
CHECK YOUR BRAIN

BRAIN HEALTH & DEMENTIA RISK
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Measure the reserve while there is still time to act
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Dementia is named at the end of a long process. By the time memory changes are obvious to everyone, much of the change in the brain has already happened. The years before that are what we call The Silent Gap™: a 10 to 25 year window in which the drivers are measurable, and many of them are modifiable.
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Dr. Anvekar built the Silent Gap™ Detection System after finding that pattern in her own mother’s medical records, at least 17 years before her dementia diagnosis. Every finding had been in the chart. Each one had been dismissed on its own.
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WHAT WE MEASURE
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A brain health assessment at Living Method is not a single memory test. It scores ten domains that research links to cognitive aging, so we can see the pattern rather than one number:
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Brain Performance & Cognitive Aging
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Metabolic & Glycemic Stability
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Inflammation & Immune Aging
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Mitochondrial Energy & Oxidative Stress
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Sleep, Circadian Rhythm & Recovery
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Cardiovascular & Vascular Aging
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Hormonal & Neuroendocrine Balance
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Physical Function, Strength & Mobility
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Lifestyle, Purpose & Cognitive Reserve
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Risk Behaviors, Environment & Health Engagement
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Depending on your membership, that can include cognitive testing, advanced blood biomarkers, VOâ‚‚ max testing, DEXA body composition, sleep and recovery review, hormone panels and an environmental exposure history.
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WHO THIS IS FOR
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A parent, grandparent or sibling with Alzheimer’s or another dementia
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Family history of early cognitive change
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“Normal” labs alongside brain fog, word-finding trouble or slower recall
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A history of head injury, sleep apnea, metabolic syndrome or long-term poor sleep
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The menopause transition, when cognitive symptoms often first appear
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Anyone who wants a baseline while everything still looks fine
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WHAT THE RESEARCH SUPPORTS
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The 2024 Lancet Commission on dementia identified 14 modifiable risk factors across the life course, and estimated that addressing them could theoretically prevent or delay around 45% of dementia cases at a population level. Those factors include hearing loss, high blood pressure, diabetes, obesity, physical inactivity, smoking, excessive alcohol, depression, social isolation, head injury, air pollution, high LDL cholesterol, untreated vision loss and less education in early life.
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That is a population estimate, not a promise for any one person. No assessment, and no program, can prevent dementia. What measurement does is show which of those factors are active in you now, while there is still time to act on them.
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WHAT AN ASSESSMENT INCLUDES
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Brain health is assessed inside a Silent Gap™ Assessment, included in our Roadmap and Optimize memberships. You are retested twice a year, so you can see exactly what is changing.
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You leave with your ten domain scores, the one or two domains we are treating first, a written plan, and a date to retest.​
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FREQUENTLY ASKED QUESTIONS
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Can dementia be prevented?
No one can promise prevention. Research suggests that a meaningful share of dementia risk is linked to factors that can be measured and changed, and that acting earlier matters more than acting later.
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Is this just a memory test?
No. Cognitive testing is one of ten domains. Most of what drives cognitive aging shows up first in metabolism, vascular health, sleep, inflammation and hormones.
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How early should I start?
Most patterns we find begin between 35 and 55. If a parent or sibling has dementia, start now regardless of age.
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Do you diagnose dementia?
No. We assess risk patterns and treat what is modifiable. If evaluation for a diagnosis is appropriate, we refer to neurology.
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How often do I repeat it?
Twice a year, as part of your membership. A single score is a snapshot; the value is in the trend.
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Does insurance cover it?
We bill what we can to insurance - Quest labs, imaging, prescriptions - to keep the assessment costs down. The assessment is self-pay and is generally HSA and FSA eligible, and we provide a letter of medical necessity where appropriate. Some individual tests may be billable to insurance. Your actual cost may be higher than the membership fee if you have no insurance or an insurance that can not be billed by Quest or LabCorp.
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SEE THE PATTERN BEFORE THE DIAGNOSIS
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Ten scores. One day of testing. Retested twice a year, for life.
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Brain health assessment measures risk-related patterns and does not diagnose, treat, cure or prevent Alzheimer’s disease or any other dementia. Individual results vary. Evaluation, referral or additional testing may be recommended.
