My practice is modeled after dementia prevention and stroke prevention clinics. I see people before they have these conditions, maybe because they have a family member with dementia or stroke and are motivated to take steps to prevent disease or because they have read popular books like Peter Attia's Outlive: The Science and Art of Longevity and realize the enormous impact early steps can make in preventing chronic diseases. 

I offer a comprehensive evaluation of metabolic health, cardiorespiratory fitness, sleep, and stress management through lab testing and interpretation, imaging, cognitive testing, consideration of wearable device utilization, and motivational interviewing to understand your dementia and stroke risk factors. We work together to tailor a gradual lifestyle change to reduce risks of dementia and stroke. 

There is increasing evidence that our lifestyle choices affect out risk of developing dementia and stroke. We have made wonderful strides in prevention of heart disease through the knowledge gained in the Framingham Heart Study and our understanding of the nuances in heart disease risk factors continues to grow. High blood pressure and high cholesterol are directly linked to the plaque formation and eventual risk of heart attack. And importantly, large studies show treating high blood pressure and reducing cholesterol, reduce your risk of having a heart attack. The good news is that many interventions that reduce heart attack also help prevent stroke.

Similarly, to follow up on studies that have identified risk factors for dementia, investigators have taken on the challenge of showing that modifying risk factors can reduce the risk of developing dementia.  The FINGER study (https://fbhi.se/the-finger-study/) and the Alzheimer’s prevention clinic at Cornell (https://pubmed.ncbi.nlm.nih.gov/31677936/) have shown that individualized interventions can risk of dementia among people at risk of developing Alzheimer’s.

No. I do not bill your insurance company. All consultation and collaboration appointment fees are due within 24 hours of the appointment. 

Even before our first visit, I will send you intake forms to get information about previous doctors you have visited so I can request your health records and start putting together your complete health history. Our first visit will be a 75-minute visit including a comprehensive interview about all aspects of your health and lifestyle. We will measure your blood pressure, weight, height, hand grip strength, and baseline cognitive performance. During the first session, I will focus on providing recommended lab and imaging tests to allow us to fully characterize your metabolic health (glucose metabolism, cholesterol, body composition, etc). We’ll talk about each test so you understand what we’re ordering and why. This also gives us the chance to discuss steps we can take to address any out of range results that we may see.