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Hormone Optimization for Aging Patients

Assess and manage common hormonal changes across the aging continuum using structured, guideline-informed reasoning.

What this track covers

This track covers recognizing symptoms of hormonal decline in aging patients, structuring a comprehensive hormonal assessment, and organizing a monitoring plan over time. It addresses estrogen, progesterone, testosterone, DHEA, and thyroid considerations relevant to both men and women.

What you will practice

  • Differentiate hormone-related symptoms from other causes of fatigue, mood change, or cognitive decline
  • Structure a stepwise hormonal workup for a patient reporting age-related symptoms
  • Compare delivery method considerations for hormone therapies discussed in guidelines
  • Plan a monitoring schedule after initiating hormone therapy
  • Identify red flags that warrant referral or further workup before treatment

Simulator scenario

A perimenopausal patient presents with fatigue, sleep disturbance, and mood changes, and the clinician must decide which hormonal workup steps to order first.

Board question topics

  • Recognizing symptoms of hormonal decline
  • Interpreting hormone assessment results
  • Monitoring considerations after starting hormone therapy
  • Differentiating hormonal from non-hormonal causes of symptoms

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