The Habit Healers

High blood pressure may be the most overlooked risk factor for dementia, and it’s the one you can actually check at home. In this episode of The Habit Healers Podcast, I walk you through what the research shows about blood pressure and brain health, and why the first step toward memory loss prevention isn’t a puzzle or a supplement.I’m Dr. Laurie Marbas, and I start with a remarkable study of nearly 700 Catholic sisters who agreed to yearly memory testing and donated their brains after death. What the pathologists found surprised almost everyone: many women carried a heavy load of Alzheimer’s plaques and tangles yet still ran their own lives. The difference often came down to small, deep strokes, the kind driven by years of uncontrolled hypertension. Dementia showed up when more than one kind of brain damage stacked together. Then I take you through two large trials that lowered blood pressure on purpose, including one across 326 villages where dementia was 15% less common in the treated group. And because so many people have white coat hypertension or masked hypertension, I explain exactly how to check blood pressure at home so you get numbers you can trust. If your pressure is already where it belongs, we talk about what comes next: hearing loss and dementia risk, physical activity and cognitive decline, and why a popular memory supplement fell flat in a six-year trial.What you’ll learn:* Why Alzheimer’s damage alone doesn’t always cause dementia, and what small strokes have to do with it* How high blood pressure damages the small arteries deep in the brain* What two large blood pressure trials found about dementia and mild cognitive impairment* How to do a seven-day home blood pressure monitoring record the right way* What your average reading means and what to ask your doctor* Where hearing aids, exercise, and diet fit into a brain health planDr. Marbas Substack Article: https://drlauriemarbas.substack.com/p/what-should-you-change-first-to-protectCheck out the Habit Healers Community: https://www.skool.com/habithealers/about Get full access to The Habit Healers at drlauriemarbas.substack.com/subscribe

If heart disease runs in your family, does changing what you eat even matter? In this episode of The Habit Healers Podcast, I share my own family history of early heart attacks and walk through what the research says about genetics, LDL cholesterol, and lifestyle, including a 2026 diet trial in people with familial hypercholesterolemia and a study of more than 51,000 adults.I’m Dr. Laurie Marbas, a lifestyle medicine physician, and this question is personal for me. My father had his first heart attack at 38, and my grandfather died of one at 46. So I take you back to the Dallas laboratory where two physicians discovered the LDL receptor and explained why inherited high cholesterol can start damaging arteries in childhood. Then we look at what happened when adults with a confirmed genetic cholesterol disorder switched to a plant-rich diet, why their results were encouraging and still not enough, and what that means if you already eat well or take medication. I’ll give you the single food swap that does the most to lower LDL cholesterol naturally, a realistic way to fit movement into your day, and the questions to ask your clinician about lipoprotein(a), a coronary calcium score, and heart attack prevention when your family history is the reason you’re worried.What you’ll learn:* How the discovery of the LDL receptor explains why familial hypercholesterolemia raises risk so early* What a plant-based diet did to LDL cholesterol in adults with an inherited cholesterol disorder, and why an 18% drop still needed treatment* Why a favorable lifestyle was linked to 46% fewer coronary events even in the highest genetic risk group* The fat swap and fiber changes that help lower cholesterol naturally* When to ask about lipoprotein(a) testing, a coronary calcium scan, and an LDL of 190 or higher* How to use the Family Heart Health Worksheet to prepare for your next visitDr. Marbas Substack Article: https://drlauriemarbas.substack.com/p/if-heart-disease-runs-in-your-familyCheck out the Habit Healers Community: https://www.skool.com/habithealers/about Get full access to The Habit Healers at drlauriemarbas.substack.com/subscribe

Is a blood sugar spike above 140 after eating actually a problem if you don’t have diabetes? If you wear a continuous glucose monitor (CGM) and feel a little sting every time the line climbs, this episode is for you.Welcome to The Habit Healers Podcast. I’m Dr. Laurie Marbas, a board-certified lifestyle medicine physician, and today I’m untangling one of the most misunderstood numbers in metabolic health. The 140 mg/dL cutoff comes from the oral glucose tolerance test, a very specific lab test with very specific conditions. It was never meant to grade your CGM reading forty minutes after lunch. I walk you through what a normal blood sugar range for non-diabetics really looks like, including a study where healthy people without diabetes or obesity still spent about half an hour a day above 140. We talk about why a single post-meal glucose reading can’t tell you whether sugar just arrived or has been sitting there for hours, using an airport baggage carousel to make it click. Then we get into what does matter: repeated elevations, your fasting blood sugar, your A1C, and a newer study linking more time above 140 with later diagnoses like prediabetes and high blood fats. Finally, I explain why blood sugar targets for people with diabetes are different, and why “just stay under the number” misses the danger of going too low.What you’ll learn:* Where the 140 blood sugar rule actually comes from, and why it doesn’t apply to every CGM reading* What normal blood sugar spikes after eating look like in healthy people without diabetes* Why a single glucose reading can’t show insulin resistance or metabolic health on its own* The lab categories for fasting glucose, A1C, and the glucose tolerance test, and what they mean* When repeated high glucose readings deserve attention and a conversation with your clinician* How blood sugar targets differ if you have diabetes or are pregnantDr. Marbas Substack Article: https://drlauriemarbas.substack.com/p/does-your-blood-sugar-really-needCheck out the Habit Healers Community: https://www.skool.com/habithealers/about Get full access to The Habit Healers at drlauriemarbas.substack.com/subscribe

Thank you Luanne Novak, David Hawkins, Catherine G, Karen Frye, K Nauman, and many others for tuning into my live video with Chef Martin Oswald! Join me for my next live video in the app. Get full access to The Habit Healers at drlauriemarbas.substack.com/subscribe

Functional fitness for older adults is really about one question: what do you want to keep doing on your own? In this episode of The Habit Healers Podcast, I walk you through ten everyday activities of daily living, from getting out of bed to carrying groceries home, and the simple strength, balance, and mobility exercises for seniors that protect each one.I’m Dr. Laurie Marbas, a lifestyle medicine physician, and what I see in my practice is that “get more exercise” rarely sticks because it’s too vague. So we get specific. I share what the LIFE study found when researchers followed over 1,600 inactive adults in their seventies and eighties, and why preserving walking ability is only part of healthy aging and staying independent. Then we go task by task: sit-to-stand practice for the toilet, supported step-ups for stairs and curbs, wall slides for reaching a cupboard, grip work for opening jars, and a walking progression you can start at two minutes. You’ll also hear how the LiFE trial reduced falls in older adults by building balance and strength training into ordinary routines, and how habit stacking, attaching a practice to breakfast or getting dressed, makes fall prevention exercise something you actually remember to do.What you’ll learn:* Ten everyday activities that support independent living and the movement each one requires* Simple strength and balance exercises for seniors you can do at home with a chair, counter, or wall* What the LIFE study tells us about exercise and mobility after seventy* How to build fall prevention into daily routines the way the LiFE trial did* When to use adaptations like a raised toilet seat, sock aid, or reacher while you build strength* How to progress safely from small repetitions toward your weekly exercise targetsDr. Marbas Substack Articles: https://drlauriemarbas.substack.com/p/10-ways-to-protect-your-independenceCheck out the Habit Healers Community: https://www.skool.com/habithealers/about Get full access to The Habit Healers at drlauriemarbas.substack.com/subscribe