Magnesium

Magnesium helps your body function properly, especially as it pertains to your muscular system, bones, and nervous system.

Magnesium matters.

  • 7 out of 10 Americans are below the Dietary Reference Intake for Magnesium, according to a USDA Agricultural Research Report
  • Sufficient magnesium intake is important in helping to maintain the function of the heart, muscles, and nervous system, support learning and memory performance in aging adults,  absorb and utilize potassium and calcium properly
  • Magnesium is also critical for athletes’ endurance in order to help maintain electrolyte and energy levels.
  • Adults with certain health concerns or who are taking medication may need magnesium supplementation. Magnesium can be found in foods such as green and leafy vegetables, halibut, nuts, such as almonds, and sunflower seeds.

Magnesium is a mineral that’s essential for making proteins and promotes normal nerve cell communication, muscle contraction, and a normal heart rhythm.

It’s estimated that up to 70 percent to 90 percent of the population are magnesium deficient, according to some findings.

This means that the majority of people living in industrialized nations, even many who think they eat a mostly “balanced diet,” are missing out on the many benefits of magnesium. These include its ability to help manage pain, decrease digestive issues and support quality sleep.

Magnesium is the fourth most abundant mineral in the body and assists with more than 300 bodily reactions that occur constantly. About 50% of magnesium is found in bones, and the other half is divided among cells that make up your tissues and organs.*

A mere 1% of the magnesium in your body circulates in the bloodstream, but that small fraction doesn’t accurately convey magnesium’s importance there, as the body makes maintaining blood magnesium levels a high priority.*

Magnesium is important because it assists in the movement of calcium and potassium across cell membranes, magnesium plays a mighty role in promoting normal nerve cell communication, muscle contraction, and a normal heart rhythm. Magnesium also helps to maintain the strength of cell membranes and bones. Diets that provide recommended levels of magnesium are considered beneficial for bone health.*

Magnesium is an essential mineral that’s very important for many aspects of health, since it’s involved in hundreds of bodily functions, including:

  • Blood pressure regulation
  • Protein synthesis
  • Energy production
  • Blood sugar control
  • Digestive processes like moving stools through the intestine
  • Regulation of heartbeat rhythms
  • Neurotransmitter functions, including those involved in sleep and mood stabilization
  • Balance of nitric oxide in the body
  • Growth and development in babies and children
  • Functions of nerves, muscles and tissue
  • Production of stomach acid

Source: https://www.centrum.com/learn/vitamins-minerals/magnesium/

Positive Beliefs About Aging are Good for Memory Recovery

From WebMD.com

Older people with mild cognitive impairment (MCI) are more likely to recover their function if they feel good about aging, compared to those who have negative emotions about it, a new study from the Yale School of Public Health says.

MCI is a common form of memory loss. Positive beliefs about aging give older people a 30% better chance of recovering normal thinking.

“Researchers also found that these positive beliefs also enabled participants to recover their cognition up to two years earlier than those with negative age beliefs,” Neuroscience News reported. “This cognitive recovery advantage was found regardless of baseline MCI severity.”

More than 1,700 people over age 65 participated in the study, which was published in JAMA Network Open.

“In previous experimental studies with older persons, positive age beliefs reduced stress caused by cognitive challenges, increased self-confidence about cognition, and improved cognitive performance,” study authors wrote. “We therefore hypothesized that older persons with positive age beliefs would be more likely to recover from MCI and would do so sooner compared with individuals with negative age beliefs.”

“Older persons in the positive age-belief group who started the study with normal cognition were less likely to develop MCI over the next 12 years than those in the negative age-belief group, regardless of their baseline age and physical health,” Neuroscience News reported.

“Considering that positive age beliefs can be strengthened, our findings suggest that age-belief interventions at individual and societal levels could increase the number of people who experience cognitive recovery,” the study said.


References:

  1. Jay Croft, “Positive Beliefs About Aging are Good for Memory Recovery”, WebMD.com, April 13, 2023. https://www.webmd.com/balance/news/20230413/positive-beliefs-about-aging-are-good-for-memory-recovery

Health: There are No Limits

“Once you pass the age of fifty, exercise is no longer optional. You have to exercise or get old.” ~ Dr. Henry S. Lodge. M.S., Younger Next Year, pg. 113.

People tend not to exercise because they are tired at the end of the day, But, in reality, people are tired at the end of the day not because they get to much exercise of physical exertion, explains Dr. Henry S. Lodge. M.D., leading NY internist and Columbia Medical School Professor. Instead, people are tired at the end of the day because they do not get enough exercise and as a result, they are not fit.

People are mentally, emotionally and physically drained and exhausted from being sedentary, states Dr. Lodge. Study after steady demonstrates that productivity increases and an individual functions better each day when they are fit. In short, time spent exercising and getting fit is life enhancing and extending.

So, make daily exercise a habit or routine like taking a shower or brushing your teeth. In short, your body craves the body’s chemical reaction resulting from exercise and movement.  So it’s important for you to “Do Something Everyday”.

Start exercising at a level that matches your current level of fitness, Dr. Lodge urges. Start out a level that is hard enough to make you sweat like walking at a brisk pace for twenty to thirty minutes. But, before you get started, check with your medical doctor.

Getting and staying fit is wonderful if you’re healthy, but it’s essential and life saving if you’re not healthy. Your life will improve dramatically once you commit to the habit of regular exercise.

Your long term endurance exercise goal should be to do long and slow aerobic exercise for three hours or more at 60% to 65% of maximum heart rate for three hours without getting exhausted.  You should be able to do something like an all morning bike ride for three hours or more well into your sixties, seventies, eighties and nineties.  You should make a real commitment to do something like that at least once a month

If you can get to the level of three hours or more of endurance exercise and stay there, life will be good, says Chris Crowley, New York Times bestselling co-author of “Younger Next Year”. Crowley recommends that you:

  1. Exercise six days a week for at least 30 minutes for the rest of your life.
  2. Do serious aerobic exercise four days a week for the rest of your life.
  3. Do serious strength training, with weights or body weight, two days a week for the rest of your life.
  4. Eat healthy foods and drink plenty of water. Quit eating crappy food like refined sugar, refined carbs and processed foods.
  5. Maintain close relationships and social connections.
  6. Get adequate sleep and reduce stress.
  7. Have an attitude of gratitude.  Always be grateful.

“Open heart surgery is hugely popular these days, apparently because so many guys prefer it to learning about aerobic exercise and working out.” ~ Chris Crowley, Younger Next Year, pg. 116.

Crowley believes that it’s possible that Americans, as a society, “can be radically healthier, more energetic, more fit, more optimistic and effective by making modest, behavioral changes. Putting off 70% of today’s aging is a simple matter: Move a lot more!…quit eating crap!…connect with others!, he emphasizes.” The combination of sedentary lifestyle  and the crappy food we eat is wrecking Americans lives and ruining the economy. The nation spends “20% of our national income on health care”. Half of the amount spent on healthcare could be saved “because 50% of our bad health is simply the result of the ridiculous way we eat and live.”

Final thoughts…staying deeply connected with and caring about family and friends and others are essential for healthy aging and longevity. Staying in touch… caring… is hugely important.


References:

  1. Chris Crowley and Henry S. Lodge, M.D., Younger Next Year, Workman Publishing, 2nd Edition, New York, December 24, 2019.
  2. https://www.youngernextyear.com/bios/

“Younger Next Year: Live Strong, Fit, Sexy, and Smart―Until You’re 80 and Beyond” – According to authors Chris Crowley and Dr. Henry S. Lodge, M.D., men 50 or older can become functionally younger every year for the next five to ten years, and continue to live like fifty-year-olds until well into their eighties. To enjoy life and be stronger, healthier, and more alert. To stave off 70% of the normal decay associated with aging (weakness, sore joints, apathy), and to eliminate over 50% of all illness and potential injuries.

Mindset of Building Wealth

Your mindset is a set of beliefs that shape how you make sense of the world and yourself. It influences how you think, feel, and behave in any given situation or circumstance. It means that what you believe about yourself impacts your success or failure or happiness or wealth.

Simply, your beliefs shape your mindset. Mindset is a collection of beliefs and thoughts. It is a way of thinking:

“Mindsets are those collection of beliefs and thoughts that make up the mental attitude, inclination, habit or disposition that predetermines a person’s interpretations and responses to events, circumstances and situations.”

According to Stanford psychologist and best selling author Dr. Carol Dweck, your beliefs play a pivotal role in what you want and whether you achieve it. Dweck has found that it is your mindset that plays a significant role in determining achievement and success.

Mindsets can influence how people behave in a wide range of situations in life. For example, as people encounter different situations, their mind triggers a specific mindset that then directly impacts their behavior in that situation.

Your mindset plays a critical role in how you cope with life’s challenges. With a positive growth  mindset, adults are more likely to persevere in the face of setbacks. Instead of throwing in the towel, adults with a positive growth mindset view it as an opportunity to learn and grow.

In short, your mindset not only impacts how you perceive the world around you, but also how you see and believe in yourself and your abilities.

Gratitude Mindset

It’s important to be grateful for everything you have in life. For having a roof over your head, a paying job, a family, a good supply of food and water. Simply, gratitude is the “affirmation of goodness”.

Gratitude is a super power! It has been scientifically proven to be good for your health, your well-being, your building wealth, and your relationships.

Psychology research has demonstrated that practicing gratitude is good for improving your health, your well-being, your building wealth, and your relationships.

We often forget to be thankful for what we have…have a mindset and attitude of gratitude.

If you can be grateful for what you have, you won’t take anything or anyone for granted in your life, and you’ll be wealthier and happier in the long run.

Your mindsets have a lot to do with self-confidence, self-esteem as well as self-development and the desire for self-improvement and being grateful.


References:

  1. https://sourcesofinsight.com/what-is-mindset/
  2. https://www.verywellmind.com/what-is-a-mindset-2795025
  3. https://wealthygorilla.com/15-different-types-mindsets-people/

Cacao Flavanol Cognitive Benefits

Compounds in dark chocolate, called cacao flavanols, have recently been linked with improved cognitive (thinking) skills.

There is a wealth of data supporting the benefits of daily cacao flavanol consumption on cognition, mood, and cardiovascular health. And the majority of the studies come from world-renowned research institutions, including Harvard, Columbia, and Northwestern.

A common thread among most flavanol studies demonstrating positive outcomes is the consumption of between 500mg and 1,000mg of cacao flavanols daily,

In fact, one study published in 2012 showed that daily consumption of cocoa flavanols was associated with improved thinking skills in older adults who did have thinking problems, a condition called mild cognitive impairment, according to Harvard Medical School.

After eight weeks, the study demonstrated that people who consumed medium and high amounts of cacao flavanols every day made significant improvements on tests that measured attention, executive function, and memory.

And studies found that cacao flavanols were associated with reduced blood pressure and improved insulin resistance.

Flavanols in cocoa have been shown to help lower blood pressure, improve blood flow to the brain and heart, prevent blood clots, and fight cell damage.

The best way of getting cocoa flavanols is through cacao powder or dark chocolate with at least 80% cocoa that is as natural as possible and has not been processed through the Dutch method, which reduces the content of flavanols. Such cocoa powder or dark chocolate will be bitter.

“The benefits of cacao flavanols on cardiovascular health are well established, and for the general population a daily intake of 200 mg of cacao flavanols is starting to emerge as a potential target within the context of a balanced diet,” says Dr. Alonso-Alonso.

The benefits of cacao flavanols are worth looking into further. The benefits of cocoa flavanols include:

  • Improvement and lowering of systolic and diastolic blood pressure 
  • Lowering of insulin resistance 
  • Improvement in cholesterol and lipid markers
  • Improved cardiovascular function
  • Improve brain health and cognitive function  

To find quality dark chocolate with at least 80% cocoa, follow these tips:

  • Avoid Alkalization or the “Dutch Process” : If this word appears in the ingredient list, avoid that chocolate. Alkalization removes healthy flavonols.
  • 70% Or More Cacao: Cacao beans come from the cacao plant, unlike “cocoa,” the powder made from roasted, husked, and ground cacao seeds.
  • Short Ingredient List: The ideal bar has only 3-4 ingredients—like cacao beans, cocoa butter, sugar, and a natural flavoring.
  • Other Ingredients to Avoid: Hydrogenated oils, Cocoa butter equivalents (CBE), and vegetable oils.

Bottomline, Cacao is rich in antioxidants called flavanols. These antioxidants have been shown to have anti-inflammatory and anti-aging properties. Studies suggest that consuming cacao may help to improve cardiovascular health, protect against sun damage, and even improve cognitive function.


References:

  1. https://www.health.harvard.edu/blog/cocoa-sweet-treat-brain-201502057676
  2. https://academic.oup.com/ajcn/article/101/3/538/4569408
  3. https://www.cacultured.com/blog/cacao-the-ultimate-superfood-for-health-and-wellness

Box Breathing

Box Breathing is a good tool if you’re feeling anxious or highly stressed. It is a very useful technique to help slow down your breathing. It is also a technique used a lot by first responders and even Navy seals to help them remain calm and improve their concentration in order to respond to difficult and stressful situations.

Box Breathing works when you feel stressed or anxious by helping to distract the mind, as it’s focused on the deep breathing and counting, which then in turn helps calm the nervous system, lower your blood pressure and calm the heart, as well as helping you think and behave more clearly and rationally.

May be an image of text that says 'Box breathing Hold for Hd4 4 counts Benefits of box breathing: counts 4 for Inhale 1. Brings balance to your mind and body 2. Regulates your natural rhythm 3. Effective in dealing with stress, anxiety and anger Exhale for 4 counts Hold for 4 counts'

How does it work?

  • Breathe in through your nose for the count of 4
  • Then hold for the count of 4
  • Exhale for the count of 4
  • Again, hold for the count of 4

Repeat as many times as you need to until you begin to feel relaxed and calm.

Breathing properly brings more oxygen to your brain, helps your body and your mind to relax and heal, expands and strengthens your lungs, and calms your nerves. Box Breathing done consistently, first thing in the morning, a few times throughout the day, and right before bed can and will work wonders!

The Wisdom of Steve Jobs

“For the past 33 years, I have looked in the mirror every morning and asked myself: ‘If today were the last day of my life, would I want to do what I am about to do today?’ And whenever the answer has been ‘No’ for too many days in a row, I know I need to change something.” ~ Steve Jobs

“Your work is going to fill a large part of your life, and the only way to be truly satisfied is to do what you believe is great work. And the only way to do great work is to love what you do. If you haven’t found it yet, keep looking. Don’t settle. As with all matters of the heart, you’ll know when you find it.” ~ Steve Jobs

“Being the richest man in the cemetery doesn’t matter to me. Going to bed at night saying we’ve done something wonderful… that’s what matters to me.” ~ Steve Jobs

Finally…

“The people who are crazy enough to think they can change the world are the ones who do.” ~ Steve Jobs

“When you grow up you tend to get told that the world is the way it is and your life is just to live your life inside the world. Try not to bash into the walls too much. Try to have a nice family life, have fun, save a little money. That’s a very limited life. Life can be much broader once you discover one simple fact: Everything around you that you call life was made up by people that were no smarter than you. And you can change it, you can influence it… Once you learn that, you’ll never be the same again.” ~ Steve Jobs


References:

  1. https://blog.hubspot.com/sales/steve-jobs-quotes

Inflammation…“Set Afire”

The word “inflammation” traces back to the Latin for “set afire.”

Chronic inflammation plays an important role in the development of many diseases. Mounting evidence suggests that inflammation is a common underlying cause of major degenerative diseases. The four leading diseases — coronary artery disease, diabetes, cancer, and Alzheimer’s — may all be enabled by inflammation.

In some conditions, like rheumatoid arthritis, you feel heat, pain, redness, and swelling. But in other cases — like heart disease, Alzheimer’s, and diabetes — it’s not so obvious. If you didn’t go looking for it with tests, you wouldn’t even know it’s there.

Inflammation actually is good in the short run. It’s part of your immune system’s natural response to heal an injury or fight an infection.

But in the long-term, if inflammation becomes a long-lasting habit in your body, that can be bad for you. Long-term, or “chronic,” inflammation is seen in many diseases and detrimental metabolic conditions.

Inflammation can lead to heart attack

Inflamed arteries are common among people with heart disease. Some researchers think that when fats build up in the walls of the heart’s coronary arteries, the body fires back with inflammatory chemicals, since it sees this as an “injury” to the heart. That could trigger a blood clot that causes a heart attack or stroke.

Inflammation is connected to diabetes

Inflammation and type 2 diabetes are linked. Doctors don’t know yet if it causes the disease. Some experts say obesity triggers the inflammation, which makes it harder for the body to use insulin.

Inflammation is tied to Alzheimer’s

Chronic brain inflammation is often seen in people with this type of dementia. Scientists don’t yet understand exactly how that works, but inflammation may play an active role in the disease. Experts are studying whether anti-inflammatory medicine will curb Alzheimer’s. So far, the results are mixed.

Regarding Rheumatoid Arthritis does damage

Regarding Rheumatoid arthritis, the immune system attacks your body’s joints, causing inflammation that can harm them — and even the heart. Symptoms include pain, stiffness, and red, warm, swollen joints.

Vitamins, minerals and foods to combat inflammation response

  1. Vitamin A – it boost your immune system and guards against infectious diseases, thus reducing inflammation.
  2. Bromelain – in pineapple, this powerful enzyme fights inflammation and boosts your immune system
  3. Capsaicin – in chili peppers, it stops a group of proteins that control your body’s response to inflammation.
  4. Curcumin – found in turmeric, it is known for its natural antioxidant and anti-inflammatory properties. Studies show curcumin helps with certain conditions, including arthritis, inflammatory bowel disease, and fatty liver disease.
  5. SAM-e – It might sound like the name of a friendly robot, but it’s short for a natural compound in your body. Studies show it might control inflammation and may work as well as mainstream treatments for osteoarthritis.
  6. Upgrade Your Diet – Refined carbohydrates, red meats, and fried foods raise inflammation in your body. Instead, you should consume inflammation-fighting fruits, vegetables, nuts, beans, and fish.

Finally, get enough sleep, since when you don’t get the sleep you need, your body may kick inflammation up a notch. Your nightly sleep goal should be 7-9 hours every night. Aim for both quality and quantity.


References:

  1. https://www.health.harvard.edu/staying-healthy/inflammation-a-unifying-theory-of-disease
  2. https://www.webmd.com/women/ss/slideshow-what-is-inflammationhttps://www.webmd.com/women/ss/slideshow-what-is-inflammation
  3. https://www.webmd.com/vitamins-and-supplements/ss/vitamins-supplements-fight-inflammation

CBD at a Glance

CBD is short for cannabidiol (pronounced kan-a-bih-die-ole).

CBD is one of hundreds of chemical compounds found in cannabis plants. One large group of these compounds is known as cannabinoids. Scientists have identified more than 100 cannabinoids, including CBD.

Besides CBD, another compound found in cannabis is THC, short for tetrahydrocannabinol. THC is “pscychoactive,” meaning it produces a high, a feeling of euphoria. CBD does not have this property.

There is a lot of confusion and misinformation floating around on the internet about CBD, and cannabis in general. People observe claims on the internet that cannabis and cannabinoids being cure-alls for everything from Alzheimer’s to warts,

Studies and anecdotal experience suggest a variety of possible health benefits from cannabinoids such as CBD and THC—for example, easing chronic pain and anxiety—but researchers are still learning exactly which compound produces which effects, and what the risks are.

But, it’s important to point out that it might not even be CBD that’s responsible for therapeutic effects, writes Dr. Mallory Loflin, a research scientist with VA and assistant professor of psychiatry at the University of California, San Diego. It could very well be one of its metabolites [substances that are created when a compound is broken down in the body]. It’s also very likely that a lot of those other compounds in the cannabis plant have therapeutic benefit. However, it’s equally likely that a lot of them also interact with and suppress the effects of CBD, as well. The problem is that most of those other compounds have not been categorized in a systematic way, and there is very little known about their bioavailability, metabolism, actions, and effects.

The terms hemp and marijuana are associated with CBD, and there is much confusion as to their precise definitions. What’s important to know is that varieties of the cannabis plant that would be considered marijuana contain far more THC than do varieties that are grown as hemp. According to the 2018 Farm Bill, hemp that is grown legally in the U.S. can contain no more than 0.3 percent of THC.

CBD products can be derived from either “marijuana” or “hemp” varieties of cannabis—or they can be made synthetically in a lab. CBD can be used in various forms, such as oils, sprays, creams, gummies, and capsules.

Although CBD does not produce a high, until recently it was considered a Schedule 1 drug—in all its forms—and was subject to tight regulation. The 2018 Farm Bill loosened restrictions on CBD derived directly from hemp, as part of the bill’s legalizing of commercial production of hemp.

Currently, there are no hemp-derived CBD products that meet FDA criteria for research. The synthetic version being used in the VA trial and other forms of CBD being used in research are still classified as Schedule 1 drugs. As such, approvals for the research must be obtained from several agencies, including the Drug Enforcement Administration and the FDA.


References:

  1. https://www.research.va.gov/currents/0219-San-Diego-VA-study-testing-cannabidiol.cfm

Do-It-Yourself Tests to Monitor Your Health

Five Do-It-Yourself Tests to Monitor Your Health as You Get Older

There are several simple exercises you can do at home, like standing on one leg, measuring the distance you can walk and standing up from sitting, to monitor and assess your health and well-being, according to The Wall Street Journal. 

Here are five exercises you can do at home that doctors and experts on aging recommend for monitoring your health. But, it’s important to emphasize, none of the simple exercises are a substitute for regular medical care and professional health assessments.

One-legged standing test

The average person under the age of 70 should be able to stand on one leg for 10 seconds at a time, says Claudio Gil Soares de Araújo, a sports and exercise physician in Rio de Janeiro.

A recent study published in the British Journal of Sports Medicine, which found that the ability of middle-aged and older adults to stand barefoot on one leg for 10 seconds was associated with higher rates of survival years later. Researchers used an adjusted model that accounted for factors including age, sex, body-mass index and comorbidities. 

Try it at home while brushing your teeth, but make sure you have a nearby wall or person to hold on to if you start to wobble. Keep your arms and elbows extended naturally by your side, and place the front foot of the lifted leg on the back of your opposite calf. If you can’t maintain a static stance for 10 seconds, you should consider consulting a physical therapist or doctor about your fitness level.

Sit-to-stand test

The sit-to-stand test involves sitting in an armless chair and timing how long it takes you to stand up and sit back down.

Sit in a chair with your arms crossed over your chest, then stand up while keeping them crossed, and sit back down five times.

The average person in their 60s should be able to complete this sequence in 11.4 seconds, a person in their 70s should be able to complete it in 12.6 seconds and a person in their 80s should be able to complete it in 14.8 seconds, says Natasha Bhuyan, a Phoenix-based primary-care physician and regional medical director at membership-based primary-care practice One Medical. The times come from an analysis of studies that have looked at the sit-to-stand test, she says.

The sit-to-stand test measures balance, which is an important indicator of long-term health and a predictor of falls, says Dr. Bhuyan. The test also evaluates strength in the lower extremities. If you don’t perform well, talk with your primary-care doctor.

Push-up test

The number of push-ups you can do may provide useful feedback about your musculoskeletal health. A 2019 study published in the Journal of the American Medical Association found that among men with an average age of 40, participants able to complete fewer than 10 push-ups (without long pauses) were at a significantly higher risk of cardiovascular disease than those on the upper end of the spectrum of endurance, who could do more than 40.

For men in their 50s and 60s who can’t do more than 10, he says, the results should be a red flag. “It’s probably confirmation of what you already believed, which is that you might be neglecting strength and resistance training,” says Nathan LeBrasseur, director of the Mayo Clinic’s Robert and Arlene Kogod Center on Aging.

Six-minute walk test

In this test, measure how far you can power walk (not run, not stroll) in six minutes. If you don’t get farther than 350 meters, or about 1,150 feet, that could indicate other health issues, according to physicians.

The exercise helps measure endurance and fitness, which can provide clues to your cardiovascular and lung health. 

There is no perfect age to start this test, says Dr. Bhuyan. Doctors often perform it with patients as people transition to Medicare coverage at age 65, she says, if they have concerns about mobility issues. (In a clinical setting, the test is often performed in a long hallway.) 

You can try doing it yourself earlier. Some people may want to start in their 50s, Dr. Bhuyan notes, especially if they are experiencing shortness of breath while walking.  

Another version of the test is to visit a 400-meter track and time yourself to see how long it takes you to power walk one lap. A time longer than six minutes and 40 seconds would be “of significant concern” for a person in their 50s, says Dr. LeBrasseur.

If the distance is challenging to complete, or if you are seeing a significant increase in the time it takes you to complete the same distance year-over-year, consult your doctor.

Cognitive test

Cognitive health in midlife is an important predictor of health later on, neurologists say. It’s a good idea to get a baseline measurement around age 65 or earlier if you have a family history of cognitive decline or are noticing yourself forgetting something that used to be a no-brainer, such as paying bills.

The Self-Administered Gerocognitive Exam (SAGE) is an at-home, 10 minute to 15 minute screening test that can help detect early signs of cognitive, memory or thinking impairments, says neurologist Douglas Scharre, who developed the exam. It includes memory recall questions and simple math problems.

A digital version of the exam automatically calculates your score at the end. Users must pay for the digital version. For people who prefer the free, printable version, Dr. Scharre recommends taking the results to your primary-care doctor for scoring and interpretation.

If further evaluation is recommended, your doctor might suggest you take a test called the Mini-Cog. The test is administered by a professional, says Sonja Rosen, chief of geriatric medicine at Cedars-Sinai.


  1. Alex Janin, Five Do-It-Yourself Tests to Monitor Your Health as You Get Older, The Wall Street Journal, July 21, 2022. https://www.wsj.com/articles/five-do-it-yourself-tests-to-monitor-your-health-as-you-age-11658364889
  2. https://wexnermedical.osu.edu/brain-spine-neuro/memory-disorders/sage