Nutrition

Nutrition 223: Assessing Hormones in Clinical Practice I | CCEDseminars

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Clinical lab testing workflow diagram showing saliva, blood, and urine hormone collection methods, hormone panel results with reference ranges, hepatic Phase I/II metabolism pathway, and steroid hormone molecular structures — Nutrition 223 chiropractic CE course.
Online Course Format:  Online
Course Tuition:   $40.00
Credit Hours ( CE ):  2
Contributor:  Howard Benedikt, DC, DCBCN
CLICK HERE for a list of states, provinces and countries this course is accredited in.

Online Chiropractic CE Course Description & Course Details

Nutrition 223 — Assessing Hormones in Clinical Practice I is a two-hour PACE nutrition CE webinar introducing the foundational methodology of clinical hormone testing. The course examines which hormones are essential to assess, how to implement testing workflows into chiropractic practice, how to evaluate methodology reliability, and how to identify pseudo-scientific claims in the hormone testing marketplace.

Instructor Howard Benedikt, DC, DCBCN — President of the Chiropractic Board of Clinical Nutrition — draws on 46+ years of clinical nutrition practice to give chiropractors a clear, evidence-based framework for entering functional hormone assessment. Practitioners earn 2 CE hours toward license renewal.

What You Will Learn

  • Illustrate the various steps involved in hormone testing — from patient preparation and sample collection through laboratory analysis and clinical interpretation
  • Discuss the essential hormones to test for clinical application, including cortisol, DHEA, sex hormones, and thyroid markers
  • Understand the methodologies for effective hormone testing — comparing salivary, serum, urine, and dried urine collection methods
  • Identify which tests are most reliable for hormone assessment and distinguish evidence-based testing protocols from unsupported claims

Course Topics

  • Implementing hormone testing into practice: clinical workflows, patient intake, and result communication
  • Identifying fake science in the field: critically appraising hormone testing claims and supplement marketing
  • Reviewing the metabolism of hormones: hepatic Phase I and Phase II detoxification pathways and their clinical significance
  • Understanding the hormone testing process: sample types, collection timing, lab analysis methods, and reference range interpretation
Format: Online on-demand webinar
CE Hours: 2
Tuition: $40.00
Accreditation: PACE-approved; board-recognized via Texas Chiropractic College
Certificate: Issued immediately upon completion. View CCEDseminars Certification Programs.
Category: Nutrition CE Courses
Enroll: Create an account to register

Your Instructor

Howard Benedikt, DC, DCBCN is President of the Chiropractic Board of Clinical Nutrition, Board-Certified Chiropractic Clinical Nutritionist, 46+ years in practice, M.S. Human Nutrition CW Post/LIU, and Lead Clinical Nutrition Faculty at CCEDseminars. He delivers PACE- and board-approved curricula via Texas Chiropractic College, holds adjunct positions at New York Chiropractic College and Berkeley College NY, and practices in midtown Manhattan.

Frequently Asked Questions

What hormones should chiropractors prioritize testing in clinical practice?

The most clinically actionable panel for chiropractic nutritional practice typically includes cortisol (diurnal curve), DHEA-S, estradiol, progesterone, testosterone, TSH, free T3, and reverse T3. This profile maps adrenal function, sex hormone balance, and thyroid conversion — the three axes most commonly implicated in patient complaints of fatigue, weight dysregulation, mood disturbance, and musculoskeletal pain. Nutrition 223 covers which tests are essential, which are redundant, and how to sequence testing efficiently.

What is the difference between salivary, serum, and dried urine hormone testing?

Serum testing measures total hormone (bound + free), making it the gold standard for identifying gross deficiencies but less sensitive to functional imbalances. Salivary testing reflects free (bioavailable) hormone fractions, offering superior sensitivity for cortisol diurnal patterns and free sex hormone levels. Dried urine testing (DUTCH) captures hormone metabolites over 24 hours, providing insight into Phase I and Phase II hepatic metabolism pathways. Each method has specific clinical applications — Nutrition 223 maps when to use each.

How does hormone metabolism in the liver affect test result interpretation?

Steroid hormones are metabolized through hepatic Phase I (CYP enzyme hydroxylation) and Phase II (conjugation via glucuronidation, sulfation, methylation) pathways before urinary excretion. Impaired Phase II detoxification — common in nutrient-depleted patients — causes accumulation of estrogen metabolites and disrupts hormone clearance. Understanding these pathways is essential for interpreting dried urine hormone panels and designing targeted nutritional interventions that support healthy hormone metabolism.

Is Nutrition 223 PACE-approved for chiropractic license renewal?

Yes. Nutrition 223 is PACE-approved for chiropractic license renewal in most U.S. states. Visit the CCEDseminars State CE Guidelines page to confirm your state or region's requirements before enrolling.

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This online chiropractic course is accredited in the following states:

Alaska, Colorado, Connecticut, Delaware, District Of Columbia, Florida, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Montana, Nebraska, New Hampshire, New Jersey, New York, North Carolina, North Dakota, Ohio, Oregon, Puerto Rico, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wyoming,

This online chiropractic course is accredited in the following Canadian Provinces:

British Columbia, Manitoba, New Brunswick, Nova Scotia, Ontario, Yukon,

This online chiropractic course is accredited in the following regions outside the United States & Canada:

Argentina, Australia, Bahamas, Belgium, Bolivia, Cayman Islands, Chili, Columbia, Costa Rica, Cyprus, Denmark, Dominican Republic, Ecuador, Fiji, Finland, Germany, Greece, Guam, Hong Kong, Hungary, Iceland, Iran, Israel, Italy, Jamaica, Japan, Jordan, Korea, Lebanon, Libya, Liechtenstein, Malaysia, Mexico, Nambia, Netherlands, New Zealand, Northern Ireland, Norway, Panama, Peru, Philippines, Saint Kitts & Nevis, Saudi Arabia, Singapore, South Africa, Spain, Sweden, Switzerland, Taiwan, Thailand, Trinidad & Tobago, United Arab Emirates, United Kingdom, Venezuela, Virgin Island, Zimbabwe,