Will the BEST thing for Osteoporosis Cause a Heart Attack? | The TRUTH About Estrogen

In the realm of cardiovascular health, the relationship between cholesterol, hormones, and heart disease remains a topic of significant interest and debate. In this video, Dr. Doug Lucas has the privilege of interviewing Dr. Michael Twyman, a renowned cardiologist and expert in heart attack prevention, as he shares his insights on cholesterol management, estrogen, and cardiovascular prevention.
How to contact Dr. Twyman:
INSTAGRAM: / drtwyman
WEBSITE: drtwyman.com/
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This channel is focused on Bones, Hormones, and Healthspan to help midlife women and beyond aim for optimal, not average, and reignite their spark!
The videos on this channel will be focused around helping women navigate healthspan and longevity through the lens of osteoporosis, perimenopause, and menopause. When it comes to osteoporosis and menopause providers and educators often get tunnel vision and your symptoms might get better, but if you don't keep longevity in mind, symptom improvement may come at the expense of heart and brain health.
Subscribe and follow along as Dr. Doug Lucas explores the research and clinical applications surrounding women's health.
ABOUT DR. DOUG LUCAS
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Dr. Doug Lucas: Owner/founder of Optimal Bone Health and Optimal Human Health. My team and I work together to create custom bone optimization plans for individuals based around supplements, hormone optimization, peptides and more in order to increase bone health and longevity!
Optimal Bone Health www.optimalhumanhealth.com/
Instagram: / dr_douglucas
Facebook: / drdouglucas
Linkedin: / doug-lucas-b0243522
#osteoporosis
#hearthealth
#healthspan
Watch and Enjoy! Dr. Doug Lucas Key Moments in this Episode =========================
Chapters
00:00 Topic Intro
2:22 Dr. Twyman Introduction and Background
5:14 Lab Work
10:40 Imaging
21:26 What does it mean when someone has mild disease?
22:50 Patient example
28:00 Estrogen Risk
30:36 Lipids
36:30 Nitric Oxide
40:54 Statins
47:14 Closing Summary
48:32 Masterclass Registration Link
48:38 Bone Foundations Course

[@salleone6387]

After listening to this, Dr. Avrum Bluming of 'Estrogen Matters' and some of your other videos, I am beginning to get a clearer picture of the pros/cons of using HRT 10+ years past menopause. If only all doctors, paraphrasing Dr. Twyman, 'saw the patient in front of them'. I guess the only thing I was left wondering after watching is, what are your benchmarks for starting a women on HRT 10+years who is experiencing the bone, heart, brain problems of reduced estrogen; must they have perfect CAC, Carotid, CCTA scores? Were does the risk out way the benefit for this population? Thanks, terrific video!

[@tannsolo]

Really good questions. I hope Dr D will clarify here or in a subsequent video 💚

[@Dr_DougLucas]

Great questions! Checkout our health span nation if you have not yet, you get exclusive access to me and a community of people pursuing health and longevity. These are things that we discuss in there and it allows us to go into detail rather than doing short chats through this platform. You can find more information here --> www.drdouglucas.com/healthspan

[@lynnsalberg5647]

Please bring him back … excellent !!!

[@Dr_DougLucas]

Glad you enjoyed it!

[@SaraBostock]

That was great. Finally got some of my questions answered that I was asking awhile back.

[@Dr_DougLucas]

Thank you for watching!

[@deepcover9894]

I love the passion of these two doctors in their chosen professions. You don't see that much interest or excitement from the average doctor.

[@Dr_DougLucas]

Thank you for watching!

[@sheila7814]

I would love to talk to this cardiologist about heart attack prevention for those of us that are ER+ / breast cancer, and have to take anastrazole. Please have him back to discuss this. ❤

[@Dr_DougLucas]

Yes! His contact information is in the description

[@patriciazimbicki3646]

I also need that answer. I'm on anastrol also

[@drtwyman]

Focus on what you can control. Keep nitric oxide optimal. Support the glycocalyx. Keep oxidative stress and inflammation low. Lower Apo B particles if above 70 using combo of lifestyle, supplements, and medications. This is the starting point. Advanced labs can tell you what other items to focus on

[@shar7508]

This was GREAT! Very informative! Thank you!

[@Dr_DougLucas]

Thank you for watching!

[@Kittyslay-ox4tk]

This was a superb interview. I learned so much, both from the content shared but also thanks to the excellent delivery and interaction of both Doctors. Thank you very much. Dr Doug: please bring Dr Twyman again for a deep dive on CVD.

[@Dr_DougLucas]

Yes! Very glad to hear that you enjoyed this

[@flipgen5113]

Very very informative. Thank you. So much to learn❤. I sure wish we have someone like you and Dr Twyman ( near to us, Northeast part of NJ)

[@elizabethhand1996]

I am one of his NJ patients. Check the notes below the video for more information. Also you can get a REMS test in Wayne, NJ at XBody.

[@Dr_DougLucas]

Thank you for watching! Our program is 100% virtual. You can learn more by scheduling a discovery call here --> www.optimalbonehealth.com/membership

[@lovemypups341]

This is an absolutely incredible video! Is there any way to list what tests (blood or othrwise) , in what order we need to take post menopausal. I am a little confused about what all I need . I understand it depends on the person but a general idea.

[@phoenixmassey]

Yes! A list that I could take to my doctor would be very helpful!

[@Dr_DougLucas]

Great question! Checkout our health span nation if you have not yet, you get exclusive access to me and a community of people pursuing health and longevity. These are things that we discuss in there and it allows us to go into detail rather than doing short chats through this platform. You can find more information here --> www.drdouglucas.com/healthspan

[@drtwyman]

Boston Heart Diagnostics and Cleveland Heart Lab have the advanced cardiovascular labs. There are over 300 metrics so no easy way to list them all out. Just check out their websites for the list of labs

[@evasz814]

This was one of the best explanations ever of the sclerosis of artery and the prevention. Thank you so much. My doctor wanted me to take cholesterol lowering medication 20 years ago...When you are young it is very hard to sell the idea that is for prevention. Unfortunately, doctors either don't have time to explain it or don't know how to sell it to the patients. I have been on PSK9 for 5 years now. Nothing else worked for me.

[@Dr_DougLucas]

Thank you for sharing this!

[@barbarasmith1151]

Best info I have ever heard about protecting women’s cardiovascular and bone health with possible hormone treatment! Sending to my two perimenopausal daughters. Thank you!!!

[@Dr_DougLucas]

Glad you enjoyed it! Thank you for watching!

[@Shea-hr6ep]

A pdf and what specific tests to ask your cardiologist for, especially when your doctors don’t support anything but the medicines for osteoporosis

[@Dr_DougLucas]

Thank you for sharing this. Dr. Twyman's contact information is in the description. He may be able to help you with this further.

[@drtwyman]

Depends on age but a CT Coronary Calcium scan is a good start for most. If score 0 then low risk. If score over 400 then high risk

[@phoenixmassey]

A PDF transcript of this would be so helpful.

[@teresayager2791]

Click on "more" in the description box, then scroll down to "show transcript".

[@Dr_DougLucas]

Yes! The comment below is how you find it :)

[@joannelivengood7914]

Thank you for this great interview with Dr. Twyman. I did not hear anything being discussed about taking supplemental calcium for osteoporosis being contraindicated for heart health due to the possibility that it will contribute to plaque buildup in the arteries. Maybe that can be a topic to discuss with him in another interview.

[@Indydi]

Dr. Doug has multiple videos on that. Check out the most recent one.

[@joannelivengood7914]

@@Indydi Yes, but I was hoping that Dr. Twyman would give his opinion.

[@jeanlewis3823]

Such a great interview…

[@Dr_DougLucas]

Yes! We will keep that in mind for a future interview with him.

[@joannelivengood7914]

@@Dr_DougLucas Great! I had to recently start seeing a cardiologist. He told me to take absolutely no calcium supplements of any kind even though I told him I had osteoporosis. I told him I take K2 also to assist with calcium transport to the bones. He said he only endorses taking vitamin D; he does not feel that any other supplements help and that calcium supplemenation is linked to a high risk of heart attacks and strokes.

[@alanasilverman8486]

I loved this but I can't get my cardiologist to do these tests in Toronto. Statins, BP meds and off you go. How do we ensure we can get some of these tests?

[@Dr_DougLucas]

Great question! Checkout our health span nation if you have not yet, you get exclusive access to me and a community of people pursuing health and longevity. These are things that we discuss in there and it allows us to go into detail rather than doing short chats through this platform. You can find more information here --> www.drdouglucas.com/healthspan

[@robyn3349]

Thank you! And, where can I get one of those wall mitochondria?

[@Dr_DougLucas]

Great question! Checkout our health span nation if you have not yet, you get exclusive access to me and a community of people pursuing health and longevity. These are things that we discuss in there and it allows us to go into detail rather than doing short chats through this platform. You can find more information here --> www.drdouglucas.com/healthspan

[@drtwyman]

My team at Apollo Cardiology had it custom made for me for my birthday. A machinist sculpted it for them so it's a one of a kind piece for now

[@user-uc2nq4jr3r]

Hi and thanks for your amazing interview. Buying compounded HRT and wonder should estrogen and testosterone creams be separate from each other or is a combination of both ok?

[@Dr_DougLucas]

Great question! Checkout our health span nation if you have not yet, you get exclusive access to me and a community of people pursuing health and longevity. These are things that we discuss in there and it allows us to go into detail rather than doing short chats through this platform. You can find more information here --> www.drdouglucas.com/healthspan

[@nataliejohnson508]

More attention to diet should have been addressed in this video. Dr. Doug likes high protein but what does Dr. Avrum think?

[@Dr_DougLucas]

Thank you for your feedback. We will keep this in mind if we do a second interview!

[@ellenmumford3843]

Wow. I will be watching this again because mind is boggled. Until now, all I was concerned about was NOT getting Prolia. My doctors are double teaming me and trying to get me on Prolia. Everything just got more confusing. I want to go away and ignore it all. Thank you for this. It is making me think more. Um, then there is calcium…..

[@Dr_DougLucas]

I am glad you enjoyed this!

[@randylls5341]

What about history of blood clots, would hrt be prescribed?

[@Dr_DougLucas]

Great question! Checkout our health span nation if you have not yet, you get exclusive access to me and a community of people pursuing health and longevity. These are things that we discuss in there and it allows us to go into detail rather than doing short chats through this platform. You can find more information here --> www.drdouglucas.com/healthspan

[@pointshealthcoaching8474]

This is interesting and great info... I'm wondering why there's no discussion re- women taking bioidenticle testosterone, since all estrogen is converted from testosterone... just wondering. Thx

[@Dr_DougLucas]

Great question! Checkout our health span nation if you have not yet, you get exclusive access to me and a community of people pursuing health and longevity. These are things that we discuss in there and it allows us to go into detail rather than doing short chats through this platform. You can find more information here --> www.drdouglucas.com/healthspan

[@cindymello2160]

How do you spell the drug acetzmide ?

[@Dr_DougLucas]

Are you looking for the drug called Acetazolamide?

[@drtwyman]

Ezetimibe (Zetia) is a cholesterol reabsorption inhibitor

[@elizabethvoigt9712]

How about eating more greens for nitric oxide?

[@mariamarino138]

It’s all so confusing, because I’m one video, the doctor says, greens are not much needed, and don’t want to be eaten!! Meat and some fruits are the way to go!

[@Dr_DougLucas]

Great question! Checkout our health span nation if you have not yet, you get exclusive access to me and a community of people pursuing health and longevity. These are things that we discuss in there and it allows us to go into detail rather than doing short chats through this platform. You can find more information here --> www.drdouglucas.com/healthspan

[@drtwyman]

I recommend green leafy veggies but it depends on soil conditions and if organic or not how much nitrates will be available

[@marycrossan7837]

I listened to this presentation. Did the cardiologist address testing for lipoprotein a?

[@sheila7814]

Yes

[@marycrossan7837]

@@sheila7814 Is there a description of at what time in the video

[@marycrossan7837]

Found it @sheila7814. Unfortunately my lipoprotein a is high (familial)

[@sheila7814]

@@marycrossan7837 Sorry, I didn’t note that. Glad you found it.

[@Dr_DougLucas]

Yes!

[@randall5306]

It takes 49 minutes to say yes or no?

[@Dr_DougLucas]

Hi! You may skip to the conclusion if you would like. There are timestamps in the description. Most of our listeners ask for more detailed and slower paced presentations :)

[@SheilaClark-ng1xb]

You must have been reading my mind this am. RFull fat ricotta on whole grain

[@Dr_DougLucas]

Thank you for watching!

[@mariamarino138]

Most doctors do t want to prescribe hormones!

[@Dr_DougLucas]

I completely understand. It is important to find the right specialist. We discuss this in our health span nation as this is definitely a concern for many. You can find more information here about our community --> www.drdouglucas.com/healthspan