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October 15, 2025 52 mins

In this mind-blowing conversation, Dr. Daiana Castleman discusses the critical aspects of heart health for women navigating menopause. The discussion covers the importance of understanding cholesterol levels, the role of statins in managing heart health, and the unique cardiovascular risks women face. Dr. Castleman emphasizes the significance of prevention, regular testing, and lifestyle changes while also addressing the complexities surrounding hormone therapy and its impact on heart health. The conversation aims to empower women with knowledge and actionable insights to take charge of their cardiovascular health.


In This Episode:

  • Prevention is key for heart health in women.
  • Understanding cholesterol levels is crucial for cardiovascular risk assessment.
  • Statins can be a necessary tool for managing cholesterol.
  • Menopause significantly impacts heart health and cholesterol levels.
  • Regular testing for cholesterol and other markers is essential.
  • Lifestyle changes can improve cholesterol but may not be enough for everyone.
  • Women often face unique cardiovascular risks that need to be addressed.
  • Hormone therapy has mixed evidence regarding its effectiveness for heart health.
  • Shared decision-making with healthcare providers is vital for treatment plans.
  • Ethnicity and pregnancy history can influence cardiovascular risk.


This podcast is brought to you by Coral, a virtual clinic designed for women in midlife. They provide personalized, evidence-based care that supports every woman’s unique journey—whether you’re in perimenopause, menopause, or the years beyond. Use code TIP5 for 5% off at coral.ca.


Connect with Mikelle & Michelle at This is Perimenopause


Dr. Daiana Castleman Bio

Dr. Castleman’s passion for menopause care was ignited by witnessing her mother and aunt navigate their own transitions. Their experiences became the driving force behind her commitment to improving care for women in this life stage. Dr. Castleman’s goal is to empower women with evidence-based knowledge to help them thrive for as long as possible, in the best health possible. By offering holistic, comprehensive care, she ensures that no aspect of your health is overlooked. In addition to her naturopathic medicine degree, Dr. Castleman obtained her MSCP designation from The Menopause Society (formerly known as The North American Menopause Society) in 2022. Dr. Castleman is passionate about pioneering a new movement – one where women aren’t bound by the health outcomes of their mothers or grandmothers. We can start now, and we can achieve better outcomes.


Links for this episode

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