Diagnosis and treatment of women and men

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    Diagnosis and treatment of women and men


    15th International Congress on Anti-Aging Medicine & Regenerative Biomedical Technologies 2007 - Orlando

    Eugene Shippen, Md
    April 24-25, 2007
    Orlando, FL





    Diagnosis and treatment of women and men during the aging transition:
    2 Day Practicum for the practicing physician or healthcare associate
    Day One Tuesday, April 24 (8:30 AM to 5PM): Focus on HRT Strategies and Common Problems in Women from peri-menopause to menopause
    Overview of endocrine changes from normal to the menopausal phases
    Critical issues – breast cancer, risk-benefits of HRT
    Testing modalities – saliva, serum and 24 hour urine profiles – sorting out the positives and negatives – case histories and problem solving
    HRT strategies for the transition:
    1. Basic treatment protocols
    • Different body types – different approaches – case histories as examples
    • Overview of available replacement systems – patches, gels and creams, sublingual applications, vaginal treatments
    • Multiple approaches to HRT for different situations - dosing schedules verified through extensive testing
    • Androgen deficiency – DHEA and testosterone – optimizing doses and response
    • Enhancing libido and sexual response
    2. Common problems - diagnosis and treatment
    • PCOS
    • Peri-menopause – variations and treatment options
    • Endometriosis – a protocol that may cure it
    • Dysbiosis – the “Yeast Syndrome revisited”
    • Maximizing bone density without biphosphonates
    • Thyroid modulation – new approaches
    • Adrenal problems – diagnosis and practical treatments
    • Neurotransmitters – Amino acid replacement – help for difficult cases
    • Memory, mentation and mood – approaches that work
    3. Reducing long term risks – Evidence based approaches
    • The importance of Vitamin D in cancer, heart disease, autoimmune diseases
    • Iodine as a hormone regulator/modulator
    • Omega 3 and Omega 6
    • The anti-cancer supplements – selenium, phyto-antioxidants, folic acid, DIM and IC3
    Literature Blitz of interesting subjects
    The Seminar will emphasize practical approaches that will be immediately useful in all practices from beginners to the experts. The protocols will be innovative and simplified for easy use. Treatment pearls and panel discussion periods will be interspersed to allow attendee participation and answering of questions.
    Day 2 Wednesday, April 25 - Aging endocrinology for Men – Overview, Diagnosis and Innovative treatment modalities – a practicum for the practicing physician
    Overview of Endocrine changes – an evidenced based review
    1. Changing patterns of major endocrine systems
    • Major hormonal changes – pituitary, adrenal and testicular
    • Interactions – Prolactin, insulin, thyroid, oxytocin
    2. Evidenced based review of hormonal relationships to aging diseases
    • Mortality changes
    • Cardiovascular disease
    • Syndrome X and diabetes
    • Cancer – prostate, colon, lung and leukemias
    • Inflammatory diseases – arthritis, colitis
    • Neurodegenerative aging diseases
    The “hypogonadism” of aging –
    • Common patterns that you see every day
    • Less common but important deficiency syndromes
    • Genetic variants which complicate diagnosis and effectiveness of treatments
    The SHBG relationship – positive and negative aspects
    • Environmental hormone blockers – a growing unrecognized problem
    The critical role of estrogen in men – when is too much, when is too little
    • Cardiovscular, bone and brain benefits
    • Syndromes of excess and deficiency
    Diagnostic testing – review of modalities – Presentation by a Ph D chemist and panel discussion
    • Saliva, serum, 24 hour urine profiles
    • Diagnostic stimulation tests – testicular, adrenal, growth hormone
    The workup for the aging (or younger) male
    • History – key features of the medical history
    • Drugs that interfere with hormonal balance and deficiency
    • Testosterone questionnaire
    • The physical examination – what should be included
    • Basic laboratory testing – screening and stimulation tests
    How to accurately find the treatment target hormone levels
    Treatment modalites – The diagnosis determines treatment options

    • Age related options
    • Testosterone boosting modalities – increasing testosterone production
    • Testosterone replacement options – nuts and bolts of effective and ineffective treatments
    • Pulse dosing regimens – reproducing the normal physiology of pulsatility
    • Treatment options for controlling excess estrogen, maintaining the balance with testosterone, avoiding the pitfalls
    Treating the SHBG problem – freeing up the testosterone
    • Prolactin treatment options
    Selegiline as an added treatment – anti-aging benefits for brain and health
    • Followup testing to monitor treatment
    Adding other hormones –
    • DHEA
    • Thyroid
    • Growth hormone
    The Proscar/Propecia problem -
    • “Rare” but dangerous reactions of 5 alpha reductase inhibitors – the “Post Propecia Syndrome”
    • Some treatments to consider
    The dangerous mis-use of 5 alpha reductase inhibitors to “control DHT excess” during testosterone replacement
    Enhancing sexuality –
    Dealing with the complexities of changing libido and function
    • Newer options to consider
    The prostate –
    • Evaluation and monitoring for cancer
    • Informed consent for hormone treatments
    BPH – treatments old and new
    • What to do for an elevated PSA in a patient requiring testosterone replacement
    • What to do if PSA is rising – panic is the wrong approach!
    • Prostatitis – a common problem
    • Treating the prostate cancer patient with testosterone replacement
    The critical role of Vitamin D as an anti-aging hormone – possibly the most important aging hormone
    • Background physiology
    • Importance of vitamin D to the commons aging diseases: cancer, heart disease, inflammatory diseases, bone loss and muscle maintenance, brain function and Alzheimer’s disease
    • Testing and replacement options
    Anti-cancer supplements –
    • Selenium, Folic acid and phyto-nutrients
    • Some comments about prostate cancer treatments available
    The seminar will be an interactive process with breaks for questions and panel discussion of issues or complex problems. Case histories of common problems will be presented. Physicians should be able to immediately use the information and treatments in their practices.

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    Dr John
    please help with your estrogen management presentation.
    How can I put my hot hands on it?
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    looks like some cool stuff to attend......can't afford it though (
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    wonder if these seminars are ever taped or video condferenced?

    to watch a video conference at home and to be able to split the cost with a handfull of guys would be neat....this ever done?

    bob
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    Quote Originally Posted by bobbyn View Post
    wonder if these seminars are ever taped or video condferenced?

    to watch a video conference at home and to be able to split the cost with a handfull of guys would be neat....this ever done?

    bob
    Doctor who attends Dr Shippens seminar will get not only training but also DVD.
    I would like to put my hands on that DVD.

    Dr John is working on some kind of a deal that we will be able to buy his presentation.
    What is the status on that?
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    Quote Originally Posted by JanSz
    • The anti-cancer supplements – selenium, phyto-antioxidants, folic acid, DIM and IC3
    I would like to note that in this presentation that will happen in April 07, DIM and I3C are still togeter, so there must be a value in supplementing with I3C.

    I note that most DIM supplements contain I3C except for
    Zeligs, M.D
    Diindolylmethane DIM
    and
    Indolplex
    PhytoPharmica Indolplex with DIM
    that are missing the I3C.
    -------------------------------------------------
    AFAIK Dr John have/had associacion with Dr Delgado and his
    Estroblock

    Estroblock (60 ct) has 100mg DIM with I3C 50mg
    Dr John recomended 300mg DIM and some I3C here:

    ============================== ========
    Would love to see Dr John's current policy on estrogen and DHT management or his comming presentation in Orlando FL.
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    Quote Originally Posted by Dr. John View Post
    NEWS FLASH:

    They will be filming my two lectures at A4M Orlando in April.

    We'll have them here for sale.
    That is super good news.
    Thank you.

    Now if I could get you answer on my liposarcoma question,
    I would be almost set.
    It is soft tissue sarcoma in my left tigh.
    Removed Sep05.
    Balance of question in my post here:

    liposarcoma and T, HCG and HGH use
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    dr john that's great i would for sure like a copy of that....

    jansz....nice lead in to your question )

    bob
  

  
 

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