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Regain an Agile Brain  •  197


                                often we remember those important facts, dates, and er-
                                rands? Instead, we amplify the times we are incorrect or
                                cannot immediately recall a desired piece of information.
                                   Every time we forget something, it does not mean that
                                we are entering the beginning stages of Alzheimer’s. Many
                                of us joke about Alzheimer’s or senility when we cannot re-
                                member something or cannot find the word we are trying to
                                say. But these jokes hide our fears that we will be one of
                                those members of the population who truly do suffer from
                                senility and Alzheimer’s. There are many other reasons we
                                may be forgetful. Increased stress can keep our minds occu-
                                pied. Vitamin deficiencies, cardiovascular disease, simple
                                disuse of brain cells, and other factors must be eliminated as
                                legitimate causes of forgetfulness and memory impairment.
                                After all other possible causes of memory reduction have
                                been eliminated, then we need to consider Alzheimer’s dis-
                                ease as a possibility. Many studies also indicate that mental
                                “fuzziness” resulting from lack of sleep, poor nutrition, lack
                                of exercise, or simple disuse of those neuronal connections
                                can be misinterpreted as the beginnings of Alzheimer’s dis-
                                ease. Don’t live in fear that the doctor may tell you some-
                                thing you don’t want to hear. Your doctor may tell you that
                                you suffer from a simple vitamin deficiency and that
                                changes to your diet will take care of the problem.
                                   One other possibility for memory impairment in wo-
                                men is a lack of estrogen. Women in their thirties who had
                                certain diseases and were receiving estrogen-suppressing
                                drugs exhibit verbal, but not visual or spatial, memory loss
                                and reduced levels of concentration. Men also have estro-
                                gen receptors in their brains. Researchers are beginning to
                                examine the possibility that estrogen therapy may improve
                                memory function in men as well. You need to weigh the
                                risks against the benefits.  Estrogen replacement therapy
                                (ERT), although proven to be effective in reducing the
                                symptoms of senility and Alzheimer’s disease in women,
                                is not for everyone.  Although ERT helps control osteo-
                                porosis, improves memory, improves coordination, and
                                protects against Alzheimer’s, it also is thought to increase
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