Hormone Imbalance: Identification and Lifestyle Treatment to Rebalance and Reset

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: Tuition includes one free CE Certificate (participant 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, and others.

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Program content is reviewed periodically per accrediting board rules for currency and appropriateness for credit. Credit approvals are subject to change. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education, as well as which credit types are acceptable for continuing education hours. 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. 
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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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* Credit Note - ---

Earn up to 6.25 CE hours. Please see below, for more details, as credit amounts vary by state and profession. 

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Counselors - Counselors

This self-study activity consists of 6.25 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from the activity and contact your state board or organization to determine specific filing requirements.

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Social Workers - Social Workers

This intermediate self-study activity consists of 6.25 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from the activity and contact your state board or organization to determine specific filing requirements.

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Nurses - California Nurses

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 6.0 self-study contact hours. 

** You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

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Nurses - Florida Nurses

PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 6.0 self-study contact hours.

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Nurses - Iowa Nurses

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 6.25 self-study contact hours. Please email cepesi@pesi.com with your license number, include the title, speaker name and date. PESI must have this number on file in order for your hours to be valid.

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Occupational Therapists - Occupational Therapists & Occupational Therapy Assistants

 

PESI, Inc.  is an AOTA Approved Provider of professional development. Approved provider # 3322. This Distance Learning-Independent activity is offered at 0.6  CEUs Inermediate, 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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Occupational Therapists - Arizona Occupational Therapists & Occupational Therapy Assistants

CE credit is available. This self-study course consists of 6.0​ 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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Occupational Therapists - 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 6.0 self-study continuing education credits.

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Physical Therapists - Physical Therapists & Physical Therapist Assistants

This self-study course consists of 6.25 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.

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Other Professions

This self-study activity qualifies for 6.25 continuing education clock hours 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

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Objectives

1. Articulate 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. Analyze common symptoms of specific hormone imbalances through subjective and objective assessments.
4. Articulate 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.
5. Articulate how the 5 key lifestyle strategies naturally rebalance hormone systems – diet, exercise/activity, stress management, sleep optimization, and reduction in toxin exposures.
6. 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

• Gut health basics: the stats & importance of overall health and wellness
• Digestion: you are not just what you eat but ‘what you digest, absorb, and use’
• Intestinal permeability: leaky gut and its impact on hormone balance
• Microbiome: enter the extrabolome
• How the gut impacts each of the 6 hormone systems
• 5R protocol: 5 steps to repairing your gut
• Lab testing options

REBALANCE Hormones REDUCE Symptoms

Cortisol

• Related disorders/conditions: anxiety, insomnia, high blood sugar, high blood pressure
• Underlying causes: stressors – physical, emotional/psychological, nutritional, environmental, physiological
• Common symptoms of hormone imbalance:
  • 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: pre-diabetes, metabolic syndrome, diabetes, hypercholesterolemia
• Underlying causes: high sugar diet, deficient minerals/vitamins, obesity, environmental toxicity, lack of exercise, stress, lack of sleep
• Common symptoms of hormone imbalance: 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 (we will focus on hypo)
• Underlying causes: stress, nutrient deficiencies, toxins, estrogen dominance, liver or kidney dysfunction, gut dysfunction, infections
• Common symptoms of hormone imbalance: 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 of hormone imbalance:
  • Low: menopause (natural or surgical) – 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 of hormone imbalance: 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 of hormone imbalance:
  • 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

Case Studies related to Estrogen Dominance, Andropause, & Hypothyroid

• Client assessment first – what do they need?
• Where do you start – prioritized lifestyle factors to master:
  • Sleep
  • Diet
  • Stress management
  • Exercise
  • Environmental toxins

Target Audience

• Registered Dietitians
• Nutritionists
• Registered Nurses
• Dietitians
• Dietary Managers
• Chiropractors
• Coaches
• Personal Trainers
• Occupational Therapists
• Physical Therapists
• Physical Therapy Assistants
• Counselors
• Social Workers

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