Bio-Identical Hormone Therapy Training

Saliva Testing and bio-identical hormone treatment training courseThe Most Complete BHRT Training Anywhere.  Learn Saliva Testing, Male Testosterone Therapy, Female BHRT before and after Menopause, Thyroid T3 Training, and Adrenal Fatigue Training

PracticalCME has the ONLY Bio-Identical Hormone Training that Offers…
8 AMA Category 1 CME Credits
 Full Course on Video with Downloadable Patient Forms

 Live or Recorded Online Classes
 Literature Citations and Case Studies
No Sponsors Controlling the Curriculum, and no Proprietary Supplements or Testing

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 live lecture training course offers doctors, physician assistants, nurse practitioners, naturopaths, 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.


  • 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


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.

AAFP Accreditation Website
AMA PRA Category 1 Accreditation Information
Royal College of Physicians (Canada) AMA CME Reciprocity Statement

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.

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