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February is Heart Health Month and Black History Month — and this conversation matters. In this episode, Dr. Akita (Atlanta) and Dr. Emily (Charlotte) sit down to talk about something we see every day in primary care: Heart disease Chronic stress Health disparities The lived experience of practicing medicine in the South The impact of racism, access barriers, and generational strain on cardiovascular health As two primary care physicians serving urban communities — and as women who have seen these realities affect our own families — we go beyond cholesterol numbers and blood pressure readings. We talk about: • How chronic stress biologically impacts the heart• Cortisol, inflammation, and endothelial dysfunction• Why hypertension is not just about salt• The physiologic toll of “weathering”• Why prevention must include nervous system regulation• What safe spaces in medicine actually look like• Practical strategies to protect your heart in real life This is not just about heart attacks.It’s about environments. Identity. Safety. Access. And agency. Because cardiovascular health is deeply connected to stress physiology — and stress is not distributed equally. If you’ve ever felt dismissed, unheard, or overwhelmed navigating healthcare — this episode is for you. If you are a clinician trying to practice medicine with more context and compassion — this episode is for you. If you are working to break generational cycles of metabolic disease — this episode is for you. Your heart does not live in isolation.It lives in your body.In your story.In your environment. And we are here to talk about all of it.