Trudy Scott Anxiety Nutrition Solutions & Every Woman Over 29

Sleep restriction for insomnia – Dr. Breus on the Sleep Success Summit

August 8, 2016 By Trudy Scott 17 Comments

As you probably know, insomnia is often a big issue if you have anxiety and/or depression. I like to address low serotonin, low GABA and low blood sugar for the sleep and mood issues but sleep issues can be caused by so many factors.

The Sleep Success summit addresses so many of these other factors: the adrenals, the thyroid, the gut, hormone health (all of which can impact sleep), plus topics on sleep apnea (and the inflammation connection), MTHFR, autoimmunity, using essential oils, sleep problems we see in kids and so much more.

sleep-summit-speakers

Dr. Michael Breus is the host of the summit and is interviewed by Sean Croxton: “An Interview with The Sleep Doctor.” He shares:

We know that when people aren’t able to stay asleep or fall asleep there is always some type of a mental component, either anxiety or depression (60-70% of the time)

There are just not a lot of people out there treating insomnia other than just prescribing pills and I’m not a big fan of that. Now you have two problems – you have a sleep problem and you have a pill problem.

I learned something new listening to Dr. Breus’ interview. He uses an evidence-based technique called “sleep restriction” to help his patients with insomnia. He says it trains your brain to know when to sleep and it works for about 50% of his patients. When the “sleep restriction” technique isn’t enough he uses cognitive behavior therapy to help with the negative thoughts and worry around the lack of sleep and supplements. He does use medications short-term (a few weeks only) to break the insomnia cycle.

I’m so intrigued by this “sleep restriction” method that I went looking for the research and found this study published just last month: 70% of the women receiving cognitive behavioral therapy for insomnia (CBT-I) said they had no more insomnia after 8 weeks and 84% said they had no more insomnia after 24 weeks!

A randomized clinical trial was conducted among 106 perimenopausal or postmenopausal women aged 40 to 65 years with moderate insomnia symptoms and 2 or more daily hot flashes.

Telephone-based cognitive behavioral therapy for insomnia (CBT-I) – which included sleep restriction, stimulus control, sleep hygiene education, cognitive restructuring, and behavioral homework – was compared to menopause education MEC/ information about menopause and women’s health.

At 8 and 24 weeks, 33 of 47 women (70%) and 37 of 44 (84%) in the CBT-I group, had scores in the no-insomnia range, compared with 10 of 41 (24%) and 16 of 37 (43%) in the MEC group.

Dr. Breus’ expertise is CBT-I and he is new to the naturopathic and nutritional world so we do have some professional differences of opinion, like buying Cosco magnesium (I would suggest looking for a quality product just like I do with all supplments) and avoiding 5-HTP and melatonin (although I do agree we do need to be informed consumers when using them). The good news is that because he’s new to this he does ask great in-depth questions of the experts on the summit.

Other great interviews to check out:

Ben Lynch, ND – Are Your Genes Affecting Your Ability to Sleep?
Izabella Wentz, PharmD, FASCP – Getting to the Root Cause of Hypersomnia and Thyroid Fatigue
Magdalena Wszelaki, HHC – Your Hormones Could Be Affecting Your Sleep
Alan Christianson, NMD – Heal Your Adrenals and Get Better Sleep
Daniel Kalish, DC – How Sleep Influences Functional Medicine
Amy Myers, MD – Sleep, Functional Medicine and Autoimmune Function
Eric L. Zielinski, DC, MPH(c), BA – Sleep and Essential Oils: What’s the Connection?
Emily Fletcher – How Meditation Cured my Insomnia!
David Wolfe – How Your Environment Could Be Affecting Sleep! (Earthing and grounding for better sleep + Analyzing your environment to sleep better)

You can REGISTER HERE

You can PURCHASE HERE (it’s summit special pricing until the summit ends)

I’d love to know if you’ve ever done cognitive behavioral therapy for insomnia (CBT-I) and if it helped you? Is yes did it include all of the following: sleep restriction, stimulus control, sleep hygiene education, cognitive restructuring, and behavioral homework? Please share in the comments.

Reduced anxiety in forensic inpatients – long-term intervention with Atlantic salmon

August 5, 2016 By Trudy Scott 13 Comments

wild-salmon — Wild salmon (picture used with permission: Vital Choice

Seafood is a great source of amino acids, omega-3 fatty acids, zinc, iodine, iron, calcium, selenium, and vitamins B12, A, and D, many of which are beneficial for mood disorders.

Fish in the diet has a positive impact on depression

A number of studies have found that including fish in the diet has a positive impact on depression, especially those that refer to traditional diets (the famous one is by Jacka and colleagues) and the Mediterranean diet (there are a number of studies by Sanchez-Villegas et al). A study from Finland found that the prevalence of depression was lower in countries where consumption of seafood is high.

When it comes to diet and nutrients there is much more research on depression than anxiety, so when my book The Antianxiety Food Solution was published in 2011, I wrote the following:

Given the link between anxiety and depression, it’s possible that seafood consumption could also help reduce the incidence of anxiety.

A study that now shows reduced anxiety with fish consumption

We have a study that now shows this: Reduced anxiety in forensic inpatients after a long-term intervention with Atlantic salmon

In the study, 95 male forensic patients were randomly assigned to one of two groups:

a Fish group where they consumed Atlantic salmon three times per week from September to February OR
a Control group where they consumed other protein sources such as chicken, pork, or beef three times per week, also from September to February

The paper lists the incidence of the following disorders amongst the study participants (all sexual offenders) who were in a secure forensic inpatient facility in the USA:

Personality disorders (antisocial personality disorder, borderline personality disorder or personality disorder with antisocial traits) were diagnosed among 76% of the participants. Moreover, about 31% of the participants were diagnosed with some kind of anxiety disorder (GAD, OCD, PD or post-traumatic stress disorder) and about 18% were diagnosed with depression (major depressive disorder or depressive disorder). About 31% of the participants had both a personality disorder and an anxiety or depressive disorder.

The study findings

The study participants consumed salmon for 6 months and the study findings suggest that

Atlantic salmon consumption may have an impact on mental health related variables such as underlying mechanisms playing a key role in emotion-regulation and state-anxiety

And that

The present results showed that fatty fish consumption caused changes in HRV [heart rate variability] which is regarded as an essential underlying biological mechanism involved in anxiety and emotion-regulation.

A few interesting factors about this study

The salmon was farmed and mercury and dioxin levels were measured. Despite this, mental health benefits and reduced anxiety was observed. I suspect even more favorable results would have been observed had wild salmon been used
The authors mention that a longer intervention as in this study i.e. 23 weeks/6 months is likely to lead to better results than a shorter intervention
The Fish group had a significant increase in both omega-3 fatty acids: EPA and DHA
The authors speculate about how improved vitamin D status in the Fish group may help regulate serotonin production and thereby help regulate heart rate variability and reduce anxiety
The study highlights nutritional benefits of fatty fish other than marine omega-3 fatty acids and vitamin D: selenium, iodine, vitamin B12 and high quality proteins. I’d like to add that it is a source of zinc and iron too, both of which are co-factors for making brain chemicals.
Although the study found a significant decrease in state-anxiety, it did not find any changes in trait-anxiety (here are the differences in state-anxiety and trait-anxiety). The authors suggest that trait-anxiety may be more difficult to change during a 6-month intervention study. I’d like to add that other concurrent nutritional and biochemical interventions would likely have provided additional mental health benefits. This could include: a gluten-free diet, targeted individual amino acids, addressing dysbiosis, addressing high or low histamine, pyroluria and zinc-copper imbalances and so on.

The authors mention a limitation of the study, in that this group of adult male forensic inpatients may make it difficult to generalize the results to other groups in the population and recommend further similar research in children and women.

I look forward to future research but I feel very comfortable about putting this limitation aside for now, especially with the positive results found with this group of patients with very severe symptoms.

I also feel very comfortable extrapolating these results from salmon to sardines and would expect similar beneficial results. I highly recommend selecting wild salmon or wild sardines rather than farmed.

If you suffer from anxiety and stress, or any mood disorder, I hope this research is further motivation to eat wild fatty fish a few times a week. How much fatty fish do you eat each week and have you observed mood or other health improvements?

And if you’re a practitioner, I hope this research is a bigger incentive to continue to recommend fatty fish to your clients or patients.

If you’re looking for some great recipes check out this yummy summer salmon pate recipe and this delicious pomegranate olive mint salsa to serve on grilled salmon. Vital Choice, a wonderful source for great quality home delivery WILD fish, has great recipes on their site too.

Bergamot, lavender and ylangylang for anxiety and high blood pressure

August 4, 2016 By Trudy Scott 23 Comments

The wonderful combination of bergamot, lavender and ylangylang essential oils have been found to lower high blood pressure and reduce anxiety.

The study The effects of the inhalation method using essential oils on blood pressure and stress responses of clients with essential hypertension was published in 2006 and looked at 52 people who were anxious and stressed, and had high blood pressure.

The participants were placed in an essential oil group, a placebo group, and a control group by random assignment.

The essential oil group used aromatherapy inhalation by blending lavender, ylangylang, and bergamot essential oils once a day for 4 weeks.

To evaluate the effects of aromatherapy, blood pressure and pulse were measured two times a week and serum cortisol levels, catecholamine levels, subjective stress, and state anxiety were measured before and after treatment in the three groups.

Here are the results of the study:

The blood pressure, pulse, subjective stress, state anxiety, and serum cortisol levels among the three groups were significantly statistically different.

The results suggest that the inhalation method using essential oils can be considered an effective nursing intervention that reduces psychological stress responses and serum cortisol levels, as well as the blood pressure of clients with essential hypertension.

They did not see any significant differences in catecholamine levels among the three groups but keep in mind this was only a 4-week study. And to see those other results in just 4 weeks is very encouraging! A simple intervention and yet very profound.

Dietary changes and amino acids and other nutrients are my go-to approach for anxiety but I’m finding more and more of my clients benefit with the addition of essential oils.

Essential oils are also very beneficial in the following instance where amino acids and other supplements can’t be taken or are not tolerated:

Young children (inhalation aromatherapy and creams/lotions work well here)
Older adults (creams/lotions work well when there is loss of smell with dementia or Alzheimer’s disease)
Someone going through benzodiazepine withdrawal and is too sensitive for supplements or can only tolerate small amounts

I talk about this research and other essential oils for anxiety and stress in the upcoming Essential Oils Revolution 2 summit which runs August 22 to 29. I’m thrilled to be part of this event!

People all over the world are scrambling to find the answer to health problems like diabetes, pain, chronic fatigue, anxiety, estrogenic cancers and more. Millions are turning to natural solutions and many have experienced great success with essential oils. Learn if oils could be the missing ingredient for you and your family! What you will gain from this event:

Why essential oils are truly nature’s best medicine
How to use essential oils safely and effectively
Tips for regaining control of your health
Home recipes, guides, safety protocols and best practices
And so much more!

More than 165,000 people joined the 2015 Essential Oils Revolution. This year, the experts in aromatherapy, medicine and research will deliver in-depth discussion, debunk common myths and help you learn about the possibility of regaining your health using essential oils.

I can’t wait to learn more and hope you’ll tune in too. Here is the registration link:
https://qt247.isrefer.com/go/EOR16reg/trudyscottcn/

Let’s get the conversation started now. Feel free to share which essential oils you use for anxiety and stress? And how do you use them?

Essential oils for dementia, agitation, anxiety on the Alzheimer’s & Dementia Summit

July 31, 2016 By Trudy Scott 6 Comments

One of the excellent speakers, Eric Zielinski, DC, MPH(c) is interviewed on the Alzheimer’s & Dementia Summit. He’s fondly known as Dr. Z and I love everything he shares about the simplicity and power of essential oils (and all the research).

The topic of his interview is “Best Essential Oils for Brain Health”, dementia and Alzheimer’s disease – but as you will hear these essential oils also help with anxiety, agitation, insomnia and social withdrawal.

One aspect that I find very interesting is the discussion about aromatherapy versus using essential oils in lotions with those with dementia and Alzheimer’s disease. The latter is more effective because of the loss of sense of smell with advanced dementia.

Here are some of the gems he shares (from Professor Elaine Perry’s paper: Aromatherapy for the treatment of Alzheimer’s disease:

Lemon balm (Melissa) lotion was applied to the face and arms of 36 patients, whilst another 36 patients had sunflower oil applied. Melissa was associated with highly significant reductions measured on an agitation inventory and social withdrawal, together with an increase in constructive activities (dementia care mapping).

In a trial involving 122 non-demented patients in intensive care, massage aromatherapy using lavender oil was well received, the greatest improvements being in mood and reduction in anxiety.

In another trial, lavender, geranium and mandarin essential oils in an almond oil base were applied to the skin of 39 patients over an unspecified period. This resulted in increased alertness, contentment and sleeping at night; and reduced levels of agitation, withdrawal and wandering.

I’m so pleased Dr. Z talks about antipsychotics and how a number of studies have shown a reduced need for these medications when using essential oils.

This interview and other interviews on the Alzheimer’s & Dementia Summit are well-worth tuning in to. They represent a unique opportunity to discover how to prevent, slow down and even reverse (yes reverse!) the symptoms of Alzheimer’s disease and dementia.

I say “yes reverse!” because I received this concerned question from someone in my community

It’s a big claim to say you can reverse Alzheimer’s, especially to those of us sensitized to the issue because of a very ill parent. On what studies or peer-reviewed research do you and your colleagues rely? Do you mean when someone is so far along that they are unable to communicate effectively? How would you find the “root cause” then? I am interested in alternative approaches but sometimes the claims seem to veer toward irresponsible

I feel for this concerned caregiver and her question is very valid because we have been led to believe that Alzheimer’s disease cannot be reversed. I only share information I have vetted and always make sure it is research-based and this summit is no exception, even when someone can no longer communicate effectively. Simply using essential oils in a lotion is a wonderful start. Getting the testing that Dr. Bredesen recommends would be the next step. There really is SO much that can be done!

Here are some of my other favorite interviews:

Christopher Shade PhD – Brain Defense: What to Do About Heavy Metal Toxicity
Niki Gratrix – Dementia Warning: Uncovering the Threat of Emotional Stress
Nadine Artemis – Protecting the Brain: Why You Should Care About Oral Health
Datis Kharrazian, DHSc, DC, MS – Dementia Solutions: Overlooked Therapies Revealed
Dale E. Bredesen, MD – Reversing Alzheimer’s Disease: A Comprehensive Approach (read more here and see his research)
David Minkoff, MD – Link Between Lyme Disease and Alzheimer’s

These interviews also provide a resource for you if you are just starting to notice that your own memory and focus is not quite what it used to be, if you have low motivation, if you suffer from brain fog and if you have anxiety and/or insomnia.

Today is the last day of the Alzheimer’s & Dementia Summit and REPLAYS of all the speakers will be tomorrow Monday August 1. You can still register here:
https://qt247.isrefer.com/go/ALZ16reg/trudyscottcn/

Prices will increase after the final REPLAY DAY that so if you know you want to purchase the series, now is the time. This is one summit I highly RECOMMEND purchasing! Here is the order link:
https://qt247.isrefer.com/go/ALZ16order/trudyscottcn/

If you have questions or feedback please feel free to post them in the comments.

PS. If you enjoyed this information and interview and want to learn more about essential oils, don’t forget that Dr. Z is hosting The Essential Oils Revolution 2 online from August 22-29. You can register for this one now.

GABA the calming amino acid: common questions I get asked

July 29, 2016 By Trudy Scott 53 Comments

GABA is the main calming neurotransmitter and the amino acid GABA is wonderful for boosting low levels of GABA and thereby eliminating physical anxiety, tension, panic attacks and overwhelm. It can also help reduce pain and insomnia. I get asked great questions about GABA on the blog all the time and here are some common questions that you may find helpful.

GABA, new found peace and do I need more at different times of my cycle?

I have taken your recommendations I heard you speak about on your most recent Anxiety Summit about GABA – and have been experiencing some new found peace that I thought was forever lost to me. It has been truly wonderful! Thank you!

I have a question – in your experience, have you found that different levels/amounts of GABA were needed at different times in a woman’s cycle? I would be interested to know if there is any research or observational data related to GABA receptors and how they are affected by the hormonal ups and downs – AND how to respond to that with supplementation and/or food and lifestyle adjustments.

Here is my response: I love this – new found peace! GABA is closely related to progesterone which we know fluctuates during our cycles so for some people mirroring this can help even more i.e. some of my clients find it’s beneficial to take extra GABA just before their period or earlier if their anxiety symptoms increase. I have them use their symptoms to guide increasing and decreasing their GABA.

Here are two studies that support this connection in women with premenstrual dysphoric disorder and women who are perimenopausal:

Alterations of GABA and glutamate-glutamine levels in premenstrual dysphoric disorder

Increasing evidence has suggested that the GABAergic neurotransmitter system is involved in the pathogenesis of premenstrual dysphoric disorder (PMDD) … dysregulation of the amino acid neurotransmitter system may be an important neurobiological mechanism in the pathogenesis of PMDD

Ovarian hormone fluctuation, neurosteroids, and HPA axis dysregulation in perimenopausal depression: a novel heuristic model

failure of the GABAA receptor to regulate overall GABA-ergic tone in the face of shifting levels of these neurosteroids may induce HPA axis dysfunction, thereby increasing sensitivity to stress and generating greater vulnerability to depression.

I have not seen any research on GABA supplementation in the second half of the cycle (luteal phase) but recently blogged about how tryptophan helps PMS symptoms of anxiety, tension and irritability.

I write about GABA, pyroluria and low cholesterol in this same blog.

A question about GABA, tyrosine and other neurotransmitter imbalances

GABA Calm – who can take this as it has tyrosine? Can someone with low serotonin or high serotonin take this? Or is it best to take straight GABA for those who are not meant to take tyrosine. Can a person who has low GABA have other neurotransmission issues i.e. high dopamine or low serotonin?

Here is my response: The GABA Calm (by Source Naturals) has a very small amount of tyrosine so unless it’s contraindicated it’s the one I use with most of my clients. You would not use it if you have melanoma or Grave disease and would watch carefully if you have high blood pressure or migraines. You can read all the amino acid precautions here.

Many people with low GABA levels may also have signs of the other low neurotransmitters. The best way to figure this out is to do the amino acid questionnaire and do a trial of the relevant amino acid.

You mention high serotonin and high dopamine so I’m guessing you have had the urinary neurotransmitter test done. I’d like to share that I don’t place much value in urinary neurotransmitter testing and prefer to have my clients do a trial.

A question about migraines and getting a red flush with GABA

I’ve had lifelong migraines along with anxiety and depression that have waxed and waned. I’d like to try the aminos and curious if you have any special recommendations or contraindications for migraine with aura.

I’ve tried GABA in the past but ended up with a red flush like a niacin flush. Any ideas on why that might have happened? I suspect maybe the dose was too high. I wanted to try the GABA Calm since it has a low dose of GABA but I’m not sure if tyrosine is a potential migraine trigger.

Would love a little enlightenment on all the above so I’m not so gun shy and doing more harm than good.

Here is my response: Tyrosine is an issue with migraines and I avoid it with clients with a lifelong history of them especially if they are still having them (please see the precautions). If they choose to try a product with tyrosine they simply stop if a migraine is triggered.

Too much GABA can cause a flush and breathlessness. I find this to be the case when 500mg or 750 mg and above is used to start. I have my clients start on the 125mg found in GABA Calm and slowly build up.

When GABA Calm can’t be taken, opening a capsule of a GABA-only product is what we do. You can find the GABA/theanine products I use here. Some of my clients are pixie dust people and need 1/10th of capsule or 200mg GABA so starting low is important for everyone but even more so if you have had a reaction in the past.

I blogged about the large variation in GABA dosing here.

Don’t forget that 1000mg of vitamin C can help to negate the effects of an amino acid. Hopefully this will give you more confidence to do a trial.

A question about insomnia with SIBO/candida and GABA and 5-HTP

What do you do or recommend for people with SIBO/ yeast Overgrowth and can’t sleep well as a result (can’t stay asleep)? I have played with 5-HTP and GABA in the past, but they seemed to have the opposite effect (caused more insomnia). I have read that with overgrowth issues, these products can travel down the wrong metabolic pathway. Have you found this in your clients?

Here is my response: The amino acids will only help with sleep if neurotransmitters are low i.e. GABA will help if GABA is low, 5-HTP or tryptophan will help if serotonin is low. There is actually a great study that shows that a combination of GABA and 5-HTP may help insomnia.

If they are making sleep worse I’d wonder if doses are too high, and I’d look at quality and fillers. I’d also do a trial with tryptophan as 5-HTP can be an issue with high cortisol and this could impact sleep.

Tryptophan can convert to quinolinic acid without the correct co-factors, so taking zinc, curcumin and B vitamins etc. are important. Some people find the Lidtke Tryptophan Complete to be more helpful that the 500mg Tryptophan if they don’t have the co-factors as part of their current protocol.

It goes without saying that foods that make SIBO and candida symptoms worse should be avoided as they may cause bloating and would keep you awake.

With insomnia I’d also look at the following: low blood sugar, parasites, high cortisol, gluten, being on the computer, prior or current benzodiazepine prescriptions.

Resources if you are new to using the amino acids as supplements

If you are new to using any of the amino acids as supplements, here is the Amino Acids Mood Questionnaire from The Antianxiety Food Solution (you can see all the symptoms of neurotransmitter imbalances).

If you suspect low levels of any of the neurotransmitters and do not yet have my book, The Antianxiety Food Solution – How the Foods You Eat Can Help You Calm Your Anxious Mind, Improve Your Mood, and End Cravings, I highly recommend getting it and reading it before jumping in and using amino acids on your own so you are knowledgeable. And be sure to share it with the practitioner/health team you or your loved one is working with.

There is an entire chapter on the amino acids and they are discussed throughout the book in the sections on gut health, blood sugar control, sugar cravings, self-medicating with alcohol and more.

The book doesn’t include product names (per the publisher’s request) so this blog, The Antianxiety Food Solution Amino Acid and Pyroluria Supplements, lists the amino acids that I use with my individual clients and those in my group programs.

If, after reading this blog and my book, you don’t feel comfortable figuring things out on your own (i.e. doing the symptoms questionnaire and respective amino acids trials), a good place to get help is the GABA Quickstart Program (if you have low GABA symptoms). This is a paid online/virtual group program where you get my guidance and community support. There are many moms in the program who are having much success with their kids.

If you are a practitioner, join us in The Balancing Neurotransmitters: the Fundamentals program. This is also a paid online/virtual program with an opportunity to interact with me and other practitioners who are also using the amino acids.

With much appreciation for these women for sharing their stories and allowing me to provide my insights for them and you. We all have much to learn from each other.

Can you relate to any of these questions and have some of these GABA adjustments helped you?

If you have questions please share them here too.

(Most recent updates: June 24, 2022)

Alzheimer’s disease, mercury and mycotoxins: Dr. Dale Bredesen

July 25, 2016 By Trudy Scott 13 Comments

APOE4 and alzheimers

It really is possible to prevent, slow down and even reverse the symptoms of Alzheimer’s disease and dementia. As with all conditions, be it Alzheimer’s disease or anxiety or depression or PMS (or whatever health condition you have), you always want to get to the root cause/s and address this. The wonderful thing is that by addressing the root causes you can expect to see improvements in all conditions, including Alzheimer’s disease.

Dr. Dale Bredesen is one of the speakers at the Alzheimer’s & Dementia Summit available online from July 25 – August 1.

alzheimers-summit-day3

The interview with Dr. Dale Bredesen, “Reversing Alzheimer’s disease: a Comprehensive Approach”, covers the different types of Alzheimer’s disease and how in his research they look at over 100 different metabolic factors:

Type 1 Alzheimer’s disease (the inflammation type) – people typically have inflammatory markers such as high HS-CRP, IL-6, TNF alpha
Type 2 Alzheimer’s disease (the atrophic type) – there is no increase in inflammation but rather a decrease in many factors like estradiol to testosterone to vitamin D to nerve growth factor to BDNF, all required to support the neuronal network
Type 1.5 Alzheimer’s disease (the glycotoxic type) – it has some of type 1 and some of type 2, and people have type 2 diabetes or pre- type 2 diabetes. They have inflammation and insulin resistance
Type 3 Alzheimer’s disease (the toxic type) – people have a toxic illness caused by something like mycotoxins or high levels of mercury. We make amyloid because it’s anti-microbial and it will destroy biofilms by pulling out the metals and then killing the microbes

Dr. Dale Bredesen makes this very profound statement about Alzheimer’s disease:

the making of this amyloid is actually a protective response to different metabolic and toxic perturbations. The idea of getting rid of the amyloid only makes sense if you first understand why it’s there and get rid of the cause or causes…we’ve identified 36 different causes that can contribute to this…when you fix that, it’s fine to get rid of the amyloid

He talks about:

the APOE4 gene and the increased risk for Alzheimer’s – if you have one copy your risk is 30%, if you have two copies your risk is 90% [I’d like to add to this: there is also an increased risk for anxiety/depression with this gene and a strong correlation between mood issues and Alzheimer’s disease]
why it’s important to know your genetic risk so you can take steps to prevent it and correct metabolic imbalances
the role of leaky gut, chemicals/toxins we inhale through the nose, microbes, viruses, fungi, gum disease, Lyme disease

He shares many of the metabolic and functional testing that he recommends and covers how his study participants with a 90% risk of Alzheimer’s have been able to reverse the memory/dementia decline in 3- 6 months. You can read more about his research here – Reversal of cognitive decline: A novel therapeutic program

There is no one size fits all approach and we need a personalized approach, so you need to address one or more of the 36 factors/causes that pertain to you. Dr. Bredesen says this:

I do believe health coaching is going to be critical for the future as we shift from a monotherapeutic approach to a programmatic approach

You can register here: https://qt247.isrefer.com/go/ALZ16reg/trudyscottcn/