Kat Toups, MD - Functional Medicine Psychiatry & Dementia

Kat Toups, MD - Functional Medicine Psychiatry & Dementia Regenerative, Precision, and Functional Medicine Psychiatry and Dementia

Functional medicine teaches that all parts of the body and brain can be affected by chronic illness, with the common denominator being Inflammation. The inflammation that affects your gut (diarrhea, bloating, constipation, acid reflux, etc.) or your thyroid (hypothyroidism, Hashimoto's) or your pancreas (diabetes, metabolic syndrome) or your joints (arthritis) can also affect your brain. Inflammation in the brain can manifest as all of the psychiatric disorders (Depression, Anxiety, ADHD, OCD, Bipolar, PTSD, Psychosis) and also the Neurodegenerative Disorders (Alzheimer's, Mild Cognitive Impairment, Multiple Sclerosis, Parkinson's, ALS, etc.). The road to wellness then starts with the search for what is driving the inflammation, and putting out the source of that fire, rather than simply covering up one manifestation of the inflammation (like Depression or ADHD) without addressing it's root cause.

The Healing Dementia Summit starts Wednesday 11/12 and runs for 12 days.My talk is on Day 3 (Friday 11/14) and we cove...
11/11/2025

The Healing Dementia Summit starts Wednesday 11/12 and runs for 12 days.

My talk is on Day 3 (Friday 11/14) and we covered a lot of ground in this interview:

Mold, Infections, and Hormone Loss: The Hidden Triggers of Dementia Most Doctors Overlook

But don't miss Dale Bredesen and Judy Benjamin on Day 1. Judy Benjamin was Dale Bredesen's patient zero (the first patient using his methodology to reverse dementia). To celebrate reversing her dementia 13 years ago, she founded the Alzheimer's Survivors Foundation (ASF), and walked across America from San Diego to Saint Augustine, Florida to raise awareness that Alzheimer's survivors exist!

This would be a feat at any age, but it's almost unthinkable that Judy has done this at age 81! Judy finishes her epic walk on Saturday 11/15.

Judy's interview is going to feature lots of fantastic drone footage of her walk!

There are many other excellent topics being covered at this summit, including things like dental infections, EMFs, Long Covid and the brain, and photobiomodukation (PBM).

Beyond the No-Cure Narrative—21 Experts Share Complementary Approaches to Reverse Cognitive Decline

10/27/2025

I'm honored to have been a consultant and the research director for this groundbreaking program, and beyond thrilled with the excellent results.

Our mission is to help people with chronic depression get well, and not just manage their symptoms with medication and psychotherapy.




09/28/2025

4 free hours of CME on Metabolic Psychiatry.

Reversing Cognitive Decline and Dementia with Precision MedicineI finally got around to uploading a talk with slides to ...
09/06/2025

Reversing Cognitive Decline and Dementia with Precision Medicine

I finally got around to uploading a talk with slides to my YouTube channel that I gave at The Forum for Integrative Medicine's annual 2025 conference.

It's fast and furious with so much to cover in only an hour, but it's a pretty detailed overview for people that are interested in this topic.

NOTE: This is shared with permission of The Forum for Integrative Medicine. They kindly allowed me to share this for educational purposes, so it's ok if you want to share it.

Dementia is not an inevitable one-way decline. In this talk from the Forum for Integrative Medicine Annual Conference (April 4, 2025), Dr. Kat Toups presents...

CHAT GPT - ENHANCING LONGEVITYQUESTION I ASKED:What are the best validated things to enhance longevity, including diet, ...
09/01/2025

CHAT GPT - ENHANCING LONGEVITY

QUESTION I ASKED:
What are the best validated things to enhance longevity, including diet, lifestyle, supplements, mindset, and gadgets/technology?

------------

Longevity research spans clinical trials, epidemiology, and geroscience. Below is a concise, evidence-based framework covering the domains you asked about: diet, lifestyle, supplements, mindset, and technology/gadgets.



🔑 Best Validated Longevity Strategies

🥗 1. Diet
• Mediterranean or Whole-Food Plant-Forward Diet
• Rich in vegetables, fruits, legumes, whole grains, nuts, olive oil, and fish.
• Associated with reduced all-cause mortality, cardiovascular disease, cancer, and cognitive decline.
• Supported by large cohort studies and randomized trials (e.g., PREDIMED).
• Protein & Caloric Balance
• Adequate but not excessive protein; plant and fish sources favored.
• Avoid chronic overnutrition; mild caloric restriction (without malnutrition) improves metabolic health and longevity in many models.
• Low Ultra-Processed Foods & Added Sugars
• Strongly linked to lower risk of obesity, diabetes, cardiovascular disease.



🏃‍♀️ 2. Lifestyle & Habits

A) Physical Activity
• Most powerful lifestyle intervention for longevity.
• 150–300 min/week moderate aerobic activity plus 2+ days/week resistance training.
• HIIT and strength training both extend healthspan (cardio + muscle + mitochondrial resilience).

😎 Sleep
• 7–9 hours, consistent schedule.
• Poor sleep linked to higher mortality, dementia, and cardiometabolic disease.

C) Avoid Toxins
• No smoking, minimal alcohol.
• Environmental toxin reduction (mold, heavy metals, excess air pollution).

D) Social Connection
• Strong social ties = one of the most consistent predictors of longevity (Blue Zones, Harvard Study of Adult Development).



💊 3. Supplements (with strongest evidence)

(Note: benefits depend on baseline status; more ≠ better)

• Vitamin D (if deficient): lowers risk of mortality, bone disease, possibly infections.
• Omega-3 fatty acids (EPA/DHA): support cardiovascular and brain health; meta-analyses show modest reduction in CVD risk.
• Creatine: safe, improves muscle mass/strength, cognitive support.
• Magnesium: linked to reduced CVD, metabolic syndrome; supports sleep and insulin sensitivity.
• Probiotics/Prebiotics: may improve gut health and immune resilience, though strain-specific effects.

🔬 Emerging / longevity-focused compounds (promising but less proven in humans):
• Metformin (in diabetics: reduced cancer, CVD, all-cause mortality; TAME trial ongoing in healthy aging).
• Rapamycin / Rapalogs (strong in animal models; human trials just beginning).
• NAD+ precursors (NR, NMN): early human data show improved metabolic markers, but clinical outcomes not proven.



🧠 4. Mindset / Psychological Factors
• Sense of Purpose (Ikigai / Meaning in Life): strongly correlated with lower mortality and dementia risk.
• Stress Management & Emotional Regulation: chronic stress accelerates biological aging (via cortisol, telomere shortening, inflammation). Practices: mindfulness, CBT, yoga, breathwork.
• Optimism & Resilience: studies show optimistic individuals live ~10% longer on average.



📱 5. Technology & Gadgets
• Continuous Glucose Monitors (CGM): useful for optimizing diet and glycemic stability, even in non-diabetics.
• Wearables (Oura, Apple Watch, WHOOP, Garmin): track sleep, HRV, activity, early warning of arrhythmia or illness.
• Blood Pressure & VO₂ max monitoring: home BP monitors; VO₂ max (via wearables) is one of the strongest predictors of mortality.
• Saunas / Heat Therapy: regular sauna use linked with lower cardiovascular mortality and dementia risk (Finnish cohort studies).
• Cold Exposure (cold plunge/cryotherapy): increases norepinephrine, brown fat activity, and may improve metabolic flexibility—human outcome data still early.



🧾 Summary Table

Domain -- Best Validated for Longevity

Diet
Mediterranean / plant-forward, caloric balance, minimal ultra-processed foods

Exercise
Aerobic + strength training, HIIT

Sleep
7–9 hrs, consistent schedule

Social
Strong connections, community

Supplements
Vitamin D (if low), omega-3s, magnesium, creatine

Mindset
Purpose, optimism, stress management

Gadgets
CGM, wearables, sauna, HRV tracking



✅ Bottom line:
The strongest, most proven longevity boosters are consistent exercise, plant-forward nutrition, adequate sleep, strong social ties, stress management, and not smoking.

Supplements and tech can help optimize these, but they’re secondary to the basics.

Vitamin D optimization is such easy and low hanging fruit to reduce your risk of dementia and so many other diseases. Vi...
08/20/2025

Vitamin D optimization is such easy and low hanging fruit to reduce your risk of dementia and so many other diseases. Vitamin D is really a hormone, and it affects multiple target organs and physiologic processes.

I have tested every patient of mine for the last 14 years, and only two patients had sufficient levels without supplementation.

One had something genetic happening – no one could figure out why her levels were consistently high.

The other was a swimming instructor in San Diego, so she was out in the sun every day in this southern latitude. But she had to supplement in the winter because the levels dropped too low.

I think it's important to target the dosing of the vitamin D supplementation to the patients blood levels. Some patients are fine on 2000 IU or 5000 IU, and other patients need 10,000 IU. 

I generally shoot for a level of 50 to 80.

This is pretty cool! Some kinds of dancing to certain beats per minute can reverse age you six years.I'm not sure what h...
07/23/2025

This is pretty cool! Some kinds of dancing to certain beats per minute can reverse age you six years.

I'm not sure what house music is, and he mentions disco at the end, which I am not a fan of.

But I always tell people that listening to music and dancing promotes Neuroplasticity as well as releasing positive neurotransmitter hormones.

This is all great for your Brain! As is having fun

I'll try to find the actual study and post it in the comments when I do.

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2900 Camino Diablo, Ste 200
Walnut Creek, CA
94597

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Functional medicine teaches that all parts of the body and brain can be affected by chronic illness, with the common denominator being Inflammation. The inflammation that affects your gut (diarrhea, bloating, constipation, acid reflux, etc.) or your thyroid (hypothyroidism, Hashimoto's) or your pancreas (diabetes, metabolic syndrome) or your joints (arthritis) can also affect your brain. Inflammation in the brain can manifest as all of the psychiatric disorders (Depression, Anxiety, ADHD, OCD, Bipolar, PTSD, Psychosis) and also the Neurodegenerative Disorders (Alzheimer's, Mild Cognitive Impairment, Multiple Sclerosis, Parkinson's, ALS, etc.). The road to wellness then starts with the search for what is driving the inflammation, and putting out the source of that fire, rather than simply covering up one manifestation of the inflammation (like Depression or ADHD or Dementia) without addressing it's root cause.