A seaweed-derived compound taken by mouth that works mainly in the gut, reshaping gut bacteria to calm brain inflammation. Approved in China in 2019 for early Alzheimer's disease, it is easy to tolerate, with side effects close to placebo. Its real benefit is unsettled, with no proven role in prevention and no reliable source outside China. (Full Review)
| Marker | Target | Why |
|---|---|---|
| ADAS-Cog or MMSE | Stable or improved from baseline | Primary measure of whether cognition is holding |
| Vitamin B12 | > 500 pg/mL | Rules out a reversible cause of cognitive decline |
| TSH | 0.5–2.0 mIU/L | Rules out thyroid-driven cognitive slowing |
| Fasting glucose / HbA1c | HbA1c < 5.4% | Metabolic health strongly influences brain aging |
| Complete blood count and comprehensive metabolic panel | Within normal limits | General safety and to detect other contributors |
Cadence: Reassess at 4 weeks, 12 weeks, then every 3–6 months