Neurologist-led Dementia Prevention, Cognitive Longevity & Menopause Brain Health

Worried About Your Future Risk Of Dementia?

  • Your 80-year-old brain is made in midlife. Traditional neurology waits for dementia. You don’t have to.

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“Dr. Gajaweera at Healthspan Neurology has changed my life. I now have a partner in my brain health journey. I came to her carrying a lot of fear and stress about my future brain health, and she has taught me that knowledge is power. She guided me through targeted testing and recommended meaningful adjustments to my daily routine. Together, we have lowered my stress level and built a concrete plan for how to proactively approach this chapter of my life. Dr. G. is a wonderful communicator with a gentle, kind soul. She left a large practice because her dream was to start a practice focused on preventing dementia — she has achieved that dream, and we are all luckier for it. Are you afraid of what’s around the corner? Talk to Dr. G. Take that first step — and you’ll never walk alone again.”
— Cognitive Longevity Program Patient

Preventive Neurology & Brain Health Services

  • Older couple hiking outdoors, representing active, healthy aging

    Cognitive Longevity Program

    Alzheimer's disease begins decades before diagnosis. Using advanced testing and personalized risk stratification, we identify your specific dementia risk factors and build a targeted prevention plan, so you can take control of your brain health starting now.

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  • Women sharing a conversation, representing connection and support during the menopausal transition

    Mind Over Menopause

    Menopause is a critical neurologic window — the brain fog, mood changes, and sleep disruption we experience are tied to measurable shifts in dementia risk. Learn how the Mind Over Menopause Program protects your brain through this transition.

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  • Neurologist's leather bag with stethoscope

    Comprehensive Cognitive Evaluation

    Noticing memory changes or cognitive symptoms now? This is a focused, two-visit evaluation specifically for cognitive concerns — diagnosis, clear next steps, and recommendations for ongoing care.

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Live Long, Be Strong,

Stay Sharp!

The projected lifetime risk of developing dementia after age 55 is 42%. Left unaddressed, dementia takes more than memory — it takes independence, identity, and time with the people who matter most.

We now know that the majority of dementia cases are preventable. But changes start in the brain decades before symptoms begin. The Cognitive Longevity Program takes a proactive approach with the understanding that dementia is not one disease, and brain health is downstream of whole-body health. We use advanced diagnostics to uncover your hidden risks and then develop a personalized plan to take clear and confident action.

Dr. Ashanthi Gajaweera is a board-certified neurologist with 25+ years of experience and one of a small number of board-certified neurologists with the Menopause Society Certified Practitioner credential. If you're in your 40s to 60s with a family history or other risk factors, this is your optimal window — long before symptoms appear. Let's get to work.

Meet Dr.Gajaweera

What Are Patients Are Saying

  • "I am partway through Dr. Gajaweera's dementia prevention program and enthusiastically recommend her to anyone concerned about warding off dementia. What makes the program so valuable is that dementia isn't just a neurological issue — it's tied to everything going on in your body. The result is a detailed, highly personalized action plan. I can't imagine finding another doctor who is simultaneously so knowledgeable, so attentive, and so communicative."

    — Patient, Cognitive Longevity Program

  • "Dr. Gajaweera has changed my life. I have two siblings with Alzheimer's and my stress level was through the roof. Dr. G has taught me that knowledge is power. She has guided me through testing and recommended targeted adjustments to my daily routine. I now have a plan for how to proactively approach this chapter of my life. Dr. G is a great communicator with a gentle, kind soul."

    — Patient, Cognitive Longevity Program

  • "From what I read about Alzheimer's, I realized that with a family history it's important to be evaluated early and followed by a neurologist — when prevention is still possible. Dr. Gajaweera is very careful to explain the need for the service she provides. She is highly professional, caring, and knowledgeable. I would encourage anyone with a family history to schedule the free consultation with her."

    — Patient, Cognitive Longevity Program

  • "Dr. Gajaweera was the first doctor to get the answers I had been looking for after others had missed it — I can't overstate how life-changing that was. She responds quickly, listens thoughtfully, and always makes me feel supported. Her team-based approach and trusted referrals have given me peace of mind and better results than I ever expected. If you want a neurologist who goes far beyond the traditional system, Dr. G is the one."

    — Neurologic Consultation Patient

  • "Dr. Gajaweera's kind and empathetic approach to my care has greatly reduced my stress and anxiety and given me the confidence to tackle the challenges I currently face. She takes whatever time is necessary to fully understand your health issues and goals — which rarely occurs anymore in our current healthcare system. Do yourself a favor and book your appointment with Dr. Gajaweera right away."

    — Neurologic Consultation Patient

  • "I have been trying to see a neurologist for at least a year. I finally found Dr. Gajaweera — and I feel like the right person was waiting to help me. She is thorough, patient, and compassionate, but what impressed me most was her love for what she does. I'm early in my care with Dr. G, but I can already tell she is going to help me a lot."

    — Neurologic Consultation Patient

  • "Through genetic testing, I was made aware of my increased risk for Alzheimer’s dementia. Although not experiencing any signs or symptoms of the disease, I thought it a good idea to become established with a neurologist. My GP recommended Dr. Ashanthi Gajaweera at Healthspan Neurology and I am so grateful she did. After my 20-minute consultation, I knew Dr G. was the provider I was looking for. My relaxed and unrushed office visits began with a thorough medical and lifestyle history; followed by simple bloodwork, scans and other, optional, testing. As a result, Dr G. has been able to reassure me that lifestyle plays as much, if not more, of a role as genetics in the outcome of dementia. I feel confident in Dr G.’s Dementia Prevention Program and optimistic about my future!"

    Cognitive Longevity Program Patient

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Getting Started with Healthspan Neurology, PC

Your first step is a complimentary 15–20 minute introductory call — directly with Dr. Gajaweera, not a scheduler or staff member. We'll talk through your risk factors, family history, and goals, and together decide whether the Cognitive Longevity Program, Mind Over Menopause or Comprehensive Cognitive Evaluation is the right fit for you. Available in person in Rochester, NY, and via telemedicine throughout New York State.

Programs, Pricing, and Policies