Introduction to the Bredesen Protocol
Alzheimer’s Disease is the result of cognitive decline, which has many causes. Dr. Dale Bredesen, MD, a leading neurologist, has taken his over 30 years of clinical and research experience and developed a protocol for preventing and reversing cognitive decline. In a small trial of his program, Dr. Bredesen observed significant improvement in 9 out of 10 subjects within a 3 to 6-month period. The only person who wasn’t helped had very late-stage Alzheimer’s Disease.
Dr. Bredesen has identified subtypes of cognitive impairment, allowing treatments to be customized for each patient. Dr. Bredesen’s protocol (ReCODE, for Reversing Cognitive Decline) includes testing to screen for and uncover what is causing mental function to become impaired, and treatments to prevent and reverse decline.
Training in Implementing the Protocol
In 2017, I completed training in implementing Dr. Bredesen’s protocol, allowing me to help people seeking ways to slow, stop or reverse the terminal progression of Alzheimer’s disease. This program is ideally suited for people with early symptoms of cognitive impairment (Subjective Cognitive Impairment or SCI) and the more advanced condition called Mild Cognitive Impairment (MCI).
What is Involved?
For your first visit you will complete a detailed intake form, detailing your general health history, and delving into any possible factors which might contribute to cognitive decline. These include:
- Toxic exposures: mold, heavy metals, tick-borne illness, among others
- Hormonal contributors: hysterectomy before age 41, menopause, hypothyroidism, adrenal fatigue
- Head Injuries
- Insulin resistance and/or diabetes
- Chronic Insomnia and/or Sleep Apnea
- Nutrient deficiencies
What Else Can I Expect?
At the first visit, we will perform a cognitive screening test to help determine your mental status. We will perform a general physical exam and review your prior labs and history. Once this has been completed, we can go to the next step.
- Labs will be ordered to determine ApoE4 status, blood sugar regulation, hormone status, and other levels depending on history.
- Imaging may be ordered (MRI or PET Scans) to assess brain function.
- Testing for mold exposure, heavy metal burden, tick-borne illness and chronic infections may be ordered
- Once we have all these results, we can determine what type and severity of Alzheimer or Pre-Alzheimer’s Disease you have, and what we can do to treat it. We will recommend a treatment plan.
- We may refer you to specialists to better help you with specific issues
- We may assign you a health coach to help you implement lifestyle changes, including diet and exercise
- We will plan a follow-up in one month, then another in 3 months, followed by a six-month and annual follow-up. At each visit, we will review your progress, areas of difficulty, and any additional testing we have ordered.
How About Working with MPI?
- I strongly encourage all patients to sign up with MPI to receive their own customized ReCODE Report and have access to Dr. Bredesen’s software. In addition to your visits with my office, this resource will give you the best possible guidance in achieving optimal outcomes.
How Much Does this Cost?
- We participate with most commercial insurances. Your visits will be covered but the time spent preparing for the initial visit (gathering records) will be at an additional cost. For those with insurances that don’t cover visits, the cost will be $1500 for one year of care. This includes preparation, a 1 – 1.5 hour first visit, and four follow-up visits. If additional visits are needed, they will be charged at $225 per visit. Additional time with a health coach for more hands-on nutritional guidance is available at an additional charge. Lab testing will either be covered by insurance or out of pocket. For those having to pay directly for lab testing, we will seek out the least costly vendors offering high quality lab services.
How Do I Get Started?