How to Reverse Alzheimer’s Disease
In this video, I interview repeat guest Dr. Dale Bredesen, a neurologist specializing in the treatment of Alzheimer’s. In 2014, he published a paper1 demonstrating the power of lifestyle choices for the prevention and treatment of this tragic condition. By leveraging 36 healthy lifestyle parameters, he was able to reverse Alzheimer’s in 9 out of 10 patients.
This included the use of exercise, ketogenic diet, optimizing vitamin D and other hormones, increasing sleep, meditation, detoxification and eliminating gluten and processed foods. It’s been several years since we spoke last, so he’s got quite a few updates to share.
Randomized Trial LaunchFor starters, his team has published another proof-of-concept paper and are now launching a randomized, controlled trial at six sites: Hollywood, Florida; Nashville, Tennessee; Cleveland, Ohio; and Sacramento, Oakland and San Francisco in California.
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Where There’s Smoke There’s FireAccording to conventional thought, elevated tau and beta-amyloid are causative factors in Alzheimer’s, but Bredesen’s research suggests otherwise. He explains:
“This is a little bit like saying, ‘There’s some smoke there. If we just blow away the smoke, then the house is not going to burn down.’ It makes no sense. The key thing to know is that [tau and beta-amyloid] are responses and mediators. You’ve talked a lot about mitochondrial function, which is absolutely critical in this disease, but we know of many upstream contributors, and that’s another update.
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Two Key Causative Factors That Must Be AddressedAccording to Bredesen, supporting energy and reducing inflammation in the brain are the two most important factors to prevent and treat Alzheimer’s. Basics that all of Bredesen’s patients implement include:
Dietary intervention — Bredesen recommends a plant-rich, mildly ketogenic diet, with a good omega-3 to omega-6 ratio, no dairy, no grains and no simple carbs. “That’s the approach that has worked the best,” he says. “We call that KetoFLEX 12/3.” Nutrition for Longevity now offers meal kits for the KetoFLEX 12/3 diet at KetoFlex123.com, to make it easier to follow.In the interview, I counter some of Bredesen’s dietary recommendations, as he still recommends polyunsaturated fats (PUFAs).
I’m convinced all omega-6 PUFAs need to be kept low, below 2% or even 1% of daily calories, for optimal health, and I strongly suspect people with dementia need to be even more cautious, as the PUFA linoleic acid (LA) appears to be the biggest dietary source of all the drivers of Alzheimer’s, including inflammation, oxidative stress, mitochondrial dysfunction and dysfunction in electron transport chain such that you cannot efficiently produce ATP.
I’ve written extensively on the ins and outs of this, so for more information, listen to the interview and/or review “Linoleic Acid — The Most Destructive Ingredient in Your Diet.”
I’m also not convinced that the omega-3 to omega-6 ratio is as helpful as commonly suggested since you cannot counter the damage caused by omega-6 fats simply by taking more omega-3. On top of that, most omega-3 supplements, primarily fish oil, are worthless because they’re synthetic and rancid to boot, so making sure you’re getting high-quality omega-3 is an essential factor.
Exercise — Bredesen is seeing particularly good results with KAATSU (blood flow restriction training) and exercise with oxygen therapy (EWOT).Sleep optimization — Sleep apnea is a common problem that unquestionably contributes to cognitive decline, as it reduces oxygen to your brain and raises adrenaline while you’re sleeping.“Sleep is a huge area in and of itself,” Bredesen says. “Patient zero, the first person we treated back in 2012 who reversed her cognitive decline beautifully, she’s now over a decade in on this, doing great continually. She’s now in her late 70s.
One of her issues was poor sleep and, of course, one of the things that was addressed. Getting at least an hour of deep sleep and at least an hour and a half of REM sleep is very helpful … Poor sleep gives you more amyloid. It’s just a marker, but it’s a marker of things that aren’t so good, and unfortunately, amyloid then gives you poorer sleep.”
Stress reductionBrain trainingDetoxTargeted supplementsThe other part of Bredesen’s program is customized to each patient. Many have undiagnosed chronic infections, for example, that need to be addressed. Common ones include P. gingivalis and T. denticola, which work their way into your brain from your oral microbiome, herpes simplex and human betaherpesvirus 6A (HHV-6A).
The entire family of herpes viruses is associated with changes in the brain and neurons. HHV-6A in particular is associated with the brain degeneration seen in Alzheimer’s. Chlamydia pneumoniae is also highly troublesome, as are all tick-borne infections, including Borrelia, Bartonella, Babesia and Anaplasma.
All these infections put your innate immune system into overdrive and need to be quenched. As noted by Bredesen, COVID-19 and Alzheimer’s are “both innate immune system mismatches with the adaptive system.” You’re not clearing the pathogen, so you’ve got this continued onslaught of cytokines. In the case of COVID, you die from the acute cytokine storm, whereas in Alzheimer’s, you die from cytokine drizzle. “It’s a long-term cytokine problem,” Bredesen says.
High-Fructose Corn Syrup Down-Regulates ATP ProductionBredesen also highlights the importance of avoiding fructose. In March 2023, Dr. Richard Johnson, Bredesen, Dr. David Perlmutter and several other coauthors published a paper2 on Alzheimer’s disease as “a maladaptation of an evolutionary survival pathway mediated by intracerebral fructose and uric acid metabolism.”
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Fruit Versus High-Fructose Corn SyrupHere too, my current views veer a bit. It’s important to understand there is a world of difference between fructose from fruit and high-fructose corn syrup. I used to recommend limiting both sources, but I’ve recently changed my thinking on this, as fructose from fruit activates pyruvate dehydrogenase, which you need to metabolize glucose from pyruvate to acetal-CoA in your mitochondria. If that enzyme is not activated, the glucose cannot be used for fuel.
The key to this riddle for me was the Randle Cycle, which basically acts as a metabolic switch. Your primary fuels are fats and carbs, and the Randle cycle determines how your cells decide which one to burn. When your diet is more than 30% to 35% fat, this switch shifts to fat metabolism, so that you’re burning fat in your mitochondria rather than glucose. The glucose instead gets shuttled into glycolysis and any excess goes out into your blood.
So, eating a lot of fruit and a lot of fat at the same time is not a good idea. In essence, fructose by itself is not what’s causing the problem. Rather it’s eating too much fructose in combination with too much fat. If you increase your fresh fruit intake, you also need to lower your fat intake, or else the sugar can’t be used for fuel.
Additionally, there are individual variations in metabolic flexibility, toxicity and microbiome that likely contribute to a person’s ability to tolerate increased carbohydrates.
The other point of contention I have is that PUFAs also appear to induce torpor (decreased physiological activity marked by a reduced metabolic rate), much like high-fructose corn syrup does. So, I suspect ripe fruit is not going to be a major contributor to dementia. In a previous interview with Johnson, he also admitted being surprised that fructose from fruit did not have the same effects as high-fructose corn syrup.
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Methylene Blue, Niacinamide and GlycineOne treatment adjunct Bredesen favors is methylene blue, which is something I recommend for just about anyone who wants to improve their health and reverse degenerative disease, primarily because it’s so effective at reducing reductive stress. It facilitates electron transfer forward in the mitochondria, thereby allowing ATP production to occur, even if the complexes are damaged.
Raising NAD+ is also important for energy production. NAD+ is oxidized, not reduced, so it facilitates the transfer of electrons forward in the electron transport chain. While there are expensive precursors out there, my favorite is plain old niacinamide, which is incredibly inexpensive yet raises NAD+ effectively.
Recent research has also confirmed that niacinamide helps slow brain aging. For general health, I recommend taking 50 milligrams of niacinamide three times a day. Niacinamide also works synergistically with methylene blue.
Many dementia patients also have low glutathione levels, especially if they’ve been exposed to mycotoxins or other toxins. I’m not a fan of taking glutathione, because glutathione is reduced, and you need the oxidized form to really make it work.
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Via https://articles.mercola.com/sites/articles/archive/2023/08/27/dale-bredesen-alzheimers.aspx
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