" All disease begins in the gut”.


With each passing year we learn more about the important connection between gut health and our overall health and well-being. Our gut is home to more than 100 trillion bacteria, which play a vital role in maintaining the health of our GUT and communicating 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 neurotransmitters; deeming the GUT the second brain.

5 R Approach

Learn the fundamentals of the Gastrointestinal system and its inner workings, be able to identify when disease is present, and learn the 5 R approach used in Functional Medicine in order to provide your patients with lasting healing.

  • Remove

  • Replace

  • Repopulate

  • Repair

  • Rebalance

Accreditation Statements

In support of improving patient care, this activity has been planned and implemented by The Foundation of Care Management (FCM) and the Hormone Health Institute. FCM is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. Healthcare providers should only claim credit commensurate with the extent of their participation in this activity.This activity was planned by and for the healthcare team, and learners will receive 6 Interprofessional Continuing Education (IPCE) credits for learning and change.

  • AMA

    This program is approved for 6 AMA Category 1 Credits TM

  • Nursing

    This program is approved for 6 Nursing contact hour

  • Pharmacist

    This program is approved for 6 Contact Hour Pharmacy Credit JA0007163-9999-22-017-H01-P

Course objectives

In collaboration as a healthcare team

  • Describe the GUT-Brain, and GUT-HORMONE connection and its clinical implications

  • Discuss proper diet and nutrition for essence of gut health

  • Recall the differences between commensal and opportunistic bacteria

  • Explain the role and use of probiotics in gut health

  • Identify the role of stress on the gut and overall health

  • Recognize the symptoms of leaky gut and how it impacts inflammation and overall health

Course curriculum

  • 1

    Gut Health: Foundations

  • 2

    Gut Health: Remove

    • Gut Health Remove Video

    • Gut Health: Remove PowerPoint PDF

  • 3

    Gut Health: Replace

    • Gut Health Module 3- Replace

    • Gut Health: Replace PowerPoint PDF

  • 4

    Gut Health: Repopulate

    • Gut Health: Repopulate Video

    • Gut Health: Repopulate Presentation PDF

  • 5

    Gut Health: Repair

    • Gut Health: Repair Video

    • Gut Health: Repair PowerPoint PDF

  • 6

    Gut Health : Rebalance

    • Gut Health: Rebalance Video

    • Gut Health: Rebalance PowerPoint PDF

  • 7

    Reference Protocols

    • Gut Healing Protocol

    • H pylori Protocol

    • SIBO Protocol

    • Gut Health Protocol

  • 8

    Operational Workflows

    • 4R Your GUT Healing Consultation

    • 4R GUT Healing Maintenance

    • 4R GUT Healing One Month Follow Up

    • 4R GUT Healing Review & Treatment Protocols

    • 4R Gut Healing Three Month Follow-Up

    • 4R Your GUT Healing Two Month Follow up

    • HPlyori 60 90 Day Follow Up

    • HPlyori Consultation

    • HPlyori Maintenance

    • HPlyori Review of Test Results with Recommended Treatment

    • SIBO Consultation

    • SIBO Maintenance

    • SIBO Review of Test Results with Recommended Treatment Protocols

    • SIBO Six Week Follow Up

    • SIBO Three Week Evaluation of Repeat SIBO Treatment

  • 9

    Elimination Diets

    • Elimination Diet: FODMAP

    • Elimination Diet: GAPS

    • Elimination Diet: Simple Elimination Diet

  • 10


    • Exam

  • 11

    Reference: Intake Forms

    • Gut focused intake form

  • 12

    CME Accreditation Examination & Instructions for Claiming CME Credits

    • Foundations of Gut Health for Medical Providers - Enduring



Erin Gagne, FNP-C

Erin Gagne FNP-C is a dedicated Nurse Practitioner with an extensive and unique background. She graduated with a Bachelor's degree in Nursing from the University of Rhode Island in 2008 and moved to South Carolina From there. She worked for 8 years as a nurse in the Cardiothoracic ICU at the medical University of South Carolina prior to pursuing her degree as a Family Nurse Practitioner graduating in 2016. Erin's career has taken her from many different areas including internal medicine, Physical medicine with a focus on natural pain relief including remedies such as PRP and stem cell, Aesthetic medicine, and Bioidentical hormone replacement therapy/ functional medicine. In 2017 she became certified as an Aesthetic Injector and continued to pursue her knowledge and growth in the area since. It was through her own personal battle with two autoimmunities that she found her love and passion for functional medicine, gut health and hormone replacement therapy. Erin Believes a blend of the two is the recipe for true anti-aging medicine. In 2019 she completed a fellowship in Anti- Aging and Functional Medicine through the American board of Anti-aging Medicine and became board certified through the American Board of Anti-aging Health Practitioners(ABAAHP). Her goal now is to use a blend of her own personal experience as well as years of research and education to help empower others to heal their own bodies. She has helped hundreds of men and women balance their hormones, heal their guts, and step back into their power. Erin’s goal is to help each patient feel their best inside and out. She loves being able to see the physical transformation in her clients when they are truly feeling their best. Her goal as an injector is to listen and work with your goals to help you step forward with confidence. - Diplomat of Anti-aging, metabolic and functional medicine fellowship through A4M - Board certified through the American Board of Anti-aging Health Practitioners - Manager of Clinical care for BodylogicMD affiliate network - Certified in O-shot and P-shot injections by Charles Runels, MD

Disclosure Statements


Speaker Faculty:

Erin Gagne, FNP has no relevant financial relationships with ineligible companies to disclose.


Planning Committee:

Erin Gagne, FNP has no relevant financial relationships with ineligible companies to disclose. Dr. Angela DeRosa is the Medical Director for Belmar Pharmacy and ownership interest in Hormonal Health Institute.


Program Reviewers

Mary Corry, MSN and Dana Burnett, M. Ed. have no relevant financial relationships with ineligible companies to disclose.


All relevant financial relationships for faculty, planning committee and program reviewers have been reviewed and mitigated.