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Heres a list of factors associated with an increased risk for memory issues(4): Poor blood sugar control Hypertension and other vascular problems Mood and stress issues Poor sleep especially sleep apnea Sedentary lifestyle Nutritional deficiencies Smoking or excessive alcohol use Serious brain injuries Low levels of education or cognitive engagement Genetics and family history of dementia First Steps If you or someone close to you suspects cognitive decline, the first step is a thorough evaluation by a qualified provider