Evidence-led brain health · Online across the UK

Protect your brain health with evidence, not empty promises.

Understand the modifiable factors associated with dementia risk and take practical, proportionate steps to support your long-term brain and cardiovascular health.

Book a free 10-minute discovery call Online across the UK · £299

Medically reviewed by Dr Nikhil Sharma, MBChB · UK Consultant Physician ·

Named UK Consultant PhysicianPersonal brain-health risk reviewCardiovascular and lifestyle factorsPractical, evidence-led next steps

Can dementia risk really be reduced?

No consultation, supplement or lifestyle programme can guarantee that dementia will be prevented. However, research and clinical guidance associate a number of modifiable factors with brain health over time. Understanding those factors may help you make more informed decisions about your future health.

A dementia risk reduction consultation with Dr Nikhil Sharma brings those factors together in the context of your medical history, family history, current measurements and everyday life. The emphasis is on credible evidence, sensible priorities and avoiding claims that go beyond what the research can show.

The connection between brain health and cardiovascular health

Your brain depends on a healthy blood supply. Factors that affect blood vessels—including blood pressure, cholesterol, diabetes risk, smoking and physical activity—can also be relevant to long-term brain health.

Dr Sharma's experience in stroke prevention provides a useful perspective on how vascular health and brain health interact. Rather than treating dementia risk as a separate, mysterious category, the consultation considers the broader clinical picture and identifies where proportionate action may be appropriate.

  • Blood pressure, vascular health and the quality of your existing home readings.
  • Cholesterol, glucose control and other cardiovascular risk factors.
  • Physical activity, muscle strength, fitness and everyday movement.
  • Sleep quality, mood, stress and possible problems that deserve clinical review.
  • Social connection, meaningful activity, hearing concerns and engagement with daily life.
  • Smoking, alcohol, nutrition, family history and your personal health priorities.

Family history of dementia: useful context, not a fixed prediction

If a parent or close relative has experienced dementia, it is natural to wonder what that might mean for your own future. Family history can be relevant, but it does not determine that you will develop dementia, and it should not be interpreted without context.

Your assessment looks at the factors that can be reviewed today: your current health, vascular risk, daily habits, symptoms and goals. Where specialist investigation or a GP assessment is warranted, Dr Sharma will explain why and help you understand the next step.

What to measure before your brain-health assessment

Suitable recent blood results and home blood-pressure readings can make the consultation more useful. Relevant information may include cholesterol, blood glucose or HbA1c, kidney function and other measurements determined by your medical history.

There is no need to arrive with an expensive package of scans, genetic tests or wearable devices. Testing is most helpful when it answers a clear clinical question, and any further measurements should be discussed in relation to your individual circumstances.

A realistic plan for healthier years ahead

After your online consultation, you receive a written plan highlighting the most useful areas to address and at least two practical quick wins. Depending on the assessment, this may include improving blood-pressure monitoring, discussing treatment options, adjusting a sustainable activity routine or seeking follow-up for sleep, hearing or other concerns.

Brain health is considered within the wider Longevity 16 assessment because your physical, vascular and emotional health are connected. The goal is not certainty about the future. It is a clearer, more informed plan for staying active, independent and present for the people you love.

Your questions, answered

Frequently asked questions

Can a doctor guarantee that dementia will be prevented?

No. It would be misleading to promise that dementia can always be prevented. A responsible consultation focuses on modifiable factors associated with brain and cardiovascular health, while being clear about uncertainty and individual circumstances.

What are some potentially modifiable dementia risk factors?

Depending on your circumstances, relevant areas may include blood pressure, cardiovascular health, diabetes risk, physical activity, smoking, alcohol, sleep, social connection and hearing concerns. Their significance differs from person to person.

Is this a dementia diagnosis or memory clinic assessment?

No. This is an online preventive-health consultation focused on long-term risk reduction. If you have current memory problems or changes in thinking, your GP can advise on an appropriate diagnostic assessment.

Does a family history of dementia mean I should book?

A family history is one reason people seek a clearer view of their health, but it does not mean dementia is inevitable. The consultation considers family history alongside current health, lifestyle, measurements and the factors you may be able to influence.

How much does a brain-health consultation cost?

The doctor-led online consultation costs £299 and includes a personalised Longevity 16 assessment, relevant results review and a written action plan. It is available online across the UK.

Evidence and guidance

Further reading from trusted sources

Information on this page is general and does not replace an individual medical assessment. Recommendations are tailored to your circumstances and discussed before any action is taken.

Start with a real conversation

A clearer view of your health starts here.

Speak directly with Dr Sharma during a free, no-obligation 10-minute discovery call.

Book your free discovery call