The Healthspan Podcast

What is the difference between dementia and Alzheimer’s with Jeremy Pruzin, MD.

In this highlight episode, Dr. Robert Todd Hurst, MD, FACC, FASE sits down with neurologist Jeremy Pruzin, MD to unpack one of the most common and most misunderstood topics in brain health: the difference between dementia and Alzheimer’s disease. They explore how vascular health, protein buildup like amyloid and tau, and lifestyle factors all intersect to influence cognitive decline. The conversation also dives into the concept of “mixed dementia,” why prevention strategies overlap with heart disease, and what actionable steps can significantly reduce risk, especially for those with genetic predispositions like APOE4. Watch the full podcast episode here: https://youtu.be/5hIKmiPNGjA Dr. Pruzin is a Behavioral Neurologist, Dementia Specialist, Alzheimer's Disease Researcher - specializing in cognitive disorders and dementia. He brings deep clinical insight into how brain pathology develops over time, helping patients understand risk, early symptoms, and the evolving landscape of treatment. His approach emphasizes both cutting-edge science and practical, personalized strategies for prevention and care. Connect With Jeremy Pruzin, MD - Behavioral Neurologist, Dementia Specialist, Alzheimer's Disease Researcher Website: https://pacocommunity.com/ Instagram:  https://www.instagram.com/jeremypruzinmd/ Linkedin: https://www.linkedin.com/in/jeremy-pruzin-82867615/ Key Timestamps 00:00 Introduction to HealthspanMD Heart Longevity Program 00:40 Overview of episode topics: dementia vs Alzheimer’s 01:10 Prevention strategies and link to heart health 02:19 APOE4 explained and what it means for risk 03:00 Practical lifestyle changes to lower dementia risk 04:30 Life’s Simple 7 and its impact on dementia 05:45 Why heart health and brain health are deeply connected 06:40 Risk-based prevention and treatment strategies 08:00 Medications and emerging therapies for brain health 08:58 Understanding dementia pathology: vascular vs protein causes 09:40 Difference between dementia and Alzheimer’s disease 10:30 What is mixed dementia and why it’s most common 11:20 Rethinking how dementia is categorized 12:30 APOE4 risk levels and implications 13:20 Final thoughts and how to take action with HealthspanMD Connect with HealthspanMD : 👉 https://www.linkedin.com/company/healthspanmd/ 👉 https://www.facebook.com/healthspanmd 👉 https://www.instagram.com/healthspanmd/ 👉 https://open.spotify.com/show/5KQuoWqKP2vTBu05ci6EQB?si=fdb033a52b674909 👉 https://podcasts.apple.com/us/podcast/the-healthspan-podcast/id1680270608 🏆 Become a Member / 🤝 Partner With Dr. Hurst and His Expert Team To Add a Decade or More Of Healthy Life At HealthspanMD, we combine cutting-edge medicine, advanced technology, and concierge care to help high-achievers avoid heart attacks, strokes, and dementia. 🔍 Learn how patients add years to their lives by going to 👉 [https://www.healthspanmd.com](https://www.healthspanmd.com/) . 📅 Or Schedule a Call Directly with a HealthspanMD Dedicated Patient Advisor by clicking 👉 https://join.healthspanmd.com/call

How to stay strong after 50 and avoid muscle loss with Dr. Selen Courtney

In this episode of the HealthspanMD Podcast, Dr. Robert Todd Hurst, MD, FACC, FASE sits down with Dr. Selen Courtney to explore one of the most overlooked pillars of longevity: physical performance. They dive into how strength, stability, and functional movement play a critical role in preventing frailty, extending healthspan, and maintaining independence as we age. From understanding progressive overload and muscle failure to identifying hidden blind spots like power and balance, this episode offers a practical, science-backed roadmap to staying strong, resilient, and capable for life. Dr. Selen Courtney is a Doctor of Physical Therapy with a unique background in psychology, yoga, orthopedics, and leadership at the Mayo Clinic. Now at HealthspanMD, she focuses on shifting physical therapy from reactive injury care to proactive performance and prevention. Her work centers on helping individuals identify weaknesses early, optimize movement, and build the strength and stability needed to live longer, healthier lives. Key Timestamps 00:00 – Intro and why you don’t need to train to full failure 01:00 – Why avoiding frailty is essential for longevity 02:20 – Dr. Selen Courtney’s background and journey to HealthspanMD 04:40 – Rethinking physical therapy as prevention, not just rehab 06:30 – Why decline accelerates in your 60s and how to prevent it 08:00 – Muscle loss, injury, and the downward spiral of aging 09:20 – Inside the HealthspanMD physical performance assessment 11:30 – How strength, balance, and movement are objectively measured 13:50 – Why “average” isn’t good enough for longevity 15:50 – Common fitness blind spots and imbalanced training 18:20 – Why people gravitate to what they like (and what they neglect) 20:30 – Fixing the reactive, one-size-fits-all fitness model 22:50 – What stability really means (rotator cuff, trunk endurance) 25:10 – Safe strength training principles for longevity 27:30 – Progressive overload and training close to failure explained 29:50 – The importance of protein and recovery for muscle growth 32:00 – Overtraining and why more is not always better 33:50 – What functional movement actually means in real life 34:40 – The physical performance age score explained 36:50 – How data reveals your biggest opportunities 37:00 – Technology used to measure strength, power, and balance 41:30 – The most overlooked blind spot: power training 43:50 – Final advice: start small and build consistency Connect with Dr. Selen Courtney: 👉Instagram: @drselencourtney 👉LinkedIn: https://www.linkedin.com/in/selen-courtney-76402770/ [https://www.linkedin.com/in/selen-courtney-76402770/]   This information is for educational purposes only and is not medical advice. Don't make any decisions about your medical treatment without first talking to your doctor. Connect with HealthspanMD : 👉 https://www.linkedin.com/company/healthspanmd/ 👉 https://www.facebook.com/healthspanmd 👉 https://www.instagram.com/healthspanmd/ 👉 https://open.spotify.com/show/5KQuoWqKP2vTBu05ci6EQB?si=fdb033a52b674909 👉 https://podcasts.apple.com/us/podcast/the-healthspan-podcast/id1680270608 🏆 Become a Member / 🤝 Partner With Dr. Hurst and His Expert Team To Add a Decade or More Of Healthy Life At HealthspanMD, we combine cutting-edge medicine, advanced technology, and concierge care to help high-achievers avoid heart attacks, strokes, and dementia. 🔍 Learn how patients add years to their lives by going to 👉 [https://www.healthspanmd.com](https://www.healthspanmd.com/) 📅 Or Schedule a Call Directly with a HealthspanMD Dedicated Patient Advisor by clicking 👉 https://join.healthspanmd.com/call

Why 90% of Heart Attacks Are Preventable Robert Todd Hurst, MD, FACC, FASE Keynote Speech

In this episode, Robert Todd Hurst, MD, FACC, FASE delivers a powerful and thought-provoking talk on the real drivers of heart disease and why the current healthcare system often misses the mark. Moving beyond traditional medicine, he explores how stress, habits, leadership, and the pace of modern life quietly shape our long-term health. This episode challenges the idea that heart attacks are inevitable and instead presents a compelling case for prevention through a systems-based approach to healthspan. Drawing from decades of experience in preventive cardiology, Dr. Hurst shares personal stories, clinical insights, and groundbreaking data that reveal how up to 90% of heart disease may be preventable. He breaks down the failures of reactive, one-size-fits-all care and introduces a proactive framework focused on identifying root causes, personalizing strategies, and continuously optimizing health.  Key Timestamps 00:00 – Introduction and keynote context 00:58 – Heart disease as the modern plague 03:18 – The patient story that changed Dr. Hurst’s career 05:38 – The evidence that 80–90% of heart disease is preventable 07:58 – Why prevention works in real-world practice 10:22 – Failure #1: Reactive, event-driven healthcare 12:37 – Hidden risk and Dr. Hurst’s personal wake-up call 14:59 – Failure #2: One-size-fits-all medicine 17:23 – Personalized care through advanced imaging 19:48 – Failure #3: Disease-focused healthcare 21:46 – The shift from lifespan to healthspan 23:53 – Why preventing disease isn’t enough 26:14 – The 3-step system to prevent heart attacks 28:37 – Understanding risk and root causes 30:53 – The overlooked role of stress and mental health 33:13 – The Healthspan framework and key drivers of longevity 35:38 – Personalizing goals and strategies 38:04 – Defend and optimize approach to long-term health 40:28 – Final thoughts: turning back the clock and ending heart disease Connect with Robert Todd Hurst, MD, FACC, FASE here : 👉Instagram: https://www.instagram.com/roberttoddhurst/ 👉LinkedIn: https://www.linkedin.com/in/longevity-cardiologist/ 👉Facebook: https://www.facebook.com/profile.php?id=61586086675137 This information is for educational purposes only and is not medical advice. Don't make any decisions about your medical treatment without first talking to your doctor. Connect with HealthspanMD : 👉 https://www.linkedin.com/company/healthspanmd/ 👉 https://www.facebook.com/healthspanmd 👉 https://www.instagram.com/healthspanmd/ 👉 https://open.spotify.com/show/5KQuoWqKP2vTBu05ci6EQB?si=fdb033a52b674909 👉 https://podcasts.apple.com/us/podcast/the-healthspan-podcast/id1680270608 🏆 Become a Member / 🤝 Partner With Dr. Hurst and His Expert Team To Add a Decade or More Of Healthy Life At HealthspanMD, we combine cutting-edge medicine, advanced technology, and concierge care to help high-achievers avoid heart attacks, strokes, and dementia. 🔍 Learn how patients add years to their lives by going to 👉 https://www.healthspanmd.com . 📅 Or Schedule a Call Directly with a HealthspanMD Dedicated Patient Advisor by clicking 👉 https://join.healthspanmd.com/call

Real Story of Reversing Heart Disease and Losing Weight Naturally

In this episode of the HealthspanMD podcast, Dr. Robert Todd Hurst, MD, FACC, FASE sits down with a member to explore what it really takes to reverse chronic health issues through sustainable lifestyle changes. This conversation dives into weight loss, heart health, atrial fibrillation risk reduction, nutrition fundamentals, and how personalized strategies outperform generic advice like “eat less and move more.” You’ll hear how small, consistent changes in movement, protein intake, and daily habits can lead to dramatic improvements in blood pressure, triglycerides, body composition, and overall energy. Our guest, Mr. David, shares his powerful health transformation after years of struggling with obesity, heart issues, and ineffective medical guidance. Following a triple bypass and ongoing arrhythmia concerns, Mr. David sought a better approach and found a personalized plan through HealthspanMD.  Over the course of a year,    • he lost over 40 pounds,    • improved nearly all of his lab markers   • regained the ability to do activities he once thought were gone for good. His story highlights the importance of individualized care, persistence, and finding a plan that truly fits your life. Key Timestamps • 00:00 – Introduction and episode overview • 00:30 – Paul’s health background and why he sought help • 02:50 – Referral to Dr. Robert Todd Hurst, MD, FACC, FASE and first visit • 04:30 – The connection between weight loss and heart rhythm issues • 05:00 – Starting point and limitations before transformation • 06:00 – Nutrition education and why calories alone aren’t enough • 07:00 – Building a personalized plan and step baseline strategy • 08:30 – Why “eat less, move more” fails most people • 10:00 – Adapting exercise to real life (resistance bands, short workouts) • 12:00 – Consistency over perfection and real-life challenges • 13:00 – One-year results: weight loss, blood pressure, labs, body composition • 15:00 – Muscle gain vs typical weight loss outcomes • 16:00 – Why treating root causes beats medication-only approaches • 18:00 – Improved energy, mobility, and daily life activities • 19:00 – Regaining independence and physical capability • 21:30 – Turning back the clock on aging • 23:30 – Paul’s message of hope and persistence • 25:00 – The importance of personalized, sustainable health strategies This information is for educational purposes only and is not medical advice. Don't make any decisions about your medical treatment without first talking to your doctor. Connect with HealthspanMD : 👉 https://www.linkedin.com/company/healthspanmd/ 👉 https://www.facebook.com/healthspanmd 👉 https://www.instagram.com/healthspanmd/ 👉 https://open.spotify.com/show/5KQuoWqKP2vTBu05ci6EQB?si=fdb033a52b674909 👉 https://podcasts.apple.com/us/podcast/the-healthspan-podcast/id1680270608 Become a Member / Partner With Dr. Hurst and His Expert Team To Add a Decade or More Of Healthy Life At HealthspanMD, we combine cutting-edge medicine, advanced technology, and concierge care to help high-achievers avoid heart attacks, strokes, and dementia. Learn how patients add years to their lives by going to 👉 https://www.healthspanmd.com. 📅 Or Schedule a Call Directly with a HealthspanMD Dedicated Patient Advisor by clicking 👉 https://join.healthspanmd.com/call

Can Gum Disease Affect Heart Disease Risk? Why Your Dentist Could Prevent a Heart Attack with Dr. Du Mond

In this episode of the HealthspanMD Podcast, Dr. Robert Todd Hurst, MD, FACC, FASE sits down with Dr. Du Mond to explore a critically overlooked driver of cardiovascular disease, brain health decline, and chronic inflammation: the mouth. They dive into the powerful connection between oral pathogens and systemic inflammation, the role of red complex bacteria in heart disease and Alzheimer’s risk, how saliva testing can uncover hidden inflammatory triggers, and why simply brushing and flossing may not be enough. If you’ve optimized your diet, exercise, and labs but your inflammatory markers like HSCRP or Lp-PLA2 remain elevated, this conversation may uncover the missing link. About the Guest Dr. Du Mond is a dentist with advanced expertise in oral systemic disease, pathogen testing, laser dentistry, ozone therapy, and immune-informed treatment planning. She approaches oral health not as a cosmetic issue, but as a foundational pillar of longevity, cardiovascular prevention, metabolic health, and neuroprotection. By combining CBCT imaging, salivary pathogen testing, and immune profiling, she helps identify hidden sources of inflammation that traditional dentistry often overlooks. 𝐂𝐨𝐧𝐧𝐞𝐜𝐭 𝐰𝐢𝐭𝐡 𝐃𝐫. 𝐃𝐮 𝐌𝐨𝐧𝐝 𝐡𝐞𝐫𝐞: 👉Instagram: https://www.instagram.com/dmd.dental/ [https://www.instagram.com/dmd.dental/] 👉Website: https://www.dmd-dental.com/ [https://www.dmd-dental.com/] This information is for educational purposes only and is not medical advice. Don't make any decisions about your medical treatment without first talking to your doctor. Key Timestamps 00:00 – What proactive, personalized prevention really means 00:37 – Why oral health is a major driver of heart, brain, and metabolic disease 02:00 – The study linking periodontal disease and cardiovascular events 04:30 – How dentistry evolved into systemic inflammation care 07:30 – Inflammation explained: protective vs. destructive 10:00 – Root cause vs. band aid treatment of inflammation 12:10 – Which lab markers matter: HSCRP, Lp-PLA2, myeloperoxidase 15:00 – The role of CBCT imaging in detecting hidden oral infections 17:00 – Why direct-to-consumer lab testing needs expert interpretation 18:30 – Dr. Du Mond’s personal inflammation discovery 21:30 – Who should consider advanced oral pathogen testing 23:50 – Oral microbiome vs. gut microbiome connection 26:00 – Why one size fits all health advice fails 30:40 – Why symptoms appear after tissue destruction begins 33:00 – Advanced dental tools beyond standard cleanings 35:30 – What red complex bacteria are and why they matter 37:40 – Oral health and longevity optimization 41:00 – Insurance limitations vs. preventive care 46:00 – How to work with Dr. Du Mond 𝐂𝐨𝐧𝐧𝐞𝐜𝐭 𝐰𝐢𝐭𝐡 𝐇𝐞𝐚𝐥𝐭𝐡𝐬𝐩𝐚𝐧𝐌𝐃 𝐡𝐞𝐫𝐞: 👉 https://www.linkedin.com/company/healthspanmd/ [https://www.linkedin.com/company/healthspanmd/] 👉 https://www.facebook.com/healthspanmd [https://www.facebook.com/healthspanmd] 👉 https://www.instagram.com/healthspanmd/ [https://www.instagram.com/healthspanmd/] 👉 https://open.spotify.com/show/5KQuoWqKP2vTBu05ci6EQB?si=fdb033a52b674909 [https://open.spotify.com/show/5KQuoWqKP2vTBu05ci6EQB?si=fdb033a52b674909] 👉 https://podcasts.apple.com/us/podcast/the-healthspan-podcast/id1680270608 [https://podcasts.apple.com/us/podcast/the-healthspan-podcast/id1680270608] Become a Member / 🤝 Partner With Dr. Hurst and His Expert Team To Add a Decade or More Of Healthy Life. At HealthspanMD, we combine cutting-edge medicine, advanced technology, and concierge care to help high-achievers avoid heart attacks, strokes, and dementia.    Learn how patients add years to their lives by going to: https://www.healthspanmd.com.  📅 Or Schedule a Call Directly with a HealthspanMD Dedicated Patient Advisor by clicking here: https://join.healthspanmd.com/call