Your message reaaly resonates with me, since I too had brain shrinkage, mini strokes, hyperintensies, and a diagnosis of Mild Cognitive Impairment. However, the good news is that although I am still struggling cognitively, I have brought my score up to the point that I am no longer eligible for dementia drugs. My efforts are paying off!

Are you familiar with the book Memory Rescue, by Dr. Daniel Amen? I highly recommend it.

Have you looked into online brain training exercises? I have tried 3, and I think the best and most scientically supported is Brain HQ. I also like Lumosity. I use both.

Changing our neurologist sounds like a really good idea!