supporting cognitive health​

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Nicolle is an RNTP and Registered Nurse who specialises in supporting adults with Alzheimer’s disease and other forms of dementia, as well as those concerned about memory changes or reducing future risk. She brings over 20 years of experience as a memory clinic nurse and Alzheimer’s disease clinical trial nurse, and continues to work in research using the Clinical Dementia Rating (CDR) scale.

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Apollo Health's Bredesen Protocol® is a multifactorial, personalised, precision medicine approach exclusively offered through the ReCODE™ and PreCODE™ programs. As a ReCODE 2.0-certified practitioner, Nicolle offers several services that support cognitive health, including the PreCODE Program™, Apollo's preventive health program to support those at risk of cognitive decline, and the ReCODE Program™, designed for the reversal of cognitive decline. ​We also work closely with clients to develop a bespoke programme, called the Cognitive Optimisation Programme (COP) that supports your specific diet, lifestyle and nutraceutical needs, and offer a wide range of tests, including nutrigenomic testing, metabolomic testing and standard blood tests.

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prevention with the precode Program™: 

 

The PreCODE Program™ is designed to support anyone who has concerns that they might be at risk of cognitive decline, but not currently presenting with symptoms. This programme is for anyone who wants to safeguard their long-term cognitive health.  

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We will create a package designed to suit your availability. To participate in the PreCODE Program™, clients are required to complete initial paperwork and tests. You will attend an initial 1.5-hour consultation. Follow-up consultations are typically one hour in duration. We recommend scheduling consultations at a minimum frequency of every four weeks. 

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As part of the PreCODE Program™, you will receive a PreCODE Report™. This will be generated once you have completed all of the required forms, tests and cognitive assessments. Nicolle will then use these results to develop a personalised programme for you, and will guide you through this in your regular consultations.  

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In addition to consultations with Nicolle, the PreCODE Program™ provides online access to Apollo Health's portal, where you will find additional support, which includes access to an online community and monthly 'town hall' pre-recorded Q&As, You can also submit questions to Dr Dale Bredesen. You will also find additional resources such as recipes and guides.

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An initial 1.5-hour consultation is £250, and follow-up one-hour consultations are £165. To support clients who require longer-term support, we offer a discounted rate when 6 follow-up consultations are purchased, reducing the cost from £165 per hour to £150 per hour. ​In addition to the cost of consultations, access to the PreCODE Program™ costs approximately £40 per month. 

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The approximate cost of standard tests for the PreCODE Program™ is £200 to £300, depending on the panels required. In addition, Nicolle may suggest functional testing. For information on functional tests, here is the link to our pricing and FAQs page.

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the Cognitive Optimisation Programme (COp)
 

The Cognitive Optimisation Programme is a comprehensive and personalised programme that is designed to improve cognition and stop cognitive decline.  The programme is suitable for those with subjective cognitive impairment, mild cognitive impairment, and early Alzheimer’s disease. The programme can also lead to meaningful improvements for those

further along their dementia journey.​​

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The Approach

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Cognitive decline rarely has a single cause. It is usually the result of multiple systems being out of balance over time. This programme is built around identifying and addressing those imbalances using objective clinical data, functional testing, and a structured therapeutic plan.

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Laboratory testing and existing clinical data are used to explore key drivers that influence brain function, such as:

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• Metabolic and blood sugar regulation

• Inflammation and immune balance

• Nutrient status 

• Gut health and absorption

• Hormonal influences

• Heavy metals and environmental factors​

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The programme supports change through nutrition,  lifestyle and therapeutic supplementation, working towards: 

• A low carbohydrate ketogenic diet

• Optimum hydration

• Reduction in inflammatory foods

• Support with a structured exercise regime

• Environment optimisation

• Sleep optimisation

• Stress management

• Stimulation & brain training

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Programme Structure

Making changes to cognition takes time. While our initial programme is 3 months in duration, we expect clients to renew for as long as support is required to reach their goals across all areas needing attention.

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The initial consultation is 1.5 hours in duration. In this session we will consider your symptoms, your health history and your life events to determine the root cause of symptoms. We will make recommendations for initial testing and review your current dietary intake, making some initial suggestions. 

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Following this, for the first 3 months, we recommend follow-up appointments that are an hour in duration, and provide a combination of nutrition and lifestyle medicine and health coaching. This is because there are often test results to discuss and a number of changes to implement that can feel overwhelming.

 

We know that change isn’t easy, so we work closely with you on a regular basis, supporting each small change with resources and suggestions. 

 

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packages: 

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There is a growing body of evidence supporting the utilisation of nutrition, lifestyle and therapeutic supplementation to benefit those who have symptoms of a dysfunctional brain or a diagnosed neurological condition. 

However, this is a complex journey that requires commitment from both practitioner and client. As such, for any brain related health condition, commitment to regular consultations over a minimum 6-month period is expected, with an initial 3 month package scheduled: 

 

Package 1: weekly appointments

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The cost of an initial consultation is £250. Follow-up consultations are £165, however if a package of 6 + consultations is purchased, this cost reduces to £150 per hour. Therefore, a package of 1 initial consultation and 11 follow on consultations is £1,900. This package provides a weekly consultation for a three-month period. 

 

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Package 2: fortnightly appointments 

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A package of 1 initial consultation and 6 follow-on consultations is £1,150, which includes the above discount applied to 6 + consultations. 

 

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Package 3: 4-weekly appointments. 

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A package of 1 initial consultation and 3 follow-up consultations is £745. Note that there is no discount available with this package. 

 

Note that all packages have an option to pay in instalments, and the option to pay using Klarna. A review of clinical requirements will take place at the 3-month stage, and your new package will be adapted accordingly. 

 

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Essential tests: 

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We will review any blood results that you have had recently, and will, wherever possible, request standard blood tests from your GP. We can also source private standard blood tests for you. The cost of privately sourced baseline blood tests is approximately £400 (UK clients). We will also run your APOE genetic test. The cost for this is £275 plus shipping. 
 

Further optional tests during the initial 3 months include: 

- Genetic testing: APOE gene; Methylation genetics; Detoxification genetics

- Metabolomic testing (we can explain this with a sample report)

- Heavy metal and environmental toxins (blood, urine, hair, saliva)

- Pathogen testing

- DUTCH hormonal panel

 

Further costs may include: 

- A ketometer and strips (£30-£70), solution

- Continued Glucose Monitor 

- Certain foods/drinks/ingredients

- Supplements

 

For information on functional tests, here is the link to our pricing and FAQs page.

 

 

 

the ReCODE Program™ - the 'all-in' cognitive support plan

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The ReCODE Program™ is designed to support anyone who has symptoms or a diagnosis of cognitive decline.

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To participate in the ReCODE Program™, clients are required to complete initial paperwork and tests. You will attend an initial 1.5-hour consultation. Follow-up consultations are one hour in duration. This is an intensive, multi-faceted programme covering many diet, lifestyle and environmental factors, and therefore we recommend scheduling consultations at a minimum frequency of every two weeks for a minimum period of six months.  

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As with PreCode, a key aspect of the ReCODE Program™ is the ReCODE Report™. This will be generated once you have completed all of the required forms, tests and cognitive assessments. Nicolle will then use these results to develop a personalised programme for you, and will guide you through this in your regular consultations. Tests and assessments are then repeated at six months, and a new report is generated. 

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The ReCODE Program™ also provides online access to Apollo Health's portal. 

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An initial 1.5-hour consultation is £250, and follow-up one-hour consultations are £165. 

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Package 1: Weekly consultations: £660 per month (based on a four-week month)

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Package 2: Fortnightly consultations (monthly cost): £330 per month (based on a four-week month)

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In addition to the cost of consultations, access to the ReCODE Program™ costs approximately £80 per month. 

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To support clients who require longer-term support, we offer a discounted rate when 6 follow-up consultations are purchased, reducing the cost from £165 per hour to £150 per hour. 

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The approximate cost of standard tests for the ReCODE Program™ is £400, depending on the panels required. We will also run your APOE genetic test. The cost for this is £275 plus shipping. In addition, Nicolle may suggest functional testing. Functional tests will be recommended based on life and health history, symptoms and standard blood test results. Here is the link to our pricing and FAQs page.

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understanding and supporting your genes 

 

For those who are not yet ready to work closely with a practitioner but would like to understand their genetic SNPs and would like some general guidance on nutrient support, Nicolle and Kerry offer Cognitive health-focused Nutrigenomic packages:

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Package 1: A 30-minute consultation plus 1 LifeCodeGX panel (APOE): £350

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Package 2: A 1-hour consultation and two LifeCodeGX panels (methylation, APOE): £600

 

Package 3: A 1.5-hour consultation and three LifeCodeGX panels (methylation, detoxification and APOE): £850​

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Further panels can be ordered on request. More information on the panels offered by LifeCodeGX can be found here

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Note that the guidance provided in these packages is general support only. No specific supplement guidance can be provided without a full understanding of life and health history.