How To Actually Access Early Dementia Screening
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It’s Q&A Day at 10almonds!
Have a question or a request? We love to hear from you!
In cases where we’ve already covered something, we might link to what we wrote before, but will always be happy to revisit any of our topics again in the future too—there’s always more to say!
As ever: if the question/request can be answered briefly, we’ll do it here in our Q&A Thursday edition. If not, we’ll make a main feature of it shortly afterwards!
So, no question/request too big or small 😎
❝Hi, do you know where you can get early dementia testing done in the UK? Great job on the newletter.❞
Thank you for the kind words!
With regard to early dementia testing in the UK, we have good and bad news:
The bad news
The NHS does not love to offer dementia testing:
they will first try to dismiss any concerns← not official policy, but we imagine you know how it is- they will offer cognitive assessment tests, to test your mental abilities. If these give any cause for concern, then…
- they will offer an array of unrelated blood tests “to rule out other causes of symptoms that can be confused with dementia”
- if you have dementia symptoms and the unrelated blood tests didn’t bring anything else up, then they may do an MRI:
An MRI scan is recommended to:
- help confirm a diagnosis of dementia and the type of disease causing the dementia
- provide detailed information about the blood vessel damage that happens in vascular dementia
- show shrinkage in specific areas of the brain – for example, the frontal and temporal lobes are mainly affected by shrinkage in frontotemporal dementia, while usually just the temporal lobes are affected in the early stages of Alzheimer’s disease
Source: NHS: Tests for diagnosing dementia
Those cognitive assessment tests, by the way, you can get a head start if you like; here’s the industry’s gold standard test (it’s free):
SAGE: A Test to Detect Signs of Alzheimer’s and Dementia
(The Self-Administered Gerocognitive Exam (SAGE) is designed to detect early signs of cognitive, memory or thinking impairments)
See also: Is It Dementia? Spot The Signs (Because None Of Us Are Immune)
The good news
For actual early dementia screening based on blood, there’s a clinical trial that’s right now accepting volunteers to sign up for it:
❝Two expert research teams, one from University College London and the other from Dementias Platform UK at the University of Oxford, will conduct UK-wide clinical trials to identify blood tests to boost dementia diagnosis. The two studies will take complementary approaches:
The READ-OUT study will be led by Dr Vanessa Raymont, Associate Director of Dementias Platform UK and a clinical researcher based at the University of Oxford. Her team will test multiple existing and novel blood tests for a range of types of dementia, including Alzheimer’s disease, vascular dementia, frontotemporal dementia, and dementia with Lewy bodies. The researchers will also look at whether these blood tests can help detect these diseases at various stages.
The second study will be led by Prof Jonathan Schott and Dr Ashvini Keshavan, who are both based at University College London. Their study, ADAPT, will focus on the most promising test for Alzheimer’s disease, which measures levels of a protein called p-tau217. This increases in the blood as other proteins build up in the brain during the development of Alzheimer’s disease. The researchers will carry out a clinical trial to see whether measuring p-tau217 in the blood increases the rate of diagnosis for Alzheimer’s disease both in people with early dementia. It will also involve those with mild, progressive problems with memory.❞
Source: Two revolutionary studies set to bring blood tests for dementia a step closer to NHS ← published literally today, at time of writing; you timed your question well!
Here’s the sign-up form for that: Blood Biomarker Challenge Registration Form
Not from the UK?
We appreciate that most of our readers are from N. America, so normally we cater particularly to what’s most relevant for most of our readers. Of course, if someone asks a specific question that pertains to somewhere else, we’ll do our best to answer it, as we did today.
However! If you are, for example, in the US or Canada, then the above-mentioned tests are still the ones you want to ask your doctor about,
You can also refer to the tests we discussed in the article that surely prompted today’s question, here:
Early Dementia Screening From Your Blood & More
Take care!
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Health Nut: A Feel-Good Cookbook – by Jess Damuck
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The author is a classically trained chef (worked with Martha Stewart for a long time!), and while health is the focus here, it’s not the be-all-and-end-all, so there’s a lot of attention given to pleasure also. Which, after all, is not a zero-sum game—we can have both!
So, the title and subtitle together sum up the ethos of the book pretty well.
The recipes themselves are divided into categories by meal-type, snacks, desserts, etc. They’re varied enough to suit most moods and seasons, as well as being equally appropriate for cooking for one, or a family, or entertaining. Many (but not all) of the recipes are vegan, though where they’re not, the substitutions are mostly easy and obvious, or explained, or else alternative recipes are given (for example a vegan “tuna” recipe).
In terms of complexity, these are not very complex, yet include everything they need to to make things interesting. That said, the ingredients are also not obscure, and should be easy to find in any reasonably well-stocked supermarket.
One small downside is that many of the recipes are not illustrated, but the instructions are clear enough that this isn’t really a problem, in this reviewer’s opinion.
Bottom line: if you’d like to broaden your kitchen repertoire with plants-forward cooking from an accomplished chef, then this is a good book for that.
Click here to check out Health Nut, and enjoy the feel-good food!
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From Lupus To Arthritis: New Developments
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This week’s health news round-up highlights some things that are getting better, and some things that are getting worse, and how to be on the right side of both:
New hope for lupus sufferers
Lupus is currently treated mostly with lifelong medications to suppress the immune system, which is not only inconvenient, but also can leave people more open to infectious diseases. The latest development uses CAR T-cell technology (as has been used in cancer treatment for a while) to genetically modify cells to enable the body’s own immune system to behave properly:
Read in full: Exciting new lupus treatment could end need for lifelong medication
Related: How to Prevent (Or Reduce The Severity Of) Inflammatory Diseases
It’s in the hips
There are a lot of different kinds of hip replacements, and those with either delta ceramic or oxidised zirconium head with a highly cross-linked polyethylene liner/cup have the lowest risk of need for revision in the 15 years after surgery. This is important, because obviously, once it’s in there, you want it to be able to stay in there and not have to be touched again any time soon:
Read in full: Study identifies hip implant materials with the lowest risk of needing revision
Related: Nobody Likes Surgery, But Here’s How To Make It Much Less Bad
Sooner is better than later
Often, people won’t know about an unwanted pregnancy in the first six weeks, but for those who are able to catch it early, Very Early Medical Abortion (VEMA) offers a safe an effective way of doing so, with success rate being linked to earliness of intervention:
Read in full: Very early medication abortion is effective and safe, study finds
Related: What Might A Second Trump Presidency Look Like for Health Care?
Increased infectious disease risks from cattle farms
Many serious-to-humans infectious diseases enter the human population via the animal food chain, and in this case, bird flu becoming more rampant amongst cows is starting to pose a clear threat to humans, so this is definitely something to be aware of:
Read in full: Bird flu infects 1 in 14 dairy workers exposed; CDC urges better protections
Related: With Only Gloves To Protect Them, Farmworkers Say They Tend Sick Cows Amid Bird Flu
Herald of woe
Gut health affects most of the rest of health, and there are a lot of links between gut and bone health. In this case, an association has been found between certain changes in the gut microbiome, and subsequent onset of rheumatoid arthritis:
Read in full: Changes in gut microbiome could signal onset of rheumatoid arthritis
Related: Stop Sabotaging Your Gut
Take care!
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Edamame vs Natto – Which is Healthier?
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Our Verdict
When comparing edamame to nattō, we picked the nattō.
Why?
Yes, they are both soy beans, but in the battle of young and green vs old and fermented, there are some important differences:
In terms of macros, nattō has nearly 2x the protein for only slightly more carbs, and slightly more fiber, as well as more fat, but it’s not much and it’s a healthy profile, mostly polyunsaturated. All in all, a win for nattō in the macros category.
In the category of vitamins, edamame has more of vitamins B1, B5, B9, E, and K, while nattō has more of vitamins B2, B6, and C, this a 5:3 win for edamame in this round.
When it comes to minerals, edamame is not higher in any minerals, while nattō has more calcium, copper, iron, magnesium, manganese, phosphorus, potassium, selenium, and zinc. An overwhelming win for nattō.
A word on phytoestrogens: soy in general contains these, including both of these iterations of soy, and/but the human body can’t use plant estrogens as such. What it can do, however, is break them down and use the bits to make human estradiol, if and only if you have ovaries that are present and operational (so, no menopause and/or bilateral ovariectomy). Either way, there’s nothing to set one ahead of the other in this matter in this head-to-head.
As an extra point in nattō’s favor, nattō is, like many fermented foods, extra-good for gut health by bringing a wealth of beneficial bacteria. Edamame is also good for gut health (just by virtue of being an edible plant and containing fiber), but not on the same level as nattō.
Adding up the sections makes a clear win for nattō, but by all means enjoy either or both—diversity is good!
Want to learn more?
You might like:
21% Stronger Bones in a Year at 62? Yes, It’s Possible (No Calcium Supplements Needed!) ← nattō features in the method!
Enjoy!
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Stretching Scientifically – by Thomas Kurz
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People stretching incorrectly can, even if they don’t injure themselves, lose countless hours for negligible flexibility gains, and put the failure down to their body rather than the method. You can have better.
This book’s all about what works, and not only that, but what works with specific goals in mind, beyond the generic “do the splits” and “touch your toes” etc, which are laudable goals but quite basic. A lot of the further goals he has in mind have to do not just with flexibility, but also functional dynamic strength and mobility, because it’s of less versatile use to have the flexibility only to get folded like laundry and not actually actively do the things you want to.
He does also cover “regardless of age”, so no more worrying that you should have been trained for the ballet when you were eight and now all is lost. It isn’t.
As for the writing style… The author, a physical fitness and rehabilitation coach and writer, wrote this book while at the Academy of Physical Education in Warsaw during the Soviet period, and it shows. It is very much straight-to-the-point, no nonsense, no waffle. Everything is direct and comes with a list of research citations and clear instructions.
Bottom line: if you’ve been trying to improve your flexibility and not succeeding, let this old Soviet instructor have a go.
Click here to check out Stretching Scientifically, and stretch scientifically!
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Focusing On Health In Our Sixties
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It’s Q&A Day at 10almonds!
Have a question or a request? You can always hit “reply” to any of our emails, or use the feedback widget at the bottom!
In cases where we’ve already covered something, we might link to what we wrote before, but will always be happy to revisit any of our topics again in the future too—there’s always more to say!
As ever: if the question/request can be answered briefly, we’ll do it here in our Q&A Thursday edition. If not, we’ll make a main feature of it shortly afterwards!
So, no question/request too big or small
❝What happens when you age in your sixties?❞
The good news is, a lot of that depends on you!
But, speaking on averages:
While it’s common for people to describe being over 50 as being “over the hill”, halfway to a hundred, and many greetings cards and such reflect this… Biologically speaking, our 60s are more relevant as being halfway to our likely optimal lifespan of 120. Humans love round numbers, but nature doesn’t care for such.
- In our 60s, we’re now usually the “wrong” side of the menopausal metabolic slump (usually starting at 45–55 and taking 5–10 years), or the corresponding “andropause” where testosterone levels drop (usually starting at 45 and a slow decline for 10–15 years).
- In our 60s, women will now be at a higher risk of osteoporosis, due to the above. The risk is not nearly so severe for men.
- In our 60s, if we’re ever going to get cancer, this is the most likely decade for us to find out.
- In our 60s, approximately half of us will suffer some form of hearing loss
- In our 60s, our body has all but stopped making new T-cells, which means our immune defenses drop (this is why many vaccines/boosters are offered to over-60s, but not to younger people)
While at first glance this does not seem a cheery outlook, knowledge is power.
- We can take HRT to avoid the health impact of the menopause/andropause
- We can take extra care to look after our bone health and avoid osteoporosis
- We can make sure we get the appropriate cancer screenings when we should
- We can take hearing tests, and if appropriate find the right hearing aids for us
- We can also learn to lip-read (this writer relies heavily on lip-reading!)
- We can take advantage of those extra vaccinations/boosters
- We can take extra care to boost immune health, too
Your body has no idea how many times you’ve flown around the sun and nor does it care. What actually makes a difference to it, is how it has been treated.
See also: Milestone Medical Tests You Should Take in Your 60s, 70s, and Beyond
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Undo It! – by Dr. Dean Ornish & Anne Ornish
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Of course, no lifestyle changes will magically undo Type 1 Diabetes or Cerebral Palsy. But for many chronic diseases, a lot can be done. The question is,how does one book cover them all?
As authors Dr. Dean Ornish and Anne Ornish explain, very many chronic diseases are exacerbated, or outright caused, by the same factors:
- Gene expression
- Inflammation
- Oxidative stress
This goes for chronic disease from heart disease to type 2 diabetes to cancer and many autoimmune diseases.
We cannot change our genes, but we can change our gene expression (the authors explain how). And certainly, we can control inflammation and oxidative stress.
Then first part of the book is given over to dietary considerations. If you’re a regular 10almonds reader, you won’t be too surprised at their recommendations, but you may enjoy the 70 recipes offered.
Attention is also given to exercising in ways optimized to beat chronic disease, and to other lifestyle factors.
Limiting stress is important, but the authors go further when it comes to psychological and sociological factors. Specifically, what matters most to health, when it comes to intimacy and community.
Bottom line: this is a very good guide to a comprehensive lifestyle overhaul, especially if something recently has given you cause to think “oh wow, I should really do more to avoid xyz disease”.
Click here to check out Undo It, and better yet, prevent it in advance!
Don’t Forget…
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