Elderly

Memory concerns — elderly

Age-related memory changes are different from dementia. Normal aging affects processing speed and recall of names; dementia affects orientation, familiar routines, and personality. Herbal supports are for the former.

Key points

  • Ginkgo (EGb 761 standardized 120-240 mg/day) has modest evidence for mild cognitive decline
  • Bacopa has the strongest herbal cognitive evidence across ages
  • Lion's mane has animal and small human data for nerve-growth factor
  • B12, thyroid, and medication review matter more than any herb
  • Social engagement and complex cognitive tasks reduce dementia risk

Lifestyle & diet

Mediterranean diet, daily aerobic exercise, social connection, learning new skills (language, instrument, dance), managing hearing loss (hearing aids reduce dementia risk), sleep quality.

When to see a clinician

Concerns about dementia, progressive forgetting familiar routines, getting lost, personality change, medication-induced confusion — get a neurocognitive evaluation. Early treatment matters.