September is
National Cholesterol Education Month and at Senior Care Authority we are
especially interested in cholesterol because of its emerging connection to
Alzheimer’s. In the health and wellness world, cholesterol has long been a
topic of concern due to its association with cardiovascular diseases. However,
recent research has unveiled a fascinating and complex connection between
cholesterol and another formidable adversary: Alzheimer's disease. Because of
our ongoing work providing support to our clients who have a loved one with
Alzheimer’s or who have Alzheimer’s themselves, we want you to be aware of the
intricate interplay between cholesterol and Alzheimer's. We will highlight
findings from peer-reviewed research and offer valuable tips on how lowering
your cholesterol may reap cognitive benefits.
Cholesterol and Brain Health: Beyond the
Stereotype
Cholesterol is
often unfairly vilified as a health villain, but it serves essential functions
in the body. Beyond its role in maintaining cell membranes and hormone
production, cholesterol plays a critical role in brain health. Nerve cells in
the brain require cholesterol to build and maintain their cell membranes,
ensuring efficient communication between neurons. Furthermore, cholesterol is
vital for the formation of synapses, the microscopic connections that
facilitate neural signaling. Cholesterol is also involved in the function of
neurotransmitter receptors in the cell membrane. These receptors are essential
for receiving and processing neurotransmitter signals, which play a critical
role in various brain functions, including mood regulation and cognition.
The Amyloid Beta Puzzle
A hallmark of
Alzheimer's disease is the accumulation of amyloid beta plaques in the brain,
contributing to neurodegeneration and cognitive decline. Emerging research
suggests that cholesterol metabolism may influence the production and clearance
of amyloid beta. A study published in the Journal of Alzheimer's Disease (doi:
10.3233/JAD-170838) indicates that cholesterol levels impact the activity of
enzymes involved in amyloid beta production. High levels of low-density
lipoprotein (LDL) cholesterol, commonly referred to as "bad"
cholesterol, could potentially exacerbate the buildup of amyloid beta plaques,
a pivotal step in Alzheimer's progression.
The Blood-Brain Barrier and Beyond
The blood-brain
barrier is a protective shield that regulates the passage of molecules from the
bloodstream into the brain. Cholesterol plays a crucial role in maintaining the
integrity of this barrier. However, disruptions in the blood-brain barrier have
been implicated in neurodegenerative processes, including Alzheimer's disease.
Elevated cholesterol levels may compromise the blood-brain barrier, permitting
harmful molecules to enter the brain and trigger inflammation and neuronal
damage.
The APOE Gene Connection
The
apolipoprotein E (APOE) gene, which influences cholesterol transport and
metabolism, has gained significant attention in Alzheimer's research. Notably,
the APOE ε4 allele is associated with a heightened risk of Alzheimer's disease.
A peer-reviewed study published in JAMA Neurology
(doi:10.1001/jamaneurol.2013.607) found that individuals carrying the APOE ε4
allele exhibited higher cholesterol levels and an increased susceptibility to
Alzheimer's. This gene variant not only influences cholesterol but also affects
the metabolism of amyloid beta, contributing to disease progression.
Strategies to Lower Cholesterol for
Cognitive Well-Being
The evolving
understanding of the cholesterol-Alzheimer's link highlights the importance of
managing cholesterol levels for potential cognitive benefits. We know you have
heard a lot of this before, but remember, your goal is to have healthy levels
of cholesterol to improve your cognitive function. Here are practical tips to
help lower cholesterol:
●
Healthy Diet: Adopt a
diet rich in fruits, vegetables, whole grains, lean proteins, and healthy fats.
Reduce saturated and trans fats, often found in fried and processed foods.
●
Physical Activity:
Engage in regular aerobic exercises such as walking, jogging, swimming, or
cycling. Exercise helps increase high-density lipoprotein (HDL) cholesterol
("good" cholesterol) and supports overall cardiovascular health.
●
Quit Smoking: Smoking
is detrimental to both cardiovascular health and brain function. Quitting smoking can improve cholesterol
levels and promote overall well-being.
●
Medication Management:
In some cases, lifestyle modifications may not be sufficient to lower
cholesterol. Consult a healthcare professional to determine if
cholesterol-lowering medications, such as statins, are appropriate.
The intricate
connection between cholesterol and Alzheimer's disease reveals a multifaceted
relationship that extends beyond cardiovascular health. While ongoing research
strives to unveil the exact mechanisms at play, there is growing evidence
suggesting that managing cholesterol levels has cognitive benefits.
If you or
someone you know are interested in learning more about Alzheimer’s or how to
prepare for the future care of someone with Alzheimer’s, we are here to help.
Our advisors have supported our own loved ones with Alzheimer’s or dementia and
we know how hard it is. Planning as early as possible is as critical as keeping
cholesterol levels in optimal ranges. We can be your trusted Alzheimer's
resource. (239) 330-2133 or info@scanyfl.com.
For low-income Collier County residents who are working but uninsured, access to the medications they need is not as easy as going to a regular chain pharmacy to pick them up. Thats where the Neighborhood Health Clinics expanded non-narcotic medication room comes in, giving patients managing chronic conditions including hypertension and diabetes timely access to medications at no cost. The 1,850-square-foot medication room, located at the clinic on Goodlette-Frank Road near Central Avenue, was built at a cost of $500,000 and is named for the late Stacy Forman, a Naples philanthropist who donated funding for the expansion.Keith Maples, CEO of Neighborhood Health Clinic, said the expanded medications facility enhances the clinics ability to serve patients faster and more efficiently. On a typical day, a patient can walk in and when they walk out, theyre walking out with thousands of dollars worth of medication that, if it were outside of the Clinic, they would not be able to fill those prescriptions because it would be outside of what they could afford, Maples said. He said the expanded space, equipped with updated technology and increased storage capacity, allows for a larger inventory of non-narcotic medications that enables the Clinic to fill prescriptions immediately to minimize delays in treatment. In 2024, the Clinic distributed $6.5 million in retail value of medications thanks to partnerships with Americares, Direct Relief, Dispensary of Hope and other pharmaceutical companies. The expansion allows us to work even more with our pharmaceutical partners to basically procure all of the medications necessary for our patients, Maples said. He said that many patients arriving at the Clinic for the first time have not previously received medical care for the condition needing treatment and may have vastly elevated blood pressure or blood sugar levels, for example. When they walk through the doors, theyre at such a heightened level that were trying to bring it back to a controlled number to where its manageable for them, Maples said. If their A1Cs are through the roof, their [blood] sugars are through the roof, were trying to get them back to an established number that helps them feel better. Well never cure them of all those illnesses, but well maintain that health for them, so they feel better and have a better quality of life.Clinic grows to meet patient demand The nonprofit Neighborhood Health Clinic was established in 1999 by Dr. Bill and Nancy Lascheid to provide medical care to low-income, working but uninsured Collier County adults. Their daughter, Leslie Lascheid, now serves as president of the organization. In 2024 the clinic saw more than 12,000 patient visits and delivered more than 30,000 patient procedures, Maples said, with all medications, primary care, specialty care, surgeries and outpatient procedures provided free of charge to patients.All funding is through philanthropy, as the Clinic does not receive any city, county, state or federal funding including Medicaid or Medicare. Over the years the clinic has expanded as the patient load has increased. The original 11,000-square-foot facility more than doubled in size with the completion of the Armstrong Medical Specialties Building in 2021, which expanded the campus to 23,000 square feet. The addition of the Van Domelen Education and Wellness Building, also in 2021, took the total to its current 32,000 square feet, and when the Bill and Candy Raveis Pathology Building is completed this summer, the total campus will be at 43,000 square feet, according to Marcie Berland, the Clinics director of development. Maples said the Clinic has expanded strategically over the years to meet the medical needs of patients many of whom work in hospitality, service or construction industries in Collier County and the growing volume of patient visits. When weve expanded, we didnt do it just to do it, he said. We based it on what were the patient needs and what do we need in-house on a daily basis to deliver the care, providing the opportunity for a patient to walk in the door, get all the care they need and not have to go to another location somewhere else, or come for another appointment. Because when our patients miss days of work, thats food on the table and the roof over their heads. Its not like if I call in sick: I get a sick day and still get paid. He said the campus expansions allow most procedures including lab work to be done in-house, creating opportunities for sustainable, uninterrupted patient care. When that patient walks through the doors, I never want them to wonder where theyre going to get their care or how theyre getting to their next appointment, Maples said. Many of our patients get rides here, or they walk or ride their bikes, because very few own cars that they can drive in. And while the Clinic does have a full-time paid staff of 14 and five part-time staff, no medical professionals are paid to deliver care, Maples said. More than 250 physicians, 50 dentists, 100 nurses and 300 non-medical personnel deliver care and provide patient education on a volunteer basis.
Beyond the Surface: Naples Cancer Advisors Spotlight Melanoma During Awareness MonthMay 1, 20256 Min ReadBy Jillian Hunt, CNP Executive Director of Clinical Operations at Naples Cancer AdvisorsMay is Melanoma Awareness Month, and in sun-drenched Collier and Lee Counties, its more than a calendar observance. Its a call to action. The sunny environment increases exposure to ultraviolet (UV) rays, which are a significant risk factor for skin cancer, including melanoma. Understanding the risks and adopting preventive measures can help residents enjoy the sun safely while minimizing their skin cancer risk.At NCA, we specialize in delivering second opinions and expert oncology guidance at no cost to patients. Our team, including nationally recognized oncologist Dr. Philip Leming, believes that no one should face a cancer diagnosis alone. This month, we want to shine a light on reshaping melanoma prevention, detection, and awarenessso you can stay protected and proactive.Prevention: A Daily Practice, Not Just a Summer ChecklistMost people know the basics: use sunscreen, avoid tanning beds, cover up when outside. But melanoma doesnt just show up where the sun shines. It can develop under your fingernails, between your toes, even on your scalp or eyes. We educate patients to look everywhere, not just the obvious spots.One powerful (and often overlooked) fact: a single blistering sunburn in childhood doubles your lifetime risk of melanoma. Thats why prevention is a family affair. We urge parents to build sun safety habits early and keep them consistent all year.Detection: A Watchful Eye is The Best ToolThe front line of defense against skin cancer is early detection. Identifying skin changes especially changes in moles is the easiest way to catch skin cancer earlier.What is a mole?A mole is a benign (non-cancerous) growth on the skin that develops when melanocytes, the cells responsible for producing pigment, cluster together instead of being evenly distributed. Moles can be present from birth or develop later in life.ABCDEs of Moles and Melanoma Detection Asymmetry: One half of the mole doesnt match the other. Border irregularity: The edges of the mole are uneven, ragged, or notched. Color variation: The mole has multiple shades of brown, black, or other colors like red, white, or blue. Diameter: The mole is larger than 6 millimeters (about the size of a pencil eraser). Evolving: The mole has changed in size, shape, or color, or has new symptoms like itching, bleeding, or crusting.The ABCDEs are a helpful tool for self-examination and can prompt individuals to seek professional medical advice if any of these signs are present.Dermatologists remain the front line in detection and diagnosis. However, emerging technologies are offering exciting backup. Artificial intelligence skin scanners and total body imaging are improving the speed and accuracy of diagnosis.Whether its through advanced tools or a trained eye, one truth remains: catching melanoma early saves lives.The NCA Difference: Compassionate, Cost-Free Cancer GuidanceNaples Cancer Advisors was founded to be a bridge for patients who feel lost, overwhelmed, or unsure where to turn after a cancer diagnosis. We offer a second set of expert eyes, help explain treatment options, connect people to top-tier providers, and support them throughout their journey.Melanoma may be aggressive, but its also highly preventable and treatable when caught early. This May, we urge everyone in our community to schedule a skin check, learn your ABCDEs (Asymmetry, Border, Color, Diameter, Evolving), and take sun safety seriously.And if you ever need clarity or support after a diagnosis, Naples Cancer Advisors is herefree, local, and fully focused on you.Jillian Hunt, CNP BioJillian has been caring for cancer patients since 2004. In that time, she has set the benchmark for her patient-centric approach in Cincinnati, Southwest Florida, and beyond.Her professional journey began at Cincinnati Childrens Hospital Medical Center in 1999 on the hematology/oncology/bone marrow transplant unit and later the emergency department.After spending five years caring for children, Jillian found her passion in caring for the adult oncology patient. Starting as a chemotherapy infusion nurse in private practice with Dr. Philip Leming at Cincinnati Hematology Oncology, she then pursued an advanced degree to offer a higher level of care to her cancer patients.Jillian has been an oncology nurse practitioner since 2011 and is passionate about patient care, education and staying current on research opportunities available for the patients she cares for.Jillian is a national speaker traveling to educate clinicians on the use and management of toxicities of medications that are used in cancer treatments. She has spoken at national nursing conferences and sits on several advisory boards. Jillian feels strongly about staying on the front lines to improve patient care and expert advice on cancer.Jillian was born and raised in Cincinnati and graduated from Lakota High School. She and her husband have five children. Outside of her love and passion for oncology, Jillian and her husband are licensed foster parents and have participated in global mission trips to serve orphaned children around the world.Naples Cancer Advisors239-846-2273 (CARE)3201 Tamiami Trail N, Suite 112, Naples, FL 34103
We know that navigating senior care options can be overwhelming for you and your family. As your advocate, we can do the homework for you.Well help you sort through and understand all your care options, traverse a complex healthcare system, get accurate and up-to-date information, and connect you to vetted local resources. How can we help you make the best choices for your loved one?
We know that navigating senior care options can be overwhelming for you and your family. As your advocate, we can do the homework for you.Well help you sort through and understand all your care options, traverse a complex healthcare system, get accurate and up-to-date information, and connect you to vetted local resources. How can we help you make the best choices for your loved one?
We know that navigating senior care options can be overwhelming for you and your family. As your advocate, we can do the homework for you.Well help you sort through and understand all your care options, traverse a complex healthcare system, get accurate and up-to-date information, and connect you to vetted local resources. How can we help you make the best choices for your loved one?