Show notes
Welcome to the latest Midlife Minute.
This episode unpacks ongoing research on Lp(a), explores how women’s lipids change during the perimenopause-to-menopause transition, and clarifies what we can do about it.
Stay tuned for more!
IN THIS EPISODE, YOU WILL LEARN:
How total cholesterol, LDL, and ApoB tend to rise most steeply around the final menstrual period, rather than increasing gradually with chronological aging
Why women should have their Lp(a) checked both before and after menopause
How oral and transdermal estradiol can affect LDL, HDL, triglycerides, and Lp(a) differently
Why I recommend including ApoB when checking your lipids during the perimenopause window
How your lifestyle can reduce your cardiovascular risk, even when your Lp(a) is elevated
Why omega-3 fatty acids and commonly used lipid medications do not lower Lp(a)
Why supplements are not replacements for statins in genuinely high-risk patients
I review the various PCSK9 inhibitors currently available, how they are administered, and their effects
How a CAC, a CT angiogram, and an AI-assisted CT angiogram can help women and their providers determine how aggressive their approach should be when Lp(a) is elevated
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References:
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