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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How it works

 

At your first appointment, you can expect a thorough assessment that looks at the bigger picture, taking the time to understand you or your loved one's medical history, lifestyle, diet, and any factors that may be affecting brain health.

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Following this, we will work together each week or fortnight, depending on the package you choose, to help you move towards your goals—whether that is to help prevent dementia, support slower cognitive decline, or identify potentially reversible factors that may be contributing to memory problems.

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On a practical level, we'll discuss food choices, shopping, meal planning, recipes, and supplements. From a nutritional therapy perspective, we'll identify and address underlying imbalances within the body, putting strategies in place to help promote balance and support long-term brain health.

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We expect clients to renew for as long as support is required to reach their goals across all areas needing attention. We know that change isn’t easy, especially when your cognitive health is impacted, so we work closely with you on a regular basis, supporting each small change with resources and suggestions. 

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Programmes Available
 

Brain Longevity programme

A comprehensive and personalised programme that is designed to prevent cognitive decline

 

Cognitive Optimisation Programme 

The programme is suitable for those with subjective cognitive impairment, mild cognitive impairment, and Alzheimer’s disease or dementia.  Nicolle is happy to work with those further along their dementia journey too as it’s always possible to make meaningful improvements.

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ReCODE and PreCODE™

You have the choice with either of these programmes to enrol with Apollo Health's Bredesen Protocol®. 

Nicolle is a ReCODE 2.0-certified practitioner.  Enrolling with Apollo Health has many benefits including the generation of a PreCODE Report™ and an online community.  Even without enrolling in the Bredesen Protocol®, Nicolle’s work is informed by its underlying principles and a systems-based approach to cognitive health.

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the brain longevity programme​

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The Brain Longevity programme is a comprehensive and personalised programme that is designed to prevent cognitive decline.  The programme is suitable for those without any memory concerns but wanting to reduce their risk of cognitive decline and dementia.   

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The Approach

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This programme is built around identifying and addressing those imbalances using objective clinical data, functional testing, and a structured therapeutic plan to support your future brain health and protect against cognitive decline. ​

 

Apollo Health's Bredesen Protocol® Precode Program™ is  is available as an add on to your package. This programme is designed to support anyone who has concerns that they might be at risk of cognitive decline but not currently presenting with symptoms. 

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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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The ReCODE Program™ is available as an add on to your package. This programme is designed to support anyone who has symptoms of memory loss or a diagnosis of mild cognitive impairment or dementia.

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how our clinical programmes support you 

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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: 

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  A brain-healthy dietary approach with optional support to follow a low-carbohydrate ketogenic diet

(where appropriate and agreed)

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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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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As part of the PreCODE Program™, you will receive a PreCODE Report™. This will be generated once you have completed all 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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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.​ In addition to the cost of your subscription to You Nutrition, access to the PreCODE Program™ costs approximately £40 per month, which is paid directly to Apollo Health. 

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The approximate cost of standard tests for the PreCODE Program™ is £150. 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 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.

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.

 

As with PreCode, a key aspect of the ReCODE Program™ is the ReCODE Report™. This will be generated once you have completed all 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™ provides online access to Apollo Health's portal, which costs approximately £80 per month. 

The cost of standard tests for the ReCODE Program™ is £375. We will also run your APOE genetic test. The cost for this is £275 plus shipping. In addition, Nicolle will 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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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. 

 

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tier 1: paced

Monthly cost: £285

 

- An initial 1-hour comprehensive assessment and information gathering session ​

- A 40 minute consultation every 2 weeks

- Quick questions answered between consultations through our online portal

- Access to the You Nutrition Clinic online Cognitive support community 

- Access to the You Nutrition Clinic online carers' support community 

- Access to our Movement and Breath on-demand course (coming soon)

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tier 2: intensive

Monthly cost: £545​

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An initial 1-hour comprehensive assessment and information gathering session 

- Weekly 40 minute consultations 

- Quick questions answered between consultations through our online portal

- Access to the You Nutrition Clinic online Cognitive support community 

- Access to the You Nutrition Clinic online carers' support community 

- Access to our Movement and Breath on-demand course (coming soon)

 

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Bespoke packages

 

We can create packages that are bespoke to your needs. Discuss this with your practitioner. 

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Note that all packages are based on UK pricing.

There is a 5 % surcharge on international packages which is due to the cost incurred through Stripe. ​​

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Clients are required to commit to a minimum three months of consultations, and must provide a minimum one months' notice if they would like to end their support package to provide their practitioner with enough time to tie up any loose ends and ensure that you are safely moving forward. 

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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. Further optional tests during the initial 3 months include: 

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

- Functional stool testing (test selected based on symptoms)

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

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

- Adrenal stress testing

- DUTCH hormonal panel

 

Further costs may include: 

- A ketometer and strips (£30-£70)

- Continuous Glucose Monitor 

- Certain foods/drinks/ingredients

- Supplements

 

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

 

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): £375

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Package 2: A 1-hour consultation and two LifeCodeGX panels (methylation, APOE): £649

 

Package 3: A 1.5-hour consultation and three LifeCodeGX panels (methylation, detoxification and APOE): £925​

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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.

 

Clients who incorporate Nutrigenomic testing into their clinical appointments through a subscription model pay £185 per panel plus a one off cost of £70 for your DNA swab, plus shipping. Results are discussed as part of your consultation with your practitioner.