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Perimenopause and menopause are about more than hot flashes and mood changes—they’re also a critical time to assess long-term health risks. In this episode, Dr. Angela explains why cardiovascular disease risk rises during the menopause transition, often silently, and why women should know their blood pressure, cholesterol, ApoB, Lipoprotein(a), and overall metabolic health. She also shares practical prevention steps and why the most important intervention may sometimes be reducing heart attack or stroke risk—not just treating symptoms.

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Dr. Angela breaks down the 2026 updated cholesterol guidelines in this essential episode for anyone concerned about heart health. Discover why these new guidelines represent a major shift toward precision prevention—moving beyond simple LDL numbers to give you a complete picture of your cardiovascular risk.

What You'll Learn:

• Why everyone should get their Lipoprotein A (LP(a)) tested at least once—it reveals genetic risk independent of lifestyle
• The importance of Apo B testing and the "Mini Coopers vs Escalades" analogy that hopefully makes it crystal clear
• When coronary calcium scoring can be the "tiebreaker test" for starting medication
• How the new PREVENT risk calculator improves on the outdated ASCVD calculator with expanded age ranges and social determinants

Key Takeaway: We're finally moving toward precision prevention—understanding what's behind your risk, not just treating numbers. This is the direction medicine needs to go.

Perfect for patients who want to understand their heart health and healthcare providers looking to stay current with the latest evidence-based guidelines.

Episode Chapters:

• 0:24 - Introduction to New Cholesterol Guidelines
• 0:46 - Lipoprotein A (LP(a)) Testing
• 2:11 - Apolipoprotein B Testing
• 4:14 - Coronary Calcium Scoring
• 6:00 - New PREVENT Risk Calculator
• 7:21 - Risk Categories & Personal Experience
• 8:22 - Key Takeaways & Summary

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Think colonoscopy is your only option for colon cancer screening? Think again. Dr. Angela breaks down all the screening methods available today—from at-home stool tests to simple blood draws—so you can finally stop putting off this life-saving preventive measure. Learn about FIT tests, Cologuard, Shield blood tests, and colonoscopy, including the pros, cons, sensitivity, and specificity of each. Colon cancer is the second leading cause of cancer death in the U.S., yet it's one of the most preventable. Find out which screening option is right for you and why the best test is the one that actually gets done. If you're over 45 and haven't been screened yet, this episode is your sign to take action.

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Follow me on Instagram @angelalifestylemd and don't forget to SUBSCRIBE to my podcast & SHARE this episode.