my brain regimen and request for additional help

Hello guys, I want to start this post by giving a brief background on my history and my current regiment and I want to close off by asking for any possible help or ideas on what I can improve.

Currently my problem is that I am having anomic aphasia (word finding difficulties). For example, I can see somebody everyday but for some reason I will blank on their name. Another example would be when I am discussing a subject that I am very fluent in and I am unable to recall a descriptive word. I also have some mild brain fog on certain days and make silly mistakes. I first noticed this issue around 20 years old and it has been getting worse ever since (I am now in my mid 20's). With all of the alterations I will describe below, I have been able to abate this issue, however, I feel like I am just staving it off but I am still losing ground. I currently work as an RN and am going to school part-time attempting to finish pre-requisite classes for medical school.

Possible causes: I have experienced a lot of head trauma over my life time. I had several head injuries when I was <8 y.o. from falls. In my teens I had several head injuries from fights. In college I believe I sustained several concussion from boxing and mma. Also, I had very poor sleep and eating patterns throughout much of my life (although I still maintained a low body fat from genetics). My genotype is apoe3/apoe2, so I know my neurons are not highly susceptible to damage. Also, I am heterozygous for 1 MTHFR mutation therefore all of my references to b12 and folate are to the methylated versions.

My current regiment includes several approaches from attempting to improve sleep, supplements, diet, and exercise.

Dietwise: I intermittent fast 3-4/week for ~16 hours. I have bulletproof coffee every morning with matcha and raw organic cocoa powder mixed in (not the best tasting option). I eat a very low carbohydrate diet, lots of veggies, healthy fats (fish oil, krill, grassfed butter, brain octane), and I maintain my ketones around 1.5-3.0 mmol for 3-6 days of the week. I tend to come out of ketosis on sundays and go heavier on carbs. I also attempt to eat fermented foods like kim chi and natto several times/week. I attempt to consume 5-10 grams of collagen and a mixture of different prebiotics before bed.

Supplementwise- I break up my supplementation into 3 packets composed of supplements for different times of the day.
Morning:
Fish Oil
Folate
B12
Vitamin K
Vitamin D
Magnesium
Chromium
Green Tea
Turmeric
Lithium Orotate
Berberine
CoQ10
Phosphatidyl Serine
Centrophenoxine
Vinpocetine
Rhodiola
Ashwagandha
Bacopa
Gotu Kola

Noon:
Berberine
Fish Oil
Spirulina
Centrophenoxine
Bacopa
Gotu Kola
Rhodiola

Night:
Krill Oil
Berberine
Magnesium
Zinc
B-Complex
Vitamin C
Krill Oil
Acetyl L-carnitine
Alpha Lipoic Acid
Resveratrol
Phosphatidyl Serine
Centrophenoxine
Vinpocetine
Ashwagandha
Gotu Kola
Taurine

Exercises and Behavior:
I sleep between 6.5-8 hours/night going to bed roughly the same time and waking roughly the same time. I use a sleep induction mat most nights and I use a sleep mask.

In terms of exercise I do BJJ roughly 4 times/ week. I run for 20 minutes for roughly 2-3 times/week. I do 1 day of sprinting/ week.

In terms of brain exercises I meditate 3-6 days/ week for 10 minutes/session. I do heart math 3-6 days/ week. I play 10 rounds of dual-n-back 3-6/days week. I play luminosity almost every day. I do inversion table for roughly 5-10 minutes for 5-6 days/week. I use intranasal LLLT every single days, 1-2 times/day. The unit I use is called a vielight 810. I have only started the intranasal light therapy only recently so I don't know if I would be noticing a difference this quickly.

The issue: Although a lot of my interventions have helped somewhat, I feel like I am still fighting a losing battle. There are days when it is worse than others. I am concerned I will develop Alzheimers disease at an early age and die like my grandma. Can anyone offer any suggestions please? I am willing to try just about anything.

Thanks for taking the time to read and offer any suggestions/ ideas!

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