Peter Attia· MD
if you do give women estrogen you will lower their LDL and it can increase the HDL and as estrogen can have and are you talking about oral estrogen or topical estrogen systemic estrogen which is oral and some dermal vaginal estrogen have much stomach absorption so they're a really good option for women you know I'll talk about which women to use hormone therapy in but for women who just have the genital urinary symptoms even in women with cardiovascular disease or history of stroke or you can use vaginal estrogens safely and sometimes I think there's this concern about using them in high-risk women but you can use the vaginal estrogen so I'm really talking about oral estrogens here they dilate the blood vessels through a nitric oxide effect which you know may be all cardio protective