NIMBUS ACADEMY

Provider credential — Hormone Replacement Therapy

Internal credential · CME-track

A working physician's path to confident HRT prescribing.

Eight modules, two role tracks, evidence-cited throughout. Built on the IntelliHealth clinical framework — finish the curriculum, demonstrate competency, prescribe with audit-grade confidence.

Foundations1 hr 30 min

Foundations of Hormone Replacement Therapy

The framing every Nimbus prescriber and pharmacist starts with: endocrine physiology, lab interpretation, reading the literature, and how Nimbus departs from mainstream conventions — with the reasoning.

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Modality1 hr 15 min

Estrogen therapy for women

Bioidentical estradiol for postmenopausal women — when oral beats transdermal, the numeric optimal target Nimbus uses, the window-of-opportunity question, and the safety blocks that gate initiation.

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Modality1 hr 15 min

Progesterone — the most misunderstood hormone

Bioidentical progesterone is not a progestin — the receptor mechanism, why daily-not-cyclic is the Nimbus default, why cream and pellet routes fail for endometrial protection, and the postpartum-depression emergency protocol.

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Modality1 hr 15 min

Testosterone optimization in women

Female testosterone is a primary, not adjunctive, intervention — the labial cream route, the numeric Free T target, the DHT-preserve rationale, and why the female protocol diverges sharply from male TRT.

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Modality1 hr 30 min

Testosterone optimization in men

Subcutaneous TRT with the saturation-model framing, % free PSA gating, the under-40 fertility-first protocol, and the cases where AI / 5α-RI co-prescription is wrong.

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Modality1 hr 30 min

Thyroid optimization — DTE-first

Desiccated thyroid extract as a first-line option, the FT3-driven optimal-target framing, the levothyroxine-to-DTE conversion algorithm, and the documentation rule that protects against the FDA Boxed Warning.

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Modality1 hr

Adjunctive hormones — DHEA and melatonin

DHEA dose bands by sex/weight/age (SR-only, no 7-keto), the absolute pregnancy contraindication, melatonin's oncostatic + immune-modulating profile, and the absolute contraindication on immunosuppressants.

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Applied1 hr 30 min

Clinical practice — labs, cases, documentation

Putting it all together: the comprehensive panels for HRT initiation, the lab-draw timing rules that protect against artifactual results, the no-saliva policy, the documentation discipline that survives audit, and the case framework that ties the seven modality modules into real workflow.

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