Prevention Strategies:

1. Control blood sugar and insulin resistance:
   • Keep fasting glucose below 90 mg/dL
   • Keep fasting insulin below 5
   • Consider low glycemic diet and building muscle
2. Reduce inflammation:
   • Test hsCRP and homocysteine
   • Optimize omega-3 intake (DHA/EPA)
   • Reduce stress, processed foods, and seed oils
3. Protect brain energy metabolism:
   • Consider ketogenic approaches or intermittent fasting
   • Try exogenous ketones or MCT oil
4. Optimize sleep and stress:
   • Focus on quality deep sleep (last 4 hours most important)
   • Support glymphatic system function (brain's cleaning system)
   • Reduce blue light and stress before bed

These strategies work best when implemented early (30s-50s) and maintained consistently, as Alzheimer's pathology begins decades before symptoms appear.