Everything's Messy Podcast by Sarah Wilson
Life is messy! So let's get messy and talk about everything in life and how we don't always know what to do but we can have fun and get messy going through it together.
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Everything's Messy Podcast by Sarah Wilson
#133 Strong Women Still Have Heart Attacks – Part 2
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CRP, ApoB & What Your Labs Might Be Missing
In Part 1, I talked about the uncomfortable truth: strong women still have heart attacks. We talked about stress, nervous system overload, overtraining, inflammation, and the identity trap of being the woman who “handles it all.”
Now in Part 2, we get tactical.
Because awareness without action doesn’t protect your heart.
As a heart attack survivor, I can tell you this — heart disease is not just about cholesterol. It is deeply connected to inflammation and metabolic health. And there are lab markers many women are never told to ask for.
Let’s start with CRP.
CRP stands for C-Reactive Protein. It’s essentially a smoke detector for inflammation in the body. If your CRP is elevated, something is irritating your system. It doesn’t tell you exactly where the problem is — but it tells you there is one.
And inflamed arteries are not resilient arteries.
Heart disease is largely an inflammatory process. You can look lean. You can be lifting weights. You can have “normal cholesterol.” But if your CRP is elevated, your cardiovascular system may still be under strain.
Then we move into ApoB.
ApoB measures the number of artery-damaging particles in your bloodstream. Not just how much cholesterol is inside them — but how many particles are circulating.
That matters.
Because plaque risk is more closely tied to particle number than cholesterol content alone.
You can have LDL that looks “fine” on a standard panel, but if ApoB is elevated, your risk profile changes.
We also touch on fasting insulin — one of the most overlooked markers in women’s heart health. You can have normal glucose and A1C and still have elevated insulin, which signals early metabolic dysfunction and increased inflammatory signaling.
Heart disease often starts metabolically long before it becomes structural.
This episode is not about fear. It’s about ownership.
It’s about asking better questions.
It’s about understanding that strength is not just how much you can lift — it’s how well you protect your heart.
If you are the strong one, the capable one, the woman who pushes through exhaustion — this conversation is especially for you.
Your body whispers before it screams.
Listen closely.