Hello Hormones with Dr. Carrie Jones

Dr. Eve Henry, MD: Why Heart and Metabolic Health Shift in Perimenopause

Jan 20, 2026
Dr. Eve Henry, MD — board-certified internist trained in integrative medicine focused on longevity and women’s cardiometabolic health. She explains why heart and metabolic markers shift in midlife. Short talks cover how estrogen loss affects cholesterol, blood sugar, blood pressure, visceral fat, inflammation, which labs matter (ApoB, A1C, Lp(a)), and imaging and early intervention options.
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ADVICE

Order ApoB And Lp(a) Early

  • Run a lipid panel plus ApoB and a one‑time Lp(a) test in your 30s if possible.
  • Use those results later to personalize monitoring frequency and aggressiveness of treatment.
ADVICE

Treat Even Small A1c Shifts Seriously

  • Watch hemoglobin A1c closely: small rises from your personal baseline matter long before 5.7% happens.
  • Recheck A1c regularly to catch early metabolic drift and intervene promptly.
INSIGHT

Triglycerides Are An Early Warning Sign

  • Triglycerides rise early as a metabolic red flag and signal insulin resistance risk.
  • Aim for triglycerides under 50 mg/dL; values over 100 mg/dL deserve concern.
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