Blood test - when I order it ~$125 if doing NAA (for actual particles in circulation) or $41 for antibodies (IgG) to HSV 1 and 2.

More detailed response as requested from @Barnabas - generally I would just look for IgG antibodies as this shows that you have past infection. Given that you will suppress, but no eliminate HSV or VZV once you have it - that is sufficient (and cheaper).

Also, on FidaLabUS.com they now have this test for the common AD genes:
At Home Tests for Individuals - FIDALAB
Assesses an individual’s genetic predisposition to Alzheimer’s (excluding APOE gene)

Test For
Eleven genetic variations of eight genes (TREM2, PICALM, SORL1, PSEN1, PSEN2, APP, EPHA1, and MS4A6A) associated with Alzheimer’s

Collection Method
Buccal Swab or Oral Rinse

Your Benefit
Know your genetic risks for Alzheimer’s

They have arranged a discount (I don’t make anything from this) - use this code: FRASER: 10% off for your patients It’s $150, but with discount $135. People with ApoE4’s, and I guess other people should be aware of this option.

3 Likes

That response demands a follow up question. What would make you go in one versus the other direction?

I’ve just posted this on a different forum. it’s association only but it does encourage me to keep eating lots of fish to support brain vascular health

1 Like

Is there a drawback to using valacyclovir prophylactically/long term to help the immune system suppress various viral infections? Given that it works for chickenpox/shingles, it seems like it could be prudent to take it even in the case of no HSV infection.

2 Likes

I’m very skeptical about these drugs for the moment so I’ll wait and see…

1 Like

The earlier the better? It’s approved in all adults but most countries only give it from age 50 or 65: Vaccines for longevity - #25 by adssx

A friend of mine in his 20s had a lot of outbreaks, got the shingles vax and no more outbreaks.

Pneumococcal also seems good: Vaccines for longevity - #144 by adssx

4 Likes

Earlier menopause and poor synaptic health could raise Alzheimer’s risk: Study

2 Likes

I guess this would be one more reason to use rapamycin - as prolonging time to menopause might have significant benefits.

4 Likes

I would say [aging mechanism] = [development mechanism]

If you slow development you slow aging.

3 Likes

@adssx @DrFraser based on your extensive research which currently available intervention do you think is the best to prevent Alzheimer’s before it develops?

Is Dementia Incidence Still Dropping? Birth Cohort Data Say Yes.

As the baby boom generation reaches its hopefully golden years, scientists have been projecting a doubling of dementia cases in the U.S. by 2050, alarming health care agencies, the public, and health economists. Now, a new editorial argues this “tsunami” could be more of a gentle wave. In the March 12 JAMA, Eric Stallard, Svetlana Ukraintseva, and Murali Doraiswamy at Duke University, Durham, North Carolina, explain that tsunami predictions assume that dementia prevalence in each age range remains constant over time. That is not the case, they say.

Their analysis of three large population studies found that age-adjusted prevalence has dropped by a whopping two-thirds over the last 40 years. In other words, every successive birth cohort has a lower risk of dementia than did its predecessor. Extrapolated forward, these rates would predict only a 25 percent bump in dementia cases by 2050. This would challenge conventional wisdom. “I feel a bit like Copernicus,” Stallard quipped.

Other scientists agreed this analysis is reasonable, and said it highlights the potential for people and societies to modify dementia risk through health and lifestyle interventions.

https://www.alzforum.org/news/research-news/dementia-incidence-still-dropping-birth-cohort-data-say-yes

2 Likes

You can add to this list: amlodipine (if BP still too high with telmisartan 80 mg), selegiline low dose (especially if depressed), vaccines, GLP-1RAs (if overweight or obese), vitamin D (if deficient, otherwise probably useless). Rapamycin looks great but it’s unclear what is best for neuroprotection: 1 mg/day or larger intermittent dose?

4 Likes

I think Prostate issues are pretty well pure splicing issues and hence anything that deals with splicing issues will help with the prostate (this is all about how much acetyl-CoA is in the cytosol/nucleus).

1 Like

I like @adssx 's answer on this.

Assess risk - check an ApoE and then the other genes that FIDALabUS.com has on their AD advanced gene panel (which doesn’t include ApoE). Check for HSV, P. gingivalis …

First step is lifestyle, activity, optimal metabolic health. Brain activity in a variety of things, including continually learning new skills outside of the domains that you are already expert.

Test and treat chronic infections. Optimize periodontal health. Avoid toxic chemical/mold/metal exposures and if suspected test and if present treat.

I’d add GLP1’s, Omega 3 index to 8% if no ApoE4 and 10% if present. 40 Hz Gamma devices like Koushicare or Symbyx. Vagus nerve stimulator like Pulsetto.

Possibly intranasal rifampin.

Those would be my low hanging fruit.

7 Likes

I’m very skeptical about this. APOE4 carriers don’t seem to be able to transfer supplemental DHA into the brain. And DHA supplementation can cause depression. So I’m not sure supplementation is effective in people with APOE4. That’s why I stopped it.

Other than that I agree with you.

3 Likes

Is valacyclovir itself to prevent the risk of dementia/alzheimers/etc if one has hsv1, or is it to prevent an outbreak which is actually the risk? Meaning, if your outbreak is controlled, is there benefit to the valacyclovir

I ask because I assume I have HSV1 because I can get a cold sore, but I probably only get one every 5 years or so. Lysine alone will nip anything in bud for me.

2 Likes

Risk of Afib as well, is there any trial showing short term benefits of supplementation on cognition anyway? MR study of Omega-3 index?

It feels heavily marketed. But I might be wrong.

Nowhere near as convinced as for lipids, BP, etc.

1 Like

So a few things - there is plenty of literature out there on DHA and depression - essentially showing no link and many psychiatrists actually using Omega 3 fatty acids for mood disorders (of which I’m not convinced has evidence). However, there is a relationship between having a high fish diet and decreased mood disorders. However, there will always be individuals who get adverse effects with these, but on a population basis, it seems to promote better mental health).

The Afib stuff is far from clear - especially at typical doses of EPA+DHA at ~1000 mg/day. If the relationship exists at all, it is dose related, and there is an approximate 30% symptomatic vascular disease reduction with optimization of Omega 3’s.

Now in regard to the defective transport into the brain @adssx with those with ApoE4’s - this is why I’ve now gone over to the NatureBell Product that is krill based and loaded with phospholipids, which significantly gets around that issue. A double dose (4 capsules) is required to get up the 1000 mg of EPA/DHA. This supplies 800 mg of phospholipids.

@Beth My best assessment on HSV-1 is that it is likely doing low grade damage to the brain and causing neuroinflammation. So suppressing that would be the rational. This is a separate issue than treating an episode where it comes down the nerve to cause a visible outbreak.

This is what Vera-Health says on this:
Recent studies suggest that valacyclovir and acyclovir, both antiviral medications, may have a role in reducing the risk of Alzheimer’s disease (AD). The VALAD trial is investigating the use of valacyclovir in patients with mild AD who are seropositive for HSV1 or HSV2. This trial hypothesizes that valacyclovir could slow cognitive and functional decline by reducing amyloid and tau accumulation in the brain 2.

Further supporting this, a study found that valacyclovir and acyclovir could reverse transposable element dysregulation in HHV-positive AD brains, potentially reducing tau-associated neuropathology 3. Additionally, a systematic review and meta-analysis demonstrated that antiherpetic medications, including valacyclovir and acyclovir, significantly reduced the risk of dementia, particularly in individuals with severe herpesvirus infections 4.

Moreover, computational docking studies and animal models have shown that valacyclovir may improve neurobehavioral markers and reduce neuroinflammation, suggesting a potential disease-modifying effect in AD 5.

The mechanism by which these antivirals may exert their effects involves inhibiting HSV1, which has been implicated in AD pathogenesis, particularly in individuals carrying the APOE-ε4 allele. HSV1 reactivation in the brain can lead to amyloid beta and tau formation, contributing to AD pathology 6.

In summary, current evidence suggests that valacyclovir and acyclovir may decrease the risk of Alzheimer’s dementia by targeting HSV1-related mechanisms. However, further clinical trials are needed to confirm these findings and establish definitive treatment guidelines. These drugs are primarily used for treating herpes infections by interfering with DNA polymerase to inhibit DNA replication (ASHP).

3 Likes

WOW, thanks for that and I had no idea.

I’ll reach out to your personally on this, but for everyone’s benefit…

If one gets cold sores, does it mean you have HSV1 or does one still need to test to confirm … meaning, is it always the cause?

(it looks like I’m going to be consuming 1000 calories a day in pills!!!)

ApoE4 brings an impairment to the transporters of DHA into the brain. To circumvent the problem a phospholipid form is called for. I get mine from Nordic Naturals, the only problem being the dosage needed is much higher as a percentage of the product is phospholipid. If anything the implication from the data is that apoE4 people need MORE DHA than others so the seeming non response is from dose insufficiency. However I’ve seen that to have a protective effect a high omega 3 index needs to go hand in hand with high Vit 12 and Vit D levels. Otherwise the benefits are largely mooted.

3 Likes