Addressing concerns regarding vibration plates knocking plaque loose
Addressing concerns that magnesium can prevent calcium absorption
Supplements for heart health
Focus on metabolic health over cholesterol for cardiovascular risk
Cholesterol rises when sex hormones decrease during menopause/andropause
Cholesterol protective in older individuals
Statins reduce cholesterol, have anti-inflammatory effects, but also have potential downsides
Genetic hyperabsorbers can benefit from Zetia for cholesterol management
Old CCTAs can be evaluated by Cleerly
Cleerly is a software algorithm that evaluates CCTA data, no more invasive than the CCTA itself
CAC and CCTA scans recommended no more frequently than every 3 years or every 5, if concerned about radiation
Limitations of stress tests for evaluating stenosis
CCTA with Cleerly is better for accurate stenosis assessment
Carotid ultrasound doesn't show what's going on in the arteries of the heart
CCTA and Cleerly AI are advanced imaging and tool used to assess artery plaque and stenosis
CAC detects early coronary artery plaque, aiding cardiovascular prevention
Cardiac markers used to evaluate heart health
Cardiac biomarkers and imaging needed for clinical decision-making
WBV rest needs vary by exercise category
Doing WBV barefoot preferred
Three main categories for WBV usage
Additional benefits of WBV
Ideal WBV protocol for building bone
WBV: Initial discomfort due to improper use or low blood sugar
WBV contraindicated conditions: consider the physiology, not the equipment
Contraindications for WBV
Optimal WBV frequency range for bone stimulation
Adding weighted vest increases WBV workout intensity and effectiveness
Active exercise benefits require 10-20 minutes, three times weekly
Studies show consistent improvement to BMD over time with WBV
WBV sessions needed to start building bone
WBV helps strengthen lower body which is crucial for fall prevention and resilience
WBV improves bone health through microcontractions, force, and circulation
WBV can be overdone but there is a difference between using it for strength or pain and recovery
Whole Body Vibration (WBV) introduction and benefits
Other options for people who may not be a candidate for HRT
How are hormone levels tested?
How old is too old for HRT?
Estradiol levels associated with cardiovascular risk
Bone turnover markers change quickly with hormone treatment; imaging takes longer
Not every woman needs to cycle progesterone
Progesterone forms, preferences, and usage concerns
Hormone doses vary; individual optimization is necessary
Testing hormone levels is essential for effective management
Dr. Doug discusses estradiol levels when cycling progesterone
Cycling progesterone and how it impacts bone turnover
Dr. Doug explains what is happening to hormones as women enter and progress through perimenopause and menopause
Forearm exercises unnecessary; focus on systemic bone health instead
Consult your doctor for post-kyphoplasty vibration plate usage
Femoral neck changes slower
Daily heel drops can be done over several minutes or several hours, all that matters is that they are completed
Doing heel drops on vibration plates not recommended
Effective impact training examples
Weighted vests may offer additional resistance but most likely won't have a huge impact and should not be prioritized over other bone building exercises
Impact training frequency varies by method and stimulus type
Weight-bearing exercise is not going to build bone, resistance training and impact training can build bone
Vagus nerve stimulation can help improve sleep
Sleep chronotypes influence when we like to fall asleep and when we like to wake up
Elongating sleep cycle can help with multiple awakenings
Deep sleep and REM sleep should be at least 20% of total sleep
Some genetics drive sleep need and mood based off of sleep need
Heart rate trends indicate sleep quality
Wearables track data using sensors, light, temperature, and movement
HRV indicates autonomic balance, low HRV suggests stress or imbalance
Track sleep trends; consider anxiety impact before using wearables
No evidence body adapts to short sleep periods
No evidence body adapts to short sleep periods
Napping can recovery from poor sleep but can disrupt overall sleep quality
Sleep affects bone mineral density via endocrine system feedback loops
Determining when hormone dosage needs changed
Risks of starting HRT later post-menopause
Physiologic restoration (PR) hormone dosing
Lab frequency for hormone static dosing
Ideal reference range for testosterone in women
Thoughts on coming off of HRT
Desired hormone levels for bone health
Application tips for topical hormones
Thyroid health assessment labs
The relationship between Progesterone and T3
The relationship between thyroid and sex hormones
Copper, zinc, iron imbalances affect brain
Antibiotics impact gut; probiotics, diet help rebalance
Digestive enzymes are not a match for everyone; bitters can be used to stimulate digestion
Long-term restricted diets and supplements can cause gut issues
Tips for looking for a provider to help with gut health
Kombucha can be beneficial but they are not all created equal
Probiotics are transient; prebiotics sustain gut health long-term
Focus on adding dietary variety for better gut health
The correlation of low stomach acid to acid reflux
The impact of artificial sweeteners on gut health
