Hi, I’m Lucy. Welcome to Functional Medicine Associates
Have you tested positive for Apoe4 or been diagnosed with Alzheimer’s Disease (AD), Dementia, MCI, Lewy Body Dementia or one of the other subtypes of AD? The Bredesen ReCODE/reverse or PreCODE/prevention protocol is a comprehensive, personalized, evidenced-based program to address the potential drivers of cognitive decline. I specialize in brain health to prevent and reverse underlying causes of chronic disease.
I will collaborate with your physican to get you accurate diagnosis through advanced cognitive and clinical assessment of your history, labs tests, symptoms along with a report that can reveal root causes – such as inflammation, glycotoxicity, lack of trophic support, vascular issues, trauma, to guide accurate medical treatment.
The Bredesen ReCODE protocol
The Bredesen ReCODE protocol is a comprehensive, personalized, evidenced-based program to address the potential drivers of cognitive decline. What we call Alzheimer’s disease is actually a protective response to a wide variety of insults to the brain: inflammation, insulin resistance, toxins, infections, inadequate levels of nutrients, hormones, and growth factors.
Dr. Bredesen has stated that practitioners and individuals who enlist the support of a health coach are more successful and much more likely to realize sustained results? See the video posted here.
ReCODE is designed for individuals who require more resources to combat cognitive decline. With our specially trained Bredesen practitioners, we can provide quality, precision care to help you reverse existing symptoms. ReCODE is most effective when used as early as possible in the disease process.
- Personalized Steps to Reverse Cognitive Decline
- BrainHQ Brain Training
- Advanced Cognitive Assessments
- Monthly Q&A Opportunities with Dr. Bredesen
- Monthly Town Hall Videos
- A Library of Written and Video Guides for Reversal
- KetoFLEX 12/3 Recipes
- Community Forums
- Track Your Progress with the ReCODE Mobile App
- Prevention & Brain Optimization
PreCODE is intended for individuals who are asymptomatic and interested in prevention of cognitive decline. It was designed for adults of any age with a family history of dementia, with risk factors such as pre-diabetes or inflammation, and for all of us who are over 45 years of age.
- Personalized Steps to Prevent Cognitive Decline
- BrainHQ Brain Training
- Cognitive Assessments
- Quarterly Q&A Opportunities with Dr. Bredesen
- Quarterly Town Hall Videos
- A Library of Written and Video Guides for Prevention
- KetoFLEX 12/3 Recipes
- Community Forums
- Track your Progress with the ReCODE Mobile App
Below are links for participants to sign-up with Apollo Health:
- ReCODE account sign-up: https://app.apollohealthco.com/users/new?program=recode
- PreCODE account sign-up: https://app.apollohealthco.com/users/new?program=precode
When first starting ReCODE, it can feel pretty overwhelming. As your coach and advocate I’m with you every step of the way. I will help you gain confidence to make these changes every day habits. Your old way of eating and living often change pretty dramatically, depending upon your starting place.(Don’t be hard on yourself). Even those that have been using the protocol for a while, still may be struggling to put all of the moving pieces together. To help demystify the “how-to” of the protocol, so that it can become an intuitive blueprint for your life, we’ve created the Bredesen Seven (or B7), which is simply a term to describe the seven main strategies used in the protocol.
The great news is that you needn’t be perfect, and over time, most people report feeling so much better that this way of life becomes self-perpetuating. Indeed, as your mood, energy, health, and cognition all improve, for many, that becomes your motivation.To fully understand the B7 (https://app.apollohealthco.com/guides/intro-bredesen-seven), you need to first have an overview of Dr. Bredesen’s total approach.As a neuroscientist, he’s found that Alzheimer’s results from an imbalance in the neuroplasticity signaling in the brain.
As we age and are exposed to multiple toxic assaults, over time, the damaging forces (synaptoclastic) overtake the repair forces (synaptoblastic) and our brains begin to downsize and function poorly. His goal is to change your biochemistry to provide optimal conditions for your brain to thrive. He accomplishes this by identifying and addressing all of the contributors (or potential contributors) to cognitive decline while concurrently optimizing your overall health to support your cognitive health. So, while nutrition and lifestyle may be secondary to identifying and addressing the main drivers of cognitive decline, they are foundational to treating all of them.
A Picture = 1,000 Words: You’ve often heard that a picture is worth a thousand words. In this case, it might be true.This very simple image breaks down what could be an extraordinarily complex protocol into seven distinct, yet complimentary strategies that create neuroplasticity— the ability of the brain to heal, grow new neurons and synaptic connections, in response to stimuli. Each of the strategies alone has the ability to promote neuroplasticity, but when practiced together, they create a powerful synergy.
Mindfulness is the ability to be fully present in a non-judgmental manner. Instead of ruminating about the past or worrying about the future (which tends to occupy a lot of real estate in many of our brains) it’s an alternative choice to be fully present in the moment. We’ve learned that those who mindfully practice the protocol, make decisions throughout the day that enable them to more successfully practice the protocol. When not being mindful, it’s easy to move into “auto-pilot” and allow our subconscious to take over which can lead to decisions that feel good in the moment but are often not healthy in the long term.
Seven Strategies (B7) to Optimize Brain Health
Apollo Health subscribers have access to in-depth information and step-by-step instructions for all seven strategies. Here’s a brief synopsis of each, presented in order of importance.
- Nutrition: The most effective nutrition for support of brain health and prevention of cognitive decline includes a mildly ketogenic, plant-rich, highly nutritive diet combined with nightly fasting of a minimum of 12 hours with at least 3 before bed. This approach is summarized as the KetoFLEX 12/3 diet—a heavily plant-based, nutrient-dense, whole foods diet, that emphasizes local, organic, and seasonal non-starchy vegetables from every color of the rainbow, combined with an adequate amount of protein, and generous amounts of healthy fat—and utilizes multiple mechanisms to support brain health, such as increased energy (via ketosis), insulin sensitivity, reduced inflammation, improved vascular health, and detoxification. Learn more at NUTRITION: KetoFLEX 12/3 Nutrition Summary.
- Exercise: Increase your movement throughout the day. Avoid sitting for extended periods. Incorporate a daily walk, preferably outdoors, work up to a minimum of 30 minutes. Walk with a purpose, as if you were late to an meeting. Vary your speed and add variation of walking steps. Additionally, adopt a strength training program 3-4 times per week. Exercise increases cerebral blood flow and brain-derived-neurotrophic factor (BDNF), which has important cognitive support effects. Exercise also helps to improve oxygenation, improve sleep, reduce overall stress, optimize BMI (body mass index), improve insulin sensitivity, and improve overall brain and body physiology in numerous ways. Exercise is one of the best ways to protect cognition and is also an important part of the protocol to reverse cognitive decline. See EXERCISE: “Just Do It” for detailed information.
- Sleep: Adopt a sleep hygiene program that allows you to get 7-8 hours of quality restorative sleep every night—without noise, lights, or Wi-Fi. Sleep is vital for memory consolidation and optimal functioning of the glymphatic system to clear cerebral toxins including amyloid-beta. Additionally, sleep promotes metabolic health, reduces inflammation, and upregulates the immune system. Obstructive sleep apnea, and other causes of reduced oxygenation, are emerging as important risk factors for poor cognitive health. Rule these out by checking your nighttime oxygen saturation, which can be done with a continuous pulse oximeter. If you are found to have sleep apnea, continue periodic monitoring to ensure that your treatment is effective. See tips and tricks to optimize your sleep and much more at SLEEP: The Antidote.
- Stress: Stress, especially chronic, unresolved or severe stress, may be a key contributor to cognitive decline. While stress is unavoidable, you can learn to control your reaction to it. We encourage you to adopt a daily stress management practice that could include any of these: mindfulness, meditation, Neural Agility, Dynamic Neural Retraining System, HeartMath, prayer, tai chi, qigong, or yoga. Additionally, you can build daily stress management habits that include time for self-care, not over-scheduling, using lists, unplugging from technology, avoiding multi-tasking, exercising, and getting adequate quality sleep. Learn much more plus tips on how to build stress management habits into your daily routine at STRESS: Just Breathe.
- Brain Stimulation: It’s important to stay mentally active, to “upsize” our brains. Our brains continue to develop new neurons throughout our lives in response to social and mental stimuli as well as healing from trauma or injury . You can upregulate this by staying socially active, building a support system, having a strong purpose in life, and engaging in lifelong learning opportunities. Additionally, even simple pleasures like listening to music and dancing can help to promote new neural pathways. Consider daily brain training to keep your brain challenged. Use Brain HQ or any similar program. Keep it fun and challenging with sessions lasting no longer than 20-30 minutes, 3 times per week. See details and much more at BRAIN STIMULATION: Upsizing.
- Detox: Avoidance of “dementogens”, chemical agents that impact our cognition, is a vital part of optimizing brain health. Ensure that the air you breathe, the water you drink, the home you live in, the food you eat, and the toiletries, cosmetics, and cleaning supplies that you use are as toxin-free as possible. It’s especially important to avoid exposure to mold, which is turning out to be a major contributor to cognitive decline, especially in genetically susceptible individuals. Additionally, practice good hygiene to reduce inflammation and maintain internal intact barriers (gut lining, blood-brain barrier, oral, nasal) as well as external (skin, nails, hair). Oral health, of your teeth, mouth, and lips is emerging as an important opportunity to intervene to protect cognitive health if mercury is high from dental amalgams, you experience frequent cold sores, or have any sign of gum disease. See DETOX: Beware of Dementogens for tips on creating a toxin-free lifestyle while concurrently upregulating your detoxification pathways.
- Supplementation: Supplements are supplemental, but if you’re suffering from a specific nutritional deficiency that affects your cognitive health, they can be a very important contributor to healing. In fact, Dr. Bredesen has specific biomarker goals for the nutrients that are necessary to optimize brain health. Given your unique genetics, level of stress, and other environmental impactors, your need for supplementation may change over time. In general, we find that the longer people practice the protocol —combining a nutrient-dense diet with a healing lifestyle—their need for supplementation decreases. Read Supplements: Are Supplemental! for detailed information about how to use supplements.
Next time the protocol feels overwhelming to you, please remember the B7. It’s just seven simple strategies—a different way of eating, living, and being— that leads to overall health optimization and improved cognition.
8 lifestyle factors that can be the root cause of disease if not managed:
Serving the northern Virginia area including Purcellville, and Loudoun County.
“I am a Bredesen trained physician and know the Bredesen protocol intimately well. I have been implementing it since 2018 in my psychiatric practice. The benefit that a good coach can bring to the patients is invaluable and immensely important. Lucy is one such coach. She listens very well, is supportive, can break things down to smaller, more manageable parts for the patient to implement. She is invaluable to my practice. I am happy to know her and have her as my colleague.”
Amen Clinic Physician