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Product Detail

Hormone Imbalance: The Impact of Nutrition and Sleep on Physical & Cognitive Recovery
Online Course
$339.97 USD
$139.99 USD
Product Details
Online Course
PESI Rehab
CE Available:
Yes, See CE credit tab for complete continuing education details
Product Code:
[+] [-] 055620 - Hormone Imbalance:
  1. Articulate the 6 core hormone systems and how they are inter-related – cortisol, insulin, thyroid, estrogen, progesterone, and testosterone.
  2. Determine how the gut affects hormone balance via digestion, intestinal permeability, and the microbiome.
  3. Identify common symptoms of specific hormone imbalances through subjective and objective assessments.
  4. Articulate how the 6 lifestyle-based root causes affect hormone balance – standard American diet, obesity, too much or too little exercise, chronic stress, inadequate sleep, and environmental toxins.
  5. Articulate how the 5 key lifestyle strategies naturally rebalance hormone systems – diet, exercise/activity, stress management, sleep optimization, and reduction in toxin exposures.
  6. Determine a prioritized and systemized approach for effective lifestyle interventions.

[+] [-] 064280 - Nutrition’s Impact on Performance & Recovery in Rehabilitation
  1. Distinguish how nutrition impacts a patient’s overall function and recovery during rehabilitation services.
  2. Determine how to assess a patient’s nutritional status and when to refer out to a nutrition professional.
  3. Evaluate for common nutritional risks and articulate action steps to help optimize a patient’s nutritional state.

[+] [-] 064285 - Mindfulness, Sleep, & Circadian Rhythms – How They Optimize Physical & Cognitive Recovery
  1. Distinguish the prevalence of and what entails disrupted sleep, stress management, and alignment to circadian rhythms.
  2. Articulate the health benefits (including improving physical recovery) and risks of adequate sleep and mindfulness, as well as the importance of aligning one’s lifestyle habits to natural circadian rhythms.
  3. Determine a customized and systemized approach to optimizing sleep, stress management, and  circadian rhythms.

[+] [-] 055620 - Hormone Imbalance:
The Hormone Web: An Inter-Connected System
  • How each hormone affects the other vs in isolation
  • Lab testing:
    • Subjective vs objective
      • Options available
      • Pros/cons to each
    • Conventional vs functional lens
    • Who can order?
    • When to refer out
Gut Function Impact on Hormone Balance
  • Gut health basics: the stats & importance of overall health and wellness
  • Digestion: you are not just what you eat but ‘what you digest, absorb, and use’
  • Intestinal permeability: leaky gut and its impact on hormone balance
  • Microbiome: enter the extrabolome
  • How the gut impacts each of the 6 hormone systems
  • 5R protocol: 5 steps to repairing your gut
  • Lab testing options

REBALANCE Hormones REDUCE Symptoms


  • Related disorders/conditions: anxiety, insomnia, high blood sugar, high blood pressure
  • Underlying causes: stressors – physical, emotional/psychological, nutritional, environmental, physiological
  • Common symptoms of hormone imbalance:
    • High: nervousness, irritability, anxiety, insomnia, sugar cravings, belly fat
    • Low: apathy, fatigue, low libido, insomnia, lightheaded when rising, salt cravings
    • Lab testing options
    • Lifestyle strategies to naturally rebalance Cortisol


  • Related disorders/conditions: pre-diabetes, metabolic syndrome, diabetes, hypercholesterolemia
  • Underlying causes: high sugar diet, deficient minerals/vitamins, obesity, environmental toxicity, lack of exercise, stress, lack of sleep
  • Common symptoms of hormone imbalance: energy roller coaster during the day, headaches, foggy brain, weight gain around spare tire or scapular region
  • Lab testing options
  • Lifestyle strategies to naturally rebalance Insulin


  • Related disorders/conditions: hypothyroidism, Hashimotos thyroiditis, hyperthyroidism, Grave’s disease (we will focus on hypo)
  • Underlying causes: stress, nutrient deficiencies, toxins, estrogen dominance, liver or kidney dysfunction, gut dysfunction, infections
  • Common symptoms of hormone imbalance: persistent fatigue, weight gain, fluid retention, depression, constipation, cold extremities; dry hair/skin, brittle nails, hair loss
  • Lab testing options
  • Lifestyle strategies to naturally rebalance Thyroid


  • Related disorders/conditions: estrogen dominance, PMS, fibrocystic breasts, uterine fibroids, endometriosis, perimenopause, menopause
  • Underlying causes: gut dysfunction, stress, xenoestrogen exposure, obesity, medications (oral contraceptives, HRT), conventional animal products
  • Common symptoms of hormone imbalance:
    • Low: menopause (natural or surgical) – depression, increase in UTI’s
    • High: fibrocystic & swollen/painful breasts, cystic ovaries, uterine fibroids, endometriosis
    • Lab testing options
    • Lifestyle strategies to naturally rebalance Estrogen


  • Related disorders/conditions: infertility
  • Underlying causes: stress, xenoestrogen exposure, obesity, medications (oral contraceptives, HRT), conventional animal products
  • Common symptoms of hormone imbalance: headaches, mood changes, irregular menstrual cycle
  • Lab testing options
  • Lifestyle strategies to naturally rebalance Progesterone


  • Related disorders/conditions: andropause, hypercholesterolemia, increased blood pressure, pre-diabetes, diabetes, erectile dysfunction, dementia, PCOS
  • Underlying causes: stress, xenoestrogen exposure, obesity, insulin resistance, poor diet, gut dysfunction
  • Common symptoms of hormone imbalance:
    • High: acne, hair loss on head, facial hair (women), deeper voice, increased muscle mass, irregular periods, mood changes
    • Low: burned out, belly fat, decreased libido, decreased strength stamina, muscle loss, mood changes, erectile dysfunction, poor concentration & focus
  • Lab testing options
  • Lifestyle strategies to naturally rebalance Testosterone

Help Clients Prioritize an Effective Lifestyle Intervention

Case Studies related to Estrogen Dominance, Andropause, & Hypothyroid

  • Client assessment first – what do they need?
  • Where do you start – prioritized lifestyle factors to master:
    • Sleep
    • Diet
    • Stress management
    • Exercise
    • Environmental toxins

[+] [-] 064280 - Nutrition’s Impact on Performance & Recovery in Rehabilitation

Food as Medicine

  • Nutrition’s impact on overall function: physical recovery, energy and sleep
    • Common nutrient insufficiencies 
    • Common nutrient excesses

Food’s impact on inflammation and oxidative stress

  • What is inflammation?
  • Most inflammatory foods?
  • Anti-inflammatory diet
  • What is oxidative stress?
  • Common nutritional habits that increase oxidative stress

Assessing nutritional status

  • Anthropometrics
  • Nutrition physical exam
  • 3-day diet recall: pros/cons
  • Food frequency
  • When to refer out to nutrition professional

[+] [-] 064285 - Mindfulness, Sleep, & Circadian Rhythms – How They Optimize Physical & Cognitive Recovery

Alignment to Circadian Rhythms

  • Sleep
    • Insomnia and disrupted sleep patterns
    • Sleep stages: Repair time
    • Recommended sleep patterns
  • Stress Management
    • Stressor vs response to stress
    • Recommendations for stress management
    • Mindfulness
  • Circadian Rhythms
    • Master and peripheral clocks
    • Circadian rhythm disruption
    • Health risks of misalignment 
    • Recommendation for aligning circadian clocks

Whole System Approach: Optimize Sleep, Stress Management and Circadian Rhythms

  • Client Assessment
    • Sleep habits & quality
    • Stress levels and intentional practice
    • Current alignment to circadian rhythms
  • Lifestyle Program
    • Sleep hygiene
    • Mindfulness training: The different tactics
    • Circadian alignment
  • Customized & Systemized Approach
    • Individual needs vs gaps
    • Readiness to change
    • Where to start
    • How to progress
    • Case study



Cindi Lockhart, RDN, LD, IFNCP, is board-certified as an integrative and functional nutrition practitioner with over 27 years in professional practice. She has trained nutrition, fitness, and medical practitioners throughout most of her career yet maintains a personal practice with clients/patients as she believes that the only way she can effectively educate and inspire other practitioners is through her own practical experience with clients. In addition to educating on how Food is Medicine, Cindi also specializes in coaching clients and practitioners on the importance of managing stress, optimizing sleep, proper exercise and movement, and reducing exposure to environmental toxins.

Cindi completed her dietetics degree at the University of Illinois – Urbana and her clinical internship in Boston at Harvard’s Brigham & Women’s Hospital. She then went on to her first clinical job in Chicago at Rush-Presbyterian-St. Luke’s Medical Center. While working in the clinical setting in hospitals during her early career, she also became a certified personal trainer and trained clients on the side. Although conventionally trained as a dietitian, Cindi quickly realized that a conventional approach did not fulfill her philosophy of optimizing one’s health and function. She felt then that it was vital for her to pursue an integrative and functional approach to nutrition and medicine. Over the years, Cindi has achieved multiple certifications and accreditations from Metagenics from their First Line Therapy program as a Certified Health Care Provider, from Wellcoaches as a Certified Health & Wellness Coach, from the Institute of Functional Medicine (IFM) for Applying Functional Medicine in Clinical Practice as well as their Hormone module, and from the Integrative and Functional Nutrition Academy (IFNA) as a Certified Integrative & Functional Nutrition Practitioner.

In addition to the above, Cindi co-created the nutrition philosophy for Life Time Fitness as well as their D.TOX program. She also implemented their corporate RD platform. Cindi has extensive expertise in women’s health issues including hormonal imbalances, infertility, thyroid dysfunction, autoimmunity and gut health. Cindi also works closely with men and children of all ages. Cindi believes strongly in the critical aspect of the practical application of her teachings. She excels at simplifying difficult educational topics for enhanced learning and providing a clear explanation of why her approaches are recommended, as well as what their outcomes will be.

Speaker Disclosures:

Financial: Cindi Lockhart is owner of Lockhart Wellness Solutions, LLC. She receives a speaking honorarium from PESI, Inc.

Non-financial: Cindi Lockhart is a member of Academy of Nutrition and Dietetics; Dietitians in Integrative & Functional Medicine; and Institute for Functional Medicine.
Continuing Education Credits Awarded for Completion of Entire Package
[+] [-] Combined Continuing Education Credit From All Components
Breakdown of Continuing Education Credits by Components
[+] [-] 055620 - Hormone Imbalance:
[+] [-] 064280 - Nutrition’s Impact on Performance & Recovery in Rehabilitation
[+] [-] 064285 - Mindfulness, Sleep, & Circadian Rhythms – How They Optimize Physical & Cognitive Recovery
  • Registered Dietitians
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  • Nutritionists
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  • Registered Nurses
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  • Dietitians
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  • Dietary Managers
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  • Chiropractors
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  • Coaches
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  • Physical Therapists
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  • Physical Therapy Assistants
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  • Counselors
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  • Social Workers
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  • Speech/Language Pathologist
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  • Athletic Trainer
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  • Massage therapists
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  • Strength and conditioning coach
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  • Exercise physiologist