The Silent Heart Risk Every Woman in Perimenopause Needs to Know About | Michelle Routhenstein

Most of us assume that if we look healthy on the outside, our heart is fine on the inside, but today, preventive cardiology dietitian Michelle Routhenstein explains why that's exactly the assumption that gets women into trouble, especially through perimenopause and beyond. We get into the two numbers your doctor probably isn't checking, ApoB and Lp(a), the first five diet changes Michelle makes with clients to bring down high cholesterol numbers, why stretching may be doing as much for your arteries as it does for your joints, and why blood pressure, not HRV, deserves far more of your attention as you move through this life stage. WHAT YOU'LL LEARN ● Why heart disease can silently progress in women who look and feel healthy ● What ApoB and Lp(a) actually measure, and why they matter more than LDL and HDL alone ● The first five diet changes to lower high ApoB or non HDL cholesterol ● Why saturated fat, fiber, and gut health all influence your cholesterol numbers ● Why blood pressure, not HRV, deserves more of your attention in perimenopause ● How menopause hormone therapy really affects your cardiovascular risk ● The minerals your heart needs to keep beating and pumping properly TIMESTAMPS 00:00 Heart Disease Risk in Women: ApoB, Lp(a), and the Tests Your Doctor Isn't Running 10:18 The Hidden Inflammation Driving Your Heart Disease Risk (And How to Test for It) 19:29 The Truth About Saturated Fat and Cholesterol After 40 22:19 The First Five Diet Changes to Lower High ApoB or Non HDL Cholesterol 29:24 Bloating, Gut Health and Thyroid: The Hidden Heart Disease Risks in Perimenopause 39:41 Why Stretching Might Be Protecting Your Arteries, Not Just Your Joints 51:48 Does Menopause Hormone Therapy Actually Protect Your Heart? VALUABLE RESOURCES • Take the BioSyncing Quiz to help you understand what’s actually happening in your body — and how to fix it. 👉 https://biosyncing.scoreapp.com/ A BIG thank you to our sponsor who makes the show possible: • MitoQ - Support your cells at the source with MitoQ NAD+ Dual Action, designed to boost NAD levels and help your cells actually use them for steady energy and sharper focus 👉 https://www.mitoq.com and use code ANGELA for 10% off your first order. ABOUT THE GUEST Michelle Routhenstein, MS, RD, CDCES, CDN, is a preventive cardiology dietitian and the founder of Entirely Nourished, a nutrition counseling practice specializing in the prevention and management of heart disease. She holds a master's degree in clinical nutrition from New York University and has spent over a decade helping clients improve markers like ApoB, Lp(a), blood pressure, and inflammation through personalized, science-based nutrition. She sits on the medical advisory board of the National Menopause Foundation and works with clients at every stage, from prevention to recovery after a cardiac event. Website: https://entirelynourished.com/Instagram: https://www.instagram.com/heart.health.nutritionist/LinkedIn: https://www.linkedin.com/in/michellerouthenstein/