For the clinician who can find the dosing chart online but has nowhere to learn everything the chart doesn't cover.
Join the WaitlistAdult patients (18+) only. Waitlist members get details first and priority registration at the launch price.
At a Glance
WHY THIS COURSE
Most gender affirming care training teaches one protocol: start the hormone, order the labs, repeat every three months. Then you meet them.
Wants voice changes but not facial hair. The protocol assumes a binary endpoint.
Worsening cyclic pelvic pain that everyone keeps calling atrophy.
A hematocrit of 54. Cut the dose, or work it up first?
Hypertension, a smoking history, and a request for estrogen.
The protocol doesn't cover any of them. And "refer out" isn't an answer when there's nowhere to refer.
You didn't get this in training. Maybe you got a lunch lecture on pronouns. So when a trans patient books, you're choosing between turning them away, a waitlist measured in months, or prescribing from a chart you found online and hoping nothing goes sideways.
And things go sideways. Erythrocytosis. Potassium rising on spironolactone. Unsatisfactory cytology. None of it is exotic medicine. It's primary care, in the version where the anatomy and the reference ranges both need translation.
You've turned trans patients away or referred them out because "I'm not trained in that," and you're done doing that.
You can initiate hormones but freeze when the hematocrit climbs, the potassium rises, or the labs stop making sense.
You've stared at a lab report wondering which reference range applies to your patient.
Your patient's goals don't match the binary endpoints the protocols assume, and you don't know how to dose for "partial."
You can continue a maintenance regimen but aren't confident titrating over the course of a transition.
You want to do preventive care right for the anatomy in the room, not the anatomy the EHR assumes.
You want a plug-and-play protocol you can copy without thinking.
You're looking for one trick to fix every patient.
You treat adolescents. This course covers adult patients only.
CURRICULUM
Terminology, epidemiology, minority stress, and models of care.
Gender history without interrogation, goals-based planning, fertility counseling, and the baseline labs that get misread.
Formulations, monitoring, and the full erythrocytosis playbook: when to act, when to watch, and what to work up before cutting the dose.
VTE risk stratification, antiandrogen selection, and what the progesterone evidence supports and what it doesn't.
Microdosing, partial-effect goals, cycling on and off therapy, and affirming care without hormones.
Organ inventory as the organizing principle: cervical, chest, prostate, bone, STI, and contraception care for the anatomy in the room.
Pelvic pain on testosterone is not automatically atrophy. Tucking-related pain, orchialgia, and endometriosis recognition.
Referral letters, perioperative hormone management, and the postop problems primary care sees first.
Distinguishing dysphoria from co-occurring conditions, detransition handled clinically, and ruling out physiology before attributing symptoms to psychiatry.
EHR workflows, lab reference ranges on hormone therapy, and gender-marker billing pitfalls.
CLINIC-READY TOOLS
Every tool is included with the course and built for a real visit.
Gender affirming SOAP note template
Compounded medications reference, evidence-graded, off-label status labeled
Documentation exercise with every module
Referral letters that meet WPATH SOC8 without gatekeeping
A hematocrit of 54, a potassium of 5.3, and a cyclic pelvic pain differential, worked through rather than listed.
Off-label is labeled off-label. Low evidence is labeled low evidence. The functional medicine content is held to the same standard as everything else.
An entire module on microdosing, partial effects, cycling, and nonhormonal affirmation, because those patients are already in your waiting room.
Every module closes with a documentation exercise, because knowing it and charting it are different skills.
Your Remedy Meducators®
APRN, CNM, MSCP
Board-certified nurse-midwife and nurse practitioner with training through ISSWSH, WPATH, The Fenway Institute, and The Menopause Society. Founder and lead provider at Spectrum Reproductive Health & Gender Affirming Care in Bellingham, Washington, where her work centers on complex gynecologic conditions, sexual pain, and gender affirming hormone therapy.
FNP-BC, AGACNP-BC, IFMCP, MSCP
Double board-certified NP with 18+ years in healthcare, including over a decade in emergency medicine. Founder of Remedy Functional Medicine and creator of the Filling in the Gaps™ series. Teaches the functional medicine lane: the metabolic, inflammatory, and lifestyle terrain that shapes hormone response, as an adjunct to standard care.
WAITLIST OPEN
Waitlist members get course details first and priority registration at the launch price $997.
JOIN THE WAITLISTQUESTIONS
No. The reasoning framework applies whether you prescribe, refer, or support. That said, Modules 3-5 are prescriber-depth pharmacology, so prescribers and those working toward prescribing will get the most from the full curriculum.
No. This course covers adult patients (18+) exclusively. Pediatric and adolescent gender care involves a distinct evidence base, consent framework, and regulatory landscape that this course does not address, although some lab interpretation and clinical concepts can overlap.
Modules 1 and 2 build the foundation: terminology, models of care, the initial visit, and informed consent. You don't need prior GAC experience. You do need to be willing to think, because this is a reasoning course, not a protocol library.
The parts the dosing charts skip: the erythrocytosis playbook, individualized and nonbinary regimens, anatomy-based prevention, pelvic pain workups, and perioperative management, nuanced patient counseling plus documentation practice in every module.
Module 7 delivers standalone competency in recognizing endometriosis in trans patients and referring appropriately. The full workup and management deep-dive lives in Filling in the Gaps™: Endometriosis & Chronic Pelvic Pain. You do not need that course to complete this one.
One year. Work at your own pace and revisit any module whenever you need it.
Accreditation has been submitted to Pinnacle Conference, LLC for joint providership (ACCME, ACPE, ANCC) and is pending. We expect 6+ contact hours, but credit is not guaranteed until it is confirmed. If you enroll before approval, you will be notified of the decision and can claim credit at completion once it is finalized.
At official launch and available to redeem upon course completion.
Get started today before this once in a lifetime opportunity expires.