08/25/2026
A call to my fellow Geriatric Millennials, Gen Xers, and young Boomers who are thinking seriously about their brain health.
As a brain aging specialist, I’ve found myself pushing back more and more when my colleagues say, “It won’t change management.” In medicine, that usually means: even if we learn that someone has increased risk for Alzheimer’s disease, there may not yet be a specific medication we would start or a standard medical treatment we would change. So why test? Why look? Why know?
But I think that definition of “management” is far too narrow. Because if the only things that count as action are prescriptions and procedures, then yes, there may appear to be very little to do before memory loss begins. Exercise. Eat well. Stay socially and cognitively active. Control your blood pressure. Come back if something changes.
Since founding BrainLove, and having the freedom to think differently about this, I’ve become increasingly convinced that this seriously underestimates both what we can do and what people are capable of understanding. People are smarter, more curious, and more willing to engage with uncertainty than we often give them credit for. They can understand that science is still evolving, that risk is almost never destiny, and that some answers will be imperfect. And they can still say: I want to know what we know. I want an expert to help me understand what actually matters, and I want to make thoughtful decisions about the next 10, 20, or 30 years of my life.
That is why I am excited to announce the BrainLove Proactive Brain Health Program!
We look beyond a generic “brain healthy lifestyle” and consider cardiometabolic health, sleep, stress, genetics, cognitive performance, brain structure and integrity, medications, mindset, and, when appropriate, emerging Alzheimer’s biomarkers.
Then comes the most fascinating and most challenging part: putting all of it together, communicating it in a way that can be understood and used, and determining what kind of structure and support a person needs to make meaningful changes sustainable. Large prevention studies like U.S. POINTER are reinforcing that knowing what to do is not the same as having the support to actually do it.
BrainLove is not offering a generic longevity protocol, a stack of supplements without good evidence, or an isolated Alzheimer’s blood test without considering pre-test probability, context, and limitations. We are piloting an expert physician-led team program around different questions: What actually matters for this particular person? What deserves attention now? What can safely be left alone? What should we monitor over time? And what might change as the science changes?
If that sounds like you, we’d love to hear from you. Learn more about the BrainLove Proactive Brain Health Program or schedule a discovery call to see whether it’s the right fit a https://brainlove.health/services/