How menopause affects cardiovascular disease risk | Peter Attia, M.D. with Erin Michos, M.D.
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- Опубліковано 14 лис 2022
- This clip is from podcast # 230 ‒ Cardiovascular disease in women: prevention, risk factors, lipids, and more | Erin Michos, M.D.
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Please do more on post menopausal gals. I’m on HRT & feel fantastic!! A great lifestyle also plays a big role
Hot flashes are the least of your bloody problems during menopause. I don't know why they keep one toting that as the primary issue. It's not. Menopause for many women comes with a wide range of issues. skin, vagina and urinary tract atrophy, severe anxiety, the triggering of autoimmune issues, the inability to sleep, hair loss, bone density, insulin resistance, high cholesterol, high blood pressure, muscle wasting, yet it's hot flashes that seems to be the only thing ever mentioned. For many women menopause destroys the bodies entire homeostasis and all they get with a visit to the doctor is a shrug. Apparently they know so much but do so little to help their patients feel better.
This whole area gets more and more contradictory. Bottom line for me is this. My mother was on hormone therapy and stopped when she was 55 years old . Within 6 months she deteriorated loss of muscle mass,the whole works including osterporis , and dementia.She had 3 hip operations as well.
I was 49 when I started getting terrible symptoms from menopause which were mental and physical. Aged 50 I started on HRT oral pils tresequence and have taken them now for over 23 years. I run an NGO organization, my brain which was foggy from 30 to 50 is clear and sharp and I have an appearance , people say like a women in her 50s. Greta skin too,
My doctor keeps saying I should stop and certainly not be bleeding every month. he thinks it is bad for my health.?? I know this HRT works for me and if I last until I am 80 feeling like this I accept wholeheartedly the risks. let's see how long I last. I don't take any tests of any kind apart from regular breast scans and cervical smears. WHI I think made a really misleading rapport that has demonized the use of HRT that is oral which for some women is so fantastic. WHI provided a really misleading rapport in my opinion. Women like me can when healthy to start with and never been overweight , exercise , reduced sugar severely years ago , no alcohol, no smoking are able to have fun and enjoy being a woman
@@michellemildwater1021 I totally agree with you
Thank you so much for shedding more light on women and HRT benefits. You are truly helping to combat the years of misinformation and neglect on the. subject.
As always, Dr Attia thank you for continuing to make your expertise accessible and easy to understand. You’re helping to improve the health of generations of mothers, sisters, and daughters. Thank you !
This physician is following NAMS guidelines, but a lot of functional gynecologists such as myself have a different view on the benefits and risks and continue HRT way beyond the 10 year window. Also, I always measure the estrogen metabolites for my patients to make sure they are not over-metabolizing the 16-OH metabolites. I was shocked she wasn't familiar with that but that's common among allopathic doctors. I am an MD but trained many years in functional medicine.
Thanks for commenting on that. It seemed like her views echo what a lot of health insurance companies also promote. Thanks for being a voice for a progressive stance on supporting hormone health..
Thank you for your comment. It seems she is following an outdated guideline. Plus the WHI was a woefully poorly designed study and turned HRT on its head in the worse way.
in europe we have a slightly different perspective. Hrt is quite common. whereby estrogen is applied almost exclusively transdermally. the relative estrogen dominance in the perimenopause, which often leads to symptoms due to mast cell activation and increases the risk of autoimmune diseases, should also not be underestimated. this can be compensated by taking progesterone. menopause is so much more than just the risk of coronary heart disease!
I wish people understood this more. Menopause isn't just about CVD risk or our bad moods.
I’ve been waiting for this! I’ve been considering going on hormone replacement therapy, but my doctor has not brought to my attention a coronary calcification score. Is that some thing that I have to ask for additionally?
I wonder why Peter avoids discussing lifestyle changes that can help manage apoB such as methods of prof. Jenkins and portfolio diet? Yes, PCSK9 inhibitors are great but shouldn’t we first try with diet and exercise before reaching for drugs?
Peter also has a penchant for pulling out 'trivia' that makes the guest look ignorant for not knowing.
@@kateaye3506 YES! He knows more than the actual expert.