If a score dips, the first question is not “what disease?” but “what can be fixed?”. These are the contributors most likely to explain a change — and all are measurable, treatable, and reversible.
Risk monitoring tool — not a medical diagnosis. CogniShield screens and tracks trends. Only a qualified clinician can diagnose or rule out a condition.
Geriatric gold-standard: Informant-based observation captures subtle daily changes.
Request a B12 + methylmalonic acid recheck; dietary supplementation is typically reversible within 8–12 weeks.
Add B12-rich foods or oral sublingual supplement; schedule primary care lab validation.
Screen for obstructive sleep apnea (STOP-BANG questionnaire + home oximetry) — untreated apnea mimics cognitive decline.
Elevate head angle 30°; complete STOP-BANG fatigue survey; request home sleep study referral.
No acute glycaemic spikes recorded. Keep quarterly HbA1c monitoring; metabolic control protects hippocampal volume.
Stabilize vascular endothelial health through brisk walks; avoid refined carbohydrates at dinner.