How to Treat Mild Cognitive Impairment

Whether you're an older adult facing cognitive changes or a caregiver seeking guidance, this video "How to Treat Mild Cognitive Impairment'" is an essential resource. #cognitiveimpairment #brainhealth #aging #geriatrics #mci #cognitiveinsights
This video provides a step-by-step guide on addressing Mild Cognitive Impairment (MCI), offering essential treatment strategies and insights. From understanding the fundamentals of MCI to exploring advanced therapeutic options, Dr. Kernisan demystifies the process of managing this prevalent condition.
LEARN MORE:
- Geriatrician Leslie Kernisan, MD MPH, explains what all older adults and families should know about the treatment of mild cognitive impairment (MCI), a common condition that affects 20-25% of older adults.
- Learn about scientifically tested approaches to treating and managing MCI, including the role of medications, supplements, treating hearing loss, exercise and more.
- Dr. Kernisan also covers the relationship between Alzheimer’s disease and MCI, and what to know about Alzheimer’s treatments such as Leqembi.
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Video Chapters:
00:00 About Mild Cognitive Impairment
02:41 What is Mild Cognitive Impairment (MCI)?
04:47 How common is MCI?
07:08 Is MCI related to Alzheimer’s & other dementias?
08:48 What to do if you suspect MCI?
13:48 What are the goals of treating MCI?
14:47 Prognosis of untreated MCI
17:11 Types of MCI treatments
18:45 Scientifically proven MCI treatments
21:34 Medications & MCI
24:42 Combination (“multidomain”) treatments
27:15 Cognitive training for MCI
28:56 About the “Bredesen Protocol” for MCI and Alzheimer’s
34:09 Leqembi and anti-amyloid Alzheimer’s treatments
38:44 How I treat MCI
45:45 Common MCI pitfalls
48:20 Recap: MCI recommendations
Related article: Q&A: How to Diagnose & Treat Mild Cognitive Impairment?betterhealthwhileaging.net/qa...
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Dr. Kernisan's website, podcast, and KZbin channel all provide practical information on how to deal with common health issues that affect older adults.
This video is your comprehensive guide to understanding MCI, from its symptoms and causes to the latest in treatments and management strategies. Whether you're an older adult experiencing changes in cognition or a family member seeking information, Dr. Kernisan's expert advice, grounded in science and practice, offers hope and actionable steps.
Disclaimer: The material on the Better Health While Aging KZbin channel, including any exchanges in the comments section, is for informational and educational purposes only. Any comments Dr. Kernisan may make regarding an individual’s story or comments should not be construed as establishing a physician-patient relationship between Dr. Kernisan and a caregiver, or care recipient. None of Dr. Kernisan’s website, social media, comments, or group information should be considered a substitute for individualized medical assessment, diagnosis, or treatment. Please see the full disclaimer for more information: betterhealthwhileaging.net/di...

[@sydchoslovsky5709]

Thanks for reminding me to revise and diversify the daily exercise program for myself(age 80) and my wife (age 78) with moderate Alzheimers. I am a retired Internist and your advice correlates well with my experience and with what I continue to learn from good sources. You are an excellent resource.

[@founditinennis2942]

Your video on anticholinergics was spot on. Supplemental choline+ ache inhibitors need to be included in treatment options! It makes a huge difference

[@oceanlife4590]

Pretty much in summary of the video: We really don't know much, and don't have treatment options; use common sense to improve healthy lifestyle

[@user-fu6wu6vd5w]

Same for last 50 years

[@faytong4670]

Thank you for the summary!

[@marlenemcmullen-pelsor9423]

Appreciate your presentation style: organized, nonjudgmental, content rich, great combination of practice experience and research.

[@angelaharris1112]

Thank you

[@viviennepayne7966]

This was so helpful, very informative and inspirational. Thank you so much. I will keep following you with interest.

[@BetterHealthWhileAging]

You are so welcome!

[@lorraineophoff4984]

Thank you for this interesting talk. My doctors don’t agree if I have MCI or not. That’s called frustrating. I do have biomarkers from PET SCANS and Lumbar Puncture according to readers of my tests.

[@smae433]

Love your approach, thank you for your work.

[@willummcmurphy8838]

I am so grateful that I found your site. I am a 72 year old man and my regular Dr. just quit and I have to find a new one, however the thing I would pray you could help with is- How can I find a Doctor with geriatric training that can help me understand what path to take for better care and understanding. My last doctor did not focus at all on geriatric care. This is so weird because when I was going through my Masters I worked for an all day adult care program and I would find myself getting paranoid about getting old and having to worry about massive cognitive impairment and here I am 72 and don't know what to do next. If you have any advice for me I would be overjoyed to find out what to do next. Thank you for your time- you seem like a very caring person and I am blesse3d to find your site. Thomas Murphy

[@BetterHealthWhileAging]

There are not many geriatricians available, but sometimes it's possible to find one, I list ways to look here: betterhealthwhileaging.net/how-to-find-geriatrics-medication-review/

[@donnaallgaier-lamberti3933]

I just found a gerentologist (a geratic speciality) for my 78-year-old husband with MCI. I did this using a Goggle search. We do have to drive an hour to a larger town to see this physician. So IF you have a larger city near you, try checking there as well. Our Primary Care Physician is a Integrative physician and this is who he has been seeing for the past 10-15 years. This kind of physician works with the metabolic system - this is highly preventative intervention to keep the brain and body in as good as condition as possible using a highly nutrient-rich diet, exercise and other lifestyle changes.

[@hardyshortz6307]

I love your approach and way of explaining what is going in our brains, and what we can do for ourselves.

[@PraveenSriram]

Watching the whole video now. Thank you so much 😊

[@carolynpaul9795]

I AM SO HAPPY I FOUND YOU MEANT TO BE

[@juliegotshaw]

Thank you for this video. Very helpful.

[@BetterHealthWhileAging]

You're very welcome!

[@donnaallgaier-lamberti3933]

Thank you for this information- I am working to educate myself better on this topic. My 78-year-old husband suffers from this. He can dress himself, cook, be left alone, and generally take care of himself though he could not live alone 24/7. He no longer drive or handles ANY household, personal or financial decisions. He tests 24 on the MOCA test. The best overall thing we have used for him has been a keto diet (a nutrient-rich plant based diet) and a supplement called ACETYL-CH. Our PCP is a Functional Medicine (Integrative Physician) and she has him tested for the vitamins, minerals and micronutrients (and thyroid and insulin levels) what his blood labs show he needs. We are ALSO currently working with a gerentologist.

[@chicomarie1]

Very important to handle legal aspects of cognitive decline. We were fortunate to have a long term associate as our notary because my aunt's ability to write her name failed towards the end of signing all her POAs and became illegible at the very end. Our long term relationship with our notary allowed her to validate the POAs. It would have been much more coplicated if we had waited any longer.

[@Alice-oe4kd]

Thank you for this - any quality information is helpful. In my case I am just not sure if it is worth the "fight" All of my immediate family - M,F.S had dementia. Genetically I am Apo E4 (double) and recently diagnosed with MCI (I'm 75). I am just not sure if prolonging my life is practical (no I am not suicidal, I could only die by OD-ing on chocolate 😉) I am not sure if any of these preventive measures will be successful because of my genetics - sometimes I wonder if it is worth it in my case. I watched my family die one by one and just wonder 😢 Thanks again for your great videos!

[@DeerheartStudioArts]

I’m 77 and if had your history etc., I’d do everything I could to improve my cognitive health but that might mean I couldn’t actually do much.

[@BetterHealthWhileAging]

I'm sorry you have this tough family history and double apoE4. I would think about your options as less about "prolonging life" and more about helping your brain function as best it can, and helping you make the best of your time and in the next several years. I would also encourage you to consider enrolling in a trial; it's often a way to access better care. See what's available either near you or remotely at www.alzheimers.gov/clinical-trials Good luck and take care!

[@mfcabrini]

One of the big problems is that medical insurance in the US doesn't always cover testing. My doctor wanted to do a scan of my carotid arteries, but Humana said it wasn't medically necessary. These tests are too expensive for most seniors to pay the full cost out of pocket.

[@51155971]

Turmeric in larges doses for the rest of your live Tviis a day!

[@user-uz8sn1qv8y]

interested in what you consider to be a 'large dose' of turmeric. it's pretty good at ruining any food i add it to....and how do you ingest your 'large dose'?

[@kathyvangrouw3714]

Where do you practice? And what would be your treatment if someone was low in B12?

[@BetterHealthWhileAging]

I cover vitamin B12 in this article: betterhealthwhileaging.net/how-to-avoid-harm-vitamin-b12-deficiency/ I'm sorry to say that I'm not currently able to take new patients.

[@user-uz8sn1qv8y]

is there somewhere i can take a written copy of this information?

[@RS-bn9rx]

Timeline: 4.17. Turned off by the detail of the detail.. looking for more content rather than background.. just me.. I emjoy the podcast

[@dr.maheshhemadri4411]

Lots of study is coming with vitamin c and Improving cognition

[@dr.maheshhemadri4411]

For MCI best thing to do is drink raw organic Ground nuts milk one cup daily and ashwagandha herb 500 mg in normotensive elderly For one year This will give wonderful results