A Healthcare Professional's Guide to Hormone Imbalance: Nutrition and Lifestyle Solutions to Rebalance Cortisol, Insulin, Thyroid, Estrogen, Progesterone & Testosterone

Credit

Planning Committee Disclosure - No relevant relationships

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.

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* Credit Note - *

NOTE: Each purchase includes CE credit for one individual (participants in full attendance will be able to print the certificate of completion after passing the online post-test (80% passing score) and completing the evaluation). Instructional methods will include PowerPoint, didactic lecture, Q&A, and others.

Continuing Education Information: Credits listed below are for full attendance at the live, interactive webinar only. This webinar is being broadcast live in real-time and must be attended live, in its entirety, in order to earn credit. You will be able to type questions to the speaker. The speaker will see the questions and address them during the presentation as time allows. Please note, your state licensing board dictates whether web-based activities are an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, please contact info@pesi.com or 800-844-8260 before the event.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.

For Planning Committee disclosures, please see the statement above.  For speaker disclosures, please see the faculty biography.
 

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Chiropractors

PESI is recognized by the PACE program of the Federation of Chiropractic Licensing Boards. This activity consists of 8.0 CE hours of instruction in the following subjects: Chemistry 1.5hrs;  Evidence-Based Outcomes 1.5hrs;  History and exam .75hrs;  Lab .75hrs;  Nutrition 1.5hrs; Wellness/Supportive Care 2.0hrs. Approval #88394PWZ. No more than 8.0 total CE hours may be earned for this activity.

 

For a list of boards that accept PACE courses, please visit this website: https://pacex.fclb.org/pages/BoardRequirements.php

 

**Please note that Chiropractors and/or Chiropractor Assistants must complete the post-test and evaluation within two weeks of attending the live event if they would like their participation submitted to PACE.

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Registered Dietitians & Dietetic Technicians

 

PESI, Inc., PE001, is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR)  (please check our website for current approval period). Registered dietitians (RDs) and dietetic technicians, registered (DTRs) will receive 7.0 continuing professional education units (CPEUs) for completion of this program/materials. Continuing Professional Education Provider Accreditation does not constitute endorsement by CDR of a provider, program, or materials. This program/material is designated as LEVEL: 2.

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Nurses, Nurse Practitioners, and Clinical Nurse Specialists - ANCC

PESI, Inc. is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation. Nurses in full attendance will earn 7.0 contact hours. Partial contact hours will be awarded for partial attendance.

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California Nurses

PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider Number 17118 for 7.0 contact hours. Full attendance is required. No partial contact hours will be issued for partial attendance. 

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Florida Nurses

PESI, Inc. is an approved provider with the Florida Board of Nursing, Provider # FBN2858. This course qualifies for 7.0 contact hours. 

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Iowa Nurses

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Full attendance at this activity qualifies for 7.0 contact hours. Full attendance in the activity is required; no partial contact hours will be issued for partial attendance. These contact hours are used for your license renewal. Please email cepesi@pesi.com with your license number, include the webcast title, speaker name and date. PESI must have this number on file in order for your hours to be valid for the webcast.

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Occupational Therapists & Occupational Therapy Assistants

 

PESI, Inc.  is an AOTA Approved Provider of professional development. Course approval ID# 0000006111. This Distance Learning-Interactive activity is offered at .7  CEUs Intermediate, OT Service Delivery. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA.

 

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Arizona Occupational Therapists & Occupational Therapy Assistants

CE credit is available. This course consists of 7.0 continuing education clock hours for Arizona OTs and OTAs. The Arizona Board of Occupational Therapy Examiners (R4-43-203) confirms acceptance of continuing education programs relevant to occupational therapy that are approved by the American Occupational Therapy Association (AOTA).

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Florida Occupational Therapists & Occupational Therapy Assistants

PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number #50-399. This course qualifies for 7.0 continuing education credits.

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Physician Assistants

AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME such as PESI. Physician assistants may receive a maximum of 7.0 hours for completing this program.

PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. PESI, Inc. designates this live activity for a maximum of 7.0 AMA PRA Category 1 Credit(s)™.

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Physicians

PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

PESI, Inc. designates this live activity for a maximum of 7.0 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

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Other Professions

This activity qualifies for 420 continuing education minutes as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements. 

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Handouts/Brochure

Speaker

Cindi Lockhart, RDN, LD, IFNCP Related seminars and products

Lockhart Wellness Solutions, LLC

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Cindi Lockhart, RDN, LD, IFNCP, is board-certified as an integrative and functional nutrition practitioner with over 30 years in professional practice. She has trained nutrition, fitness, and medical practitioners throughout most of her career, yet maintains a personal practice with clients as she believes that the only way she can effectively educate and inspire other practitioners is through her own practical experience with clients. In addition to educating on how Food is Medicine, Cindi also specializes in coaching clients and practitioners on the importance of managing stress, optimizing sleep, proper exercise and movement, and reducing exposure to environmental toxins. Cindi has extensive expertise in women’s health issues including perimenopause/menopause and thyroid dysfunction as well as autoimmunity, gut health, weight management, cardiometabolic health (insulin resistance, diabetes, heart disease), fasting, histamine intolerance, mold detox, and long COVID.
 

Speaker Disclosures:
Financial: Cindi Lockhart is the owner and founder of Lockhart Wellness Solutions, LLC. She receives compensation from Fullscript. Cindi Lockhart receives a speaking honorarium and recording royalties from PESI, Inc. All relevant financial relationships with ineligible organizations have been mitigated.
Non-financial: Cindi Lockhart is a member of the Academy of Nutrition and Dietetics, Dietitians in Integrative & Functional Medicine, the Institute for Functional Medicine, and the Integrative & Functional Nutrition Academy.

 

Additional Info

For live CE credit, you must watch the live webcast in its entirety at its scheduled time and complete the CE quiz and evaluation within one week. You will have access for 90 days after the program for review.

Please note: There will be a 60-minute lunch and two 15-minute breaks; one in the morning and one in the afternoon. Lunch and break times will be announced by the speaker and at their discretion. A more detailed schedule is available upon request.

Visit our FAQ page at www.pesi.com/faq or contact us at www.pesi.com/info

Objectives

1. Inspect the 6 core hormone systems and how they are inter-related – cortisol, insulin, thyroid, estrogen, progesterone, and testosterone.
2. Determine how the gut affects hormone balance via digestion, intestinal permeability, and the microbiome.
3. Investigate common symptoms of specific hormone imbalances through subjective and objective assessments.
4. Determine how to identify triggers and root causes of hormone imbalance.
5. Differentiate how the 6 lifestyle-based root causes affect hormone balance - standard American diet, obesity, too much or too little exercise, chronic stress, inadequate sleep, and environmental toxins.
6. Assess how the 5 key lifestyle strategies naturally rebalance hormone systems - diet, exercise/activity, stress management, sleep optimization, and reduction in toxin exposures.
7. Determine a prioritized and systemized approach for effective lifestyle interventions.

Outline

• How each hormone affects the other vs in isolation
• Lab testing:
  • Subjective vs objective
  • Options available
  • Pros/cons to each
• Conventional vs functional lens
• Who can order?
• When to refer out

• You are ‘what you digest, absorb, and use’
• Intestinal permeability: leaky gut
• Microbiome: enter the estrabolome
• How the gut impacts each of the 6 hormone systems
• 5R protocol: 5 steps to repairing your gut
• Lab testing options

REBALANCE Hormones and Reduce Unwanted Symptoms 

Cortisol

• Related disorders/conditions: anxiety, insomnia, high blood sugar, high blood pressure
• Underlying causes: stressors – physical, emotional/psychological, nutritional, environmental, physiological
• Common symptoms:
  • High: nervousness, irritability, anxiety, insomnia, sugar cravings, belly fat
  • Low: apathy, fatigue, low libido, insomnia, lightheaded when rising, salt cravings
• Lab testing options
• Lifestyle strategies to naturally rebalance cortisol

Insulin

• Related disorders/conditions: prediabetes, metabolic syndrome, diabetes, hypercholesterolemia
• Underlying causes: high sugar diet, deficient minerals/vitamins, obesity, environmental toxicity, lack of exercise, stress, lack of sleep
• Common symptoms: energy roller coaster during the day, headaches, foggy brain, weight gain around spare tire or scapular region
• Lab testing options
• Lifestyle strategies to naturally rebalance insulin

Thyroid

• Related disorders/conditions: hypothyroidism,
• Hashimotos thyroiditis, hyperthyroidism, Grave’s disease
• Underlying causes: stress, nutrient deficiencies, toxins, estrogen dominance, liver or kidney dysfunction, gut dysfunction, infections
• Common symptoms:
  • Persistent fatigue, weight gain, fluid retention, depression, constipation, cold extremities; dry hair/ skin, brittle nails, hair loss
• Lab testing options
• Lifestyle strategies to naturally rebalance thyroid

Estrogen

• Related disorders/conditions: estrogen dominance, PMS, fibrocystic breasts, uterine fibroids, endometriosis, perimenopause, menopause
• Underlying causes: gut dysfunction, stress, xenoestrogen exposure, obesity, medications (oral contraceptives, HRT), conventional animal products
• Common symptoms:
  • Low: menopause, depression, increase in UTI’s
  • High: fibrocystic & swollen/painful breasts, cystic ovaries, uterine fibroids, endometriosis
• Lab testing options
• Lifestyle strategies to naturally rebalance estrogen

Progesterone

• Related disorders/conditions: infertility
• Underlying causes: stress, xenoestrogen exposure, obesity, medications (oral contraceptives, HRT), conventional animal products
• Common symptoms:
• Headaches, mood changes, irregular menstrual cycle
• Lab testing options
• Lifestyle strategies to naturally rebalance progesterone

Testosterone

• Related disorders/conditions: andropause, hypercholesterolemia, increased blood pressure, pre-diabetes, diabetes, erectile dysfunction, dementia, PCOS
• Underlying causes: stress, xenoestrogen exposure, obesity, insulin resistance, poor diet, gut dysfunction
• Common symptoms:
  • High: acne, hair loss on head, facial hair (women), deeper voice, increased muscle mass, irregular periods, mood changes
  • Low: burned out, belly fat, decreased libido, decreased strength & stamina, muscle loss, mood changes, erectile dysfunction, poor concentration & focus
• Lab testing options
• Lifestyle strategies to naturally rebalance testosterone

Help Clients Prioritize an Effective Lifestyle Intervention

• Client assessment first – what do they need?
• Prioritize lifestyle factors for:
  • Sleep & circadian rhythms
  • Food as medicine approach
  • Stress management
  • Exercise
  • Simple ways to reduce exposure to environmental toxins
• Case Studies related to estrogen dominance, andropause, & hypothyroid

Target Audience

• Dietitians
• Nutritionists
• Nurse Practitioners
• Physician Assistants
• Registered Nurses
• Dietary Managers
• Chiropractors
• Physical Therapists
• Coaches
• Occupational Therapists
• Occupational Therapy Assistants
• Personal Trainers
• Athletic Trainers