{"type":"rich","version":"1.0","provider_name":"Transistor","provider_url":"https://transistor.fm","author_name":"The Curious Cardiologist","title":"The Menopause Metabolic Shift: What Every Woman (and Cardiologist) Should Know","html":"","width":"100%","height":180,"duration":3811,"description":"In this eye-opening episode of The Curious Cardiologist, Dr. Sanjay Bhojraj — a recovering interventional cardiologist turned functional medicine physician — sits down with Emily Sadri (APRN, CNM, WHP-BC), a nurse practitioner and certified nurse-midwife who has built a thriving hormone and metabolic health practice.\nTogether they unpack the real story behind menopause, metabolic decline, and the cardiovascular consequences of ignoring hormone health. Emily shares her journey from hospital midwife to functional practitioner, the “aha” moment that meditation improved her gestational diabetes more than diet ever did, and how the Women’s Health Initiative (WHI) study derailed an entire generation’s access to hormone therapy.\nThey explore:\nWhy estrogen is far more than a “female hormone” — it’s a vascular, metabolic, and cognitive protector.\nHow perimenopause is often the hidden root behind rising LDL, fatigue, anxiety, and weight gain.\nThe difference between oral and transdermal hormones (and why route matters for heart health).\nHow estrogen loss disrupts nitric oxide production, vagal tone, and even sleep and mood.\nPractical lab workups every woman in midlife should request.\nWhy replacing hormones without fixing lifestyle is like “mopping up the ocean.”\nHow functional and precision medicine can redefine women’s health and longevity.\nEmily and Sanjay weave humor, humility, and heart into a candid conversation that will change how you think about hormones — whether you’re a clinician, a patient, or a partner trying to understand what’s happening behind the scenes of midlife.\n🧬 Key Takeaways\nMenopause isn’t a single event — it’s a 10–15-year metabolic and hormonal transition that starts in the 30s.\nDeclining estrogen is directly tied to rising cardiovascular and metabolic risk.\nTransdermal estradiol + oral micronized progesterone remain the safest, most physiologic forms of HRT.\nEstrogen improves nitric-oxide production, insulin sensitivity, vagal tone, and arterial...","thumbnail_url":"https://img.transistorcdn.com/ERjY_X6E6gwO4KLOBaOc5CRJbj_3VbOWBJACPcpnyaQ/rs:fill:0:0:1/w:400/h:400/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS8wZDcw/ODk2MmZhYmViMGVl/ODE2ZGVhMDgwYzJl/NTUyZS5wbmc.webp","thumbnail_width":300,"thumbnail_height":300}