How menopause affects cardiovascular disease risk | Peter Attia, M.D. with Erin Michos, M.D.

This clip is from podcast # 230 ‒ Cardiovascular disease in women: prevention, risk factors, lipids, and more | Erin Michos, M.D.

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The Peter Attia Drive is a weekly, ultra-deep-dive podcast focusing on maximizing health, longevity, critical thinking…and a few other things. With over 45 million episodes downloaded, it features topics including fasting, ketosis, Alzheimer’s disease, cancer, mental health, and much more.

Peter is a physician focusing on the applied science of longevity. His practice deals extensively with nutritional interventions, exercise physiology, sleep physiology, emotional and mental health, and pharmacology to increase lifespan (delay the onset of chronic disease), while simultaneously improving healthspan (quality of life).

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[carrie]

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.

[squirrlee]

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 !

[kimdavis]

Please do more on post menopausal gals. I’m on HRT & feel fantastic!! A great lifestyle also plays a big role

[Anita-whvr]

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!

[salomemasghati]

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.

[sylviaking]

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.

[michelepasserella]

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?

[metalrunner]

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?

[bgood]

If estrogen is essential for heart health and it drops causing elevated cholesterol and bp why wouldn't you elevate their estrogen?