Hyatt Sonoma
⋆
Santa Rosa
Hyatt Sonoma ⋆ Santa Rosa
Complex Chronic Conditions
Putting the Puzzle Pieces Together
CNDA 2023 Conference | Santa Rosa, CA
April 28-30, 2023
CONFERENCE OVERVIEW
As licensed primary care physicians, naturopathic doctors are expected to be knowledgeable about the management of a variety of acute and chronic conditions.
In addition, patients come to us with the desire for updated knowledge and evidence-based treatments. Keeping up to date in primary care practice is key to providing the best naturopathic care to our patients.
[Exhibitors, please visit our 2023 Conference Exhibitor page.]
This conference will emphasize cutting-edge research in naturopathic primary care settings on topics including:
Chronic Sinusitus
Ehlers-Danlos Syndrome
Endometriosis
Mold and Mycotoxins
Breast cancer
Parkinson’s Disease
And MORE!
Don't miss our All-Star Lineup of Speakers who will provide you with the most up-to-date research in naturopathic diagnostics, treatment and management!
* * * Conference Schedule (scroll down)
* * * Meet Our Exhibitors (coming soon)
Up to 13.5 CEs for all NDs* | 13.5 CEs for CA acupuncturists (approved)
8.5 general CEs | 5 pharm CEs (APPROVED)
*Approved by the CNDA and OBNM
The conference survey will be emailed out on Tuesday, May 2nd so you can provide feedback and download your certificate.
2023 Conference Schedule
SUNDAY, April 30th
7:15 am - 8:30 am Registration and breakfast with exhibitors
8:30 – 9:20 Denise Cooluris, ND Women’s Integrative Health: Vulvar Lichen Sclerosus
9:20-9:30 am BREAK
9:30 – 10:20am Denise Cooluris, ND Endometriosis in Patients with Chronic Illness
10:20- 11:00 Exhibitor Break
11:00- 11:50pm Todd Maderis, ND Mold and Mycotoxin Illness: Causes, Symptoms and Testing
11:50pm – 1:00pm Lunch: Special Presentation: Mysterious and Powerful: Where women’s health and the microbiome intersect Dr. Preeti Kulkarni, ND
1:00pm – 1:20pm - Legislative Update
1:20pm - 2:10pm Todd Maderis, ND Mold and Mycotoxin Illness: Pathophysiology and Treatment
2:10pm- 2:40pm Exhibitor Break
2:40 – 3:30pm Chris Holder, ND Breast Cancer: Toxicology, Carcinogens and Detoxification
3:30pm – 3:40pm Break
3:40pm – 4:30pm Chris Holder, ND Parkinson’s Disease: Ochrratoxin Causation and Treatment
4:30pm Closing Remarks
SATURDAY, April 29th
7:30 am - 8:45 am Registration and breakfast with exhibitors
8:45 am - 9:00 am Welcome and Opening Remarks
9:00 am – 9:50 am Peter Koshland, PharmD: Biofilm Disruption: Understanding Microorganism Complexity and Effects on the Microbiome
9:50-10:00 am BREAK
10:00 -10:50am Peter Koshland, PharmD Chronic Sinusitis: Beyond Limitations of Naturopathic and Conventional Treatments
10:50 -11:10 Exhibitor Break
11:10-12:00pm Alena Guggenheim, ND Untangling the Triad: Ehlers-Danlos Syndrome (EDS) and Connection to Postural Orthostatic Tachycardia Syndrome (POTS) and Mast Cell Activation Syndrome (MCAS) Part 1
12:00 – 1:10 LUNCH Special Presentation: Medication-Induced Osteoporosis Dr. John Neustadt, ND
1:10 - 1:30: CBNM update with Rebecca Mitchell (formerly NMC)
1:30 – 2:20pm Alena Guggenheim, ND Untangling the Triad: Ehlers-Danlos Syndrome (EDS) and Connection to Postural Orthostatic Tachycardia Syndrome (POTS) and Mast Cell Activation Syndrome (MCAS) Part 2
2:20 – 2:45pm Exhibitor Break
2:45 pm – 3:35pm Bonnie Nedrow, ND Metabolic Flexibility: The Key to Reversing Metabolic Syndrome
3:35 – 4:00pm Exhibitor Break
4:00pm – 4:50 Bonnie Nedrow, ND Metabolic Flexibility: Treating Fatty Liver Disease
FRIDAY, April 28th
6:00 pm - 7:30 pm Sarah Marshall, ND + Stephanie Berg, ND, JD Addressing the legal issues of running an ND virtual or blended practice
7:30 pm - 9:00 pm Welcome Reception
subject to change
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Category 1 TM Credits | CE Provider #805 | 310 670 8100 | **This course is approved by The California Acupuncture Board for 13.5 hours of continuing education | This course will be available as a self study after the date of the live webinar. *Refunds not available
Scroll down for talk descriptions!
Join us in beautiful Santa Rosa!
Enjoy the bounty of wine country at our Sonoma CA hotel
Retreat to Hyatt Regency Sonoma Wine Country. The hotel in Santa Rosa offers spacious rooms and suites with scenic views and easy access to hundreds of Sonoma County wineries. Walk to Historic Railroad Square and charming downtown Santa Rosa to find museums, fine dining, and shopping nearby.
We’re staying at the incredible
CNDA MEMBER: $499
Members must sign in to access member pricing - If you have not yet transitioned to our new system, you’ll be prompted to do that first.
Non-CNDA Members: $549 (Become a member and save on our events all year long!)
Live Student CNDA Members: $149
Live Student NON-CNDA Members: $199
(Student membership is FREE. Sign up here.)Non-CE Live Attendance only: $399
This is primarily for affilate professions who want the education without the credit.
Registration Pricing
Live Attendance
TO ACCESS MEMBER PRICING:
You’ll need to SIGN IN to your Member Account.
If you haven’t yet registered in our new system, you’ll be prompted to do that first.
CNDA MEMBER: $549
Members must sign in to access member pricing - If you have not yet transitioned to our new system, you’ll be prompted to do that first.
Non-CNDA Members: $649 (Become a member and save on our events all year long!)
Virtual Student CNDA Members: $149
Virtual Student NON-CNDA Members: $199
(Student membership is FREE. Sign up here.)Non-CE Virtual Attendance only: $199
This is primarily for affilate professions who want the education without the credit.
Virtual Attendance
Member pricing is good for CNDA Members ONLY - we verify all purchases
Extend your stay and make it a vacay!
“Wonderful conference with diverse but relevant topics. I can't wait for next years!”
“The conference was packed full of valuable up to date information.”
“The online format was exceptional and a great experience!”
Biofilm Disruption: Understanding Microorganism Complexity and Effects on the Microbiome
Peter Koshland, PharmD
2023 Conference Speakers
Presentation Description:
Biofilms are implicated in many conditions and multiple body systems, including otitis media, bacterial vaginosis, sinusitis, endocarditis, valvular infections, and infections of the respiratory, skin, and gastrointestinal systems. These conditions can be very hard and complex to treat. Luckily there are many pharmaceuticals that can treat biofilms, including antimicrobials, chemotaxis agents, matrix disruptors, dispersants, and bioadhesives. After this presentation, attendees will be able to cite studies and understand formulas that have been proven to be effective for various types of biofilm infections.
Goals and Objectives:
After the presentation, participants will be able to confidently:
1. Understand the makeup of typical biofilms in the human body.
2. Understand how biofilms function to prevent eradication of infectious diseases.
3. Considerations for considering biofilm implication in a patient’s pathology.
4. Treatment options for disrupting biofilms.
Chronic Sinusitis: Beyond Limitations of Naturopathic and Conventional Treatments
Presentation Description:
Chronic sinusitis affects at least 30 million people a year and can last longer than 8 weeks. During this time, patients tend to suffer from pain, congestion, pressure, insomnia, headache, fever, and ear ache. Sinusitis tends to be polymicrobial (bacterial, fungal, mold, viral), but is usually treated with antibiotics. Symptoms may go away, but the infection can still be present, leading to recurrent infections in the future. There are many ways to treat these sinus infections, and it is important to address the bacteria, fungus/mold, and virus
Goals and Objectives:
After the presentation, participants will be able to confidently:
1. Understand the anatomy of the sinuses.
2. Analyze the different presentations of sinusitis.
3. Understand common pathogens for sinusitis.
4. Explore the role of biofilm in limiting the effectiveness of the immune system and drugs in eradicating pathogens.
5. Explore different treatment options.
6. Compare sinus rinses and nasal nebulization as drug delivery devices.
Untangling the Triad: Ehlers-Danlos Syndrome (EDS) and Connection to Postural Orthostatic Tachycardia Syndrome (POTS) and Mast Cell Activation Syndrome (MCAS) Part 1
Presentation Description:
Heritable disorders of connective tissue such as Ehlers-Danlos Syndrome (EDS) appear to predispose people to other disorders of the nervous system and immune system such as postural orthostatic tachycardia syndrome (POTS) and mast cell activation syndrome (MCAS). This can cause patients to present with seemingly disparate, but ultimately related complex multiple system symptoms. This lecture will cover recognition, diagnosis of EDS, POTS and MCAS for integrative providers.
Goals and Objectives:
After the presentation, participants will be able to confidently:
Recognize the common symptoms of hypermobile connective tissue disorders, dysautonomia and mast cell activation syndrome.
Order and interpret common testing for dysautonomia and mast cell activation syndrome.
Create a differential diagnosis for patients that present with complex, chronic, multi system disorders.
Dr. Alena Guggenheim, ND
Untangling the Triad: Ehlers-Danlos Syndrome (EDS) and Connection to Postural Orthostatic Tachycardia Syndrome (POTS) and Mast Cell Activation Syndrome (MCAS) Part 2
Presentation Description:
Part 2 this lecture will cover both pharmaceutical as well as naturopathic treatments of EDS, POTS and MCAS. After this lecture, attendees will understand the common medications used to treat these conditions. Naturopathic treatments will include nutraceuticals as well as lifestyle interventions.
Goals and Objectives:
After the presentation, participants will be able to confidently:
1. Safely prescribe appropriate medications to address dysautonomia and mast cell activation syndrome.
2. Provide integrative therapies including nutriceuticals and lifestyle interventions for patients with EDS, POTS and MCAS.
3. Understand which pharmaceutical medications are indicated for EDS, POTs, and MCAS and their mechanism of action.
Metabolic Flexibility: The Key to Reversing Metabolic Syndrome
Dr. Bonnie Nedrow, ND
Presentation Description:
Metabolic disease is a prime driver of morbidity and mortality and overshadows our current medical landscape. Management of diabetes, heart disease and obesity dominate both the pharmaceutical and nutraceuticals industries. However, it is well known that lifestyle is the most effective therapeutic to reverse metabolic illness and restore health.
In this lecture, Dr. Nedrow will share her system to reverse metabolic syndrome and it’s cluster of diseases through a series of steps involving detoxification, nutrition, nervous system reset and fasting. She will demonstrate with diverse cases how this patient-centric, customizable method can be used to reestablish metabolic flexibility and create a lifestyle to maintain metabolic health.
Goals and Objectives:
After the presentation, participants will be able to confidently:
1. Recognize the multiple factors driving metabolic disease including nutrition, stress, obesogenic chemicals, sub-optimal circadian rhythms and epigenetic programming.
2. Understand how metabolism is controlled by hormones and neurotransmitters and how lifestyle alterations can modulate those systems.
3. Outline the limitations of pharmaceuticals and nutraceuticals to manage metabolic disease and describe why lifestyle intervention is key.
Metabolic Flexibility: Treating Fatty Liver Disease
Presentation Description:
Metabolic associated fatty liver disease (MAFLD) has globally become the principal cause of liver disease and the most common condition to lead to liver transplant. MAFL progresses too often to serious disease and even organ failure due to inadequate screening and limited treatment models. Liver biopsy, which is both expensive and invasive, remains the gold-standard for diagnosis despite the availability of early screening with standard blood tests.
Dr. Nedrow will share her research on lab value interpretation of multiple biomarkers that correlate with the early stages and progression of hepatic steatorrhea. She will then demonstrate through case studies how to apply her Metabolic Flexibility Method to the treatment and reversal of MAFLD.
Goals and Objectives:
After the presentation, participants will be able to confidently:
1. Identify lab values that correlate to liver biopsy in the diagnosis of MAFLD.
2. Understand why a high-fat low-carb diet is the most effective nutritional approach to reversing hepatic steatorrhea.
3. Recognize how endogenous stores of fat-soluble chemicals can contribute to MAFLD when applying rapid weight-loss strategies and how to intervene to mitigate this risk.
Women’s Integrative Health: Vulvar Lichen Sclerosus
Presentation Description:
Vulvar lichen sclerosus (VLS) is a chronic, distressing, inflammatory disease that can have an enormous impact on quality of life for our chronic complex illness patients. This presentation will cover the different complex illness concerns that may influence or drive the pathogenesis of VLS, concomitant vaginal dysbiosis considerations, and the disease pathways for us to consider in our therapeutic approach. Case studies will elucidate diagnostic and treatment pearls to consider with this challenging condition, which is more complicated with chronic inflammatory triggers.
Dr. Denise Cooluris, ND
Goals and Objectives:
After the presentation, participants will be able to confidently:
1. Differentiation of vulvar lichen sclerosus and chronic dysbiosis.
2. Be aware of the chronic complex issues that may complicate or drive the pathogenesis of VLS, diagnostic considerations such as infectious disease concerns, chronic inflammatory pathways, environmental/toxin exposures.
3. Apply novel naturopathic, integrative, and conventional therapeutic and clinical considerations.
Endometriosis in Patients with Chronic Illness
Presentation Description:
Endometriosis is a complex inflammatory disease that is often overlooked or misdiagnosed in patients with chronic complex illness due to its complex and multifactorial presentation. In this presentation we will review endometriosis in the chronic complex illness patient with an emphasis on MCAS.
Goals and Objectives:
After the presentation, participants will be able to confidently:
Understand diagnostic and treatment choreography in a patient with endometriosis and MCAS, environmental toxicity such as mold, and concomitant issues of dysautonomia, POTs, infectious disease, and autoimmune concerns.
Be able to review the role of mast cells in pathophysiology of endometriosis and a few select additional women’s health issues.
Treatment considerations and clinical pearls.
Mold and Mycotoxin Illness: Causes, Symptoms and Testing
Presentation Description:
Exposure to molds and the toxins mold produce (mycotoxins) pose a significant risk to human health. Awareness of mold illness is on the rise, and its critical healthcare providers understand mold exposure risks, symptoms associated with mold illness, medical conditions that can be caused by mycotoxin exposure, how to effectively test for mold illness, and treatment strategies.
There is significant published research identifying the mechanisms by which mold and mycotoxins cause illness and injury. These mechanisms will be discussed, and treatment strategies to address the mechanisms will be presented.
Dr. Todd Maderis, ND
Goals and Objectives:
After the presentation, participants will be able to confidently:
1. Discover the common causes of mold and mycotoxin exposure
2. Understand toxic molds and the mycotoxins they produce
3. Understand the symptoms and conditions associated with mold illness
4. Understand various methods of mold testing
Mold and Mycotoxin Illness: Pathophysiology and Treatment
Presentation Description:
Molds and the mycotoxins they produce cause immune suppression, neurological disorders, cancer, and other chronic illnesses. In this presentation, I will discuss the mechanisms of injury and illness caused by mold and mycotoxin exposure, how to treat the pathophysiology, and how to effectively apply this approach to your patients.
Goals and Objectives:
After the presentation, participants will be able to confidently:
1. Understand the mechanisms of injury and illness caused by molds and mycotoxins
2. Learn treatments to address mycotoxicosis and subsequent injury
3. Learn how to apply the concepts of recognizing, assessing, and treating mold illness in your practice
Breast Cancer: Toxicology, Carcinogens and Detoxification
Dr. Chris Holder, ND
Presentation Description:
Breast cancer is a leading cause of cancer among women in the US and is particularly high in Marin County CA. In this presentation, we will review the research on main toxins that can damage DNA, toxins affecting the immune surveillance of breast cancer, and toxins affecting the growth of breast cancer. Finally, we will review common carcinogens in breast cancer and detoxification strategies for these carcinogens.
Goals and Objectives:
After the presentation, participants will be able to confidently:
1. Understand the current state of research on breast cancer toxicology.
2. Understand the mechanism that different toxins play in developing breast cancer.
3. Understand the measurement of common carcinogens. (metals, molds, plastics, pesticides,
herbicides, solvents, and fuels)
4. Review treatment options of common carcinogens.
5. Review the preliminary data collection for research in our clinic.
Parkinson’s Disease: Ochrratoxin Causation and Treatment
Presentation Description:
Ochratoxin is a mycotoxin from Aspergillus and Penicillium molds. It has been implicated as a causative agent in developing Parkinson’s disease. In this presentation, Dr. Holder will present an overview of Parkinson’s disease statistics and the mechanisms that Ochratoxin plays in Parkinson’s. He will then review research on Ochratoxin in Parkinson’s. Finally, he will discuss treatment options to remove Ochratoxin as well as other toxins implicated in Parkinson’s
Goals and Objectives:
After the presentation, participants will be able to confidently:
1.Understand the current state of research on ochratoxin
2.Understand the mechanism that ochratoxin causes Parkinson’s disease.
3.Review the measurement of ochratoxin.
4.Review treatment options for ochratoxin in a Parkinson’s patient.
5.Review the preliminary data collection for research in our clinic.
PRESENTER BIOS
PETER KOSHLAND
PETER KOSHLAND
Peter Koshland, PharmD is a graduate of Georgetown University (1996) and the University of California at San Francisco School of Pharmacy (2000). Peter opened his compounding pharmacy, Koshland Pharm, in 2009 in San Francisco, and has continued to work with doctors and patients on individualized, integrative therapies that make a difference in the quality of patients’ day-to-day lives. He trains and consults with doctors across the state of California in the areas of hormone replacement, thyroid disorders and compounding applications for dermatology, urology, and pain management.
ALENA GUGGENHEIM
ALENA GUGGENHEIM
Alena Guggenheim is a 4th generation physician. Her medical education started on the floor next to her mother’s desk at the age of 4. Dermatology textbooks were particularly fascinating. Now she is an Assistant Professor of Anesthesiology and Perioperative Medicine, School of Medicine at Oregon Health and Science University in Portland, OR. She graduated from the National University of Natural Medicine in 2007, then completed her residency in 2009 from the same institution. Dr. Guggenheim specializes in the care of children and adults with chronic pain and joint hypermobility disorders. She enjoys working with patients with Ehlers-Danlos Syndrome and associated complex symptoms. She likes to help patients navigate health care options and empowering them to make informed decisions. When not seeing patients, Dr. Guggenheim enjoys spending time in nature with her family and riding horses.
BONNIE NEDROW
BONNIE NEDROW
Dr. Bonnie Nedrow lives in the redwoods of northern California, her home base for naturopathic tele-medicine, membership platform and on-line courses. She is passionate about the effects of environmental chemicals on health, the core subject of lectures she has presented nationally and internationally to the public and her peers.
Her current focus is on healthy aging and the prevention of chronic metabolic illness. To that end, Dr. Nedrow has developed the Metabolic Flexibility Method – a program combining nutrition, rest and restoration, exercise, detoxification and fasting as a tool to reversing metabolic disease and restoring a healthy metabolism.
Dr. Nedrow is President of the National Association of Environmental Medicine and the co-author of three books, Metabolic Flexibility: How to Heal Your Metabolism with a Ketogenic Diet, The Cleanse Companion Cookbook and The Seasonal Cleanse Workbook. For more about her work, visit DrBonnieNedrow.com.
DENISE COOLURIS
DENISE COOLURIS
Dr. Denise Cooluris proudly serves as the owner and Medical Director of Hill Park Integrative Medical Center in Sebastopol, California. Hill Park is a renown integrative medical center with over 30 years history of providing individualized integrative healthcare to Sonoma County and the greater bay area.
After graduation from Bastyr University in 2006, Dr. Cooluris was chosen for the family medicine residency program at Bastyr Center for Natural Health. On completion of her residency, she was invited as adjunct clinical faculty at Bastyr University, where she proudly trained students to transform into doctors of naturopathic medicine.
Dr. Cooluris’ practice focus is on women’s health, integrative oncology, and complex chronic illness. She is highly sought by specialists and patients for her comprehensive diagnostic approach and clinical depth in chronic illness cases.
Dr. Cooluris serves a variety of roles in the integrative medical field as a local and national speaker and writer, especially in the areas of women’s health, integrative oncology care, and clinical botanical medicine. In 2016, Dr. Cooluris was nominated by the regional medical community to participate in a Medical Advocacy Fellowship with Dr. Mark Renneker MD, a visionary for clinical advocacy for complex medical cases including cancer care.
TODD MADERIS
TODD MADERIS
Todd Maderis, ND, is the Founder and Medical Director of Marin Natural Medicine Clinic in Larkspur, CA. He has been interested in the intersection between environmental exposures and human health for 15 years. He specializes in treating complex chronic illnesses, including chronic tickborne and viral infections, mold illness, and immune dysregulation associated with these conditions. Many of the patients he sees suffer from autoimmune diseases, neurological symptoms, chronic fatigue, inflammatory pain, digestive disorders, cognitive impairment, and mood disorders. He enjoys helping challenging patients who have fallen through the cracks in the healthcare system.
CHRIS HOLDER
CHRIS HOLDER
Dr. Chris Holder attended Seattle University, earning his degree in biology with a minor in chemistry. Upon graduating he conducted research on HLA genetics in Type I Diabetes Mellitus at Pacific Northwest Research Institute. He went on to receive a doctorate in Natural Medicine and masters in Acupuncture from Bastyr University. Dr. Holder did a residency with Leanna Standish PHd, ND, LAc, FABNO and Laurie Mischley ND where he learned about the naturopathic treatment of Breast Cancer and Parkinson’s disease. Dr. Holder spent several years developing a successful practice in Seattle, WA before relocating to Sonoma county where he formed Wild Oak Medicine with his wife Dr. Jen Riegle. Dr. Chris Holder offers holistic integrative medical care with a specialized focus on treating cancer and neurological disorders. He combines the best of Western medical technology with Eastern philosophy in addressing ailments in body, mind, and spirit. Self-discovery and patient empowerment are values he holds in high regard. He practices utilizing unique combinations of treatment modalities from around the world to promote wellness and encourage healing.