From the biology of the stress response to practical, whole-person tools you can use Monday morning. Course Description Chronic stress is one of the most common — and most under-assessed — drivers of disease in everyday practice. This one-hour session translates the physiology of the hypothalamic-pituitary-adrenal (HPA) axis into clinically actionable insight. Participants will review how the stress response shapes metabolic, cardiovascular, immune, cognitive, and longevity outcomes; learn a structured, integrative approach to assessment using validated questionnaires, physical findings, and serum, urine, and salivary testing; and leave with an evidence-informed toolkit spanning lifestyle, nutrition, mind-body practices, botanicals, traditional Chinese medicine, and clear criteria for pharmacologic and psychological referral. The emphasis throughout is practical integration into a busy clinical workflow. Learning Objectives Upon completion, participants will be able to: Describe the physiology of the acute and chronic stress response and the regulation of the HPA axis and cortisol. Explain the impact of HPA-axis dysregulation on cardiometabolic, immune, cognitive, and longevity-related health outcomes. Select and interpret appropriate assessment tools — validated questionnaires, physical examination findings, and serum, urinary, and salivary cortisol testing. Apply an integrative, stepwise treatment framework spanning lifestyle, diet, mind-body, botanical, nutritional, and traditional Chinese medicine interventions. Identify red flags and criteria for referral to pharmacologic management and psychological/psychotherapeutic care.
23 March, 2024