See our speakers at:
The A5M Annual Anti-Ageing & Aesthetic Medicine Conference
AGE MANAGEMENT
PREVENTION, INTEGRATION & BALANCE
This year over 50 national and international experts will cover a wide array of new research, evidence-based analysis of accepted markers for disease, practical clinical protocols, methodologies for early intervention practices and practice / business essentials.
Alie Ajam MBBS, ABAARM
Androgen Deficiency
Life expectancy is on the increase and in just one century we have improved longevity by almost 30 plus years. This is likely to improve even more with advances in medical therapeutics, surgical skills, nanotechnology and stem cell therapy and we are likely to live to 120yrs in the not too distant future.
Ageing is unfortunately associated with a decline in hormones which not only effect longevity but also the quality of life. Studies show that 20% to 50% of men over the age of 55yrs are Hypogonadal and the decline is gradual and unlike the menopause sometimes without any symptoms. PADAM or Partial Androgen Decline in Ageing Males may present with loss of libido, erectile dysfunction, fatigue or memory loss.
This topic will endeavour to cover the Androgen Hormones – viz. Testosterone, DHEA and Androstenedione which are not only male hormones but also important in the female.
It will cover the important long term effects of Androgen deficiency and how it adversely affects the Cardiovascular System. A decline in these hormones raises BMI, Systolic Blood Pressure, Fasting and Post-prandial blood sugar, Insulin levels and Lipids with all the serious consequences of these increases.
We are now well advanced in our understanding of Hormone deficiencies and the replacement of these deficiencies with bio-identical hormones. This topic will show the benefits of replacement therapy such as improved libido, muscle strength and Bone mineral density. It will also show the decrease in Fat and lipids, improved memory, cognition, energy and mood and their effects on the Prostate gland.
scientific programme committee would like to give you the opportunity to submit your abstract for the A5M 5th Annual AustralAsian Anti-Ageing & Aesthetic Conference, held in Melbourne, Australia at the Sofitel Melbourne on Collins, 20-21 August, 2011.
Bill Anseline BSc (Hons), BMed (Newcastle)
Maximising treatment outcomes with Photodynamic Therapy (PDT)
The PDT system developed by Dr Anseline in collaboration with Associate Prof Peter Smith (Molecular Immunologist and Skin Allergist) and Dr Martin Braun (internationally renowned expert on PDT) for both cosmetic and therapeutic skin conditions maximises clinical results.
Dr Anseline’s findings:
• This system helps control pain, both intra and post illumination especially with a multi modal TRP antagonist.
• Patients tolerate the illumination and post illumination phase significantly better with pre –treated skin prior to PDT.
• Patient compliance improved, overall patient satisfaction is high, and the patient willingly returns for second treatment if required.
• Having completed over 3,000 ALA / PDT treatments Dr Anseline has formulated specific protocols to ensure that you, your clinic and your patient will get the most out of their PDT treatment.
Dr Anseline will discuss best practices of an ‘end to end system’ for implementation into your clinic to get better results, improve patient satisfaction and generate clinic revenue.
Andre Berger MD, Diplomat ABAARM, ABEM
Setting up Complete Anti-ageing Practice
The complete anti-ageing practice should focus on both the inside and outside to provide comprehensive anti-ageing care, addressing how people feel and look. Optimum outcomes are achieved by providing patients with state of the art operations while addressing both anti-ageing and cosmetic needs. Practices organized and equipped to address these needs will thrive.
This presentation will summarize the components of setting up a comprehensive anti-ageing and cosmetic medical practice and will discuss the key factors that lead to success. The evolution of anti-ageing and cosmetic medicine naturally leads to combining them in a comprehensive way to create the anti-ageing and cosmetic medicine practice of today and the future.
Facial Sculpting with Botox®- Beyond Traditional Thinking
The traditional use of neurotoxins and aesthetic medicine has been primarily focused on addressing individual and compartmentalized concerns related to dynamic muscle contractions such as crown lines, crow’s feet, and forehead lines. Advanced usage of neurotoxins takes a more holistic approach to facial appearance; looking at the face as a whole to achieve a more global aesthetic improvement. This can be achieved either as a standalone treatment or in conjunction with other aesthetic modalities such as volumising fillers, collagen stimulators, resurfacing and skin tightening lasers. When used in this fashion a more natural appearing desirable aesthetic outcome can be achieved on a consistent basis.
This presentation will review the use of Botox® as a facial sculpting tool and how it can be used in conjunction with other modalities to achieve natural global rejuvenation. The audience will expand its knowledge of how to use Botox in more advanced, non-traditional ways.
The Clinical Aesthetic Application of Anti-ageing Medicine
Beauty is indeed beyond skin deep! Underlying internal processes significantly influence the development and profession of individual aesthetic decline as well as the duration of benefit from cosmetic surgical and medical interventions. Optimal cosmetic appearance is very positively influenced by more optimal lifestyles and more youthful hormonal homeostasis. Cosmetic surgeons will benefit from recognizing specific aesthetic physical signs of hormonal decline, deficiency and disequilibrium. Once they are recognized they can be corrected in conjunction with cosmetic medical and surgical procedures, in order to achieve superior and longer lasting outcomes.
This presentation will review the more common clinical physical signs of aesthetic decline that are associated with specific hormonal deficiencies and how relate these findings to specific corrective treatments.
Learn how to recognize specific aesthetic physical signs of hormonal decline, deficiency and disequilibrium that can be corrected in conjunction with cosmetic medical and surgical procedures, in order to achieve superior and longer lasting outcomes.
Juvéderm® and the Perfect Lip
The lip is the most important aesthetic feature of the lower face. Optimum aesthetic appearance requires a lip that is aesthetically balanced to the rest of the face and that has ideal volume, shape and proportionality. Hyaluronic acid fillers are ideal for achieving the perfect lip correction on a consistent basis. This presentation will review the use of Juvéderm® and Juvéderm ®Ultra Plus and Hyaluronic injectables for the achievement of the perfect lip augmentation.
The audience will expand its knowledge related to the evaluation, patient selection, material selection and injection techniques for ideal lip augmentation.
Julie Bradford MBBS, Dip Cosmetic Medicine (ACCS), Diplomat ABAARM
Perimenopause: A Unique Phase in a Woman's Life
Perimenopause is a separate entity from menopause. It is a normal phase in a woman’s life and has its own unique but typical changes in hormones and experience. While it often starts in the late thirties or early forties, perimenopause may last for ten or more years.
Ralph Bright MB ChB, FFMACCS
Fat Inflammation, Ageing and Stem Cells
Inflammation is at the basis of all the degenerative diseases of ageing e.g. Atherosclerosis, Alzheimer’s, and Osteoarthritis. Fat is the first line organ for mounting an acute inflammatory response (Primary Immunity). As fat volume increases it becomes more inflamed. The more overweight you are the sooner you will suffer the degenerative diseases of age and the sooner you will die.
All tissues contain stem cells amongst the stromal structure of the organ. These cells plus all the other non-parenchymal cells serve to maintain, repair and replace. We can collect these stromal cells from fat and use them to repair the body. It would appear that stromal cells can slow the process of ageing at a cellular level.
Michael Buckley B. Pharm, MPS, CD
Testosterone Down Under
Testosterone treatments have been available for over 60 years, but only recently have transdermal testosterone products been widely accepted following evaluation in controlled clinical trials.
The benefits of androgen treatment in men via this route have been shown to include relief of androgen deficiency symptoms, including low libido, quality of life, depression in both sexes, erectile dysfunction, osteoporosis, as well as improvement in many of the features of Type 2 diabetes and metabolic syndrome. More recently low testosterone levels have been shown to be directly associated with high mortality in men with CHD and a higher incidence of prostate cancer.
Comparison of the efficacy, safety and cost-effectiveness of testosterone pellets, injections, patches and gels now on the market show widely different patterns of absorption, variations of between ten and forty times have been reported, depending on the type of preparation and site of application.
By presenting a decision making framework that draws upon the published literature physicians can make more informed choices about which treatment will deliver the highest quality of patient care.
Prof Chen Chen MD, PHD
Growth Hormone Profile and Influence by Metabolic Factors
The release of growth hormone (GH) in mammals occurs in a pulsatile manner, and this is critical for its physiological function. Two central regulators maintain the rhythmic release of GH. Hypothalamic GH releasing hormone (GHRH) stimulates GH secretion, while somatostatin inhibits GH release. In addition, peripheral metabolic regulatory hormones, ghrelin and leptin, also regulate GH secretion directly or indirectly on pituitary GH secreting somatotroph cells. Under in vitro cell culture condition, we dissected intracellular signalling molecule pathways using single cell experimental approaches employed by GHRH, somatostatin, ghrelin and leptin. The GH pulsatile manner may only be evaluated in vivo in free moving animals to avoid influence of stress and anesthesia, which dampen GH pulses. Determination of pulsatile GH secretion in individuals requires frequent collection of blood samples at regular intervals (5–20 min). Resulting measures allow extensive analysis of the physiology of GH release. Repeat measures of GH secretion in smaller mammals are limited due to technical difficulties associated with venous catheterization, while frequent collection of blood samples from the same animal is impeded by limited blood volume. Consequently, few observations exist in which the pulsatile secretion of GH in mice have been measured with technical uncertainty. We recently established a simplified method for frequent and repeat collection of blood samples in mice to obtain measures of GH secretion over a long sampling period. Analysis of the resulting GH pulse profile confirms that this is sufficient to characterize parameters associated with the pulsatile secretion of GH. To illustrate the physiological importance of pulsatile measures of GH, we extended observations to characterize the impact of fast or high fat feeding on GH secretary parameters. This technique will also be very useful in testing function of particular molecule using available transgenic mouse models and in testing effect of potential drug to treat GH deficiency in ageing or metabolic disorders.
Robyn Cosford MBBS (Hons), FACNEM
The Need to Reconnect: The Dis-Ease of Modern Western Society
In the beginning – the story of the Garden of Eden, a common theme in many traditional cultures – we lived in intimate connection with the earth, the creatures on the earth, the produce of the earth, the Creator ‘God’ spirit and each other. As we progressed from our tribal beginnings through the Agricultural Age, the Industrial Age, the Age of Technology and into the current Communication Age, we progressively lost contact with the earth, its creatures and produce, and in any depth, each other. We now live highly artificial lives, surrounded by synthetic clothing, housing, lighting, air; eating highly processed and engineered foods, increasingly in isolation from our ‘tribes ‘ and families, communicating in short hand via electronic media. And at great peril! As we have made these dramatic changes, so our patterns of disease and longevity have also changed.
There is a desperate and urgent need to reconnect: to the earth out of which we are made; to the foods we were designed to eat; to our ‘tribes’ that we originate from and have our identity defined by real connection.
Nrf2, a Guardian of Health Span and Gatekeeper of Species Longevity: An overview of oxidative stress, antioxidant protection and mitochondrial biogenesis.
Nrf-2, also known as GA binding protein, is a recently recognised transcription factor, released in the cystosol following an oxidative stress. Oxidative stress is a natural consequence of our oxygen-based metabolism, with the production of free radicals in the mitochondria as a direct result of the electron transport chain. Dietary antioxidants have proved disappointing in trials, but the cell has its own innate free radical protection enzymes, including the enzymes SOD and catalase, which function to counter more than 1 million molecules of free radical per second.
Free radical damage is not the only mechanism of oxidative stress however. The cell operates in a delicate balance of oxidation and reduction: pro-oxidant molecules induce oxidation. DNA is particularly vulnerable to oxidation, especially the base guanosine. This is the basis of the commonly used oxidative stress assay, 8-oh-2-deoxyguanosine. Telomeres, the protective ‘caps’ on the ends of the chromosomes which limit the number of chromosomal replications, are rich in the base guanosine and hence very sensitive to oxidative damage; It has been said that they are biomarkers for DNA damage, and oxidative damage elsewhere in the cell. Antioxidant supplements and reducing molecules such as reduced glutathione can do little to protect against damage by pro-oxidant molecules; telomerase repairs the ends of the telomeres but does not protect the remainder of the DNA or mitochondria, which are also very susceptible to oxidative damage. However, there is an elaborate array of protective enzymes and mechanisms triggered by an oxidative stress to the cell. The major transcription factor involved in the activation of these mechanisms is Nrf-2, which has been found to regulate the expression of over 200 genes, is involved in mitochondrial biogenesis, and in the activation of stem cells. It truly can be called ‘a guardian of health and a gatekeeper of species longevity’.
Tina Henriette E. Czech B Health Sci (Clin Derm Therapy), Grad Dip Clin Nutr
The Biomodulating Effects of Low Intensity Laser Therapy for the Clinical Treatment of Sports Injury and Arthritis
Low Intensity Laser Therapy utilising non thermal Gallium Aluminium Arsenide (GaAlAs) laser devices operating with very low output powers in the mill watt range, is increasingly being integrated into the clinical regime of physicians, physiotherapists and sports medicine professionals throughout the world. New clinical treatments are being sought to enable an injured person to resume training and sporting activities sooner and prevent healing complications that can lead to development of chronic neuro-musculoskeletal syndromes.
However inflammation mechanisms can act defensively or offensively. Therefore the ideal medication should in fact stimulate the defensive reparative functions and inhibit the destructive painful functions.
As both these functions are frequently performed by the same bio-chemical mechanisms, no medication can selectively treat in this way.
Extensive clinical and laboratory research has investigated the bio-modulating action of low intensity laser therapy for the treatment of arthritis and sports related injury and has demonstrated a photon induced bio-modulating effect on inflammatory and pain pathways in conjunction with accelerated tissue regeneration for the repair of injured nerves, muscles, joints, ligaments and tendons. The synergistic combination of conventional therapeutic treatment with low intensity laser therapy offers a painless and cost effective solution for fast relief of pain and inflammation without unwanted side effects.
Aesthetics Workshop - Next generation: Non Invasive Full Depth Photo-rejuvenation of the Ageing Face & Body
IPL and laser devices utilised for photo-rejuvenation of the ageing face and neck are widely used within the clinical environment to stimulate collagen synthesis and eradicate benign pigmented and vascular lesions through bio-thermal activation. The recent development of a single wavelength yellow intense pulsed light device, now enables a rapid elimination of vascular and pigmented lesions and Kerasotes in one treatment session.
While high powered lasers and broadband IPL phototherapy devices are considered the mainstay treatment of ageing skin, they are unable to address the progressing age related laxity of the deeper supportive and muscular tissues that determine facial and body contours.
Incorporating non thermal laser bio-modulation within the interim periods yellow pulsed light photo-juvenation of face and body skin, can assist in supporting increased fibroblast cell activity and collagen synthesis, with the added benefit of regenerating and tonifying the underlying muscle tissue to improve sagging facial and body contours, without risk of unwanted side effects, which will be demonstrated during the Conference Aesthetic Workshop.
Vanita Dahia B Pharm, Adv Dip Nutrition (Mental Health), ABAAHP, FAARM, MPS, MPCCA, MIACP
Anti-Ageing Medicine: Fact or Fable?
Anti-Ageing medicine, how do you know it works?
Traditionally, pathology testing together with culturally based testing has been used to diagnose and assess validity and effectiveness of treatment. Today, the allopathic paradigm embraces pathology from its original state like transferase enzymes to measure liver function to significant advances in genetic testing.
Traditional methods of assessment or diagnosis still used extensively by the natural health practitioner incorporate tongue and pulse diagnosis, iris scans, muscle testing, bio-energetic, bio-impedance testing, reflexology and muscle testing.
Our well informed and litigious societies expect their health practitioners to substantiate validation of diagnostics. This has been achieved with revolutionized assessments incorporating serum, plasma,
red cell, saliva, urine, breath, and challenge tests. Advancements in testing are frequency based tests like EEG, ECG and genetic, DNA, RNA, tests.
Enhance your credibility with innovative and enhanced testing methods. Establish the value and validation of innovative enhancements in functional pathology and genetic testing.
Ian Dettman BSc (Hon), Ph D, Fellow RMIT, Dip. (Natural Therapies)
Comparison of the use of Injectable vs. Oral Nutrients
Many high dose nutrients are given in an injectable form, including a range of B vitamins, vitamin C, vitamin D3 and vitamin K3. It is also completely appropriate to give oral doses, however in general injectable delivery forms give higher plasma and tissue concentrations faster. Depending on the condition being treated, it is often preferable or necessary to give these nutrients as an injection and in many situations there is significant medical evidence to support this.
We will discuss a brief review of the current state of the literature for some major injectable nutrients including; IVC and K3 in cancer as individual treatments and given together; B vitamins in Wernicke’s and associated conditions, and the state of the evidence for high dose vitamin D injections in elderly and bariatric surgical patients.
Peter Dingle BSc (Hons), B. Ed (Science), B. Environ. Sc. (Hons) PhD,
Cholesterol for Living Longer
Cardiovascular disease (CVD) in the USA, Australia and other Western nations accounts for between 30% and 40% of all registered deaths each year. It is the single biggest killer. However, since the advent of cholesterol-lowering drugs, cholesterol has become “public enemy number one” and has wrongly taken all the blame for the increase in CVD. There is widespread belief that the lower one’s cholesterol, the healthier he or she will be. The world has become fixated on lowering cholesterol through medication. Unfortunately this has led to a lot of misinformation and misdirection in treating the real illness. As a result, deaths from CVD continue to rise. This paper dispels the myths about cholesterol that has made it public health enemy number 1 and highlights the role of cholesterol in maintaining good mental and physical health into old age. Cholesterol is an essential nutrient in the body used in hundreds of processes essential for health and longevity including memory, steroid hormone and vitamin D production and healthy digestion. This paper will also highlight the negative role of the statin drugs used to lower cholesterol, their serious side effects, particularly on healthy ageing and the statistics used to mislead the public and doctors of their benefits. Statin drugs have an absolute effectiveness rate of 1% or less to reduce CVD. However their effectiveness is described in terms of relative statistics values of 20 -50% which is at best misleading. The side effects of the statin drugs would best be described as anti-ageing.
Stephen Eubanks MD, BS (Hons) FAAD
Clinical Applications Using Sublative Resurfacing
The concept of sublative resurfacing is unique in the cosmetic resurfacing specialty. Radiofrequency devices deliver energy to the middle dermis with minimal epidermal disruption.
Sublative resurfacing devices have a unique delivery system that delivers energy below the surface with the ability to have ablative changes, thermal heating and coagulation within in the tissue with minimal epidermal disruption.
The design of systems with electrical grids and micro-needle insertion devices deliver high energy radiofrequency into the mid and deep dermis. This leads to volumetric increase in the dermis with minimal disruption of the epidermis.
Different radiofrequency devices have been shown to be very useful in the treatment of mild to moderate solar damage and rhytids. The device has also been shown to be very effective in treating acne scarring.
Because of the delivery system and the fractional radiofrequency energy, skin of all types and colours may be safely treated.
Bruce Fox MBBS, FACCS
Minimally Invasive Facial Procedure: Thread/Stitch Lifting
Ageing in a healthy manner is a question lifestyle. This encompasses diet, exercise and efficacious dietary supplements.
A corollary to this is aesthetically looking the best one can for one’s age, which has an associated and inseparable psychological element.
The minimally invasive facial suspension procedure called Thread or Stitch Lifting is one of several to offer a significant yet subtle way to maintain one’s appearance.
Since its introduction to Australia by three of us in 2003, the technique has undergone noteworthy evolutionary changes.
Nathan Francis MBBS, FRACGP, FACNEM, FAMAC, MFM (Monash), Dip Aust COG, Grad Dip Nut Med, ABBARM, FAARM
Iron Deficiency: A Clinic Study
There are many causes of fatigue, with iron deficiency being a common cause.
Iron studies should be mandatory in all presentations of fatigue.
Analyses of presenting patients demonstrate that iron deficiency is as common as 90 %; the incidence is consistently high in the premenopausal age group. Iron overload is very uncommon; the incidence is < 1%.
Iron deficiency is very uncommon in the male, being present in only 4 males.
It is more likely that iron deficiency will be the responsible cause of fatigue in a young female patient and it is more likely that there will be other causes of fatigue as the studied population increases in age.
The ferritin assay is inadequate and the interpretation of full iron studies and full blood count will be discussed.
The presentation will include the method of intravenous iron infusion, the safety profile in the study, the prevention of complications and the rationale of an iron infusion to exclude other causes of fatigue, with emphasis on the importance of this method of treatment.
The presentation will also include cases where correction will allow the detection of the true cause for the presentation of fatigue. A brief discussion of other causes of fatigue will be discussed and the importance of excluding these causes before a diagnosis of Adrenal fatigue is made.
Greg Goodman MBBS (Hons), Grad Dip Clin Epi, FACD, MD
HOYS – Home of Younger Skin: Using patient driven analysis to show decrease in apparent age with treatment
Background: An interactive automated software program (‘HOYS’) has been developed utilizing a database of digital images depicting various aspects and degrees of aging of exposed skin across 7 geographic regions, representing a total of 35 facial and extra-facial sub-regions. A 5-point photo numeric rating scale, which portrays age-related skin changes across 5 decades for each of these sub-regions, underpins this patient-based interactive self-assessment program. Based on the resultant outputs from this program, an individualized treatment prioritization list is generated for each region where significant differences between the patient’s chronological and aesthetic ages exist. This provides guidance to the patient and the treating physician on treatment options.
Methods: To illustrate the program, its ability to generate a skin age score for the whole exposed patient skin, as well as its regions. By use of variances to the patients’ chronological years the program algorithm allows most relevant treatment suggestions to the individual to be generated.
Results: Using the program, illustrative case examples the program will show subjective change over time points where treatment was delivered.
Conclusions: The HOYS program aims to improve an individual’s knowledge of the particular age-related changes of their exposed skin of their face, neck, décolletage and hands. HOYS may give an improved understanding of how treatments should be prioritized to achieve the best personal outcome.
Management of Post Acne Scarring
Post acne scarring remains a common entity despite advances in the treatment of acne. This represents imitations in our quality of therapy and a failure of public education. The frequency of severe scarring remains an ongoing challenge. A logical method of examining and planning treatment for the different types and severity of scarring would be helpful.
Methods: This lecture will concentrate on the methods by which acne scarring may be improved and their available evidence. A grading scale of disease burden is used to classify patients and organize best therapy. New therapies allowing treatment of scarring in areas other than the face will also be highlighted. This lecture will illustrate how to configure treatment according to a facial reconstruction paradigm of concentrating on volume, surface and movement as well as surgical procedures when necessary.
Results: Cases will illustrate algorithms summarizing best practice in the treatment of post acne scarring.
Conclusion: Post acne scarring is being better managed. Grade 1 scars with flat red, white or brown marks are best treated with creams, fractionated and pigment or vascular specific lasers and occasionally pigment transfer techniques. Grade 2 mild scarring as seen primarily in the mirror is now handled by non ablative fractionated and non fractionated lasers as well as skin rolling techniques. Grade 3 scarring, visible at conversational distance but distensible, is best managed by traditional resurfacing techniques or with fractional non ablative or ablative devices, sometimes including preparatory filling, botulinum toxin and surgical, procedures. Grade 4 scarring, where the scarring is at its most severe and non distensible, is most in need of a combined approach. Here, punch procedures, excisional surgeries, subcision, fat or other bulk filler transfer and resurfacing techniques need to be combined for optimal outcomes. Extra-facial treatment is now available with newer technologies.
Patient’s self-evaluation of two education programs for age-related skin changes in the face: A prospective, randomized, controlled study
Methods: To evaluate the utility of HOYS in the clinic, relative to education programs currently used in Australian private aesthetic clinics, a total of 95 aesthetically-orientated patients were enrolled in a prospective, randomized, controlled, multicentre study.
Results: Compared to a prospective cohort of patients completing a standard education program commonly utilized in Australian aesthetic clinics, patients receiving the HOYS education program perceived that they had greater empowerment through improved knowledge of specific age-related skin changes. This was associated with a clearer understanding of treatment options available to them, and a perceived ability to participate in the selection of the treatments potentially administered to improve their appearance. These differences between the 2 education groups were highly significant.
Conclusions: Patients completing the HOYS patient education program have an improved understanding of age-related changes to exposed skin of their face, neck, décolletage and hands. Due to the patient-specific nature of the program, these patients perceive a greater role in the deciding which aesthetic treatments should be subsequently administered to enhance their appearance, through an improved understanding of rationale for these treatments and indeed how they should be prioritized to achieve the best outcome for them.
A Validation Study for the Perioral Region and the Lips
The skin ageing process involves the formation of skin surface changes, wrinkles, folds and sagging skin caused by a multitude of factors including the loss of bone, soft tissue volume, fat redistribution and decreased dermal elasticity. Other factors such as lifestyle and genetics can also play a role. A grading system for the 25 -65 year old Caucasian females has been formulated for the perioral and lip area involving scales of five individual "sub regions" to assist with assessment, education and treatment planning within a clinic environment.
Objective: To develop a validated grading scale that will allow easy and accurate self assessment of the female patient’s apparent age and to appropriately suggest possible therapeutic intervention if desired
Method: A Validation process was created consisting of 3 procedures focussing on intra-rater reliability; intra-rater reliability and internal consistency assessment.
To determine the intra-rater reliability, the following method was used for grading.
The initial process was performed without education about the program but with basic instructions about what was expected of each station. The process was repeated after education about the program in exactly the same way.
The third process for internal consistency involved the use of a marking on each station to one assigned image (at random). Each rater was asked to document what he/she believed the skin age of the marked image.
Results: Good internal consistency, inter-rater and intra-rater agreement was reached
Conclusion: The results of these validation exercises suggest that overall the scales may be useful for clinics
Ashley Granot MBBS, FACCS, FACNEM, FACP, Diplomat ABAARM
Stem Cells, Adipose Derived, Therapeutic & Regenerative Potential
Autologous adipose tissue has a large number of adult stem cells. These have been demonstrated to provide significant potential for therapeutic, regenerative and cosmetic applications.
Autologous transplant of stromal vascular fraction also poses extremely low risk to the patient when performed as a simple procedure in a sterile setting. Our indications and methods are discussed including the activation of the stem cells. Where possible clinical trials are presented.
Conrad Hicks MD, BA (Biochemistry), OBGYN, ABAARM
HCG – Nature’s Key for Weight Loss and Beyond
Human chorionic gonadotropin (HCG) is a hormone which has biological significance far beyond supporting corpus lutem progesterone production in early pregnancy. As a hormone with growth factor and developmental functions, HCG directs appropriate, proportional, functional and coordinated cellular, organ system and therefore, organism function from blastocyst stage, through foetal development, and persists in its capacity to exert similar cellular plasticity effects in adults, when used appropriately. The new possible pathways and mechanisms of HCG actions in adult humans will be explored on the background of relevant clinical observations accumulated in the last few years. Finding and addressing the root cause of obesity and cardio-metabolic syndrome are two aspects of HCG’s pleiotropic actions that will be covered. Finally this presentation will unveil a new possible understanding of HCG’s role and actions in adult individuals at effecting synergistic results in other physiologic systems and pathways, as recent research literature suggests.
We will tie these actions of HCG to both weight loss and chronic pain clinical responses specifically.
Our experience with HCG use for chronic pain will be reviewed and its clinical application will be reviewed.
Christine Houghton BSc, DC, Grad Dip Hum Nut, Diplomat A4M (USA), PhD Candidate
Antioxidants – Is it Time to Challenge the Conventional Wisdom?
Free Radical theory has underpinned much of the practice of Nutritional Medicine for 6 decades, following publication of Dr Denham Harman’s Free Radical Theory of Ageing; his theory extends to disease prevention. Knowing that plant-based diets provided greater protection against the major diseases and that such diets contained the antioxidant vitamins C, E and beta-carotene, supplements of these vitamins were thought to provide the therapeutic solution to Harman’s theory. This gigantic ‘leap-of-faith’ began our ‘love affair’ with antioxidant supplements.
However, 60 years of scientific evidence has not supported the theory . Antioxidants can reduce markers of oxidative stress but the clinical evidence does not support their role in preventing disease or retarding ageing. Even the safety of megadose antioxidant vitamins is now in doubt. The dream of using antioxidant vitamins to retard ageing or prevent the major diseases may have remained just that – a dream! Clinically, these findings pose a serious dilemma.
A growing body of research is ‘joining the dots’ to help explain why so many antioxidant studies have failed. Endogenous cellular defence mechanisms rely on an intricate web of signalling; overwhelming the cell with excessive antioxidants inhibits these defences , a finding with enormous clinical implication. The effect of exercise on up regulating endogenous defences is a vital clue to better understanding. Numerous studies show that antioxidant vitamin supplements in athletes compromise athletic performance and recovery.
This presentation by an experienced Clinician in Nutritional Medicine and Researcher in Redox Biochemistry examines the evidence and the alternatives to vitamin antioxidants with their unpredictable consequences. Knowing how to influence the genes governing endogenous cellular defences brings us clinically to the cusp of a new paradigm in health care. The burgeoning field of Nutrigenomics provides new solutions to effective intervention using phytochemicals capable of modulating gene expression.
Ann-Mary Hromek RN. ND.
Aesthetics Workshop - Eating Your Way to Youth
Food is essential to life.
What this session will explore is the role that food has in maintaining a youthful glow on the outside for all to notice as well as support the inner workings of the body.
We need fats for protection and cellular communication, we need carbohydrates for energy and we need protein for growth, development and rejuvenation. What many don’t realize is that vitamins, minerals and phytochemicals from vegetables and fruit help fine tune our biochemistry so that we can be always looking and feeling vibrant and youthful.
This session will expand your knowledge of the foods that research has shown will support youth and also we will practice creating diet plans for your patients to support their need for youth.
How much fat and what type do we need? What is the best way to get energy out of our diet? Why is protein so important? Will taking a handful of pills everyday really make a difference?
Come along with your knowledge and your questions so we can explore how to really “turn back the clock” with what we eat.
Karel Hromek B Med, BSc, FACNEM, FACRRM
Heavy Metal Toxicity, Anti-Ageing and Chelation Therapy
Ageing begins at the cellular level. Cells are composed of intricate internal structures containing a vast array of complex molecules. Despite the complexity of the whole organism, the individual components must play a specific role in a mighty biochemical and physiological symphony.
Chronic, low level exposure to toxic heavy metals is an interesting global problem. The symptoms associated with the slow accumulation of toxic metals are multiple and rather nondescript and overt expression of toxic effects may not appear until late in life. The sulphydryl-reactive metals (mercury, cadmium, lead, arsenic) are particularly insidious and can affect a vast array of biochemical and nutritional processes. Early detection and treatment is important for successful detoxification. Medical practitioners are notoriously under trained in heavy metal toxicity, especially the notion of chronic toxicity; hence patients may suffer misdiagnosis, fruitless treatments and unfortunate progression of disease. Patients with heavy metal toxicity require a lot of support and may require treatment with chelating agents which can remove the heavy metals from the body.
This presentation explores some of the effects heavy metal toxicity has on the ageing process and some strategies on how patients can be safely and successfully detoxified.
April Jorgensen BSc (Biomed Sc) Adv Dip Cosm Derm Science, Cert IV Training & Asses
Aesthetics Workshop - Treatment of Melasma
Melasma is a common skin condition experienced by many young women in Australia. It is characterised by a symmetrical mottled pigmentation present on the face, more common in Fitzpatrick skin types III and IV. The pathogenesis of melasma involves oestrogen and progesterone changes such as with pregnancy and contraceptives, though is exacerbated by sun exposure. Histological studies show there is an increase in the transfer of melanosomes to the keratinocytes. While melasma is considered purely a cosmetic problem, many patients are disturbed by its appearance and seek corrective treatment.
There are many treatment modalities available for melasma, however melasma remains one of the most difficult types of pigmentation to effectively treat. This is due to many factors including sun exposure, presence of dermal melanin and hormonal changes.
Kamal Karl MBBS, FRNZCGP, FACNEM, FNZCAM, FACCS
Role of Essential Fatty Acids in Health, Disease Prevention and AntiAging.
This presentation will highlight the latest emerging research and novel management options highlighting the role of Omega3 Fatty acids in Genetic Modulation and role of newly discovered mediators like Resolvins and Protectins in chronic disease management. Also information on the role of EFA in Anti Aging and lowering the rate of telomere length shortening is now an interesting prospect.
Daryll Knowles B Pharm, FAPPF, AFACP, ASCC, MPS, FAARM
How is food addiction different from drug and alcohol addiction?
The term craving is commonly used to describe intense desires for booth foods and a variety of drugs of abuse. Many of the same neurotransmitter system are implicated in both food cravings and cravings for drugs of abuse. Cocaine use and alcoholic beverages cause a release of dopamine and the same happens with the consumption of food. Drug abuse is associated with decreased sensitivity of the dopamine-reward system and the same is true for obese individuals. Brain serotonin levels have also been shown to interact with use or intake of alcohol, morphine, amphetamine and cocaine. It has also been argued that craving for carbohydrates may be influenced by levels of brain serotonin.
Do these parallels demonstrate that food is addictive? Some definitions of the word “addictive” focus on tolerance and withdrawal, both of which can be evident with food. However, other criteria focus on the consequences of continued use or on failure to discontinue use. In most healthy, normal-weight people there are no negative consequences of eating food and there are no failed attempts to discontinue eating large amounts or certain types of food, therefore there is no diagnosis of addiction and food could not be considered an addictive substance. However, overweight or obese people probably do meet the criteria for addiction.
Aesthetics Workshop – Peptides: The New Generation Ingredient
The New Generation ingredients have “exploded” over the last ten years and the most exciting thing is they have generally been introduced with clinical evidence that they work. The most exciting of which is peptide technology.
eoxyribonucleic acid (DNA) is a nucleic acid that contains the genetic instructions used in the development and functioning of all known living organisms and some viruses. The main role of DNA molecules is the long-term storage of information. DNA is often compared to a set of blueprints or a recipe, or a code, since it contains the instructions needed to construct other components of cells, such as proteins and RNA molecules. The DNA segments that carry this genetic information are called genes, but other DNA sequences have structural purposes, or are involved in regulating the use of this genetic information.
Peptide technology is where small fractions of DNA or RNA proteins are used to mimic the effect of DNA or RNA. Effectively, what we are doing is making small RNA molecules that cause an effect in skin. Different sequences of amino acids cause different effects as they affect different sections of DNA in skin cells.
Some peptides that will be discussed include Acetyl Hexapeptide (anti cellulite and slimming peptide) and Butyryl pentapeptide (sunless self tanning peptide).
Synthetic peptides can open a new generation of active ingredients with a huge range of applications in the cosmetic field.
Derek Mahony BDS(Syd), M Sc Orth(Lon), D Orth RCS(Edin), MD OrthRCPS(Glas), M OrthRCS(Eng), FRCD(Can), Morth RCS(Edin)/CDS(HK), FICD, IBO
Improving Facial Balance and Sleep Aponea Problems Without Surgery
Modification of the craniofacial region is possible. A significant amount of growth potential resides in the craniofacial system throughout life.1 Dentofacial orthopedic therapies amount to growth guidance. Rapid maxillary palatal expansion in children is a common event producing changes in maxillary size and shape which has been shown to affect the airway2, less common is slow palatal expansion in adults. The goal of this paper is to show that slow palatal expansion in adults combined with changes in swallowing pattern and occlusion provided by the Homeoblock™ removable orthopedic/orthodontic appliance can provide an environmental stimulation resulting in an epigenetic response, namely maxillary morphogenesis. Morphogenesis is defined as “the biological process that causes an organism to develop its shape”. It is the goal of this paper to show that maxillary morphogenesis in adults affects the bone as well as the airway just as it does in children.
Prof Ralph Martins BSc (Hons), PhD (UWA)
Early Diagnosis for Prevention and Treatment of Alzheimer’s Disease
Alzheimer’s Disease (AD) is the most common form of dementia affecting the elderly. The disease is characterized by the build-up of amyloid deposits in selected regions of the brain primarily involved in learning, memory and reasoning. The most characteristic of these deposits known as amyloid plaques is composed of a protein termed beta amyloid.
Beta amyloid is to AD what cholesterol is to heart disease. It is produced in everyone but when its level is elevated it causes disease. There are a number of mechanisms that result in increased levels of beta amyloid but in the large majority of cases lifestyle factors play a prominent role. These findings indicate that the disease process is modifiable and thus can be prevented or delayed by several years with the right combination of lifestyle intervention programs.
The knowledge that beta amyloid is a key player in the pathogenesis of AD has resulted in several disease modifying drugs being developed. Unfortunately their efficacy is limited as patient treatment is commenced when the vulnerable regions of the brain are already severely damaged. Thus early diagnosis is crucial if these treatments are to be effective. This presentation will provide novel approaches that are being undertaken in Australia through the establishment of the Australian Imaging Biomarkers and Lifestyle Ageing study towards the development of an early diagnostic test for AD. The promising role of sex hormones in diagnosis as well as potential agents for the prevention and early treatment for Alzheimer’s will also be discussed.
Farid Nassif MB BCh (Hons), FRACGP, Dip P Derm Merit (UK), M Med (Syd Uni), PhD Candidate
Stem Cells: The Real Anti-Ageing Hope?
While we have seen significant increases in average life expectancy over the last 100 years, there has not really been any increase in maximum human life span. Conventional anti ageing techniques including nutrition, exercise, nutraceutical supplements and hormone optimisation, while important in maintaining good health till advanced age, have their limitations.
We will look at the advances made in stem cell research while contrasting and comparing embryonic versus adult stem cells. Promising results from treatment of degenerative diseases, cardiovascular and neurological, to developing human body spare parts, to aesthetic applications are being reported every day. Adipose tissue derived stem cells might be the first practical application for everyday practice in the very near future. We will discuss its applications and limitations.
Henry Osiecki B.Sc (Hons) Grad.Dip. Nutr. & Dietetics
Surgery, Wound Healing and Nutrition
The healing process is common to all wounds, independent of the agent that has caused it. It is divided didactically into three phases: inflammation, proliferation, and remodelling or maturation. Collagen is the most abundant protein in the human body and is also the main component of the wound matrix. It is organized in a thick and dynamic net, resulting from constant collagen deposition and re-absorption. Wound scar is the result of the interaction between collagen synthesis, degradation, and remodelling.
Healing in acute wounds occurs as a sequential cascade of overlapping processes that requires the coordinated completion of a variety of cellular activities including phagocytosis, chemo taxis, mitogenesis, collagen synthesis and the synthesis of other matrix components. These activities do not occur in a haphazard manner but rather in a carefully regulated and systematic cascade that correlates with the appearance of different cell types in the wound during various stages of the healing process. These processes, which are triggered by tissue injury, involve the four overlapping but well-defined phases of haemostasis, inflammation, proliferation and remodelling.
Interruption of in this systematic cascade by nutritional imbalances, wound hypoxia or infection can cause unneeded scarring, pain and increase duration of healing. Nutritional preparation for surgery will be discussed using patients undergoing breast implants after treatment for breast cancer.
Noel Patton Founder and CEO TA Sciences
Telomerase Activation: The Key to Unlocking the Ageing Puzzle
In the last three decades, there has been a tremendous surge of scientific knowledge of how and why we age. Many scientists are now searching for the cure for aging and are examining technologies that could dramatically extend human health span and lifespan. By curing infectious diseases and improvements in sanitation, life expectancy has increased tremendously over the last century. However since the discovery of the Hayflick Limit which postulated a theoretical 125-year limit on our lifespan, only one medical therapy shows potential to be able to break through this barrier. That technology is Telomere Biology.
There is a clock that ticks inside every dividing cell of our bodies. This clock is found at the tips of our chromosomes, in a region called the telomere. When human cells divide, telomeres shorten, and the length of the telomeres correlates with the age of these cells. We know that when telomeres get too short cells either become senescent or die. This telomere clock has recently been shown by scientists at Harvard to be the root cause of aging.
Stephen Penman M Sc (R), PhD Candidate, Compl Med, UWS
Mind-Body Therapies and Lifestyle Change: Beauty from the Inside Out
They say beauty is in the eye of the beholder, but do we see beauty when we turn our gaze inwards? In June 2009, the National Health and Hospitals Reform Commission (NHHRC) and handed down its report calling for, amongst other things, prevention and early intervention, especially in the area of chronic and lifestyle-related disease management, requiring an urgent paradigm shift to a preventative wellness-based approach in the context of a rapidly ageing population. ‘Lifestyle change’ is fast becoming a buzz word but is perhaps not yet well understood, nor is support for those attempting to make lifestyle change available in practical applications. This lecture will present a brief review of the medical literature surrounding lifestyle change, will discuss some of the issues of behaviour change from a mind-body perspective, and will suggest areas for consideration and development in this field.
Frances Pitsilis MB BS (Mon), Dip Obst, Dip Occup Med, MACNEM, FAARM, ABAARM, FRNZCGP
The Medical uses of Botulinum Toxin
In the century since their discovery, Botulinum Toxins (BT) have gone from a deadly poison to a remarkably versatile therapeutic agent.
The clinical use of BT represents a potential evil transformed into a health benefit.
Around 90 % of people have a headache within a year, but around 15% of the population is affected by chronic headache.
BT has the potential to save money and improve quality of life, reduce time off work, and reduce/prevent the use of drugs with significant side effects. It may even potentially prevent the need for surgery in frail elderly with osteoarthritis of the knee and hip.
This lecture will very briefly cover the discovery and history of BT. It will cover the medical uses of BT which have mainly been related to muscle spasm, muscular disorders, bruxism and headache.
Particular focus will be given to:
1. BT’s mechanism of action in chronic pain which is different to its action in the treatment of dynamic rhytids (wrinkles) – research is presented.
2. BT’s ability to cure all headache but treating the brow only will not cure all headaches.
3. Where to place BT and what doses to use to successfully treat headache/ migraine will be given, according to the headaches presentation. This information is not found in the scientific literature, but will be from the speakers own clinical experience.
4. Future uses of BT including its use for joint pain, for Tennis Elbow, writer’s cramp, foot pain, neuropathic pain – recent research will be presented.
5. Dose of BT for knee pain.
Aesthetics Workshop - Nutrition and the skin and ageing
Skin ageing is a continuous process that is heavily determined by the combination of influences including internal or intrinsic ageing that cannot be altered, hormone status, environmental exposure ( eg smoking, Ultraviolet light exposure) and diet and digestion.
Aesthetic practitioners want to obtain results from their skincare prescription and aesthetic treatments. Good nutrition and the prevention of nutritional deficiency will assist in achieving optimum results for your client.
In this lecture, we will cover each nutrient individually, and then cover some skin conditions such as Acne, Atopic Dermatitis/Eczema and herpes infection or cold sores. The wound healing paradigm needs to be considered whenever you give a client a treatment where you expect collagen to be produced. If you do not have the ingredients of collagen production, then you will not obtain optimum results.
Although there is not extensive research on this topic, the nutrients I expect to cover will include Co enzyme Q10. Copper, Fish oils, Flavinoids, Magnesium, Manganese, Selenium, Vitamin A, Riboflavin or B2, Niacin or B3, Pantothenic acid or B3, Vitamin C, Vitamin D, Vitamin E, Zinc, Cysteine, Proline, Lysine, Arginine.
Digestion will also be discussed, as there is no point in a great diet and supplements if digestion is poor.
What to do in the clinic about dietary suggestions as well as vitamin testing and vitamin prescription programmes for optimum skin health.
Joseph Purita MD, ABAARM
The Use of Platelet Rich Plasma and Stem Cell and Injections in an Office Setting
The purpose of this talk is to present to the anti-ageing physician a safe, simple and cost effective method ( less than $1000 US ) of performing Stem Cell (both Bone Marrow and Adipose) and Platelet Rich Plasma injections in the office setting. The conditions which this paper discusses pertain to the musculo-skeletal system. These conditions include degenerative arthritis and many other soft tissue injuries of various joints. In addition to joint problems, the treatment of everyday tendon and muscle injuries are also discussed including rotator cuff tears. The sources of the stem cells come from both the bone marrow (BMAC) and adipose tissue (SVF). The adipose tissue acts as both a source of stem cells and a scaffold. Also discussed is a basic science background of the platelets and various types of stem cells. The anti-ageing physician is shown the simple techniques of obtaining adipose and bone marrow stem cells in the office. What is also discussed are the techniques of cell washings, centrifugation, and enzymatic digestion to obtain SVF .The physician is given the indications of when to use each type of cell and when to use Platelet Rich Plasma as an adjunct with these cells. Also discussed is the use of various growth factors including Human Growth Hormone which seem to enhance stem cell mobilization. In addition to these growth factors, the use of supplements, hyperbaric oxygen and the institute’s results (over 3500 cases with results equalling 85% excellent results) are also discussed.
Azad Rastegar BA
Epigenetics & Ageing
The Human Genome Project (HGP) began in 1989, headed by James D. Watson at the U.S. National Institutes of Health. A working draft of the genome was released in 2000 and the complete genome in 2003 with further analysis still being published. HGP helped to identify and map the approximate 20,000-25,000 genes of the human genome giving us a blueprint. The more we learn about the human genome, the more we understand that DNA does not contain the final instructions on how we age and are susceptible to disease. Enter the “epigenome” – a system of biochemical factors that turn genes on and off. The epigenome is much more complex than the genome and can change according to an individual’s environment and lifestyle choices. Epigenetics refers to the biological mechanisms related to changes in phenotype or the genetic expression of a cell that are not dependent on the sequence of DNA. The DNA sequence remains the same, instead, non-genetic factors cause the genes to express differently. “Epi” is actually Greek for “above” or “over” -- hence the word “Epi”genetics. The epigenome is found in every one of the trillions of cells in the human body turning on and off the appropriate set of genes for that particular cell. This makes a liver cell look and function different than a skin cell would. Epigenome tells each one of our cells which expression is needed and which are not.
Denis Rebic MBBS, FACNEM, ABAARM, FAARM
Hormones for Your Face not just for Flushes
Denis will discuss the benefits of topical natural hormones such as oestrogen, progesterone and melatonin on skin health and ageing. Along with cosmeceuticals, this treatment can assist your menopausal clients in their quest for more youthful skin and benefit their overall health.
Selvam Rengasamy MBBS, FRCOG, ABAARM
Vitamin D - The Ancient Anti-ageing Hormone
1. Osteomalacia
2. Ricketts
3. Prenatal & Intrapartum Maternal Vitamin D deficiency and it’s fetal effects
4. Vitamin D Deficiency - & Fibromyalgia / CFS
5. Vitamin D Deficiency & Cancer
6. Vitamin D Deficiency & Osteoporosis
7. Vitamin D Deficiency & Heart Disease
8. Vitamin D Deficiency & Metabolic Syndrome, Obesity, Diabetes
9. Vitamin D Deficiency & SAD, Non-seasonal Depression
10. Dispelling the Myth that Vitamin D causes skin cancer
11. Safe sun exposure - Minimum Erythemal dose
12. Safe sun exposure - Regular, Moderate, Unprotected sun exposure is safe
13. Investigations
14. Safe doses of Vitamin D
Mark Rosenberg MD, FACEP, ABAARM
Cancer pH Manipulation Therapy
Most cancers are glycolytic, with their end product being lactic acid. The more aggressive the cancer is, the greater it’s requirement for glucose, and therefore, the more lactic acid it produces. Cancer cells typically over express 6 different mechanisms which allow them to efflux lactic acid at a faster rate, to keep up with their production. This lecture will discuss a novel protocol, including case reports, for inhibiting the efflux of lactic acid from cancer cells. Once the cancer is handicapped in its ability to efflux lactic acid, feeding the cancer with excess glucose can prove lethal to the cancer.
The Use of Pharmaceuticals for the Treatment of Cancer
This lecture will discuss the use of many pharmaceutical drugs that may be used “off-label” in cancer treatment. Physicians will learn the mechanisms of action through which these drugs inhibit cancer proliferation, which generally are distinct from their intended action. In addition, protocols regarding dosing of these drugs will be discussed.
The Role for Hyperbaric Oxygen in Cancer Treatment
This lecture will discuss the results of the data, both in-vitro and in-vivo, regarding hyperbaric oxygen’s (HBO) effect on cancer proliferation and metastasis. The data will review the effect of HBO by itself on cancer, as well as the use of HBO as an adjunctive therapy to radiation and chemotherapy. After reviewing the data, I will present the notion that inhibiting tumor oxygenation, through angiogenesis inhibitors, may be contraindicated, and may potentiate cancer aggressiveness.
Pamela Smith MD, MPH
Preventing and Reversing Osteoporosis
This presentation will discuss the risk factors for osteoporosis, the role of nutritional support and new treatment modalities.
• Recognise the risk factors for the development of osteoporosis
• Know the mechanics of how Vitamin K works in the body
• Know the causes of Vitamin K deficiency
• Understand the use of Vitamin K supplementation in particular taking Warfarin
• Learn new treatment modalities for Osteoporosis
Paul Taylor BSc (Hons), MSc (Exercise Science), MSc (Human Nutrition)
Sharpening the Axe: The Impact of Lifestyle Intervention on Brain Function & Workplace Performance
It is the author’s belief that we do not have a ‘healthcare’ system in this country, we have a ‘sickcare’ system. This is reflected by the fact that 93% of all Government spending on healthcare is for tertiary treatment – with a large percentage of that being on drugs.
It is undeniable that there has been a recent explosion in lifestyle diseases, with existing epidemics in obesity and diabetes and a predicted exponential increase in the incidence of Alzheimer’s disease and other mental illnesses.
Using data from a recent clinical trial conducted in conjunction with the Brain Sciences Institute at Swinburne University, Paul will demonstrate the multitude of benefits to the Body and Brain from positive lifestyle intervention.
He will then go on to explore the mutually interdependent pathways between Body and Brain health and performance, which involve complex interactions between the environment, gene expression, brain function and human behaviour.
Taken together, the data and underlying physiology lead any sane individual to the following conclusion: a person who does not take time for exercise and positive lifestyle rituals is akin to the axeman who does not take time to sharpen his axe.
Aesthetics Workshop - Optimising the Epigenome – Taking Control of your Genetic Destiny
In the past five years, science has been rapidly uncovering a hidden world that changes the way that connects past and future generations in ways that we never imagined possible. The science of inheritance is being turned on its head by the emergence of the field of Epigenetics.
This field has been succinctly summed up by the Nobel Prize winning Neuroscientist Eric Kandel, who stated that;
Genes are not deterministic; they do not operate in a vacuum. Genes are the servants of the environment.
By marrying the robust science of this field with new technological developments and evidence-based interventions, Paul will use case studies to introduce a new paradigm to practitioners of aesthetic anti-ageing medicine – a paradigm where you facilitate your clients taking control of their ‘Genetic destiny’ and positively influencing not only their own health, but the health of their future generations.
John Tickell MBBS
Culture Clash in Ageing: East versus West
The living and eating habits of the longest and healthiest living people on the planet – been there, done that.
Dr John Tickell and his medical doctor children have visited over 100 countries in the world and know which people live long, live healthy and have the lowest rate of diabetes and the three big western cancers (breast, bowel and prostate)
Government and healthcare – Government does sick-care not health-care. Not one thing the government has done in the last three decades has made any difference at all the rising incidence of childhood obesity and type 2 diabetes. Recently, a Los Angeles based Media Company did a research project looking at all the diet/weight loss programs and the marketing techniques used to 'sell' these programs and products in the market place worldwide.
Dr John Tickell, in their assessment came out on top, because he had not 'invented' his diet like all the other Americans and other 'experts' such as Atkins, Dukan, South Beach, etc and even our own CSIRO - Dr Tickell had stolen his diet from the longest living, healthiest people on earth and he has proven that it works.
David Topchian MBBS, RACGP, FACCS
Taking it out and putting it in: liposuction and fat transfer
Whether you call it suction or sculpture, it’s the permanent removal of fat cells. It is the most frequently performed procedure in cosmetic surgery and with good reason. The latest developments in the technology will be discussed, as well as what to do with the fat that is removed - autologous fat transfer.
These techniques are an excellent adjunct to anti-ageing and weight loss medicine, with clinical overlap, and patients often benefit from the knowledge of doctors in both the hormonal/nutritional arena and surgery.
Peter Tunbridge MBBS, BSc (Immunol)
The Aetiology And Pathogenesis Of Arthritis
The current treatment of arthritis is aimed at reduction of the inflammatory cascade in and around the joint that is the basis for the pain and swelling. Predictive markers are measurements of one or more of those inflammatory molecules. However the measurement of these, is neither predictive of the severity of the joint changes nor explains the cause of the inflammatory response. This submission sets out to examine the pathogenesis of that inflammation from a completely nouvelle concept based on a retrospective analysis of several thousand abstracts of current peer reviewed papers. I propose that the inflammation in joints is a consequence of blood vessel endothelial dysfunction and subsequent glucose overload resulting in hypertrophy of the joint capsule, deposition of fat in the bone and around the joint and secretion of glucose in the form of long chain muco-polysaccharides by the synovium into the joint cavity. This latter then causes apoptosis of the chondrocytes and initiates the inflammatory response. This submission also proposes the key role that the thyroid plays in this process.
Gay Wardle Dip in Beauty Therapy, Cert Laser health & Safety, Cert IV Workplace Training & Assessment
Aesthetics Workshop - The most important treatment you will give in your business
When treating skin disorders you need to understand the cause of the condition to be able to determine the correct treatment process which will achieve the correct results for your client.
With the multitude of treatments and products available today, making the wrong choice could result in an undesirable outcome. If you fully understand the anatomy of the skin and how it functions and its cellular health you will be able to choose the correct protocols of treatments.
This presentation will highlight the reality of how important it is to complete a thorough skin assessment before commencement of any treatment. Historically our professional advice in the form of a skin consultation has been given away as a free service. If you can confidently diagnose skin disorders correctly you can easily justify charging for this service. In doing so your business will be enhanced and your profits will increase.
By delivering the correct desired results you will find that this will be your most cost effective form of marketing. Skin analysis equipment on the market is being purchased by therapists/aestheticians with the hope that it will do the thorough analysis of the skin. However without your knowledge and professional diagnosis such equipment will not deliver the results that you and your client need. Skin analysis equipment should be considered as tools to support your findings. You need to have thorough knowledge of the skin to be able to utilise this equipment effectively.
Daniel Weber PhD, MSc
Inflammation, Stress and Cancer, and Botanical Medicines
The field of psychoneuroimmunology (PNI) deals with the complex interactions between the central nervous system (CNS), endocrine and immune systems, and how behaviour or stress can modify these interactions. It has been suggested that both major and minor stressful events can have health implications and both observations and case reports have linked severely stressful life events with a sudden onset or worsening of a variety of illnesses. There is a growing body of literature linking psychological and behavioural factors to the incidence and progression of cancer with studies indicating that stress-related psychosocial factors are associated with higher cancer incidence in initially healthy populations and with higher cancer mortality.
The connection between cancer initiation, progress and metastasis, and inflammatory cytokines is strong. The connection between inflammation and stress or depression is equally strong, however there is no hard evidence of a causal link between cancer, stress and depression although they are often co morbid. This presentation looks at the connection between inflammatory cytokines produced by chronic HPA axis activation and subsequent immune suppression, and the impact of these cytokines on tumours. Does stress contribute to tumour growth? Anecdotal information suggests so but the link has been only conjecture. Chronic, systemic inflammation due to the stress system up regulation and the subsequent immune disregulation may impact on the tumour microenvironment to stimulate growth and metastasis. Botanical medicines including isolates have been shown to reduce inflammatory cytokines, activate appropriate immunological response and induce apoptosis. They have also been shown to be anxiolytics, have antidepressant effects and reduce stress markers. Can these medicinal compounds treat cancer and stress simultaneously?
Research makes a strong connection between stress and immune suppression, cancer, and inflammation and botanical medicines and it may be useful in treating all factors simultaneously. Herbs and isolates are shown to impact tumours, inflammation, and immunity, and concurrent mood disorders.
James L. Wilson ND, DC, PhD
Adrenal Fatigue and Subclinical Hypothyroidism
The adrenal and thyroid glands play very interesting interrelated roles in human endocrine function, physiology and allostasis. In some processes, each facilitates and even amplifies the hormonal actions of the other. In other aspects of endocrine and physiological function, they work in opposition and, in certain states, may even decrease the actions or effects of the other on hormone production or end organ activation. In this presentation, some of the more important interactions of the thyroid and adrenal glands will be presented from a clinician’s point of view. The overlapping signs and symptoms of low adrenal function (adrenal fatigue) and low thyroid activity (subclinical hypothyroidism) will be covered, as well as how to differentiate some of their more important clinical indications, although at first glance they seem the same. By the end of this presentation the practicing health care professional should have a better understanding of the key interrelationships between adrenal and thyroid function from a clinical perspective, their underlying endocrine processes and physiology, how to differentially diagnose the most prominent signs and symptoms of their low function, and a course of action that can lead to successful therapy.
Adrenal Fatigue: A Significant Oversight in the Treatment of Chronic Illnesses and Allergies in Children
Adrenal Fatigue is one of the most pervasive yet under-diagnosed syndromes affecting children who have repeated stresses or illnesses, especially illnesses involving the respiratory system. It also plays a prominent role in conditions such as allergies, environmental sensitivities and intolerance, hypoglycaemia, food cravings and addictions. When Adrenal Fatigue remains untreated in children, they often suffer more problems in school, in social situations, lower self-esteem, less able to be competitive in sports as well as they suffer more from stress and stress-related illnesses including drug and alcohol abuse and addiction. Adrenal Fatigue can be the source of many of the most common symptoms parents often complain about in their children, yet doctors frequently fail to recognize it because they lack the information necessary for its diagnosis and treatment. This presentation will familiarize the physician with the easily recognizable signs and symptoms of adrenal fatigue in children, simple diagnostic tests, and treatment protocols that will often quicken recovery, shorten its duration, and favourably affect the prognosis.
Debora-Dale Young Reg Pharm NZ, ANZCP, FAARM, Diplomat ABAAHP, MNZNMA, MPS
Sleep - are you getting enough?
How often do you ask your patients this question?
25% of New Zealanders suffer from chronic sleep problems, meaning one in four patients will have trouble, falling asleep, staying asleep or awake feeling un-refreshed, are you asking the right questions?
We spend a third of our lives sleeping, it is as important as eating, drinking and breathing. Quality sleep is essential for physical and mental health, without it we cannot function efficiently. Sleep resets the body clock and is a time for repair and replenishment in readiness for the next day.
Reduced sleep and greater levels of sleep disturbances have become widespread, to make more time for leisure activities and shift work. Modern dietary changes also impact on mental and physical health and lead to increased reports of fatigue, tiredness, excessive daytime sleepiness and reduced productivity. Ongoing sleep debt has far reaching effects on endocrinology, immunology and metabolism.
Changes in optimal sleep duration from 7 - 8 hours per night, leading to long term sleep dept has consistently demonstrated higher rates of all cause mortality. Patients reporting a decrease in sleep should be regarded as high risk populations for cardiovascular and all cause mortality.
Even short term sleep dept is associated with reduced glucose clearance, insulin effectiveness and thyroid hormone production, combined with increased evening cortisol and sympathetic nervous system activity. These biochemical changes are similar to those seen in aging and are becoming increasingly common in today's society.
Comprehensive patient assessment is the cornerstone of anti-ageing medicine, especially for women during perimenopause and menopause when hormonal changes can significantly impact on mood and sleep quality. Understanding the interrelationships and biochemistry of the neurotransmitters and hormones involved in mood and sleep regulation and the role of vitamins, minerals and botanicals can assist in supporting sleep quality and improve metabolic and immune health.