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Does glucose handling in the brain decline with age? And if so, does this serve as a rationale to supplement with MCT oil to prevent cognitive decline? | Masterjohn Q&A Files #304

Mastering Nutrition

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Cognitive Decline in Aging

120 grams of glucose per day is largely generating a little bit of ATP for astrocytes and a lot of the ATP for neurons after it's converted to two molecules of lactate by the astrocyte. So then the normal food of neurons is lactate and lactate can be replaced by ketones on a ketogenic diet. But you can't get rid of the last 25% in part because glucose does other things besides just act as a fuel for ATP in anaerobic glycolysis in the astroCyte. It's also necessary for the production of any DPH for antioxidant defense in the pentose phosphate pathway. The citric acid cycle intermediates are

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