How brain microglia shape your Alzheimer's disease risk
- What to do: track your fasting glucose and insulin, blood pressure, and waist to hip ratio as early markers of brain risk.
- Why it matters: microglia, the brain's immune cells, switch from protecting to destroying neural connections when metabolism goes off track, which underlies much of cognitive decline.
- How to apply it: prioritize habits that improve metabolism in your thirties and forties (diet, exercise, sleep, gut health), since brain damage begins decades before the first symptoms show up.
- Metrics: fasting glucose, fasting insulin, blood pressure, waist to hip ratio, and markers like p-tau 217.
- Risks: drugs that only clear beta amyloid show minimal clinical benefit and up to a 25% risk of brain bleeding or swelling, according to a recent analysis of 17 studies.