OnlineHost:     CharLibov has entered the room.

Dearest:     It is with great pleasure that I welcome back
to Power Surge journalist, author, women's
health advocate, speaker and founder of
Women's Heart Health Day (Feb. 1st) . . . .
                
        CHARLOTTE LIBOV
                 
Charlotte Libov is the co-author of 

"The Women's Heart Book:The Complete Guide To Keeping Your 
Heart Healthy and What To Do If Things Go Wrong. 

Charlotte has also written,  "50 Essential Things To Do 
When The Doctor Says It's Heart Disease." (Plume) and her book 
to be released later this year,  The Migraine Book"

Charlotte also helped create and is featured
in "Women's Hearts At Risk," a one hour
documentary broadcast by PBS. Charlotte is
currently working on a book about cancer.

Charlotte, welcome and in your opening
remarks, can we address the importance of
heart disease among women after menopause?


CharLibov: Thanks, Dearest, and thank you for inviting me back.
As some of you know, I am an advocate for women, particularly as 
pertaining to heart disease.  I underwent heart surgery myself, 
which is how  I got involved in women's health issues.  I recently 
completed a manuscript for a book focusing on risk factors for many 
diseases including several types of cancer.  I started on this road 
in part because of all the questions I was getting about hormone 
replacement therapy. I believe that heart disease is a very big 
concern for women who are past menopause, and we need to focus 
more on it. So feel free to ask me anything you'd like. 


MARCEY B:       What is the significance of frequent bloody nose 
attacks?  I do not have high blood pressure--normal or low.


CharLibov:      In my research, I have not come across anything heart 
related in terms of frequent bloody noses.  Perhaps that is something 
you should ask your doctor about? I am assuming you are not on any blood 
thinners, are you?


MARCEY B:       No, I am not any anything.


DWill6171:      Char, I have major family history of heart disease.  
My grandfather had a myocardial infarction at age 42.  I am only 43 
and the doctors won't test say women do not get heart problems.


CharLibov:      Other than your family history, are you experiencing 
anything that leads you to believe you may have a heart problem?


DWill6171:      I get chest pains and the doctor says it is stress, 
costalchondritis, and cricopharyngeal spasm.  I have had no blood work.


CharLibov:      Has he done any type of work-up or testing on you at all? 


Dearest:     DWill, you and I can share our Costochondritis stories 
in e-mail.


CharLibov:      One of the things that makes it difficult for doctors 
to diagnose heart disease in women is that women tend to get more chest 
related pain that turns out not to be heart disease than men do. 
However, any possible symptoms in women deserve to be taken seriously, 
especially when a woman has risk factors, as you do. This is not to say 
that you have anything to worry about; you very well may not. However, 
in my humble opinion (I am not a doctor, although I play one in 
cyberspace) I think that if you believe your doctor is not taking you 
seriously, you should find one who does. 


DWill6171:      How to tell the difference, Char? 


CharLibov:      DWill, if you want to e-mail me, we can talk more.  
I would also suggest you check your local library for "The Woman's 
Heart Book" by Dr. Fredric Pashkow and me because we go into a lot 
of detail about what to expect from a doctor, tests, etc.


ArtMom3:        I have had cancer and I cannot take hormone replacement 
therapy (HRT).  Is there anything else I can do to combat complications?

Dearest:     Char, do you want to address the HRT question?


CharLibov:      Yes and no. There is a good book entitled WOMEN'S 
CANCERS that has some information on this.  I would be glad to give 
the title and more information if anyone wants to e-mail me. This is 
a very important topic.  With the growing population of female 
cancer survivors, it is one that will be addressed more and more. 


ConWoman 7:     In September my doctor put me on blood pressure 
medicine due to a gradual increase in blood pressure. Is this 
common due to entering menopause?  


CharLibov:      Blood pressure does tend to increase with age. I 
am not certain if enough research has been done to link it with 
menopause; but since we reach menopause as we age, it is a logical 
connection. 


Nifty2b50:      There are many heart attacks and strokes in my 
mother's family.  I am watching my fat intake, my blood pressure is 
normal, and so is my cholesterol.  What else should I be doing? 


CharLibov:      You are already taking a big step by paying attention 
to your family history. Important things would also be not smoking (or 
quitting if you do) and getting involved with a regular program of exercise.
Congratulations on looking upon your family history as a motivating factor. 


FBriggs113:     Is hypothyroidism a predisposition to heart disease?


CharLibov:      Hypothyroidism is not linked to heart disease, at
least in terms of anything I have come across. 


Dearest:     Char, during menopause it is very common for a woman's 
cholesterol to skyrocket and it does not automatically indicate any 
heart issues.  What would you suggest to women who otherwise eat 
well and exercise moderately, but have found that their cholesterol 
is high during menopause?


CharLibov:      You are absolutely right.  It is believed that one of 
the positive things that estrogen does is keep a healthy balance between 
the so-called "good" cholesterol and the so-called "bad" cholesterol.  
The first thing I would suggest is that a woman make certain that her 
doctor is doing a cholesterol profile instead of just giving her a 
total cholesterol number. As you mention, cutting down on fat and 
exercise is really important. A woman also might need to take 
cholesterol-lowering         drugs, but this depends on other 
factors including how high her cholesterol is, whether she has 
other risk factors, and whether or not HRT would be a good idea, 
if that could help 
the balance. 


VBrando101:     Do anxiety and panic attacks (severe heart 
palpitations) cause heart disease?


CharLibov:      That is a complicated question so my answer will be 
a little long.  When we talk about heart disease we are generally 
referring to coronary heart disease, meaning the narrowing of 
blood vessels and the formation of blood clots that can lead to a 
heart attack. I know of no evidence that anxiety or panic attacks 
can increase the risk for that type of heart disease. However, 
your question also leads into questions about the role of stress 
and heart disease, and that is not that well understood. The  
function of your heart is partly governed by hormones; and when 
you are stressed or anxious, there is a release of hormones into 
your body. This can increase your blood ure and heart rate.  After the 
Los Angeles earthquake, it was found that more people experienced 
heart attacks than normal. However, whether an anxiety attack would 
fall under that category or whether your body would already be 
accustomed to it, I do not know.  It is a fascinating question, though! 


Dearest:     Wouldn't you think in most of those cases in California 
that those people already had heart conditions or were predisposed?


CharLibov:      That is a good question, but it still demonstrates the 
effect of sudden stress, something that the medical establishment has 
been slow to recognize.  It is getting more focus now. 


Mlklm3:         Is hypertension considered a heart disease? 


CharLibov:      For general purposes, it is not.  It might be 
considered so for health insurance purposes or included in the American 
Heart Association's statistics.  Mostly, hypertension (high blood 
pressure) is considered important vis-a-vis heart disease because 
having it increases the risk for heart disease and stroke. 


Lori4hlth:      I was diagnosed with minor pulmonary stenosis at 18 
(now 51) by heart catheterization.  All echoes are negative.  Can 
echo diagnose valvular disease conclusively?


CharLibov:      Lori, in your case I would probably wonder how accurate 
the catheterization was at 18 since I would I imagine the techniques 
have improved greatly since then.  Echocardiograms are generally 
the gold standard in diagnosing heart valvular disease.  If yours is 
negative, I would ask your doctor if perhaps that old cath result was 
incorrect.  Please note that it is impossible for me to say this with 
any certainty as (the usual disclaimer) I am not a doctor.  Even doctors 
shy away from making diagnoses in cyberspace. 


GET7339:        I am 57, and I have been on Corgard for high blood 
pressure for ten years. It is working well.  I have been on Estrace 
and Provera for five years for menopause. I feel fine.  My doctor says 
stay on HRT indefinitely for the heart's health.  Is this true?


CharLibov:      I cannot answer your specific questions as I never get 
intodiscussions with people on medications.  It is way out of my realm 
and most doctors would not discuss it either.  However, you do bring up 
an important issue regarding HRT.  If you have high blood pressure or 
other risk factors for heart disease and that is the disease that you are 
most at risk for, then the general feeling is that HRT is protective 
against heart disease.  The risk of heart disease increases as you get 
older and that is the reason for advising you to stay on HRT indefinitely.  
Feel free to ask me about risk factors as I just finished a book about them.


Cynsofyne:      I have frequent nosebleeds.  I have been getting them for 
the last 8 years.  They always happen one week before my period starting 
though my doctor says I do not have high blood pressure.  He said it is 
a hormonal imbalance caused by the ovulation cycle.  I worry because 
as my weight dropped so did the frequency of nose bleeds and conversely 
as my  weight goes up they occur more frequently.  I am 39 years old. 


CharLibov:      Gee, I am stumped. Sorry. 


Dearest:     Thanks for sharing, Cyn.


WJCum:  Does HRT increase the chance of blood clots? 


CharLibov:      My understanding is that it may have in the old 
days when the hormones used were higher, but this danger has been 
reduced similarly to the way it has been with oral contraceptives. 


Z J Gragg:      I had a small irregularity on an EKG, but improved 
during stress test.  Is this common? My father had a mitral valve prolapse.


CharLibov:      Let me give you a two part answer.  One of the reasons 
that it is difficult to diagnose heart disease in women is that more 
irregularities  show up on women in EKG's and stress tests. These 
often turn out to be false positives.  Nothing is significantly wrong.  
If this is what happened in your case, you can relax.  Concerning the 
mitral valve prolapse, it gets into a somewhat dicey area.  The medical 
experts I tend to adhere to who are the traditional medical experts, 
believe that mitral valve prolapse is a fairly benign anomaly as opposed 
to a heart problem that is not dangerous.  Having a parent with it 
would not increase your risk at all. The only time that mitral valve 
prolapse is considered clinically problematic is in five percent of 
the cases (as opposed to 95 percent) where there is regurgitation or 
leakage of blood which means blood is not going through the heart the 
way it should. 


Dearest:     Please remember ladies:  The information disseminated 
in Power Surge is for informational and educational purposes and is 
never meant as a substitute for a visit to your own personal physician.
(That doesn't mean that Char doesn't know more than many physicians -
just part of Power Surge's disclaimer)


Gypsey9088:     I am 37 with heart disease in the family.  I am on HRT, 
retaining ater, and blood pressure is increasing steadily.  Should I be 
concerned?


CharLibov:      I gather that since you are on HRT you went into menopause 
early?


Gypsey9088:     Yes, I had a hysterectomy.


CharLibov:      Do you have high blood pressure?


Gypsey9088:     It runs about 180 over 100 at stress times.


CharLibov:      Has your doctor diagnosed you with high blood
pressure?   Has he taken your blood pressure at different times to make 
sure it is not a reaction to stress, but actually is higher than it 
should be? 


Gypsey9088:     No


CharLibov:      Also, be a little more exact about your family history.  
One of the things about family history and heart disease is that having 
a grandmother who was diagnosed with heart disease in her 70's does not 
increase your risk as compared to having a parent who was diagnosed 
with it in their 40's.


Gypsey9088:     My paternal grandfather started having heart attacks in 
his 40's.  Eventually he died in his 60's.  My maternal grandfather 
had a heart attack in his 50's.


CharLibov:      That is why when it comes to heart disease we speak of 
an early family history of heart disease. 


CharLibov:      Do you have diabetes, do you smoke or have any other 
risk factors for heart disease that you know of?  Are you overweight 
or sedentary?  (I am just running down a list of risk factors for the 
information of everyone.)


Gypsey9088:     I have low blood sugar problems, but I do not smoke.  
I am overweight, but I am trying to lose weight by watching fat intake 
and walking.


Dearest:     Ladies, feel free to ask your doctor to retake your 
blood pressure about 15-20 minutes later.  Remember you are paying 
for his services and can ask for anything you feel you need.  A doctor 
should never go by a pressure taken right after you walk into his office.


CharLibov:      I congratulate you on taking those steps. I think that 
you should make your doctor aware of your family history and that you 
should continue the healthy steps you have taken already. Also, feel 
free to e-mail me if you want. Dearest brings up a very good point. 
There is a condition known as white coat hypertension which means that 
some people simply experience their blood pressure going up when they are 
at a doctor's office. This can happen even if they do not think they feel 
nervous.  Also, another little known fact is that there are two sizes 
of blood pressure cuffs.  If you have a wide forearm and a doctor uses 
an average sized cuff, it will get wrapped too tightly and presto--
instant high blood pressure.  If the larger cuff is used, the high 
blood pressure vanishes.  My doctor who is board certified in hypertension 
tells me I would not believe the number of people misdiagnosed with high 
blood pressure and treated.


Dearest:     Oh, my pressure goes up, Char, as he squeezes that bulb 
thing.  I sometimes think my blood pressure must be so high he has to 
keep squeezing that bulb to read it :).  I bet other women are shaking their heads, too.


Maya Moon:      What are some heart disease symptoms that women (and not men) may suffer? 


CharLibov:      Great question! It is possible that women can suffer the 
same symptoms that men do, i.e., crushing chest pain, pain radiating down 
the arm and into the jaw, etc. It has also been found that the symptoms 
in women can be much more subtle. There can be chest pressure as opposed 
to pain, pain in the back, nausea, a flu-like feeling, fatigue and (a 
big symptom) shortness of breath. Some of these symptoms are vague, so it 
is not surprising that heart disease in women can be difficult to diagnose.  
That is also why it is important that you know your own body,how you usually 
feel, and that you educate your doctor to take the issue of heart disease 
in women seriously!


MVMeckel:       What about older women who persist in smoking?  What is 
their risk factor for heart attack?  I realize that there are many 
uncontrolled variables.  


CharLibov:      All women who smoke, no matter what their age, increase 
their riskof a heart attack or developing heart disease.  It is one of 
the greatest risk factors around.  Smoking damages your heart in so many 
ways, including damaging the blood vessels themselves and making the blood 
more likely to clot.  I have also just finished a manuscript that talks 
about lung cancer; and I am struck by the fact that lung cancer kills 
20,000 more women a year than breast cancer does and the number is mounting 
because women are paying the price for starting to smoke and inhale as 
much as men did, even though we did a couple of decades later. 


Lori4hlth:      What do you think of taking an aspirin a day to 
prevent clots? 


CharLibov:      Initially, the research that was done on aspirin was 
done on men.  There has since been research done which shows this benefit 
is true in women as well.  There is still a debate over whether aspirin 
prevents heart attacks in women who are not diagnosed with heart disease. 
I could be wrong, but I do not think that has been established yet.  There 
are some people who should not take daily aspirin.  I think it is something 
you need to ask your doctor about.


ZevonManic:     What exactly is an enlarged heart?  I am 39, morbidly obese, 
and diabetic.  I have hypothyroidism and arthritis.  I will be having 
gastric bypass surgery, hopefully.  I had a cardiac episode two years ago.  
Tests showed I had an enlarged heart.  Lately, I have been feeling sick to 
my stomach and I am having vague chest pains including pains in my shoulder.


CharLibov:      When a heart becomes enlarged it may also become weaker and 
not able to function as efficiently as it used to. As a diabetic, you are 
prone to heart problems, as you have discovered.  Another problem with 
diabetes is that this is an illness that can be particularly dangerous 
because it can mask symptoms of an impending heart attack or other heart 
problems.  Diabetics are prone to neuropathy, which means they can feel 
pain that is not  there or they can not feel pain that is there.  An 
enlarged heart can be the result of damage from a silent heart attack 
of heart event you were not aware of.  I would talk to your doctor 
immediately about any sensations that you are having so that a possible 
heart problem can be ruled out.  If you feel your cardiologist is not 
meeting your needs, I would consider getting another one.


MARCEY B:       With regard to a mitral valve prolapse, one should 
be pre-medicated with antibiotics prior to any dental work.
 

Dearest:     Okay, thanks, Marcey.


Sue Lacy:       What is the most important thing or things a woman 
can do to prevent heart disease? 


CharLibov:      The most important thing is to be aware that heart 
disease can happen to a woman. You should know your family medical 
history from both sides of the family and what risk factors might 
predispose you to heart disease such as high blood pressure, 
diabetes, obesity and all the other things we have been talking 
about. You should eat in a moderate manner, try to maintain a 
healthy weight (easier said than done for me, alas!), get involved 
in an exercise program, have your cholesterol profile checked, and, if you 
smoke, quit. Also, be sure to laugh a lot, and sex is good, too.


BLovedAmI:      Can the damage done by smoking be reversed? I gave 
it up 14 years ago. I also have diabetes, but it's under control. 


CharLibov:      Congratulations on both those things, neither one of 
them is easy.  One of the best things is that tests have shown that 
the damage from smoking begins to reverse itself immediately after you 
stop.  Although there is some quibbling about whether you can undue 
all the damage, you certainly lower your risk tremendously. Even though 
your diabetes is under control, heed what I said earlier. Make sure that 
you have a doctor who recognizes that diabetics (even those under 
control) are at greater risk for heart disease and that you are watched 
closely.


PGilmar167:     A few years ago I failed a regular stress test and a 
thalliumstress test and ended up having a heart catheterization.  
My heart was fine.  I have since read that stress tests may not work 
as well for women.  What is your view?


CharLibov:      It is true that stress tests are less sensitive in 
diagnosing heart disease in women, but that refers to the stress or 
treadmill test being done without an imaging agent, such as thallium.  
Thallium was added in your case to try to make it a more effective tool. 
Unfortunately, sometimes this is not 100 percent effective either.  This 
can happen in men, although less frequently.  Unfortunately, you had to 
be put through a catheterization to make sure everything was absolutely 
okay.  It sounds as if the right tests were done in the right order. 


Dearest:     Char, please give us the names of the books you have 
written, how to obtain them and something about the book you are 
currently writing. 


CharLibov:      I would be glad, too. Both of my books are in paperback.  
THE WOMAN'S HEART BOOK, by Dr. Fredric J. Pashkow and Charlotte Libov 
is the first book and the best one for women who do not have a heart 
problem but are seeking to prevent one and for women who do have heart 
problems.  It is a lengthy book that goes into a lot of detail and gives 
the information that women need. Our second book by the same authors, 50 
ESSENTIAL THINGS TO DO WHEN THE DOCTOR SAYS IT'S HEART DISEASE is 
geared for both men and women, and IT is an easy-to-follow program for 
people who have been diagnosed with heart disease or have had a heart attack. 
It Is short, pithy and to the point. They can be found or ordered at your 
local bookstore or by calling 1-800-253-6476. The publisher is Plume.  
I have just finished a manuscript which will be about beating your odds 
and preventing the 10 Top Killers of Women, including breast cancer, 
lung cancer, heart disease, osteoporosis, diabetes, and more. That will 
be out next year; and I will be discussing it here, I hope. Currently 
I am working on a book about migraine. 


Dearest:     Thanks for that information, Charlotte.


Msrivs:         I am wondering how good the cholesterol lowering 
drugs are?  What are the side effects? 


CharLibov:      The cholesterol drugs have been found to be effective 
and their side effects vary. 


Dearest:     Suggest to your doctors to advise you of natural ways 
to reduce cholesterol before starting medication.


CharLibov:      Absolutely. 


Dearest:     Charlotte, can you tell us something about angina? 


CharLibov:      Angina is the term generally used to refer to pain 
caused by heart disease. There are different types.  Classic angina, 
which was the type diagnosed initially in men, refers to pain in the 
chest that comes on after exercise.  There is another type called Variant 
or Prinzmetal's angina that can come on at rest or even wake one up. That is 
known also as atypical angina. Interestingly, it tends to affect more 
women than men. Obviously, angina is a cardiac condition that should 
be addressed by a doctor.  How it is treated can range from medication 
to surgery. 


Sue Lacy:       What is the difference between heart arrythymias and 
palpitations?


CharLibov:      They are almost used synonymously. A heart arrhythmia 
means an irregular heartbeat and it can be felt as what we consider to 
be a palpitation. Everyone has missed beats, skipped beats, and extra 
beats.  Some people are more sensitive to them than others. Arrhythmia 
fall into two categories:  those which are harmless and those which are 
potentially serious. If these have occurred suddenly, if they disrupt 
what you are doing (if you get dizzy, black-out) or if they cause you 
concern, you should ask a doctor    about them. In addition to palpitations 
occurring more at menopause, apparently so does chest pain that is not 
necessarily cardiac related. This all seems to berelated to the 
profound effect that estrogen has on the heart. 


Sue Lacy:       Yes, especially during menopause.  Thank you, Char! 


Z J Gragg:      Are there as many false negatives as false positives 
with the 
treadmill stress test?


CharLibov:      If a treadmill stress test is negative, that means that 
youdo not have heart disease. The problem in diagnosing heart disease in 
women is that women tend to have false positives, not false negatives.  
It all has to do with irregularities that show up in the EKG tracings 
when you have the test taken.  There is some evidence that these 
irregularities may be due to estrogen fluctuations. See, it all 
comes back to estrogen.


Lori4hlth:      I love THE WOMEN'S HEART BOOK.  It is the most clearly 
written, easy to understand book on the subject that I have ever read!


Dearest:     Char, can you tell us about the trigger foods like wine, 
aged cheese, etc., that should be avoided for things like palpitations?  


CharLibov:      When you first asked me that question, I thought you 
were getting into migraines. 


Dearest:     Those, too.


CharLibov:      Everyone varies, of course, but the substance that 
seems to cause problems the most with palpitations is good old caffeine.  
Not for everyone, but for some people. 


Z J Gragg:      Describe how palpitations feel.


CharLibov:      Usually, it is one of those things that, if you have them, 
you know it, like skipping in your chest, thumps and things like that.


GET7339:        I am on estrogen 25 days and then off five days a month.  
I get heart palpitations all five days.   When I go back on the estrogen,  
they go away.  Is estrogen that powerful?


CharLibov:      Estrogen is absolutely that powerful. 


Msrivs:         Is there any connection between leg cramps and heart 
disease? 


CharLibov:      Not to my knowledge, unless you have circulation problems 
or you are diabetic? 


Dearest:     Char, for those of us who do not choose to or cannot take 
HRT, other than diet, not smoking, avoiding stress and exercise what 
natural things can you recommend to avoid any heart problems as we pass 
through menopause?  


CharLibov:      If you look at the studies on exercise and its effect on 
reducing heart disease, you will have a difficult time seeing the difference 
between it and HRT.  Personally, I think that regular exercise is one of the 
most potent things we can do to reduce our risk of not only heart disease 
but also osteoporosis and possibly even stroke as we age. I am not Jane 
Fonda or anything close so I am not necessarily thrilled about it.  I do 
it because it is really, really good for you. 


Dearest:     What about vitamin E?


CharLibov:      Ouch! I forgot Vitamin E.  The studies on vitamin E look  
really promising. In medicine it is never a done deal until the big clinical 
trials are done comparing people who take vitamin E with those who take a 
placebo.  Those studies have not been done yet or the results are not 
in; but all the other studies find really good effects from vitamin E.  
There is also biology going for it, the antioxidant theory. Many doctors 
I know as well as  scores of  health writers and me, dutifully take our 
vitamin E. The amount my doctor co-author recommends is 400 IU daily. 


PBrandySol:     I have a high cholesterol, but what is considered a good 
profile. My doctor says the profile will change with menopause.  Is that 
true?


CharLibov:      What your doctor is getting at is that when you reach 
menopause, your good cholesterol generally goes down.  Your profile could 
then become less favorable. If you trim the saturated fat in your diet 
and get involved in an exercise program, this could help counteract that.  
A cholesterol profile does bear watching after menopause.  That is why 
a profile in women is so important.  We tend to have more good cholesterol.  
If you just get a total cholesterol level, it can look too high when it is 
really good. 


MARCEY B:       Charlotte, I walk briskly during my lunch hour about 3 
times per week.  Is that enough? I walk for about 30 minutes.  I also take 
1600 units per day of vitamin E.  Is that too much?


CharLibov:      There are conflicting views on exercise. What you are 
doing has been shown to reduce the risk of heart disease and diabetes.  
Studies on women who do more exercise show added benefit.  If you want 
to consider adding to your exercise program, you should. You should swing 
your arms briskly or consider adding some exercise where you work out with 
some weights to increase your upper body strength. That wards off 
osteoporosis. 


Dearest:     Marcey, would you e-mail me your questions about 
vitamin E, please?


CharLibov:      I would definitely ask my doctor if 1600 IU's of vitamin 
E is too much. I do not know if it is or is not, but sometimes we have the 
tendency to think that just because something is natural that it is 
risk-free.  That is not always the case. 


LSunder895:     I am 30 years old in surgical menopause and I am 
taking the lowest dosage of HRT.  I have terrible side effects.  
If I stop HRT, will I have a higher chance for heart disease. 


CharLibov:      Well, the short answer to that is probably yes for 
heart disease and osteoporosis as well.  Estrogen is essential for 
building bone and 30 is very young for menopause. However, there are 
non-hormonal things you can do to reduce your risk for both of these 
diseases which we have been talking about like exercise and taking calcium 
to prevent osteoporosis.  Do those things reduce your risk as much as 
with HRT?  That I could not tell you. You might want to look further at 
your risks, figure out your risk for heart disease, and have bone density 
testing to check on the strength of your bones before making your decision. 


CharLibov:      Dearest would better than I what HRT alternatives are 
becoming available such as those with micronized progesterone. 


Dearest:     Please remember that menopause is fraught with all sorts
of strange events in your bodies and that every palpitation does not 
indicate  heart disease.


CharLibov:      Oh, is that what those strange events are?


Dearest:      :)


CharLibov:      My Web address is at  www.libov.com



Dearest:     Charlotte, thanks for sharing this time
with us in Power Surge tonight, and for so excellently 
fielding our questions about heart disease, et al. We 
hope you return to Power Surge again very soon, and wish 
you the best of luck with your new book, and with all 
future endeavors you may undertake :)
 


End Of Feb 2, 1997 Log Of Charlotte Libov's Guest 
Visit To Power Surge

 
Dearest
aka Alice Stamm
Power Surge
Founder, Host, Facilitator
Power  Surge
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