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June 13, 2025 34 mins

Is vascular dementia inevitable, or can you prevent it before it starts? In this solo episode, Dr. Zimmerman challenges conventional thinking about aging and cognitive decline. He lays out a powerful, proactive approach to preventing one of the most common—but overlooked—forms of dementia.

🔑 Key Takeaways:

  • Vascular dementia is often preventable, but early action is crucial—changes can begin 10–20 years before symptoms appear.
  • Silent warning signs like elevated blood sugar, insulin, homocysteine, and inflammation are red flags long before memory loss starts.
  • Critical lab tests and imaging, including fasting insulin, hemoglobin A1C, coronary calcium scores, and MRI scans, are underutilized tools for early detection.
  • Lifestyle factors like poor sleep, stress, ultra-processed foods, and lack of exercise compound your risk—but also offer the biggest opportunities for change.
  • You have more control than you think. Empowerment, consistency, and the right data—not just genetics—are the foundation for long-term brain health.
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