Progressive short-term memory loss and other changes are likely Alzheimer's disease until reversible causes like thyroid issues or B12 deficiency are ruled out.

“but to me when I look at an MRI I look for atrophy shrinkage of the brain and if the frontal lobes which is the planning processing higher-order thinking part of the brain and the temporal lobes which is the memory center of the brain especially the part of the brain called the hippocampus hippocampus I think in latin means seahorse basically looks like a little seahorse thing when it's cut and if there's a hole in the hippocampus you know where the big space of shrinkage even without the fancy biomarkers which we'll talk about progressive short-term memory loss and atrophy in the brain and certain Alzheimer's specific areas especially the hippocampus is Alzheimer's till proven otherwise”

“generally there will also be some lab tests done to rule out other causes and you know it's I I personally because I'm not a neurologist just haven't got a lot of experience with this but certainly you know have read case studies of patients where you know gosh it looks like they have all of the signs and symptoms of Alzheimer's disease but you come to find out that they're you know profoundly hypothyroid or they have you know B12 and B6 deficiencies or things like that so you want to kind of rule out things like that”