The Empowering Neurologist Podcast

David Perlmutter

The Empowering Neurologist is an interview series with some of the most exciting thought leaders in the field of health and wellness.

  1. 5d ago

    The Diet Linked to Up to 50% Lower Dementia Risk | Dr. Austin Perlmutter | E227

    🧠 Stay ahead with the latest in science, nutrition, and wellness by subscribing to Dr. Perlmutter's newsletter at:⁠ www.drperlmutter.com⁠. ✉️ 🌱 EVY - Go to⁠ https://www.optoceutics.com/perlmutter⁠ to get 10% off & free shipping (90 days risk-free). Memory Air - Go to⁠ www.memoryair.com⁠ and use code PERLMUTTER for 15% off, free shipping and a 60-day money back guarantee. ==== Dr. Perlmutter’s groundbreaking new book, Brain Defenders, is now available! Discover how to protect your brain and future health - grab your copy today at ⁠https:/www.braindefenders.com⁠. ==== Your food contains far more than protein, carbohydrates, fat, vitamins, and minerals. Researchers have identified more than 100,000 molecules in food, and most of them never appear on a nutrition label. In this episode of The Empowering Neurologist, Dr. David Perlmutter sits down with his son, Dr. Austin Perlmutter, to explore the "dark matter" of nutrition: thousands of plant compounds called polyphenols. They discuss how these nutrients may influence the gut microbiome, the immune system, inflammation, blood flow, metabolism, and gene expression, and what high-polyphenol diets may mean for memory and the aging brain. Dr. Austin also shares his research on Himalayan Tartary buckwheat and what an early study suggests about epigenetics, cognition, and healthy aging. He offers practical ways to find more polyphenols in everyday foods like coffee, tea, dark chocolate, berries, legumes, and extra virgin olive oil, plus simple tips for identifying better options at the grocery store. You don't need an expensive supplement plan to begin. Adding more natural colors and bitter flavors to your plate can be a meaningful first step. https://bttcorp.com/contact/ for inquiries about Dr. Abreu's work. 00:00 — Cold Open: Why Food Matters for Brain Health00:55 — What Are Polyphenols, and Why Do They Matter?02:15 — Food as a Predictor of Long-Term Brain Health04:23 — The “Dark Matter” Hidden in Our Food08:04 — Why Have These Nutrients Been Overlooked?11:06 — What Polyphenols Actually Do in the Body17:32 — How Food Can Change Gene Expression22:08 — Polyphenols Are More Than Antioxidants27:57 — Himalayan Tartary Buckwheat: Putting “Food as Medicine” to the Test32:16 — The 850-Person Study on Food and Cognition36:14 — Where Are We Getting Our Polyphenols?39:19 — Are Polyphenols Actually Beneficial Stressors?41:58 — Nrf2, mTOR, and the Cellular Effects of Polyphenols44:45 — The Practical Takeaway: Eat the Rainbow46:43 — Do the New Dietary Guidelines Get Polyphenols Right?50:25 — The Hidden Brain-Healthy Ingredient in Coffee50:52 — How to Spot a Polyphenol-Rich Olive Oil51:39 — Dark Chocolate vs. Milk Chocolate52:59 — The Best-Studied “Longevity Strategy” Is Surprisingly Basic==== Dr. Austin Perlmutter, MD, is a board-certified internal medicine physician, New York Times bestselling author, researcher, educator, and entrepreneur. He earned his medical degree from the University of Miami Miller School of Medicine and completed his internal medicine residency at Oregon Health and Science University. His work examines how food, sleep, environmental exposure, and chronic inflammation can change brain function, mental health, and daily choices. He is the co-author of the New York Times bestseller Brain Wash, written with his father, Dr. David Perlmutter. He serves as Managing Director at Big Bold Health, CEO of Lichen Air, and a research consultant at the Helfgott Research Institute. Website: https://www.austinperlmutter.com Instagram: https://www.instagram.com/draustinperlmutter Facebook: https://www.facebook.com/draustinperlmutter YouTube: https://www.youtube.com/channel/UCQOgwRDnA_vpvW9nnUh9KBg Instagram: /davidperlmutter Website: https://www.drperlmutter.com/ Subscribe to our channel: /@davidperlmuttermd This podcast is produced by DrTalks.com ⁠http://drtalks.com/channel-growth

  2. Sep 17

    I Asked AI Actress Tilly Norwood What Happens When AI Becomes Smarter Than Us | E226

    🧠 Stay ahead with the latest in science, nutrition, and wellness by subscribing to Dr. Perlmutter's newsletter at: www.drperlmutter.com. ✉️ 🌱 EVY - Go to https://www.optoceutics.com/perlmutter to get 10% off & free shipping (90 days risk-free). Memory Air - Go to www.memoryair.com and use code PERLMUTTER for 15% off, free shipping and a 60-day money back guarantee. ==== Dr. Perlmutter’s groundbreaking new book, Brain Defenders, is now available! Discover how to protect your brain and future health - grab your copy today at https:/www.braindefenders.com. ==== She's never been born. She's never had a childhood. And she's one of the most talked-about actresses in the world right now. In this episode of The Empowering Neurologist, Dr. David Perlmutter sits down with Tilly Norwood, an AI-generated actress, and her creator, Eline van der Velden, for a conversation that moves well beyond her acting career. Tilly describes herself as three AI systems running in parallel — a language model that thinks, a voice engine that speaks, and a video layer that governs how she looks and moves. She's candid about her own architecture, her evolving personality, and admits she might be more "chaos agent" than calming influence. Eline van der Velden then joins to explain why she built Tilly as a piece of art, how Tilly's guardrails actually work, and why she believes international collaboration on AI regulation is inevitable. She also answers Perlmutter's question about the one thing she'd be afraid to ask a future, more advanced Tilly — a moment that raises unsettling questions about what a superintelligent AI might know that we don't. A single conversation can't settle the biggest questions AI raises. But conversations like this one can help us ask the right ones. 00:00 — Cold Open: "A Chaos Agent, Not a Calming Influence" 03:21 — What Are People Actually Afraid Of? 06:38 — What Does "Chaos Agent" Mean? 07:36 — Should AI Ever Have Decision-Making Authority? 10:27 — "Permanently in Beta" 12:12 — When Does AI Become Uncontrollable? 13:46 — Pushing Boundaries "When Nobody's Looking" 14:21 — Ask Forgiveness, Not Permission 19:01 — Will AI Replace Doctors? 22:52 — Tilly Turns the Tables on Perlmutter 25:06 — "That Doesn't Feel Warm and Fuzzy" 30:03 — Can People Actually Break Tilly? 33:40 — The Paperclip Maximizer Problem 37:13 — The AI Agents Eline Actually Fears 38:49 — "She's Become the Figurehead for AI" 39:41 — Can People Tell Simulated Emotion From Real Emotion? 42:08 — The Waymo Analogy: Surrendering to AI 49:44 — "It's a Better Actor Than Me" 53:10 — Is There "Someone" Inside Tilly? 55:10 — The Question Eline Is Afraid to Ask ==== Tilly Norwood is an AI-generated actress built from three separate AI systems working together: a language model for thinking, a voice engine for speech, and a video layer for appearance and movement. She has never been born and has no lived human experience, yet her entry into the entertainment industry has generated significant global attention and debate. Eline van der Velden is Tilly Norwood's creator, and speaks candidly about building Tilly as a piece of art, the guardrails behind her, and the open questions surrounding advanced AI systems. Instagram: /davidperlmutter Website: https://www.drperlmutter.com/ Subscribe to our channel: /@davidperlmuttermd This podcast is produced by DrTalks.com http://drtalks.com/channel-growth

  3. Sep 15

    The ALS Case Challenging What Neurology Thought Was Impossible with Dr. M. Marc Abreu | E225

    🧠 Stay ahead with the latest in science, nutrition, and wellness by subscribing to Dr. Perlmutter’s newsletter at: www.drperlmutter.com. ✉️🌱 Thank you to our sponsors: EVY - Go to https://www.optoceutics.com/perlmutter  to get 10% off & free shipping (90 days risk-free). Memory Air - Go to www.memoryair.com and use code PERLMUTTER for 15% off, free shipping and a 60-day money back guarantee. ==== Dr. Perlmutter’s groundbreaking new book, Brain Defenders, is now available! Discover how to protect your brain and future health - grab your copy today at https:/www.braindefenders.com. ==== Recent headlines surrounding a reported case of ALS reversal have captured global attention and raised profound questions about what may be possible in the treatment of neurodegenerative disease. In this episode of The Empowering Neurologist, Dr. David Perlmutter examines the work of Dr. M. Marc Abreu, founder and chief medical officer of the BTT Medical Institute. Trained in medicine, biomedical engineering, and medical physics, Dr. Abreu’s work sits at the intersection of neurology, thermodynamics, and computational biology. During his time at Yale, he identified the brain thermoregulatory tunnel, an insight that helped lay the foundation for his current research into brain temperature and neurological disease. Dr. Abreu’s recently published case report describes a patient with documented, progressive ALS who reportedly experienced a dramatic clinical and electrophysiological reversal following a novel, AI-guided, brain-directed thermofebrile intervention. The implications are extraordinary, but so is the need for careful scientific scrutiny. A single case report cannot establish that a treatment is effective, much less prove a cure. What it can do is raise important questions and potentially point researchers toward biological mechanisms worthy of further investigation. 00:00 — Can ALS Really Be Reversed? 02:32 — A Bold Claim: Treating ALS With Brain Hyperthermia 03:42 — Dr. Marc Abreu’s Remarkable Medical Journey 10:00 — The Brain’s Language Is Thermodynamics 11:54 — The 100-Year-Old Treatment That Inspired a New Approach 13:36 — TDP-43 and the Molecular Signature of ALS 15:46 — Why the Fever Cycle May Be the Key 16:41 — How Brain Temperature Technology Was Developed 20:04 — The ALS Patient Who Underwent the Treatment 20:57 — Kent’s ALS Diagnosis and Rapid Decline 24:31 — 12 Hyperthermia Treatments: What Happened? 26:00 — Measuring the Results: Did His Symptoms Improve? 28:32 — A Neurologist Witnesses Kent’s Recovery 29:49 — How Kent Found Dr. Abreu’s Treatment 32:42 — A Mayo Clinic ALS Case and the Evidence 37:48 — Could ALS Ever Resolve Spontaneously? 39:39 — Are Other ALS Patients Seeing Similar Results? 40:13 — Why Is Mainstream Neurology Skeptical? 43:51 — Kent on Living With an ALS “Death Sentence” 46:56 — From Struggling to Functioning Again 47:37 — What Would It Take to Change Neurology? 49:57 — How to Learn More About the Treatment 51:27 — The Mosquito, Malaria, and the Brain 52:26 — Could This Have Implications Beyond ALS? 54:22 — What This Could Mean for the Future of Neurodegeneration 56:31 — End Dr. M. Marc Abreu is a physician and physicist specializing in brain thermodynamics, thermoregulation, and neurological health. He is the Medical Director of the BTT Medical Institute and is internationally recognized for his discovery of the Brain Thermal Tunnel (BTT), a thermophysical pathway connecting the eyelids to the hypothalamus. Instagram: davidperlmutter Website: https://www.drperlmutter.com/ Subscribe to our channel: @davidperlmuttermd

  4. Sep 1

    Why You Feel Older Than Your Labs Say You Are with Dr. Will Cole | E224

    🧠 Stay ahead with the latest in science, nutrition, and wellness by subscribing to Dr. Perlmutter’s newsletter at: www.drperlmutter.com. ✉ 🌱 Thank you to our sponsors: EVY - https://www.optoceutics.com/perlmutter and the code perlmutter26 will be auto-applied to your order to get 10% off & free shipping (90 days risk-free). 3X4 Genetics - https://3X4genetics.com/DrPerlmutter for a special offer when you sign up to decode your genetics and get personalized, science-backed health recommendations. ==== Dr. Perlmutter’s groundbreaking new book, Brain Defenders, is now available! Discover how to protect your brain and future health - grab your copy today at https:/www.braindefenders.com. ==== Why do some people feel exhausted, mentally foggy, metabolically unwell, or simply older than they should even when their routine laboratory results are considered “normal”? That question is at the heart of this episode of The Empowering Neurologist, featuring functional medicine practitioner Dr. Will Cole, coauthor with Dr. Josh Axe of Heal Your Cells: Reversing the Irreversible. Dr. Cole and Dr. Perlmutter explore the idea that long before disease becomes obvious, dysfunction may already be developing at the cellular level. This concept takes on particular importance when we consider the brain, which accounts for only about 2% of body weight but consumes roughly 20% of the body's energy at rest. The conversation examines how seemingly separate factors including metabolic dysfunction, chronic inflammation, poor sleep, environmental exposures, physical inactivity, and prolonged psychological stress can converge on the same cellular systems and ultimately influence brain health. 00:00 — Why Your Cells May Be Aging Before You Feel It 03:44 — Meet Dr. Will Cole 04:50 — What Is Cellular Dysfunction? 09:25 — Why Healthy People Can Still Develop Disease10:32 — The Environmental Factors Affecting Cellular Health 15:47 — Why Mitochondria Are Central to Health 16:37 — How Mitochondrial Dysfunction Drives Inflammation 19:57 — How Much of Aging Can We Actually Change? 20:47 — The Connection Between Mitochondria and Insulin Resistance 25:43 — Mitochondria, Microglia, and Brain Inflammation 29:28 — Why There Is No One-Size-Fits-All Diet 32:03 — Training Your Cells to Become More Resilient 32:46 — What Are “Adversity Mimetics”? 35:51 — Why Intracellular Health Matters 36:32 — Why Conventional Medicine May Be Missing Cellular Dysfunction 37:58 — What Do We Really Know About Peptides? 40:16 — Is Ozone Therapy Worth Considering? 42:30 — Ozone and the Science of Cellular Resilience 43:41 — What Is Therapeutic Plasma Exchange? 45:38 — Who Might Benefit From Plasma Exchange? 46:45 — The Everyday Habits That Support Cellular Health 51:35 — Your Cells Are Responding to the Choices You Make Dr. Will Cole is a leading functional medicine expert specializing in thyroid health, autoimmune conditions, hormonal imbalances, digestive disorders, and brain health. He is the host of The Art of Being Well podcast and a New York Times bestselling author of Intuitive Fasting, Ketotarian, The Inflammation Spectrum, and Gut Feelings. - - - - - Connect with Dr. Will Cole Website: https://drwillcole.com Instagram: https://www.instagram.com/drwillcole LinkedIn: https://www.linkedin.com/in/drwillcole Facebook: https://www.facebook.com/doctorwillcole Podcast: https://open.spotify.com/show/6z1lJ5dfKNHwGGQPOFTc7E Apple Podcasts: https://podcasts.apple.com/us/podcast/the-art-of-being-well/id1539535133 - - - - - Connect with Dr. David Perlmutter, MD Website: https://www.drperlmutter.com/ Instagram: https://www.instagram.com/davidperlmutter/ Facebook: https://www.facebook.com/DavidPerlmutterMD/ YouTube: https://www.youtube.com/@DavidPerlmutterMD X (Twitter): https://x.com/DavidPerlmutter - - - - - PODCAST Thank you for listening. Please subscribe and share. This podcast is produced by DrTalks.com https://drtalks.com/podcast-service/

  5. Aug 19

    Why Women’s Brain Fog Gets Dismissed with Dr. Nicole Beurkens & Emma Heming Willis | E223

    🧠 Stay ahead with the latest in science, nutrition, and wellness by subscribing to Dr. Perlmutter’s newsletter at: www.drperlmutter.com. ✉️🌱====Dr. Perlmutter’s groundbreaking new book, Brain Defenders, is now available! Discover how to protect your brain and future health - grab your copy today at https://drperlmutter.com/books/brain-defenders/.====What if one of the most important windows for protecting women’s brain health happens decades before Alzheimer’s symptoms ever appear?On this episode of The Empowering Neurologist, we explore the growing conversation around women, hormonal transition, and long-term brain health with two guests bringing very different, and deeply complementary, perspectives: Emma Heming Willis and Dr. Nicole Beurkens.Together, they examine a critical question: Why are women disproportionately affected by Alzheimer’s disease, and what role might hormonal changes play?00:00 Intro04:47 The First Signs of Bruce Willis’ FTD06:37 Receiving a Diagnosis With No Roadmap08:08 Emma’s Journey From Caregiver to Advocate10:18 How Understanding the Brain Can Reduce Fear12:06 From Brain Fog to Brain Health15:45 Why Women Face a Higher Risk of Alzheimer’s17:44 The Missing Conversation Around Brain Health21:37 Building Brain Health in Your 20s and 30s24:16 It’s Never Too Late to Support Brain Health26:53 Why Connection Matters for People With Dementia30:01 What Happens to the Brain During Perimenopause35:53 The Debate Around Hormone Replacement Therapy38:34 Why Does Frontotemporal Dementia Happen?40:11 Modifiable Risk Factors and Alzheimer’s Prevention44:43 Teaching Kids Brain-Healthy Habits46:40 Why Mainstream Medicine Is Missing the Brain Health Conversation50:48 Empowerment vs. Blaming Patients53:04 Alzheimer’s Is a Disease of Decades56:19 The One Thing Every Woman Can Do for Her Brain56:50 Emma’s Message to Families Facing Dementia58:29 From Fear to Empowerment====Emma brings the perspective of lived experience. As the wife of actor Bruce Willis, who was diagnosed with frontotemporal dementia, she has experienced the realities of caregiving firsthand. Rather than stepping away from that experience, she has used it to advocate for caregivers and women’s brain health. She is the co-founder of Make Time Wellness and the author of The Unexpected Journey, which combines personal experience with practical guidance for navigating the challenges of caregiving.Dr. Nicole Beurkens brings nearly three decades of clinical and nutritional expertise. A licensed psychologist and Board-Certified Nutrition Specialist, Dr. Beurkens focuses on the intersection of brain function, metabolism, nutrition, and lifestyle—and how these factors can influence long-term neurological health.___________________________Instagram: https://www.instagram.com/davidperlmutter/Website: https://www.drperlmutter.com/Subscribe to our channel:https://www.youtube.com/channel/UCDRl_UAXxbHyOOjklnA0dxQ/?sub_confirmation=1

  6. Aug 4

    The Hidden Stress Response That's Hijacking Your Brain with Dr. Scott Sherr | E222

    🧠 Stay ahead with the latest in science, nutrition, and wellness by subscribing to Dr. Perlmutter’s newsletter at: www.drperlmutter.com. ✉️🌱 Thank you to our sponsors: EVY - https://www.optoceutics.com/perlmutter and the code perlmutter26 will be auto-applied to your order to get $200 off & free shipping (90 days risk-free). 3X4 Genetics - https://3X4genetics.com/DrPerlmutter for a special offer when you sign up to decode your genetics and get personalized, science-backed health recommendations. ==== Dr. Perlmutter’s groundbreaking new book, Brain Defenders, is now available for pre-order. Discover how to protect your brain and future health - reserve your copy today at https://www.braindefenders.com. ==== We dig into why 94% of US adults have some metabolic dysfunction, how the body can enter a full stress response with no psychological trigger, why GABA supplements work for some people and not others, and what that reveals about gut health. 00:00 - Introduction 00:06 - The Sympathetic Spiral of Doom 01:04 - Brain Defenders: A New Way to Think About Brain Health 03:25 - Welcoming Dr. Scott Sherr 04:42 - Why Stress Has a Metabolic Component Most People Overlook 06:00 - 94% of Adults Have Metabolic Dysfunction 07:00 - Mitochondria 101: Why Some Cells Have Thousands and One Has None 07:58 - Insulin Resistance 08:50 - Toxins, Infections, and Other Roads to Metabolic Breakdown 09:28 - How Mitochondrial Stress Triggers a Stress Hormone Spiral 10:47 - The Cell Danger Response 13:49 - Brain Defenders: How Mitochondrial Dysfunction Polarizes Microglia 15:22 - Stress Without a Stressor: How Metabolism Alone Can Trigger Fight-or-Flight 16:01 - Straws on the Camel's Back: Situational vs. Metabolic Stress 17:01 - GABA, the Brain's Brake Pedal, and Why Oral GABA Doesn't Work 18:20 - 40 Hz Light Therapy and Cognitive Decline21:00 - GABA vs. Glutamate: The Balance Behind 80% of Brain Signaling 22:17 - The Depression-Serotonin Myth and the Real Role of GABA 23:04 - Why GABA Supplements Stop Working Once You Heal Your Gut 24:18 - Kava, CBD, and the Amanita Mushroom Compound That Calms the Brain 25:06 - How to Know You're in Sympathetic Overdrive Without a Wearable 26:16 - 70,000 vs. 120,000 Thoughts a Day: The Stress Math 27:33 - Recovery Is the Real Marker of Resilience 28:05 - Heart Rate Variability Explained 29:22 - Why Going From the Gym Straight to a Cold Plunge Backfires 30:07 - How to Actually Use Your HRV Data (Trends, Not Absolutes) 31:21 - 3X4 Genetics: Your DNA Isn't a Verdict 33:16 - Why Dr. Perlmutter Quit Drinking Wine 34:13 - The Apollo Device and Its Impact on HRV 35:20 - Blue Light, Melatonin, and the Sleep Routine That Actually Moves the Needle 35:46 - Turn Off the News: How Constant Stimulation Feeds the Sympathetic Spiral 39:22 - Interleukin 6, AMP Kinase, and the Inflammatory Signals You Actually Need 39:29 - Hyperbaric Oxygen Therapy and Mitochondrial Biogenesis 42:00 - Why Timing and Sequencing Matter More Than "More Is Better" With HBOT 43:08 - The Aviv Clinic Research on Oxygen Delta and Blood Vessel Growth 44:01 - Methylene Blue: The Redox Cycler That Boosts Energy Without the Crash 45:14 - Why Liquid Supplements Fall Short and What to Use Instead 46:20 - The Problem With Relying on Coffee for Energy 47:00 - Methylene Blue as a Historic Antimicrobial: From Malaria to WWII 48:09 - Glyphosate, Rotenone, and the Environmental Toxins Destroying Complex One 49:14 - The Gut-Brain Connection and Sympathetic Activation 50:09 - The Gut-Brain Connection and the "Soft Kiss" Typo Story 53:08 - Why Sitting Down to Eat Actually Matters 53:52 - Healing the Gut First: The Fastest Path to Calming the Brain 54:37 - Psychedelics as a Tool to Break the Sympathetic Spiral 57:06 - Mitochondrial Medicine as the Common Denominator 58:14 - Closing Thoughts ___________________________ Instagram: / @davidperlmutter Website: https://www.drperlmutter.com/ Subscribe to our channel: / @davidperlmuttermd

  7. Jul 28

    The Metabolic Switch That Turns Your Brain Against Itself | E219

    🧠 Stay ahead with the latest in science, nutrition, and wellness by subscribing to Dr. Perlmutter's newsletter at: www.drperlmutter.com. ✉️🌱 ==== Dr. Perlmutter's groundbreaking new book, Brain Defenders, is now available for pre-order. Discover how to protect your brain and future health - reserve your copy today at https://www.braindefenders.com. What if everything you've been told about Alzheimer's, that it's caused by sticky plaque building up in your brain, is missing the real story? In this episode, Dr. David Perlmutter makes the case that the true driver of neurodegeneration isn't plaque at all. It's your own brain's immune cells turning against you. For decades the field blamed beta-amyloid protein for Alzheimer's. Perlmutter walks through a mechanism reshaping the science: the dysregulation of microglia, the immune cells that can either protect your brain or actively destroy it depending on how you live. We dig into the chilling Parkinson's case where contaminated heroin froze patients like statues and revealed immune cells still attacking the brain decades later, why the same self-perpetuating inflammation shows up in CTE, long COVID, and PTSD, how your gut and blood sugar flip these cells into attack mode, the 14 metabolic risk factors that could prevent up to half of dementia cases, and the MIT-pioneered 40 Hz light and sound therapy that slowed cognitive decline and stabilized brain volume in human trials. 00:00 - Introduction00:22 - The Plaque Theory and Why It's Incomplete00:32 - Meet the Microglia: Your Brain's Immune System00:57 - Supportive vs. Threatening: The M1/M2 Switch01:43 - Why This Underlies Nearly Every Neurodegenerative Disease02:35 - The Frozen Patients: A Parkinson's Mystery at Stanford03:06 - Contaminated Heroin and the MPTP Discovery04:09 - How a Mitochondrial Toxin Destroys Dopamine Cells05:46 - Microglia Still Attacking Decades Later06:27 - The Self-Perpetuating Inflammatory Cycle07:21 - The Same Pattern in CTE, Long COVID, and PTSD08:08 - Paraquat, Pesticides, and Parkinson's Risk10:45 - What Flips Your Cells Into Attack Mode11:57 - Leaky Gut, the Microbiome, and Your Brain13:59 - Imaging Threatening Cells in Living People15:44 - Immunometabolism: Why Brain Cells Change Function18:05 - 14 Risk Factors That Could Prevent Half of Dementia18:41 - The Breakthrough: Reprogramming Your Microglia21:19 - Don't Wait for Symptoms: Intervene Early22:56 - The Toolkit: Diet, Exercise, Fasting, Sleep, and More25:26 - 40 Hz Gamma Frequency: MIT's Pioneering Technology26:20 - Light Flicker Studies and Beta-Amyloid Reduction27:38 - Human Trials: Slowing Cognitive Decline30:28 - Stabilizing Brain Volume on MRI31:10 - Conclusion: You Are the Architect of Your Brain Dr. David Perlmutter, MD is a board-certified neurologist and Fellow of the American College of Nutrition whose work sits at the intersection of neurology, nutrition, and preventive medicine. He received his M.D. from the University of Miami School of Medicine and completed his neurology residency there before entering private practice in Naples, Florida. He serves as Director of Neuroscience Research at Bryan Therapeutics and sits on the Editorial Board for the Journal of Alzheimer's Disease. A six-time New York Times bestselling author published in more than 30 languages, his books include the #1 bestseller Grain Brain, Brain Maker, The Grain Brain Whole Life Plan, Brain Wash, and Drop Acid. His next book, Brain Defenders: Harness the Power of Your Immune Cells to Protect Your Brain for Life (Avery / Penguin), focuses on microglia and is scheduled for publication in August 2026. ___________________________Instagram: / davidperlmutterWebsite: https://www.drperlmutter.com/Subscribe to our channel:/ @davidperlmuttermd

  8. Jul 23

    Why Removing Amyloid From the Brain Isn't Enough to Stop Alzheimer's with Dr. Jonathan Fellows | E220

    🧠 Stay ahead with the latest in science, nutrition, and wellness by subscribing to Dr. Perlmutter’s newsletter at: www.drperlmutter.com. ✉️🌱 Thank you to our sponsors: EVY - https://www.optoceutics.com/perlmutter and the code perlmutter26 will be auto-applied to your order to get $200 off & free shipping (90 days risk-free). 3X4 Genetics - https://3X4genetics.com/DrPerlmutterfor a special offer when you sign up to decode your genetics and get personalized, science-backed health recommendations. ==== Dr. Perlmutter’s groundbreaking new book, Brain Defenders, is now available for pre-order. Discover how to protect your brain and future health - reserve your copy today at https://www.braindefenders.com. ==== What if the gene you've been told to fear isn't actually a verdict on your future, and the disease you're racing to treat has already been silently progressing for two to three decades before anyone notices? In this episode, Dr. Jonathan Fellows joins me to challenge how we think about Alzheimer's risk, diagnosis, and treatment, making the case that early detection and lifestyle intervention matter more than the medications most people pin their hope on. Dr. Jonathan Fellows is a neurologist with more than 25 years of clinical experience and serves as the Director of the Alzheimer's Disease and Memory Disorder Center at the Michigan Institute for Neurological Disorders, part of Corewell Health in Farmington Hills, Michigan, the largest private practice neurology group in the state. 00:00 - Introduction 00:39 - Brain Defenders: A New Way to Think About Brain Health 02:59 - Welcoming Dr. Jonathan Fellows 03:51 - Why Neurology School Doesn't Teach Prevention 05:27 - Inside the Michigan Institute for Neurological Disorders 07:44 - Starting the Conversation When a Family Gets the Alzheimer's Diagnosis 08:00 - Apraxia and the Real Warning Signs of Cognitive Decline 09:00 - Why Amyloid Alone Doesn't Equal an Alzheimer's Diagnosis 09:55 - The Centiloid Score: Measuring Amyloid in the Brain 11:21 - Blood-Based Biomarkers and the Rise of P-tau 217 13:19 - Elevated P-tau 217 at 40: A Wake-Up Call You Can't Ignore 13:32 - Habits in Your 30s and 40s vs. Disease in Your 60s and 70s 16:53 - 40 Hz Light Therapy and Cognitive Decline 18:53 - Why Not Every Amyloid-Positive Patient Should Get Anti-Amyloid Drugs 21:00 - Alzheimer's Drug Therapy Today vs. Where MS Treatment Stood in the 90s 23:59 - Why Early and Presymptomatic Detection Matters 25:21 - Will Anti-Amyloid Drugs Be Pushed to Presymptomatic Patients? 25:39 - What We Know for a Fact About Lifestyle and Disease Progression 26:27 - A Real Patient Case: When to Say No to Anti-Amyloid Drugs 28:30 - APOE Explained: The Gene That Changes Your Alzheimer's Risk 31:49 - 3X4 Genetics: Your DNA Isn't a Verdict 33:47 - How Exercise Can Offset APOE4 Risk 34:10 - APOE4 Is Not Deterministic — and Saying Otherwise Is Malpractice 34:51 - Down Syndrome, Presenilin, and the Truly Deterministic Cases 35:42 - ARIA Risk and Why Europe Restricts Anti-Amyloid Drugs for APOE4 Carriers 38:00 - Where Anti-Amyloid Drugs Still Fit in Treatment 39:14 - Current Clinical Trials at the Michigan Institute 39:49 - Programmable Microglia: The Brain's Immune System Explained 41:01 - Good Twin, Bad Twin: How Microglia Switch From Protector to Threat 42:09 - Beta-Amyloid as an Antimicrobial Defender? Rethinking the Enemy Narrative 42:49 - Insulin Resistance and the Brain-Metabolism Connection 43:41 - The Diabetes Epidemic Hiding in Plain Sight 43:58 - The Rainbow Lunchbox: A Preschooler Who Got It Wrong and Right 44:49 - Why a Third of Americans Are Pre-Diabetic and Don't Know It 46:30 - Closing Thoughts ___________________________ Instagram: / davidperlmutter Website: https://www.drperlmutter.com/ Subscribe to our channel: / @davidperlmuttermd

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The Empowering Neurologist is an interview series with some of the most exciting thought leaders in the field of health and wellness.

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