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Brain Defenders confronts a stark reality: we still lack meaningful treatments for devastating neurodegenerative diseases like Alzheimer’s and Parkinson’s. Current medicine largely manages symptoms – treating the smoke while ignoring the fire.

At the center of this book is a revolutionary discovery: microglia, the brain’s immune cells, are key to brain health. When balanced, they protect and repair; when dysregulated, they drive inflammation and accelerate degeneration, often long before classic markers like beta-amyloid appear.

Brain Defenders shows you how to calm this hidden inflammation, protect your brain’s future, and take action now.

Through the emerging science of immunometabolism, we now know that microglia are governed by their metabolic state. When metabolism is balanced, microglia remain supportive (M2). When disrupted, they turn destructive (M1). Because microglial metabolism mirrors our own systemic metabolism, our daily lifestyle choices directly determine their fate.

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Thank you for preordering Brain Defenders.
As a special bonus, you’ll receive:

Bonus #1. Brain Defense Video Mini-Course

Four modules. Five minutes each. Free.

Dr. Perlmutter walks you through the most essential ideas in Brain Defenders, distilled into 4 short video lessons. Each module gives you a clear, actionable lens for understanding what’s happening in your brain right now, and what you can do about it today. Ready to go deeper? The mini-course is your first step into the Brain Defenders Immersion.

Bonus #2. Expert Audio Series

Curated clips from Dr. Perlmutter, ready when you are.

Because this information shouldn’t have to wait until you’re sitting at a desk. These audio lessons meet you where you are, on a walk, in the car, in the middle of a busy day, so the science gets in and stays in.

Audio goes where books can’t: into your commute, your kitchen, your morning walk, the ordinary moments where the most important shifts actually happen.

Bonus #3. Everyday Environmental Toxins Checklist

A practical daily reference for your brain's most important year.

This isn’t a vague wellness list. It’s the specific, evidence-based checklist of the things that actually move the needle for your brain health, 365 days a year. Print it. Post it. Use it.

Bonus #4. Private Q&A with Dr. Perlmutter

Your questions. Answered directly.

This live event is reserved exclusively for Brain Defenders readers. Dr. Perlmutter answers your questions in real time, and every moment is captured: full replay, transcript, and worksheets included, so nothing gets lost and you can return to it as many times as you need.

Bonus #5. Brain Defenders First Chapter, Glossary + Partner Offers

BEGIN DEFENDING YOUR BRAIN TODAY.

This PDF opens Brain Defenders right where it matters, with the full first chapter, so you can start understanding your brain’s remarkable defense system today. You’ll also find a clear glossary that makes the science approachable, along with carefully chosen offers from partners I trust. Everything you need to take the first meaningful step, all in one place.

Brain Defenders provides readers with both the science and a detailed action plan. It identifies the threats, including poor diet, environmental toxins, polluted air, lack of restorative sleep, and shows how to counter them with practical, evidence-based strategies. It also explores cutting-edge research and technologies that target microglial function to protect and restore brain health.

This book is about empowerment: enabling each reader to become the architect of their brain’s future. Written by neurologist David Perlmutter, MD, six-time New York Times bestselling author and Fellow of The American College of Nutrition, Brain Defenders charts a path toward vibrant cognitive longevity.

Brain Defenders will be published in 14 languages worldwide, including English, Chinese (Simplified & Traditional), Croatian, French, German, Hungarian, Italian, Korean, Polish, Portuguese (Portugal & Brazil), Romanian, and Spanish.

Brain Defenders is available in:

Hungary
Portugal
China
Brazil
Korea
UK
Romania
Italy
Spain
Germany
France
Canada
US
Australia
Croatia
Poland
Uma Naidoo, MD, Nutritional Psychiatrist, Harvard Medical School
Uma Naidoo, MD, Nutritional Psychiatrist, Harvard Medical SchoolAuthor of National Bestseller, This is Your Brain on Food
"Brain Defenders is a landmark work that puts the power of prevention in your hands. Dr. Perlmutter offers a toolkit of practical steps to reprogram microglia and tackle the root causes of cognitive decline, making this a truly groundbreaking read."
Dr. Rudolph Tanzi, Professror of Neurology, Harvard Medical School
Dr. Rudolph Tanzi, Professror of Neurology, Harvard Medical SchoolNew York Times Best Selling Author of Super Brain
"David Perlmutter consistently has his finger on the pulse of the newest and most important brain health research with every new book. Whether by lifestyle or future medicines, there is no doubt that therapeutically regulating our “brain defenders,” known as microglia, is our best bet for preserving and promoting brain health as we age!"
Dr. David Sinclair, Professor of Genetics, Harvard Medical School
Dr. David Sinclair, Professor of Genetics, Harvard Medical SchoolNew York Times Best Selling Author of Lifespan: Why We Age—and Why We Don’t Have To
"Brain Defenders is a breakthrough, showing how the metabolism of our microglia, the brain’s immune cells, not fate, drives neurodegeneration and offering a science-based, actionable blueprint to shift the brain from decline to repair.
Dominic D’Agostino, PhD,
Dominic D’Agostino, PhD,Associate Professor Department of Molecular Pharmacology and Physiology, USF Morsani College of Medicine
"Brain Defenders is an essential and timely work. Dr. Perlmutter masterfully integrates decades of neuroscience, metabolism, and clinical insight to reveal the mechanisms driving cognitive decline, and more importantly, how to defend the brain against them. As someone who studies the neuroprotective and anti-inflammatory effects of ketogenic metabolic therapy, I am deeply impressed by how clearly this book communicates the metabolic roots of brain resilience. Brain Defenders offers a powerful roadmap grounded in rigorous science and practical application."
Mark Sisson
Mark SissonFounder of Primal Kitchen Foods and Author of The Primal Blueprint
"Brain Defenders is a groundbreaking guide to understanding and protecting brain health for life. Dr. David Perlmutter combines cutting-edge research with actionable strategies to empower readers to optimize cognitive function and safeguard mental well-being. From the critical role of microglia and gut microbiome to innovative therapies like hyperbaric oxygen and CRISPR advancements, this book offers a comprehensive approach to defending against neurodegeneration. Packed with science-backed insights, it is an essential read for anyone seeking to enhance mental clarity, longevity, and overall brain wellness."
William W. Li, MD,
William W. Li, MD,New York Times bestselling author of EAT TO BEAT DISEASE and EAT TO BEAT YOUR DIET
“Think your brain is a black box? Think again. In Brain Defenders, Dr. David Perlmutter reveals how your brain’s own immune cells and metabolism form a shield against neurodegenerative. This book is a must read for anyone seeking a roadmap on how to shore up your brain’s resilience against diseases of aging."
Christopher Palmer, MD,
Christopher Palmer, MD,Assistant Professor of Psychiatry, Harvard Medical School
"Brain Defenders offers a clear, accessible look at how metabolism, inflammation, and immune function influence brain health. Dr. Perlmutter explains why lifestyle and metabolic factors matter for long-term cognitive resilience—insights that are increasingly important in today’s health landscape. Brain Defenders is a timely and must-read contribution to the conversation on brain health."
Dr. Austin Perlmutter
Dr. Austin Perlmutter
"Brain Defenders reveals the breakthrough biology driving today’s brain health crisis—and why this research is our best shot for the future of brain health. From cutting-edge science to practical daily tools, it’s the perfect read for anyone invested in better brain health."
Ben Greenfield
Ben Greenfield
"Prepare for David to compellingly reframe neurodegenerative diseases not as inevitable genetic fates but as preventable outcomes of metabolic and immune deregulation. His exploration of immunometabolism and practical strategies—from diet to emerging therapies—offers a grounded, evidence-based blueprint for sustaining cognitive vitality across your lifespan. This book is an essential resource for clinicians and informed patients who want to shift from crisis response mode to proactive brain stewardship."

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