137 | Cholesterol in the Brain: Connecting Heart Health and Alzheimer’s episode artwork

EPISODE · Dec 10, 2025 · 32 MIN

137 | Cholesterol in the Brain: Connecting Heart Health and Alzheimer’s

from Exam Room Nutrition: Where Busy Clinicians Learn About Nutrition · host Colleen Sloan, PA-C, RDN

"What’s good for the heart is good for the brain."  Can better cholesterol management in midlife actually lower your patient’s risk of Alzheimer’s disease? In this episode, I’m joined by returning guest Josh Wageman, PhD, PA-C, a clinical lipid specialist who studied cholesterol disturbances in Alzheimer’s disease.  Together, we unpack how cholesterol, APOB, APOE4, insulin resistance, and statins intersect with Alzheimer’s disease and cognitive decline, and what clinicians can do now to protect brain health long before symptoms appear. Plus, a peek at emerging therapies (including GLP-1 receptor agonists and lipid-centric approaches) and how a metabolic lens is reshaping future Alzheimer’s treatment.Resources Mentioned:Josh's New Book117 | What’s the Best Diet to Lower Cholesterol?111 | HDL = Good, LDL = Bad? It’s Not That Simple.80 | The MIND Diet: What To Eat For Brain HealthAny Questions? Send Me a MessageSupport the showConnect with Colleen:InstagramLinkedInSign up for my FREE Newsletter - Nutrition hot-topics delivered to your inbox each week.Disclaimer: This podcast is a collection of ideas, strategies, and opinions of the author(s). Its goal is to provide useful information on each of the topics shared within. It is not intended to provide medical, health, or professional consultation or to diagnosis-specific weight or feeding challenges. The author(s) advises the reader to always consult with appropriate health, medical, and professional consultants for support for individual children and family situations. The author(s) do not take responsibility for the personal or other risks, loss, or liability incurred as a direct or indirect consequence of the application or use of information provided. All opinions stated in this podcast are my own and do not reflect the opinions of my employer. 

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"What’s good for the heart is good for the brain." Can better cholesterol management in midlife actually lower your patient’s risk of Alzheimer’s disease? In this episode, I’m joined by returning guest Josh Wageman, PhD, PA-C, a clinical lipid specialist who studied cholesterol disturbances in Alzheimer’s disease. Together, we unpack how cholesterol, APOB, APOE4, insulin resistance, and statins intersect with Alzheimer’s disease and cognitive decline, and what clinicians can...

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137 | Cholesterol in the Brain: Connecting Heart Health and Alzheimer’s

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