HRT & Your Heart

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It’s Q&A Day at 10almonds!

Have a question or a request? We love to hear from you!

In cases where we’ve already covered something, we might link to what we wrote before, but will always be happy to revisit any of our topics again in the future too—there’s always more to say!

As ever: if the question/request can be answered briefly, we’ll do it here in our Q&A Thursday edition. If not, we’ll make a main feature of it shortly afterwards!

So, no question/request too big or small

❝So the reason that someone on estrogen has a slightly higher chance of a heart attack is…what? Is it just because there’s a higher body fat?❞

There shouldn’t be higher chance of a heart attack once everything’s been taken into account, and indeed estrogen has some cardioprotective benefits, along with competing properties, e.g:

❝The cardiovascular effects of estrogen require a careful balancing act between possible advantages, such as enhanced lipid profiles and vascular function, and possible concerns, like increased thrombotic risk.

Estrogen has cardioprotective properties in premenopausal women❞

~ Dr. Ayesha Javed et al.

Source: The Relationship Between Myocardial Infarction and Estrogen Use: A Literature Review

The risks and benefits of HRT are numerous, and/but a lot of the risks are associated only with animal-derived HRT rather bioidentitical, so you might want to check out our previous article:

HRT: A Tale Of Two Approaches (Bioidentical vs Animal)

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  • Here’s To Getting Assuredly Good Health

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    An unusual amount of excitement in the health news world this week, with health insurance in the spotlight:

    Deny, Delay, Depose?

    Insurance company UnitedHealthcare, which used AI with a 90% error rate to deny insurance claims (of which, disproportionately denying insurance claims of the elderly), has come under extra public scrutiny this week for its recent-years business practices:

    ❝Nearly 1 in 5 insured adults experienced claim denials during a 12-month period.

    Those with job-based insurance or Affordable Care Act policies ran into this problem about twice as often as those covered by Medicare or Medicaid❞

    …although, the company has dramatically increased its care denials for Medicare Advantage enrollees, doubling the rate of denials as it implemented its new, automated denials process.

    Anesthesiologist Dr. Brain Schmutzler noted:

    ❝We have a bigger issue with the insurance companies in general, who, essentially, it’s their job to make money, not to actually pay for health care❞

    And in those cases where healthcare is not denied, it is often dangerously delayed, as insurance companies can stall for time to decide whether they’re going to pay or not.

    One useful take-away from all of this is that if your insurance claim is denied, consider fighting it, as often they can be overturned.

    Specifically, it can be good to insist on knowing who (named persons) was involved in the denial process, and their qualifications. Once upon a time, this was mostly unqualified interns, which prompted insurance companies to reverse the denial rather than admit that; nowadays it’s mostly AI, which many companies can hope will shield them from culpability—either way, fighting for one’s rights can often be successful.

    Read in full: Killing of UnitedHealthcare CEO prompts flurry of stories on social media over denied insurance claims

    Related: With Medical Debt Burdening Millions, a Financial Regulator Steps In to Help

    Rest Easy

    Health insurer Elevance Health (formerly Anthem Blue Cross Blue Shield), had last month announced plans to limit its coverage for anesthesia used in operations, whereby they would pay for only a certain amount of anesthetic, and if the procedure was still ongoing when that amount had been used, then well, you were on your own.

    However, on Thursday afternoon and allegedly completely coincidentally in the wake of the Wednesday assassination of the CEO who oversaw the denial of so many health insurance claims, this decision to limit paying for anesthesia was reversed, retracted, and they are now doing their best to downplay what the proposal would have meant for anesthesiologists and patients:

    Read in full: Insurance company halts plan to put time limits on coverage for anesthesia during surgery

    Related: The Insider’s Guide To Making Hospital As Comfortable As Possible ← an anesthesiologist’s tips

    Getting a good grip of your health

    What’s the best indicator of good health when it comes to age-related health issues? It’s not BMI! Could it be blood pressure? It could, but the news presently is about grip strength.

    While training to have an amazing grip (and neglecting all else) will not necessarily increase your general healthspan, having a weak or strong grip is strongly associated with, respectively, having weak or strong general health in later years.

    This is because unless someone has been training very unnaturally, grip strength is a good general measure of overall muscle strength, which in turn is a good indicator of metabolic health, as well as bodily robustness.

    Read in full: Handgrip strength is a reliable predictor for age-related disease and disability, finds study

    Related: Resistance Is Useful! (Especially As We Get Older)

    Take care!

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  • Genius Gut – by Dr. Emily Leeming

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    When it comes to the gut-brain information interchange, 90% of it is the gut talking to the brain (the brain is a good listener). As such, one of the best things we can do for our brain is ensure our gut has good things to say.

    Dr. Leeming talks us through doing a quick initial assessment to judge the general goodness/badness of our current gut situation (based on output, not input, so it’s about the actual goodness/badness, not what we expect it should be), before going on to explain a lot of the anatomy and physiology at hand.

    The hacks themselves may be, in their titles, things you already know—but where the real value of this book lies is in all the data and science collated under each of those hacks, allowing the reader to optimize everything rather than just guessing. Which can mean optimize by doing things as close to perfectly as possible, or it can mean optimize by doing/using the things that get the best results for the minimum effort. It’s up to you!

    The style is very casual and friendly, even conversational, while not skimping on science (and indeed, citations are frequently provided for such).

    Bottom line: if you’d like to improve your gut health, especially with the goal of improving your brain health, this is an excellent book for that.

    Click here to check out Genius Gut, and make yours better for you!

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  • Polyphenol Paprika Pepper Penne

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    This one’s easier to promptly prepare than it is to pronounce unprepared! Ok, enough alliteration: this dish is as full of flavor as it is full of antioxidants, and it’s great for digestive health and heart health too.

    You will need

    • 4 large red bell peppers, diced
    • 2 red onions, roughly chopped
    • 1 bulb garlic, finely chopped
    • 2 cups cherry tomatoes, halved
    • 10oz wholemeal penne pasta
    • 1 tbsp nutritional yeast
    • 1 tbsp smoked paprika
    • 1 tbsp black pepper
    • Extra virgin olive oil for drizzling

    Method

    (we suggest you read everything at least once before doing anything)

    1) Preheat the oven to 200℃ / 400℉ / Gas mark 6

    2) Put the vegetables in a roasting tin; drizzle with oil, sprinkle with the seasonings (nooch, paprika, black pepper), stir well to mix and distribute the seasonings evenly, and roast for 20–25 minutes, stirring/turning occasionally. When the edges begin to caramelize, turn off the heat, but leave to keep warm.

    3) Cook the penne al dente (this should take 7–8 minutes in boiling salted water). Rinse in cold water, then pass a kettle of hot water over them to reheat. This process removed starch and lowered the glycemic index, before reheating the pasta so that it’s hot to serve.

    4) Place the roasted vegetables in a food processor and blitz for just a few seconds. You want to produce a very chunky sauce—but not just chunks or just sauce.

    5) Combine the sauce and pasta to serve immediately.

    Enjoy!

    Want to learn more?

    For those interested in some of the science of what we have going on today:

    Take care!

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  • Cool As A Cucumber

    10almonds is reader-supported. We may, at no cost to you, receive a portion of sales if you purchase a product through a link in this article.

    Cucumber Extract Beats Glucosamine & Chondroitin… At 1/135th Of The Dose?!

    Do you take glucosamine & chondroitin supplements for your bone-and-joint health?

    Or perhaps, like many, you take them intermittently because they mean taking several large tablets a day. Or maybe you don’t take them at all because they generally contain ingredients derived from shellfish?

    Cucumber extract has your back! (and your knees, and your hips, and…)

    It’s plant-derived (being from botanical cucumbers, not sea cucumbers, the aquatic animal!) and requires only 1/135th of the dosage to produce twice the benefits!

    Distilling the study to its absolute bare bones for your convenience:

    • Cucumber extract (10mg) was pitted against glucosamine & chondroitin (1350mg)
    • Cucumber extract performed around 50% better than G&C after 30 days
    • Cucumber extract performed more than 200% better than G&C after 180 days

    In conclusion, this study indicates that, in very lay terms:

    Cucumber extract blows glucosamine & chondroitin out of the water as a treatment and preventative for joint pain

    Curious To Know More? See The Study For Yourself!

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  • Is “Extra Virgin” Worth It?

    10almonds is reader-supported. We may, at no cost to you, receive a portion of sales if you purchase a product through a link in this article.

    It’s Q&A Day at 10almonds!

    Have a question or a request? We love to hear from you!

    In cases where we’ve already covered something, we might link to what we wrote before, but will always be happy to revisit any of our topics again in the future too—there’s always more to say!

    As ever: if the question/request can be answered briefly, we’ll do it here in our Q&A Thursday edition. If not, we’ll make a main feature of it shortly afterwards!

    So, no question/request too big or small

    ❝I was wondering, is the health difference important between extra virgin olive oil and regular?❞

    Assuming that by “regular” you mean “virgin and still sold as a food product”, then there are health differences, but they’re not huge. Or at least: not nearly so big as the differences between those and other oils.

    Virgin olive oil (sometimes simply sold as “olive oil”, with no claims of virginity) has been extracted by the same means as extra virgin olive oil, that is to say: purely mechanical.

    The difference is that extra virgin olive oil comes from the first pressing*, so the free fatty acid content is slightly lower (later checked and validated and having to score under a 0.8% limit for “extra virgin” instead of 2% limit for a mere “virgin”).

    *Fun fact: in Arabic, extra virgin is called “البكر الممتاز“, literally “the amazing first-born”, because of this feature!

    It’s also slightly higher in mono-unsaturated fatty acids, which is a commensurately slight health improvement.

    It’s very slightly lower in saturated fats, which is an especially slight health improvement, as the saturated fats in olive oil are amongst the healthiest saturated fats one can consume.

    On which fats are which:

    The truth about fats: the good, the bad, and the in-between

    And our own previous discussion of saturated fats in particular:

    Can Saturated Fats Be Healthy?

    Probably the strongest extra health-benefit of extra virgin is that while that first pressing squeezes out oil with the lowest free fatty acid content, it squeezes out oil with the highest polyphenol content, along with other phytonutrients:

    Antioxidants in Extra Virgin Olive Oil and Table Olives: Connections between Agriculture and Processing for Health Choices

    If you enjoy olive oil, then springing for extra virgin is worth it if that’s not financially onerous, both for health reasons and taste.

    However, if mere “virgin” is what’s available, it’s no big deal to have that instead; it still has a very similar nutritional profile, and most of the same benefits.

    Don’t settle for less than “virgin”, though.

    While some virgin olive oils aren’t marked as such, if it says “refined” or “blended”, then skip it. These will have been extracted by chemical means and/or blended with completely different oils (e.g. canola, which has a very different nutritional profile), and sometimes with a dash of virgin or extra virgin, for the taste and/or so that they can claim in big writing on the label something like:

    a blend of
    EXTRA VIRGIN OLIVE OIL
    and other oils

    …despite having only a tiny amount of extra virgin olive oil in it.

    Different places have different regulations about what labels can claim.

    The main countries that produce olives (and the EU, which contains and/or directly trades with those) have this set of rules:

    International Olive Council: Designations and definitions of Olive Oils

    …which must be abided by or marketers face heavy fines and sanctions.

    In the US, the USDA has its own set of rules based on the above:

    USDA | Olive Oil and Olive-Pomace Oil Grades and Standards

    …which are voluntary (not protected by law), and marketers can pay to have their goods certified if they want.

    So if you’re in the US, look for the USDA certification or it really could be:

    • What the USDA calls “US virgin olive oil not fit for human consumption”, which in the IOC is called “lamp oil”*
    • crude pomace-oil (oil made from the last bit of olive paste and then chemically treated)
    • canola oil with a dash of olive oil
    • anything yellow and oily, really

    *This technically is virgin olive oil insofar as it was mechanically extracted, but with defects that prevent it from being sold as such, such as having a free fatty acid content above the cut-off, or just a bad taste/smell, or some sort of contamination.

    See also: Potential Health Benefits of Olive Oil and Plant Polyphenols

    (the above paper has a handy infographic if you scroll down just a little)

    Where can I get some?

    Your local supermarket, probably, but if you’d like to get some online, here’s an example product on Amazon for your convenience

    Enjoy!

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  • Hardcore Self Help: F**k Anxiety – by Dr. Robert Duff

    10almonds is reader-supported. We may, at no cost to you, receive a portion of sales if you purchase a product through a link in this article.

    We’ve reviewed other anxiety books before, so what makes this one different? Mostly, it’s the style.

    Aside from swearing approximately once every two lines (so you might want to skip this one if that would bother you), Dr. Duff’s writing is very down-to-earth in other ways too, making it unpretentiously comfortable and accessible without failing to draw upon the wealth of good-practice, evidence-based advice he has to offer.

    To that end, he talks about what anxiety is and isn’t, and goes over various approaches, explaining them in a “about” fashion, and also a “how to” fashion, covering areas such as CBT, somatic therapies, social support, when talk therapy is most likely to help.

    The book is a quick read (a modest 74 pages), and it’s refreshing that it hasn’t been padded unnecessarily, unlike a lot of books that could have been a fraction of the size without losing value.

    Bottom line: if you (or perhaps someone you care about) would benefit from a straight-to-the-point, no-BS approach to dealing with anxiety (that’s actually evidence-based, not just a “get over it” dismissal), then this is the book for you.

    Click here to check out Hardcore Self Help: F**k Anxiety, and indeed do just that!

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