Absolutely.  A personalised prevention programme is also available for anyone with Alzheimer’s in the family or for others at risk of developing the condition (e.g. due to a genetic predisposition).  In such cases, the ReCode report will provide recommendations for normalising all metabolic parameters to prevent the onset of cognitive decline.,

treatment strategies that are highly specific to individual participants. However, these typically fall into the following main areas:

Metabolic Normalisation

This is done by tracking and treating/optimising the following parameters:

• Homocysteine  (an independent predictor of potential health problems including Alzheimer’s disease)
•     B vitamins
•     Inflammation
•     Insulin sensitivity
•     Hormones
•     Zinc: Copper ratio
•     Vitamin D
•     Heavy metal toxicity
•     Antioxidants

This invariably involves a bespoke nutritional/botanical supplementation schedule.

Diet

• Dietary optimisation and a move towards a ketogenic diet
•  Improving gastrointestinal health

Lifestyle

•     Stress reduction
•     Sleep optimisation
•     Exercise – focusing on the right type, frequency and intensity

Brain strategies

• Regular brain training exercises

Consultation Charges:

•  Initial clinical assessment – £1425.00 / 180 min. 
•  First, follow up appointment – £950.00 /120 min.
•  Follow up appointments thereafter – £475.00 / hour (usually required every 4-8 weeks), but this is entirely flexible depending on the level of support required and budget available.

In addition to consultation fees, you need to be aware of the other costs inherent in enrolling in the Bredesen protocol, which is as follows: for our fee structure:

Diagnostic Laboratory workup. This is very much dependent on the extent to which investigation is required and will be in consultation with the participant. However, the entry-level is £4604,.00 and includes the following panels:

•  Homocysteine  (an independent predictor of potential health problems including Alzheimer’s disease)
•  Vitamin and Mineral profile 
•  Blood sugar control and insulin sensitivity
• Omega 3:6 fatty acid profile
•  Comprehensive Lipid/cholesterol profile with lipid sub-fractions
• Non-lipid biomarkers of Cardiovascular risk 
•  Full Hormonal evaluation
• Inflammatory markers
• Heavy metals
•  Antioxidant status 
• Genetic factors 
•  Blood counts
• Liver function
• Kidney function
• Leaky gut test
• Leaky brain test
•  Wheat/gluten reactivity
•  NEW Alzheimer’s associated immune reactivity / environmental triggers.

Some patients require more extensive testing, for which additional, more advanced panels are required.  Examples include:

• CIRS markers + HLA Genetics for suspected mould/biotoxin illness – £1566.90
•  Lyme Disease / Full Lyme coinfection screen – (POA) 
• Comprehensive autoimmune profile – £775.33
• Gluten Associated cross-reactive foods – £322.36
• Food sensitivity Testing (180 Foods) – £750.17
• Comprehensive Digestive stool analysis – £407.00
•  Volumetric MRI Brain Scan with Neuroreader Report (NB this is a more advanced/specialised MRI scan than is typically offered in the standard NHS work-up for patients with cognitive decline. It allows us to measure the volumes of the key functional areas of the brain such as the hippocampus which is the 'seat'  of the memory. This provides us with further tangible metric for tracking progress on the protocol with time (NB)– £1299.00
• Neuro-cognitive Assessment (this is administered at the clinic and requires a one-hour appointment slot) – £425.00

 (This is a more detailed computerised assessment of cognitive function than the ‘paper and pen’ exercise completed during the clinical assessment. It enables us to establish an accurate baseline for the various domains of cognition and thereby helps us to track progress on the programme. Please note that this is not always suitable for patients with more advanced disease at first presentation or for those who are uncomfortable using a computer.)

•  Participant subscription to Apollo Health (for access to the Recode Report, Brain HQ (brain-training exercises) Town Hall events with Dr Bredesen – $75 per month for a one-year minimum commitment, or 810.00 when paid annually.,

Ongoing Nutritional Supplementation Program

•  The average patient spends on nutritional supplements, botanicals, and prescribed bioidentical hormones is £500.00 – £750.00 per month, but this is highly variable and will ultimately depend on the extent of metabolic normalisation required.

Follow Up Lab Testing

• We usually repeat selected (i.e. the most aberrant) biomarkers at 3-6 month intervals to track progress and to ensure that the programme is achieving metabolic normalisation. The cost will therefore be dependent on which tests are required.,,metricsThisFollow-upfollow-up

Dependent on the extent of a participant’s cognitive impairment, it will be essential for them to have the full support and encouragement of immediate family members whilst adopting the Bredesen Protocol.  The program often requires participants to make major shifts in their diets and lifestyles, which are easier to implement if significant others, family and friends are on board to support them in this process.

We often recommend a suitably qualified health coach, to provide ongoing support, guidance and motivation with the program between clinic appointments. We can recommend a health coach if required.

Individual responses to the Bredesen Protocol can vary. This tailored program is designed as a long-term approach to support cognitive health, incorporating ongoing lifestyle and dietary changes.

For further information on the Bredesen Protocol, we recommend reading the book entitled ‘The End of Alzheimer’s’ by Dr Dale Bredesen.