Chronic Fatigue Syndrome and Hypothyroidism are linked to Low T3 Syndrome

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Claiming CME/CE Credits

To receive CME/CE credits, participants must review the program materials in their entirety and complete the online post examination and evaluation with a score of 70% or better.

System Hardware/Software and Internet Connection Requirements

The following information is provided for your reference in conjunction with review of this program.

General System and Internet Requirements:  Speakers or Headphones, High Speed Internet connection, Wireless 3G and 4G,
Web browsers: Internet Explorer 7.x or higher, Firefox 4.x or higher, Safari 2.x or higher and Chrome.

Operating Systems:  Windows 2000 or higher, (MS Surface and other MS mobile devices compatible), MAC OSX 10.3 or higher, Mac iOS 5.0 or higher (iPad, iPhone compatible), Android 4.3 or higher (most Android mobile devices compatible).

Effective Date: July 11, 2018
Expiration Date: July 11, 2020
Format: Self Instructional - Audio Visual Voice-Over with Slides
Maximum Credits: 1.0 AMA PRA Category 1 CME Credit™, 1.0 Nursing Contact Hour
Estimated Completion Time:1 hour

Course Description: Dr. Rouzier, will be reviewing Chronic Fatigue Syndrome and how the signs and symptoms are similar, to hypothyroidism. How many times these conditions are misdiagnosed and how to interpret your patient's medical condition to improve clinical outcomes.

You will be able to determine the underlying cause of inflammation and how it contributes to Chronic Fatigue Syndrome.

Target Audience & Cost

This program is intended for Primary Care Physicians, Physician Assistants, Nurse Practitioners and Nurses and Other Healthcare Professionals.

Fee: $30.00

Outcome Objectives

Upon completion of this CME/CE activity the healthcare provider will be able to:

  1. Review the work-up and diagnosis of Chronic Fatigue Syndrome.
  2. Recognize the many inflamed hormonal pathways in CFS.
  3. Discuss the pathophysiology involved in the development of CFS.
  4. Review thyroid lab tests as they pertain to CFS.
  5. Identify why it is called the hypometabolic syndrome.
  6. Review the studies that support normalizing TSH levels does NOT result in clinical euthyroidism.


Peterson, S. J., Mcaninch, E. A., & Bianco, A. C. (2016). Is a normal TSH Synonymous with “Euthyroidism” in Levothyroxine Monotherapy? JCEM, doi: 10.1210/jc.2016-2660.

Ruiz-Nunez, B., Tarasse, R., Vogelaar E. R., Dijck-Brouwer, J. & Muskiet, 
F. A. (2018). High prevalence of “Low T3 Syndrome” in Patients with chronic fatigue syndrome: A case-control study. Frontier’s in Endocrinology, doi:10.3389/fendo.2018.00097.

Authorized and Presented by

Dr. Neal Rouzier

Neal Rouzier, MD

Dr. Neal Rouzier is a pioneer and recognized leader in the bioidentical hormone replacement field, treating more than 3,000 patients almost since its inception in the early 1990’s. With over 17 years of experience as an educator and practicing physician, and 29 years of Emergency Medicine experience, he has dedicated his life’s work to uncovering the medical literature that supports safe and effective protocols for personalized patient care.

Conflict of Interest Disclosure Policy

It is the policy of the Foundation for Care Management (FCM) to ensure independence, balance, objectivity, scientific rigor, and integrity in all of its continuing education activities. FCM requires everyone in a position to control the content of this activity to disclose any relevant financial conflicts of interest they may have as related to the content of this activity and having occurred within the last 12 months. The faculty must disclose to the participants any significant relationships with commercial interests whose products or devices may be mentioned. All identified conflicts of interest are thoroughly vetted by FCM for fair balance, scientific objectivity of studies mentioned in the material or used as the basis for content, and appropriateness of patient care.

"A commercial interest is any entity producing, marketing, re-selling, or distributing health care goods or services consumed by or used on patients.”



Dr. Neal Rouzier declared that he has no conflict of interest that would pertain to the following presentation

Planning Committee:

Neal Rouzier, MD, Content Expert, is a Speaker for BioTE. Mary Corry, BSN, RN, Primary Nurse Planner, and Dana Burnette, M. Ed. Adult Educator has no financial interest in any of the products or manufacturers mentioned.


AMA PRA Category 1 Credit(s)™

Accreditation Statement: The Foundation for Care Management (FCM) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for Physicians.

Designation Statement: FCM designates this educational activity for a maximum of 1.0 AMA PRA Category 1 credits™. Physicians should only claim credit commensurate with the extent of the participation in the activity.

CE for Nurses

Accreditation Statement: The Foundation for Care Management is an approved provider of continuing nursing education by the Continuing Nursing Education Group (CNEG), Approver of Continuing Nursing Education an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.

Method of Participation/Criteria for Success

To receive CME/CE credits, participants must review the program materials in their entirety and complete the online post examination and evaluation with a score of 70% or better. A statement of credit will be available for printing upon successful completion.

If you have questions about this CME/CE activity, please contact FCM at


Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications on dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.

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