Individuals with a family history of Alzheimer's disease or subtle early signs of cognitive impairment are eligible for a prevention clinic, provided they have normal cognitive function.

“so we focus on the normals now a33 could mean you did not get the four from mom or dad and life is beautiful maybe the risk is lower but if you have a three three and mom and dad were three three and they didn't have the four guess what they probably have another gene and I don't know what that gene is and I don't know what I'm up because you test the parents in that situation well it's tricky and now a lot of I would say when I first started the program most of our prevention patients so I'd say 60% of our prevention patients came from the patient with dementia I was treating her then saw their kids and their cousins and whatever else so and you know there's families I see with five six seven members and that's like the best to see because you can really understand the genotype and phenotype s-- and see the pattern”