Most people think of depression as a problem of mood. In long-standing depression, parts of the brain involved in memory, resilience, and long-term cognitive health can actually begin to shrink. One of the most important of these structures is the hippocampus. This is not a new or controversial idea. For decades, brain imaging studies have…
Polypharmacy and the Brain: When Treatment Becomes Part of the Problem
Introduction Modern medicine has transformed outcomes for many serious conditions. In cardiology, oncology, and critical care, it is often necessary to use multiple medications in combination to stabilise disease and improve survival. In this sense, polypharmacy is not inherently problematic. It is often appropriate and, in many cases, life-saving. However, when multiple medications are used…
Mild Cognitive Impairment: Understanding and Treating Memory Problems
A practical, science-based look at mild cognitive impairment, memory decline, and treatments that address the brain’s underlying regulatory systems. Most people become concerned when they begin noticing changes in their memory or concentration. Misplacing items more often, forgetting appointments, or struggling to recall names can feel alarming. When this happens, we talk of mild cognitive…
Binge Drinking at the Braai—The Great South African Tradition
The festive season in South Africa is often centred around food, friends, and a few more drinks than usual. From long afternoons at the braai to late nights with family and friends, alcohol is a familiar part of how many people celebrate. While most people think of this as harmless seasonal indulgence, alcohol has real…
Energy Drink Consumption and Suicide Risk
A large meta-analysis involving more than 1.5 million participants has identified an association between energy drink consumption and suicidal thoughts and behaviours. Importantly, this does not imply that energy drinks cause suicide, but it does suggest that their use may be linked to underlying psychological or behavioural risk factors. Let’s unpack the connection between energy…
Neuroplasticity to Boost Recovery
Neuroplasticity is critical to brain function. It’s so critical, that without it, you would die! That’s a remarkable statement, and, amazingly, it’s true. Neuroplasticity is all about how your brain forms new connections, how your brain rewires itself. And for any brain, that’s a core function. As pumping is to hearts, so forming new connections…
The Tragedy of Wildfires: Smoking out our Brains
The Surprising Connection Between Wildfire Smoke and Brain Health: What You Need to Know Wildfires are getting worse. Look at what has happened in California, Greece, in Portugal. With global warming, you can be certain that there will be more devastating wildfires. Wildfires are not only ravaging the environment and endangering communities, but their smoke…
Neuroinflammation: How to beat chronic brain swelling naturally
Neuroinflammation is swelling in the brain. It’s bad news. Swelling occurs in many neurodegenerative diseases, such as Alzheimer’s or Parkinson’s disease. Alternatively, diseases such as hypertension or diabetes lead to stroke, which in turn triggers neuroinflammation. Or bad luck strikes and someone suffers a traumatic brain injury, which leads to neuroinflammation. Neuroinflammation is a common…
The Remarkable Story of Mad Cows, Knotted Nerves & Misfolded Proteins
The Classic Case of Misfolded Proteins Did you know that misfolded proteins cause Mad Cow Disease? Strictly speaking, people don’t get Mad Cow Disease. Instead, cows do! Duh! When people eat the meat of infected cows, then they get Creutzfeldt-Jakob Disease (CKD), a kind of dementia. CKD is a serious condition and kills you quickly.…
The Complexity & Beauty of Proteostasis
Misguided & Misguiding: Misfolded Proteins Proteostasis is the system our bodies use to keep proteins in functional balance. Normally, it works brilliantly. However, misfolded proteins arise when proteostasis goes wrong. This is more likely to happen the older you get. Now, you might think that misfolded proteins are not a big deal but you’d be…