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@laura1970
My primary feels I may have familial hypercholesterolmia, after several rounds of blood work done, monitoring my food intake . I don't fit the "profile" or lifestyle of one who would have elevated cholesterol. So not a definite answer and my primary doesn't feel I need any medications since my eating habits/lifestyle can lower it.
So crazy something our body produce(s) naturally can stop making. Then our bodies start breaking down, due to lack of the hormones and when we try to find "things" to bring balance we end up with illnesses and possibly dying from stroke/heart attack.
My GYN years ago gave me estradiol cream but that was for dryness only, she never mentioned hormone balance. I never truly used the cream .

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Replies to "@laura1970 My primary feels I may have familial hypercholesterolmia, after several rounds of blood work done,..."

@kris1130 does part of why he feels you may have familial hypercholesterolemia because of a strong family history of heart attacks or strokes?

My impression is that vaginal estrogen creams are absorbed into the bloodstream with the intensity to increase cardiovascular risk? Does anyone else know differently?

@kris1130 you may be a good candidate for a VAP test which is a fancy cholesterol screening that gives much more info than the usual cholesterol check.

I copied and pasted as chrome says it better than I could

The VAP (Vertical Auto Profile) cholesterol test is an advanced lipid test that provides a detailed breakdown of cholesterol and lipoprotein particles beyond the standard lipid panel. It measures various subtypes of LDL, HDL, and VLDL cholesterol, including small dense LDL particles, and lipoprotein(a), which are important markers for cardiovascular risk. This test uses ultracentrifugation to directly measure lipid fractions rather than calculating LDL cholesterol, making it more accurate in identifying hidden heart disease risk.
The VAP test is useful for people with normal routine cholesterol tests but who still have risk factors or family history of heart disease. It provides a comprehensive profile that helps guide more personalized treatment strategies to reduce cardiovascular risk. The test is considered more precise in evaluating lipid abnormalities and detailed cardiovascular risk assessment than routine cholesterol tests.