05: Midlife Heart Health: Dr. Daniel Chong on When to Start Testing and Why

"It [cardiovascular disease]  becomes an issue in middle age because that's when they start looking, not because that's when it starts." —Dr. Daniel Chong Heart disease and midlife are more connected than most people — or their doctors — realize, and this episode of Essential Ingredients pulls that connection into the open. Justine Reichman sits down with naturopathic physician Dr. Daniel Chong and returning co-host Dr. Lisa Brent to unpack why cardiovascular risk quietly rises for both men and women in midlife, and why so few people are told to watch for it until it's already underway. This conversation is for anyone in perimenopause, menopause, or andropause who's been handed a cholesterol number without context, or who's simply never been told when to start paying attention. Dr. Chong breaks down lipid testing, arterial plaque, nitric oxide, and even the surprising role your dentist plays in your heart health — all in plain, usable language. By the end, you'll understand that cardiovascular disease isn't a midlife event — it's a decades-long process that just happens to get noticed in midlife, and that the actions you take starting this week can change its trajectory. Key Takeaways: Plaque development in the arteries can begin in childhood or even before birth, so family history matters far more than age when deciding when to start testing. A single elevated LDL reading isn't enough to justify a statin prescription — triglyceride-to-HDL ratios and more detailed testing give a fuller picture. Gum disease and harsh antibacterial mouthwash can disrupt oral bacteria needed to produce nitric oxide, which directly affects artery health. Dark leafy greens, berries, garlic, and onions support nitric oxide production and should be eaten daily, regardless of what else is on the plate. Movement spread throughout the day — not just a single workout — meaningfully lowers cardiovascular risk on its own. Around age 35–40 is a reasonable starting point for a fasting lipid panel if there's no strong family history pushing that number younger. Listen to the full episode for the complete breakdown of lab testing, imaging, and diet strategy Dr. Chong uses with his patients:  https://tinyurl.com/Essential-Ingredients-Podcast  Meet Daniel:  An expert in cardiovascular health, Dr. Daniel Chong is a licensed naturopathic physician with over two decades of experience. He earned his doctorate from the National University of Natural Medicine in 2000. Dr. Chong specializes in preventing and reversing cardiovascular disease using drug-free strategies, defining himself as a "nutritional angiologist." He holds advanced certifications in cardiometabolic medicine and the Bale-Doneen Method for heart attack prevention. Dr. Chong helps patients optimize arterial health through advanced risk assessment, lifestyle medicine, and nutrition at his Vital Human telehealth practice and Portland clinic.  Website Facebook  LinkedIn Instagram Meet Lisa:  Dr. Lisa Brent is a licensed naturopathic doctor and acupuncturist specializing in women's health. With a commitment to holistic and patient-centered care, she integrates primary care training with expertise in lifestyle medicine, nutrition, bioidentical hormone therapy, and gut health. Dr. Brent is dedicated to empowering her patients through education, individualized wellness strategies, and compassionate support. She is the founder of Be Well Natural Medicine, hosts educational events such as the Women's Health Symposium, and provides care both in-person and via telehealth. Website Instagram Facebook Connect with NextGen Purpose: Website Facebook Instagram LinkedIn YouTube Podcast Chapters: 00:32 The #1 Cause of Death for Women Nobody Talks About 02:14 Meet Dr. Daniel Chong: Cardiovascular Expert 04:17 Why Heart Disease Risk Rises in Midlife 06:02 When