Meet Ashanthi Gajaweera, MD

I created Healthspan Neurology to offer a different kind of neurologic care—one that is proactive, deeply personalized, and focused on protecting brain health long before disease appears.

After more than 25 years practicing traditional neurology, I felt called to build a practice centered on prevention, early intervention, and long-term cognitive resilience.

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Why I Created Healthspan Neurology

For more than 25 years as a neurologist in Rochester, NY, I cared for patients and families facing life-changing neurologic conditions such as dementia, Parkinson’s disease, and stroke. Again and again, patients asked the same question: Could this have been prevented?

Today we know that many neurologic diseases—including Alzheimer’s disease and other dementias—begin developing in the brain 20–30 years before symptoms appear, and that a significant portion of dementia risk may be preventable when addressed early. Yet traditional neurologic care often begins only after symptoms start.

Healthspan Neurology was created to change that by offering proactive, preventive neurology and personalized brain health care.

My Philosophy of Care

Neurologic health does not exist in isolation.

The brain is profoundly influenced by sleep, hormones, metabolism, cardiovascular health, inflammation, stress, and lifestyle. Despite making up only about 2% of body weight, the brain uses nearly 20% of the body’s energy at rest, making it especially sensitive to whole-body health. Understanding these connections is essential to protecting long-term brain health and cognitive function.

In recent years, research has also transformed our understanding of women’s brain health and menopause. We now know that the menopausal transition is a critical neurologic window that influences cognition, mood, sleep, and long-term dementia risk. These advances are reshaping how we approach brain health for women in midlife and beyond.

My approach blends advanced diagnostics, evidence-informed medicine, and personalized lifestyle strategies to help patients:

• Reduce dementia and Alzheimer’s risk

• Strengthen cognitive resilience and brain health

• Support women’s brain health during menopause and midlife

• Feel better today while protecting long-term neurologic health

This work is inspired by the growing movement toward proactive, precision medicine—often called Medicine 3.0—which is reshaping how we think about aging and health.

I believe small, mission-driven practices like Healthspan Neurology can help lead the shift toward making preventive neurology and dementia prevention part of mainstream medicine.

I feel deeply passionate about this mission and hope you will join me.

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Education and Medical Training

  • BS Mechanical Engineering — Massachusetts Institute of Technology

  • MD — University of Rochester School of Medicine, Rochester NY

  • Internal Medicine Internship — University of Rochester, Rochester NY

  • Neurology Residency — Emory University, Atlanta GA

  • Chief Resident in Neurology — Emory University

  • Fellowship in Clinical Neurophysiology — Emory University

Board Certification and Advanced Training

  • Diplomate, American Board of Psychiatry and Neurology

  • The Menopause Society Certified Practitioner (MSCP)

  • Medical Acupuncture Certification (Helms Institute) & NY State License

  • Advanced Training in Mind-Body Medicine, Center for Mind Body Medicine

  • Advanced training in Menopausal Hormone Therapy (Heather Hirsch Academy)

Clinical Experience in Rochester, NY

  • Founder & Medical Director — Healthspan Neurology, PC (2025–Present)

  • Physician — Neurology Associates of Rochester (2003–2024)

  • Managing Partner — Neurology Associates of Rochester (2010–2024)

  • Consultant Neurologist — Rochester General Hospital (2003-2010)

Academic and Professional Affiliations

  • Clinical Assistant Professor of Neurology — University of Rochester School of Medicine

  • Board Member — Monroe County Medical Society

  • Member — American Academy of Neurology

  • Member — The Menopause Society

  • Medical License — New York State

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Getting Started

Your first step in preventive neurology care in Rochester, New York is a complimentary introductory call—an opportunity to discuss your goals, review your concerns, and explore whether the Dementia Preventive Program, a Neurologic Consultation, or Mind Over Menopause™ is the right fit for you.

Pricing and Policies