Good evening. I wonder if I could ask for your thoughts please? I'm aiming to set up an online clinic focused on Stroke and Dementia Prevention. Unfortunately, this would be a private clinic separate from my NHS work. I've pulled together a report/proforma that I plan to use with clients to take the through their stroke and dementia risks as on the link below: https://docs.google.com/document/d/e/2PACX-1vTp72Maeq1FEED1ok41CyxmxJ-AkWY4Mu4uZl44tuAy6Qk4AMwZiflMVI3iNNUut-1QO9tJBqe3eL9h/pub Please could I ask for your feedback and thoughts? What do you think I could add to this? Is it easy to read and understand? If you were going to such a clinic, with all you know now, what would you want from the clinic? Also, please feel free to use the form for yourself and your family to look at your own risk factors. Thanking you in advance.

Good morning. I can't believe it's already the first of the month! We have our monthly check in at 6pm today where we can discuss our goals for the month. Instead of the weekly challenge this is an opportunity to think about what changes you're going to make over this month. I'd suggest picking one area to measure or improve from the list below: Blood Pressure Cholesterol Blood Sugar Exercise Diet Smoking Alcohol Stress Sleep Obesity Set yourself a goal in this area and make it SMART (Specific, Measurable, Achievable, Relevant and Time-bound). . Then right down your strategy and tactics to achieve it. For example, for me I want to get my cholesterol down. I checked it last week and it was still too high (LDL of 3.6) despite having reduced saturated fats and increasing exercise. Therefore for me: My SMART goal is to: Reduce my LDL cholesterol to <1.8 over the next 3 months as I believe it will significantly reduce my stroke, heart attack and dementia risk. My strategy is to use Statins. My tactics (next actions) are: 1. Contact a doctor in longevity medicine to prescribe statins for me (not a good idea to self prescribe) 2. Ensure I take them daily by using a pill box with the days of the week on it. 3. After 6 weeks arrange for repeat blood tests. 4. Repeat the above steps at an adjusted dose until I hit my target LDL of <1.8. I think it will take 1 dose adjustment to get there so I'm allowing myself 3 months to achieve the target. Write your plans for the month in the comments or join us at 6pm to talk them through. And if you have one bring your blood pressure cuff too! See you later!

A question please. Does anyone else have regular botox injections in their affected side, to help combat nerve pain and spasticity? I've been having them for 2 years now every 4 months or so, and do find they help. Just wondered whetherothers have them and find them helpful. Your colleague Dr Colin Pinder has a clinic at clatterbridge, so I see him there. Hope everyone has had a good start to the year and is doing as well as possible. Happy weekend all and keep smiling Andy

I hope 2026 is treating you all well so far. This year, we’re changing how we share our stroke-prevention tips. Instead of one tip every other day, we’ll now be sharing three simple, practical ways to reduce your stroke risk every Sunday. Each week, we encourage you to pick just one of the three to focus on, and commit to starting it first thing on Monday morning. The real power here is in supporting each other. Let the group know: ✔️Which change you’re choosing ✔️How you’re planning to make it stick Then, as the week goes on, keep us posted on how you’re getting on. At the weekend, take a moment to reflect on what you’ve learned — what worked, what didn’t, and what you’d tweak next time. With consistent effort and each other’s support, we can embed healthier habits week by week. And over 52 weeks, those small changes can add up to a huge impact on our long-term health.

Morning all, i'm approaching 6 months since my stroke, and just after some advice please, I have requested a cholesterol blood test and wanted to know what other tests I should be requesting. I thought my GP would be contacting and monitoring, but heard nothing. Thanks