The Menopause Mastery Show | Understanding Women's Cardiac Health In Menopause | Episode 272 with John Osborne, MD, PhD, FACC, FNLA

🌱 Welcome to The Menopause Mastery Show! In this episode, Dr. Betty Murray welcomes cardiologist Dr. Peter Osborne to discuss menopause as a major cardiovascular transition, and how women are often misassessed using a male-centered model. They discuss women’s higher rates of missed or atypical heart attack symptoms (fatigue, shortness of breath, nausea) and conditions more common in women such as microvascular disease, Takotsubo (“broken heart”) cardiomyopathy, and SCAD. Osborne criticizes stress tests and frequent unnecessary caths, arguing prevention should start with imaging—at least a calcium score at ~40, and ideally cardiac CT with AI to detect and quantify soft and calcified plaque, track progression, and guide treatment. They cover menopause-related lipid shifts, low HRT use and recent FDA label changes, and key labs including Lp(a) (genetic; estrogen lowers it; Horizon trial with pelacarsen) and ApoB targets for plaque reversal.

🩺 Discover the untold truths about menopause and heart health in this important installment of The Menopause Mastery Show! Join Dr. Betty and Dr. Osborne as they dive into how women's cardiovascular health is more than you think.

To connect with Dr. Osborne:
https://clearcardio.com/

You Tube Channel: @ClearCardio⁩

00:00 Menopause Heart Risk
00:38 Why Women Get Missed
03:47 Heart Attack Symptoms
08:28 Microvascular Disease
12:59 Stress Heart Syndromes
16:15 Estrogen and Vessels
19:41 Lipoprotein A Explained
25:29 ApoB Better Marker
29:37 Why Imaging Matters
36:17 Stress Tests Limitations
40:19 Calcium Score Basics
41:31 Calcium Score Basics
42:10 Soft Plaque Blind Spot
43:55 Cardiac CT Full Picture
45:02 Mammogram Biopsy Analogy
46:03 AI Plaque Tracking
47:45 Egg Plaque Visual
48:58 Start With Imaging
51:36 Women Menopause Risk
52:50 Screening Magic Wand
58:34 Donut Wall Plaque
59:18 Staging And Prevalence
01:02:35 Treatment Tools Repatha
01:05:05 Cholesterol Too Low
01:10:54 Preventive Cardiology Path
01:13:43 Clear Cardio Access
01:15:30 Hypertension Parking Lot
01:17:00 Eliminate Heart Disease
01:18:03 Resources And Farewell

Connect with Dr. Betty Murray:
Betty Murray Website: https://www.bettymurray.com/
Instagram: https://www.instagram.com/drbettymurray/

Like, comment, and subscribe on YouTube: ⁨@drbettymurray⁩

Links:
The Fierce Female Method for Longevity (Dr. Betty's book): https://fierce.hormoneshelp.com/
Menrva Telemedicine: https://gethormonesnow.com/
FREE Hormone Quiz: https://bit.ly/3wNJOec
Living Well Dallas: https://www.livingwelldallas.com/
Hormone Reset: https://hormonereset.net/

More from the Podcast:
Subscribe to #MenopauseMastery → https://www.youtube.com/channel/UCwONPdSvb2-YYY74VhD-XBw
Apple Podcasts → https://podcasts.apple.com/us/podcast/menopause-mastery/id1607369247
Spotify → https://open.spotify.com/show/0tNsjm32CZNXSgSFEwS3uH

Thank you for listening to Menopause Mastery. Empowering your health journey, one episode at a time.

#menopausemastery #menopausepodcast #drbettymurray

Menopause Mastery Show | Hormone Health 101: HRT Myths & What Symptoms Really Mean | Q&A w/ Dr. Betty Murray, featuring guest Kelly Resendez

📌 What Every Woman Needs to Know About Perimenopause, Menopause, and Beyond

Welcome to Menopause Mastery! Join Dr. Betty Murray and Kelly Resendez, President of Menrva, as they discuss myths and truths about hormone replacement therapy (HRT) and clarify the difference between menopause and perimenopause.

They review early symptoms beyond hot flashes, including anxiety, depression, fatigue, brain fog, abdominal weight gain, joint pain, palpitations, skin and hair changes, and shifts in libido and sexual comfort. Dr. Betty explains that even without symptoms, estrogen loss affects every organ, accelerating aging and increasing risks for cardiovascular disease, osteoporosis, and Alzheimer’s, and that appropriate HRT can reduce major health risks. Additionally, they cover unnecessary costs from misdiagnosis and polypharmacy, outline key hormones (estrogen, progesterone, testosterone, DHEA), explain sleep disruption and adrenal stress, recommend urine testing for free hormones, encourage earlier support rather than waiting for periods to stop, and advise strength training plus higher protein intake to protect muscle and bone.

If you are looking to dispel the myths around perimenopause, menopause, and HRT, this is the episode for you. Take control of your menopause journey, and share with the women in your life!

00:00 HRT Myths Intro
00:58 Perimenopause vs Menopause
01:48 Early Warning Symptoms
02:52 Health Risks Beyond Symptoms
05:36 Hidden Costs of Misdiagnosis
07:42 Four Key Hormones
12:18 Why Sleep Falls Apart
14:05 Hormones vs Stress Signals
15:53 Adrenal Fatigue Explained
18:21 Best Testing and Timing
20:05 When to Start HRT
22:56 Natural Options Reality Check
23:49 Training and Protein Plan
26:33 Wrap Up and Next Steps

To connect with Kelly and Menrva:
https://gethormonesnow.com/
https://www.instagram.com/getmenrva/

Connect with Dr. Betty Murray:
Betty Murray Website: https://www.bettymurray.com/
Instagram: https://www.instagram.com/drbettymurray/

Like, comment, and subscribe on YouTube: @drbettymurray

Links:
The Fierce Female Method for Longevity (Dr. Betty's book): https://fierce.hormoneshelp.com/
Menrva Telemedicine: https://gethormonesnow.com/
FREE Hormone Quiz: https://bit.ly/3wNJOec
Living Well Dallas: https://www.livingwelldallas.com/
Hormone Reset: https://hormonereset.net/

More from the Podcast:
Subscribe to #MenopauseMastery → https://www.youtube.com/channel/UCwONPdSvb2-YYY74VhD-XBw
Apple Podcasts → https://podcasts.apple.com/us/podcast/menopause-mastery/id1607369247
Spotify → https://open.spotify.com/show/0tNsjm32CZNXSgSFEwS3uH

Thank you for listening to Menopause Mastery. Empowering your health journey, one episode at a time.