Dr. Mindy Goldman

speaker

89 appearances 1 recordings 1 series first heard Feb 2026 last heard 11 Feb

Dr. Mindy Goldman’s voice in public audio — every appearance, attributed to the second.

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recordings per month · last 12 months

Recordings per month over the last 12 months — 1 in all, peaking in Feb 2026 with 1.

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The Tamsen Show · The Gut Doctor: How to Boost Energy and Lose Belly Fat · 11 Feb 2026 podcast

I would say we have much better data in men than women when it comes to muscles and bones.

And

In all of those areas, we are still learning about the benefits of testosterone in women, but we will have women coming in to say, I'm interested in trying it for some of these other reasons.

We will say, look, this is what we know.

We know the best evidence is for improving low libido in postmenopausal women.

If you understand that we're still learning about some of these other areas,

we will offer it and we do it in a safe way where we keep someone's levels of free and total testosterone in the normal expected values for premenopausal women.

Unfortunately, hormones have been left out of that question.

And

What I want people to hear is hormone therapy doesn't necessarily have to be left out of that question.

So when you look at this timing hypothesis window, which generally means starting hormones within 10 years of the last menstrual period or under age 60, the reason behind that is related to cardiovascular disease.

So the theory is that if you start hormones early,

Hormone therapy can help prevent cardiovascular disease, but if you wait till someone's been 10 years or more, it does not and could potentially even increase the risk of cardiovascular disease.

And estrogen is thought to change coronary vessels in a way that make them less sticky and platelets and all of the factors that form plaques don't form.

So if you start someone early, it can be preventative.

But if you wait and start someone later, they probably already have plaques in their coronary vessels

And starting someone on hormones could sometimes even destabilize those plaques and increase the risk of a cardiovascular event.

But we have many ways of assessing for cardiovascular disease.

Blood tests like checking for hemoglobin A1C for diabetes, checking people's blood pressures, their lipids,

And nowadays, we can also do tests like calcium score, a CT calcium score.

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