Why Traditional Cardiology Is Failing Women with Dr Hwaida Hannoush

Send us Fan MailFeeling “just tired” should not be the reason a heart problem gets missed. We sit down with Dr Hwaida Hannoush, a specialist in metabolic cardiology and functional medicine and the founder of Pressi Med Clinic, to unpack why women’s heart disease is still under-recognised and under-treated, even when the stakes are life-changing.We talk about the real-world ways women present differently, from fatigue and breathlessness to vague chest pressure or stomach discomfort, and how that can lead to delayed care. Dr Hannoush explains why women’s cardiovascular risk is more complex than the standard checklist, including microvascular disease, HFPEF, autoimmune links, and the often-forgotten impact of reproductive history. We dig into pregnancy complications such as pre-eclampsia and gestational diabetes as early warning signals that should trigger prevention, not a shrug after delivery.We also get practical about what “functional medicine” looks like when applied to heart health prevention. Rather than treating cholesterol numbers in isolation, we discuss a whole-body cardiometabolic approach that considers inflammation, gut health, hormones, and the deeper “why” behind persistent symptoms. Finally, we go behind the scenes of building a virtual clinic: rapid access, direct messaging, remote testing, automation, and the hard parts too, like mindset barriers and the cost of testing.If you care about women’s heart health, prevention, and smarter risk assessment, listen now, share this with someone who needs it, and leave us a review to help more people find the show.Guest BiographyDr Hwaida Hannoush is a specialist in metabolic cardiology and functional medicine and the founder of Precimed Clinic, a virtual prevention-focused practice dedicated to women’s cardiovascular health. After years in conventional cardiology and academic research, she transitioned into root-cause medicine to better address the overlooked drivers of heart disease in women. Her work focuses on prevention, patient empowerment, and bridging the gap between traditional cardiology and functional medicine.Website: https://precimedclinic.com LinkedIn: https://www.linkedin.com/in/hwaida-hannoush-md-fase-02523130/About Dr Andrew GreenlandDr Andrew Greenland is a UK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. With dual training in conventional and root-cause approaches, he helps individuals optimise health, performance, and longevity — with a focus on cognitive resilience and healthy ageing.Voices in Health and Wellness features meaningful conversations at the intersection of medicine, lifestyle, and human potential — with clinicians, scientists, and thinkers shaping the future of care.💌 Join the mailing list for new episodes and exclusive reflections: https://subscribe.voicesinhealthandwellness.com