The Brain Health Doctor: Do This To Reduce Your Risk Of Dementia!

24 Jul 2025 · 1 h 12 min

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Begin Again Podcast Episode Summary

Episode Title

The Brain Health Doctor: Do This To Reduce Your Risk Of Dementia!

Overview In this episode of Begin Again, host Davina McCall engages in a conversation with Dr. Sabina Brennan, a neuroscientist and brain health expert. They discuss how simple lifestyle changes can significantly reduce the risk of dementia while enhancing overall brain health. Drawing from both personal experiences and scientific research, Dr. Brennan shares practical strategies aimed at improving cognitive function and care for individuals living with dementia.

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Key Topics Discussed

  1. Introduction to Dr. Sabina Brennan and Her Work
  2. Personal Background: Dr. Brennan discusses her journey from leaving school at 16 to becoming a leading neuroscientist and author of *Still Me*.
  3. Mission: To educate and empower individuals about brain health and the importance of lifestyle choices.
  1. Understanding Brain Fog vs. Dementia
  2. Brain Fog: Often experienced during midlife, particularly among women due to hormonal changes.
  3. Dementia: A more severe cognitive decline characterized by memory loss and impairment.
  1. The Science Behind Dementia
  2. Pathology: Discusses how individuals can have Alzheimer’s disease pathology without showing symptoms (cognitive reserve).
  3. Genetics vs. Lifestyle: Genetic factors exist, but lifestyle choices play a crucial role in determining risk.
  1. Strategies to Prevent Dementia

A. Lifestyle Changes

  • Physical Activity: Regular exercise promotes brain health by enhancing cardiovascular health and stimulating brain-derived neurotrophic factor (BDNF).
  • Social Engagement: Maintaining social connections is vital for cognitive function and preventing isolation.
  • Mental Stimulation: Learning new skills or hobbies can enhance neuroplasticity.

B. Key Lifestyle Factors

  • Diet: Healthy eating contributes to overall brain health.
  • Sleep: Adequate sleep is essential for memory consolidation and clearing brain toxins.
  • Hearing Health: Age-related hearing loss is a significant risk factor for dementia; regular hearing tests and protective measures are crucial.
  1. The Importance of Caregiving
  2. Supporting Loved Ones: Discussion on how caregivers can manage their own well-being while providing care for individuals with dementia.
  3. Recognizing Presence: Emphasizing the value of being present and acknowledging the feelings of those with dementia.
  1. Modifiable Risk Factors for Dementia
  2. 12 Risk Factors Identified: Includes high blood pressure, diabetes, smoking, obesity, depression, social isolation, and excessive alcohol consumption.
  3. Prevention and Awareness: Importance of understanding these factors to reduce the risk of dementia.
  1. Personal Experiences with Dementia
  2. Davina's and Dr. Brennan's Stories: Both share personal anecdotes about caring for their parents with dementia, highlighting emotional complexities and moments of connection.
  1. Final Thoughts and Message
  2. Power of Choice: Dr. Brennan reiterates that individuals are not powerless in the face of dementia; lifestyle choices can significantly impact cognitive health.
  3. Inspirational Closing: Encouragement to embrace life, have fun, and find joy in the present moment.

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Key Takeaways

  • Lifestyle Matters: Simple lifestyle changes, such as exercise, social interaction, and mental engagement, can substantially reduce dementia risk.
  • Cognitive Reserve: Individuals can possess brain pathology without showing symptoms, emphasizing the importance of a healthy lifestyle.
  • Empowerment: Both caregivers and those at risk can take actionable steps to enhance brain health and well-being.

Recommended Resources

  • Dr. Sabina Brennan's Work: Visit her website and explore her book *Still Me* for in-depth insights into dementia and caregiving.
  • Follow Davina McCall: Stay connected through her social media for more empowering content related to midlife transformations.

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This summary encapsulates the discussion points of the podcast episode, providing a clear framework for understanding the importance of brain health and practical steps that can be taken to mitigate the risks associated with dementia.

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Transcript

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0:00This episode is brought to you by Progressive Insurance. fiscally responsible financial geniuses monetary magicians these are things people say about drivers who switch their car insurance to progressive and save hundreds visit progressive.com to see if you could save progressive casualty insurance company and affiliates potential savings will vary not available in all states or situations there is a feeling of powerlessness around dementia and you are not powerless. You are not powerless. You can have the disease in their brain and not manifest the symptoms. It's about understanding how your brain works so you can optimise your potential.

0:41You lost your mother to dementia and I lost my father to Alzheimer's. The things that make the difference are lifestyle factors. The biggest one is close your eyes and think for a minute about that feeling that you get when you're really, really stressed. Now think about that feeling that you get when you're really, really excited. What's the difference? It's exactly the same. Poorly managed chronic stress is where we end up in big trouble. But also too little stress is not good for you. Schedule some fun every day into life. Dementia may steal many things, but they do not steal what makes life worth living for all of us.

1:15The ability to smell a rose, to feel the sun on your face. Yes, to hear music. To hug someone. Yes. I hate when people say, oh, dad has dementia. He's gone. No, he's not gone. He's in there. you just have to work a little bit harder to find them. The biggest piece of advice if I was to give anybody caring for someone with dementia is... Dr Sabina Brennan didn't disappoint. I think what she has gifted us all is a much greater understanding that we have power. We are not powerless when it comes to lifestyle changes and the influence that they can have on our risk of dementia and Alzheimer's. I always thought, oh, well, if it's genetic, it's genetic.

2:07What can you do about that? You can do a lot. And I learned so much. I thought I knew a lot already, but I learned so much from this chat. So I really hope you enjoy it. So nice to have you here, Sabina Brennan. So doctor. Yes. Love that. Yeah, but call me Sabina. Would absolutely milk that. So you're so impressive to me because I read that you'd left school at 16, went to work in insurance, then you got into acting, you did super well in acting, then you decided to go to university in your 40s, which for me is something that so many people, including myself, would love to do at some point in their lives.

2:54but you did it and I and I want to talk to you about manifesting a little bit later and how we can make these things just happen yeah yeah um but it's really good to talk to you because I think still me which is um your latest book yeah is the book that you've been trying to write for years I've got goosebumps even saying the words still me makes me feel emotional just saying me too You lost your mother to dementia and I lost my father to Alzheimer's. Yes. And this is the book we wish we'd had. It is. Yeah, yeah, yeah. I did quickly want to touch on the idea of brain fog versus dementia because I went to the doctor when I first had menopausal brain fog.

3:46and I said to her, I think I've got the beginnings of dementia. Please, can you help me? Because I was 43. I had no idea. I didn't know about perimenopause. I didn't know about menopause. I didn't. I never heard of it. I didn't know about anything. Yeah. And she said, no, you haven't got dementia. But she said, I think your inbox is full. Like, you've just got so much going on in your life. Great to describe it. And then later she said, actually, I think you might be perimenopausal. and then we start the journey. But it's quite frightening for a woman of midlife. Oh, yes. Right? It is, yeah. One of the first things that women say to me is, just don't feel myself.

4:30Yes. And that's the brain fog, right? It is. It is because we are our patterns of behaviour. That's our personality. That's who we are, how we predictably behave. and because of the hormonal changes that occur in menopause I mean you have estrogen receptors throughout your brain and and we tend to think of estrogen as just being associated with reproduction but it's not it's associated with so many other things and important things that happen in your brain like neuroplasticity, neuroprotection, neurotransmission and it impacts on so many things, but brain fog can affect your memory function. It can affect your processing speed.

5:11It can affect your language. It can even affect your spatial awareness. You're more likely to bump into things. It affects so many different aspects of who you are. And what I try to explain to people is that if you're someone like you or someone who is a quick-witted individual, will always first in with a funny retort after something and your processing speed is affected by brain fog it's going to take you longer to take that information in formulate a response and sure then the moment's gone you can't come in quick enough with that reply now to other people that will look like oh she's a bit off with me today yes do you know so other people notice a change.

5:58And because we're human, we tend to give ourselves that we're the reason someone's behaviour has changed. Do you know what I mean? You kind of go, what did I do to her? She's normally funny and laughing. So that can be like a complete change. It can also be if you're in the workplace, someone who comes up with ideas, not able to do that. Planning, organisation. I mean, I know when I've had brain fog and I've had brain fog numerous times for various reasons, I would say be going to Brussels and maybe for one night and it could take me two hours to pack my clothes because I couldn't decide, well, what's the weather going to be like?

6:36Do I have to go out for dinner? What do I need to wear? And that just was massive. It's ridiculous. But that's what I mean about when you say people have problems planning or organizing or making decisions, they're thinking about things like, oh, deciding whether to have a mortgage. But you can open the fridge and look at it and go, yes, I can't figure out what to have for dinner. Like and that's scary that that sense of losing yourself. But basically, when it comes to who you are, your brain actually just writes the story of you. You are, your sense of self is just a collection of information that your brain has put together based on information, opinions of other people, information that oftentimes, well, the reason the brain collects that specific information is that it had some sort of salience at the time.

7:34It resonated emotionally with you or it meant something or you associated with feeling really good or really bad. And so your brain gets this message. This is important. We have to hold on to this. OK. What the brain doesn't do is assess the validity of that information. Yes. It doesn't assess whether it's true or not, but it goes into the story of you, of who you are. And that is why that sense in menopause of feeling like you're losing yourself. It's awful. And I think it's probably one of those things that triggered my passion about ageism. And I am very passionate about ageism and particularly how it's, you know, visited on women.

8:16You know, everywhere you go, if you go into a shop, it's like how not to look like me. Do you know what I mean? But it's even it's kind of even more than that. And it speaks to things like dementia. you know the care that is provided the supports that are provided they're not the same as those that are provided to younger people who have cancer or various things and I was talking to a journalist the other day um who was interviewing me about uh still me who uh who is living the journey at the moment with her own mom and she was just saying to me why is that why are there no supports I mean we were just told mom had vascular dementia and that's it go home You know, I mean, if your husband had a tracheotomy, you'd be shown how to change his dressing.

9:03I don't know if that was your experience with your dad, but you kind of are left. He was just left, yeah. You're just left with this really complex neurological condition that can be an enriching life experience, but it can be an incredibly stressful, challenging experience. And you can encounter some really challenging neuropsychiatric symptoms and nobody tells you about it. Nobody gives you anything, which is why I am excited to have written that book. And that's actually really what transformed my life was while I was at university doing the research for, you know, you write your PhD thesis.

9:49and so I was doing reading all the academic papers about how the brain changes with age and you know I was we were interested in you know whether we could find any predictors of you know what might show say when someone's 55 whether they might go on to dementia you know you're kind of trying to characterize how does it how does it change normally and and then you know is there something that we can kind of find out? Because there are genetic pointers, aren't there, that you can have. Yes. So there is an allele, which is a genetic component, and you can have one or two alleles. And, you know, the risk changes whether you have one or two.

10:33But it's what's called in scientific terms, neither necessary nor sufficient. So what that means is the necessary part just means that you can have Alzheimer's disease without those alloys. And sufficient means just having that alloyle doesn't mean you'll get to make it so people have an alloyle. Interestingly, and this is what I think is exciting, the risk associated... So age is the biggest risk factor, okay? It's a disease of later life. We can't change our chronological age. However, you kind of know, you can kind of change your biological, your physiological age, your brain age in a way, right?

11:08So age is your biggest risk factor. there is no cure currently there is a genetic risk but it is small compared to the risk associated with modifiable risk factors and I know you've had this is huge this is so important for anybody listening or watching because I think there is a feeling of powerlessness around dementia and you are not powerless you are not powerless and this is so basically when I was doing my PhD which was in 2007 I'm coming across academic papers written in now I didn't discover these academic papers these academic papers are published in you know you know really well respected journals but there's one of them and 1986 there's a study by a guy called Katzman and he was interested at that time looking to see whether there was anything in the brain that differed in someone with dementia and someone who had dementia of the same age.

12:12So basically, he was looking at slices of the brain in people post-mortem, obviously, in a nursing home. I think they're kind of aged about 75, who had a diagnosis of Alzheimer's disease. And then his control group were also people of that age who had no diagnosis of Alzheimer's disease. And he's looking at slices of the brain to see what's the difference, what's going on. So this is 86, so it's early on in kind of trying to understand. And he, in his control group, the people who don't have a diagnosis of dementia, he finds 10 cases of cognitively normal people, they're functioning perfectly normal, who have sufficient Alzheimer's disease pathology in their brain for a diagnosis of dementia.

12:58Oh, but they weren't showing signs. But they weren't showing signs of it. Fascinating. Wow. huge discovery, okay? They were resilient somehow to the disease. So that's the area of research that I was in during my PhD. This is called cognitive reserve. What is it about them that they can have the disease in their brain and not manifest the symptoms? So track forward, there's like 20, 30 years of research, more, actually way more now, not just into Alzheimer's disease, but into things like multiple sclerosis and various other conditions, because there is even stroke someone two people can have an identical stroke and one has severe symptoms and one has mild symptoms in the same place people with multiple sclerosis there is no relationship between the cognitive impairment experienced and the lesions so they're the kind of marks in the brain of of so there's no relationship between the degree of pathology or injury in your brain and how that manifests in terms of cautionary.

14:00This is at the core of brain health. So what we know is that the things that make the difference are lifestyle factors, things that you and I have control. Things that you and I can do. So even if we don't know how to stop the pathology happening in our brain, okay, but that's okay, right? Well, it's not okay. It'd be fantastic if we could stop the pathology. But at the moment, we can't. But we can change the trajectory of the disease and we can delay the onset of symptoms. And to me, I at the time, because I'd never been in university, I looked at this and I went, how come I don't know this? How everybody doesn't know this?

14:46So I knew I had to apply for funding for my research and really rather naively, but also very optimistic and very ambitious and determined. I discovered that the European Commission, they release all these calls for research. Now there was loads for research but this one project jumped out at me and what they wanted was someone essentially to do a project that highlighted the research that they were doing in the area of preventing dementia. So I wrote a really cheeky proposal. I did all my research and I said you are mad if you think anyone is going to be interested in an advertorial about the great work you're doing investing in health research.

15:28However, you also want to add two extra healthy years to people's lives. If you want to do that, the best way to do that is educate people about brain health and how they can reduce their risk of developing dementia. So you give me money to develop a website, an app and little animated films. And I will overtly educate people about brain health and dementia risk reduction. and then covertly on that website, in that app, I will display and showcase the research you're doing. And they said yes and they gave me a million euro. I love the way your brain works. And I think it's really inspiring for people watching and listening because it's like you have these ideas but you can make it happen.

16:11You can. You know, before Still Me, which is what we're talking about, you wrote The Neuroscience of Manifesting. You are a natural manifester. This is what you do. Yeah, but we're all natural manifestors, right? And this is one of the reasons I wrote that book. Because, you know, my first book is 100 Days for a Younger Brain. My second is Beating Brain Fog. Then there's the neuroscience of manifesting. And then still me. Why sort of jump to that? The others are wrong. Because it's the same thing. It's about understanding how your brains work, your brain works, so you can understand how you work.

16:41And then you can optimise your potential and make things happen. Manifesting just means to make happen. Now, when you look online and look at all the other books on manifesting, etc., you swear it's this magical thing that you have to learn how to do. It's not. You are manifesting your reality every single day. You are manifesting your future now. How are you doing that? Through your beliefs, your thinking, the actions that you take. What manifesting is, I think, should be called conscious manifesting. Most of our futures and our reality that we manifest, we do unconsciously, and that's influenced by our inherent biases, our culture, our limiting beliefs, those things that, you know, our brain has pulled together to make up the story of you.

17:34And so we are making it happen. You know, I'm here on this sofa today. you know I didn't magically sit there and say oh I'd love to be on Davina McCall's show and and wait and hope that it would happen and you know we went through a list when we're promoting the book well who do we think we'd love to get and the PR people did it etc and I flew over from Ireland yesterday and you know got ready for and we're here so you do it through taking action but you know what your goal is and that's where manifesting really helps is having the clarity for the goal what's interesting is that the word that just came into my mind was courage because i think a lot of a lot of us when we're stuck and we're not doing that we're not consciously manifesting is because we're frightened of rejection of looking stupid the power of your imagination and what you can think it can completely influence everything um and so yeah Yeah, belief is hugely powerful.

18:37I really want to hone in on the lifestyle changes that we can make in order to really give ourselves the best chance of having the greatest brain health for as long as possible. Yes. What do we do? Okay, so we go brain health and then there's dementia risk factors. Yes. Okay. Brain health. Are they? How close? They're linked. They're very linked. Very linked because that's the science, you know. So basically brain health, I divided into three categories, activity, attitude and lifestyle. Activity. And I mean, you are just a prime case. Physical exercise. One of the best things you can do for your brain health.

19:13People are often surprised at that. But a healthy cardiovascular system leads to a healthy brain. But also when you exercise, there is a chemical called brain derived neurotrophic factor, which is released. BDNF for short. I call it miracle growth for the brain. That's what happens. It makes it easier for you to grow new brain cells and new connections between them. And that's what you want in a healthy brain. Lots of brain cells and connections. I love that. Miracle growth for your brain. Yeah. I love that. Exercise equals miracle growth for your brain. Yes, absolutely. And the thing is, before I go on to the other ones, what I want to explain is that if you get Alzheimer's disease pathology in your brain, in the early stages, it is not about how much pathology, how much disease you have in your brain.

19:57It's about how much healthy brain you have to cope with that disease that will allow you to continue functioning for as long as possible. How do you get a healthy brain? You grow new brain connections, new brain cells, physical exercise. Brilliant. The next activity one is social engagement. Again, you're brilliant. Talking to people socially is, well, it is a really challenging activity, but it's a challenging activity for your brain. So your brain has to work hard. And that's really, really good. And that is something that in later life, something from a societal perspective and from a personal perspective that we need to do something about.

20:34Because we tend to hang out with people of the same age as us. And there's no nice way to say it. As you get older, your age cohort will die off. And so people end up socially isolated through no fault of their own. We have to have more intergenerational friendships. And the research shows that everybody benefits in that case. that case you know younger people interacting with older people have to do something about that if you know anybody who's socially isolated it can be hard to draw them back in again but really please do go and encourage them because it would it can really accelerate decline i mean not being socially active if somebody young is thinking about volunteering in any way just volunteer to go visit somebody yes like the difference that you can make to that person's life.

21:20Visit them as an equal. Do not visit them as someone who's doing a good deed. Yes. Talk to them as an intelligent individual. Sharon, I did a research study a few years ago where I wanted to do this payback thing. It got shortlisted for an award actually with all the IBMs and all that. Now we didn't win but I was just delighted to get it in there because what we were looking at, what I was looking at was a sort of payback scheme whereas sort of a younger cohort of older people would visit an older cohort of older people once a week and they would prepare a meal together and eat it together. That's it.

21:58That's it. That's all it was. And then if you did that, you paid it forward so that when you're the one who's older, it's paid forward and someone does it for you. And basically it encouraged social engagement, it encourages volunteering, but it also encourages good nutrition because that's a biggie when we get older a lot of people don't eat properly but that's in the lifestyle one I'll go to that one but social engagement is absolutely critical I mean I've just thought of this now but like I'm imagining at my age I'm 57 and going to visit um an 80 year old and having cooking a meal together I'd love that yeah and preparing a meal together and eating together but I'd also love to cook a meal for a 24 year old and um and not patronize them either go as like a an equal to them so i i think for people right you have to start thinking outside the box about how to make this happen but in the book it was really funny because you go and i'm not talking about just doing sudoku and the crossword no because i love sudoku and it was really funny because i've been thinking oh god that's down the drain like so when do sudoku when if you enjoy it because doing things that you enjoy and have fun is good yeah yeah so the third right i'll finish this list.

23:13I'm terrible. But my dad always do this. That's why I'm here. To keep me on track. I'm corralling you. Thank you. Thank you. What's the third one? Yes. Third one. Go mental, I put it, you know, and that is challenge your brain, learn something new, because that's when you harness neuroplasticity. And I just wish there was another word for learning because it's got such connotations about education and school. And for a lot of people, a lot of negative. My husband left school at 15. It's dyslexic. And, you know, learning. Oh, don't make me learn something. When you open a door for the first time, you're learning how to open that door.

23:47Your brain is learning how much pressure to put on that door, how much force you have to push it. So learning anything, it can be learning carpentry. It can be, you know, there's nothing wrong with Sudoku and crosswords. However, once you're good at it. Get comfortable. You've got to push yourself to the next level. Go killer. Go. The Sudoku. Yeah. Yeah. Is that what it is? go the next level, go from simple crossword to complex crossword, put a timer on so you do it quicker. You know, you just got to keep challenging yourself, but it can be anything. If you play a musical instrument, learn another technique.

24:18What's so interesting about getting older is the reticence that we get to learning something new. So Bitcoin. Oh God, no, I don't understand that. AI. AI, yes. I use AI. I use ChatGT. And in fact, That's what I talk about to people when we're talking about the brain. Let me do this and then I'll go back to the list. Yeah, great. Okay. So in a world obsessed with artificial intelligence, I kind of say to people, just pause for a minute and move from that space where we're overvaluing artificial intelligence. And just think for a minute that artificial intelligence is modeled on everything that we know about the human brain.

25:03Okay. So AI is brilliant. It can process at phenomenal speed. But it cannot replicate what your brain can do. You know, the human brain is the most… So don't panic about it because people are slightly… No, no. My point is your brain is capable of doing incredible things. but because you're looking at all this technology and AI, you kind of think, oh, there's a risk, I think, that you can forget about this incredible resource that you have inside your head and an important source that you have to keep healthy. So the second one then I will talk about is lifestyle and we've touched on that. So what's good for your heart is good for your brain because I think it's so funny.

25:46It's really good. We know a lot about heart health but I kind of look at the heart as just a pump that surfaces your brain. Yes. And, you know, your brain needs a healthy cardiovascular system to get the oxygen and nutrients that it needs to to work well. You know, and that's why stroke or blockages or mini strokes that you have, you know, damage damage your brain function. This episode is brought to you by Airbnb. Davina, what are you reading? This. Oh, it's a book about being mindful. So I've been thinking about doing this meditation retreat in India. Three weeks of silence, meditation, mindfulness, thoughtfulness, great food, yoga, and a few questionable poses.

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27:18One that men have been keeping to themselves for far too long. And I'm here to blow the whistle on this entire operation. You know creatine? That supplement that everybody says is just for the gym bros looking to bulk up. Well, it's actually for us women. We tend to have 20 to 30 % lower creatine stores than men, which is frankly rude. So supplementing can give us a real edge. I mean, think improved strength, better recovery, more sustained energy. And because life throws a few curveballs at us, you know, like periods, postpartum, perimenopause, where energy, focus, resilience are key. Our sponsor, Ancient and Brave, added taurine, vitamin D and magnesium to their True Creatine Plus to help keep you, your energy, performance and daily well-being in the best shape.

28:10Plus, their powder's tasteless, so you can just pop it in your water, tea, smoothie. But what set Ancient and Brave apart is their commitment to sustainability. They're a B Corp and members of 1 % for the Planet with 2 % of their sales going directly to environmental causes. So if you'd like 20 % off your first three subscription orders, go to ancientandbrave.earth.com Sleep, sleep, sleep. You spoke a bit about it in your recovery. Sleep, sleep, sleep serves just such an important purpose. When you go to sleep, your brain has a job of work to do. It is not resting. It is taking the information that you've taken in during the day.

28:58It's filtering it for what's important, what's not important. It's consolidating memories. It's linking those new memories with your existing knowledge, experience, etc. You miss any of those stages in a night and that part will suffer. It's where insight and ideas comes from, that linking of that information while you're asleep. But also when you're asleep, the brain is a high energy organ. So it produces a lot of metabolic waste. You know about this from exercising, right? But when you produce metabolic waste in the rest of your body, it goes through your lymphatic system and is cleaned out.

29:35Your brain can't do that. The brain isn't on that lymphatic system. So your brain can't deal with the waste it produces while you are being you. It's using all its resources while you're awake for you to just stay upright, be who you are. OK, when you go to sleep, have you ever been in the United States where when they do their bin collection, their garbage collection, you know, the cars have to park on the other side of the street so that the bin lorry can come along and take all that. So it's a bit like that. Basically, when you go to sleep, your brain can go around and it can start clearing all that metabolic waste away.

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30:08And that's really important because toxins interfere with your brain's ability to function well. It's very vulnerable to toxins, but it's also very vulnerable to beta amyloid, which is one of the hallmarks of Alzheimer's disease. And that is cleared at nighttime when you sleep. Sleep, prioritize it. So important. Let me ask you something. How important is napping? OK, so napping is really, really interesting. OK, we definitely are what's called diurnal. You know, we have a dip mid-afternoon when we would like to nap. Okay. So that's what we did naturally. I think the thing is, napping is good.

30:47You must do it strategically, however. Yes. Okay. So don't nap too late. Yes. So it affects your sleep. It affects your sleep at night. Right. Because it will, you know, decrease the chemical signals that tell you to go to sleep. However, napping strategically is very important. And, you know, if you feel like a nap every day, go for that nap every day.

31:13Basically, an important thing is the timing of when you take your nap, but also the duration. How long? The duration. Yeah. So, you know this. So, basically, no more than 15 minutes. And if you're going more than 15 minutes, then you need to go for 90 minutes. Right? Oh, my God. Fascinating. If you wake up in between those two times, you wake up sleep drunk and you feel really, really awful. So some people who say to me, oh, I can't nap. I can't nap. I just feel awful. And I say, well, that's because you're doing it for the wrong amount of time. Yeah. So 15 minutes can be enough. And that's why that, you know, the drink driving.

31:4715 minutes would be my favorite. I do a 10 minute. When I'm writing a book mid-afternoon, I go, oh, God. Set me long. I don't even. Do you set me long? I actually don't even really have to. kind of just after the kind of 10 minutes, you know, or else I switch an activity or else I'll go out and do some gardening. Because if you change an activity, that can give your brain a rest as well. And so, yes. So that's it. Yeah. So 90 minutes is a full sleep cycle. So you can wake up refreshed or 15 minutes and you can, you know, sleep debt, you have to repay it. So if you've lost sleep, you know, that's what I say to people, nap strategically.

32:27You know, if you know you're going to be without sleep or you're going to have a late night have a little nap before you go out and schedule a nap kind of the next day or or vice versa but yeah sleep is critical um it's just really really important and i mean that's a thing then in menopause when you talk about menopause and brain yeah and brain fog i had perimenopause was just hardly ever slept through the night yeah yeah and that's so that's so that's how um mainly the the impact you know what we see the symptoms we see from menopause are to do with um estrogen uh you know dropping but um progesterone plays a role in that it disrupts our sleep but also progesterone ordinarily um uh supports GABA release it it makes us calm and less anxious and so we become more anxious so So, you know, the contributing factors to brain fog are, the lifestyle contributing factors to brain fog are disrupted sleep, poorly managed chronic stress, poor diet.

33:33What else am I missing? Can I just ask you something just before we move on to the disruptives? Are those the three main things that can help? So exercise. Exercise, social engagement and learning. So they're your activity. And then lifestyle factors are heart health, sleep and looking after your hearing. Age-related hearing increases your risk of developing dementia. Get your hearing tested every year. Say that again. Age-related hearing loss actually is the biggest, is the biggest. This is mega. No, this is mega, folks. Age-related hearing loss accounts, you know, there's 12 modifiable risk factors that I'm going to talk about that add up to 40%.

34:2040 % of all cases of Alzheimer's disease are attributable to those 12 modifiable risk factor. The biggest one is age-related hearing loss. OK, get your hearing tested, protect your hearing. If you work near noise, wear ear defenders. If you listen to stuff on your earbuds, turn the volume down. If you're on your own, don't use the earbuds. Listen ordinarily. Get your hearing checked regularly. It really is critical. And if you are prescribed, and let's get rid of the stigma associated with hearing aids. This is the thing, you know, because I think, I know that if and when that happens to me, it's made me feel emotional I will feel embarrassed Oh absolutely and I have written about this in the newspapers in Ireland It's really sad, why do we feel like that?

35:13It will really help us in the future No absolutely, I've tried to figure out I was embarrassed when I was 15 and was I told I needed glasses so you got the pink National Health glasses sort of thing, that's changed now people wear glasses who don't even need them, they wear them for fashion you tried on Mel Robbins glasses. You know, I just got cool for my birthday. I got meta AI. Oh, great. Oh, they're brilliant. Brilliant. But hearing aids are still in that somehow. If a person wears the hearing aid and, you know, they're gone a bit stupid as well. No, they're not. And the thing is, the hearing aids now are, oh, my God, you don't see them.

35:54And they interact with the apps on your phone and you can turn volume up and down and you can play around with them. The attitude ones are, so we've got lifestyle, physical, social, mental. Sorry, that's activity. Lifestyle is heart, sleep, hearing. And then attitude is managed stress. There's nothing wrong with stress. There is nothing wrong with stress. You need the stress response to reach the challenges, to learn new things, to do new things. But it has to be at your stress sweet spot. Poorly managed chronic stress is where we end up in big trouble. because I heard you talking to the guy about the chimp brain because basically what happens is when stress is poorly managed and chronic, it enhances neuroplasticity in your amygdala, which is your fear centre, and it suppresses it in your frontal lobes.

36:43So ordinarily in a stress situation, the information about the stressor comes to your brain through two routes, a fast route and a slow route. It goes directly to your amygdala, loud noise, jump out of the way without thinking. Got to react quickly. Then the slow route comes through your frontal lobes that have access to all of the information. Yeah. And can send a message then to the amygdala to say false alarm, car back firing or oh shit, there's a gunman over there. You need to prepare to fight, flee or freeze. Don't move. Right. So your frontal lobes are meant to override your amygdala because they have access to all of the information.

37:23When you become chronically, so at the end then there's a feedback loop that says turn off cortisol, we've dealt with the stressor. That gets broken when stress is chronically released. So cortisol is constantly released and what happens is it makes the amygdala stronger. It gets bigger because neuroplasticity is enhanced. Your frontal lobes get weaker and suddenly your amygdala is overriding everything that you do. So you're not thinking rationally. You're reacting reflectively. you are reacting through fear. You're not thinking through your actions. You're not assessing the full situation. And you start to see threat where there is none.

38:01So managing stress is critical. And when I say it suppresses neuroplasticity, that means your brain is shrinking, that part. Similarly, it suppresses neuroplasticity in your hippocampus, which is a part of your brain involved in memory. So it will impact on your memory. So stress impacts on how your brain functions but also the structure it changes the structure on it also which isn't talked about enough too little stress is not good for you if you have too little stress in your life your brain cannot afford to waste energy on brain cells that aren't being used and so through a process called apoptosis it goes around and it clears them away and your brain will shrink also you have got to have just a right amount of stress in your life you've got to be do we know what the right amount of stress is.

38:50Yes, it's different for everybody because for me, you know, for some people going on a roller coaster is just incredible, amazing. It's kind of, oh, not so sure about it. You know, for some people going up on stage and talking or doing something like this, I love it. I love it. I need it. Do you do that? I can't sit down and do nothing. That makes me really stressed. Really stressed. because I start thinking about things and I get that too much energy sort of thing. I think it really is about where, and what I say to people when I give talks is, okay, close your eyes and think for a minute about that feeling that you get in your gut when you're really, really stressed.

39:34Okay, now forget about that. Now close your eyes. Think about that feeling that you get when you're really, really excited about something. What's the difference? I was just going to say it's exactly the same. It's the same. What's the difference? How you've named it. You've named one stress and you've named the other excitement. And that is critical. That's the power of your brain. You have the power to change all those things. And it really is quite simple. It's not easy. There's a difference between simple and easy. It's simple and straightforward. That's how I describe all these things. But it takes work and time and effort.

40:14But if you do, you can then learn. So managing stress and my favourite one, being present in the moment is also kind of good. But my favourite one on the attitude side of things is to have fun, to enjoy life, to smile, to laugh. Laughter is nature's natural stress buster. It actually lowers cortisol levels. It actually does. and also smiling releases endorphins it releases serotonin it lowers your blood pressure it boosts your immune function I've got another brilliant thing about smiling yeah smiling a new age it doesn't matter how old you are you will look beautiful I agree with you when you smile I agree with you smiling is absolutely brilliant and spread the health benefits because it's very hard not to smile back at somebody this is amazing so having fun so often again as we forget to have fun you forget you forget schedule some fun every day in your life wear the outfit yes you know be naughty yes be spicy yes be saucy the other thing that i thought was interesting you said about stress um and about that i was thinking like your your relationship if you're stressed will suffer because everything's struggling.

41:33You'll interpret things correctly. Yeah, and also like love. Irritable, you're more irritable. Being intimate together is affected by stress. You don't want to be intimate for somebody who's more stressed out. I have a headache. And I mean, I mean, you know, I'm really, I have. Yeah, yeah, yeah, really I have. So moving on then to the risk factors for dementia. As I said, 12 modifiable risk factors. If we could eradicate them completely, we could get rid of 40 % of all cases of Alzheimer's disease. There's 50 million people globally have Alzheimer's disease. That would be incredible. We are not going to eradicate all of those.

42:10But we can reduce the numbers and we can on an individual basis be aware of the things that impact your risk for developing dementia and make choices. So a lot of them are related to cardiovascular health. So you mentioned that. smoking low levels of physical exercise type 2 diabetes well that's metabolic and midlife high blood pressure get your blood pressure tested regularly high blood pressure has no symptoms yeah yeah high blood pressure has no symptoms and then you can mitigate that risk then if you you know follow the the lifestyle advice or the medication that you're given it's the same with the hearing loss you're mitigating it by um wearing a hearing aid depression um social isolation um the things you're talking about in terms of like isolation can make you a bit depressed yes um not having fun losing that kind of will social social engagement social engagement but hearing loss right we're not sure exactly why that happens some of it can be that you have a degraded signal coming in uh that's one theory another theory is that the amount of cognitive of resources that you have to put into hearing and understanding is taking it away from memory or somewhere else but another aspect and I suspect it's all three is that when people have hearing loss they don't want to be embarrassed going out and they don't have to keep saying pardon what did you say um and so they start to retreat and isolate and shut down then they get a bit depressed because they're isolated and then they turn to things like drinking more alcohol.

43:49So alcohol is another one. Excess alcohol consumption. But we also know that actually from research, we used to say that moderate alcohol was OK, but actually research shows that people who drink alcohol, people who don't drink alcohol have better cognitive function than people who even drink moderately. Now, that's not talking about Alzheimer's disease. It's just when you test people on cognitive tests, mental tests, those who don't drink alcohol score better than those who even drink a small amount of alcohol. And midlife obesity. That's also a biggie. And I'm very hopeful that drugs like Ozempic and those kind of ones, when they can when they can help people with type 2 diabetes and with obesity, that that will help really reduce the risks.

44:43You know, the amount of people who go on to develop dementia. That's really, really important. Interestingly about midlife obesity, that flips. Okay, in later life, if you are underweight and frail, that becomes a risk. So we've got to keep healthy. You've got to keep exercising like you do. muscle strength is absolutely critical and so too is balance balance exercises I'm I'm always amazed by this so this um so funny I was asked on a shoot the other day to stand on a little box um on one leg yes kick the front leg up and lean backwards oh gosh that's hard and close my eyes and laugh and did you follow um I just I was I was wobbly I was really wobbly and I was like well god why am I finding this so hard and it made me think of all the times that I've read balance on one foot for 45 seconds can you do it with your eyes when I'm giving talks when I talk about that bit I do it on one foot and the reason that's important is when you fall once when you get older you're more likely to fall again and falling predicts decline again for complex reasons too it could be that there's something going on in your cardiovascular system that makes you a bit dizzy and you're falling.

46:00But also when you fall, then people become afraid that they might fall again and they don't go out and they isolate and they overeat or excuse me, whatever to compensate. So they're those risk factors. I do want to talk about caring for people with dementia. Can we just quickly talk about that as well? Because what I love is the three sections in this book. Yes. Which is absolutely amazing. So the self-care section is really good about like how we can look after ourselves that whole first part of the book is for the person who is caring for the person with dementia which is really important yeah you don't look after yourself you can't look after anyone else yeah and and you know don't be acting on guilt you know you are entitled to have a life you are entitled um you know to be you to and that's where the still me in that book comes from too because in some way I think carers end up feeling selfish if they want to do something yeah no self-care is not yeah no no what I say is it's it's it's not selfish it's really good it's so important it's really important um and then the second part of the book makes always makes me a bit I guess because

47:15yeah what I was trying to tell my boyfriend after I'd had the operation was I'm still here but I didn't know how to tell him without him thinking you're just telling me that oh my god but that I'm coming I'm coming back oh my god and every day or every week I'd go I'm back and I'd think I know I said this last week but I'm better than I was last week but I used to think now he just thinks I'm just saying it willy-nilly because it's what I it's what he wants to hear it was really interesting like trying to say I am still in here like I'm yeah and I think that's really challenging for people who have been injured it didn't feel to him like I was.

48:02That you were there? No, he was struggling with that. Like I was different. So, right. Yes. Yes. So this to me, this is immensely powerful. So you weren't just dealing with the aftermath of the actual physical surgery. You were dealing with that trauma of going in thinking you might never come out or that you might come out different. different yeah well what I didn't I knew I'd come out different I knew that there'd be an effect on my short-term memory I just wasn't aware of like quite how massive it could be on my relationship I was thinking like I'd like to go back and give talks to anybody that has the same operation go it could be like this yes and this is what you need to do about it do it you're brilliant yes yes no no no I'd like to do that but I also I also felt that it was a trauma but it was such a gift and I know you're this person that letting go which is the hardest thing I think in the world to do and I'm not really good good at it before I went on into the operating theater was the greatest gift I've ever been given because I have let go of dying really I am not afraid of dying really no really no wow Oh, gosh, that's kind of big, isn't it?

49:26It's kind of big. Such a liberating feeling.

49:33I suppose, like in a way, it's funny, it's in this book actually, I think, that I talk about, you know, people talking about an afterlife. I don't mind. Yes, yes, yes, yes. Yeah, believe whatever you want. But I kind of feel, well, if it's the absence, your brain is not there. So there is no suffering. There's no feeling, if you know what I mean. And do you follow any hospice nurses online? No. So they are amazing. So they talk about and they film sometimes at the end of life. People often go like that. Wow. Yeah. And it's like they see someone or something. it is it is it is like you say that you say that about your mum yeah yeah as well yeah about like going to see like people like that it's that it's okay you're going on a journey I think it's yeah I said I told my dad he was going to the best party ever did you know the hearings the last thing to go yes absolutely and it's like yeah you are going to the best part ever like your mum's there your dad's there yeah I think people don't realize the very later stages are very different, very challenging.

50:44I think people with dementia should be out in the community more. There's nothing to be afraid. But this is what I love about this chapter, just bringing it back to the book for a moment. If anybody is out there and they know anybody or they are taking care of anybody, please get this book because this chapter, Still Me, is what everybody needs to read. It is a great and deep understanding of what the person who has dementia is going through and what they are experiencing. And I wish that I'd had this book so much. And the last chapter, which was my absolute favourite. Oh, the last section then is all the things that you do to live well.

51:30So look, people think, I hate when people say, you know, I'd say, how's your parents or whatever? Oh, dad has dementia. he's gone. No, he's not gone. He's in there. You just have to work a little bit harder to find him. He still feels love. He still feels depressed. He still has all of those feelings. You've got to work at it. And it doesn't matter whether they don't know your name or what you did yesterday. They know that if you go in and have a good time with them, they will be happy to see you. If you go in and keep criticising them and reminding what they're missing and all that, they won't want to see you particularly because they know they'll feel bad about themselves.

52:06So they are absolutely still there and it's important to treat them with dignity, with respect. Your father is always your father. They're not a child. It's absolutely critical. You were, oh yes, yes, yes. What I wanted to say there as you were talking about the last chapter. The last chapter is I talk about maximising the good stuff, you know, do as much of the good stuff as you can, minimising the tough stuff. There is tough stuff and there's stuff in there. I don't need anybody to read about it unless they encounter it because you don't want to depress yourself reading it. You may never encounter it.

52:39And then it is really just, you know, it's just maximizing, making the most of what you got, maximizing. The thing is, dementia may steal many things, but they're only stealing aspects of your cognitive function. It might be memory or language or whatever. They do not steal what makes life worth living for all of us. They do not steal the ability to smell a rose, to feel the sun on your face. Yes, to hear music. To hug someone. Yes, physical touch. That's a big one, isn't it? It doesn't. So you can do all those things with your loved one when you have dementia. And you can do it if you're caring for someone with dementia.

53:19And in fact, the thing about dementia is the biggest piece of advice if I was to give anybody caring for someone with dementia is to be present in the moment with the person. Forget about the future. forget what was or what might have been. Just be in the moment and have fun. And I think that's brilliant advice for life, isn't it? Just be in the moment. So interesting because my dad ended up being very much the person that he was when he was a lot. The things that he loved were the same. And yes, the things that my mum loved the same. She loved music. My mum changed. And this is an interesting thing.

53:56And I'm not the only person who has experienced this. My mum and I did not have a great relationship, really, throughout my childhood, my teens. We had a very appropriate relationship. I visited as we should and all that. We were never best friends. No. I always envied people who had a mum who was best friends. Never had that. My mum was very controlling and my mum could also completely withhold her love. So as a child, if I did something that she didn't like, she could not talk to me for six weeks. Oh, like she really just punished, could really withhold.

54:35But when and she also, which is why my family completely fell apart. I think if you're a strong family together, when someone has dementia, you can become stronger and closer. I think if you're fractured and dysfunctional as my family were, it's very hard to get through that dementia journey. And that's why I share that in the book. This is not a book me saying, hey, look what I did caring for dementia. this is a book that I wish I'd had and here's the mistakes I made and here's the things I did that actually kind of worked but I didn't do all perfect stuff and I didn't I cared for mum but I didn't I wasn't able to give up my job to care for my mum I wasn't able you know I was putting my kids through university we had a mortgage this is what happens yes but whatever amount of caring you're doing is still caring for that person and and and it makes a difference but um yeah our our Our family sort of fell apart.

55:23But what was really interesting with mum with dementia was that the dementia took away all those. It took away expectations. It was just we were there in the moment and we were just having fun in the moment, whether it was singing nursery rhymes. It healed you in a weird way. It kind of did. We did. We had, yeah, we had a much, because there was things like, I remember disclosing something to my mum that had happened that an uncle had done. Oh, God's sake, not you as well. Your sister said that. God's sake. And that was it like, do you know? So there was a lot of things, but I do think that when you're in something like that, it can make you realise that actually they don't matter.

56:14This is what matters now. And we had fun and it helped immensely that I had a really supportive husband and also helped immensely that my mother, she had sort of frontal dementia, so she became quite disinhibited. so she just fancied him unashamedly and he would play along and it just made her so happy. My granny fell in love with my husband. Did she? Yeah. It's rich by the tweets actually. It was really funny and she was really apologising for having an affair with him. Oh, I love it. She was like, you're not angry with me and I was like, no, I totally understand. She was like, thank you, thank you.

56:54It was really funny. Oh, that's so lovely. And I think that's a really strong message is you have got to be there in the moment with them, with their reality. Don't say, oh, no, you know, Nana or Gran, you didn't have an affair. It's okay. You know, and I think it's just acknowledge. So my mum would have moments of insight as well. So when mum had delirium in the first instance, that's kind of what accelerated and brought the dementia to core from a urine retract infection. It's really important. If you're older, can I say this? Yeah. This is a message I think. This is really big. Public health services, this would be, oh, this would just make a huge difference to the number of people who accelerate their journey on dementia.

57:37When we get older, we do not, our capacity to mount a temperature is not as good as it was before. A lot of older people think you're not sick unless you have a temperature. You can have a really severe urinary tract infection and not have a temperature. So that's what happened to my mum and thousands like her. Drink, drink, drink, drink water. And often people with dementia have to be reminded to drink and to eat. And my mum loved going into town every day. That was kind of her social thing and mass in the morning time. And she just was peeing all the time. So she said, feck that, I can't even get into town.

58:19So she stopped drinking tea, water, coffee. right so when then your brain becomes dehydrated your brain is a really thirsty organ forget about even if you're older drink drink water water your brain needs water because cytokines gather in your brain and they cause delirium so my mom got acute delirium into hospital and basically you delirium can resolve if you got a severe infection and you got delirium and you're fit and you're strong and you're healthy it may last a couple of days could last longer but it will resolve yes come out if If you have any underlying mild cognitive impairment or are already slightly starting on that journey, delirium will just completely accelerate that.

59:01It's quite frightening. It's very frightening. My granny was in her 90s. She was trying to escape, trying to climb out of a window. It was all consuming. That's what happened to me. My mum, I'd been on the phone to her and she asked me, would I meet you for coffee? And I said, I can't have meetings all day. But I said, tomorrow is Saturday. I'll meet you for coffee. Next thing, I got a phone call from my brother. I have a brother who kind of needed to stay living with my parents. and he rang and he said, can you come quickly? Mum's acting crazy. I said, what are you doing? She's trying to leave the house and she's not dressed.

59:30And then she threw a lamp at him, I think. And, you know, she was really quite challenging to manage. When I got there, she was really, no, I'm going, I'm going, you know, and quite strong. So I told her, yeah, no, no, no. And I had to, I knew I did, because I was working with a geriatric psychiatrist and I went and I said, can't come to the meeting, told him what happened. And he says, that's delirium that's UTI try and get a a urine sample off her if you can and get her to a hospital and she's in a bad way if it's just kind of happened like that and yeah I had to tell I had to tell a little porky I said you know what mum there's a lovely hotel why don't you come over with me and we'll go stay there and we went over to a private hospital and they took her in and she was three days in there and she was going she sang nursery rhymes 24 hours a day and did Irish dancing for three weeks wow but then there was loads of other things But I also as well, here's an interesting thing just to listen to.

1:00:25Just as an aside, one of the times I went in to visit her, she said, they brought me to the top of the house. I think they want me to run the place. They put me in a spaceship and sent me off. Right. And I said, OK, there's something in this, something in this. So I asked the nurse, I said, was mum anywhere today? Oh, yeah, she was brought for an MRI scan. I said, where is that? Oh, it's on the top of the house. So do, these are the kind of things I talk about in the book that as well, if you are living with someone and they're having, you know, and they're trying to figure out sometimes actually what they're talking about.

1:01:00It's truth. Yeah, absolutely. Truth. She was just figuring it out. I want to show you something because my dad had delirium and couldn't really speak for the last six months. Oh, that's tough. But the day before he died, I went to see him and he'd been awful the week before. Yeah. and it is hard at the end I went to see him and he had color in his face and he looked amazing and my very handsome man yeah my mom and my sister were in Australia and I woke them up in the middle of the night and I said we've got to FaceTime dad looks unbelievable he's so good he's singing and he he kind of mumbled at them for a bit but they were like oh wow thank you He looks so good.

1:01:44Yeah. And the next day I got a call in the morning and they said, he's dying. He's going to die today. Yeah. Yeah, they know. So it's amazing, isn't it? And me and Michael went and we were there with my auntie Becca when he went and it was beautiful. It was amazing. How good. But this, I got it on film because I was like, oh, wow, he's really so good. And I thought I'm going to film this. and I put on some music and he was mumbling along and then this happened. Okay.

1:02:21Hello, Daddy. I love you. No, what? I love you. I love you too. Oh! Oh, my God. That was the first thing he'd said in weeks. He smiled. And he looked straight at me. He hadn't looked at me. Oh, that's lovely. That's so lovely. Yeah, and my mum as well, because when you get to the end, I don't think people realise, but it's hard to swallow, start to eat. Yes. You know, they start to drown, you know. It was, you know, and my mother was just bones in the bed. So there is a release, you know, and they keep getting pneumonia and they keep making them better. And I kind of go sometimes, you know what?

1:03:14Yes. Maybe pneumonia is just a kindness of nature to say, you know, to say the end. But my mum, I write about this in the book because, again, it was a big mistake that I made. And this was, mum was well on at this stage. And just out of the blue one day, she just said to me. Sitting in the kitchen and she said, Sabina, why does your dad not come visit me? Then I went, Oh, Mum, Dad's dead. What? When? When? Oh, my God. Oh, Davina, it was awful. And my two sons were sitting there. And there was so many things going on in my head that she was lucid enough, all I kept thinking was she's all this time in this nursing home wondering why her husband hasn't come to visit her number one number two she literally it was grief like you just said there and she cried and cried my kids were in floods of tears the thing that that I think makes me really really adamant that you've got to understand that there's a living, breathing, feeling, loving individual inside that person is that I did everything I could that afternoon to I mean I let her cry and we all cried and we hugged and she made me tell him tell her exactly what had happened so we all had to kind of live through that again and then um I tried to distract her and I distracted her and we did other things and we spoke and so that was a Saturday and so we would take mom out during the day so about nine o 'clock my husband was out playing football actually and And so when he came back, oh, God, Dave, you're not going to believe what happened.

1:05:06It was awful. Our mood was all really low. He brought her back up to the hospital. And when she arrived into the nursing home, you know, they would open the door to the room. And the nurse that she knew, because she'd been living there. Yes. I don't know, maybe two years at that stage, it opened the door. And she said, oh, my God, I can't remember the girl's name. Let's say it was Helen. Oh, my God, Helen, my pat is dead. So she had spent hours in my house. she'd forgotten about it yes playing along I think

1:05:40that with whatever I was saying she remembered but what I'm saying is I don't know that I think she was just maybe she was playing along and I I don't know but it was there I hadn't distracted her from it it was it was there to the forefront a few hours later anyway yes love them love them like you've always loved them and yeah treat them and this is a blueprint and what I love I'm going to finish here yeah but what I love about this book is the simplicity of it I think there are some very wordy weighty tones with language that is um hard to decipher and when you're in this situation of caring for somebody or somebody you love is going into this you just need tools and this is full of them so thank you oh thank you so much another thing I wanted to say and ask you to do just to finish off this amazing interview.

1:06:32Thank you. Oh, thank you for it. It's been lovely. Is to read Still Me to us, please. You read it? No, you read it. Oh, I don't know. Will you read it? Really? Yes. It's so beautiful from you. Well, whatever you want. You wrote this. Yes, I did. For those who care, still me I have dementia

1:07:02and I am still me

1:07:09when I'm confused and frightened hold me close calm my heart and still me I care for you and I am still me When my patience wears thin and I ache to be free, when I wish for you to be you and me to be me, I'll pause, deep breath and let our love still me. Together we walk through fog and stormy sea Bound by our love and the truth that You are still you And I am still me Thank you so much Oh! Do you know, that's your book, isn't it? In a nutshell, you know, chapter one, chapter two It kind of is, really And chapter three Yeah But honestly, let's shout about this a lot Like this is so great. Thank you so much for coming.

1:08:13And actually also loving this. Like what got you here was this. No way. Like, no, but what got me here was manifest. Do you know what I mean? And I like your slightly different take on that. Anyway, all your books are amazing. Thank you. Like everything you've done. I know we were here to talk about Still Me. Yes. But they all are all interrelated. If you like what we've talked about today on this podcast, go forensic on Dr. Sabina Brennan's books and enjoy. I love you. Oh, God. Oh, thank you so much.

1:09:10Thank you.

From the publisher

In this episode of Begin Again, Davina sits down with Dr. Sabina Brennan, a leading neuroscientist and brain health expert, to explore how simple lifestyle changes can prevent dementia and enhance brain health. Drawing from her personal experience as a caregiver for her mother, alongside her deep scientific knowledge, Dr. Brennan reveals actionable strategies for boosting cognitive function, preventing dementia, and improving care for those living with it.

Discover how brain health goes beyond genetics and learn practical steps you can take right now to safeguard your mind. Whether you're caring for a loved one with dementia or concerned about your own cognitive future, this episode offers powerful insights, practical tips, and inspiring stories of hope and transformation.

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Dr Sabina Brennan:

Linktree to various purchase points of Still Me - https://linktr.ee/stillmesabinabrennan 

Sabina's website - www.sabinabrennan.ie 

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 (00:01:08) Intro to Sabina and 'Still Me'

(00:02:33) Brain Fog vs. Dementia and Ageism

(00:09:16) The Science Behind Dementia

(00:13:35) How You Can Prevent Dementia

(00:15:03) How Knowledge Impacts Dementia Outcomes

(00:15:45) How to Manifest & What It Really Means

(00:18:14) 3 Lifestyle Changes to Prevent Symptoms of Dementia (00:28:29) Napping & the Importance of Sleep

(00:33:40) Hearing Loss & Dementia

(00:40:52) 12 Modifiable Risk Factors for Dementia

(00:45:11) Supporting a Loved One with Dementia

(00:50:28) Live Well While Caring for Someone with Dementia

(00:50:28) Self-Care and Dementia Care

(00:54:55) UTIs, Delirium, and Misunderstood Symptoms

(01:00:15) Davina’s Final Message from Her Father

(01:04:45) Back to 'Still Me' and Poem

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