Dr. Majid Fotuhi

We go with the principles of neuroplasticity, which means your brain has a capacity to grow and rewire at any age.

And the lifestyle interventions are simple but powerful.

And you need to have a systematic approach to establish what are things for individual patients and then

provide treatment for them based on their specific issues.

And as you said, because people have multiple issues, the treatment needs to be multidisciplinary.

We know this about the heart.

If somebody has a heart disease, you're not just gonna check the cholesterol and fix the cholesterol and expect that they will get better.

You're not gonna just take care of the high blood pressure, fix the high blood pressure and expect that they get better.

You wouldn't take care of their sleep apnea

and just say, we're gonna fix that sleep apnea and everything gets better.

You need to have a multidisciplinary approach to prevent heart attacks and if somebody has a heart disease to make them get better.

Same principles apply to the brain.

There are three stages in cognitive decline as people get older.

There's a stage called age-associated memory impairment.

This is when you forget your keys, you may miss an appointment, you send someone an email and you don't remember that you sent that email, or you were in a meeting and you said something and people took notes and you don't remember saying that.

These are the things that can happen as people grow older.

And there are usually very easy fixes for them.

It could be lack of sleep.

It could be working too much.

It could be tiredness.