Cognitive Longevity Programmes in Marylebone, London
This is not a dementia prevention service. Nothing offered here has been shown to prevent dementia and we will not suggest otherwise. What we can do is measure twelve cognitive domains against people of your age and sex, and repeat it, so change is visible as a number rather than a worry.
Overview
What this is, and what it is not
Start with what this is not. It is not a dementia prevention service. No treatment offered at this clinic has been shown to prevent, delay or reduce the risk of dementia, and no assessment here can detect it. If you are worried about your memory, the right first step is your GP, who can arrange the memory-clinic pathway. That is a different service from this one and we are not a substitute for it.
What this is: a measurement, repeated. A NayaScore assessment tests twelve cognitive domains, reported as percentiles against people of your age and sex, alongside grip strength and continuous heart rate variability from a wearable ring. Most people over 45 have never had a single one of those numbers recorded. Having them recorded now means that in three years there is something to compare against, instead of a memory of how sharp you used to feel.
NayaScore is a measurement tool rather than a diagnostic test, and results are interpreted alongside clinical judgement. That caveat is not a formality on this page. A cognitive percentile is not a disease marker and should not be read as one.
The risk factors, and whose job they are. Population research, including the Lancet Commission on dementia prevention, intervention and care, has identified modifiable factors associated with cognitive decline: mid-life hypertension, diabetes, uncorrected hearing loss, physical inactivity, smoking, heavy alcohol and poor sleep. Those associations are well established. Acting on them is a matter for your GP, not for us, and we do not claim that anything we offer substitutes for it.
Where stimulation fits, honestly. The substantial evidence base for magnetic stimulation is in treatment-resistant depression. It is not a treatment for ageing and there is no trial showing it changes long-term cognitive trajectory. Where it is used on this pathway it is because a named domain has come back below your own baseline and you want to work on that domain now. That is a short-horizon goal, and describing it as anything more would be dishonest.
Why it happens
What changes cognition as you age
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Ordinary ageing, with processing speed and recall declining gradually from the mid-thirties onwards
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Vascular health, since the small vessels supplying the brain are affected by blood pressure, cholesterol and blood glucose
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Sleep quality declining with age, including a rising rate of sleep apnoea
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Uncorrected hearing loss, which reduces the cognitive input reaching the brain
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Falling physical activity, which tracks with cognitive change in population studies
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Smoking and heavy alcohol use sustained across mid-life
Treatment approach
How a cognitive longevity programme runs in Marylebone
NayaScore assessment
On enquiryThe point of this pathway. Twelve cognitive domains as percentiles for your age and sex, plus grip strength and continuous heart rate variability. It is a measurement tool rather than a diagnostic test, results are interpreted alongside clinical judgement, and it cannot detect or rule out dementia. What it gives you is a baseline that exists.
See treatment detail →Progress tracking
On enquiryA single sitting is a data point. The value is in repetition, because a trend across years is the only thing that can tell you whether a domain is genuinely changing or whether you slept badly the week you were tested. Repeating the identical battery is what makes the comparison valid.
See treatment detail →Optimise programme
On enquiryOptimise is the pathway for people at or above baseline who want measurable gains in named domains. On this page that means a short-horizon goal: working on a domain that has come back below your own baseline. It is not a long-term risk intervention and is not described as one.
See treatment detail →Heart-brain coupling
On enquiryWhere stimulation is used, the target is chosen by measurement rather than by an average scalp coordinate. Candidate sites are tested and the one producing the clearest slowing of your heart rate is treated, which indicates the frontal-vagal network has engaged. Grounded in published research, including work from our own scientific advisor.
See treatment detail →Precision rTMS
From £350 a sessionThe evidence base sits in treatment-resistant depression, not in ageing, and no trial shows stimulation alters long-term cognitive trajectory. It is offered here only where a specific measured domain is below your own baseline and you want to work on it now. Your clinician will be explicit about that boundary.
See treatment detail →FAQ
Cognitive longevity questions
Will this reduce my risk of dementia?
No, and anyone telling you otherwise is overselling. Nothing offered here has been shown to prevent, delay or reduce the risk of dementia. The factors with established associations, including blood pressure, diabetes, hearing and activity, are managed by your GP. We measure cognition. We do not change risk.
Can the assessment detect early dementia?
No. NayaScore is a measurement tool rather than a diagnostic test, and results are interpreted alongside clinical judgement. It cannot detect or rule out dementia or any other condition. If you are worried about your memory, see your GP, who can arrange the memory-clinic pathway that exists for exactly this.
I have a family history. Is a baseline worth having?
It can be, for one narrow reason: comparison. Most people over 45 have never had a cognitive number recorded, so there is nothing to compare against later. A baseline gives you that. It does not tell you anything about your inherited risk, and it is not a screening test.
When should I have a baseline taken?
Whenever you would rather have a number than an impression. There is no clinically established age at which a healthy adult should have cognitive testing, and we will not invent one. Practically, most people on this pathway are between 45 and 65 and want a reference point while they are well.
How often should the assessment be repeated?
Often enough that a trend becomes visible, rather than so often that practice effects dominate. Repeating a cognitive test tends to improve the score on its own, which is a real limitation. Your clinician will set the interval at the free consultation based on your baseline and your reason for coming.
Related What we treat
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Naya • 1 Orchard Street, London W1H 6HJ
BookAppointments typically available within 1–2 weeks