07/30/2026
One of the biggest shifts in Alzheimer's research over the past decade is the recognition that it isn't always driven by a single process.
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This conversation between Dr. Mark Hyman and Dr. Richard Horowitz highlights Lyme disease as one potential contributor for some individuals. Whether or not Lyme is involved, it points to a much larger concept: cognitive decline is often influenced by multiple biological processes occurring at the same time.
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In our practice, we don't assume every patient has the same underlying cause. We investigate potential contributors such as insulin resistance, chronic infections, vascular health, environmental toxicant exposure, nutrient status, sleep quality, previous brain injuries, and other factors that can affect long-term brain health.
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The goal isn't to find the cause—it's to identify the contributors that are present for that individual and determine which ones are modifiable.
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The more we understand why a brain is struggling, the more opportunities we have to intervene.
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What do you think will be the biggest breakthrough in Alzheimer's prevention over the next 10 years?
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