Build Strength. Preserve Memory. Delay Alzheimer’s.

Our evidence-based program leverages powerful lifestyle strategies to support brain health and longevity.

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The Science Behind the Strategy

Alzheimer’s is a progressive brain disorder that starts silently in midlife and is deeply linked to physical health. E4 Strength delivers personalized, science-based strategies rooted in exercise, sleep, nutrition, and connection to protect cognitive health, boost resilience, and improve long-term aging outcomes.

The Four Pillars of E4 Strength

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Exercise
Supports muscle maintenance, emotional well-being, and cognitive function.
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Sleep
Promotes cellular repair, daily rhythms, and memory consolidation.
Nutrition icon representing food for energy and cognition
Nutrition
Sustains energy, muscle repair, and cognitive performance.
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Connection
Buffers stress, strengthens relationships, and supports mental flexibility.

At E4 Strength, these four pillars form the structure of our integrated approach to aging well. When personalized to your needs, they help you move better, think sharper, and enjoy better quality of life.

How It Works

How It Works

Discover our science-backed method

Why I Built E4 Strength

I’m Dr. Alfonso Alfini — a former NIH program director, Johns Hopkins faculty member, high school teacher and coach. My passion lies in translating science into practical strategies that help people live stronger, sharper, and more independent lives.

For the past two decades, I’ve studied how movement, sleep, and nutrition shape brain health, aging, and performance. I created E4 Strength to apply that science beyond the lab, where it matters most.

This program is for people who want to take an active role in aging well. It blends emerging research with proven methods to build strength and support cognitive resilience.

Credentials & Experience


  • Program Director, National Center on Sleep Disorders Research (NIH)
  • Faculty, Neurology & Aging, Johns Hopkins School of Medicine
  • PhD, Exercise Physiology & Cognitive Neuroscience
  • Master’s, Strength & Conditioning, Certified CSCS
  • College Athlete, Coach & High School Teacher
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Limited spots available
Dr. Alfonso Alfini doing bench press Dr. Alfonso Alfini presenting confidently Dr. Alfonso Alfini enjoying a dinner gathering

What You’ll Get with E4 Strength

E4 Strength is a comprehensive health training system that translates neuroscience and exercise physiology into real-world application. Every element, from workouts to recovery tools, is designed to help you build strength and sharpen your mind.

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Integrated Exercise Training
Personalized plans to build functional strength, enhance balance and mobility, prevent falls, and support cognitive health.
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Sleep Health Coaching
Tailored support to strengthen restorative sleep, regulate mood, align daily rhythms, and protect memory.
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Smart Nutrition Strategies
Sustainable approaches to energize metabolism, preserve lean muscle, and fuel mental performance.
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Mindful Connection Tools
Evidence-based practices to improve communication, build emotional strength, and support cognitive wellbeing.
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Early-bird perks & exclusive tips

How E4 Strength Works

E4 Strength is a research-driven system designed for real life. It helps you build strength, move with confidence, and protect your mind.

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Assess & Align

We begin by clarifying your goals and evaluating key lifestyle factors—movement, sleep, nutrition, and social ties. This step establishes a personalized framework for progress grounded in evidence, not guesswork.

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Train & Track

Engage in structured training and behavior change strategies that target strength, recovery, and cognitive health. Each action builds on the last—supporting consistent progress through science-backed habits and measurable wins.

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Sustain & Advance

As new routines take hold, we shift focus to long-term integration. You’ll build the ability to maintain results, adapt with confidence, and carry forward a foundation for aging well.

Train Smarter. Age Stronger. Start Here.

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