and Telomerase Activation with TA-65MD – Science and Clinical Observations
(includes complimentary lunch)
Presented by Ron Rothenberg, M.D.
Non-CME symposium sponsored by T.A. Sciences
1:30 PM - 2:30 PM
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 and will review the current literature and offer a preview of what’s coming.
2:30 PM - 3:00 PM
Numbing for Aesthetic Procedures
Amy Frost, Pharm.D.
Chief Operating Officer & Pharmacist, Pinnacle Compounding Pharmacy, Missoula, MT
Lecture Description:
Aesthetic Numbing: What to use for what procedure? How do you dispense correctly? How do you compound what with what? What type of base petroleum? Cream or Gel? Find out the 101 on this from the expert, so there is no over-numbing creating vassal dilation or worse discomfort to the patient.
2:30 PM - 7:00 PM
Exhibits Open
3:00 PM - 3:45 PM
Break / Visit Exhibits
3:45 PM - 4:30 PM
Part II - Hormone Issues that Affect Your Skin
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.
4:30 PM - 5:30 PM
Putting This Aesthetic Information Together and Adding Office Based Aesthetics 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 prepared 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



 

Thursday, November 10th Pre-Conference Track 4: Traumatic Brain Injury: A Clinical Approach to Diagnosis and Treatment
It is evident that the traditional approaches to Traumatic Brain Injury (TBI) and Post Traumatic Stress Disorder (PTSD) are not working. Just look at the Sunday sports page or listen to the American Heroes Network. We are losing more and more people every day to the devastating effects of depression, anger, rage and suicide. So, what is the medical community really doing, if anything? In 2004, Dr. Mark Gordon started working on the premise that trauma to the head and/or body can cause disruption of neurosteroid and hormone production via chemical pathways. Additionally, trauma creates an inflammatory environment in the body that affects the chemistry in the brain. The combination of hormonal disruption and inflammation are at the root cause of impairment in cognition and behavior. This track will take you through the medical literature to disclose the cause and effects of TBI on brain functioning. Case reviews will be presented showing laboratory testing, interpretation, treatment and outcomes. Dr. Mark Gordon is faculty for all sessions in this track.

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
How Menopause Changes The Biology Of Skin And The Cosmeceutical Ingredients That Reverse It
(includes complimentary breakfast)
Presented by Amy Colo, LE
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 radicles 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 - 1:30 PM
Lunch Break
12:00 PM - 1:00 PM
Telomeres and Telomerase Activation with TA-65MD – Science and Clinical Observations
(includes complimentary lunch)
Presented by Ron Rothenberg, M.D.
Non-CME symposium sponsored by T.A. Sciences
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



 

Friday, November 11th General Session Curriculum
7:00 AM - 7:45 AM
How to Build a Strong Age Management Business by Implementing Medical Weight Loss into Your Practice
(includes complimentary breakfast)
Presented by Dr. Kimball Lundahl, D.C.
Non-CME 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 - 8:30 AM
Presentation of the Alan P. Mintz, M.D. Award for Clinical Excellence
8:30 AM - 9:25 AM
Clinical Introduction to the Emerging Field of Precision Medicine
Florence Comite, M.D.
CEO & Founder, Comite Center for Precision Medicine, New York, NY
Member, AMMG Conference Planning Committee
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:
Precision Medicine is poised to redefine age management medicine. By integrating data about an individual’s genetics, metabolism, hormones, family history, and lifestyle, precision medicine can optimize and sustain the health and vitality of each unique individual. This introduction to precision medicine lends powerful context to Friday's curriculum, which brings diverse perspectives from leaders in the field, beginning with a lesson in foundational genomics.
9:25 AM - 10:10 AM
Genes and Epigenetic Mechanisms at the Interface of Metabolism and Biological Age
S. Michal Jazwinski, Ph.D.
Professor of Medicine, Director of the Center for Aging, Tulane University
Chief Science Officer, PrevientMD, LLC, Boca Raton, FL
Lecture Description:
Health is not simply the absence of disease, although that is how it has been described traditionally. Fitness does not fit the bill well either, because it is draped in the aura of excessive physical prowess. Recent research has shown that biological age can be objectively measured and juxtaposed with chronological age. Thus, biological age can be used as a measure of relative health. It is important to note that this measure relates the status of an individual with respect to peers in the population. Several measures of biological age or healthy aging have been described. The one we developed and characterized extensively is being used to understand the metabolic and genetic predictors of healthy aging across individuals from their 50’s to 90’s. Surprisingly, resting metabolic rate is closely associated with healthy aging, and this has important implications for physical function ability. Men and women manifest the relationship between resting metabolic rate and healthy aging distinctly, both at the physiologic and genetic levels. The genes involved play roles in mitochondrial metabolism. Overall, this research suggests that physical exercise regimens should be personalized to achieve the desired effects. We have searched genome wide to identify other genetic determinants of healthy aging. This effort has uncovered a genomic region that has regulatory function, conjuring up a gene regulatory network associated with healthy aging. We are now examining the epigenetic mechanisms underlying this network and healthy aging in general.
10:10 AM - 10:50 AM
Break / Visit Exhibits
10:50 AM - 11:35 AM
The Bacterial Biome and Tight Junction Barriers – Ground Zero of Chronic Inflammation, Disease and Aging
Zach Bush, M.D.
Founder & Medical Director, M Clinic
CEO, Seraphin Group, Inc., Charlottesville, VA
Lecture Description:
Over the last 10 years there has been an explosion of basic science data that has revealed a link between the intestinal microbiome and systemic disease in the human host. The lack of some species, or the presence of other bacterial species correlates with the occurrence of metabolic diseases, immune dysfunction, and many cancers. This correlation has radically changed the landscape of anti-aging and cancer research, and broadened the potential adjuvant therapies and interventions to prevent and reverse chronic disease in the future. This lecture reveals new insights into direct and indirect mechanisms by which the bacterial biome may mediate systemic disease. The effects of a novel family of redox molecules produced by bacteria have been shown to mediate tight junction barrier systems in the human body, reactive oxygen production from the mitochondria, and balance bacterial flora.
11:35 AM - 12:15 PM
Endothelial Dysfunction and Aging
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:
The endothelium is a type of epithelium (simple squamous cells) that lines the interior surface of blood vessels and lymphatic vessels, forming an interface between circulating blood or lymph in the lumen and the rest of the vessel wall. Many scientists believe that heart disease is an inflammatory disease, not an occlusive disease. If this is the case, the endothelium is where the damage will occur and where pathology begins. Once the pathology in this layer begins, the aging process has the potential to accelerate due to the inflammatory changes within this layer and systemically. There are various nutrients and lifestyle changes that preserve this critical vascular layer by reducing inflammation. Reducing inflammation at this layer will allow the entire vascular system to function optimally, allow proper blood flow and perhaps allow optimal aging.
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
(includes complimentary lunch)
Presented by Gary S. Donovitz, M.D.
Non-CME symposium sponsored by BioTE® Medical
1:30 PM - 2:15 PM
The Extinction of Men – The Role of Endocrine Disruptors
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:
According to the World Health Organization there are more than 800 known Endocrine Disrupting chemicals. Endocrine disruption from environmental toxins has been linked to metabolic syndrome, obesity, hypothyroidism, autoimmune thyroid disease, low testosterone, estrogen dominance, and diabetes. Toxicants like parabens in cosmetic products, perchlorate in rocket fuel, BPA in plastic bottles, heavy metals and other toxins will be covered in this talk. The role of environmental toxins being the root cause of endocrine diseases is underappreciated in clinical practice. Diagnosis and treatment will be reviewed.
2:15 PM - 3:00 PM
Testosterone Therapy in Men - Who Sets the Standard of Care?
Gary Donovitz, M.D., FACOG, FRSM
Founder and CEO, BioTE Medical, Irving, TX
Founder and President, Institute for Hormonal Balance
Lecture Description:
The benefits of testosterone therapy have been reported extensively in the world literature. Unfortunately, self-elected non-regulatory associations have set policies and position statements that fall short of standard of care. This has diminished the Q.O.L. for the aging male.
3:00 PM - 3:30 PM
Break / Visit Exhibits
3:30 PM - 4:45 PM
Is Estrogen Good or Bad? A Literature Review of the Controversies in Treating Men with Aromatase Inhibitors
Neal Rouzier, M.D.
Director, The Preventive Medicine Clinics of the Desert, Palm Springs, CA
Lecture Description:
Recent studies have demonstrated that elevated estrogen (estradiol) levels in men are associated with an increased risk of heart disease. A plethora of data supports this contention. Unfortunately these are only observational studies that do not prove that elevated levels of estrogen cause any increase in harm, rather it is only an association and does not prove causation. In order to prove causation, interventional trials must be done in order to establish causation. There are a multitude of studies that prove high estrogen levels are protective and beneficial and certainly not harmful as we have been falsely mislead to believe. The purpose of this lecture is to review the most recent literature that proves high levels of estradiol are protective against cardiovascular disease, cancer, and osteoporosis. This is in contrast to current recommendations to keep estrogen levels low in men. Various observational studies will be compared to interventional trials to gain a better understanding of the difference in power between the two and the importance of not relying on just observation to prove causation. Observing that high baseline levels of estrogen are harmful in men and extrapolating that to indicate that raising estradiol levels by giving testosterone is also harmful is entirely incorrect and can lead to harm if estrogen is blocked. So much of the beneficial effect of testosterone is in the conversion (aromatization) into estradiol. The importance of estrogen in men will be reviewed as well as the harm of blocking the aromatization into estradiol. No study has ever demonstrated benefit to lowering estrogen levels. Every study demonstrates harm in blocking estrogen aromatization. Unfortunately most physicians remain unaware of this data and continue to prescribe aromatase inhibitors to block estrogen formation.
4:45 PM - 5:30 PM
Aldosterone, the Hearing Hormone; Vasopressin, the Memory Hormone
Richard Lippman, Ph.D.
Retired Anti-Aging Physician
Lecture Description:
Researchers have discovered a hearing breakthrough thanks to the natural hormone aldosterone. With this new treatment, those with hearing loss caused by aging can enjoy increased sound volume and, more importantly, improved word recognition. As a result of their restored hearing and comprehension, those with hearing loss can become more sociable again without the need for hearing aids. Vasopressin is key to the architecture and function of the brain. Fourteen clinical studies attest to the fact that vasopressin supports long- and short-term memory, memory retrieval, and sound rapid-eye-movement (REM) quality of sleep. Vasopressin has even been successfully used to treat Alzheimer’s patients for mild improvement in memory. For those with hearing loss, aldosterone will improve sound, volume and word recognition. For those with memory loss, bioidentical vasopressin will improve memory.



 

Saturday, November 12th General Session Curriculum
7:00 AM - 7:45 AM
Bacterial Communication and Redox Supplementation, a New Foundation for Longevity and Human Health
(includes complimentary breakfast)
Presented by Zach Bush, M.D.
Non-CME symposium sponsored by Biomic Sciences
8:00 AM - 9:15 AM
Does Testosterone Increase the Risk of Blood Clots? A Literature Review of the Controversies of Polycythemia vs. Erythrocytosis
Neal Rouzier, M.D.
Director, The Preventive Medicine Clinics of the Desert, Palm Springs, CA
Lecture Description:
There are long term studies and literature support for testosterone improving longevity and decreasing the diseases of aging, which can lead to deterioration in our function and ultimate demise. However testosterone has also been implicated in significant side effects, the most common of which is termed polycythemia. Therefore it has become customary to phlebotimize men on testosterone with elevated hemoglobin/hematocrit, which is the most common side effect of testosterone therapy. The Endocrine Guidelines require regular monitoring of therapy for polycythemia. However, in spite of what most believe, testosterone does not cause polycythemia nor does it cause an increase in arterial or venous thrombosis. Nevertheless the erythrocytosis that testosterone does cause is commonly extrapolated to be just as harmful as polycythemia, which is a blood disorder that increases the risk of blood clots. This is both an incorrect and inappropriate extrapolation due to misunderstanding of the terms. In spite of the widespread use of phlebotomy as the treatment of erythrocytosis, erythrocytosis is not polycythemia. The literature supports no harm of physiologic erythrocytosis caused by either testosterone or living at altitude, and this elevation of red blood cells does not require treatment in spite of the rest of the world thinking that it does. Erythrocytosis does not result in the same harm as true polycythemia and assuming that it does is both incorrect and leads to inappropriate treat ment. We should not extrapolate or misconstrue the two entities. The purpose of this lecture is to present the lack of harm of erythrocytosis or the need to phlebotomize men with erythrocytosis, in spite of the universal requirement to do so as per AACE guidelines. The safety of erythrocytosis and the difference between erythrocytosis and thrombo-producing polycythemia will be reviewed. The importance of following evidence based standards, and not public opinion, will be explained and demonstrated. Reality is not consensus of opinion yet this seems to be the case when it comes to erythrocytosis caused by the use of testosterone. However it has become customary to phlebotimize men with an elevated hemoglobin, a common side effect of testosterone therapy. In spite of the widespread use of phlebotomy as the treatment for polycythemia, polycythemia is not erythrocytosis. The literature supports no harm of erythrocytosis caused by testosterone administration or living at altitude and that physiologic erythrocytosis does not require phlebotomy in spite of the rest of the world thinking that it does require phlebotomy.
9:15 AM - 10:00 AM
The Neuroendocrine Theory of Aging
Ward Dean, M.D.
Medical Director, Ward Dean MD, Pensacola, FL
Lecture Description:
The Neuroendocrine Theory of Aging is based on the works of Professor Vladimir Dilman, M.D., Ph.D., DMSc, former Director, NN Petrov Institute of Oncology, St. Petersburg, Russia. Dilman proposed that development, aging and the diseases of aging are due to a programmed loss of hypothalamic receptor sensitivity to negative feedback inhibition. Three major neuroendocrine systems are involved: Reproductive, Adaptive, and Energy systems. Changes in these systems results in a constant shifting of homeostasis and aging-related adverse biochemical and physiological changes. Dilman designated these resulting changes as the metabolic pattern of aging, due to the similarity of these changes with aging and the chronic diseases of aging. He proposed that aging and the diseases of aging could be prevented, delayed or reversed by: (1) restoring hypothalamic and peripheral receptor sensitivity by using readily available drugs and nutraceuticals; (2) normalizing altered biochemical and endocrine parameters; and (3) restoring mitochondrial bioenergetics. Specific drugs and nutraceuticals that will be discussed include (but are not limited to) metformin, phenytoin, selegiline, nicotinic acid, and assorted hormones and mitochondrial enhancers.
10:00 AM - 10:30 AM
Break / Visit Exhibits
10:30 AM - 11:15 AM
Pharmacogenomics of the Androgen Receptor; Intracrinology and the Implications for Hormone Replacement Therapy
Jeffrey P. Leake, M.D., ISSA-CPT   
Senior Institute Physician, Course Director for Physician Training and Certification in Age Management Medicine, Cenegenics Medical Institute, Las Vegas, NV
Lecture Description:
The lecture will introduce the concept of intracrinology and discuss the mechanisms that influence hormone receptor activation within the cell. Using the example of the androgen receptor, we will highlight the difficulties of using objective assays of hormone levels to guide treatment plans for individuals suspected of having sub-optimal hormone function.
11:15 AM - 12:00 PM
Recognizing Stages of the Overtraining Syndrome Causing Hormonal and Neurologic Disruption
Rob Kominiarek, D.O., FACOFP
President and Medical Director, ReNue Health, Springboro, OH
Assistant Clinical Professor, Ohio University College of Osteopathic Medicine
Lecture Description:
Overtraining syndrome can have various signs and symptoms, depending on the individual. The overtraining syndrome is an imbalance in the Autonomic Nervous System (ANS) and in a simple equation: Training = Workout + Nutrition +Recovery. The imbalance in both workout intensities and inadequate recovery along with food sensitivities, adrenal fatigue, nutrient deficiencies, and hormonal imbalance leads to the various stages of overtraining syndrome. Those attending this lecture will learn to identify the stages of overtraining syndrome:
Stage 1: Also called functional overtraining. The onset and earliest stage where very subtle signs and symptoms can indicate you are starting overtraining.
Stage 2: Also called sympathetic overtraining. A more obvious stage associated with specific nervous, hormonal and mechanical imbalances causing a variety of signs and symptoms.
Stage 3: Also called parasympathetic overtraining. A serious end-stage of overtraining associated with the exhaustion of neurological and hormonal factors, typically with serious physical, hormonal and psychological injuries.
Attendees will further learn implementation to recovery of hormonal, neurologic, and physical functioning thorough laboratory testing, exercise protocols, biofeedback, strategic supplementation, hormone supplementation and replacement when necessary.
12:00 PM - 1:30 PM
Lunch Break / Visit Exhibits
12:00 PM - 1:00 PM
Everyday Clinical Application of Telomere Support
(includes complimentary lunch)
Presented by Fred Pescatore, M.D., MPH, CCN
Non-CME symposium sponsored by DaVinci Laboratories
1:30 PM - 2:45 PM
Estradiol & Testosterone Therapy for Women: Benefits, Risks, Options
Kathryn Retzler, N.D.
HormoneSynergy Clinic, Portland, OR
Lecture Description:
This lecture will cover the functions of estradiol and testosterone supplementation in peri and postmenopausal women. Benefits, risks, and side effects of estradiol and testosterone supplementation will be reviewed including key points of major studies. Oral, sublingual, topical / transdermal, vaginal, injectable, and pellet implant options will be discussed with special coverage of injectable therapies. Participants will be given dosage ranges and be able to prescribe estradiol and testosterone therapy with appropriate follow-up after attending.
2:45 PM - 3:15 PM
Break / Visit Exhibits (exhibits close 3:30 PM)
3:15 PM - 4:00 PM
Gonadal Hormone Effects on the Brain and Certain Disease Processes
James Mirabile, M.D., FACOG
Board Certified Gynecologist
Medical Director, SottoPelle, Scottsdale, AZ
Mirabile, M.D. Beauty, Health & Wellness, Private Practice, Overland Park, KS
Lecture Description:
The usage of gonadal hormone is essential for normal brain function and protection against developing the predisposing factors that could lead to dementia and Alzheimer's. There has been little said about the beneficial effect of gonadal hormone on the brain and its protective effect against neurodegenerative orders. Health care providers need to learn and understand about the action of hormones on other organ systems.
4:00 PM - 4:45 PM
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.
4:45 PM - 5:30 PM
Plant-based Nutrition: Towards Evidence-based Medicine
Joseph P. Kitzmiller, M.D., Ph.D.
Assistant Professor, College of Engineering, College of Medicine, The Ohio State University, Columbus, OH
Medical Supervisor, Ohio Clinical Trials & Premier Laser Spa
Physician, Gnome Diagnostics
Lecture Description:
Nutrition is an absolute cornerstone of age management medicine, and patients demand clear and comprehensive nutritional guidance. Over the past several decades, a substantial number of preclinical and observational studies have been reported that suggest plant-based nutrition and dietary supplements prevent/treat many common chronic diseases (e.g., obesity, atherosclerosis or cancer). However, causality cannot be established from anecdotal, epidemiologic and observational studies alone. Randomized controlled trials (RTCs) are the gold standard of evidence-based medicine, and unfortunately there is a paucity of RTC data on nutrition. Here we will review the basics of evidence-based medicine and apply those principles as we evaluate contemporary studies involving plant-based nutrition and dietary supplements.



 

Sunday, November 13th General Session Curriculum
8:00 AM - 9:00 AM
Minding the Gap: Supporting Memory, Sleep, and Attention
Kathy O'Neil-Smith, M.D., FAARM
Private Internal, Integrative and Regenerative Medicine Practice, Newton, MA
Lecture Description:
Our medical system is designed to treat disease not optimize health. Dr. O’Neil-Smith will review how she focuses on attaining patient’s health, not simply treating disease. She will review her proactive approach to identify the individual factors that can lead to impaired memory, altered sleep and poor attention. By diagnosing and treating the earliest signs of decreased performance, clinicians can prevent a decline in peak status as we age or are affected by other health concerns. Aging and debility are not inevitably linked; they can be prevented or modified. Nutritional deficiencies, environmental toxins, changes to the hypothalamic-pituitary-adrenal axis, immune reactions to food, and GI dysfunctions may all play a multi-faceted role. Specialty diagnostic testing may aid in guiding clinicians to determine root causes of dysfunction. Specialty diagnostics are an integral part of a personalized and comprehensive approach to patient care.
9:00 AM - 10:00 AM
Prevention and Treatment of the Aging Brain
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 presentation begins with an overview of the brain and its functions. A discussion of aging population follows, continued with a review of dementia and its various forms. Environmental factors contributing to neurotoxicity and chronic neurological problems are presented, as well as other important associated factors. How to clinically assess patients age 65 and older, and what appropriate testing to order are reviewed. What measures are needed to prevent the brain from aging and what can be done to reverse cognitive decline are discussed with studies from the literature. Following this is a review of probiotics and supplements to aid in the prevention of accelerated aging.
10:00 AM - 10:20 AM
Break
10:20 AM - 11:20 AM
Strategies for Staying Young and Protecting Your Brain Function Along the Journey
Pankaj Vij, M.D., FACP
Medical Director, Kaiser Medical Weight Management Program, Pleasanton, CA
Lecture Description:
An evidence-based review of the science and tools to train our brains for optimal health. Practical tips and tricks integrating the effects of super foods, physical activity, emotional resilience and social connections to promote brain health as an essential component of enhancing health span. Learn to turn back the clock by harnessing the body and the brain's remarkable capacity to grow and heal.by adopting behaviors that nourish the mind, body and spirit — and contribute to a healthier brain.
11:20 AM - 12:20 PM
Reducing Copper Toxicity Naturally – A New Therapy for Fibromyalgia?
Dan C. Purser, M.D
Medical Director
Physician, Clinical Practice, Provo, UT
Research Assistant to Nabil Gemayel, M.D. (Pituitary Endocrinology and Cardiology) USC Keck School of Medicine
President, Professional Nutraceutical Design
Lecture Description:
Approximately one in 50 Americans are estimated to have Fibromyalgia, or between 3-6 million people in the U.S. (American college of Rheumatology, 2004). Fibromyalgia is the 2nd most common ailment affecting the musculoskeletal system after osteoarthritis (American College of Rheumatology, 2004). It has been well documented that essential transition metals such as copper or nonessential metals such as cadmium, mercury or lead can be toxic at the cellular, tissue, and organ level when present in excess. Excess copper has even been shown to be the probable cause of trigger points, a common and the main diagnostic sign and symptom in myofascial pain syndrome (i.e. fibromyalgia). In mammalian pathways copper is partially detoxified through sequestration of in the metal-binding and transporting metallothioneins. In return these metallothioneins and the metal-binding systems critically require certain key substances to function – such as vitamin B6, zinc, molybdenum, and certain key amino acids, and a deficiency of any of these substances causes the process to be dysfunctional. The most critical measurement in these cases is the non-ceruloplasmin-bound-copper (NCC) level and if above 20% (upper limit of normal) then they are considered to be copper toxic. This study looked at 43 patients with various stages of severe myofascial pain syndrome (fibromyalgia), many with severe vascular headaches, measuring their NCC level, and treating with a combination supplement designed to optimally repair or aid metallothionein functionality. The endpoint of the trial was modification of pain levels. Results: All 43 patients reported past diagnosis of fibromyalgia (many with chronic severe headaches of various sorts), and all 43 had moderately to severely high NCC (non-ceruloplasmin-bound-copper or free copper) copper levels, and all reported significant pain and trigger points. After and during therapy all 43 reported a significant improvement in pain, and headaches, and resolution of trigger points – approaching nearly 95% reduction overall (many with almost complete resolution of pain). This information suggests that copper (or certainly the possibility of some other heavy metal) might be responsible for the main symptoms of myofascial pain syndrome or fibromyalgia and deserves more investigation. This lecture is designed to review the scientific literature on fibromyalgia and copper toxicity and subsequently review case studies and treatment plans designed to get patients feeling better and greatly improving their quality of life.
12:20 PM - 1:15 PM
Stress and Cardiovascular Disease: Is Cortisol the Key?
Sanjay Kapur, Ph.D., MBA
CEO, AYUMETRIX, Portland, OR
Lecture Description:
High cortisol levels can be seen as a result of some rare forms of cancer affecting the hypothalamic-pituitary axis, but most commonly they are a result of persistent emotional or physical stress. Whatever the cause, high cortisol induces sweeping changes in the body’s chemistry that, under normal conditions, would prepare the body for “fight or flight.” When stress conditions persist, these changes are sustained and start to affect long-term health. Reproductive and immune functions are suppressed, bone density decreases, and abdominal fat increases. Many of these changes lead ultimately to an increased risk of diabetes and cardiovascular disease. The problem of high cortisol levels is now a significant health problem in societies characterized by stressful lifestyles, and we could see a big impact on health as a result of the current economic crisis in many countries around the world. Treatment of stress can be an important part of reducing diabetes and cardiovascular disease risk. Emotional and physical stress can lead to chronically high cortisol levels, which have a huge impact on overall health. Cortisol is central to many biochemical processes and is not supposed to remain high for long periods. This presentation outlines what happens when this hormone is out of balance, and how it creates ripple effects that ultimately impact cardiovascular health.



Age Management Medicine Conference 2018 Orlando - Integrative Metabolic & Functional CME Medical TrainingAge Management Medicine Conference 2018 Orlando - Integrative Metabolic & Functional CME Medical Training

 

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