Transform Your Patients' Health from the Inside Out

Foundations of Gut Health for Practitioners

This advanced clinical course provides a structured, evidence-driven framework for evaluating and restoring gut health as a foundational driver of hormonal balance, immune regulation, metabolic function, and systemic inflammation. Designed for real-world practice, the training moves from core gastrointestinal physiology to dysbiosis, intestinal permeability, and microbiome disruption. Clinicians will learn how diet, stress, medications, toxins, infections, and circadian rhythm disruption impair gut integrity and contribute to chronic, treatment-resistant symptoms, with clear strategies for clinical assessment and intervention.

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ACP MEMBERS-ONLY

This class is only accessible by Masterclass Participants & Graduates.

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More About This Course

Gut Health = Overall Health

Every year we learn more about the important connection between gut health and overall health and well-being. Out gut is home to more than 100 trillion bacteria, which play a vital role in maintaining the health of our gut and communication with the rest of the body. Not only does the majority of our immune system lie within our gut, but so does communication and production between key neurotransmitter; deeming the gut the "second brain".

Learn the fundamentals of the Gastrointestinal system and its inner workings, so you can identify when disease is present. The 5 R Approach is used in Functional Medicine and can help you take a comprehensive approach to your patients' gut health and overall wellness. The 5 Rs are:

  • Remove
  • Replace
  • Repopulate
  • Repair
  • Rebalance

Who this course is made for

Do these challenges sound familiar to you?

1

Curious Beginners

Are you treating patients with chronic or treatment-resistant symptoms?

2

Designed for clinicians managing fatigue, autoimmune conditions, metabolic dysfunction, hormone imbalance, inflammation, and mood disorders where gut dysfunction is a root contributor.

Do your patients fail to improve despite normal labs or standard care?

3

Are you ready to address root causes instead of managing symptoms?

Ideal for clinicians who want structured, evidence-driven gut health strategies that integrate nutrition, supplementation, lifestyle, and microbiome support.

4

Learning objectives

What you’ll take away from this course

  • Gut Anatomy, Physiology, and Microbiome Fundamentals: Understand gastrointestinal structure, digestive function, commensal versus opportunistic organisms, and the gut’s role in immune and hormonal signaling.
  • Clinical Drivers of Dysbiosis and Intestinal Permeability: Learn how stress physiology, medications, toxins, infections, diet, and circadian disruption impair gut barrier integrity and microbial balance.
  • Evidence-Driven Gut Restoration Strategies: Apply stepwise clinical approaches to remove, replace, repair, repopulate, and rebalance the gut using targeted nutrition, probiotics, prebiotics, and lifestyle interventions.
Course Curriculum

Designed for you to start using on day-one

Gut Health: Foundations (45:42)
  • Welcome to Foundations of Gut Health for Practitioners
  • Gut Health Foundation Video (45:42)
  • Gut Health: Foundations PowerPoint PDF
  • Gut Health: Remove (1:22:23)
  • Gut Health Remove Video (82:23)
  • Gut Health: Remove PowerPoint – PDF
  • Gut Health: Replace (35:54)
  • Gut Health Module 3 – Replace Video (35:54)
  • Gut Health: Replace PowerPoint – PDF
  • Gut Health: Repopulate (28:42)
  • Gut Health: Repopulate Video (28:43)
  • Gut Health: Repopulate Presentation – PDF
  • Gut Health: Repair (36:57)
  • Gut Health: Repair Video (36:57)
  • Gut Health: Repair PowerPoint – PDF
  • Gut Health: Rebalance (22:20)
  • Gut Health: Rebalance Video (22:21)
  • Gut Health: Rebalance PowerPoint – PDF
  • Reference Protocols (00:00)
  • Gut Healing Protocol
  • H pylori Protocol
  • SIBO Protocol
  • Gut Health Protocol
  • Operational Workflows (00:00)
  • 4R Your GUT Healing Consultation
  • 4R GUT Healing Review & Treatment Protocols
  • 4R GUT Healing One Month Follow Up
  • 4R Your GUT Healing Two Month Follow up
  • 4R Gut Healing Three Month Follow-Up
  • 4R GUT Healing Maintenance
  • HPylori Consultation
  • HPylori Review of Test Results with Recommended Treatment
  • HPylori 60 90 Day Follow Up
  • HPylori Maintenance
  • SIBO Consultation
  • SIBO Review of Test Results with Recommended Treatment Protocols
  • SIBO Three Week Evaluation of Repeat SIBO Treatment
  • SIBO Six Week Follow Up
  • SIBO Maintenance
  • Elimination Diets (00:00)
  • Elimination Diet: FODMAP
  • Elimination Diet: GAPS
  • Elimination Diet: Simple Elimination Diet
  • Reference: Intake Forms (00:00)
    • Gut focused intake form
    Foundations of Gut Health for Practitioners – Exam (00:00)
    • Foundations of Gut Health for Practitioners – Exam
    Frequently asked questions
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    9.5 CME BHRT & Thyroid Masterclass
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    Masterclass Includes
    • 37 lessons
    • 4 hours of video lectures.
    • Expert instruction from Erin Gagne, FNP-C, a leader in gut health and functional medicine.
    Foundations of Gut Health for Practitioners
    ACP MEMBERS-ONLY

    This class is only accessible to Masterclass Participants & Graduates.

    Learn About ACP
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    Already a Graduate? Contact Us
    Course Includes
    • 37 lessons
    • 4 hours of video lectures.
    • Expert instruction from Erin Gagne, FNP-C, a leader in gut health and functional medicine.
    Gut Health
    Enroll Now For Free
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    Next Steps
    • 37 lessons
    • 4 hours of video lectures.
    • Expert instruction from Erin Gagne, FNP-C, a leader in gut health and functional medicine.
    Instructors

    Top experts in your corner every step of the way

    Erin Gagne, FNP-C

    Erin is a dedicated Nurse Practitioner with a diverse background in medicine. She earned her Bachelor’s in Nursing from the University of Rhode Island in 2008 before moving to South Carolina. She spent eight years in the Cardiothoracic ICU at MUSC before becoming a Family Nurse Practitioner in 2016. Her career spans internal medicine, physical medicine (with a focus on PRP and stem cell therapies), aesthetic medicine, and bioidentical hormone replacement therapy/functional medicine. In 2017, she became a certified Aesthetic Injector and has continued to expand her expertise.

    Ongoing Support from HHI Clinicians

    Clinicians Companion Annual Certification Program

    The Clinicians Companion Annual Certification Program (ACP) is an add-on for clinicians who have graduated the BHRT Masterclass. The ACP provides one year of ongoing education and support opportunities, and real-time resources that help you grow your skills, serve your patients better, and stay ahead of industry shifts.

    Direct access to HHI Certified Trainers

    Private Community Message Board. We support your training by answering your real-world questions, from confidence building check-ins to complex cases.

    Live online learning events

    Exclusive access to live learning events. These Q&A and specialty focus events are fun, informative and provide real clinical insight

    Professional Recognition

    As an HHI Certified Clinician you will receive digital certification and listing in our public facing HHI Certified Clinician Directory

    Exclusive ACP Member-Only Pricing

    ACP Member-only partner benefits, including exclusive vendor discounts, preferred pricing on Dr. DeRosa’s publications and exclusive access to ACP-only specialty courses.

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    Pricing

    Start implementing cutting-edge hormone therapy today

    Masterclass Plus 1 Year of Clinician’s Companion Community Access

    Learn modern hormone therapy and gain access to clinician’s forum, digital certification an ongoing expert support.

    $2,421
    $1,899/year
    14.5 Hours of Self-Paced Learning
    9.5 CME Credits
    Downloadable Guides, Tools & Procedures
    1 Year Access to Clinician's Companion Community
    12x Free Consulting Call with HHI Clinician's
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    Masterclass Only

    Learn modern hormone therapy without access to the community, as as standalone course.

    $2,222
    $949/year
    14.5 Hours of Self-Paced Learning
    9.5 CME Credits
    Downloadable Guides, Tools & Procedures
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    Pricing

    Train Today. Treat Tomorrow.

    9.5 CME Plus ACP Bioidentical Hormone Therapy & Thyroid Treatment and Evaluation Masterclass

    Evidence-driven curriculum with clinical videos, dosing tools, case studies, downloadable dosing charts, protocols, quick reference guides and ongoing clinical support from foundation to advanced nuances.

    $2,421
    $1,899/year
    14.5 Hours of Self-Paced Learning
    9.5 CME Credits
    Downloadable resources, quick reference guides, protocols and forms
    Buy now / pay later using Affirm on the checkout page
    Your questions answered by HHI Certified Trainers on the private Clinician's Companion Community Board
    Access to Live Online Learning Events with Dr DeRosa and out other trainers
    Professional recognition via inclusion in Certified Clinician Directory and digital certification
    Enroll Now
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    Masterclass Only

    Learn modern hormone therapy without access to the community, as as standalone course.

    $2,222
    $949/year
    14.5 Hours of Self-Paced Learning
    9.5 CME Credits
    Downloadable Guides, Tools & Procedures
    Does not include your questions answered by HHI Certified Trainers on the private Clinician's Companion Community Board
    Does not include access to Live Online Learning Events with Dr DeRosa and out other trainers
    Does not include professional recognition via inclusion in Certified Clinician Directory and digital certification
    Enroll without Clinician's Companion
    Learner Reviews

    What Clinicians Say About Us

    GREAT! Much better than the other courses I have taken on hormones! Breakdowns and guides make it much easier to understand.
    Morgan B., FNP
    The Master Class is amazing! The information provided is augmenting my foundational knowledge and even adding new concepts. So much great information! Well beyond what was offered in PA school without a doubt. I’m enjoying working my way through it! Thank you!
    Katherine S., PA
    Fantastic course! Really enjoyed the lectures and presentations. Very insightful and helped to clarify many issues concerning hormone replacement therapy. Thank you!
    Eric E., DO
    Love the Master class. The information is very informative, and easy to understand for beginners to incorporate into practice. I still refer back to the course when I need to review topics. I would highly recommend this course to my colleagues.
    Sabrina P., MSN, FNP
    I would like to thank you for providing an excellent educational experience. The interface/slideshows, as well as the content were superb.
    Richard D., MD
    Content is in-depth and challenging, but because it is delivered in an organized, easy to follow pace, it is well received. Grateful for the information and this course.
    Lenore C., NP

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    More than 9,000 medical professionals have completed training with the Hormonal Health Institute, taking a meaningful step toward improving patient care by moving beyond outdated medical dogma and limited options for rigorous hormone health education.