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Digital Seminar

Expert IBS Panel Discussion: Improving Diagnosis and Exploring Treatment Options


Speakers:
Lara Zakaria, PharmD, MS, CNS, CDN, IFMCP |  Peter Buch, MD, AGAF, FACP |  Cindi Lockhart, RDN, LD, IFNCP
Duration:
2 Hours 05 Minutes
Format:
Audio and Video
Copyright:
Nov 21, 2025
Product Code:
POS078965
Media Type:
Digital Seminar


Description

Insights and clinical tips from 3 Irritable Bowel Syndrome experts: Lara Zakaria PharmD, MS, CNS, IFMCP, Peter Buch, MD, AGAF, FACPCDN,and Cindi Lockhart, RDN, LD, IFNCP. Expect an interactive presentation, with panel discussion. The content has been designed for providers, covering these key topics related to IBS: individualized IBS workups, red flags not to miss, testing guidelines, prescribing best practices, nutrition protocols, master low FODMAP, and strategies to uncover dysbiosis, SIBO, food sensitivities, nutrient deficiencies, and gut-brain axis disruption.

Credit

Planning Committee Disclosure - No relevant relationships

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.



* Credit Note - **

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after passing the online post-test (80% passing score) and completing the evaluation). Instructional methods will include PowerPoint, didactic lecture, and others.

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Program content is reviewed periodically per accrediting board rules for currency and appropriateness for credit. Credit approvals are subject to change. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education, as well as which credit types are acceptable for continuing education hours. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. 
For other credit inquiries not specified below, please contact info@pesi.com or 800-844-8260 before purchase.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.  

For Planning Committee disclosures, please see the statement above.  For speaker disclosures, please see the faculty biography.


* Credit Note - ---

Earn up to 2.0 CE hours. Please see below, for more details, as credit amounts vary by state and profession. 


Nurses - Nurses, Nurse Practitioners, and Clinical Nurse Specialists - ANCC

PESI, Inc. is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation. Nurses completing these self-study materials will earn 2.0 contact hours. Expires: 10/23/2028.


Nurses - California Nurses

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 2.0 self-study contact hours. 

** You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.


Nurses - Florida Nurses

PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 2.0 self-study contact hours.

CE Broker


Physicians - Physicians

 

PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. This activity was originally recorded on 11/21/2025. It was last reviewed on 09/10/2025 and is valid until 09/10/2028. You are required to successfully complete and submit a post-test prior to receiving a certificate of completion.

PESI, Inc. designates this enduring material for a maximum of 2.0 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity. 


Physicians Assistants - Physician Assistants

AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME such as PESI. Physician assistants may receive a maximum of 2.0 hours for completing this self-study program. This activity was originally recorded on 11/21/2025. It was last reviewed on 09/10/2025 and is valid until 09/10/2028

 

PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. PESI, Inc. designates this enduring material for a maximum of 2.0 AMA PRA Category 1 Credit(s)™.


Other Professions

This self-study activity qualifies for 2.0 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.



Handouts/Brochure

Speaker

Lara Zakaria, PharmD, MS, CNS, CDN, IFMCP's Profile

Lara Zakaria, PharmD, MS, CNS, CDN, IFMCP Related seminars and products


Dr. Zakaria is a pharmacist and nutritionist with a focus in implementing solutions for functional medicine and personalized nutrition. A graduate of the Ernest Mario School of Pharmacy at Rutgers University (BSpharm) and the University of Colorado Skaggs College of Pharmacy (PharmD), she spent 20 years in community pharmacy practice. After developing an interest in nutrition, she earned a MS in nutrition from the University of Bridgeport and subsequently qualified as a Certified Nutrition Specialist (CNS) as well as an Institute for Functional Medicine Certified Practitioner (IFMCP). Dr. Zakaria’s practice focused on a multi-disciplinary approach working both one-on-one with patients as well as creating implementation tools and systems for scale. She is also faculty at the Integrative Medicine program at George Washington University, as well as guest instructor for Functional Medicine at LECOM College of Pharmacy. Lara is passionate about gut health and the prevention and reversal of metabolic, allergic, and autoimmune disease. There’s power in community, working with pharmacy professionals, nutritionists, and other clinicians to leverage their unique expertise to amplify the message of personalized nutrition and FxMed.

 

Speaker Disclosures:
Financial: Lara Zakaria maintains a private practice and has employment relationships with Emerson Ecologics, Kuara Health, Functional Medicine CE, and George Washington University. She previously received compensation from Gaia Herbs. She receives a speaking honorarium from PESI, Inc.
Non-financial: Lara Zakaria has no relevant non-financial relationships.


Peter Buch, MD, AGAF, FACP's Profile

Peter Buch, MD, AGAF, FACP Related seminars and products


Peter Buch, MD, AGAF, FACP, is a double board-certified clinical gastroenterologist,  leading a team that treats all GI conditions. Dr. Buch sits on editorial boards for numerous professional journals and is a highly sought-after international presenter.

Dr. Buch has a passion for teaching. His style is case-based, practical, very interactive and evidence supported. Dr. Buch’s expertise has been shared with experienced clinicians and advanced-level students. He teaches at the University of Connecticut School of Medicine, the University of New England College of Osteopathic Medicine, the Frank H Netter School of Medicine/Quinnipiac University and the University of Connecticut APRN School.

 

Speaker Disclosures:
Financial: Dr. Peter S. Buch has employment relationships with the University of Connecticut School of Medicine, the University of New England College of Osteopathic Medicine, and the Frank H Netter, MD School of Medicine. He receives a speaking honorarium and recording royalties from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Dr. Peter S. Buch serves on the FDA and Patient Care Committees at the American College of Gastroenterology. He serves as an editor of peer-reviewed journals. He is a member of the International Association of Medical Science Educators, the AGA Academy of Educators, the American Gastroenterological Association (AGAF), the American College of Physicians (FACP), the Hartford County Medical Association, the American College of Gastroenterology (FACG), and the Connecticut State Medical Society.

 

Content Disclosure:

Dr. Buch references the use of antidepressants for Irritable Bowel Syndrome, and the controversial use of Fibrotest to evaluate patients with fatty liver disease who may have fibrosis of the liver. Dr. Buch indicates he wishes to present a fair and balanced approach to practitioners regarding such practices.

 

 


Cindi Lockhart, RDN, LD, IFNCP's Profile

Cindi Lockhart, RDN, LD, IFNCP Related seminars and products

Lockhart Wellness Solutions, LLC


Cindi Lockhart, RDN, LD, IFNCP, is board-certified as an integrative and functional nutrition practitioner with over 30 years in professional practice. She has trained nutrition, fitness, and medical practitioners throughout most of her career, yet maintains a personal practice with clients as she believes that the only way she can effectively educate and inspire other practitioners is through her own practical experience with clients. In addition to educating on how Food is Medicine, Cindi also specializes in coaching clients and practitioners on the importance of managing stress, optimizing sleep, proper exercise and movement, and reducing exposure to environmental toxins. Cindi has extensive expertise in women’s health issues including perimenopause/menopause and thyroid dysfunction as well as autoimmunity, gut health, weight management, cardiometabolic health (insulin resistance, diabetes, heart disease), fasting, histamine intolerance, mold detox, and long COVID.
 

Speaker Disclosures:
Financial: Cindi Lockhart is the owner and founder of Lockhart Wellness Solutions, LLC. She receives compensation from Fullscript. Cindi Lockhart receives a speaking honorarium and recording royalties from PESI, Inc. All relevant financial relationships with ineligible organizations have been mitigated.
Non-financial: Cindi Lockhart is a member of the Academy of Nutrition and Dietetics, Dietitians in Integrative & Functional Medicine, the Institute for Functional Medicine, and the Integrative & Functional Nutrition Academy.

 


Additional Info

Access for Self-Study (Non-Interactive)

Access never expires for this product.


Questions?

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Objectives

Decoding IBS: A Practical Diagnostic Framework for Frontline Clinicians
Lara Zakaria PharmD, MS, CNS, CDN, IFMCP

  1. Differentiate IBS from other gastrointestinal disorders using evidence-based assessment tools and diagnostic criteria.
  2. Apply a stepwise approach to the initial evaluation of IBS.
  3. Initiate effective first-line management strategies for IBS within scope of primary care and interdisciplinary practice.

Irritable Bowel Syndrome: Current Testing Guidelines & Pharmacological Treatments
Peter Buch, MD, AGAF, FACP

  1. Distinguish Irritable Bowel Syndrome (IBS) from Inflammatory Bowel Disease (IBD).
  2. Plan for an individualized patient workup for IBS, that leads to an accurate diagnosis.
  3. Develop the best IBS treatment plan for your patient.

A Functional Root-Cause Approach to IBS
Advanced Nutritional Interventions for Gut Healing

Cindi Lockhart, RDN, LD, IFNCP

  1. Analyze common nutrition and gut related root-cause drivers of IBS.
  2. Apply targeted nutritional interventions to effectively manage complex IBS cases and improve patient outcomes.

Outline

Decoding IBS: A Practical Diagnostic Framework for Frontline Clinicians
Lara Zakaria PharmD, MS, CNS, CDN, IFMCP

IBS Defined & Refined

  • IBS prevalence, subtypes, and burden of disease
  • Diagnostic evolution: Rome IV criteria and beyond
  • Functional vs. organic GI symptoms: Where IBS fits

Assessment Strategy in Primary Care

  • Reported symptoms that contribute to diagnosis
  • Physical exam pearls: What matters, what doesn’t
  • Using minimal labs to rule out red flags (e.g., celiac, inflammation)
  • Psychological and social situations that can exacerbate situation
  • When is a colonoscopy necessary

When It’s Not IBS

  • IBS mimics: SIBO, IBD, bile acid diarrhea, endometriosis
  • Alarm features requiring specialist referral: Rectal bleeding, anemia, weight loss, fevers

First-Line Interventions & Team-Based Care

  • Diet and lifestyle basics (without herbs or supplements)
  • Stool pattern tracking and symptom monitoring tools
  • When to refer: Setting patients (and specialists) up for success

Irritable Bowel Syndrome: Current Testing Guidelines & Pharmacological Treatments
Peter Buch, MD, AGAF, FACP

Testing Guidelines: Not Standardized but Suggested

  • CBC
  • CRP
  • tTG IgA and total IgA
  • Fecal calprotectin

Current Evidence Based Treatment Options

  • Non medication pearls
  • OTC Meds
    • “Iberogast”
    • Peppermint
    • Loperamide
    • Probiotics
  • Specific Rx - IBS/diarrhea 
    • Eluxadoline
  • Specific Rx - IBS/constipation 
    • Lubiprostone
    • Linaclotide
    • Plecanitide
    • Tenapanor
  • Antidepressants
    • Tricyclics
    • SSRIs
    • SNRIs

Incorporating Therapies to Supplement Patient Goals

  • Cognitive behavioral therapy 
  • Gut directed therapies 
  • Biofeedback 
  • Breathing exercises

A Functional Root-Cause Approach to IBS
Advanced Nutritional Interventions for Gut Healing

Cindi Lockhart, RDN, LD, IFNCP

Nutrition and Gut-Related Root-Cause Drivers of IBS: Beyond the Diagnosis

  • Mapping key root causes
  • Food sensitivities
  • SIBO
  • Dysbiosis
  • Intestinal hyperpermeability
  • Nutrient deficiencies
  • Motility dysfunction

Functional Nutrition Interventions for Food Sensitivities, SIBO & Dysbiosis

  • Low FODMAP, elimination diet, specific carbohydrate, autoimmune paleo or low histamine for symptom resolution
  • Apply microbial restoration with prebiotic, probiotic, and postbiotic foods
  • Reintroduction strategies post-elimination to support microbial diversity 

Repairing the Gut Barrier and Migrating Motor Complex

  • Nutrients for intestinal repair: Increasing L-glutamine, zinc, and vitamin A while reducing fat, sugar, gluten, and alcohol for barrier integrity
  • Minding the migrating motor complex: Use of meal timing and mindful eating practices
  • Food-first strategies to replace or complement supplements

Target Audience

  • Nurse Practitioners
  • Nurses
  • Clinical Nurse Specialists
  • Physician Assistants
  • Physicians

Reviews

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