@loriesco thanks for your inquiry and comments. Hope bHRT works wonders for you as it has for me so far!
At the beginning I thought I had little chance of being a candidate for HRT due to my existing mild cad. My regular cardiologist approved on the same day after I visited my obgyn inquiring about HRT, but he is a man of few words... At the recommendations of several physicians, I consulted another cardiologist who specializes in women's heart. After reviewing many years' worth of tests and labs, my medical history and family history, she explained to me - I don't have a genetic backgroud for cvd (my LPa is 10 and no family history of cvd from either family tree), my cac score is 38 which indicated late stage of atherosclerosis but she was not alarmed by the number (the score might have also been increased a little since it was done 1 yr after I took resuvastatin), my LDL-c is well controlled at around mid-30s and APO-B at 50 (i do take rosuvastatin 5mg + ezetimibe 10mg). So the plaques will be there forever (!), however, with well controlled LDL-c, HbA1c and low genetic risk, she felt confident that future plaque accumulation will be kept to a minimum and that adding HRT won't emerge as a threat to worsen my existing cad. I had read also that people who kept their LDLc in the 30s/40s throughout life had very little plaques accumulation overall (well, their LPa and APO-B had to be low also as these two are more atherogenic). Statins are said to stabalize soft plaques which is important especially for the first year use of HRT. I had that in place so she was glad about it.
The past few years had been a challenge to modify diet, life style and exercise regimen to get my metabolic health in order, and to top it off, wrestle with osteoporosis. Yes, no more fatty steaks, in my case no more truffles or pastries! I've learned to enjoy sweet moments in life other than sweets. HAPPY ♥ Valentines!
You got it going on @mayblin! Yes, with your LPa being 10 you "don't got it." (CAD/CVD) but I do. And my test score from last night went in the wrong direction! (was stable at 66 to 88!) One test of what is in your bloodstream isn't predictive and it can also be the LEVEQIO LOOSENING the plaque and dumping it into my bloodstream, so you bet I'll keep an eye on it. Also the BHRT could be a factor and I will inquire about that. However, I interpreted this to not worry about it too much at the moment. You might appreciate this article. https://www.acc.org/Latest-in-Cardiology/Articles/2019/07/17/11/56/Menopause-Hormone-Therapy
I've been sitting at my desk too much lately with work. Weather has been bad, too (I hate cold) and so I figure if I exercise outdoors a bit more I will get things better under control on all fronts. Yeah... a little dark chocolate was on my Valentine's Day list. Quality of Life, you know! I have to keep a low-fat diet on a regular basis. Gallbladder issues run in the family. My terrier has pancreatitis so we eat the same diet.