Conversation: The conversation between human and AI assistant.
[|Human|] I am 48, female, 54, 130 pounds (down from 140), BP 110/60 and have normal cholesterol. I have fatigue, light headedness, almost a dizzy feeling randomly and recently my doc heard a murmur.  Echo and ENT visit were normal.  Can carotid artery disease still occur with normal cholesterol and BP?
[|AI|]  Thanks for your question on Chat Doctor. I can understand your concern. Yes, carotid artery d can occur with normal cholesterol and blood pressure. So better to get done carotid Doppler first. If it is normal then no need to worry much. In my opinion, your symptoms are mostly due to post menopausal hormonal changes. After the age of 50 years, females tend to develop mood swings, easy navigability, dizziness etc. So better to consult gynecologist and get done hormone levels to rule out hormonal imbalance. You may need supportive hormone replacement therapy (HRT). Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.