Odd lipid panels in middle aged women
Hello Peter, I am a physician taking care of women. I see fairly often lipid panels in middle aged women with low triglycerides (in 40s), unusually high HDL (100-112), but also high LDL (105-115). I have recently started checking Apo B in these women and find them to be in the 70s. I'm thinking they need a statin based on the LDL and Apo B but not sure what to make of such a high HDL and such low triglycerides. Many MDs I talk to about this are uninterested in starting these women on statins due to the HDL and triglyceride levels but agree that this pattern is fairly common among middle aged women. Have you seen the same and should I consider these unusually high HDLs and triglycerides at all when making a decision about statins? Thank you.
Eastern medicine theory and practice
What is your take on acupuncture and meridian work in general? I understand it’s not in your lane, but I’m curious if you see any value in the practice. These things are hard to ignore with the TCM approach of fixing the underlying problems vs putting band aids on bullet holes. Also things like therapeutic massage, specifically Tui Na as it rides in the same vein.
Please do a practical episode on HRT
Definitely adding my voice to the chorus of people who want to hear all about menopause, HRT, bone health, and a practical framework of how to determine what to do and how to monitor if it's working. There's not a lot of helpful information pulled together out there that walks you through all of this. Thank you so much!