Ginkgo biloba is one of the most-tested brain supplements — which is exactly why the gap between its marketing and its evidence is so clear. The two big dementia-prevention trials failed, the healthy-adult memory boost is thin, and the “blood-thinner” scare is overstated. Here’s what the evidence really shows.
“Biohacking” gets treated as one philosophy, but sauna, cold exposure, HRV tracking, and fasting each have wildly different evidence behind them. Here’s what each one actually shows — including an honest null result for HRV and cognition that rarely gets mentioned.
Cognitive decline is not inevitable. 70% of cognitive ageing is modifiable — not genetic. Four mechanisms drive decline: amyloid accumulation (addressed by N3 sleep for glymphatic clearance), neuroinflammation (Mediterranean diet and DHA), vascular damage (aerobic exercise and blood pressure control), and synaptic reserve depletion (language learning, musical training, cognitive challenge). Prevention must begin in midlife — amyloid accumulation starts 15-20 years before symptoms. The evidence is specific enough to match interventions to mechanisms.
