Preventive Neurology • Midtown Manhattan
Brain Longevity & Healthy Aging
Plan proactively for long-term brain health.
Cardiel Precision Brain Health offers neurologist-led preventive care for adults seeking to understand the factors that influence cognitive function, neurological resilience, and healthy aging.
Care considers brain health alongside vascular and metabolic risk, sleep, physical fitness, medications, hormonal transitions, and lifestyle—according to each patient's needs.
The approach is individualized, without predetermined testing packages or standardized anti-aging protocols.
- Board-Certified Neurologist
- Lifestyle Medicine
- Obesity Medicine
- Menopause Society Certified Practitioner
A Brain-First Approach
Longevity care grounded in neurology
Brain longevity is more than a collection of laboratory tests, scans, supplements, or emerging treatments. Care begins with your neurological and medical history, then identifies the risks and priorities most relevant to your life.
The goal is not simply to live longer, but to support the cognitive function, physical capability, independence, and resilience that make those years meaningful.
This care may be appropriate for adults who:
- Want a proactive baseline for brain and cognitive health
- Have a family history of cognitive decline or dementia
- Want to address potentially modifiable vascular or metabolic risks
- Are navigating menopause, sleep changes, or other midlife transitions
- Want to preserve strength and metabolic health while using a GLP-1 medication
- Have existing laboratory, imaging, genetic, or wearable results that need integrated clinical interpretation
Choosing the Appropriate Starting Point
Proactive planning or diagnostic evaluation?
Brain Longevity & Healthy Aging
For adults functioning independently who want to understand personal risks, establish a useful baseline, and develop a long-term brain-health plan.
Memory & Cognitive Evaluation
New or progressive memory loss, language difficulty, confusion, personality changes, or loss of familiar abilities warrants diagnostic evaluation—even when daily independence is preserved.
When concerning symptoms are present, diagnostic clarification comes first. Ongoing preventive care may follow when appropriate.
An Integrated Clinical View
The systems that support brain health
Cognitive & Neurological Health
Neurological and family history, cognitive concerns, daily function, medications, and cognitive assessment when appropriate.
Vascular & Metabolic Health
Blood pressure, glucose regulation, insulin resistance, lipid-related risk, weight trajectory, and body composition.
Sleep & Recovery
Insomnia, sleep quality, circadian patterns, possible sleep apnea, fatigue, and recovery.
Strength, Fitness & Physical Function
Aerobic fitness, resistance training, strength, balance, preservation of lean tissue, bone health, and functional capability.
Menopause & Hormonal Context
Menopausal symptoms, changing migraine patterns, cognition, sleep, body composition, bone health, and neurological considerations of hormone therapy.
Medications, Stress & Lifestyle
Medication effects, alcohol and other substances, nutrition, stress, and daily habits that may influence cognitive health.
How Care Works
From information to an actionable plan
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Comprehensive Consultation
An extended evaluation of your medical and neurological history, family risks, medications, previous testing, and goals. Existing records are incorporated whenever possible.
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A Purposeful Baseline
Dr. Cardiel identifies what is already known, what remains uncertain, and whether selected cognitive, metabolic, imaging, sleep, or other assessments would meaningfully inform care.
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Your Brain Health Roadmap
You receive a prioritized plan addressing:
- Meaningful findings and reassuring results
- Modifiable risks and treatment priorities
- Recommended monitoring and follow-up
- Coordination with other clinicians when needed
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Implementation & Reassessment
Some patients need only an initial consultation and plan. Others benefit from scheduled follow-up to implement recommendations, adjust treatment, and reassess meaningful outcomes.
Personalized by Design
Begin with the level of care that fits the question
Selective Assessment
Testing guided by clinical purpose
When results could meaningfully influence care, selected assessments may include:
Cognitive Assessment
Validated cognitive testing, functional review, and longitudinal measurement when useful.
Laboratory & Risk-Factor Review
Selected metabolic, cardiovascular, nutritional, endocrine, or other laboratory evaluation.
Advanced Neuroimaging
Brain MRI, volumetric analysis, or other imaging when clinically indicated.
Body Composition & Bone Health
When appropriate, referrals for specialized body-composition or bone-health testing are coordinated with external facilities. These tests are not performed in the office.
Glucose, Sleep & Wearable Information
Selected glucose, sleep, activity, heart-rate, or HRV data when relevant to a clinical question.
Genetic or Alzheimer’s-Related Testing
Considered after discussion of the indications, limitations, potential consequences, and clinical usefulness of results.
Evidence Before Enthusiasm
What this approach is—and is not
This approach is:
- Physician-led care grounded in clinical neurology
- Informed by established preventive medicine and relevant emerging evidence
- Individualized to medical history, risks, and goals
- Coordinated with primary care and other specialists when appropriate
It is not:
- A promise to prevent dementia or extend lifespan
- A mandatory battery of laboratory tests or imaging
- A predetermined supplement, hormone, GLP-1, peptide, or medication regimen
- An anti-aging package or replacement for routine primary care and preventive screening
The Cardiel Precision Brain Health Difference
A neurologist with a broader clinical perspective
Dr. Myrna Cardiel is a board-certified neurologist with more than 20 years of clinical experience, including nearly two decades on the faculty at NYU Langone Health.
Her additional expertise in Lifestyle Medicine, Obesity Medicine, and menopause care brings metabolic health, physical function, sleep, and hormonal transitions into a neurologically rigorous approach to healthy aging.
Frequently Asked Questions
What patients often want to know
Do I need memory problems to request this consultation?
No. Brain Longevity & Healthy Aging is intended for proactive care. New or progressive cognitive symptoms are better addressed through a diagnostic Memory & Cognitive Evaluation.
Does this replace my primary-care physician?
No. This is specialist neurological and brain-health care. Routine primary care, immunizations, screening, and care outside the practice's scope remain with the appropriate clinicians.
Do I have to enter a six-month program?
No. A comprehensive consultation and individualized plan may be sufficient. Longitudinal support is an option when clinically useful and desired.
Are menopause care or GLP-1 treatment automatically included?
No. Hormonal or metabolic treatment is considered only when relevant and clinically appropriate, following the necessary evaluation.
Are laboratory tests, imaging, medications, and devices included in the professional fee?
Unless specifically stated, outside laboratory, imaging, pharmacy, device, and other professional charges are separate.
Does the practice accept insurance?
Cardiel Precision Brain Health is a private, direct-pay, out-of-network practice. Detailed superbills may be provided for eligible services. Reimbursement depends on your insurance plan.
Begin With a Conversation
Build a thoughtful plan for your long-term brain health.
Begin by sharing your goals. The practice can help determine whether a comprehensive consultation or more structured follow-up is the appropriate starting point.
In-person care in Midtown Manhattan. Eligible telehealth appointments in New York, New Jersey, Connecticut, and Florida (Florida telehealth only).
Consultation requests are reviewed individually for clinical fit and availability. Submitting a request does not establish a physician-patient relationship or confirm an appointment. This page provides general educational information, not individualized medical advice. Evaluations, testing, treatment, and follow-up are offered according to clinical need. Cardiel Precision Brain Health is a fee-for-service private practice and is not affiliated with NYU Langone Health.