02/10/2025
Knowing that you are genetically more likely to develop Alzheimer's might at first seem like a curse - but what if this knowledge could give you the power to change your fate?
Building on last week's discussion of Alzheimer's prevention, this post examines the role of genetics in assessing current risk and outlines actions that can be taken based on genetic insights. The most powerful predictor of Alzheimer's is the APOE gene. This gene provides instructions for making a protein called Apolipoprotein E (APOE), which is crucial for transporting cholesterol and other fats in the body and is essential for brain health. There are three versions (alleles) of the gene E2, E3 & E4 with one being inherited from each parent leaving six possible combinations which have profoundly different effects on your risk of developing Alzheimer's.
Finding out that you are in the 2% of the population who carry the highest risk E4/E4 genetic combination could be life-changing information (which is why genetic counselling is essential before any results are discussed). The power of good diet and lifestyle choices can far outweigh the risks posed by any genetic combination. Your genes load the gun - your lifestyle pulls the trigger.
Knowing your APOE status means becoming both better informed and more able to compensate for your genetic variation. A nutrient dense diet low in sugar and saturated fat combined with regular movement and social interaction can offer significant protection regardless of your genotype. The lifestyle recommendations necessary to prevent Alzheimer's also protect from stroke, heart attack and diabetes.
Each time you are tempted to stay on the sofa and open the fridge, this awareness could persuade you to get on the road and open your lungs. Knowledge is both power and a powerful driver of habit change.
A comprehensive APOE report and professional interpretation costs £295. The report also includes genes involved in methylation, inflammation, toxicity and neuroprotection which enables you to take preventative action by adopting personalised nutrition and lifestyle changes to optimise your future, long term health.