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BHRT: Physiologic Bioidentical Hormone Balance


This program will provide a thorough explanation of BHRT:  including the physiology and biochemistry of BHRT, practical application, obtaining balance in a patient, adrenal dysfunction, a functional approach to hypothyroidism, nutritional support for BHRT, and marketing your BHRT practice.  The program is a total of 9 hours of CPE, however you will be awarded CPE upon completion of each session.

Activity Type

  • Knowledge

Target Audience(s)

  • Pharmacist
  • Nurses
  • Pharmacy Technician
  • Nurse Practitioners
  • Health Care Practitioners

Accreditation(s)

CPE Consultants, LLC is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education
Accreditation Council for Pharmacy Education
 

Co-Sponsor(s)

Jim Paoletti & Tracy Dryer

Requirements for CE Credit

After creating your profile, attending/viewing the presentation and successfully passing (80% or higher) post-test (if required), you can complete the evaluation to claim CPE credit. Complete the evaluation by answering every question. Do not leave any question unanswered. If you do not have a comment or do not feel you want to answer the question, please put “NA” in the space provided. IMPORTANT: You must complete all the above requirements by 30 DAYS FROM PROGRAM. Failure to do so will result in a loss of Continuing Pharmacy Education Credit. A system wipeout clears all pending activity into CPE monitoring during this time, so it is imperative that you complete your evaluations within the allotted time frame. Entering incorrect data will result in a rejection of CPE credit by CPE Monitor. Carefully check your NABP e-Profile ID and date of birth (MMDD) to ensure this data is accurately recorded! If you have any questions regarding how to set up your NABP e-Profile and registering for the CPE Monitor service to ensure your CPE units are properly tracked for licensure, visit: https://nabp.pharmacy/programs/cpe-monitor/

 

 

   

A presentation on the factors that influence the effects of hormone therapy, including appropriate patient assessment, choice of hormones, physiologic and supra-physiologic dosing, receptor response, and proper testing and monitoring of outcomes.

Objectives

  • Explain the goals of bioidentical hormone restoration and balance.
  • Discuss assessment of patients using correlation of symptoms and measurement of levels
  • Discuss the overlap of symptoms caused by deficiency or excess of the different hormones.
  • Explain the paradox of too much of a hormone presenting symptoms of too little of that hormone.
  • Explain the optimal hormone receptor response and tachyphylaxis of receptors.
  • Compare the effects of physiologic vs. supra-physiologic dosing.
  • Discuss the basic physiology of human estrogens and the development of compounded estrogen formulations.
  • Explain the role of physiologic estriol.
  • Discuss continuous vs. Cycle Dosing
  • Discuss conversion from conventional to bioidentical therapies.
  • Describe the pharmacokinetics of absorption for topical hormone administration.
  • Discuss hormone testing and explain which types of testing are appropriate for different situations with hormone replacement.

Speaker(s)/Author(s)

Jim Paoletti, B. S. Pharmacy, FAARFM, FIACP
Clinical Consultant


Brief Bio : Jim Paoletti, B. S. Pharmacy, FAARFM, FIACP is an independent clinical consultant on hormones, nutrition, and wellness. Jim has 40 years of experience with bio-identical hormone therapies in clinical practice, both in retail pharmacy and as a consultant and educator. Jim served previously as Director of Provider Education for ZRT Laboratory, Beaverton, Oregon, and as consultant and Education Director for Professional Compounding Centers of America of Houston, TX. He is a graduate and former faculty member of the Fellowship of Anti-Aging and Functional Medicine. Jim has lectured extensively and internationally on all aspects of compounding and BHRT to medical practitioners and consumers, and has several articles published on BHRT and compounding pharmacy issues. Jim has published the book “A Practitioner’s Guide to Physiologic Bioidentical Hormone Balance”.

Activity Number

0864-9999-24-029-H01-P

Release Date: Jun 1, 2024
Credit Expiration Date: Jun 1, 2027

   

   

This presentation includes a review of the physiology and functions of the adrenal glands, the role of cortisol in hormone balance, causes and symptoms of adrenal dysfunction, and treatment strategies.

Objectives

  • Recognize some of the major signs and symptoms of adrenal dysfunction.
  • Explain the underlying physiology of adrenal function and the stress response.
  • Discuss the interactions of cortisol with sex steroids, thyroid, and insulin.
  • Discuss the consequences of failing to diagnose and properly treat adrenal dysfunction.
  • Explain the appropriate method for testing cortisol levels.
  • Provide effective treatment options for the person suffering from adrenal dysfunction.

Speaker(s)/Author(s)

Jim Paoletti, B. S. Pharmacy, FAARFM, FIACP
Clinical Consultant


Brief Bio : Jim Paoletti, B. S. Pharmacy, FAARFM, FIACP is an independent clinical consultant on hormones, nutrition, and wellness. Jim has 40 years of experience with bio-identical hormone therapies in clinical practice, both in retail pharmacy and as a consultant and educator. Jim served previously as Director of Provider Education for ZRT Laboratory, Beaverton, Oregon, and as consultant and Education Director for Professional Compounding Centers of America of Houston, TX. He is a graduate and former faculty member of the Fellowship of Anti-Aging and Functional Medicine. Jim has lectured extensively and internationally on all aspects of compounding and BHRT to medical practitioners and consumers, and has several articles published on BHRT and compounding pharmacy issues. Jim has published the book “A Practitioner’s Guide to Physiologic Bioidentical Hormone Balance”.

Activity Number

0864-9999-24-032-H01-P

Release Date: Jun 1, 2024
Credit Expiration Date: Jun 1, 2027

   

   

A presentation on the various dosage forms that can be used for administration of bioidentical hormones with discussion on the pros and cons of each form, a discussion of estrogen administration,  and a comparison of oral and topical administration.

Objectives

  • Compare the more popular dosage forms used for BHRT and the pharmacokinetics, applications, advantages and disadvantages of such dosage forms
  • Discuss considerations in changing therapy from one dosage form to another route of delivery.
  • Compare the oral and topical routes of administration for estrogen therapy.
  • Discuss the pharmacokinetics, application, bases and special considerations of topical administration of bioidentical hormones

Speaker(s)/Author(s)

Jim Paoletti, B. S. Pharmacy, FAARFM, FIACP
Clinical Consultant


Brief Bio : Jim Paoletti, B. S. Pharmacy, FAARFM, FIACP is an independent clinical consultant on hormones, nutrition, and wellness. Jim has 40 years of experience with bio-identical hormone therapies in clinical practice, both in retail pharmacy and as a consultant and educator. Jim served previously as Director of Provider Education for ZRT Laboratory, Beaverton, Oregon, and as consultant and Education Director for Professional Compounding Centers of America of Houston, TX. He is a graduate and former faculty member of the Fellowship of Anti-Aging and Functional Medicine. Jim has lectured extensively and internationally on all aspects of compounding and BHRT to medical practitioners and consumers, and has several articles published on BHRT and compounding pharmacy issues. Jim has published the book “A Practitioner’s Guide to Physiologic Bioidentical Hormone Balance”.

Activity Number

0864-9999-24-033-H01-P

Release Date: Jun 1, 2024
Credit Expiration Date: Jun 1, 2027

   

   

This presentation will explore the multiple ways hormones can interact by different pathways within the cell and how these interactions can affect hormone restoration therapeutic outcomes.

Objectives

  • Discuss the balance of sex steroids with each other in achieving optimal therapeutic outcomes with restoration therapy.
  • Introduce the reciprocal interactions and balancing of estrogen and progesterone
  • Discuss the interaction of thyroid and adrenal function with the sex steroids.
  • Discuss the interactions of cortisol and thyroid with therapeutic outcomes in BHRT.
  • Discuss procedures for initially assessing and addressing adrenal and thyroid dysfunction.

Speaker(s)/Author(s)

Jim Paoletti, B. S. Pharmacy, FAARFM, FIACP
Clinical Consultant


Brief Bio : Jim Paoletti, B. S. Pharmacy, FAARFM, FIACP is an independent clinical consultant on hormones, nutrition, and wellness. Jim has 40 years of experience with bio-identical hormone therapies in clinical practice, both in retail pharmacy and as a consultant and educator. Jim served previously as Director of Provider Education for ZRT Laboratory, Beaverton, Oregon, and as consultant and Education Director for Professional Compounding Centers of America of Houston, TX. He is a graduate and former faculty member of the Fellowship of Anti-Aging and Functional Medicine. Jim has lectured extensively and internationally on all aspects of compounding and BHRT to medical practitioners and consumers, and has several articles published on BHRT and compounding pharmacy issues. Jim has published the book “A Practitioner’s Guide to Physiologic Bioidentical Hormone Balance”.

Activity Number

0864-9999-24-034-H01-P

Release Date: Jun 1, 2024
Credit Expiration Date: Jun 1, 2027

   

   

Presentation to include a history of marketing of hormone replacement options, examination at the sources providing financial support of the experts sharing opinion statements and recommendations and explore the risks/benefits profiles of conventional and bioidentical therapies.

 

Objectives

  • Examine the differences between physiologic BHRT and conventional hormone therapies as shown in the literature
  • Clarify some of the misunderstanding and misinformation regarding bioidentical hormones.
  • Discuss the differences between physiologic and supra-physiologic therapies

Speaker(s)/Author(s)

Jim Paoletti, B. S. Pharmacy, FAARFM, FIACP
Clinical Consultant


Brief Bio : Jim Paoletti, B. S. Pharmacy, FAARFM, FIACP is an independent clinical consultant on hormones, nutrition, and wellness. Jim has 40 years of experience with bio-identical hormone therapies in clinical practice, both in retail pharmacy and as a consultant and educator. Jim served previously as Director of Provider Education for ZRT Laboratory, Beaverton, Oregon, and as consultant and Education Director for Professional Compounding Centers of America of Houston, TX. He is a graduate and former faculty member of the Fellowship of Anti-Aging and Functional Medicine. Jim has lectured extensively and internationally on all aspects of compounding and BHRT to medical practitioners and consumers, and has several articles published on BHRT and compounding pharmacy issues. Jim has published the book “A Practitioner’s Guide to Physiologic Bioidentical Hormone Balance”.

Activity Number

0864-9999-24-035-H01-P

Release Date: Jun 1, 2024
Credit Expiration Date: Jun 1, 2027

   

   

This presentation will compare the various methods for testing hormone levels,  types are accurate for the different routes of administration, and limitations of specific testing.

Objectives

  • Discuss the advantages and disadvantages for different methods of testing hormone levels.
  • Discuss the methodology of performing the different types of testing.
  • Explore the scientific evidence supporting saliva and blood testing of hormones.
  • Explain the clinical significance and utilization of the information determined by saliva and Capillary blood spot testing

Speaker(s)/Author(s)

Jim Paoletti, B. S. Pharmacy, FAARFM, FIACP
Clinical Consultant


Brief Bio : Jim Paoletti, B. S. Pharmacy, FAARFM, FIACP is an independent clinical consultant on hormones, nutrition, and wellness. Jim has 40 years of experience with bio-identical hormone therapies in clinical practice, both in retail pharmacy and as a consultant and educator. Jim served previously as Director of Provider Education for ZRT Laboratory, Beaverton, Oregon, and as consultant and Education Director for Professional Compounding Centers of America of Houston, TX. He is a graduate and former faculty member of the Fellowship of Anti-Aging and Functional Medicine. Jim has lectured extensively and internationally on all aspects of compounding and BHRT to medical practitioners and consumers, and has several articles published on BHRT and compounding pharmacy issues. Jim has published the book “A Practitioner’s Guide to Physiologic Bioidentical Hormone Balance”.

Activity Number

0864-9999-24-036-H99-P

Release Date: Jun 1, 2024
Credit Expiration Date: Jun 1, 2027

   

   

This 2-part presentation will present the physiology of thyroid hormone production and metabolism, all areas where issues may cause symptoms of hypothyroid issues, treatment for the different problems associated with low thyroid function, appropriate testing for thyroid function, and a review of thyroid products available to replacement therapy.

 

Objectives

  • Define and differentiate primary subclinical hypothyroidism, functional hypothyroidism, and functional hypothyroidism.
  • Review of the physiology of thyroid hormone production, binding, and metabolism
  • Describe the possible causes of sub-optimal thyroid production in relationship to thyroid hormone production, binding, conversion, intracellular transport and thyroid receptor function.
  • Explain the causes and treatments for poor production, excessive binding, poor metabolism, and poor receptor response
  • Discuss the influences of adrenal function and cortisol production on thyroid functionality.
  • Use of the Thyroid Gradient Levels to determine the causes of hypothyroidism
  • Explain proper interpretation of thyroid testing.
  • Discuss considerations in thyroid replacement options

Speaker(s)/Author(s)

Jim Paoletti, B. S. Pharmacy, FAARFM, FIACP
Clinical Consultant


Brief Bio : Jim Paoletti, B. S. Pharmacy, FAARFM, FIACP is an independent clinical consultant on hormones, nutrition, and wellness. Jim has 40 years of experience with bio-identical hormone therapies in clinical practice, both in retail pharmacy and as a consultant and educator. Jim served previously as Director of Provider Education for ZRT Laboratory, Beaverton, Oregon, and as consultant and Education Director for Professional Compounding Centers of America of Houston, TX. He is a graduate and former faculty member of the Fellowship of Anti-Aging and Functional Medicine. Jim has lectured extensively and internationally on all aspects of compounding and BHRT to medical practitioners and consumers, and has several articles published on BHRT and compounding pharmacy issues. Jim has published the book “A Practitioner’s Guide to Physiologic Bioidentical Hormone Balance”.

Activity Number

0864-9999-24-037-H01-P

Release Date: Jun 1, 2024
Credit Expiration Date: Jun 1, 2027

   

   

This 2-part presentation will present the physiology of thyroid hormone production and metabolism, all areas where issues may cause symptoms of hypothyroid issues, treatment for the different problems associated with low thyroid function, appropriate testing for thyroid function, and a review of thyroid products available to replacement therapy.

 

Objectives

  • Define and differentiate primary subclinical hypothyroidism, functional hypothyroidism, and functional hypothyroidism.
  • Review of the physiology of thyroid hormone production, binding, and metabolism
  • Describe the possible causes of sub-optimal thyroid production in relationship to thyroid hormone production, binding, conversion, intracellular transport and thyroid receptor function.
  • Explain the causes and treatments for poor production, excessive binding, poor metabolism, and poor receptor response.
  • Discuss the influences of adrenal function and cortisol production on thyroid functionality.
  • Use of the Thyroid Gradient Levels to determine the causes of hypothyroidism
  • Explain proper interpretation of thyroid testing.
  • Discuss considerations in thyroid replacement options.

Speaker(s)/Author(s)

Jim Paoletti, B. S. Pharmacy, FAARFM, FIACP
Clinical Consultant


Brief Bio : Jim Paoletti, B. S. Pharmacy, FAARFM, FIACP is an independent clinical consultant on hormones, nutrition, and wellness. Jim has 40 years of experience with bio-identical hormone therapies in clinical practice, both in retail pharmacy and as a consultant and educator. Jim served previously as Director of Provider Education for ZRT Laboratory, Beaverton, Oregon, and as consultant and Education Director for Professional Compounding Centers of America of Houston, TX. He is a graduate and former faculty member of the Fellowship of Anti-Aging and Functional Medicine. Jim has lectured extensively and internationally on all aspects of compounding and BHRT to medical practitioners and consumers, and has several articles published on BHRT and compounding pharmacy issues. Jim has published the book “A Practitioner’s Guide to Physiologic Bioidentical Hormone Balance”.

Activity Number

0864-9999-24-038-H01-P

Release Date: Jun 1, 2024
Credit Expiration Date: Jun 1, 2027

   

   

This presentation delves into the pathways that estrogens metabolize down and how to insure safe estrogen metabolites via nutritional supplements or life style modifications. It also discusses different nutritional supplements to treat other problematic conditions.

Objectives

  • Provide nutritional supplements to help a patient experiencing sleep disturbances, insulin resistance, adrenal dysfunction, PMS, menstrual cramps, fibrocystic breast disease.
  • Provide nutritional supplements to support thyroid functions, proper bone, hair, skin, and nails health.
  • Discuss estrogen metabolism.
  • Understand the role the provider can take in supporting safe estrogen metabolism.
  • Provide an overview of Pregnenolone as a supplement for overall health

Speaker(s)/Author(s)

Tracy Dryer, RPh


Brief Bio : Tracy Dryer graduated from St. Louis College of Pharmacy in 1987. She started her career with OSCO Drug and went immediately into management. She was named OSCO’s Pharmacy Manager of the Year after her first couple of years. Tracy’s commitment to the profession, meticulous attention to detail, acute problem solving skills, and empathy for her patients spurred her on to open her own pharmacy in 1992. She has been a compounding pharmacist for 35 years, but knew there was more. She was trained in the early 2000’s at the Professional Compounding Centers of America and found a real passion for helping men and women in the Bio-Identical Hormone Restoration Therapy field. Physicians in Missouri and Kansas have referred patients to her for evaluation for over 20 years now. Going through menopause herself at a very young age, Tracy is also a patient on BHRT and understands symptoms and concerns first hand—not relying on clinical skills alone. She “gets it” and truly sees her clientele as fellow patients. She also has extensive background in topical pain cream, LongTerm Care and Hospice, veterinary, pediatric, dermatology, and gastroenterology compounding. She loves creating new formulas to help patients with whatever needs they may have. That’s the beauty of compounding!

Activity Number

0864-9999-24-030-H01-P

Release Date: Jun 1, 2024
Credit Expiration Date: Jun 1, 2027

   

   

This presentation will discuss different methodologies in growing your BHRT business
and strengthening relationships with providers as well as patients.

Objectives

  • Recognize the “TRIAD”
  • Be able to navigate a consultation and the importance of listening
  • Provide ideas for creating your intake forms and handouts
  • Discuss starting labs and the tests available
  • Provide a template on what information should be sent over to the provider
  • Discuss different marketing strategies
  • Provide a few unusual marketing giveaway suggestions

Speaker(s)/Author(s)

Tracy Dryer, RPh


Brief Bio : Tracy Dryer graduated from St. Louis College of Pharmacy in 1987. She started her career with OSCO Drug and went immediately into management. She was named OSCO’s Pharmacy Manager of the Year after her first couple of years. Tracy’s commitment to the profession, meticulous attention to detail, acute problem solving skills, and empathy for her patients spurred her on to open her own pharmacy in 1992. She has been a compounding pharmacist for 35 years, but knew there was more. She was trained in the early 2000’s at the Professional Compounding Centers of America and found a real passion for helping men and women in the Bio-Identical Hormone Restoration Therapy field. Physicians in Missouri and Kansas have referred patients to her for evaluation for over 20 years now. Going through menopause herself at a very young age, Tracy is also a patient on BHRT and understands symptoms and concerns first hand—not relying on clinical skills alone. She “gets it” and truly sees her clientele as fellow patients. She also has extensive background in topical pain cream, LongTerm Care and Hospice, veterinary, pediatric, dermatology, and gastroenterology compounding. She loves creating new formulas to help patients with whatever needs they may have. That’s the beauty of compounding!

Activity Number

0864-9999-24-031-H99-P

Release Date: Jun 1, 2024
Credit Expiration Date: Jun 1, 2027