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Everyday Wellness with Cynthia Thurlow ™

Ep. 358 Lipid Masterclass: Impact of the Menopausal Transition with Dr. Thomas Dayspring

Everyday Wellness with Cynthia Thurlow ™

Cynthia Thurlow

Alternative Health, Nutrition, Science, Life Sciences, Health & Fitness

4.81K Ratings

🗓️ 4 May 2024

⏱️ 70 minutes

🧾️ Download transcript

Summary

I am excited to share our fourth class in our informative Lipid Masterclass series today, with the esteemed Dr. Thomas Dayspring. Dr. Dayspring is certified in internal medicine and clinical lipidology and is a distinguished fellow of the American College of Physicians and the National Lipid Association. He brings a wealth of expertise to our discussion today. In this class, we dive into lipid and lipoprotein dynamics during the menopausal transition, exploring the impact of estrogen on gut health and its effects on laboratory findings. We look at the differences between hyper absorbers and hyper synthesizers, sharing clinical insights on routine lipid panels that can let you know if you are one of those individuals. We talk about Boston Heart Testing, highlighting the impact of specific biomarkers on brain health lipids and lipoproteins, and we get into the staggering differences between the half-lives of peripheral cholesterol and brain cholesterol. We discuss lipid permeability across the blood-brain barrier, highlighting those at risk for brain health concerns as they age, and we reveal strategies for managing lipid abnormalities. We also focus on LP(a), an ApoB lipoprotein with potent atherogenic and thrombotic properties, and its implications regarding calcific aortic stenosis. I am sure you will find this enlightening conversation with Dr. Dayspring invaluable. There is one more class yet to come in this masterclass series. Be sure to listen in! IN THIS EPISODE YOU WILL LEARN: How cholesterol absorption in the gut increases in perimenopausal women How hyper cholesterol absorbers tend to have elevated HDL cholesterol The impact of phytosterols on cholesterol absorption When should hyperabsorbers consider treatment? What research has shown regarding the differing effects of estrogen on brain health for older versus younger menopausal women What happens if a statin crosses the blood-brain barrier? How cholesterol synthesis relates to cognitive impairment The importance of understanding LP-PLA2 test results How Lp(a) levels in women tend to fluctuate, particularly during menopause Should women with heart disease consider hormone replacement therapy? Bio: Thomas Dayspring MD is a Fellow of the American College of Physicians and the National Lipid Association certified in internal medicine and clinical lipidology. After practicing in New Jersey for 37 years, in 2012, he moved to Virginia to serve as an educational director for a nonprofit cardiovascular foundation until mid-2019 as a Chief Academic Advisor for two major CV laboratories. Since then, he has served as a virtual cardiovascular / lipidology educator. Career-wise, he has given over 4000 domestic (in all 50 states) and several international lectures, including over 600 CME programs on atherothrombosis, lipids/lipoproteins (and their treatment), vascular biology, biomarker testing, and women’s cardiovascular issues. He has authored several manuscripts and lipid textbook chapters and performed several podcasts. For several years, he was an Associate Editor of the Journal of Clinical Lipidology. He received the 2011 National Lipid Association’s Presidents Award for services to clinical lipidology and the 2023 Foundation of NLA Clinician/Educator Award. He has over 34K followers on his educational Twitter (X) feed (@Drlipid). He has Gold Heart Member status as a professional member of the American Heart Association, and he serves as a Social Media Ambassador for the European Atherosclerosis Society and the National Lipid Association. Connect with Cynthia Thurlow Follow on Twitter Instagram LinkedIn Check out Cynthia’s website Submit your questions to [email protected] Connect with Dr. Thomas Dayspring On Twitter (@DrLipid) On LinkedIn

Transcript

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0:00.0

Welcome to Everyday Wellness Podcast. I'm your host, Nurse Practitioner Cynthia Thurlow.

0:07.0

This podcast is designed to educate, empower, and inspire you to achieve your health and wellness goals.

0:14.0

My goal and intent is to provide you with the best content and conversations from leaders in the

0:19.2

health and wellness industry each week and impact over a million lives.

0:23.4

This is the fourth lipid masterclass episode with Dr. Thomas Day Spring and to recap he is a

0:36.7

fellow of both the American College of Physicians and the National lipid Association

0:42.0

and is a certified in internal medicine as well as clinical

0:45.3

lipidology.

0:47.2

He is a wealth of information and today we focused in on changes in lipids and lipopotines with the menopausal transition, the role of

0:57.1

estrogen's impact on the gut, and how this directly impacts our lab work. The differences between hyper-absorbers

1:05.9

versus hyper-synthesisers and particular clinical pearls on a regular lipid

1:12.0

panel that can clue you in to whether or not you might be one of these

1:16.5

individuals. We spoke about Boston Heart Testing looking at specific biomarkers. The impact of brain health, lipids and lipoproteins, the half

1:27.0

life of peripheral cholesterol versus brain cholesterol, and the differences are astounding, discussions centering around

1:35.2

lipids and how they can cross the blood-brain barrier. Those who are at

1:39.0

greatest risk for concerns around brain health as they get older.

1:43.5

We reviewed options for addressing lipid abnormalities

1:48.0

and we spent a considerable amount of time talking about

1:51.0

LP little A, which is an apo B lipoprotein, how it is incredibly

1:56.2

atherogenic, has thrombotic properties, as well as oxidized lipids and the

2:02.3

changes that occur in our bodies as we're navigating

2:05.1

perimenopause into menopause and lastly we touch on how L.P. Little A is

...

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