The Curriculum

What you'll
learn and earn

Three stackable certifications. Each one expands your clinical scope, your assessment precision, and the patient populations you are equipped to serve.

Program Architecture

Stackable certifications.
Expanding clinical scope.

Each CMiQCertified level builds on the last. CardioMetaboliQ Core is the foundation — required for all subsequent levels and sufficient for comprehensive cardiometabolic and liver-metabolic assessment. ThyroMetaboliQ adds the thyroid-metabolic integration layer. EndoMetaboliQ adds specialist training in perimenopausal hormonal dynamics. Each additional certification adds a badge to your EndFattyLiver.com directory listing and expands the patient populations you can serve.

All three levels are covered in the detailed curriculum sections below. The full depth of each training — the assessment architecture, the interpretive framework, and the clinical protocols — is delivered as part of the program itself.

1
CardioMetaboliQ Core
Foundation certification. Cardiometabolic and liver-metabolic assessment, interpretation, and structured intervention protocols.
Required — All Levels
2
ThyroMetaboliQ
Thyroid-metabolic integration. Advanced thyroid panel interpretation within the cardiometabolic clinical framework.
Requires Level 1
3
EndoMetaboliQ
Perimenopausal specialist certification. Hormonal and metabolic dynamics of the perimenopausal transition.
Requires Levels 1 & 2
🫀
Level 1 — Foundation Certification
CardioMetaboliQ Core
Required for all levels

CardioMetaboliQ Core is the foundation of the CMiQCertified program. It establishes the clinical framework for comprehensive cardiometabolic assessment — covering the liver as the central metabolic hub, the multi-domain physiologic assessment architecture, and the structured protocols for assessment, targeted intervention, and retesting. Every practitioner in the CMiQCertified directory holds this certification.

What This Training Covers
The liver as central metabolic hub — hepatic regulation of lipid metabolism, glucose homeostasis, hormonal clearance, and inflammatory signaling as an integrated system
The CMiQ panel architecture — panel design rationale, marker selection, and the multi-domain assessment framework that distinguishes CMiQ from standard cardiometabolic panels
Physiologic Strain assessment — the interpretive framework that translates biomarker values into clinically meaningful strain signals across five physiologic domains
The Fatty Liver Index — clinical validation, calculation, interpretation, and deployment as an early-detection and cardiovascular risk stratification tool
Insulin resistance assessment — direct measurement, index interpretation, and the clinical significance of early resistance detection upstream of glucose dysregulation
Evidence-validated structured protocols — the assess-intervene-retest clinical framework including peer-reviewed dietary, movement, and targeted metabolic support protocols designed for cardiometabolic physiology
Reversal monitoring — structured retesting benchmarks and biomarker-confirmed outcome tracking
What You Can Do After Certification
✓
Evaluate cardiometabolic risk across five physiologic domains simultaneously using the CMiQ panel
✓
Identify early fatty liver using the Fatty Liver Index in patients with normal liver enzyme values
✓
Detect and quantify insulin resistance upstream of glucose dysregulation
✓
Deploy structured, evidence-validated intervention protocols calibrated to your patient's specific risk pattern
✓
Monitor and confirm reversal using the same multi-domain framework that identified risk
✓
List in the EndFattyLiver.com practitioner directory with Core Liver-Metabolic Certified badge
🦋
Level 2 — Advanced Certification
ThyroMetaboliQ
Requires Level 1

ThyroMetaboliQ builds on the Core framework by integrating thyroid physiology into the cardiometabolic assessment model. It addresses one of the most consistently underserved clinical intersections in metabolic medicine — the bidirectional relationship between thyroid function and hepatic-metabolic health, and the clinical consequences of managing them as separate silos.

What This Training Covers
Thyroid-hepatic bidirectional physiology — how thyroid dysfunction impairs hepatic lipid clearance and fatty acid oxidation, and how hepatic dysfunction impairs thyroid hormone conversion
Subclinical hypothyroidism and metabolic risk — the clinical significance of thyroid function that is within conventional reference ranges but metabolically suboptimal
The TMiQ panel architecture — comprehensive thyroid panel design, marker rationale, and integration with the cardiometabolic assessment framework
Integrated clinical management — managing the thyroid-metabolic intersection as a unified clinical domain rather than two separate specialties
Thyroid-specific intervention protocols — evidence-validated approaches to the thyroid contribution to cardiometabolic dysfunction
What You Can Do After Certification
✓
Evaluate thyroid function within the full cardiometabolic context rather than as an isolated organ system
✓
Identify subclinical thyroid dysfunction that contributes to metabolic and hepatic strain without triggering standard treatment thresholds
✓
Manage the thyroid-hepatic bidirectional relationship as part of a unified cardiometabolic intervention strategy
✓
Add the Thyroid-Metabolic Certified badge to your EndFattyLiver.com directory listing

Requires CardioMetaboliQ Core certification. The TMiQ framework is built on the Core assessment architecture.

⚗️
Level 3 — Specialist Certification
EndoMetaboliQ
Requires Levels 1 & 2

EndoMetaboliQ is a specialist certification addressing the distinct hormonal and metabolic dynamics of perimenopause — a life stage that creates a specific and often poorly managed cardiometabolic risk profile. This certification is designed for clinicians who work with perimenopausal women and want the clinical framework to manage the full hormonal-thyroid-metabolic intersection that characterizes this transition.

What This Training Covers
Perimenopausal cardiometabolic physiology — how declining estradiol and progesterone alter hepatic lipid metabolism, insulin sensitivity, and inflammatory tone
The EMTiQ panel architecture — hormonal panel design, marker rationale, and integration with the thyroid-cardiometabolic assessment framework
Estradiol and progesterone dynamics — clinical interpretation within the metabolic context, including the interaction patterns that amplify cardiometabolic risk during perimenopause
Three-system integration — managing estrogen-progesterone, thyroid, and cardiometabolic domains as an interconnected clinical system during the perimenopausal transition
Perimenopausal-specific intervention protocols — evidence-validated clinical management calibrated to the hormonal context of this life stage
What You Can Do After Certification
✓
Evaluate perimenopausal metabolic change as a systemic cardiometabolic event, not a purely hormonal one
✓
Assess and manage the three-system integration of hormonal, thyroid, and cardiometabolic domains simultaneously
✓
Apply structured, evidence-validated intervention protocols specific to the perimenopausal hormonal context
✓
Add the Perimenopausal-Thyroid-Metabolic Certified badge to your EndFattyLiver.com directory listing

Requires both CardioMetaboliQ Core and ThyroMetaboliQ certifications. This certification is designed specifically for perimenopausal female patients.

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