Asked and Answered
4 Seasons
General and Interventional Cardiologist Dr. Alexander Postalian answers patient questions related to cardiovascular health.
Submit your questions in the comment section to be featured in the next episode of Asked and Answered.
Read more about our specialties: www.texasheartmedical.org/edu
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I am a 42-year-old woman struggling with libido issues. I love my husband, but I’m finding it harder to “get going”. One of my f
Episode 1
Women naturally produce less testosterone than men, so the rising trend of testosterone use to address low libido and fatigue should be exercised with caution.
Read more about women's heart health here: https://www.texasheart.org/heart-health/womens-heart-health/
Read more about our specialti...
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I am 52 years old and have already gone through menopause. I hate it. I want to try estrogen therapy. One of my docs says it’s b
Episode 2
The discussion highlights the potential risks of hormone replacement therapy, including cardiovascular issues and cancer, while also mentioning that some studies downplay these risks.
Read more about our specialties: https://www.texasheartmedical.org/our-specialties
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How is it possible for one sibling to have a higher Lp(a) number, and therefore risk, than the other?
Episode 3
Dr. Postalian shares that "You do not share your entire genetic material with your sibling unless you are identical twins."
Read more about our specialties: https://www.texasheartmedical.org/our-specialties
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My urologist tells me I need testosterone, but my cardiologist tells me I shouldn’t use it. Who is right?
Episode 4
"Some research indicates testosterone may lead to arterial plaque, yet other studies, such as the Traverse trial, show no increased risk for high-risk patients. The key takeaway is to use testosterone cautiously, with low doses and regular monitoring."
-Dr. Alexander Postalian
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I’m 38 and tired all the time. I can almost feel my wife’s disappointment in my lack of energy. My testosterone level was normal
Episode 5
Dr. Postalian states that guidelines stress the importance of using testosterone only when needed, aiming for normal levels, and conducting regular lab checks.
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I had a pretty bad pulmonary embolism that almost killed me. Can I resume testosterone therapy?
Episode 6
Despite a strong desire to resume testosterone therapy, research suggests a potential link between testosterone supplementation and clot formation. Caution is essential when considering hormone therapy after experiencing a life-threatening clot.
Read more about our specialties: https://www.texas...
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Which one do you consider the most concerning? LDL, Apo B, or Lp(a)? Is it risky for a doctor to focus on Apo B and not LDL?
Episode 7
Measuring all cholesterol types is essential for accurate risk assessment. A holistic approach is recommended, urging doctors to consider every cholesterol type in their evaluations.
Read more about our specialties: https://www.texasheartmedical.org/our-specialties
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I want to live FOREVER. What are the best hormonal supplements to take to this end?
Episode 8
Dr. Alexander Postalian discusses the quest for immortality, exploring common questions about longevity and the role of hormonal supplements. He acknowledges the growing interest in longevity medicine but emphasizes that currently, proven methods for significantly extending lifespan remain elusiv...
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What are the main cardiovascular risk factors for menopausal women?
Episode 9
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At what age does cardiovascular risk increase for menopausal women?
Episode 10
Cardiovascular risk for women increases significantly during menopause, particularly when they lose protective estrogen around the average age of 50. This transition is crucial as it often leads to the development of various risk factors associated with cardiovascular disease.
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Does menopause increase a women's risk of heart disease and stroke?
Episode 11
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00:47Episode 12
When should I get a Calcium Score Test?
Episode 12
The timing for an individual's first calcium score is based on their own risk profile. Key factors include family history of artery disease, high blood pressure, high cholesterol, and diabetes.
Read more about calcium score and cardiovascular health: https://www.texasheart.org/heart-health/women...
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I had a pretty bad pulmonary embolism that almost killed me. Can I go back on testosterone?
Episode 13
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My urologist tells me I need testosterone, but my cardiologist told me no.
Episode 14
Read more about our specialties: https://www.texasheartmedical.org/our-specialties
Submit your questions in the comment section to be featured in the next episode of Asked and Answered -
I want to live FOREVER. What are the best hormonal supplements to take?
Episode 15
Read more about our specialties: https://www.texasheartmedical.org/our-specialties
Submit your questions in the comment section to be featured in the next episode of Asked and Answered -
01:22Episode 16
Qué es un cirujano vascular?
Episode 16
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Qué es una aneurisma aortica y cuales son los riesgos?
Episode 17
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Qué es la enfermedad periferica arterial y cuales son los riesgos?
Episode 18
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Qué son las venas varicosas y que es insuficiencia venosa?
Episode 19
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Qué es la enfermedad carótidia y como esta relacionada a una embolia?
Episode 20
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My testosterone level was normal but on the low side. Should I try testosterone therapy?
Episode 21
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How is it possible for one sibling to have a higher Lp(a) number and, and therefore risk, than the other?
Episode 22
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Which one do you consider the most concerning? LDL, Apo B, or Lp(a)?
Episode 23
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I want to try estrogen therapy. One of my docs says it’s bad, and the other says it’s Ok. What gives?
Episode 24