Managing Cognitive Decline

The Growing Challenge of Dementia

  • 850,000 people currently live with dementia in the UK, with 539,000 formally diagnosed.

  • By 2025, this number is projected to reach 1 million, and by 2050, 2 million.

  • Each year, there are 209,000 new cases—a new diagnosis every 3 minutes.

  • Women over 60 are twice as likely to develop dementia as breast cancer.

  • 7.1% of people over 65 have dementia, and 42,000 people under 65 are affected in the UK.

What Dementia Involves

Dementia is characterised by loss of neurons and brain tissue atrophy, which leads to:

  • Decline in memory, attention, and executive functioning

  • Reduced endurance, muscle strength, balance, and mobility

  • Difficulties with daily living activities and behaviour, often leading to institutionalisation and reduced quality of life

This highlights the importance of prevention and slowing decline—supporting both cognitive and physical performance wherever possible.


An Integrated Osteopathic Approach

Current research suggests that outcomes may improve by addressing:

  • Inflammation & glucose regulation

  • Cardiovascular health (blood pressure, oxygen delivery, venous drainage)

  • pH balance & autonomic nervous system function

  • Sleep quality

  • Cognitive & physical exercise

  • Olfactory enrichment

  • Lifestyle adjustments

“Adopting an Integrated Osteopathic Approach to patient diagnosis and treatment/management may reduce symptoms of dementia, or reduce the functional, lifestyle, and behavioural risks associated with developing it.” – Gerry Gajadharsingh DO

Gerry has a personal commitment to this work. With a strong family history of Alzheimer’s, he developed a protocol based on current research in 2019. His mother, now 85, has followed it diligently with no signs of Alzheimer’s to date.

He presented this approach to a postgraduate Osteopathic group in 2019, receiving outstanding feedback:

“It was truly a masterclass performance… opened our eyes into comprehending blood tests, using nutritional knowledge, understanding the biochemistry of breathing and its relationship to lifestyle and good health.” – Bob Gupta, Organiser, eVeNT Postgraduate Osteopaths


Diagnostic & Treatment Programme

Diagnostic Phase

  • Diagnostic Consultation (60 + 30 mins) – history, clinical exam, capnography & HRV

  • MMSE and/or GPCOG questionnaires

  • GAJ2 Blood Test (haematology/biochemistry, thyroid, pancreas, HbA1c, Vitamin D)

  • Sniffin’ Test (olfactory function, 12-smell test)

  • Functional Blood Analysis (FBA) with report

  • Individualised Metabolic Balance® nutritional plan

  • Optional APOE genetic test (E2, E3, E4 alleles)

Treatment Phase (6-Month Programme)

  • 5 Standard Consultations (OMT, breathing re-education, nutritional support)

  • Metabolic Balance® modified nutrition plan + supplements

  • Individualised exercise strategies

  • Behavioural change support (stress management, breathing, lifestyle strategies)

  • Olfactory enhancement therapy

Follow-up testing includes:

  • Repeat GAJ2 blood test

  • Updated FBA report

  • Sniffin’ Test

  • Cognitive questionnaires (MMSE or GPCOG) at 6 and 12 months


Costs & Packages

  • Diagnostics: Package price includes Diagnostic Consultation, GAJ2 blood test, FBA report, and Metabolic Balance® plan – all at a 25% discount.

  • Treatment: Package price for 5 Standard Consultations with Mr. Gajadharsingh DO – also at a 25% discount. Supplements and aromatherapy oils are additional.

  • Follow-Up: End-of-study follow-ups (6 months & 1 year) offered at a 50% discount.

For full details, including fees, see our Consultation & Treatment Fees.


✅ At The Health Equation clinics in London and Marlborough, we combine osteopathy, functional medicine, breathing re-education, and lifestyle strategies to help patients manage cognitive decline with a comprehensive, research-based protocol.