Perimenopause is apparently the perfect time to start worrying about dementia, cholesterol, hearing aids, and whether your brain is quietly packing its bags. This episode of OvaryActive is part 2 of the conversation with Dr. Ayesha Sherzai of the Brain Docs. Dr. Rebecca Dunsmoor-Su and Dr. Amy Voedisch are talking with Dr. Sherzai all about dementia prevention, brain health, and the deeply rude realization that the "boring stuff" might actually matter. This episode picks up with the Lancet Dementia Commission report and the 14 modifiable risk factors linked to dementia, including hearing loss, high LDL cholesterol, depression, diabetes, smoking, physical inactivity, hypertension, obesity, social isolation, vision loss, and more. Dr. Sherzai explains why midlife is such an important window for prevention, how hearing aids are no longer giant beige Lego pieces, and why statins deserve a much better PR team. Listeners will learn what really helps reduce dementia risk, what to know about APOE4 genetic testing, and why menopausal hormone therapy should not be started for dementia prevention alone. The conversation also goes over brain health supplements, the limits of "natural" wellness claims, and why expensive pee is not a long-term cognitive strategy. What you'll hear in this episode: [0:53] Lancet Report explained [5:50] 14 risk factors [7:57] Midlife window shift [9:15] Hearing loss breakthrough [14:18] Reading and APOE [16:57] APOE and LDL [21:30] Statins for prevention [24:30] Hormones and dementia [29:52] Social media hype [32:52] Supplements reality check Links: thebraindocs.com Find the Brain Docs on Instagram: @thebraindocs Find the Brain Docs on Facebook: @BrainDocsFB Find the Brain Docs on YouTube: @theBrainDocs Purchase The NEURO Plan Playbook: thebraindocs.com/playbook Follow the show @OvaryActive Instagram | YouTube | perimenopausedrs.com/ovaryactive Estrogen, Interrupted by Dr. Rebecca Dunsmoor-Su & Dr. Amy Voedisch Meet the Docs: More information about Dr. Rebecca Dunsmoor-Su: Gennev: www.gennev.com/clinician/dr-rebecca-dunsmoor-su LinkedIn @rebecca-dunsmoor-su More information about Dr. Amy Voedisch: Stanford Medical Clinic: stanfordhealthcare.org/doctors/v/amy-voedisch.html This episode was produced by Audiotocracy Podcast Production.

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“What did the council decide on item 42?” — answered with the speaker and the moment.

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