EPISODE · Jun 16, 2026 · 46 MIN
Your Heart on Hormones: The Risks No One Told You About Part 1 of 2
from The Luminescence Podcast with Schuyler Grant · host Luminescence
Heart disease is the number one killer of women in the US, more than all cancers combined, and yet the cardiovascular changes happening during perimenopause are still widely misunderstood, undertested, and dismissed. In this episode of the Luminescence Podcast, Schuyler Grant sits down with Dr. Somi Javaid and Dr. Sarah de la Torre to get into what's actually happening to your heart as estrogen declines. Dr. Somi opens with the call that became her calling: her mother's near-fatal heart attack at 45, dismissed for six weeks as "too much caffeine." A story that is far too common. They discuss: Why perimenopause dramatically shifts cardiovascular risk — how estrogen loss stiffens arteries, raises blood pressure, and changes cholesterol profiles in ways most women aren't being told about The difference between standard lipid panels and the advanced markers that actually matter — ApoB, LipoA, hs-CRP, and why your doctor might not be ordering them What "cotton candy vs. gummy bear" LDL means — why particle type and number both count, and how this changes your treatment approach The direct link between metabolic health and heart disease — how glucose regulation affects everything, and why CGMs are revealing patterns doctors miss Why women are more likely to die from a heart attack than men — the diagnostic gaps, symptom differences, and systemic issues that have to change For any woman who wants to understand her cardiovascular risk before something happens. For information on our upcoming events, retreats, and to connect with specialists and other women in our online community, visit www.luminescence.health. Presented by our sponsors: Stripes: Visit stripesbeauty.com and use the code COMMUNE20 for 20% off the entire product line. Genova Connect: Save 20% on testing with code COMMUNE20 so you can stop guessing and make adjustments to support what matters. Visit connect.gdx.net. LivOn Labs: Get 15% off your first order of elite-absorption, foundational supplements that fit into your routine with code COMMUNE15 (valid through 6.30.26) at LivOnLabs.com. BiOptimizers: Go to bioptimizers.com/luminescence and use code LUMINESCENCE for 15% off.
What this episode covers
Heart disease is the number one killer of women in the US, more than all cancers combined, and yet the cardiovascular changes happening during perimenopause are still widely misunderstood, undertested, and dismissed. In this episode of the Luminescence Podcast, Schuyler Grant sits down with Dr. Somi Javaid and Dr. Sarah de la Torre to get into what's actually happening to your heart as estrogen declines. Dr. Somi opens with the call that became her calling: her mother's near-fatal heart attack at 45, dismissed for six weeks as "too much caffeine." A story that is far too common. They discuss: Why perimenopause dramatically shifts cardiovascular risk — how estrogen loss stiffens arteries, raises blood pressure, and changes cholesterol profiles in ways most women aren't being told about The difference between standard lipid panels and the advanced markers that actually matter — ApoB, LipoA, hs-CRP, and why your doctor might not be ordering them What "cotton candy vs. gummy bear" LDL means — why particle type and number both count, and how this changes your treatment approach The direct link between metabolic health and heart disease — how glucose regulation affects everything, and why CGMs are revealing patterns doctors miss Why women are more likely to die from a heart attack than men — the diagnostic gaps, symptom differences, and systemic issues that have to change For any woman who wants to understand her cardiovascular risk before something happens. For information on our upcoming events, retreats, and to connect with specialists and other women in our online community, visit www.luminescence.health. Presented by our sponsors: Stripes: Visit stripesbeauty.com and use the code COMMUNE20 for 20% off the entire product line. Genova Connect: Save 20% on testing with code COMMUNE20 so you can stop guessing and make adjustments to support what matters. Visit connect.gdx.net. LivOn Labs: Get 15% off your first order of elite-absorption, foundational supplements that fit into your routine with code COMMUNE15 (valid through 6.30.26) at LivOnLabs.com. BiOptimizers: Go to bioptimizers.com/luminescence and use code LUMINESCENCE for 15% off.
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Your Heart on Hormones: The Risks No One Told You About Part 1 of 2
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