Using Precision Medicine to Reverse Alzheimer's Disease with Dr. Heather Sandison: Rational Wellness podcast 464
Release Date: 06/04/2026
Rational Wellness Podcast
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Newest Developments in SIBO Treatments with Dr. Mark Pimentel | Rational Wellness Podcast 476 Dr. Mark Pimentel on SIBO/IBS: 3-Gas Breath Testing, Hydrogen Sulfide, Methane, Diet & Emerging Treatments Dr. Ben Weitz welcomes Dr. Mark Pimentel to discuss new research on IBS and overgrowth syndromes, including hydrogen SIBO, intestinal methanogen overgrowth (IMO), and intestinal sulfide overproduction (hydrogen sulfide). Pimentel explains that hydrogen on breath tests is a marker for bacteria like E. coli and Klebsiella and that slowed motility enables overgrowth; he also...
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Using Precision Medicine to Reverse Alzheimer's Disease with Dr. Heather Sandison | Rational Wellness Podcast 464
Dr. Ben Weitz interviews Dr. Heather Sandison about a precision, multimodal approach to Alzheimer’s and cognitive decline that challenges the amyloid-only model. Sandison cites a 2026 Cochrane review finding anti-amyloid antibody therapies remove plaque but don’t meaningfully improve cognition and carry risks like brain bleeding and swelling, arguing cognitive decline is driven by multiple modifiable factors. She reviews lifestyle-intervention research (Bredesen/Toups 2022, her 2023 study, Ornish 2024, and the Alzheimer’s Association POINTER trial) showing cognitive improvements, discusses key drivers such as toxins (mycotoxins, metals, chemicals), infections, metabolic flexibility/ketosis, sleep, stress, and social connection, and outlines evaluation tools including MoCA, CNS Vital Signs, MRI volumetrics with arterial spin labeling, and blood biomarkers like p-tau217, Aβ 42/40, and NfL, plus interpreting nutrients via homocysteine.
00:00 Show Intro
00:59 Alzheimers Rethink
01:34 Guest Background
02:48 Trial Clarification
03:39 Limits Of Amyloid Drugs
05:29 Houseplant Brain Analogy
07:10 Lifestyle Trials Evidence
09:41 Research Funding Reality
11:08 Preventable Dementia Risks
12:44 Synapses And Social Ties
15:13 Drivers Beyond Amyloid
17:27 Toxins As Key Factor
18:52 Why Toxins Get Ignored
20:42 Metabolic Flexibility Diet
23:33 Ketosis For Cognition
24:57 Exogenous Ketones Guide
26:57 MCT And Coconut Oil
27:10 Coconut Oil Ketones
28:10 Apollo Wearable Ad
29:42 Cognitive Testing Tools
31:17 Advanced Brain Imaging
33:56 Blood Biomarkers Explained
37:39 Nutrients And Homocysteine
40:29 Vitamin D And Calcium
41:53 Treatment Priorities
43:47 Sleep Apnea First
45:53 Hormones And Peptides
48:48 Wrap Up And Resources
49:53 Podcast Outro
Dr. Heather Sandison is the founder of Solcere Health Clinic in San Diego, California and Marama, a pioneering residential care facility focused on personalized, root-cause approaches to dementia. She is also the primary investigator and author of a peer-reviewed study published in the Journal of Alzheimer’s Disease demonstrating improvements in cognition using a personalized lifestyle intervention, and the author of the New York Times best selling book Reversing Alzheimer’s. Her website is DrHeatherSandison.com.