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In this episode of The Brain Podcast, Dr. Shabnam Das Kar and Andrea Spyros share six critical questions to ask your doctor about blood pressure management to ensure your treatment plan is tailored, safe, and effective.
6 Questions to Ask Your Doctor
Actionable Takeaways & Resources
Over one billion people worldwide live with hypertension, yet only 1 in 5 has it adequately controlled. Whether you are actively managing high blood pressure or have reason to believe you should be, this episode outlines five specific, evidence-informed actions you can take right now.
0:00 Intro
Step 1 — Know Your Target Your optimal blood pressure target is not a single universal number — it depends on your age, medications, and overall health status. Normal is currently defined as below 120/80 mmHg, though emerging evidence suggests women may benefit from a lower threshold. One-time action: confirm your personal target with your physician or nurse practitioner, and write it beside your monitor.
Step 2 — Get a Validated Home Device. Not all monitors are accurate, regardless of price or brand. One-time action: visit stridebp.org to find a clinically validated upper-arm device and order one. The Hilo wearable is also an option for continuous monitoring.
Step 3 — Learn the Correct Measurement Technique: Technique errors are common, including in specialist clinics. Key requirements: back fully supported, both feet flat on the floor, forearm resting at heart level, bladder empty, no caffeine in the past 30 minutes, no talking. Sit quietly for five minutes before measuring, use the correct cuff size, and take three readings. One-time action: practise the technique once correctly and set up your recording system wherever you keep your device.
Audit Your Food for Sodium. Extra sodium in food usually comes from processed and packaged food, not home cooking. On any nutrition label, look at milligrams of sodium per serving rather than the daily value percentage. One-time action: open your pantry today, identify the three highest-sodium items, and choose one you are willing to reduce or replace. Start where it is easiest.
Step 5 — Consider a Potassium-Based Salt Substitute. Replacing sodium chloride with a potassium chloride salt substitute is one of the best-supported yet underused strategies for blood pressure management. Important caveat: this is not appropriate for everyone and is contraindicated in chronic kidney disease and with certain medications. One-time action: bring a complete medication list to your next appointment and ask your physician or pharmacist whether this is right for you.
1. After I finish listening to this episode, I will visit stridebp.org and identify an accurate device to order.
2. After I open my pantry, I will pick up one packaged item and read the sodium content on its label.
3. After I take my nighttime medications, I will write down all my current medications so I can ask my healthcare provider about potassium salt substitutes.
Medical Disclaimer: For educational purposes only. Always consult your physician before making changes to your health management plan.
Blue Zones are fascinating, but they are not a prescription. We explain what the data can (and cannot) prove, then turn a few key principles into practical brain-health strategies—satiety, food choices, alcohol clarity, and Singapore’s lesson: environment beats willpower.
In this episode, we unpack:
The episode also uses the Lancet Commission 2024 update as a hopeful frame: a substantial proportion of dementia cases may be delayed or prevented at a population level by addressing 14 modifiable risk factors across the lifespan (including untreated vision loss and high LDL cholesterol, newly added in 2024).
The Lancet Commission’s estimate is about population attributable risk: what could happen if a whole community reduced certain risks. It is not a personal scorecard, and it should never be used for blame or shame.
The Lancet Commission groups risk factors across life stages, and the 2024 update expanded the list from 12 to 14, adding untreated vision loss and high LDL cholesterol.
Early life
1. Less education
Midlife
2. Hearing loss
3. Depression
4. Traumatic brain injury (head injury)
5. Physical inactivity
6. Diabetes
7. Smoking
8. Hypertension
9. Obesity
10. Excess alcohol use
11. High LDL cholesterol (new in 2024)
Late life
12. Infrequent social contact / social isolation
13. Air pollution
14. Untreated vision loss (new in 2024)
Key point: these percentages and estimates describe what might shift at the population level, not your individual fate.
Untreated hearing loss can reduce conversation quality, increase effortful listening, and contribute to withdrawal from social connections—one of the pathways researchers discuss in dementia risk models.
Practical steps mentioned
Resource mentioned
Vision problems are not only about “seeing clearly.” Under-corrected vision can increase cognitive burden and reduce confidence with reading, driving, and social engagement. The Lancet Commission 2024 identifies untreated vision loss as a modifiable risk factor for dementia.
Practical steps mentioned
Smell is tightly linked with memory and emotion. Reduced smell has been studied as a possible early signal in some neurodegenerative conditions, and the episode discusses practical ways to pay attention without catastrophizing.
Habit idea discussed
A concussion can occur without loss of consciousness. The episode highlights the importance of paying attention to changes in thinking or mood after a head injury and seeking appropriate assessment and follow-up.
Rather than relying on big exercise goals, the episode discusses practical ways to reduce long periods of uninterrupted sitting and add movement into ordinary daily life (calls, meetings, TV time, short breaks). This can be adapted for different abilities and mobility levels.
A core behaviour-design theme in this episode: do not start with the hardest change or with “stopping.” Start with a clear, small action that increases the chance of follow-through, and attach it to something already happening in your day (a reliable routine or context).
Examples mentioned:
00:00: Can We Prevent 45% of Dementia? Making Sense of the 14 Factors
About Andrea Spyros
May I be happy, may I be healthy, may I be peaceful and at ease.
May you be happy, may you be healthy, may you be peaceful and at ease.
May we be happy be happy, may we be healthy, may we be peaceful and at ease.
May they be happy, may they be healthy, may they be peaceful and at ease.
Andrea Spyros
We explore the vital link between gut health and brain function with Luca Cuccia, founder of InJoy. Luca shares his health journey and how InJoy leverages AI and microbiome science for personalized gut health solutions.
Key Topics:
00:00:00 – Introduction to Gut Microbiomes and Brain Health
00:00:14 – Meet the Guests: Dr. Shabnam Das Kar, Andrea Spyros, and Luca Cuccia
00:01:17 – Luca’s Personal Journey with Health and Gut Issues
00:04:11 – The Importance of Discussing Gut Health
00:05:13 – Connecting Symptoms: Skin Issues and Gut Health
00:08:54 – Personalization in Gut Health Solutions
00:09:40 – Indicators of a Healthy Gut Microbiome
00:13:08 – Understanding Validated Results in Gut Health Testing
00:14:10 – Assessing Gut Health Through Symptoms and Testing
00:16:29 – The Role of Gut Health in Overall Well-Being
00:21:00 – AI’s Role in Gut Health Analysis
00:22:09 – The Importance of Sustainable Health Changes
00:25:33 – Tracking Diet and Its Impact on Gut Health
00:30:27 – Building a Better Relationship with Food
00:33:26 – Final Thoughts on Health and Behavior Change
00:39:31 – Where to Find InJoy and Final Remarks
About Luca Cuccia and Injoy
In this episode, we explore the impact of the gut microbiome on brain health. We discuss how gut bacteria influence blood pressure, blood glucose levels, and chronic inflammation—three key factors in cognitive function.
Learn how the microbiome contributes to mental health issues and autoimmune conditions. To simplify gut health, we introduce an analogy: understanding who is present, who their friends are, and what they do together.
While food plays the most significant role in shaping the microbiome, there is no quick-fix supplement. We encourage small, manageable food changes, starting with the easiest meals and incorporating more protein. We also highlight the importance of a supportive food environment, such as a well-stocked “super fridge” and “super pantry.”
00:00:00 - Introduction to Gut Microbiome and Brain Health
Did you know that loneliness can impact your health even more than smoking?
Loneliness is not just being alone; it’s a mismatch between the connections you want and the ones you have.
00:00:00 – Introduction to Loneliness
Did you know that a sense of malaise or burnout can actually be a sign of loneliness?
00:00:29 – Meet the Experts
Introduction of Dr. Shabnam Daskar, Andrea Spyros, and guest Amy Vest.
00:01:39 – Defining Loneliness
Understanding loneliness as a deficit in desired relationships versus actual relationships.
00:03:23 – Loneliness vs. Isolation vs. Solitude
Exploring the differences between loneliness, isolation, and solitude.
00:04:14 – Factors Impacting Loneliness
Discussing life circumstances that can lead to feelings of loneliness.
00:07:28 – Health Impacts of Loneliness
Exploring the serious health consequences associated with loneliness.
00:09:47 – Understanding Subjective Loneliness
Amy shares her personal experience with loneliness and the importance of recognizing it.
00:14:12 – Identifying Personal Needs
How to identify what factors contribute to your feelings of loneliness.
00:18:08 – Action Steps for Connection
Practical steps listeners can take to decrease loneliness and increase social connection.
00:19:22 – The Importance of Small Actions
Emphasizing the significance of small, consistent actions in building connections.
00:21:05 – Navigating Rejection
Addressing the challenges of reaching out and dealing with non-responses.
00:25:10 – The Power of Experimentation
Encouraging an experimental mindset in social interactions.
00:28:15 – Building Connections Through Shared Moments
Sharing personal stories about the impact of small gestures on relationships.
00:36:10 – Quality Relationships and Life Satisfaction
Discussing findings from the Harvard Study of Adult Development.
00:38:08 – Practical Actions for Social Engagement
Listing actionable steps to foster social connections.
00:42:15 – The Role of Sunny
Introduction to Sunny, a project aimed at enhancing social well-being.
00:54:47 – Conclusion and Next Steps
Wrapping up the discussion and encouraging listeners to take action.
Our Guest is Amy Vest, Behavior Designer in Public Health and Wellbeing
Learn the difference between celiac disease and gluten sensitivity in our latest podcast episode. Listen now for clarity on whether gluten is your friend or foe. Did you know gluten sensitivity can manifest in various symptoms beyond gut issues? From brain fog to joint pain, anxiety to skin conditions and schizophrenia, gluten can impact more than you think. Fertility issues or recurrent miscarriages? Gluten could be a hidden trigger.
Catassi, Carlo, et al. "Diagnosis of non-celiac gluten sensitivity (NCGS): the Salerno experts’ criteria." Nutrients 7.6 (2015): 4966-4977.
In this episode of the Brain Podcast, we delved into the topic of blue light-blocking glasses with guest Glen Lubbert, founder of Stamina Lab. The discussion revolved around the effectiveness of blue light glasses, the importance of blue light in our circadian rhythm, and the misconceptions surrounding blue light exposure. Glen emphasized the need for a balanced approach to using blue light glasses, highlighting the importance of personal preference and individual needs.
Glen shared valuable insights, debunking myths about blue light glasses and shedding light on their real benefits. He emphasized the significance of finding what works best for each individual, whether it’s wearing blue light glasses, adjusting light exposure throughout the day, or implementing Tiny Habits like putting the phone to bed early as part of a wind-down routine.
About our guest, Glen Lubbert
The Stamina Lab
Bauducco, Serena, et al. “A bidirectional model of sleep and technology use: A theoretical review of How much, for whom, and which mechanisms.” Sleep Medicine Reviews (2024): 101933.
Shechter, Ari, et al. “Blocking nocturnal blue light for insomnia: A randomized controlled trial.” Journal of psychiatric research 96 (2018): 196-202.
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