8ú modern sense. It's not about: ❌ Calorie counting ❌ Cutting out entire food groups ❌ Drinking expensive green powders ❌ Surviving on lettuce Instead, it's a pattern of eating traditionally seen in countries such as Greece, Spain, and parts of Italy. It typically includes: ✅ Lots of vegetables ✅ Fruit ✅ Beans and legumes ✅ Nuts and seeds ✅ Whole grains ✅ Extra virgin olive oil as the main fat source ✅ Fish and seafood regularly ✅ Moderate dairy (often yoghurt) ✅ Limited ultra-processed foods ✅ Limited sugary drinks and sweets ✅ Less red and processed meat ✅ Social eating One of the most important studies ever performed on diet was the PREDIMED trial. Researchers studied over 7,000 people at high cardiovascular risk and put them on either: 🥄 A Mediterranean diet supplemented with extra virgin olive oil 🥜 A Mediterranean diet supplemented with mixed nuts 📋 A control low-fat diet Crucially, the nuts and Olive oil groups received a supply of the nuts or oil every month so we can be confident they ate more of these than their usual. After around 5 years of follow-up, the Mediterranean diet groups experienced roughly a 30% reduction in the combined risk of heart attack, stroke, or cardiovascular death compared with the control group. Stroke reduction was one of the strongest signals seen in the trial at nearly 40% reduction. And this isn't just one study. A major BMJ systematic review and network meta-analysis (essentially a study pulling together data from all the high quality research on the topic that could find to give very reliable results) examining randomised dietary programmes found that Mediterranean dietary programmes reduce death, heart attacks, and cardiovascular events in people at increased cardiovascular risk. Importantly, they also reduce stroke risk. Why might it work? The Mediterranean diet appears to improve many of the key drivers of stroke and cardiovascular disease: 🩸 Blood pressure 🧈 LDL cholesterol 🔥 Inflammation 🍬 Blood sugar control

Interested to know and it might be a silly question but is there a point when progress following stroke that progress stops. People at the group ask that question and my answer is take small steps to move forward .

This is week’s challenge is to choose one of 3 things that “future you” will thank you for. Pick one of: 1️⃣ Do one short burst of intensity Not a full workout. Not a huge time commitment. Just one moment in your week where you push a bit harder than usual: Brisk walk up a hill Climb a few flights of stairs Short fast-paced walk Only if your at a place in your recovery where this is safe. 💡 Why this matters: Cardiorespiratory fitness (VO₂ max) is one of the strongest predictors of survival we have. Even small doses of intensity can move the needle and significantly reduce stroke risk. 2️⃣ Check something you’ve been avoiding Be honest—there’s probably something you know you should check but haven’t. The longer you put it off the more it's slowly eating away at your health. This week, pick one: Blood pressure Weight or waist circumference Step count / activity levels Cholesterol Track your meals 💡 Why this matters: You can’t improve what you don’t measure. Most stroke risk builds silently—knowing your baseline is step one. 3️⃣ Go to bed 30 minutes earlier (twice this week) Just twice! 💡 Why this matters: Sleep affects: Blood pressure Blood sugar Appetite Energy to exercise It’s one of the most powerful—and most ignored—health levers. Just a couple of early nights can set you up to be much healthier. It's but about perfection. Not a complete lifestyle overhaul. Just 3 small actions that shift your trajectory very slightly in the right direction. 👇 Your Turn Comment below with: Which 1 thing you’re committing to this week. Future you is watching 👀

This week's tip was inspired by my 5 year old son. I was watching him happily devour a load of grapes and strawberries—then casually tell me he prefers them to sweets. Okay, so eating grapes by the box load may not be perfectly healthy, but It got me thinking about other things we could swap to better alternatives. 💡Embedding a small change that you stick with for years will be far more powerful than any short-term fad diet or exercise regime. And that’s where healthy swaps come in. 🔄 This week’s challenge: Make ONE simple swap Pick something easy. Something realistic. Something you’ll actually stick to. Here are a few ideas: 🍓 Swap sweets or chocolate → fruit 🥕 Swap crisps → carrots, peppers & hummus 🥜 Swap biscuits → a handful of nuts 🥙 Swap processed snacks → roasted chickpeas 🍞 Swap white bread → wholegrain or sourdough 🚲 Swap driving --> Cycling or walking 🛋️ Swap sitting on a sofa watching TV --> A short walk listening to a podcast or sitting in a squat position watching TV Why this matters: These small changes help to: • Stabilise blood sugar • Reduce excess calories • Improve cholesterol and blood pressure • Lower long-term risk of stroke and heart disease And crucially—they all add up. 💬 Your turn What’s ONE swap you’re going to try this week? Message in the comments below —I’d love to see what you come up with 👇

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.