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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.

The Hormone Web: An Inter-Connected System

• 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 Function Impact on Hormone Balance

• 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

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, Cindy 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 hormonal imbalances, thyroid dysfunction, and autoimmunity as well as gut health, weight management, histamine intolerance, and immune health. 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.

Save time and $10 off the price of other submission methods – purchase & take the CE test online for $19.99 USD per participant. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-844-8260 for more details.

Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self study is an acceptable form of continuing education. Please refer to your state rules and regulations.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. 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 professions standards.

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.

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.

Continuing Education Information
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. 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 purchase. 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 statement above. For speaker disclosures, please see the faculty biography.

CE Up to Amount
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
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.

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.

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.

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 Therapy Assistants


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).

Florida Occupational Therapists & Occupational Therapy Assistants: PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number 50-399. This self-study course qualifies for 6.0 continuing education credits.

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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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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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Other Professions
This self-study activity qualifies for 6.25 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test and evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.

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