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Schedule a complimentary 10 minute conversation 
with Dr. Lyn Patrick ND or Dr. Anne Marie Fine NMD, FAAEM.


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"With the loss of Dr. Walter Crinnion, I cannot think of any better two doctors to try to fill his shoes other than Dr. Lyn Patrick and Dr. Anne Marie Fine. They have been by his side for 30+ years, dedicating their lives to the same cause, passion for teaching, and trying to make a difference in the world. During my early years of study with Dr. Crinnion, I always felt that Drs. Patrick and Fine provided me with the same level of education and clinical wisdom. Many of you who know me, will know that this course was the game changer for my clinical practice. It provided me with not only the foundational knowledge of clinical environmental medicine, but also provided a deep dive into the details that have really helped me identify the root cause of so many of my complicated clinical cases, and changed my practice forever.

As it turned out, this ended up being the missing education that I feel every ND and MD should have had in school, since so many of our patients are exposed to significant levels of everyday toxins and toxicants. This finally solved the mystery as to why they were still sick after so many years of seeing multiple doctors and trying different treatments. We were finally able to get down to the true root cause and get them moving in the right direction."

Kind Regards,
Dr. Aviad Elgez, ND

Thank You to Our Sponsors!

“Making it real - the environmental burden
of disease.”

Recent research on body burden in the EU concluded:

  • Environmental toxicants (flame retardants and pesticides) lead to: 13,873,000 lost IQ points and healthcare costs of $200 billion USD
  • Phthalate exposure (plastics and personal care products) is costing EU couples $5.36 billion USD annually in IVF costs
  • Phthalate exposure leading to low testosterone in EU men over 55 leads to lost economic productivity of $9.0 billion USD and increased mortality: 24,800 annual deaths.

The same group determined that toxins affecting the endocrine system are also responsible for: autism, attention-deficit hyperactivity disorder, childhood obesity, adult obesity, and adult diabetes.

The time to acknowledge the role that chemical and biological toxins play in our patient’s health and possible recovery from illness is now. The costs of these exposures are staggering: just toxic metals alone are calculated to have direct disease care costs in excess of $100 billion annually.

As a community of primary care providers, we have been passionate and focused in addressing a path forward to acknowledge, assess, evaluate, and treat our patients who have chronic and acute diagnoses caused by toxin exposure- conservatively 75% of those in our practices. 

We know that learning the intricacies of practicing environmental medicine can be difficult and we want you to know that there is no easy solution, no 7-day detox program, no magic pill and no machine that will prevent or resolve this problem. 

The planet becomes healthier and we as practitioners become more effective when we come together as a community in EMEI because:

  •  we learn from global experts 
  • we learn from the clinicians that use environmental medicine approaches to treat patients 
  • we see that we can make an impact

We have designed a special online program that incorporates 30 hours of pre-recorded foundational videos with 12 monthly, one-day interactive meetings.

"After taking Walter Crinnion’s Environmental Medicine Course, I was skeptical of who could carry on his legacy with same amount of passion and vigor when teaching such a critical subject matter. Lyn Patrick, ND, and Anne Marie Fine, ND, have proven to be the worthy bearers of teaching environmental medicine with their new training program, Environmental Medicine Education International (EMEI).

Along with their extensive knowledge base and clinical expertise, Drs. Patrick and Fine bring a level of enthusiasm that elevates the teaching platform in a captivating way. I highly recommend EMEI to any practitioner wanting to advance their clinical skills."

~Pamela Fitzgerald, MS, RDN

What You’ll Get

  • Access to 30 hours of prerecorded current Environmental Medicine videos and transcripts
  • Current topics like climate change and EMF/EMR are included in all areas of the course curriculum
  • Monthly 6-hour online instruction that includes case studies to facilitate practical learning
  • A Detox Box sent quarterly that contains curated supplements, lab tests, and medical devices designed to help with your practice of environmental medicine
  • Instruction from multiple global experts in the most pressing topics in Environmental Medicine today
  • Verify your knowledge of Environmental Medicine with tests curated by industry experts
  • Private access to course directors through the EMEI Facebook page

Monthly, Live, Online Grand Rounds

  • Submit your own patient case for group evaluation and review 
  • Six hour sessions
  • Will include presentations by the faculty

Continuing Education Credit (CME)

More information about CME coming soon!

Talk with one of the instructors to see if this course is right for you

Schedule a complimentary 10 minute conversation 
with Dr. Lyn Patrick ND or Dr. Anne Marie Fine NMD, FAAEM.


Schedule Complimentary Call

Goals/Learning Objectives

By the end of this training the participants will be able to:

  • Describe the classic signs and symptoms of toxic exposure and body burden as they present in the average patient. 
  • Be able to categorize the most likely classes of toxicants for the patient based upon the patients’ signs, symptoms and diagnosis. 
  • List the most common sources of environmental toxicant exposures for the U.S. population and be able to search through specific geographic databases to see whether patients have current pollutant exposure or have been exposed in the past. 
  • As a result of lab testing for environmental toxicants, to assist the patient in understanding how and where these toxins came from and how they ended up as part of this individual’s body burden. 
  • Determine which, if any, laboratory measurements would be appropriate in the workup of a toxin-burdened patient. 
  • Identify any genetic polymorphisms that may have contributed to the patient’s body burden. 
  • Devise a list of action steps for the patient that is necessary for their treatment and to avoid further exposures that would exacerbate their health problems. 
  • Devise a list of dietary changes and supplementation strategies that would be most beneficial for the patient. 
  • Devise a complete detoxification program for the patient, including therapies like sauna, other hydrotherapies or IV chelation.

I have known both Dr Patrick and Dr Fine for many years and their knowledge of the impact of environmental pollution and of the health effects of the ubiquitous toxins and toxicants we are all exposed to ... is vast.

Although I have personally studied environmental medicine for several years, whenever I hear one of their lectures I am always amazed at the new knowledge I obtain.

Anyone desirous of acquiring a broad knowledge of environmental medicine, including practical approaches to assist patients to optimize their health, is guaranteed to be pleased with their new educational program.

~Felice L. Gersh, MD
Double board certified in OB/GYN and Integrative Medicine
Medical Director, Integrative Medical Group of Irvine
Consultative Faculty, Fellowship in Integrative Medicine, University of Arizona School of Medicine 


The recorded lectures include 30+ hours of content:

  • Environmental Medicine, Toxicology & Body Burden Introduction to Principles, Resources, Databases,
    Lab Assessment – 1 hr.
  • Assessment of Toxicant Body Burden–
    • Taking an environmental medicine case history – 1 hr.
    • Laboratory testing to assess body burden and markers of damage and inflammation- 3 hrs. 
    • Using databases to evaluate exposure and retention- 1 hr. 
  • Exposure Sources-Air, Water, Soil contamination and Laboratory Assessment of Exposure, Avoidance, Treatment 
    • Polycyclic aromatic hydrocarbons, metals, nanoparticles, solvents, volatile organic compounds, pesticides, PCBs- 2.5 hrs
    • PBDEs, PFAS, plastics (BPA, phthalates, bisphenols, nonylphenols), 2.5 hrs 
  • Biotransformation of Toxicants in Human Body-
    • Phase I- nutrients necessary/methylation and single nucleotide polymorphism effect/toxicant activation and effect of toxicants on hormone and drug metabolism- 1 hr. 
    • Phase II-nutrients needed/ single nucleotide polymorphism effect/ toxicant activation and effect of toxicants on hormone and drug metabolism – 1 hr. 
    • Phase III- renal and hepatic anion transport and multidrug resistant protein transport- 1 hr. 
  • Climate Change- 
    • Infectious disease- 1 hr.
    • Toxicant and toxin exposure after dramatic weather events and exposure to PM2.5 – 1 hr. 
  • Systemic Effects: Basic mechanisms of toxicant-induced    disease, specific toxicants and conditions linked to their exposure
    • Neurotoxicity -1 hr.
    • Immunotoxicity –1 hr.  (includes cancer and autoimmune disease)
    • Endocrine Disruption –  2 hrs.
    • Women’s Health (infertility, endometriosis, PCOS, menopause) - 2 hrs. 
    • Men’s Health (infertility, low testosterone, prostate conditions)-  1 hr.
    • Environmental Cardiology- 1 hr. 
  • Water-Damaged Building Exposure/Mold and Mycotoxins
    • Signs symptoms and presentation of mold exposed patients- 1 hr.
    • Toxicology of mycotoxins, evaluation and assessment of patient and their home/work environment-  1 hr. 
    • Treatment of Mold-Related Illness- 1 hr.
  • Electromagnetic Fields/Electromagnetic Radiation Exposure
    • Presentation of EMF/EMR exposure and electrohypersensitivity- 1 hr. 
    • Appropriate diagnosis, interventions and recommendations for avoidance- 1 hr.
  • Nutritional Support for Environmental Exposure- 2 hrs.
    • Overview of nutrients utilized in toxicant metabolism
    • Assessment of nutrient sufficiency using laboratory testing
    • Nutrient replacement utilizing specific supplementation and dietary recommendations

The Live Grand Rounds will take place on the first Saturday of the month (or second Saturday if the first Saturday is a holiday) to include 6 hours of Case Presentations and Updates. Lecture Material will focus on actual patient cases and lab results. You will be asked to bring patient cases to these meetings so that we can work together to evaluate the cases and provide further testing, treatment or management guidance.

" As Spirit Med alumni, I am beyond thrilled to be presented with the extraordinary opportunity to engage, continue to learn and evolve along with the rest of our highly dedicated community of EM professionals who understand the fundamental importance of the work ahead in our mission critical commitment to carry the torch forward beyond the place where our dearly beloved Dr. Walter Crinnion so deeply and profoundly touched and impressed our individual and collective lives. His generous soul and brilliant mind live on through our steadfast dedication to his legacy of ongoing world class education and training of healthcare professionals in the field of Environmental Medicine."

~Dr. Elizabeth H. Sims-Day, Naturopathic Physician


  • 1. How does this Training work time-wise?

    You will be asked to review 2-3 hours of lecture time per month and take a short quiz at the end of each lecture. Every month we will be meeting on the weekend for a day-long live Case Presentation and Update. You can join the Training at any time - see below.

  • 2. Can I join the Training at any time???

    YES- Since the day-long live Grand Rounds/Lectures will be taped and the 30+ hours of CME recorded lectures will be available as the Training progresses, you will be able to easily catch up. So we do ask that you do review the the basic introductory recorded material when you enter the course and be up-to-speed on the material for our monthly live meetings.

  • 3. How can I pay for the Training?

    You have options for financing the Training if you don’t want to pay up front. See Purchase Options at top of this page. There is no financing for Early Bird registration.

  • 4. Who is this Training for?

    This training is for ANY healthcare provider that wants to get to the bottom of their patient’s/client’s condition.

    But be forewarned, it is put together by doctors and will assume that you have a basic medical education. Now this doesn’t mean that if you are a health coach or nutritionist that you will be lost in this material. You may need to work a little harder and learn some clinical medicine, but in the end your increased awareness and ability to address issues of environmental toxicant exposure, testing and treatment will be far above everyone else in your profession.

  • 5. What materials are available for me to download?

    Each month you’ll receive the lectures, a PDF of the slides, and any handouts and resource lists we have for that specific material.

  • 6. Do I get continuing education credit for this?

    More detailed information on CEU and CME category 1 credit will be provided soon.

  • 7. What are the The Live Grand Rounds Meetings like?

    The Monthly Live Grand Rounds include 6 hours of Case Presentations and Updates. Lecture Materials that will focus on real patient presentations and lab results. You will be asked to bring patient cases to these meetings so that we can work together to evaluate the cases and provide further questions, testing, treatment and management guidance.

EMEI Founding Members & Instructors

Anne Marie Fine, NMD, FAAEM

Dr. Fine NMD is a licensed and board-certified naturopathic physician with a focus in Environmental Medicine. She obtained her doctorate in Naturopathic Medicine from the Southwest College of Naturopathic Medicine and has held licenses to practice medicine in California and Arizona for the last twenty years.

She is also the Founder of Fine Natural Products, LLC, a best-selling author, consultant to the personal care product industry, published author of numerous articles in international peer-reviewed journals, and internationally recognized speaker. Dr. Fine is the Vice-President of the National Association of Environmental Medicine, member of the American Academy of Environmental Medicine, and science advisor for the non-profit Dr. Fine is a former CPA and financial executive who graduated from the Mendoza School of Business at the University of Notre Dame.

Lyn Patrick ND

Dr. Patrick ND graduated from Bastyr University in 1984 with a doctorate in naturopathic medicine and has been in private practice as a state licensed naturopathic physician in Arizona and Colorado for 35 years. 

She is a published author of numerous articles in peer-reviewed medical journals, a past Contributing Editor for Alternative Medicine Review, and recently authored a chapter in the newly released textbook Clinical Environmental Medicine (Elsevier 2019). She speaks internationally on environmental medicine, nonalcoholic fatty liver disease, endocrine disruption, metal toxicology and other topics. She is currently Faculty for the Metabolic Medicine Institute Fellowship in collaboration with George Washington School of Medicine and Health Sciences.

She is  a planner and faculty member for ACAM and the MMI Fellowship continuing medical education modules, lecturing in the area of chelation and metal toxicology. She is also a founding partner and presenter at the Environmental Health Symposium, an annual international environmental medicine conference based in the United States.

Tim Guilford, MD

Dr Guilford was board certified in ENT surgery in 1978 after attending Johns Hopkins University for his undergraduate degree, the University of Texas Medical Branch for medical school, 2 years of general surgery at Johns Hopkins Hospital and the Univ of Michigan for his ENT training. His clinical practice included an interest in complementary medicine and he also was the director of a clinical laboratory specializing in in-vitro allergy and viral immunology testing (1982 -1992). Dr. Guilford’s study of the role that glutathione plays in the basic mechanism of many diseases led to his formulating a liposome encapsulation of reduced glutathione, ReadiSorb® Glutathione. A list of his publications and research can be found at

Talk with one of the instructors to see if this course is right for you

Schedule a complimentary 10 minute conversation 
with Dr. Lyn Patrick ND or Dr. Anne Marie Fine NMD, FAAEM.


Schedule Complimentary Call


Register Here