Showing posts with label alzheimer's treatment. Show all posts
Showing posts with label alzheimer's treatment. Show all posts

Sunday, January 5, 2014

Vitamin C to Prevent and Ease Alzheimer’s



Recent Studies

What causes Alzheimer’s Disease? No one knows the answer. But multiple studies confirm the important link between heart disease and Alzheimer’s Disease. Since it is a proven fact that vitamin C can reverse atherosclerosis in coronary arteries, why it can be helpful to reverse Alzheimer’s?

Doctors skepticism over the therapeutic value of vitamin C can be largely explained by the fact that it doesn’t work for the common cold. However, Linus Pauling, two-time Nobel Prize winner, stressed for years that animals produce their own vitamin C and humans do not, and that the lack of this vitamin triggers hardening of arteries and coronary death.

Now, Dr. Sydney Bush, an English researcher, has convincing evidence that Pauling was right. Bush has shown that high doses of vitamin C, and the amino acid lysine, reverse atherosclerosis in retinal arteries.
This is a huge finding because if large doses of vitamin C can dissolve atherosclerosis in retinal vessels, good sense tells you it can have the same effect on coronary arteries and those in the brain. And if treatment started earlier in life vitamin C could have an immense impact on these diseases.

While these new findings give a wholly new direction for the Alzheimer’s prevention strategies, vitamin C can be also helpful, when the disease is already in progress.

A major stumbling block to treating brain disorders is the blood-brain barrier. This safety net that shields our brain from foreign substances also prevents needed medications from getting to damaged cells. But scientists may have found a way around the problem. When ascorbic acid -- better known as vitamin C -- is chemically attached to certain drugs, it allows them to penetrate the barrier, reaching more of its target cells within the brain.

"We've opened a door for a promising new way to improve delivery of drugs into the brain using a natural nutrient, ascorbic acid," says study leader Stefano Manfredini, professor of pharmaceutical chemistry at the University of Ferrara, Italy.

According to another new research, vitamin C could play even more significant role in the treatment of Alzheimer's disease. Recent mouse studies revealed that vitamin C could have the potential to aid patients with Alzheimer's disease. These recent findings suggest that treating Alzheimer's disease with vitamin C could dissolve certain toxic proteins found in the brains of those with Alzheimer's disease. These proteins are known as beta-amyloid plaques.

The study, published in the Biological Chemistry Journal, involved a research team from Lund University who used vitamin C to directly treat brain tissue in mice with Alzheimer's disease.

“When we treated brain tissue from mice suffering from Alzheimer’s disease with vitamin C, we could see that the toxic protein aggregates were dissolved. Our results show a previously unknown model for how vitamin C affects the amyloid plaques”, says Katrin Mani, reader in Molecular Medicine at Lund University.

“Another interesting finding is that the useful vitamin C does not need to come from fresh fruit. In our experiments, we show that the vitamin C can also be absorbed in larger quantities in the form of dehydroascorbic acid from juice that has been kept overnight in a refrigerator, for example”.

Much recent research has gone into vitamin C and its role in treating a number of diseases. Based upon this mouse study, researchers suggest that with further research, vitamin C may be a simple way to treat or prevent Alzheimer's disease.

Another study by German scientists - Gabriele Nagel and Christine von Arnim - professors of epidemiology and neurology from the University of Ulm, Germany, have discovered that the concentration of vitamin C and beta-carotene in blood are significantly lower in patients with mild dementia than in people without them.

Scientists said that it might thus be possible to influence the pathogenesis of Alzheimer’s by a person’s diet or dietary antioxidants.

What is vitamin C?

Because of its widespread use as a dietary supplement, vitamin C may be more familiar to the general public than any other nutrient. Studies indicate that more than 40% of older individuals in the U.S. take vitamin C supplements; and in some regions of the country, almost 25% of all adults, regardless of age, take vitamin C. Outside of a multivitamin, vitamin C is also the most popular supplement among some groups of registered dietitians, and 80% of the dietitians who take vitamin C take more than 250 milligrams.

Vitamin C, also called ascorbic acid, is a water-soluble nutrient that is easily excreted from the body when not needed. It's so critical to living creatures that almost all mammals can use their own cells to make it. Humans, gorillas, chimps, bats, guinea pigs and birds are some of the few animals that cannot make vitamin C inside of their own bodies.

Humans vary greatly in their vitamin C requirement. It's natural for one person to need 10 times as much vitamin C as another person; and a person's age and health status can dramatically change his or her need for vitamin C. The amount of vitamin C found in food varies as dramatically as our human requirement. In general, an unripe food is much lower in vitamin C than a ripe one, but provided that the food is ripe, the vitamin C content is higher when the food is younger at the time of harvest.

How it Functions?

Vitamin C serves a predominantly protective role in the body. As early as the 1700's, vitamin C was referred to as the "antiscorbutic factor," since it helped prevent the disease called scurvy. This disease was first discovered in British sailors, whose sea voyages left them far away from natural surroundings for long periods of time. Their body stores of vitamin C fell below 300 milligrams, and their gums and skin lost the protective effects of vitamin C. Recognizing limes as a good shipboard source of vitamin C, the British sailors became known as "limeys" for carrying large stores of limes aboard ship.

The protective role of vitamin C goes far beyond our skin and gums. Cardiovascular diseases, cancers, joint diseases and cataracts are all associated with vitamin C deficiency and can be partly prevented by optimal intake of vitamin C. Vitamin C achieves much of its protective effect by functioning as an antioxidant and preventing oxygen-based damage to our cells. Structures that contain fat (like the lipoprotein molecules that carry fat around our body) are particularly dependent on vitamin C for protection.

Food Sources

Excellent food sources of vitamin C include broccoli, bell peppers, parsley, Brussels sprouts, cauliflower, lemon juice, strawberries, mustard greens, kiwifruit, papaya, kale, cabbage, romaine lettuce, turnip greens, oranges, cantaloupe, summer squash, grapefruit, pineapple, chard, tomatoes, collard greens, raspberries, spinach, green beans, fennel, cranberries, asparagus, watermelon, and winter squash.

Dosage

The National Academy of Sciences set a Tolerable Upper Intake Level (UL) for vitamin C at 2,000 milligrams (2 grams) for adults 19 years or older.

Based on the latest studies, it is recommended to take 500 mg doses three times a day as preventive measure to minimize risk of Alzheimer’s and some other clinical diseases.

Vitamin C Side Effects

Before taking ascorbic acid, tell your doctor or pharmacist if you have any allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this vitamin, tell your doctor or pharmacist your medical history, especially of:
* kidney disease (such as kidney stones)
* a certain enzyme deficiency (G6PD deficiency)

During pregnancy, this vitamin has been found to be safe when used in recommended doses. Higher doses should be used during pregnancy only if clearly needed. Discuss the risks and benefits with your doctor.

This vitamin passes into breast milk and is considered to be safe during breast-feeding when used in recommended doses. Consult your doctor for more information.


Sources and Additional Information:

Friday, February 26, 2010

Music Therapy for Alzheimer's Patients

What is Music Therapy?

Music Therapy is the clinical and evidence-based use of music interventions to accomplish individualized goals within a therapeutic relationship by a credentialed professional who has completed an approved music therapy program.

Music Therapy is an established health profession in which music is used within a therapeutic relationship to address physical, emotional, cognitive, and social needs of individuals.  After assessing the strengths and needs of each client, the qualified music therapist provides the indicated treatment including creating, singing, moving to, and/or listening to music.  Through musical involvement in the therapeutic context, clients' abilities are strengthened and transferred to other areas of their lives.  Music therapy also provides avenues for communication that can be helpful to those who find it difficult to express themselves in words.  Research in music therapy supports its effectiveness in many areas such as: overall physical rehabilitation and facilitating movement, increasing people's motivation to become engaged in their treatment, providing emotional support for clients and their families, and providing an outlet for expression of feelings.

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Music Therapy and Alzheimer’s

Music therapy, the use of music to calm and heal, cannot slow or reverse dementia. But it may improve quality of life for both a person with Alzheimer's disease and their caregiver. Clinical reports suggest that music therapy may reduce wandering and restlessness and increase chemicals in the brain that enhance sleep and ease anxiety. For example, the chemicals melatonin, norepinephrine, and epinephrine increased in the brains of people with Alzheimer's after they listened to live music regularly. Mood also improved after listening to the music.

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Clark, Lipe, & Biblrey Research

A study conducted by Clark, Lipe, & Bilbrey (1998) examined the effects of recorded, preferred music in decreasing occurrences of aggressive behavior among Alzheimer's patients during bathing episodes (the care-giving routine during which disruptive behaviors were reported by nursing staff to be the most problematic). Eighteen adults, aged 55-95, with severe levels of cognitive impairment, participated in the study. They were randomly scheduled for observation during bath-time under either a control (no music) condition or an experimental condition in which recorded selections of preferred music were played. After a two-week period, participants reversed conditions. A significant difference was found between the music and no music condition -- during the music condition, decreases occurred in 12 of the 15 previously observed aggressive behaviors. Care-givers noticed that, during the music condition, patients showed improvements in mood, evidenced by an increase in smiling, dancing, and clapping to the music. Also, some were reported as being more calm and cooperative during the bathing routine.

Brontons & Pickett-Cooper Study

Brotons & Pickett-Cooper (1996) investigated the impact of live music therapy in agitation behavior of Alzheimer's disease patients before, during, and after the music intervention. Twenty subjects, aged 70-96, from four nursing homes, were used for the analysis. The music therapy session included different musical activities designed according to the subjects' functioning ability (e.g. singing, dancing, and playing musical games or instruments). Results indicated that subjects were significantly less agitated during and after music therapy than before music therapy. Movements and behaviors that were seen as unintentional and uncontrollable before music therapy now seemed more purposeful, more rhythmical, as though they were moving with the music. Subjects appeared to gain some control over these actions. In addition, informal reports from staff proposed that this decrease in agitation continued for the rest of the afternoon and into evening periods.

Research Institute of the Hebrew Home Study

Although many patients with advanced AD are unable to communicate with language, music therapy has shown promise as a way for patients to express themselves, and such sensory stimulation might even slow the decline of physical, psychological, and cognitive processes. Jiska Cohen-Mansfied, a psychologist of the Research Institute of the Hebrew Home of Greater Washington, has studied the manifestations of AD and reported her results in Science (1031).  She observed that the violent behaviors of patients with AD occurred when their room was dark and they were alone. The results of her investigation found that one-third of her patients decreased their violent behavior in response to music, a greater response than with psychotropic drugs, restraint, or passive neglect. Cohen-Mansfied believes that music is an effective therapy because it reduces the social isolation experienced by demented patients. While not offering a cure for AD, music therapy can clearly decrease the agitation some patients manifest. In the past, such behaviors were thought to be the result of psychosis (Barinaga 1031), but are now considered to stem from the social isolation caused by the dementia, something that music therapy is designed to target.

Miami Veterans Administration Medical Center Research

The study indicated that listening to music affects the release of powerful brain chemicals that can regulate mood, reduce aggression and depression, and improve sleep.

"Many patients with Alzheimer's disease have behavior problems of aggression and agitation," said Dr. Ardash Kumar, study co-author and research associate professor in the department of psychiatry and behavioral sciences at the University of Miami School of Medicine in Florida. He told Reuters Health "we wanted to test the theory that a structured music therapy program has a calming effect, and we thought that agitated or aggressive patients with (Alzheimer's disease) might benefit from this natural therapy."

Kumar and colleagues studied the effect of music therapy on the levels of five brain chemicals (melatonin, norepinephrine, epinephrine, serotonin, and prolactin) that work in combination to influence mental state. "Different areas of the brain are stimulated by certain situations and release chemicals into the blood. We can measure the levels of those chemicals to see which situations promote a sense of well-being," said Kumar.
The study was conducted at the Miami Veterans Administration Medical Center. Twenty male patients with Alzheimer's disease participated in a music therapy program for 30 to 40 minutes five times a week for 4 weeks. As the program progressed, patients became more able to identify with the songs and could request their music preferences.

Blood samples from the group were obtained before the program began, at the end of 4 weeks of therapy, and 6 weeks after the therapy ended. Blood analyses indicated that a significant increase in blood melatonin levels occurred after participation in music therapy sessions and that the increase continued even after the therapy had been discontinued for 6 weeks. Levels of epinephrine and norepinephrine increased significantly after the music therapy sessions but had returned to pretherapy levels 6 weeks after the sessions had been stopped. Levels of serotonin and prolactin were not influenced by music therapy.

Perhaps because of the increased levels of melatonin, the patients who participated in music therapy became more active, slept better, and were more cooperative with nurses.

The study results, which were published in a recent issue of Alternative Therapies, may have broader applications too. "Relaxation with the type of music that calms you down is very beneficial," said Kumar. "To promote a sense of calm and well-being, you can listen to your favorite soothing music when you eat, before you sleep, and when you want to relax. Music therapy might be a safer and more effective alternative to many psychotropic medications. Like meditation and yoga, it can help us maintain our hormonal and emotional balance, even during periods of stress or disease."

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How to Use Music Therapy to Fight Alzheimer’s

There are several practical recommendations on how to use the music therapy for the better possible outcomes, while fighting Alzheimer’s:
  • Identify music that’s familiar and enjoyable to the listeners.
  • Use live music, tapes or CDs; radio programs, interrupted by too many commercials, can cause confusion.
  • Use music to create the mood you want.
  • Link music with other reminiscence activities; use photographs to help stir memories.
  • Encourage movement (clapping, dancing) to add to the enjoyment.
  • Avoid sensory overload; eliminate competing noises by shutting windows and doors and by turning off the television.
  • Try to listen to about 30-40 minutes of music a day, for at least five days each week.

Sources and Additional Information:

Saturday, February 20, 2010

Ginger as Natural Remedy for Alzheimer's and some Other Diseases

Not only is ginger (Zingiber officinale) one of the most popular of all the spices but is also of the top five antioxidant foods (American Journal of Clinical Nutrition, July 2006). Numerous studies investigating ginger's medicinal properties have also shown it to be effective in conditions such as motion sickness and the prevention and treatment of diseases such as Alzheimer's disease, cancer, cardiovascular disease, diabetes, inflammatory diseases and stomach ulcers.

How Ginger Fights Alzheimer’s?
Two of ginger's most important antioxidants, curcumin and gingerol, have been shown to inhibit and even reverse the deposition in the brain of the amyloid plaques that are associated with Alzheimer's disease. Moreover, zingerone, another of ginger's antioxidants, neutralizes the powerful oxidant, peroxynitrite, which has also been implicated as an aggravating factor in Alzheimer's and other neurodegenerative diseases.

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American Botanical Council Study (2003)
Fibrillar beta-amyloid peptide is prevalent in brains of people with Alzheimer's disease. Beta-amyloid peptide causes microglial cells (cells in the brain that provide support) to increase production of cytokines and chemokines. Cytokines and chemokines are substances in the body that promote inflammation. Some hypotheses state that inflammation plays a key role in the pathogenesis of Alzheimer's disease. Ginger (Zingiber officinale) has anti-inflammatory properties. The purpose of this study was to determine whether a ginger extract could dampen the induction of inflammation-related genes in human THP-1 cells exposed to lipopolysaccharide (LPS), proinflammatory, cytokines, and fibrillar amyloid peptide Abeta(1-42), a major component of neuritic plaques.

As expected, the proinflammatory mediators caused upregulation of inflammatory markers. The ginger extract had a broad inhibitory effect on cytokine and beta-amyloid peptide induced expression of inflammation-related genes in activated THP-1 cells. The extract inhibited the induction of genes involved in the inflammatory cascade (TNF-alpha, IL-1beta, MCP-1, MIP-1alpha, IP-10, and COX2). The ginger extract has a mechanism of action that is different from that of nonsteroidal anti-inflammatory drugs. 

The authors of the research conclude that this ginger extract may help prevent the sustained elevation of the proinflammatory cytokines, as would be seen in people with Alzheimer's disease. The authors believe that the ginger extract offers a promising and safe treatment to protect against the harmful effects of chronic microglial cell-associated inflammation in Alzheimer's disease. 

General Ginger Usefulness
Ginger is a good source of antioxidants. Antioxidants help rid the body of free radicals and boost the immune system, helping fight off infectious diseases like the cold and flu. Consuming antioxidants may also help prevent diseases such as cancer, heart disease, and arthritis. Ginger is also used to treat stomach aches, nausea, and diarrhea.
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Dosage
I personally prefer making the ginger hot mix with lemon and honey, which is, besides being an excellent immune booster, very tasty. However, there are some people who cannot stand the specific ginger taste. For them, the preferable solution would be ginger pills and crystals.

There are no definitive dosing guidelines, but if you want to take a powdered ginger extract in capsules, a minimum dose, recommended by Robert Pendergrast, MD, would be 250mg four times daily (with meals and bedtime). If you like the crystallized ginger, one cube is probably 1000 mg of ginger, and one or two a day would be a good dose.

Ginger Side Effects, Interactions and Warnings
In general, ginger appears to be safe. Side effects of ginger were not reported in most
studies. A study of healthy subjects reports no severe ginger side effects, based on
biochemistry data. While studies of treating nausea and vomiting or of cancer patients
reported ginger side effects and the side effects are gastrointestinal disturbance, sleepiness, restless, sedation and heartburn. Finally, ginger may interact with surgical medications including anesthesia, leading to arrhythmias, poor wound healing, bleeding, photosensitivity reaction, and prolonged sedation. Ginger may also interact with certain anticoagulants and analgesics to cause bleeding.

Sources and Additional Information:

Tuesday, December 29, 2009

Medications Used to Treat Alzheimer's - Overview

The first step in treating Alzheimer's is an accurate diagnosis. It's important to rule out other causes of dementia, particularly conditions that can be treated and potentially reversed. If Alzheimer's is diagnosed early, medications and other care may improve the patient's daily functioning and quality of life, as well as potentially slow disease progression.

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The second step in treating Alzheimer's is for the patient, and family, to prepare for and manage the disease as it progresses.

Medication
Numerous medications are intended to reduce the symptoms of Alzheimer's, by helping to slow memory loss, control behavior problems, or improve sleep. It is important to work with physicians who have considerable knowledge and experience in using these medications.

Antioxidants
In a process called oxidant stress, cells produce free radicals, highly reactive molecules that can overwhelm and damage normal cells. Vitamin E and other antioxidants have been studied in patients who have Alzheimer's disease. The use of Vitamin E is controversial. A physician will determine if Vitamin E is appropriate.

Cholinesterase Inhibitors
In the brains of people with Alzheimer's, there is a dramatic drop in the level of the chemical acetylcholine, which transmits messages in the brain. This chemical is important for attention and memory. The enzyme acetylcholinesterase rapidly breaks down acetylcholine. The enzyme can be blocked with cholinesterase inhibitors, which may help improve cognitive and neuropsychiatric symptoms and might affect the long-term course of the disease.

Memantine
Glutamate is a chemical in the brain that acts on receptors known as NMDA receptors. There is evidence that overstimulation of these receptors may be bad for brain cells. The medication memantine, which blocks NMDA receptors, has recently been approved by the U.S. Food and Drug Administration for treatment of patients with moderate to severe Alzheimer's disease. A physician will determine if memantine is appropriate.

Antipsychotics or Neuroleptics
These drugs can help control behaviors caused by Alzheimer's, such as agitation, anger, hallucinations and delusions (seeing and hearing nonexistent things), and insomnia (inability to sleep). Many of these drugs have significant side effects.

Antidepressants and Anxiolytics
Some medications help treat depression and anxiety in patients with Alzheimer's. Because some drugs may increase anxiety or agitation, patients should be closely monitored. The drugs may also cause insomnia, tremors, nausea and other side effects.

Sleeping Medications
As Alzheimer's progresses, a common behavior is to become increasingly agitated, confused and restless toward the end of the day, which is often called "sundowning." Patients with Alzheimer's disease may also wake or even wander at night. If the problem can't be managed through adjusting living environments, patients may benefit from sleep medications. Anti-anxiety medications may also help reduce these symptoms.

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Sources and Additional Information:

Sunday, November 1, 2009

Medical Marijuana as Effective Treatment for Alzheimer's Disease

Regular low dose cannabis smoking might keep Alzheimer’s away, according to marijuana research by professor Gary Wenk and associate professor Yannic Marchalant of the Ohio State Department of Psychology.

Wenk’s studies show that a low dosage in the morning of a certain cannabinoid, a component in marijuana, reversed memory loss in older rats’ brains. In his study, an experimental group of old rats received a dosage, and a control group of rats did not. The old rats that received the drugs performed better on memory tests, and the drug slowed and prevented brain cell death.

Alzheimer’s is a disease unique to humans and the memory loss in the rats was a natural decline, but rat brains are similar enough to human brains to serve as partial models for humans, Wenk said.

Other research has shown that young people who take Advil regularly for arthritis, drink alcohol in moderation or smoke cigarettes reduce their risks of developing Alzheimer’s as they age, but marijuana is the first substance that has worked on older brains in experiments.

Alzheimer’s screening is available for people in their 30s, but it is expensive and many people do not recognize the warning signs. "People get diagnosed [with Alzheimer’s] in their 60s, and they need something now," Wenk said.

However, the research does not call directly for all Alzheimer’s patients to start smoking marijuana on a daily basis, because it is not clear yet how the famous narcotic effect can be perceived by the Alzheimer’s patients in various stages. Its positive effects for the individuals, who have not yet developed the dementia symptoms, as one more anti-inflammation ingredient, look conclusive.

Official implications of the research are scientifically based suggestions for the development of a legal drug that contains certain properties similar to those in marijuana helps preventing or delaying the onset of Alzheimer’s disease. Though the exact cause of Alzheimer’s remains unknown, chronic inflammation in the brain is believed to contribute to memory impairment. Any new drug’s properties would resemble those of tetrahydrocannabinol, or THC, the main psychoactive substance in the cannabis plant, but would not share its capability to produce a "high".

Evidence suggests that people who regularly smoked marijuana in the 1960s and 1970s rarely develop Alzheimer’s disease, said Wenk, adding that researchers are eager to develop a drug with the anti-inflammatory properties of marijuana, but without the drug’s psychoactive effects.

The colleagues treated young and old rats with WIN-55212-2 (WIN), a synthetic drug similar to marijuana. While the compound improved memory and helped to control inflammation, it is not a candidate for use in humans because it still contains substances that could trigger a high.

“We don’t use marijuana in our experiments because we’re trying to find a compound that isn’t psychoactive,” Wenk said. “And using synthetic compounds may eventually help us to separate the beneficial effects from the psychoactive effects.”

Earlier research (2006) at the Scripps Research Institute in California also found that marijuana’s active ingredient, delta-9-tetrahydrocannabinol, or THC, can prevent an enzyme called acetylcholinesterase from accelerating the formation of "Alzheimer plaques" in the brain more effectively than any commercially marketed drugs. THC is also more effective at blocking clumps of protein that can inhibit memory and cognition in Alzheimer’s patients, the researchers reported in the journal Molecular Pharmaceutics.

Thus, Marijuana may be considered as the first drug to offer real promise in the battle against Alzheimer’s disease. Recent studies have shown that marijuana not only promotes neural growth, but can actually reduce the growth in tumors by as much as fifty-percent in patients with lung cancer.

Studies demonstrating the medicinal properties of marijuana have not been limited to Alzheimer’s disease. Marijuana has been shown to relieve the symptoms brought on my diseases and conditions such as HIV/AIDS, glaucoma, migraines, muscle spasms, menstrual cramps, and arthritis. The potential advantages of Marijuana for Clinical depression treatment have been demonstrated in my recent post Medical marijuana is an effective treatment for depression: True or False? in my Clinical Depression: Symptoms and Treatment blog.

Facts: California became the first state in the USA, which enacted special Law legalizing medical marijuana in 1996. Since than, 12 States followed up, enacting similar state laws: Alaska, Colorado, Hawaii, Maine, Michigan, Montana, Nevada, New Mexico, Oregon, Rhode Island, Vermont, and Washington. In 14 other states, there are currently active propositions on medical marijuana legalization, pending legislation or Ballot Measures. There is a single state - South Dakota, where Medical Marijuana initiative has failed so far.


Sources and Additional Information:
http://www.thelantern.com/2.1345/marijuana-could-prevent-alzheimer-s-1.72932
http://www.telegraph.co.uk/science/science-news/3485163/Marijuana-may-improve-memory-and-help-fight-Alzheimers.html
http://psychcentral.com/news/2006/10/23/marijuana-may-slow-alzheimers-memory-loss/350.html
http://www.msnbc.msn.com/id/15145917
http://www.alzinfo.org/newsarticle/templates/newstemplate-drugs.asp?articleid=176&zoneid=3
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