March 19, Symposium Day 1

8:00 am - 8:15 am
Welcome and Introduction

8:15 am - 9:15 am
The Cause and Cure of Modern Killer Diseases - Hans Diehl, DrHSc, MPH, FACN
Dr. Hans Diehl will briefly discuss the epidemiology, pathology and the risk factor concept underlying the circulation-related diseases. He will show how these chronic diseases, once rare, have now become a global epidemic largely affected by our Western lifestyle. The overriding driver of these diseases are the risk factors that are largely diet related, such as blood cholesterol levels, hypertension, obesity, diabetes. But they are also influenced by smoking, sedentary living, and unresolved stress.

He will show how our Western diet has undergone some dramatic changes in the 1970s when whole foods (high in fiber and nutritional density) became largely industrialized products (low in fiber and nutritional density, yet high in salt, sugar and fats), and animal products (made available as fast foods) became the staple of the masses.

Studies have shown that a comprehensive educational approach that will motivate and inspire, coupled with effective public policy, can support and facilitate choices towards a healthier lifestyle that is characterized by simple foods, daily exercise, sufficient sleep and abstinence from risky substances. He will show studies that have clinically demonstrated that this lifestyle medicine approach can slow down, arrest and even reverse many of these modern killer diseases.

  • Review the epidemiology, pathology and risk factors of circulation-related chronic diseases

  • Understand the primacy of diet in driving these risk factors.

  • Be able to describe the major dietary changes of the 1970s.

  • Review the clinical evidence of regression of atherosclerotic plaques that have facilitated the arrest and reversal of many of these chronic killer diseases.

9:15 am - 9:30 am

9:30 am - 10:30 am
Lifestyle Medicine: The Common Sense Solution to the Chronic Disease Epidemic -
Saray Stancic, MD
Dr. Stancic will describe her experience as a patient and physician over more than 20 years, and the scientific evidence which irrevocably changed her approach as a practicing Infectious disease specialist to one that is focused on the clinical practice of Lifestyle medicine. In sharing both personal and professional experiences she will review pertinent peer reviewed medical literature supporting and substantiating the power of lifestyle medicine in preventing, managing and reversing chronic illness. She will present the obstacles to a shift in the culture of current day clinical medicine from disease management to health promotion and prevention. Finally, offering a solution with the ushering in of a new medical education model for physicians in training. 

  • Discuss the origins of scientific evidence supporting diet and lifestyle choices playing a role in the pathogenesis of multiple sclerosis.

  • Describe the science of epigenetics, and its possible role in chronic disease outcomes.

  • Discuss the leading causes of death in the US, and the scientific evidence substantiating the role lifestyle modification plays in reducing risk of non-communicable illness.

  • Discuss obstacles to correcting a failing healthcare system which focuses primarily on disease management rather than health promotion and prevention. 

  • Introduce a new era in clinical medicine which seeks to emphasize preventive/ lifestyle medicine as the solution to the healthcare crisis, the central theme of code blue. 

10:30 am - 10:45 am

10:45 am - 11:45 am
Lifestyle Medicine for Women: Bridging the Gap - David Kroska, MD, FACOG, diplomat ACLM
Women's healthcare across the lifespan encompasses not only the prevention in and management of the "usual suspects" of chronic disease, but many unique gender- specific disorders. Even the " usual suspects" such as heart disease have gender differences in symptoms and risk factors. A number of chronic diseases are either unique to women or occur with greater incidence such as PCOS (polycystic ovarian syndrome), osteoporosis, breast cancer and increased rates of auto- immune disorders, including inflammatory bowel disease. The incidence of and morbidity of most of these chronic disorders is greatest in those countries consuming the western diet, and as orders of magnitude lower in areas where whole food plant- based diets are the norm under-pinning the role of lifestyle medicine, i.e." treating the cause", for women. In this overview presentation, the following topics will be addressed: PCOS, (it's not just infertility); bone health, (it's not a calcium deficiency disorder); women and heart disease; breast cancer, (it's time to talk about prevention), and more.

  • The participant will gain a greater appreciation of the epidemiology of health issues unique to women

  • Updating our awareness of women's healthcare needs across the lifespan

  • Emphasizing the role of healthcare providers in educating patients on preventative care in women's health

  • A number of specific disease/ disorders with elevated female gender-specific incidence/risk will be reviewed

  • Lifestyle medicine in the community: the challenges and rewards of educating the public, experiences from 15 years of the LIFE program in St Cloud, MN

11:45 am - 12: pm
Lunch Break

12:05 pm - 12:35 pm
Lunch and Learn: The Complete Health Improvement Program (CHIP) and Results in the Community - Mei Liu, Certified CHIP Facilitator

12:45 pm - 2:15 pm
Overcoming Food Addiction and Sustaining Weight Loss -
Chuck Carroll
Chuck Carroll will share his fierce struggle with food addiction and the extreme measures he had to resort to in order to overcome it. Chuck is 5 feet 5 inches tall and at his heaviest, his morbidly obese frame weighed 420 pounds. He was eating a daily diet of nearly 10,000 calories and was unable to go a day without eating the fast food fix that was akin to a cocaine. On the occasions that he would attempt to diet and eliminate the high fat, ultra-processed food from his diet he would experience wild mood swings that culminated in rage and also began feeling physically ill. The cycle trapped him in a deep depression which only fueled his desire to continue the unhealthy eating habits.

He will discuss the lengths he resorted to in order to break the addiction, how he has managed to maintain the weight loss, and the struggles and urges he still faces a decade after taking his last bite of fast food.

  • For practitioners to gain a better understanding of food addiction

  • To demonstrate the addictive properties of high-fat, high-salt fast food

  • To demonstrate the link between poor nutrition and poor mental health

  • To demonstrate best practices for overcoming food addiction from a patient perspective

  • To demonstrate why certain foods should be viewed in the same light as narcotics, nicotine, and alcohol, which are widely accepted as unhealthy and potentially deadly substances among addicts

Food Addiction - Thomas Harman, MD
Picking up from Chuck Carroll’s presentation, Dr. Harman will discuss additional information about the role of addiction in our nutritional choices.

  • To better understand the role of our brain’s pleasure centers in our eating habits and choices

  • To learn about clinical examples of some local people who have dealt with this program

Behavioral Change and Health Coaching - Malia Ray, MD, Health Coach
We all know that we need to eat fruits and vegetables, and remain physically active.   Why, then, do only one out of three adults get the recommended amount of physical activity each week, and only 1 in 10 eat the recommended amount of fruits and vegetables?  Behavior change is difficult, but there are steps we can take to set ourselves up for success.

  • Understand why behavior change requires more than self -discipline.

  • Identify the key components that result in successful behavior change.  

2:15 pm - 2:30 pm

2:30 pm - 3:45 pm
Preventing and Reversing Diabetes - Hans Diehl, DrHSc, MPH, FACN; Stephen Turner, MD

This multimedia presentation will review some of the successful dietary therapies for preventing and reversing T2 diabetes.

Dr. Hans Diehl will briefly discuss the epidemiology of diabetes, its pathophysiology, and its current treatment approaches. Taking his cue from population studies, he will highlight the cultural changes accompanied by Westernization that most often precede the development and expansion of diabetes, especially in the context of an obesogenic lifestyle and diet.

Results from research efforts will be reviewed that show the efficacy of a whole food/plant-based diet coupled with a consistent daily activity program. Such a lifestyle, associated with its ability to reverse pre- and full-blown diabetes, will feature more natural diet that is high in fiber and phytonutrient content and low in cholesterol, saturated fat and obviously low in refined carbohydrates. The clinical results show efficacy in that medication requirements (oral drugs and insulin) usually come down in response to fasting glucose levels that usually begin to drop even within days. And quite consistently, over time, the medications often have to be withdrawn as the Fasting Blood Sugar and HbA1c levels move towards normal levels. At the same time, cardiovascular risk factors drop markedly, such as the levels of elevated lipids and blood pressure, depression and excess weight.

  • Review the epidemiology and pathophysiology of diabetes

  • Review the role of medication in treating and effecting the course of T2 diabetes

  • Be able to describe the role of therapeutic diet in disarming diabetes

  • Clearly understand the difference between refined and unrefined carbohydrates and the role of fiber

  • Be able to differentiate the glycogenic vs lipogenic (intramyocellular lipids) concepts of T2 diabetes

3:45 pm - 4:00 pm

4:00 pm - 5:00 pm (45 min + 15 Q&A)
How Diabetes Impairs the Multiorgan System and the Role of Diet in Prevention and Treatment - Stephen Turner, MD

5:00 pm - 6:00 pm
Dinner Break

6:00 pm - 7:00 pm
Walk With a DOC - Malia Ray, MD
Join us for this energizing walk. Dr. Ray will give a brief presentation on a health topic followed by a walk in the skyway and subway tunnels to for a small tour of Rochester.

7:00 pm - 8:30 pm




March 20, Symposium Day 2

8:00 am - 8:15 am
Welcome and Introduction

8:15 am - 9:15 am
Nutrition and the Brain - Neil Nedley, MD
Understand why the mechanism of common anti-depressants and anti-anxiety drugs limits their effects.

  • Learn the role of nutrition and lifestyle in increasing mood enhancing neurotransmitters

  • Learn the importance of carbohydrate and protein content of foods in improving brain neurotransmitter substrates

  • Understand the role of anti-oxidants, oxidized cholesterol and arachidonic acid in brain health

  • Learn why the role of nutrition and nutrient supplementation should now be considered mainstream medicine

9:15 am - 9:30 am
Networking and Break

9:30 am - 10:30 am
Lifestyle Medicine & Osteoarthritis -
Jengyu Lai, DPM; Lori Banks, PTA
Lower extremity health is important in maintaining a healthy lifestyle. Conversely, many lower extremity conditions, particularly wound healing and osteoarthritis, are affected by lifestyle.

It is estimated that 2% of the general population suffers from chronic wounds, which occur when a normal wound healing cascade is interrupted. Infection and systemic comorbidities are frequent factors associated with non-healing ulcers. A lifestyle medicine approach can manage and reduce systemic comorbidities and improve wound healing.

Osteoarthritis (OA) is a degenerative joint disease. Knee OA affects more than one-third of people over the age of 60. An integrative, lifestyle medicine approach can effectively manage OA, particularly in the lower extremities.

  • Learn most common types of chronic wounds

  • Learn most common causes of chronic wounds

  • Learn how a lifestyle medicine approach can improve wound healing

  • Learn the common causes of osteoarthritis

  • Learn how a lifestyle medicine approach can manage and prevent osteoarthritis

  • Learn basic exercises for knee osteoarthritis

10:30 am - 10:45 am
Networking and Break

10:45 am - 12:00 pm
How Not to Diet: Evidence-Based Weight Loss - Michael Greger, MD
What does the science show is the best way to lose weight? Dr. Greger has scoured the world’s scholarly literature and developed this new presentation based on the latest in cutting-edge research based on his new book How Not to Diet. He will touch on the 17 ingredients to the optimal weight loss diet and cover some of the 21 tricks and tweaks for fast-tracking weight loss, which include specific foods that can double as fat blockers and fat burners, starch blockers and appetite suppressants.

  • Name three dietary components that may be considered characteristic of an optimal weight loss diet.

  • Detail the randomized, controlled study that, without caloric restriction or an exercise component, led to the greatest reported weight loss at both 6 and 12 months.

  • Name the foods that can act as fat blockers, starch blockers, appetite suppressants, and that can counter the metabolic slowing that accompanies weight loss

12:00 pm - 1:00 pm
Lunch Break

12:20 pm - 12:50 pm
Lunch and Learn
Nedley Depression and Anxiety Recovery Program (NDARP) and Results in the Community -
Mei Liu, Associate Program Director; Malia Ray, Certified Facilitator

1:00 pm - 2:15 pm
Panel Discussion: What is Your Perfect Vision of Health for Individual and Community? What Does it Take to Achieve Optimal Health for Ourselves and Our Community? - Hans Diehl, DrHSc; Neil Nedley, MD; David Kroska, MD; Chuck Carroll, panel moderator
This panel of lifestyle medicine experts will discuss the overarching question: What does it take to achieve optimal health for ourselves and our community?

  • Understand the perfect of vision of health is individualized

  • Learn tips on how to improve personal health and community wellness

  • Understand the interconnection between personal health and community wellness

2:15 pm - 2:30 pm

2:30 pm - 3:45 pm
Available resources for Personal Wellness, Community Resilience, and Lifelong Health. It Starts Here!
Discover the lifestyle medicine movement in our community. What are some available community resources that will help us adopt healthier lifestyles? Small steps will lead to remarkable outcomes.

3:45 pm - 4:00 pm




March 20, Gala

7:45 pm - 8:15 pm
Nutrition and Neuroplasticity -
Neil Nedley, MD

  • Learn nutritional principles involved in enhancing brain derived neurotrophic factor (BDNF) in opening the way for positive brain changes

  • Understand nutritional principles in how the brain can become more balanced and change for the better

  • Discover some inherited and developed differences in individuals and why nutritional advice should vary between certain emotional subtypes

8:15 pm - 8:50 pm
How Not to Die: The Role of Diet in Preventing, Arresting, and Reversing Our Top 15 Killers -
Michael Greger, MD, FACLM
Dr. Greger has scoured the world's scholarly literature on clinical nutrition and developed this new presentation based on the latest in cutting-edge research exploring the role diet may play in preventing, arresting, and even reversing our leading causes of death and disability.

  • Describe the role diet may play in preventing some of the leading causes of death in the United States

  • Describe the role diet may play in treating some of the leading causes of death in the United States

  • Describe the diet followed by populations largely free of "Western" diseases such as ischemic heart disease and type 2 diabetes






March 21, Community Education

1:30 pm - 2:30 pm
What President Clinton Taught Us About Heart Disease - Hans Diehl, DrHSc, MPH, FACN
In 2004, President Bill Clinton underwent quadruple bypass to relieve his chest pain due to narrowed coronary arteries. Six years later, with recurring chest pain, a double stenting was done to open the once again narrowed vessels.  Since heart disease has been viewed as a chronic disease without a cure, he was given the assurance that he would probably come to the hospital’s lab from time to time for these kinds of “tune ups”. However, after seeing the documentary “Forks over Knives”, offering clinical evidence that favors a lifestyle change as an effective option to dealing with non-emergent coronary artery disease, he shifted to a diet of “foods-as-grown” leaving out processed foods and animal products of any kind. Since then, his cholesterol, high blood pressure and weight have dropped, and he has not had any “tune ups.”  Dr. Diehl will review the scientific evidence of atherosclerotic plaque regression and discuss the unsustainable current medical approaches of pills and produces in dealing with non-emergent coronary artery disease. He will furthermore review the advantages of a more natural and simple diet coupled with regular exercise in dealing more successfully with chronic diseases that can be turned around.

  • Use Bill Clinton’s “clinical journey” as a case study to create greater understanding for the regression of athero-sclerotic plaques through a lifestyle medicine approach.

  • Be able to identify dietary and lifestyle factors that facilitate coronary heart disease regression.

  • Understand the difference between dietary constituents and dietary patterns that drive circulatory diseases

  • Learn the clinical outcome difference in the primary prevention of heart disease between using medications versus a whole food plant-based diet to lower blood cholesterol levels.

2:30 pm - 2:45 pm

2:45 pm - 3:45 pm
From Disappointment to Appointment: Overcoming Emotionally Traumatic Experiences - Neil Nedley, MD

  • Explain the losses and trauma that threaten emotional health

  • Understand the stages of grief in overcoming trauma and loss

  • Learn the five tasks involved in healing from and actually growing from emotionally traumatic experiences

3:45 pm - 4:00 pm

4:00 pm - 5:00 pm
Recovering From PTSD - Neil Nedley, MD

  • Understand the cognitive distortions most likely to occur as a result of PTSD

  • Learn how to combat mental filters that are associated with PTSD

  • Describe a case report where ultimate healing from PTSD occurred and why

5:00 pm - 6:30 pm
Light Dinner and Networking

6:30 pm - 7:30 pm
Evidence-Based Education Program Information Sessions and Success Stories

  • Complete Health Improvement Program (CHIP)

  • Nedley Depression and Anxiety Recovery Program (NDARP)

7:30 pm - 8:30 pm
Cooking Demo and Nutrition Q&A - Erica Nedley; Neil Nedley, MD

8:30 pm - 9:00 pm