skip to Main Content
Max. 6 per Live Hands-On Class Join our Newsletter List for Discounts and Free Online Courses Use our LIVE CHAT function below for questions

Male/Female, Adrenal and Thyroid BHRT

Learn More ...

The Most Comprehensive BHRT Course Anywhere

  • The ONLY one-day CME BHRT that covers all 3 systems
  • Complete Training in interpreting Salivary Tests
  • NO sponsors controlling the curriculum
  • Free Saliva Test Consultation help after course completion
  • Case Presentations for most common situations

Fully ONLINE Streaming Interactive Presentation

Learn More ...

or choose Live Webcast on select dates

  • Complete at your own pace.
  • Print your certificate after completion of post-test.
  • Full access to instructor for Q&A while taking the course
  • No-charge course updates pushed automatically for 1 year.

8.0 AMA/AAFP CME Credits

Learn More ...

Comprehensive Salivary Testing and BHRT Training

THIS ACTIVITY HAS BEEN REVIEWED AND IS ACCEPTABLE FOR UP TO 8.0 PRESCRIBED CREDITS BY THE AMERICAN ACADEMY OF FAMILY PHYSICIANS (AAFP).
AAFP Prescribed credit is accepted by the American Medical Association as equivalent to AMA PRA Category 1 Credit™ toward the AMA Physician’s Recognition Award.

Course Information Videos

Who is Eligible to Take PracticalCME Training Courses?

Learn More ...

Saliva Testing and Bio-Identical Hormone Training for Medical Professionals

  • Doctors (MD’s and DO’s)
  • Nurse Practitioners
  • Physician Assistants
  • Registered Nurses (in a proper supervisory practice situation)
  • Pharmacists who need help with collaborating with MD’s and DO’s
  • Non-US Licensed Providers Chat with us using the chat box below or email us

No training course alters the legal scope of practice as defined by the medical/nursing boards in your home state/country. Please review all state/country requirements for supervision for these procedures prior to adding them to your practice.

Course Outline

Learn More ...

Introduction

  • What is Bio-Identical Medicine
  • Why Patient Demand is So High for BHRT Therapies
  • Physiology vs Pharmacology
  • Standards of Care… Meeting vs Exceeding

Female Hormone Imbalance

  • Physiology of the Menstrual Cycle
  • Physiology of the Menopause Transition
  • Natural role of Estrogens, Progesterone, and Testosterone in Women
  • The Problems With Pharmaceutical HRT
    • Synthetic, Dose, Duration, Liver Metabolism
  • Hormone Imbalances in PMS and Cyclic Symptoms
  • Hormone Imbalances in Menopause
    • Causes of Hot Flashes
    • Concept of Estrogen Dominance
  • Issues With Pharmaceutical Metabolism and Toxic Metabolites
  • Roles of Testosterone in Women
  • Basics of Dosing Compounded Transdermal Hormones in Women
    • Pre-menopause
    • Post-menopause

Male Hormone Imbalance

  • Testosterone Physiology in Men
  • Testosterone Metabolism
  • Effects of Obesity and Stress on Testosterone Production
  • Libido and Erectile Dysfunction
  • Andropause
  • Testosterone Replacement and Prostate Cancer
  • History of Testosterone Replacement
  • Advantages of Transdermal Therapy
    • Drawbacks of Current FDA-Approved Gels
  • Testosterone Replacement Guidelines and Protocols
  • Limiting Conversion to Estrogens

Principles of Salivary Hormone Testing and Thyroid Testing

  • Issues with Current Venous Blood Standards
  • Advantages of Using Narrower Reference Ranges
  • Advantages of Using Salivary Testing for Steroid Hormones
    • Tissue Levels vs Venous Waste
    • Literature Proof for Salivary Testing
  • Proper Salivary Testing Techniques
  • Choosing the Best Salivary Lab

Using Compounded Transdermal Creams

  • Choosing the Right Compounding Pharmacy
  • Literature Support of Predictable Absorption
  • Why to avoid all oral Sex Steroids
  • Why Most Pharmaceuticals are Not Bio-Identical
  • Avoiding Household Transmission
  • Using Troches
  • Why Pellets are Not Bio-Identical

Bio-Identical Thyroid Testing and Treatment

  • Thyroid Physiology
  • Thyroid Hormone Production
  • Toxins and the Thyroid
  • Testing Free T3 and Free T4 Levels
    • Adopting Narrower Reference Ranges
  • Prescribing Armour and Cytomel
  • Monitoring Treatment

Testing and Treating Stress-Induced Adrenal Dysfunction

  • Adrenal Physiology and Pathology
  • Testing Adrenal Function Using 4-Point Salivary Cortisol
  • The 3 Phases of Stress-Induced Adrenal Dysfunction
    • Alarm
    • Resistance
    • Fatigue
  • Diagnosis and Treatment of Each Phase
    • Using Vitamin and Herbal Therapy
    • Using Low-Dose Hydrocortisone (Cortisol)
    • Using Adrenal Glandulars
  • Literature Review of Clinical Significance of Adrenal Fatigue
  • Is Chronic Fatigue Syndrome Really Adrenal Fatigue?
  • Are Most Uses of Anti-Depressants and Sleeping Pills Really Just a Missed Adrenal Fatigue Diagnosis?

Practice Tips and Case Studies

  • Implementing The Service
  • Selling Supplements
  • Billing Insurance
  • Marketing
  • Basic and Advanced Case Studies and Discussion
  • Handling Patients Overdosed by Other Providers

Course General Information & Purpose

Learn More ...

How the Best Doctors and Mid-Levels Learn BHRT Since 2008

Learn Bio-Identical Hormone Therapy Testing and Treatment in a One-Day CME Certification Course that covers Salivary Testing and Treatment for Female, Male, Thyroid, and Adrenal systems.

PracticalCME’s most popular training course is now FULLY ONLINE offers doctors, physician assistants, nurse practitioners, and compounding BHRT certification online training coursepharmacists the latest information in accurate testing and bio-identical treatment.  This is the only one-day course which covers testing and treatment for stress-induced imbalances of the Adrenal, Male, Female, and Thyroid hormone systems.  Course highlights include…

  • Ordering and Interpreting Salivary Hormone Testing
  • Proper dosing of Bio-Identical Compounded Creams
  • Using Vitamins and Herbals as adjunct Treatments
  • Why Diagnosing and Treating Adrenal Fatigue is a Must

This course has a 99% satisfaction rating among participants.  The course also comes with customizable office history, treatment, tracking, and patient information forms to help you implement this service in your practice immediately.  Courses are limited to less than 10 participants to encourage questions and discussion.  You will be fully equipped to help your patients feel better without the need for so many antidepressant, stimulant, and sleeping pill prescriptions.  You will feel very comfortable prescribing estrogens, testosterone, cortisol, and all forms of thyroid treatment including Cytomel and Armour Thyroid.  In addition, we provide email support after the course if you need help interpreting your first tests.  If you have any further questions about this course, please Email our Medical Director.

Why Choose PracticalCME?

Excellence in CME Training Since 2008

Ronald Lieberman, DOGreat CME

Thanks PracticalCME. When I first ordered the video weight loss course I was skeptical about the outcome and how this will benefit my practice. It was great. It was so convincing that I took the live course. I came back and started doing right away what I learned. The course had so much information that time to time I got confused.

I got great follow up and support after the course. The teacher (Dr. Zengo) always answered my email questions in a few hours. This was the beauty of the course (100 % follow up and support). I really felt ashamed at the very beginning of the many times I bothered him with questions. He always supportive and accurate. I do not remember any other CME like that. Dr. Zengo is an excellent advisor and teacher, he always answered my questions in less than 4-6 hours and his advice is priceless . The money that I invested in this training has been recovered in less than 1 month. I also cut my hours at the hospital, enjoying medicine and family again.

Eric B, MDBHRT online course

The BHRT course is excellent, even if a bit overwhelming. There's SO much information to take in that I watched many slides two-three times, and took copious notes. But it's all good information, and Dr. Zengo explains everthing very clearly, citing the available evidence throughout. Best of all, Dr. Zengo stands by his promise to help you interpret data from patients you test as you get started. I highly recommend his online BHRT course to anyone interested in helping their patients feel "balanced" again.

J.J., MD in CaliforniaWeight Loss Training

Incorporating the weight loss principles I learned from the "Evidence-Based Weight Loss" Course into my practice has helped my family and my patients lose a record amount of weight and improve their wellness like never before. It was also very profitable for me, netting me over $48,000 in profits in the first year from product sales alone.

Of all the CME courses I have taken in an effort to expand my medical practice, I can say without hesitation that PracticalCME's lectures have been the most well-presented, memorable, and enjoyable.

Susanti Chowdhury, MDBio-Identical Hormones

Yours was the 4th different lecture on Bio-Identical Hormones that I have attended. It was by far the most comprehensive and passionate presentation on the subject.

I definitely have benefited greatly from your training. I was very skeptical about adding Weight Loss to my practice. Your courses made it very easy to get trained and your teaching was very efficient and effective. The courses and the office forms gave me all the materials and confidence I needed to get started immediately.

Shortly thereafter, I began offering Rapid Weight Loss in my practice and it quickly became our most successful new service in our practice in just the first 12 months. All of this with very little investment in regards to training and supplies needed to get started. We earned back the costs of our training in just a matter of days.

The instructors have been more than helpful on numerous occasions when I have had questions…always responding to emails very quickly with just the right information. You keep up to date with all of the latest research and journals and the information presented in your training programs reflect this. Of all the CME courses I have ever had, yours have been the most exciting and beneficial to my practice. Thanks for all of your help over the past 5 years.

Joe Johnson, MDCME

I definitely have benefited greatly from your training. I was very skeptical about adding Weight Loss to my practice. Your courses made it very easy to get trained and your teaching was very efficient and effective. The courses and the office forms gave me all the materials and confidence I needed to get started immediately.

Shortly thereafter, I began offering Rapid Weight Loss in my practice and it quickly became our most successful new service in our practice in just the first 12 months. All of this with very little investment in regards to training and supplies needed to get started. We earned back the costs of our training in just a matter of days.

The instructors have been more than helpful on numerous occasions when I have had questions…always responding to emails very quickly with just the right information. You keep up to date with all of the latest research and journals and the information presented in your training programs reflect this. Of all the CME courses I have ever had, yours have been the most exciting and beneficial to my practice. Thanks for all of your help over the past 5 years.

J. JohnsonBHRT course

The Hormone Balancing Course has been practice changing. We now have about 25% of my practice involved with hormone, adrenal support, and GI health. This is gratifying for both me and my patients, because I can now offer options that I didn't have before for menopause, fatigue, and IBS symptoms. It has also been very helpful financially, because I make profits not only on visits, but also on labs and supplements. I did not even need to advertise, because these issues are so common and patients want good answers. In summary, the courses offered by PracticalCME have helped me become more profitable and bring vitality and fun back into my practice. I would highly recommend all of these courses to anyone.

M.D. from IllinoisWellness Triple Classes

Your wellness courses have helped establish my wellness-oriented practice. I am no longer taking any new Medicare or Medicaid and am averaging 3 new private insurance/cash patients a day!

Frequently Asked Questions

What is Bio-Identical Hormone Therapy?

Bioidentical Hormone Therapy, or BHRT, measures the levels of key hormones in your body that become unbalanced due to stress or menopause and replace what is missing to restore symptoms. Only the actual natural hormones that are present in the human body normally are given. No synthetic drugs are used.

What is Bio-Identical Hormone Therapy used for?

A: Bioidentical Hormone Therapy, or BHRT is used to treat menopause, andropause, menstrual cyclic abnormalities, hypothyroidism, sleep issues, and body clock disturbances.

Are Bioidentical hormones better than synthetic?

When properly tested, replacing the exact hormone that is missing is always better and has fewer side effects compared to using drugs or not assessing levels prior to treatment.  Bio-Identical hormones have a known metabolism in the body where synthetics are unpredictable in their metabolism and side effects. We also cannot reliably check levels of synthetic hormones in the body.

Are there any risks associated with bioidentical hormones?

The only risks to hormone therapy is if the hormone is overdosed due to inferior or incomplete testing.  For instance, using serum blood testing instead of saliva or pellets instead of daily creams can lead to overdosing and side effects, even from BHRT.

What is Salivary Hormone Testing?

Salivary hormone testing allows for checking levels of hormones that have left the blood and entered a body tissue (the salivary gland).  This assesses the hormone levels where they function instead of hormones that remain trapped in the bloodstream.

Is Saliva testing accurate?

Salivary hormone testing of cortisol, estrogens, progesterone, and testosterone has been validated in over 1,000 papers in the medical literature since 1959.

What can be determined via Salivary Hormone Testing?

Salivary hormone testing is most accurate to assess tissue levels of Estrogens, Progesterone, Testosterone, Cortisol, DHEA, and Melatonin

Why Choose PracticalCME Saliva Testing and Bioidentical Hormone Training CME Courses?

Since 2008, PracticalCME remains the only BHRT training that integrates Female, Male, Thyroid, and Adrenal testing in the same evidence-based course.  The course is presented by a board-certified MD with 15 years’ experience in BHRT.

Back To Top Skip to content