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Sandra O, MBBS, MSc, PhD

@docSandraO

Mom to 3 amazing humans| Cardiologist| Peri-operative Medicine| PhD Clin Épi @McMasterU| MSc Prev Cardio @imperialcollege| Research #SmokingCessation| 🇳🇬 🇨🇦
Hamilton, Ontario experts.mcmaster.ca/individual/ofo… Joined December 2019
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Sandra O, MBBS, MSc, PhD @docSandraO
Smoking is the leading PREVENTABLE cause of death. ~11% Canadians smoke, with rates 2x higher in hospitalised patients & even more among surgical patients. Upcoming CPU focuses on contemporary approaches for the practicing clinician. Systematic approaches are crucial.
Heart Institute @HeartInstitute Jan 24, 2025
Dr. @docSandraO shares insights from the first panel session on contemporary approaches to smoking cessation.🚭
Learn more about the clinical practice update in this video 👇
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Sandra O, MBBS, MSc, PhD @docSandraO
Completely agree @DrMarthaGulati We need large RCTs in contemporary populations to inform evidence based care for all forms of menopausal hormone replacement therapy.
Today the Black Box was removed from ALL Menopausal Hormone Therapy (MHT). For transvaginal, I think this is reasonable, but what do we actually know about contemporary doses of transdermal & oral #MHT? I also think the statements being made are doing a huge disservice to women. This is NOT a win for women. A win would be funding a trial that studies women on contemporary doses of transdermal & oral MHT.

The statement by Makary that "With the exception of vaccines or antibiotics, there's no medication that can improve the health of women on a population level more than hormone replacement therapy," is not based on fact. We just don’t know and certainly any statement on cardiac safety remains unknown for contemporary doses of transdermal and oral MHT

I want to care for women using evidence based treatments. We have seen by many examples of what can happen when we don’t study women. Let’s not do this again.

#womenshealth #HormoneTherapy #hearthealth #savingwomenshearts #menopause
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