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The Doctor's Farmacy · August 19, 2026 · 1h 12m
Don't Wait for Alzheimer's — A Neurologist's 30-Year Plan to Protect Your Brain
Dr. Mark Hyman interviews neurologist David Perlmutter about protecting the brain decades before symptoms appear. Perlmutter explains that Alzheimer's pathology begins long before memory slips, and that daily choices can steer brain immune cells toward a protective state. He outlines key numbers to monitor—like fasting insulin, blood sugar, and waist-to-hip ratio—and details how food, exercise, sleep, gut health, and environmental toxins shape long-term brain health. Emerging research shows that cognitive decline can be slowed and even reversed with the right interventions.
This summary was generated from show notes and public descriptions, not from a full transcript review. Details may contain inaccuracies.
Preview
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Perlmutter stresses that the brain changes leading to Alzheimer's start decades before memory loss, making midlife the critical window for prevention.
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Perlmutter describes how microglia, the brain's immune cells, can shift between a protective, anti-inflammatory state and a damaging, pro-inflammatory one—and that daily habits decide which path they take.
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