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My family history definitely started me down the path to specializing in treating Alzheimer’s. But more so, it changed the way that I approached the overall management of the disease. As with many other chronic diseases, such as hypertension and diabetes, comprehensive management is much more than “a pill.” Having a few Food and Drug Administration-approved drugs on the market was marginally helpful, but what about lifestyle changes, exercise, nutrition, sleep, and stress management? And there is a saying, once you have seen one person with Alzheimer’s, well, you have seen one person with Alzheimer’s. What is meant by this is that from a clinical perspective, Alzheimer’s is a very heterogeneous disease. In my mind, I didn’t feel comfortable with a one-size-fits-all approach and started looking deeper, considering genetic variations and the person’s individual biology, in crafting a targeted plan.
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