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Neurosurgeon shares 1 'blood test that predicts brain disease long before symptoms appear'

Published on: Sep 17, 2025, 08:55:48 IST
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Dr Jagannathan said: ask your doctor about NfL testing if you're at risk or have a family history of neurological disease. (Freepik)
Dr Jagannathan said: ask your doctor about NfL testing if you're at risk or have a family history of neurological disease. (Freepik)

Early detection of brain diseases can help slow disease progression and enable timely interventions. Here's what Dr Jay Jagannathan wants you to know.

Dr Jay Jagannathan, a neurosurgeon, took to Instagram on September 16 and asked his followers: “Would you take this test if it could give you a warning sign years before symptoms?” His Instagram post highlighted the potential of the Neurofilament Light Chain (NfL) blood test in predicting brain diseases. He also listed ways to help you reduce the risk of neurological diseases. Also read | Habits that damage your brain health: Modern lifestyle routines you need to stop immediately

Why NfL matters

Dr Jagannathan titled his post: 'The blood test that predicts brain disease? It's not cholesterol'. He shared, “Neurofilament light chain (NfL) — a marker of nerve cell injury — is emerging as one of the most powerful predictors of brain health. Elevated levels are linked to Alzheimer's, Parkinson's, multiple sclerosis, stroke, and even traumatic brain injury.”

He said, “And here's the twist: you could feel 'fine'... but NfL can already be sounding the alarm. Why it matters: nerve cells don't repair easily. Elevated NfL means silent but ongoing brain damage — long before symptoms appear.”

What is NfL?

Dr Jagannathan said, “What the test is: the serum/plasma NfL test is a simple blood draw. It measures tiny protein fragments (NfL) released when brain or spinal cord cells are damaged. Normally, these proteins stay inside neurons. When neurons are injured, they leak into the blood and spinal fluid, where we can measure them.”

How doctors use the NfL test

According to Dr Jagannathan, 'how doctors use it':

• Healthy adults: NfL stays low (baseline depends on age).

• Higher than age-based normal = red flag for nerve damage.

• A rising trend over time = active disease, even before MRI or symptoms pick it up.

• Used alongside MRI and cognitive testing to track brain health.

Protecting your brain health

According to Dr Jagannathan, how to protect your brain:

Control blood pressure and blood sugar

• Sleep 7-8 hours (your brain 'detoxes' at night)

• Move daily (exercise builds brain resilience)

• Eat Mediterranean-style (anti- inflammatory foods)

• Avoid smoking and excess alcohol

Manage stress (chronic stress = brain shrinkage)

Dr Jagannathan concluded, “Brain damage is often silent — until it isn't. Don't wait for symptoms. Ask your doctor about NfL testing if you're at risk or have a family history of neurological disease.”

Note to readers: This report is based on user-generated content from social media. HT.com has not independently verified the claims and does not endorse them.

This article is for informational purposes only and not a substitute for professional medical advice.

  • Sanya Panwar
    ABOUT THE AUTHOR
    Sanya Panwar

    With a keen eye for detail and a heart for storytelling, Sanya is a seasoned lifestyle journalist who has spent over a decade documenting the intersection of aesthetics and substance. Since stepping into the media world in 2012, she has cultivated a career defined by versatility, curiosity, and an unwavering passion for what makes life both beautiful and meaningful. Over the last many years, she has navigated the fast-paced realms of health, wellness, fitness and fashion while pivoting seamlessly into the nuances of decor and travel. Her work often explores the deeper layers of modern living, delving into art and decor trends that transform spaces, insightful perspectives on gender, parenting, and mental health, immersive travel narratives that capture the essence of a destination. A self-proclaimed aesthetics enthusiast, Sanya doesn't just report on trends — she analyses them. Whether she’s identifying the next shift in fitness or discovering a breakthrough in design, she uses her platform to spark meaningful conversations that resonate with a contemporary audience. Sanya is an alumna of St. Xavier’s College, Kolkata, and the Asian College of Journalism (ACJ), Chennai, where she honed the investigative rigour she brings to her lifestyle reporting today. When she isn't chasing deadlines or conducting interviews, Sanya practices what she preaches. You’ll likely find her sipping matcha, practicing yoga, or scouting the newest cafes. Above all, she finds her balance in nature — whether it's a quiet hike or a moment of reflection in the outdoors, she remains constantly inspired by the tranquillity of the natural world.Read More

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