Testing for Dementia-prevention
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Cognoscopy
Type of Test
Quest Lab Code
NotesTarget Level
My level as of (date)
Remediation, if needed
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Test for:(Talk with your functional medicine practitioner for specific guidance)
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hs-CRPblood4420<0.9Diet
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Homocysteineblood31789<7 micromolarEat foods lower in methionine
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Take methyl B-12 (dose below)
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Take methyl tetrahydratefolate (dose below)
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Take pyrodoxal 5-folate (dose below)
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Vit B1 (thiamin)
blood (fasting)
9035320-30 nmol/LTake 50 mg. daily
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Vit B 6
blood (fasting)
926Pyrodoxal-5-folate (P5P)60-100 mcgs/LTake 20-50 mg/day
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Vit B9 (folate)blood 466
Stop Vit. B9 supplement 12 hrs. prior
10-25 nanograms/LTake .8-5 mg./day
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Vit. B12blood82607 or 82746Do not use MMA test>500Take 1 mg./day (adenosylcobalamin)
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fasting insulin blood91398microlU per ml<or equal to 4.5Lower dietary sugar; see p. 190 Bredesen book
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fasting glucoseblood91398mg per dL<or equal to 90Lower dietary sugar; see p. 190 Bredesen book
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A1Cblood496< 5.6 %Lower dietary sugar; see p. 190 Bredesen book
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A/G ratio blood7577Albumin to Globulin> or equal to 1.8Diet and/or supplements; see p. 199
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Omega 6:Omega 3 ratioblood91001Between 0.5 and 3Diet and/or supplements; see p. 199
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(inflammation marker)
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Interlukein 6 or IL6blood34473pg = picograms< 3 pg per mlDiet and/or supplements; see p. 199
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(inflammation marker)
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TNFa (inflammation marker)
specialtyresearch only< 6 pg per mlDiet and/or supplements; see p. 199
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3 tests above are sufficient
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Vit. D325 hydroxycholecalciferol50-80 ng per mlSupplementation: active; about 4000 IU per day
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Thyroidthermometer test97.8 to 98.2Supplementation; Armour Thyroid or NP Thyroid
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TSH <2Add kelp to diet for iodine
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Estrogenestradiol50-250 pg per mlDiscuss hormone replacement therapy w/ your doctor
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Progesterone1-20 ng per mlDiscuss hormone replacement therapy w/ your doctor
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Ratio of the two above10-100Discuss hormone replacement therapy w/ your doctor
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Testosteronemen only at risk if lowTotal 500-1000 ng/dLDiscuss hormone replacement therapy w/ your doctor
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Free 6.5-15 ng/dL
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Cortisolmorning10-18 mcg per dLIf outside of range, discuss with doctor further testing
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Pregnenolone50-100 ng per dL
Over-the-counter pregnenolone supplements starting with 10 mg/day up to 25 mg/day
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DHEA sulfatewomen350-430 mcg per dLReduce stress levels through exercise or mediation/prayer
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men400-500 mcg per dLReduce stress levels through exercise or mediation/prayer
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Copper100 mcg per dL
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ZincMeasure in red blood cells
plasma 60-130 mcg/dL
Take 20-50 mg zinc picolinate daily
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Ratiocopper to zinc0.8 to 1.2
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Magnesium (RBC)Measure in red blood cells 5.2 to 6.5 mg per dLEat magnesium-rich foods: leafy greens, figs, bananas, avocados, nuts, seeds
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Potassium4.5-5.5
Eat potassium-rich foods: fresh fruit, cooked spinach and broccoli, potatoes, mushrooms, peas
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Calcium8.5-10.5
Eat calcium-rich foods: seeds, almonds, sardines, salmon, beans, lentils, leafy greens
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Seleniumserum selenium110-150 ng per dLEat Brazil nuts, whole grains, beans and peas, seeds, soy products if not allergic
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GlutathioneGSH5 to 5.5 micromolarTake N-acetyl cysteine capsules
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MercuryUse Quicksilver for testing<50th percentileTalk with your doctor about the Detox Qube
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LeadUse Quicksilver for testingsameTalk with your doctor about the Detox Qube
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ArsenicUse Quicksilver for testingsameTalk with your doctor about the Detox Qube
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CadmiumUse Quicksilver for testingsameTalk with your doctor about the Detox Qube
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Sleep apnea
AHI < 5 events per hr.
Talk with your doctor: get a dental appliance? or a continuous positive airway pressure (CPAP) machine
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Establish a sleep routine; 7-8 hrs./night; no blue lights 60 min. before bed; take melatonin
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Cholesterol
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LDL-pblood91398p = particle number700-1000
If too high, eliminate trans fats and saturated fats, eat rainbow fruits and veggies,
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sdLDLblood91398small dense LDL< 20 mg per dL
eat foods high in omega-3's (small fish like sardines, mackerel, anchovies), salmon
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HDL largeblood91398no Bredesen figure nuts and seeds, especially ground flaxseeds
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Triglyceridesblood91398or 20% of LDL
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Total cholesterolblood91398> 150
Yes, higher than 150 for brain protection; high total cholesterol not correlated with
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heart disease
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Vit Ealpha tocopherol12-20 mcg per dLIf level less than 13, take 400-800 IU daily of mixed tocopherols and tocotrienols
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Leaky gutCyrex Array 2negative
If positive, drink bone broth from pasture-raised beef or chicken OR take colostrum capsules,
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OR follow the SCD
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Leaky blood-brainCyrex Array 20negative
If positive, attend to all the other issues revealed from testing and the damaged blood-brain
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barrier should also heal; re-test after 6 months on the protocol
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Gluten sensitivityCyrex Array 3 and 4negativeIf positive, remove gluten from the diet
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Auto-antibodiesCyrex Array 5negativeIf positive, see this article by Dr. Mark Hyman, colleague of Dr. Bredesen
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HLA-DR/DQgenetic blood testno CIRS propensityIf you think you've been exposed to mold and you have CIRS propensity read
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this article (http://www.survivingmold.com/treatment)
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C4ablood test for toxins<2830 ng per ml
If level is too high find a functional medicine practitioner or doctor certified in the Shoemaker
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protocol or experienced with bio-toxin illness
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TGF-B1blood test for toxins<2380 pg per ml
If level is too high find a functional medicine practitioner or doctor certified in the Shoemaker
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protocol or experienced with bio-toxin illness
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MSH35-81 pg per ml
If level is too high find a functional medicine practitioner or doctor certified in the Shoemaker
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protocol or experienced with bio-toxin illness
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mycotoxinsurine test
negative for tricothecenes,
If level is too high find a functional medicine practitioner or doctor certified in the Shoemaker
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ochratoxin A, aflatoxin,
protocol or experienced with bio-toxin illness
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gliotoxin derivative
100
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