Real-Time Hormone Monitoring in Clinical Practice

Thursday, September 24 · 8:30 PM ET

Live on Zoom, with time for questions

Free for all healthcare providers

Interpret LH, E3G, PdG and FSH across a full cycle, and distinguish ovulatory from anovulatory patterns

Recognize what continuous at-home monitoring catches that single-timepoint serum testing misses, including LH surges and a shortened luteal phase

Follow a real case from presentation through three tracked cycles and see how the data guided each adjustment

Integrate hormone tracking into an existing workflow: ordering, patient onboarding, and reading the provider dashboard

Post-Surgical Pituitary Adenoma: Restoring Cyclic Estrogen Balance Through Targeted DIM Supplementation and Multi-Hormone Cycle Monitoring

Presented by Elizabeth (Liz) Greenfield, RN, MS, IFMCP

A reproductive-age female with a history of pituitary adenoma resection presented with a reversed estrogen pattern, persistently elevated luteal-phase estrogen, and a short luteal phase of about nine days, despite intact ovulation.

What we’ll walk through

• Prior lab testing had missed her LH surges entirely. Continuous at-home multi-hormone monitoring captured them and confirmed ovulatory function.
• The intervention combined dietary changes, detox-pathway support, and low-dose DIM at 75 mg.
• Across three tracked cycles, luteal estrogen moved toward the reference pattern, the luteal phase lengthened to eleven days, and symptoms decreased.
• Next step: DIM at 150 mg, timed post-ovulation so it does not disrupt ovulation itself.

Please note: results reflect a combined intervention, not DIM alone.

Presenting the case

Elizabeth (Liz) Greenfield, RN, MS, IFMCP

Perimenopause, menopause and hormonal health · lizgreenfield.com

Liz is a functional medicine practitioner specializing in perimenopause, menopause, and hormonal health, with over 25 years of clinical experience, including 15 years as a CRNA, and certification through the Institute for Functional Medicine. She has been using Mira with her patients and joins us live to present her case.

Host and clinical commentary

Dr. Melody L. Hartzler, PharmD, BCACP, BC-ADM

Founder, Functional Medicine CE · PharmToTable

Melody is a nationally recognized speaker on functional medicine, with focus areas spanning hormone balance, metabolic conditions and functional GI. She works through each case alongside the presenter, adding the provider’s-eye view: where she would have read the data differently, what she would have ordered next, and how this fits into a real practice.

Clinical Manager, Mira

Rose MacKenzie

Real-time hormone monitoring · Marquette and Sympto-Thermal Method

Rose MacKenzie is the Clinical Manager at Mira, where she supports healthcare professionals in integrating real-time hormone monitoring into clinical practice. With a background in leadership, restorative reproductive medicine, and emergency medicine, she educates providers and fertility awareness instructors on implementing hormone tracking confidently and effectively.

Rose brings nearly 10 years of experience as a natural family planning instructor trained in both the Marquette Method and the Sympto-Thermal Method. She has extensive experience supporting women using Mira across a wide range of clinical scenarios, including regular and irregular cycles, postpartum amenorrhea, chemo-induced menopause, and perimenopause. Through webinars, case studies, and individualized support, she ensures clinicians are equipped to translate hormone data into meaningful patient care.

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