{"podcast":{"title":"Menopause Mastery","slug":"menopause-mastery-4896737","podcast_index_feed_id":4896737,"rss_url":"https://feeds.libsyn.com/386309/rss","website_url":"https://menopausemasterypodcast.libsyn.com/site","image_url":"https://static.libsyn.com/p/assets/3/6/5/c/365ce96c7ff708b0e55e3c100dce7605/3.png","author":"Dr. Betty Murray","episode_count":288,"summary":"Welcome to Menopause Mastery with Dr. Betty Murray. This show is for women in the second season of life, the season of menopause, who are ready for more: health - vitality - passion - and purpose! Join host, Dr. Betty Murray (part geek, part magician, and your new medical bestie with a dash of sass), as she takes complex science and makes it easier to integrate into daily life. Nutrition, hormones, functional medicine, and a wellness lifestyle are only the tip of the conversation. Join the journey to uncover your deepest desires, harness your physical and mental health, and peel back the layers to know exactly what you want out of life. Let's make this season the best ever!","last_synced_at":"2026-07-23T02:20:39.875062+00:00","page_url":"https://stenobird.com/podcast/menopause-mastery-4896737"},"episode":{"title":"What You Need to Know About the #1 Leading Cause of Death in Women","slug":"what-you-need-to-know-about-the-1-leading-cause-of-death-in-women","published_at":"2026-04-01T11:40:00+00:00","page_url":"https://stenobird.com/podcast/menopause-mastery-4896737/what-you-need-to-know-about-the-1-leading-cause-of-death-in-women","show_page_url":"https://stenobird.com/podcast/menopause-mastery-4896737","url":"https://thisfunctionallife.libsyn.com/understanding-womens-cardiac-health-in-menopause","audio_url":"https://traffic.libsyn.com/secure/thisfunctionallife/EP_272_Osborne_audio.mp3?dest-id=3177122","summary":"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. John 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 the frequent, unnecessary caths, arguing that 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…","meta_description":"The Menopause Mastery Show | Understanding Women's Cardiac Health In Menopause | Episode 272 with John Osborne, MD, PhD, FACC, FNLA 🌱 Welcome to The Menop…","key_points":[],"chapters":[],"topics":[],"duration_seconds":4738,"processing_state":"not_requested","actions":[{"name":"request_transcript","method":"POST","url":"https://stenobird.com/v1/public/podcasts/menopause-mastery-4896737/episodes/what-you-need-to-know-about-the-1-leading-cause-of-death-in-women/transcription-requests","description":"Idempotently request low-priority transcript generation for this episode."},{"name":"read_markdown","method":"GET","url":"https://stenobird.com/podcast/menopause-mastery-4896737/what-you-need-to-know-about-the-1-leading-cause-of-death-in-women.md","description":"Read the agent-friendly Markdown representation of this episode resource."}]}}