Treating Alzheimer's Disease - Leqembi

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Seniors Blue Book Greater Dallas

For more information about the author, click to view their website: Alzheimer's Survivor

Posted on

Aug 17, 2024

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Recently, we have talked about what Alzheimer’s is, different types of Alzheimer’s Disease & what causes Alzheimer’s Disease. After laying that groundwork we can finally discuss and review new medications and treatment solutions for Alzheimer’s.

We will start this series of blogs reviewing Leqembi (lecanemab). 

As in the last blog, I will remind you, I am not a doctor.  I am not a medical professional.  I am a person who can take detailed medical information, research it, and create content & imagery that will make it easier for you to understand a specific concept.  You should NEVER use my content to make medical decisions for yourself or your loved one. However, you can take the content I provide to begin conversations with your doctor.  

What is Leqembi? 

Leqembi is a medication that is used to treat early-stage Alzheimer's Disease. It is an FDA-approved treatment that targets one aspect of the underlying biology of the disease. Leqembi works by reducing the amount of amyloid-beta proteins in the brain, which are a key factor in Alzheimer's Disease

Leqembi is administered as an intravenous (IV) infusion every two weeks at an infusion center. Each infusion usually lasts about an hour. Leqembi is approved for people with mild Alzheimer's disease, which means they have some memory and thinking problems, but their symptoms are not severe. It can also be used to treat mild cognitive impairment (MCI) and mild dementia due to Alzheimer's disease. 

It is important to note that Leqembi is not a cure. I will repeat it to be clear.  Leqembi is NOT a cure for Alzheimer’s Disease. Alzheimer’s Disease is triggered by multiple conditions such as diabetes, genetics, toxic environmental exposure, and inflammation. Leqembi was designed to slow Alzheimer's progression by identifying and attacking beta-amyloid proteins in the brain. 

This is significant because beta amyloids are one of the hallmarks of Alzheimer’s. These proteins clump together to form plaques that destroy neurons. Neurons are the cells that form the brain’s communication system. Leqembi is a monoclonal antibody that binds to these plaques and breaks them apart.

What is a monoclonal antibody?

Monoclonal antibodies (mAbs) are laboratory-made proteins that are a type of targeted therapy used to treat a variety of diseases, including some types of cancer and COVID-19. Monoclonal antibodies are highly specific because they are derived from a single clone of cells and are engineered to closely reflect the structure of naturally produced human proteins. This means that the body handles them similarly. The body does not metabolize monoclonal antibodies like it would a synthetic medication. 

 mAbs are created in a lab from living sources that produce antibodies, such as human B cells.  Or immunized animals. The first step in the process is to express a purified antigen, which is often a critical step. The mAbs are then produced by identical clones of B lymphocytes against a specific antigen.

How are monoclonal antibodies produced?

The traditional monoclonal antibody production process usually starts with a generation of mAb-producing cells (i.e. hybridomas) by fusing myeloma cells with desired antibody-producing splenocytes (e.g. B cells). These B cells are typically sourced from humans or animals, usually rodents.

Human mAbs can be used to target and neutralize specific proteins that induce an immune response, such as those associated with inflammation in psoriasis and other autoimmune disorders. Leqembi is an example of a human mAb used to treat Alzheimer's disease.

Advantages of using mAbs:

·       Precision - mAbs are more precise than other treatments, which can improve effectiveness and reduce side effects. For example, monoclonal antibody therapy can target cancer without damaging healthy cells.

·       Safety - mAbs are safer and less toxic than chemotherapy drugs, which can improve patient survival and well-being.

·       Quality - mAbs quality is consistent across production batches, which is important for both therapy and diagnostics.

·       Quantity - mAbs can be produced in large quantities.

·       Other advantages - mAbs also have fewer off-target adverse effects, fewer drug-drug interactions, and higher specificity.

Disadvantages of mAbs in an overview

  • long lead times for traditional mAbs manufacture methods (hybridoma)
  • relatively high cost of goods
  • laborious process, hybridoma cell generation has low yields
  • selectivity is hard to achieve for peptide targets with few amino acid residues
  • contamination and risk of loss for hybridoma cultures
  • limited uses due to the mode of action

It is not uncommon to have an infusion reaction when taking mAbs.  It is like an allergic reaction. Symptoms can include fever, chills, weakness, headache, nausea, vomiting, diarrhea, low blood pressure, and rashes, and are more common when the drug is first given. This is your body’s response to taking a biological medication and will usually subside as you get used to it.

Who can take Leqembi?

Now that we understand what Leqembi is and how it works.  Who can take Leqembi?

In theory, anyone experiencing mild cognitive impairment or the early stages of Alzheimer’s Disease.  However, to qualify for treatment with Leqembi, patients must meet the same criteria used in the clinical trials that led to its approval:

·       Be between the ages of 50 and 90

·       Have a confirmed presence of beta-amyloid plaques in the brain

·       Have mild cognitive impairment (MCI) or mild dementia due to Alzheimer's disease

·       Have a body mass index (BMI) between 17 and 35

Potential patients must undergo diagnostic testing to confirm the presence of beta-amyloids before starting treatment, which is usually done with a PET scan and/or a spinal tap. Leqembi has not been tested on people with more advanced Alzheimer's or those without symptoms, so they do not qualify for treatment. 

Side Effects of Leqembi

There are potential side effects with every medication.  No one should be surprised that there are side effects with Leqembi.  The following information was taken word for word from Eisai and Biogen, the manufacturers and distributors of Leqembi:

LEQEMBI can cause serious side effects, including:

·       ARIA (amyloid-related imaging abnormalities). There are usually no signs of ARIA. In rare cases, it can lead to serious complications

·       ARIA can show up as swelling in parts of the brain or small spots of bleeding

·       Larger areas of bleeding in the brain may occur, but this is uncommon

·       ARIA usually goes away over time

·       Most people with ARIA don’t have any symptoms. However, some people may notice:

–headache

–confusion that gets worse

–dizziness

–vision problems

–nausea

–problems walking

–seizures

·      Some people have a gene called ApoE4 that may increase the risk of ARIA. Talk to your healthcare provider about testing to see if you have this gene

·      Some medicines can increase the risk of larger areas of bleeding in the brain for people taking LEQEMBI. Talk to your healthcare provider to see if any of the medicines you’re taking increase this risk

·      Your healthcare provider will check for ARIA with MRI (magnetic resonance imaging) scans before you start LEQEMBI and during treatment

I want to be careful to not over-dramatize these side effects.  As I have said in previous Blogs, I am a study buddy for a loved one participating in a research program with (BAN2401) Leqembi.  My loved one has experienced Aria-E and Aria-H. 

The Aria-H experience was by far the most dramatic of the two.  It started when my loved one woke up from a deep sleep after feeling and hearing what she described as an explosion in her brain.  She said it felt like she had been hit by a brick.  She sat up and placed her hand on top of her head as you would when something just hit you.  When she removed her hand to look at it, she fully expected to see blood on her hand.  But there was no blood. She got up out of bed, went to the bathroom, made a note in her journal, laid back down, and went back to sleep. 

There are some important things to point out here:

She said she felt like she was hit with a brick.  However, there are no pain receptors in the brain. And later she would say that it felt like being hit by a brick but without pain.  I say this to be clear that as traumatizing as it was, there was no pain.

She calls it an explosion in her head.  She is confident that she heard the sudden micro hemorrhage take place.  And that she heard the blood flow.  I am 100% confident that she did.  My loved one is not one to over-dramatize facts.

But how big was this hemorrhage?  To be classified as a micro hemorrhage it must be smaller than 5 millimeters in diameter.  How big is that?  The size of her micro hemorrhage was between the size of the tip of a pencil lead and half the diameter of the eraser tip.  VERY small. 

Despite the potential of brain swelling and another brain bleed, I stand behind her choice to continue to take Leqembi.  Knowing that any day, I might get a phone call with her telling me it happened again.  Because without this medication, I believe her cognitive decline will become significant.  We are not giving up on her and her desire to be a volunteer for Alzheimer’s research.

How do I get started?

OK, so you heard all about the scary potential of experiencing a brain bleed and potential brain swelling.  You understand that by taking no action, you are guaranteeing continued cognitive decline.  And you want to start the evaluation process to see if you are a good candidate for Leqembi treatment.  How do you get started?  There are 2 options:

Schedule an appointment with your neurologist to learn more.

  • If you do not have a neurologist or if you want to be sure you are working with a Leqembi-friendly neurologist, send me an email ([email protected]).  I will need to know where you are located.  With that information, I will get back to you with a couple of options.
  • This is a great option if you have insurance that will pay for all or part of the testing and medication.

Schedule an appointment with an Alzheimer’s Research facility. 

  • Research doctors have the same qualifications as neurologists in private practice.   However, most research studies do not guarantee that you will receive the medication in the first round.  You may receive a placebo first and the study medication later.
  • Research studies often offer protocols that are not available to the public yet.
  • If you do not have insurance, this is a great solution to get the medication you need to slow cognitive decline.
  • Research studies offer protocols at no charge.  You will pay nothing.

How much does it cost?

The answer to that question is difficult to answer because there are so many factors to be considered. The Japanese drugmaker Eisai set the list price for Leqembi, at $26,500 per year in the United States. However, the actual cost for patients will vary depending on their insurance coverage. For example, Medicare beneficiaries are responsible for 20% of the cost after meeting their Part B deductible, which means the out-of-pocket cost for Medicare enrollees is $5,300 per year. Other factors that may affect the cost include Medicare supplemental or other secondary insurance, Medicare Advantage plans, and Medicaid. 

In addition to the cost of the drug itself, there are also associated expenses for diagnosing and monitoring patients, such as PET scans, MRI scans, and clinical visits. 

Is it worth it?

It is for my loved one.  Despite experiencing brain swelling and a brain bleed, she won’t stop as long as it is available.

I know that if I am diagnosed with mild cognitive impairment or Alzheimer’s disease, I would take it or a similar mAB as a multi-step treatment protocol.  I would work with an Alzheimer’s Disease researcher to be sure every bit of information is captured.

Is it worth it to you?  Only you can decide.

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Sometimes, simply having someone available to talk to can help a patient feel more comfortable and less isolated.Emotional support may also come from cancer support groups, counselors, social workers, or other individuals who understand what it means to face a cancer diagnosis.Every patient's experience is different, but knowing that someone is available to listen, encourage, and help can make the journey feel more manageable.Why Emotional Support Matters During Cancer TreatmentCancer treatment can be physically demanding and emotionally draining. Depending on the type of cancer and recommended treatment, patients may experience fatigue, nausea, pain, changes in appetite, sleep difficulties, or other side effects.These challenges can affect a person's mood, independence, and overall quality of life.Emotional support can help patients cope with these changes and maintain a sense of hope throughout treatment.A supportive friend or family member can help by: Listening without judgment when a patient needs to talk. Offering encouragement during difficult treatment days. Helping patients maintain a positive connection with everyday activities. Accompanying patients to appointments when needed. Recognizing when additional emotional or professional support may be helpful. Providing companionship during periods of isolation or uncertainty. It is important to remember that patients do not always need someone to offer advice or solutions. Sometimes, the most valuable thing a loved one can do is simply be present.Professional counseling and cancer support groups can also provide a safe environment for patients to discuss their feelings, learn coping strategies, and connect with others who have similar experiences.The Importance of Coordinating Cancer TreatmentCancer care often involves several different medical professionals working together to develop and manage a patient's treatment plan. Depending on the diagnosis, a patient may see an oncologist, surgeon, radiation oncologist, primary care physician, radiologist, and other specialists.Coordinating appointments, medical records, test results, medications, and treatment recommendations can quickly become complicated.Patients may have difficulty keeping track of everything, especially when they are experiencing fatigue or other treatment-related side effects.Having someone help coordinate care can make the process easier.A trusted support person or healthcare advocate may assist with: Organizing medical records, test results, and treatment information. Keeping track of appointments and follow-up visits. Helping patients prepare questions for their doctors. Taking notes during medical appointments, with the patient's permission. Helping communicate questions or concerns to healthcare providers. Keeping track of medication instructions and treatment schedules. Identifying resources that may help with transportation, home care, or other needs. Good communication among healthcare providers is important throughout cancer treatment. Having someone help organize information and follow up on questions can help patients stay informed and better understand their care plan.How Family Members Can Help During the Cancer JourneyFamily members often play an important role in supporting someone diagnosed with cancer. From attending medical appointments to helping with daily activities, their involvement can provide comfort and practical assistance.However, family members may not always know what to say or how to help. They may also experience fear, anxiety, and uncertainty about their loved one's diagnosis.One of the best ways family members can provide support is by asking the patient what they need rather than assuming what would be most helpful.Depending on the patient's circumstances, family involvement may include:Attending Medical Appointments: A family member can accompany the patient to appointments, take notes, help remember important information, and ask questions when appropriate.Providing Transportation: Driving to chemotherapy, radiation treatments, diagnostic testing, and follow-up appointments can become difficult, particularly when patients are experiencing fatigue or other side effects.Helping With Everyday Responsibilities: Preparing meals, grocery shopping, housekeeping, managing errands, and assisting with household responsibilities can help patients conserve their energy.Offering Companionship: Spending time together, watching a movie, taking a short walk when appropriate, or simply talking can help patients maintain a sense of normalcy.Helping With Communication: Family members can assist with sharing updates among relatives and friends, provided the patient is comfortable with that involvement.Respecting Personal Choices: Patients should remain at the center of their healthcare decisions. Family members can offer encouragement and assistance while respecting the patient's wishes, privacy, and independence.Even small gestures can have a significant impact on someone going through cancer treatment.The Benefits of Having a Healthcare AdvocateWhile family and friends provide invaluable emotional and practical support, navigating the medical system can sometimes require additional assistance.Cancer treatment involves complicated medical information, multiple specialists, important decisions, and ongoing communication with healthcare providers. Patients and families may find it difficult to manage all these responsibilities while coping with the emotional and physical demands of the illness.This is where a healthcare advocate can be especially valuable.A healthcare advocate helps patients understand and navigate the healthcare system. Their role is to provide guidance, help organize information, support communication with medical professionals, and assist patients in understanding their healthcare options.For someone facing cancer, an advocate may help with: Understanding medical terminology and treatment recommendations. Preparing questions before appointments with oncologists and specialists. Organizing medical records, test results, and treatment information. Helping coordinate appointments among different healthcare providers. Exploring the process of obtaining a second medical opinion. Identifying available support services and community resources. Helping patients and families understand the next steps in their healthcare journey. A healthcare advocate does not replace an oncologist or make treatment decisions for the patient. Instead, an advocate helps patients become more informed and confident when communicating with their medical team.Having someone knowledgeable available to help navigate these responsibilities can reduce some of the stress and confusion that often accompany a cancer diagnosis.Finding Additional Resources and Support ServicesA cancer diagnosis can affect nearly every aspect of a person's life. In addition to medical treatment, patients may need help with transportation, financial concerns, nutrition, home care, emotional health, and everyday responsibilities.Fortunately, there are many resources available to help patients and families during this time.Some helpful resources may include:Cancer Support Groups: Support groups provide opportunities to connect with others who understand the challenges of living with cancer. Patients can share experiences, discuss concerns, and learn from people facing similar situations.Counseling and Mental Health Services: Professional counselors and therapists can help patients and family members manage anxiety, depression, stress, and the emotional challenges associated with cancer.Social Workers and Patient Navigators: Oncology social workers and patient navigators can help identify resources, address practical concerns, and connect patients with appropriate support services.Transportation Assistance: Local organizations and cancer support programs may offer transportation assistance for patients who have difficulty getting to treatment appointments.Home Care Services: Depending on a patient's needs, non-medical home care services may provide assistance with personal care, meal preparation, light housekeeping, and companionship.Financial Assistance Programs: Some organizations offer resources to help patients understand insurance coverage, locate financial assistance programs, and manage certain treatment-related expenses.Knowing where to find these resources can help patients feel more supported and less overwhelmed.Supporting Caregivers: Why Their Well-Being Matters TooWhen someone receives a cancer diagnosis, family members and caregivers often shift their attention entirely toward the patient. While providing care and emotional support is important, caregivers must also recognize their own physical and emotional needs.Caregiving responsibilities can involve coordinating appointments, managing household tasks, providing transportation, assisting with daily activities, and offering ongoing emotional support.Over time, these responsibilities can lead to exhaustion, stress, and caregiver burnout.Caregivers should remember that taking care of themselves is not selfish. Maintaining their own health and well-being allows them to continue providing meaningful support to their loved one.Helpful ways caregivers can protect their well-being include: Asking other family members and friends to share responsibilities. Taking regular breaks from caregiving duties. Maintaining their own medical appointments and health routines. Connecting with caregiver support groups. Seeking help from professional care providers when needed. Talking with someone when feelings of stress or frustration become overwhelming. A strong support system should include the caregiver as well as the person receiving treatment.Building a Support System That Meets Your NeedsThere is no one-size-fits-all approach to building a support system after a cancer diagnosis. Some patients may rely primarily on family members, while others benefit from a combination of friends, healthcare professionals, support groups, and patient advocates.The most important thing is to identify the types of support that will make the greatest difference throughout the treatment process.Consider the following steps: Identify Your Needs: Think about where you need the most help, whether it is emotional support, transportation, appointment coordination, household responsibilities, or understanding medical information. Talk With Family and Friends: Let loved ones know how they can help. Be specific about your needs and remember that accepting assistance is okay. Communicate With Your Healthcare Team: Ask your doctors about available patient navigation services, oncology social workers, counseling, and other support resources. Explore Cancer Support Organizations: Look into local and national organizations that provide education, emotional support, transportation, and financial assistance. Consider Working With a Healthcare Advocate: If you feel overwhelmed by medical information or coordinating care, a healthcare advocate may provide additional guidance and help you navigate the healthcare system. Your support system may change as your needs change. What is helpful during diagnosis and treatment may be different from what you need during recovery or long-term follow-up care.You Don't Have to Navigate Cancer AloneA cancer diagnosis can change a person's life in many ways, bringing medical challenges, emotional uncertainty, and difficult decisions. While every patient's journey is unique, having the right people and resources available can make a meaningful difference.A strong support system provides encouragement, companionship, practical assistance, and guidance when patients need it most. Family members and friends can help with everyday responsibilities, while healthcare professionals and advocates can help patients understand their treatment options and navigate complicated medical decisions.Most importantly, patients should never feel that they have to manage every aspect of their cancer journey alone.If you or someone you love has recently received a cancer diagnosis, consider reaching out for support. Whether it is a family member, a cancer support organization, or a professional healthcare advocate, having someone by your side can help you feel more informed, supported, and confident as you move forward.Vital Voice Healthcare Navigation understands that navigating a serious medical diagnosis can be overwhelming. Having knowledgeable support to help organize care, understand medical information, and communicate with healthcare providers can make the cancer journey easier to navigate. You deserve to feel heard, supported, and empowered throughout every step of your healthcare journey.

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Home Care Options for Seniors

Aging in Place , , Texas,

Home Care for Older Adults: Your Complete GuideCLICK TO VIEW HOME CARE COMPANIESWhat Is Home Care for Seniors?Home care refers to professional support services that allow older adults to live safely and comfortably in their own homes. These services range from assistance with daily activitiessuch as bathing, dressing, and meal preparationto skilled nursing care for chronic conditions or post-surgery recovery. Unlike assisted living or nursing homes, home care enables seniors to maintain independence while receiving personalized care in familiar surroundings.Why Is Home Care Important for Aging Adults?Home care is essential because most seniors prefer to age in place. Remaining at home promotes emotional well-being, reduces stress, and preserves social connections. Familiar surroundings help prevent confusion and anxiety, especially for individuals with dementia or mobility challenges. Additionally, home care can be tailored to meet specific needs, making it a flexible and cost-effective alternative to institutional care.What Services Are Included in Home Care?Home care services typically fall into two categories:Personal Care: Assistance with activities of daily living (ADLs) such as bathing, grooming, dressing, and toileting.Companion Care: Social interaction, conversation, and help with errands.Homemaker Services: Light housekeeping, laundry, meal preparation, and grocery shopping.Skilled Nursing Care: Medication management, wound care, physical therapy, and monitoring chronic conditions like diabetes or heart disease.Specialized Care: Dementia care, stroke recovery, and palliative support.Who Provides Home Care?Home care can be delivered by trained caregivers, certified nursing assistants (CNAs), or licensed nurses, depending on the level of care required. Agencies often screen and train caregivers, ensuring they meet safety and quality standards. Families may also hire independent caregivers, but working with an agency typically offers more oversight, backup coverage, and peace of mind.CLICK TO VIEW HOME CARE COMPANIESHow Do I Know If My Loved One Needs Home Care?Signs that home care may be necessary include:Difficulty managing daily tasks like cooking or bathing.Increased risk of falls or mobility issues.Forgetfulness that affects medication schedules or bill payments.Social isolation or signs of depression.Recovery from surgery or hospitalization requiring ongoing support.If any of these apply, a professional assessment can help determine the right level of care.What Are the Benefits of Home Care for Seniors?Home care offers numerous advantages:Independence: Seniors remain in their own homes and maintain control over daily routines.Personalized Care: Services are tailored to individual needs and preferences.Cost-Effectiveness: Often more affordable than assisted living or nursing homes.Emotional Comfort: Familiar surroundings reduce stress and promote mental well-being.Family Support: Provides respite for family caregivers and reduces burnout.Health Outcomes: Personalized attention can prevent hospital readmissions and improve recovery.Is Home Care Covered by Insurance or Medicare?Medicare covers home health services only if they are medically necessary and provided by a certified agency, typically for short-term needs after hospitalization. Medicaid may offer coverage depending on state rules. Most private insurance plans have limited benefits for home care, so families often pay out-of-pocket or use long-term care insurance.How Much Does Home Care Cost?Costs vary by location, level of care, and hours required. On average, non-medical home care costs $25$35 per hour, while skilled nursing care can be higher. Compared to nursing homes (which can exceed $90,000 annually), home care is often a more affordable option for families.How Do I Choose a Reliable Home Care Provider?When selecting a provider, ask:Are you licensed, bonded, and insured?How do you screen and train caregivers?Can you provide references or client testimonials?Do you offer customized care plans?What is your backup plan if a caregiver cannot make a shift?Always check reviews, verify credentials, and ensure the agency aligns with your loved ones needs.CLICK TO VIEW HOME CARE COMPANIESWhat Are Common Misconceptions About Home Care?Myth: Home care is only for people with severe health issues.Fact: Many seniors use home care for companionship or help with household tasks.Myth: Home care is too expensive.Fact: It can be more affordable than institutional care, especially for part-time assistance.Myth: Home care reduces independence.Fact: It supports independence by helping seniors stay at home safely.How Does Home Care Compare to Assisted Living?Assisted living requires moving to a facility with on-site support, while home care allows seniors to remain in their own homes. Home care offers more flexibility and personalization, whereas assisted living provides a structured environment and social activities. The right choice depends on health needs, budget, and personal preferences.What Questions Should I Ask Before Hiring a Caregiver?What experience do you have with seniors?Are you trained in dementia care or chronic illness management?How do you handle emergencies?Do you encourage independence in daily activities?How do you communicate with families about care updates?How Can I Make My Home Safer for an Older Adult?Simple modifications can prevent accidents:Install grab bars in bathrooms.Remove loose rugs and clutter.Improve lighting in hallways and staircases.Use non-slip mats in showers.Consider a medical alert system for emergencies.Where Can I Find Home Care Resources?Seniors Blue Book for trusted providers and educational resources.Comprehensive Home Health Care Options for Seniors. Explore our extensive directory of home health care services tailored for seniors. Find reliable, home care, professional home health aides and nursing care options designed to support independent living for the elderly. Access valuable resources and detailed service offerings to ensure the best in-home care for your loved ones.CLICK TO VIEW HOME CARE COMPANIESFEATURED HOME CARE PROVIDERS

Seniors Blue Book Greater Dallas

Senior Resources , Plano, Texas, 75075

"Seniors Blue Book Greater Dallas is the #1 trusted caregiving and senior care resource for the Greater Dallas and Fort-Worth areas for older adults. Search our senior directory to find luxury senior housing, senior living and retirement communities. Independent living, assisted living, memory care, nursing homes, hospitals, rehab care, residential care homes & housing locators. Aging in place? Our senior directory has great in-home care and services, home care, home health & hospice. The Best Senior Services, downsizing, junk removal and clutter clean-up, organizing, moving, estate planning, Medicaid planning, elder law, elder care, and the list goes on! You can find great in-home care and services to age in place or a place for mom to move to. Seniors Blue Book is your everything for aging resource and directory!" The Seniors Blue Book Greater Dallas print seniors resource directory can be found in Dallas, Frisco, Plano, Allen, McKinney, Addison, Garland, Rockwall, Mesquite, Highland Park, Park Cities, Denton, Little Elm, Prosper, Lewisville, Flower Mound, Grand Prairie, Irving, Fort Worth, Southlake, Colleyville, The ColonyPick-up a copy of Seniors Blue Book Greater Dallas at a Grocery Store Near You!RETAILERADDRESSCITYSTATEZIPTOM THUMB14280 MARSH LNADDISONTX75001MARKET STREET985 W BETHANY DRALLENTX75013ALBERTSONS6220 HWY 287ARLINGTONTX76001ALBERTSONS301 SOUTHWEST PLZARLINGTONTX76016ALBERTSONS5950 S COOPER STARLINGTONTX76017TOM THUMB1701 W RANDOL MILL RDARLINGTONTX76012TOM THUMB2611 W PARK ROW DRARLINGTONTX76013TOM THUMB2755 N COLLINS STARLINGTONTX76006ALBERTSONS2150 N JOSEY LNCARROLLTONTX75006TOM THUMB4112 N JOSEY LNCARROLLTONTX75007ALBERTSONS427 E FM 1382CEDAR HILLTX75104MARKET STREET5605 COLLEYVILLE BLVDCOLLEYVILLETX76034TOM THUMB4000 GLADE RDCOLLEYVILLETX76034MARKET STREET700 N DENTON TAP RDCOPPELLTX75019TOM THUMB106 N DENTON TAP RDCOPPELLTX75019ALBERTSONS4351 FM 2181CORINTHTX76210ALBERTSONS320 CASA LINDA PLZDALLASTX75218CENTRAL MARKET5750 E LOVERS LNDALLASTX75206TOM THUMB4625 FRANKFORD RDDALLASTX75287TOM THUMB3757 FOREST LNDALLASTX75244TOM THUMB7000 SNIDER PLAZADALLASTX75205TOM THUMB4001 VILLANOVA STDALLASTX75225TOM THUMB6333 E MOCKINGBIRD LNDALLASTX75214TOM THUMB10455 N CENTRAL EXPYDALLASTX75231TOM THUMB5809 E LOVERS LNDALLASTX75206TOM THUMB7117 INWOOD RDDALLASTX75209TOM THUMB2727 LIVE OAK STDALLASTX75204TOM THUMB522 ROYAL LNDALLASTX75230TOM THUMB8698 SKILLMAN STDALLASTX75243TOM THUMB3878 OAK LAWN AVE STE 18DALLASTX75219TOM THUMB18212 PRESTON RDDALLASTX75252TOM THUMB11920 PRESTON RDDALLASTX75230TOM THUMB7700 W NORTHWEST HWYDALLASTX75225TOM THUMB14999 PRESTON RDDALLASTX75254ALBERTSONS2321 W UNIVERSITY DRDENTONTX76201TOM THUMB210 E PLEASANT RUN RDDESOTOTX75115TOM THUMB633 W WHEATLAND RDDUNCANVILLETX75116ALBERTSONS1155 N MAIN STEULESSTX76039TOM THUMB4301 CROSS TIMBERS RDFLOWER MOUNDTX75028TOM THUMB2301 JUSTIN RDFLOWER MOUNDTX75028TOM THUMB745 CROSS TIMBERS RDFLOWER MOUNDTX75028MARKET STREET11999 DALLAS PKWYFRISCOTX75033TOM THUMB4848 PRESTON RDFRISCOTX75034TOM THUMB5550 FM 423FRISCOTX75036ALBERTSONS5710 BROADWAY BLVDGARLANDTX75043TOM THUMB2601 ARAPAHO RDGARLANDTX75044TOM THUMB925 NORTHWEST HWYGARLANDTX75041TOM THUMB2535 FIREWHEEL PKWYGARLANDTX75040ALBERTSONS215 N CARRIER PKWYGRAND PRAIRIETX75050TOM THUMB4215 S CARRIER PKWYGRAND PRAIRIETX75052TOM THUMB302 S PARK BLVDGRAPEVINETX76051TOM THUMB612 GRAPEVINE HWYHURSTTX76054TOM THUMB4010 N MACARTHUR BLVDIRVINGTX75038TOM THUMB1000 KELLER PKWYKELLERTX76248TOM THUMB1075 W FM 3040LEWISVILLETX75067TOM THUMB980 HIGHWAY 287 NMANSFIELDTX76063ALBERTSONS3001 S CENTRAL EXPYMCKINNEYTX75070MARKET STREET6100 ELDORADO PKWYMCKINNEYTX75070TOM THUMB6800 VIRGINIA PKWYMCKINNEYTX75071TOM THUMB3001 S HARDIN BLVDMCKINNEYTX75070ALBERTSONS2828 MOTLEY DRMESQUITETX75150TOM THUMB1501 PIONEER RDMESQUITETX75149MARKET STREET1929 PRESTON RDPLANOTX75093TOM THUMB7801 ALMA DRPLANOTX75025TOM THUMB3100 INDEPENDENCE PKWYPLANOTX75075TOM THUMB5968 W PARKER RDPLANOTX75093TOM THUMB3945 LEGACY DRPLANOTX75023ALBERTSONS2165 BUCKINGHAM RDRICHARDSONTX75081TOM THUMB819 W ARAPAHO RDRICHARDSONTX75080TOM THUMB1380 W CAMPBELL RDRICHARDSONTX75080TOM THUMB3411 CUSTER PKWYRICHARDSONTX75080TOM THUMB3070 N GOLIAD STROCKWALLTX75087TOM THUMB8805 LAKEVIEW PKWYROWLETTTX75088TOM THUMB100 W SOUTHLAKE BLVD STE 2SOUTHLAKETX76092TOM THUMB101 TROPHY LAKE DRTROPHY CLUBTX76262ALBERTSONS6249 RUFE SNOW DRWATAUGATX76148TOM THUMB921 S WESTGATE WAYWYLIETX75098