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An Early Sign in Those With Alzheimer's
Sep 18, 2023

Ronald Grisanti D.C., D.A.B.C.O., DACBN, MS, CFMP

The medical journal Neurology has reported that people who carry a gene that's associated with Alzheimer's disease may lose their sense of smell long before memory and thinking problems occur.


The specific gene reported in this paper is called APOE e4


You can order APOE Alzheimer's Risk from Labcorp. The code is: 504040


Testing a person's ability to detect odors may be a useful way to predict future problems with cognition.


The study from the Neurology journal surveyed more than 865 people about their ability to detect an odor and identify what they were smelling. Tests were given over five years. Those with memory or thinking problems were tested twice, five years apart. The investigators also took DNA samples.


People who carried the gene variant (APOE e4) for Alzheimer's were 37% less likely to have good odor detection than people without the gene, the researchers found.


Those with the gene (APOE e4) experienced reduced smell detection from age 65 to 69. 


People with the gene variant (APOE e4) did not show a difference in the ability to identify what they were smelling until ages 75 to 79. Once the ability to identify odors declined, it declined faster than in those who did not carry the gene.


At the start of the study, thinking and memory skills were similar among the two groups.


Unfortunately, the researchers concluded that thinking skills declined more rapidly among those carrying the gene variant than among those without the gene.


You can find a qualified and certified functional medicine practitioner by going to: www.FunctionalMedicineDoctors.com


References:


https://www.nia.nih.gov/news/loss-smell-linked-alzheimers-cognitive-impairment-and-biomarkers

https://practicalneurology.com/news/loss-of-smell-may-predict-alzheimer-disease-and-dementia

https://jnnp.bmj.com/content/70/6/739

https://news.uchicago.edu/story/rapid-loss-smell-predicts-dementia-and-smaller-brain-areas-linked-alzheimers


The information on this website is not intended to replace a one-on-one relationship with a qualified health care professional and is not intended as medical advice. It is intended as a sharing of knowledge and information from the research and experience of Dr. Grisanti and his functional medicine community. Dr. Grisanti encourages you to make your own health care decisions based upon your research and in partnership with a qualified health care professional. Visit www.FunctionalMedicineUniversity.com for more information on our training in functional medicine. Look for practitioners who have successfully completed the Functional Medicine University's Certification Program (CFMP) www.functionalmedicinedoctors.com. This content may be copied in full, with copyright, contact, creation and information intact, without specific permission, when used only in a not-for-profit format. If any other use is desired, permission in writing from Dr. Grisanti is required

17 Apr, 2024
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By Ronald Grisanti D.C., D.A.B.C.O., DACBN, MS, CFMP 13 Mar, 2024
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Ronald Grisanti D.C., D.A.B.C.O., DACBN, MS, CFMP
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Ronald Grisanti D.C., D.A.B.C.O., DACBN, MS, CFMP Alzheimer's is the most common form of dementia. Its symptoms vary but may start with mild memory loss or difficulty remembering words or names. As it progresses, Alzheimer's causes worsening confusion and memory loss, changes in personality, the inability to perform everyday tasks and more. Alzheimer's is caused by a slow build-up of protein plaques and tangles in the brain that eventually cause brain cells to stop working properly. This build-up usually starts years before a person experiences symptoms. Alzheimer's-related memory loss is caused by brain cells working improperly and dying-a process known as neurodegeneration. Alzheimer's is estimated to account for about 60% of dementia cases. Diagnosing Alzheimer's Until recently, it has been difficult to identify the biological changes that indicate Alzheimer's. The typical evaluation, which includes physical exam, blood and urine tests and cognitive testing may provide ambiguous or conflicting answers, which can result in delayed referrals until symptoms become clearer. That has changed with new technology and testing. Labcorp has developed a new test called the Amyloid-Tau-Neurodegeneration (ATN) Profile ( ATN Profile) to help doctors detect evidence of biological changes consistent with Alzheimer's. These tests are the first objective tools that doctors have to help evaluate Alzheimer's, meaning that with a simple blood test , doctors and other health professionals allowed to order labs can get a clearer answers on Alzheimer's and its progression and get patients on a care plan earlier. This will in fact give physicians a simple, objective test for Alzheimer's disease pathology that can help shorten the time to diagnosis. Labcorp is the first company to make a fully blood-based ATN Profile commercially available. What is ATN? The ATN framework establishes a means for classifying biomarkers based on the biological evidence of Alzheimer's disease that each marker provides These markers are divided into three categories to reflect the three primary biological changes associated with Alzheimer's: A for amyloid plaques: Accumulations of beta-amyloid 42 proteins begin to form plaques in the brain years before initial symptom onset T for tau tangles: The beta-amyloid 42 accumulation causes misfolding of tau proteins, which tangle into knots and disrupt normal brain cell function N for neurodegeneratio : Brain cell functional impairment causes the cells to die, which exacerbates the characteristic cognitive impairment symptoms observed in Alzheimer's patients
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