Bredesen · Aging 2016 · case series · n=10

Reversal of cognitive decline in Alzheimer's disease.

Cited 184 times in the scientific literature.

Level 4 - case-series / case-control

Case series of 10 patients without a control group

PubMed 27294343 · doi:10.18632/aging.100981 · record verified 2026-08-29

What was done

Ten patients with cognitive decline (subjective cognitive impairment, mild cognitive impairment, or early Alzheimer's disease; nine ApoE4-positive and one ApoE4-negative) received a personalized, multi-component intervention termed metabolic enhancement for neurodegeneration (MEND) for 5 to 24 months. Outcomes were evaluated via quantitative MRI, neuropsychological testing, and functional reports.

What was found

The abstract provides no numerical test scores, imaging measurements, or statistical values. It reports qualitatively that patients demonstrated improvements on neuropsychological testing and quantitative MRI, and that patients who had discontinued or struggled with work returned to work or improved their performance.

Why it matters

This report describes a multi-component metabolic protocol for cognitive decline, serving as early hypothesis-generating case-series evidence.

Limits

The study is an uncontrolled, unblinded case series of only 10 patients. Without a control group, the observed changes cannot be distinguished from practice effects, regression to the mean, or placebo response. No specific numerical data or effect sizes are provided in the abstract.

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