Cognitive health is where health anxiety and health marketing meet most profitably. Every adult past forty notices a slower word-find or a misplaced name, wonders what it means, and finds an industry waiting with an answer in a bottle.

The guides in this hub start with the base rates. Some cognitive change is normal aging: processing speed and multitasking decline gradually from mid-life, word retrieval slows, and new learning takes more repetition — while vocabulary, knowledge and judgment hold or improve into the seventies. Some change is not normal: forgetting recent conversations wholesale, getting lost on familiar routes, losing track of bills and medications, or personality change deserve assessment rather than a supplement, because a meaningful fraction of cognitive complaints turn out to be depression, sleep apnea, thyroid disease, vitamin B12 deficiency or medication side effects — all treatable, none treated by capsules.

The same skeptical courtesy is applied to the products. The largest trial ever run on a memory supplement — 3,000 older adults taking ginkgo for six years — found no prevention of dementia and no slowing of decline. What evidence exists for other ingredients is smaller and mixed, and we grade it use by use in the ingredient profiles, next to the things with better evidence than any of them: exercise, sleep, hearing correction, blood pressure control and staying socially and mentally engaged.