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Using Precision Medicine to Reverse Alzheimer's Disease with Dr. Heather Sandison: Rational Wellness podcast 464

Rational Wellness Podcast

Release Date: 06/04/2026

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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.

Dr. Ben Weitz is available for Functional Nutrition consultations specializing in Functional Gastrointestinal Disorders like IBS/SIBO and Reflux and also Cardiometabolic Risk Factors like elevated lipids, high blood sugar, and high blood pressure. Dr. Weitz has also successfully helped many patients with managing their weight and improving their athletic performance, as well as sports chiropractic work by calling his Santa Monica office 310-395-3111.