Cognitive Protection for Long-Term Brain Health in Melbourne

Book Now

Cognitive protection uncovers the biological drivers of dementia and age-related decline decades before the first symptom appears. Most brain ageing is shaped by modifiable factors such as vascular integrity, metabolic stability, sleep quality, and physical reserve, yet these drivers rarely appear on a standard health check. A structured protection plan brings them into focus while there is still time to act.

Standard pathology can tell you whether you have diabetes, high cholesterol, or high blood pressure. It cannot tell you how those factors are quietly shaping your future brain health. A proper cognitive protection strategy can reshape how you think about, and invest in, your neurological future for the rest of your life.

What Is Cognitive Protection?

Cognitive protection is a specialised clinical program that targets the modifiable drivers of dementia, memory loss, and age-related decline. Unlike a standard health check, it focuses on the biology of brain ageing long before symptoms appear. This program looks at things like:

  • The condition of the small blood vessels that supply your brain
  • Whether your metabolism is quietly damaging neurons through insulin resistance
  • How your sleep quality is affecting your brain's ability to clear waste each night
  • How your physical reserve and strength are mirroring neurological health
  • Inherited risk factors that influence your personal rate of brain ageing
  • A set of biomarkers that together predict decades-ahead cognitive outcomes

This multi-layered approach uncovers the risks a standard check-up cannot detect. The aim isn't just to produce a report. It is to reshape your long-term brain health strategy with real insight.

Our Framework: The Five Vital Pillars

A single biomarker is never the full story. At Duro Health, we read every cognitive protection result through the lens of our Five Vital Pillars framework, which anchors your brain health to the rest of your biology. The table below shows how cognitive risk interacts with each pillar, and which supporting markers we pair with your brain-specific tests to build a practical prevention plan.

Pillar

Focus Markers

Purpose

Lifestyle and Environment

Focus Markers

Purpose

Lifestyle and Environment
Sleep quality, oxidative stress, toxic load, head injury history
Sleep disruption, oxidative damage, and structural "mileage" erode the blood-brain barrier. This pillar flags external stressors that accelerate cognitive decline.

Focus Markers

Sleep quality, oxidative stress, toxic load, head injury history

Purpose

Sleep disruption, oxidative damage, and structural "mileage" erode the blood-brain barrier. This pillar flags external stressors that accelerate cognitive decline.
Lifestyle and Environment

Focus Markers

Sleep quality, oxidative stress, toxic load, head injury history

Purpose

Sleep disruption, oxidative damage, and structural "mileage" erode the blood-brain barrier. This pillar flags external stressors that accelerate cognitive decline.
Neurocellular Ageing

Focus Markers

Purpose

Neurocellular Ageing
Biological age, methylation, homocysteine, APOE genotype
Your genes set susceptibility, but how fast your neurons age around that blueprint is not fixed. This pillar measures your true rate of brain ageing.

Focus Markers

Biological age, methylation, homocysteine, APOE genotype

Purpose

Your genes set susceptibility, but how fast your neurons age around that blueprint is not fixed. This pillar measures your true rate of brain ageing.
Neurocellular Ageing

Focus Markers

Biological age, methylation, homocysteine, APOE genotype

Purpose

Your genes set susceptibility, but how fast your neurons age around that blueprint is not fixed. This pillar measures your true rate of brain ageing.
Systemic Organ Support

Focus Markers

Purpose

Systemic Organ Support
eGFR, liver function, thyroid panel
Kidney, liver, and thyroid dysfunction can all drive cognitive fog and neuroinflammation. This pillar rules out the secondary drivers of decline.

Focus Markers

eGFR, liver function, thyroid panel

Purpose

Kidney, liver, and thyroid dysfunction can all drive cognitive fog and neuroinflammation. This pillar rules out the secondary drivers of decline.
Systemic Organ Support

Focus Markers

eGFR, liver function, thyroid panel

Purpose

Kidney, liver, and thyroid dysfunction can all drive cognitive fog and neuroinflammation. This pillar rules out the secondary drivers of decline.
Metabolic Resilience

Focus Markers

Purpose

Metabolic Resilience
HOMA-IR, fasting insulin, HbA1c, visceral fat
Insulin resistance starves the brain of glucose and drives hippocampal atrophy. This pillar controls what many researchers now call "Type 3 Diabetes."

Focus Markers

HOMA-IR, fasting insulin, HbA1c, visceral fat

Purpose

Insulin resistance starves the brain of glucose and drives hippocampal atrophy. This pillar controls what many researchers now call "Type 3 Diabetes."
Metabolic Resilience

Focus Markers

HOMA-IR, fasting insulin, HbA1c, visceral fat

Purpose

Insulin resistance starves the brain of glucose and drives hippocampal atrophy. This pillar controls what many researchers now call "Type 3 Diabetes."
Cerebrovascular Integrity

Focus Markers

Purpose

Cerebrovascular Integrity
ApoB, Lp(a), blood pressure, hs-CRP
The small vessels that feed the brain fail first. We target vascular integrity to prevent silent strokes, white matter lesions, and vascular dementia.

Focus Markers

ApoB, Lp(a), blood pressure, hs-CRP

Purpose

The small vessels that feed the brain fail first. We target vascular integrity to prevent silent strokes, white matter lesions, and vascular dementia.
Cerebrovascular Integrity

Focus Markers

ApoB, Lp(a), blood pressure, hs-CRP

Purpose

The small vessels that feed the brain fail first. We target vascular integrity to prevent silent strokes, white matter lesions, and vascular dementia.

Why Cognitive Protection Matters

Your memory and cognitive performance only tell part of the story. Cognitive protection in Melbourne allows our medical team to:

  • Identify vascular and metabolic risks long before cognitive symptoms appear
  • Clarify your personal risk across Alzheimer's, Vascular Dementia, Lewy Body Dementia, and Mild Cognitive Impairment
  • Refine blood pressure, ApoB, and glucose targets based on your true neurological risk
  • Set prevention intensity appropriately instead of relying on a one-size-fits-all approach
  • Position you to benefit from emerging neuroprotective therapies as they become available

Because decline is cumulative across decades, even small advantages stacked early can meaningfully change your long-term trajectory. A structured protection plan can reshape how that risk is managed.

Book Now

What We Measure

Cognitive protection relies on a set of high-yield biomarkers and functional assessments. Each component helps translate your clinical picture into a personalised plan.

Apolipoprotein B (ApoB)

We measure ApoB to quantify the total number of plaque-forming particles in your blood. Higher ApoB damages the small vessels that feed the brain, contributing to silent injury, white matter lesions, and unnoticed micro-strokes. Our neuroprotective target is below 0.80 g/L.

HOMA-IR and Metabolic Health

HOMA-IR is the gold-standard measure of insulin resistance. It identifies the metabolic drift that many researchers now describe as "Type 3 Diabetes," a state in which the brain loses the ability to use glucose effectively and the hippocampus begins to shrink.

Grip Strength and Functional Reserve

Grip strength, alongside dead hangs, farmer carries, push ups, and pull ups, reflects neuromuscular integrity, motor cortex health, and total physiological reserve. Higher functional strength is consistently linked to thicker grey matter in key brain regions and lower neurological mortality.

Blood Pressure Context

Mid-life blood pressure is a stronger predictor of late-life decline than blood pressure measured later in life. We interpret your readings in the context of cumulative vascular load and aim for tight, consistent control to preserve steady cerebral blood flow.

Sleep and Glymphatic Function

Deep sleep activates the glymphatic system, the brain's waste clearance pathway that rinses away amyloid and tau proteins. We assess sleep quality, continuity, and the likelihood of underlying sleep-disordered breathing as a core neurological intervention.

Inflammation and Inherited Risk

We review hs-CRP, homocysteine, lipoprotein(a), and APOE genotype so your full picture of inflammatory and inherited risk sits in one place. This ensures your protection targets reflect every contributor to your neurological trajectory, not just one marker.

Personalised Precision from Our Add-On Diagnostics

Core biomarkers tell you your level of risk. These optional diagnostics tell you what that risk has already done to your brain and vessels, and what you can modify to blunt it. We layer them in selectively based on your biomarker profile, your symptoms, and your family history.

Sleep and Functional Cognition

  • Overnight Polysomnography: The gold-standard sleep study used to diagnose obstructive sleep apnoea, a major but often overlooked cause of cognitive injury through intermittent oxygen deprivation.‍
  • Digital Cognitive Assessment: A validated, repeatable measure of memory, attention, and processing speed. Provides a functional baseline to track over time alongside your biomarkers.

Genetics and Epigenetics

  • APOE Genotype: Identifies the APOE variant you inherited, which shapes lipid handling and Alzheimer's susceptibility. Knowing your status helps us calibrate how aggressively to manage your vascular and metabolic buffer.
  • LPA Gene Analysis: Sequencing of the LPA gene, which controls 80 to 90 per cent of your lipoprotein(a) level. Elevated Lp(a) is a known driver of stroke and vascular dementia risk.
  • Familial Hypercholesterolemia (FH) Panel: Screens for inherited causes of very high LDL cholesterol. When FH and elevated cognitive risk overlap, the combination warrants the most aggressive prevention strategy.‍
  • Preventative Genetic Health Test: A medical-grade screen of 180+ genes linked to preventable neurological, cardiovascular, and oncologic conditions. A valuable layer when family history is broad or difficult to interpret.

Metabolic and Body Composition

  • DEXA Scan: The gold standard for measuring visceral fat, the fat around your organs that drives systemic inflammation and compounds every metabolic risk factor for cognitive decline.
  • Continuous Glucose Monitor (CGM): A short-term wearable that shows how food, sleep, and stress move your blood sugar in real time. Tight glucose control is one of the highest-leverage brain protections available.‍
  • VO2 Max and Cardiorespiratory Fitness Testing: An objective measure of your cardiovascular fitness, currently one of the strongest modifiable predictors of long-term brain health and cognitive survival.

Advanced Brain and Vascular Imaging

  • Brain MRI with Volumetric Analysis: Measures hippocampal volume, cortical thickness, and white matter hyperintensities. For anyone with elevated vascular risk or memory concerns, this reveals whether cumulative damage has already translated into measurable brain change.
  • Carotid Intima-Media Thickness (CIMT): A non-invasive ultrasound that visualises early thickening and plaque in the arteries feeding the brain. One of the earliest structural signs of vascular-driven cognitive risk.‍
  • Coronary Artery Calcium (CAC) Score: A low-dose CT that quantifies calcified plaque inside your coronary arteries. Because what damages the heart vessels damages the brain vessels, this is a valuable signal of silent cerebrovascular risk.

Sleep and Functional Cognition

  • Overnight Polysomnography: The gold-standard sleep study used to diagnose obstructive sleep apnoea, a major but often overlooked cause of cognitive injury through intermittent oxygen deprivation.‍
  • Digital Cognitive Assessment: A validated, repeatable measure of memory, attention, and processing speed. Provides a functional baseline to track over time alongside your biomarkers.

Genetics and Epigenetics

  • APOE Genotype: Identifies the APOE variant you inherited, which shapes lipid handling and Alzheimer's susceptibility. Knowing your status helps us calibrate how aggressively to manage your vascular and metabolic buffer.
  • LPA Gene Analysis: Sequencing of the LPA gene, which controls 80 to 90 per cent of your lipoprotein(a) level. Elevated Lp(a) is a known driver of stroke and vascular dementia risk.
  • Familial Hypercholesterolemia (FH) Panel: Screens for inherited causes of very high LDL cholesterol. When FH and elevated cognitive risk overlap, the combination warrants the most aggressive prevention strategy.‍
  • Preventative Genetic Health Test: A medical-grade screen of 180+ genes linked to preventable neurological, cardiovascular, and oncologic conditions. A valuable layer when family history is broad or difficult to interpret.

Metabolic and Body Composition

  • DEXA Scan: The gold standard for measuring visceral fat, the fat around your organs that drives systemic inflammation and compounds every metabolic risk factor for cognitive decline.
  • Continuous Glucose Monitor (CGM): A short-term wearable that shows how food, sleep, and stress move your blood sugar in real time. Tight glucose control is one of the highest-leverage brain protections available.‍
  • VO2 Max and Cardiorespiratory Fitness Testing: An objective measure of your cardiovascular fitness, currently one of the strongest modifiable predictors of long-term brain health and cognitive survival.

Advanced Brain and Vascular Imaging

  • Brain MRI with Volumetric Analysis: Measures hippocampal volume, cortical thickness, and white matter hyperintensities. For anyone with elevated vascular risk or memory concerns, this reveals whether cumulative damage has already translated into measurable brain change.
  • Carotid Intima-Media Thickness (CIMT): A non-invasive ultrasound that visualises early thickening and plaque in the arteries feeding the brain. One of the earliest structural signs of vascular-driven cognitive risk.‍
  • Coronary Artery Calcium (CAC) Score: A low-dose CT that quantifies calcified plaque inside your coronary arteries. Because what damages the heart vessels damages the brain vessels, this is a valuable signal of silent cerebrovascular risk.

Genetic & Epigenetic Testing

  • LPA Gene Analysis: Sequencing of the LPA gene, which controls 80 to 90 per cent of your Lp(a) level. Includes kringle IV repeat variation, the structural feature that influences both particle size and circulating concentration.
  • Familial Hypercholesterolemia (FH) Panel: Screening for inherited causes of very high LDL cholesterol. When FH and elevated Lp(a) occur together, the combination can drive premature cardiovascular disease and warrants the most aggressive prevention strategy.
  • ApoE Genetic Test: Reveals the ApoE genotype you inherited, which shapes both lipid handling and long-term brain health. Knowing this helps us calibrate how hard to target LDL and ApoB alongside your Lp(a).
  • Preventative Genetic Health Test: A medical-grade screen of 180+ genes linked to preventable cardiovascular and oncologic conditions. A valuable layer when your Lp(a) is high and your family history is broad or difficult to interpret.

Metabolic & Body Composition

  • DEXA Scan: The gold standard for measuring visceral fat, the fat around your organs that drives systemic inflammation and compounds every effect Lp(a) has on your vessel walls.
  • Continuous Glucose Monitor (CGM): A short-term wearable that shows how food, sleep, and stress move your blood sugar in real time. When Lp(a) is elevated, tight metabolic control is one of the highest-leverage protections available to you.
  • VO2 Max & Cardiorespiratory Fitness Testing: An objective measurement of your cardiovascular fitness, currently the strongest modifiable predictor of long-term cardiac survival and a critical counterweight to inherited Lp(a) risk.

Advanced Cardiovascular Imaging

  • Coronary Artery Calcium (CAC) Score: A low-dose CT that quantifies calcified plaque inside your coronary arteries. For anyone with elevated Lp(a), this is the single most important follow-up test, it reveals whether your inherited risk has already translated into measurable arterial damage.
  • Advanced Cardiac Imaging (CTCA): A non-invasive CT coronary angiogram that visualises both calcified and soft plaque. This is the definitive next step when your CAC score is elevated or when your family history is significant.
  • Aortic Valve Screening: Targeted echocardiography to detect early aortic valve calcification and stenosis, two conditions that elevated Lp(a) is known to accelerate silently over decades.

Genetic & Epigenetic Health

  • ApoE Genetic Test: Gain clarity on your genetic predisposition for Alzheimer’s disease and lipid disorders. Knowing your status allows you to implement specific brain-health protocols decades in advance.
  • DNA Methylation Test: Go beyond your fixed DNA. This test measures your epigenetics, the chemical tags that turn genes on or off, offering a real-time snapshot of how your lifestyle is affecting your gene expression.‍
  • Preventative Genetic Health Test: A medical-grade screening of 180+ genes linked to preventable cancers and heart conditions. It’s the ultimate proactive tool for those with a complex family history.

Compositional & Metabolic Health

  • DEXA Scan: Stop focusing on the scale. A DEXA scan provides the gold standard in body composition, measuring exactly how much muscle, bone, and visceral fat (the dangerous fat around your organs) you have.
  • Continuous Glucose Monitor (CGM): See how your body reacts to food in real-time. This wearable sensor tracks how specific meals, sleep, and stress affect your blood sugar, helping you build a personalised nutrition plan.‍
  • VO2 Max & Metabolic Rate Testing: Measure your peak aerobic capacity and resting metabolic rate to understand your cardiovascular fitness and optimise your training and recovery strategies.

Advanced Blood Testing & Biomarker Analysis

  • Comprehensive Blood Panel: Pair your imaging with over 80 advanced biomarkers, including ApoB, Lipoprotein(a), and Fasting Insulin, to detect cardiovascular and metabolic risks that imaging alone cannot reveal.
  • Hormonal & Thyroid Profiling: Assess your thyroid function, stress hormones, and sex hormones to understand how hormonal balance is affecting your energy, mood, and long-term vitality.
  • Cancer Marker Screening: Blood-based cancer markers complement your MRI imaging to provide a more complete early detection picture across multiple cancer types.

Genetic Testing

  • Amino Acid Analysis: A detailed assessment of 20+ amino acids to optimise protein absorption, neurotransmitter production (mood/focus), and recovery from physical and mental demands.
  • DNA Methylation Test: Go beyond your fixed DNA. This test measures your “epigenetics,” the chemical tags that turn genes on or off, offering a real-time snapshot of how your leadership lifestyle is affecting your gene expression and biological ageing.
  • ApoE Genetic Test: Gain clarity on your genetic predisposition for Alzheimer’s disease and lipid disorders. Knowing your status allows you to implement specific brain-health protocols decades in advance.‍
  • Preventative Genetic Health Test: A medical-grade screening of 180+ genes linked to preventable cancers and heart conditions. The ultimate proactive tool for executives with a complex family history.

Body Composition & Metabolic Wellbeing

  • DEXA Scan: Move beyond the scale. A DEXA scan provides the gold standard in body composition, measuring exactly how much muscle, bone, and “visceral fat” (the dangerous fat around your organs) you carry, helping you understand your true biological readiness.
  • Continuous Glucose Monitor (CGM): See how your body reacts to food, stress, and sleep in real-time. This wearable sensor tracks how specific meals and meeting-heavy days affect your blood sugar, helping you build an energy strategy tailored to your executive schedule.‍
  • Microbiome & Gut Health: An in-depth analysis of your gut’s microbial diversity. This helps solve chronic bloating and energy production issues by identifying the specific bacteria influencing your immune system, mood, and cognitive performance.

Complete Medical Imaging

  • Whole Body Cancer Screening: Using cutting-edge full-body MRI and Chest CT technology, this scan looks for early-stage cancers, aneurysms, and silent organ issues that are invisible to standard corporate health checks.
  • Advanced Cardiac Imaging (CTCA): This non-invasive scan allows us to look inside your coronary arteries to see if plaque has already started to form, providing much more certainty than a blood test alone for executives with high-stress lifestyles.‍
  • Skin Check+: A clinical-grade, head-to-toe assessment using high-resolution imaging to catch “at-risk” moles and lesions before they become dangerous.

Advanced Medical Imaging

  • Whole Body Cancer Screening: Using cutting-edge full-body MRI and Chest CT technology, this scan looks for early-stage cancers, aneurysms, and silent organ issues that are invisible to the naked eye.
  • Advanced Cardiac Imaging (CTCA): This non-invasive scan allows us to look inside your coronary arteries to see if plaque has already started to form, providing much more certainty than a blood test alone.
  • Skin Check+: A clinical-grade, head-to-toe assessment using high-resolution imaging to catch "at-risk" moles and lesions before they become dangerous.

Body Composition & Metabolic Health

  • DEXA Scan: Stop focusing on the scale. A DEXA scan provides the gold standard in body composition, measuring exactly how much muscle, bone, and "visceral fat" (the dangerous fat around your organs) you have.
  • Continuous Glucose Monitor (CGM): See how your body reacts to food in real-time. This wearable sensor tracks how specific meals, sleep, and stress affect your blood sugar, helping you build a "diet for one."
  • Microbiome & Gut Health: An in-depth analysis of your gut's microbial diversity. This helps solve chronic bloating and energy production issues by identifying the specific bacteria influencing your immune system and mood.

Genetics & Epigenetics

  • Amino Acid Analysis: A detailed assessment of 20+ amino acids to optimise protein absorption, neurotransmitter production (mood/focus), and muscle recovery.
  • DNA Methylation Test: Go beyond your fixed DNA. This test measures your "epigenetics", which are the chemical tags that turn genes on or off, offering a real-time snapshot of how your lifestyle is affecting your gene expression.
  • ApoE Genetic Test: Gain clarity on your genetic predisposition for Alzheimer’s disease and lipid disorders. Knowing your status allows you to implement specific brain-health protocols decades in advance.
  • Preventative Genetic Health Test: A medical-grade screening of 180+ genes linked to preventable cancers and heart conditions. It’s the ultimate proactive tool for those with a complex family history.

Who Cognitive Protection Is For

Leading clinical guidance increasingly supports proactive cognitive risk assessment well before symptoms emerge. It is especially important for:

  • Anyone with a personal or family history of Alzheimer's, stroke, or other neurodegenerative conditions
  • Adults in their 40s and 50s who want to act during the critical mid-life window
  • People whose cholesterol looks reassuring but who have significant family history or subtle cognitive symptoms
  • Individuals with high-risk genetics such as APOE-4 who want to actively change their trajectory
  • Former athletes or anyone with a history of concussion or traumatic brain injury
  • High-performing professionals experiencing brain fog, poor focus, or mental fatigue
  • Anyone wanting a genuinely comprehensive assessment of their long-term brain health, not just a basic check-up

Whether you have a known family history or simply want the fullest possible picture of your neurological future, cognitive protection gives you information you can act on for life.

How the Process Works

Our cognitive protection process is simple and doctor led. No referral is required.

Book Your Assessment

Schedule a discovery call with our Melbourne team to discuss your history, goals, and risk factors.

Complete Your Biomarker Panel

Visit one of our partner pathology labs for a standard venous blood draw, alongside functional strength and sleep screening.

Clinical Analysis

Our doctors review your results alongside ApoB, HOMA-IR, blood pressure, inflammatory markers, and sleep data for full context.

Get Your Results

Receive a clear explanation of what your markers mean, what your personal risk category is, and the prevention strategy tailored to your numbers.

Tracking Your Health Over Time

Genetic markers such as APOE are stable across life and only need to be measured once. What changes over time is everything else that determines your cognitive trajectory, including ApoB, blood pressure, HOMA-IR, inflammatory markers, sleep quality, and functional strength.

By monitoring these modifiable factors regularly in light of your inherited risk profile, we can confirm that prevention intensity stays appropriate. Aggressive management of every modifiable risk factor is the most powerful tool available today for patients with elevated genetic or vascular risk.

Book Now

Pricing and Testing Packages

Cognitive protection can be ordered as a standalone biomarker panel or added to a comprehensive longevity assessment. Every option includes doctor review and a clear explanation of your results.

Our Melbourne team can help you decide whether a focused cognitive panel, a full longevity screen, or a combined assessment package best suits your situation. We believe in transparent pricing, with no hidden fees.

Extra Testing Options

Depending on your results and clinical picture, additional tests may add further insight, including:

  • Advanced lipid panels with particle size and lipoprotein(a) analysis
  • Coronary artery calcium (CAC) scoring and carotid intima-media thickness
  • High-sensitivity C-reactive protein (hs-CRP) and homocysteine for inflammation and neurotoxicity
  • Overnight sleep studies for suspected sleep-disordered breathing

These complementary assessments help build a genuinely personalised cognitive prevention plan, especially when inherited or vascular risk is elevated.

Know Your Brain Health Risk Before It Becomes a Problem

You cannot change every gene you carry. You can change how proactively you manage the biology that surrounds them. Knowing your cognitive risk profile today positions you to benefit from tomorrow's neuroprotective therapies, while ensuring your current prevention strategy is as strong as possible.

Call us at (03) 7043 7273 or book a discovery call to add cognitive protection to your screening in Melbourne today. Our team is ready to help you uncover the factors shaping your long-term brain health.

Book a Discovery Call

Who Cognitive Protection Is For

Can I use health insurance or Medicare for cognitive protection?

Coverage depends on your situation and the tests included. Our team can walk you through any potential rebates and out-of-pocket costs before you book.

Is it ever too late to start a cognitive protection plan?

It is never too late to build brain reserve. Even if subtle changes have already begun, optimising metabolic stability, sleep, strength, and vascular health can slow further decline and improve daily function. The greatest benefit, however, comes when these markers are addressed in the decades before symptoms appear.

Can I look at my results over time?

Our system tracks every modifiable marker over time, so you can see how your vascular, metabolic, inflammatory, and functional risk profile is shifting. Inherited markers such as APOE are measured once and remain stable for life.

How is my data handled and kept private?

All samples and results are processed and stored by certified pathology and clinical partners that follow strict privacy and handling standards. Your data is kept confidential and only shared according to your instructions.

If my genetics (like APOE-4) are high-risk, is cognitive decline inevitable?

Genetics are not destiny. Research consistently shows that individuals with high genetic risk who maintain optimal vascular and metabolic health regularly delay or avoid symptomatic decline. We use your genetic profile to sharpen focus, not to forecast an outcome.

How often should my cognitive protection assessment be repeated?

Genetic markers such as APOE only need to be tested once. Modifiable markers such as ApoB, HOMA-IR, blood pressure, and inflammatory markers are usually reviewed every 6 to 12 months, depending on your risk profile and how aggressively we are adjusting your plan.

Do I need to fast before the tests?

Fasting is typically required for metabolic markers such as HOMA-IR. If your panel includes fasting tests, we will give you clear instructions ahead of your appointment.

Do I need a doctor's referral for cognitive protection?

No referral is needed. You can book directly with us, and we can share your results with your regular GP, neurologist, or cardiologist if you would like.