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202 points helsinkiandrew | 1 comments | | HN request time: 0s | source
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chithanh ◴[] No.44643879[source]
> What UK Biobank is revealing, scan by scan and layer by layer, is that disease doesn’t arrive out of nowhere. It accumulates quietly, shaped by genes, environment, and habits.

I think that is already known for a while. It's called functional reserve, and was a big topic in HIV patients (and then again for SARS-CoV-2).

Like people with higher cognitive capabilities will be protected by those a bit longer before onset of HIV-associated neurocognitive disorder (or even dementia).

Same for kidneys: They have a functional reserve that you are born with gets used up during life, until it is gone. Acute kidney disease treatment is aimed at preserving whatever little function is left.

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1. readthenotes1 ◴[] No.44643934[source]
A very elderly doctor referred to "cognitive reserve", lamenting hen had more of it when younger.