Hormone Optimization: Elevating Lifespan and Peak Clinical Performance
Thursday, Sept. 25th and Friday, Sept. 26th 2025 | Breakout Room 2
When Symptoms Persist, Look Beyond Serum Hormones
Energy crashes, mood instability, poor sleep, and body composition changes aren’t just signs of aging—they’re often markers of hormonal misfires at the metabolic and detoxification levels. Yet most panels stop at hormone levels, ignoring how those hormones are processed, cleared, and blocked.
This track shows you how to go deeper by using urine metabolite testing, methylation data, and toxin burden to uncover why hormonal protocols plateau and how to build more innovative, phase-based interventions.

The Overlooked Layers of Hormonal Dysfunction
Hormones are more than numbers on a serum test. They’re part of a dynamic system influenced by methylation, toxin load, adrenal function, and endocrine receptor sensitivity. This session empowers you to decode that system using Vibrant’s Hormone Zoomer, Methylation Panel, Total Tox Burden, and companion tests.
Learn how to interpret hormone metabolism pathways, assess receptor interference from toxins like BPA and phthalates, and restore balance with data-driven interventions tailored to each stage of life and performance demand.
Key Learning Objectives
Hormonal balance goes beyond replacement. It involves regulation, clearance, and how cells respond. This track focuses on building hormone protocols that not only manage symptoms but also support long-term resilience and healthy aging.
- Reveal metabolite-driven insights: Use wet urine testing to assess diurnal cortisol rhythm, cortisol metabolites, and estrogen detox patterns like 2-OH, 4-OH, and 16-OH ratios. Evaluate COMT efficiency, 2-MeO-E1 levels, and SNPs that affect hormone clearance.
- Detect endocrine disruptors: Understand how total toxic burden (BPA, phthalates, parabens) disrupts receptor signaling and metabolism, and learn how to test and detox patients with high toxic interference.
- Design precision hormone protocols: Create interventions that integrate circadian alignment, adrenal recalibration, methylation support, and endocrine repair. Apply insights from MTHFR, CYP1B1, and GST genotyping to personalize support.
- Deliver structured programs with staying power: Build 3–6-month protocols that support long-term hormone recalibration, bundle lab testing, and use before/after data to retain patients and demonstrate value.
You’ll leave with protocols, lab interpretation frameworks, and business-ready hormone programs that integrate seamlessly into your clinical offerings.
Clinical Snapshot
When Metabolites and Toxins Explained It All
Patient: 52-year-old male entrepreneur with chronic fatigue, low motivation, and muscle loss
History: Normal serum testosterone, low DHEA, previous adrenal support with minimal results
Findings:
- Flat diurnal cortisol curve and low free cortisol metabolites (Hormone Zoomer)
- Impaired 2-OH to 2-MeO-E1 conversion, low COMT activity
- BPA and phthalates elevated (Total Tox Burden)
- MTHFR C677T homozygous, low methylation capacity
Protocol:
- Circadian realignment using light exposure and adaptogenic support
- Methylated B-vitamin regimen to support hormone detox
- 8-week detox protocol targeting endocrine disruptors
- Nutrient repletion phase followed by targeted hormone precursors
Outcome: Improved energy, normalized sleep, and positive trends in hormone metabolism on 3-month retest.
Basic Hormone Panels vs. Precision Endocrine Optimization
Focus
Protocol Design
Monitoring
Clinical Results
Patient Buy-in
Conventional Neurology
Serum levels only
One-size-fits-all HRT or supplements
Sporadic
Inconsistent
Low (unclear outcomes)
Precision Hormone Optimization
Metabolism, detox, receptor function
Metabolite-specific, toxin-aware, SNP-informed
Pre/post cycles, retesting included
Measurable change with clear patient buy-in
High (objective data + visible progress)
Who This Track Is For
Providers treating hormone-resistant fatigue, burnout, or weight gain
Clinicians serving perimenopausal or high-performance populations
Practices offering longevity or bio-optimization programs with a hormonal focus
Anyone ready to move beyond serum tests and into full-spectrum hormone care
Make Hormones the Foundation of Your Longevity Model
This session gives you the tools to go beyond replacement and begin regulation. You’ll learn how to integrate hormone metabolite testing with toxin analysis and methylation mapping to create impactful, sustainable care programs for midlife adults, high performers, and perimenopausal patients alike.
You'll learn how to:
- Use wet urine panels to assess hormone production, clearance, and receptor interference
- Interpret estrogen detox and cortisol rhythm in the context of aging and stress
- Build hormone-balancing programs that patients follow through on
- Create high-retention care arcs around 3- or 6-month hormone cycles
Speaker Lineup

Dr. Craig Koniver MD
Learning Track Speaker

Dr. Tara Scott, MD, FACOG, FAAFM, ABOIM, CNMP
Learning Track Speaker

Dr. Carrie Jones ND, MPH, FABNE
Learning Track Speaker

Dr. Angela D Mazza, DO, ABAARM, FAAMFM, ECNU
Learning Track Speaker

Interested in locking in your spot at Hormone Optimization: Elevating Lifespan and Peak Clinical Performance
Be sure to sign up for this learning track at registration when you arrive at The Vibrant Longevity Summit.