Diagnosis and treatment of women and men
03-03-2007 01:44 PM
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
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
• 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 –
• 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.
03-03-2007 01:48 PM
please help with your estrogen management presentation.
How can I put my hot hands on it?
03-03-2007 02:08 PM
looks like some cool stuff to attend......can't afford it though (
03-03-2007 02:11 PM
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?
03-03-2007 02:30 PM
Doctor who attends Dr Shippens seminar will get not only training but also DVD.
Originally Posted by bobbyn
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?
03-08-2007 11:23 AM
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.
Originally Posted by JanSz
I note that most DIM supplements contain I3C except for
PhytoPharmica Indolplex with DIM
that are missing the I3C.
AFAIK Dr John have/had associacion with Dr Delgado and his
Estroblock with I3C -60 count
Estroblock (60 ct) has 100mg DIM with I3C 50mg
Dr John recomended 300mg DIM and some I3C here:
MESO-Rx - View Single Post - I am on HRT with DIM...
Would love to see Dr John's current policy on estrogen and DHT management or his comming presentation in Orlando FL.
03-10-2007 09:20 AM
That is super good news.
Originally Posted by Dr. John
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.
Balance of question in my post here:
liposarcoma and T, HCG and HGH use
03-10-2007 10:37 AM
dr john that's great i would for sure like a copy of that....
jansz....nice lead in to your question )
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