Finn's Take· TL;DRParkinson's disease has quietly become a medical crisis in plain sight. By 2021, public health researchers reported there were almost 12 million cases worldwide. And the number of people living with Parkinson's is projected to top 25 million by 2050. Even more alarming, "We're now growing as a neurodegenerative disease faster than Alzheimer's disease — that should grab everybody's attention," neurologist Dr. Michael Okun told CNN Chief Medical Correspondent Dr. Sanjay Gupta recently on his podcast, Chasing Life.
This isn't just about the familiar tremors that most people associate with Parkinson's. "It becomes obvious, just absolutely obvious, when you see the folks with disease that this isn't just a disease of dopamine; it isn't just a disease of the brain. We see it in the gut. We see it in the skin. We see it in multiple organs," said Okun, who cofounded and codirects the Norman Fixel Institute for Neurological Diseases at the University of Florida, in Gainesville, and is the medical director and medical adviser for the Parkinson's Foundation.
While genetics plays a key role in between 10% and 15% of cases, for many others, Okun said, the underlying cause of the disease might be more mundane and insidious: environmental toxins — via the air we breathe, the water we drink, the food we eat and the chemicals with which we regularly come in contact.
"We have such an opportunity now to understand, hey, we don't have to live in a world where we think it's inevitable to get Parkinson's," Okun said. His research has identified practical steps that anyone can take to reduce their risk. Okun has a list of 25 tips in his book, and these are his five favorites.
First, invest in a simple carbon water filter for your kitchen sink. "A simple carbon filter can reduce the invisible toxicants that sneak into drinking water and may stress vulnerable brain systems," he said. These filters can reduce exposure to pesticides and chemicals like trichlorethylene, or TCE, a common chemical used to dry-clean clothes, decaffeinate coffee and degrease metal, as well as other impurities.
Second, clean your indoor air with a quality purifier. "Removing fine particulate matter from indoor air protects the nose-to-brain pathway that may seed Parkinson's," Okun said. "Cleaner air means fewer triggers entering through the brain's front door." Make sure to use an air purifier with a carbon filter designed to remove volatile organic chemicals, or VOCs, such as TCE.
The third strategy might surprise you: wash all your produce thoroughly, even organic varieties. "Rinsing and scrubbing your produce … helps remove pesticide residues that can quietly injure mitochondria over time," Okun noted. "This simple daily habit lowers the exposure load your brain and nervous system must manage." And just as you would when washing your hands, you should rinse them for more than 20 seconds, Okun added.
Fourth, prioritize daily movement. "Regular movement is thought to prevent or delay the onset of Parkinson's disease — and it is also crucial for people who already live with the disorder. 'Exercise every day, using four 20-minute walks (~7000 steps), or an equivalent routine that keeps you moving throughout the day,' Okun said via email." "Movement wakes up natural dopamine circuits, improves mobility, and may possibly slow symptom progression."
Finally, protect your sleep quality. "Deep sleep activates the brain's built-in cleaning system, flushing toxins and helping symptoms improve the following day," Okun said. "Protecting sleep is protecting brain health, especially when living with or aiming to prevent Parkinson's." As a bonus, research has consistently associated caffeine consumption with a lower risk of Parkinson's Disease; it is believed to protect the dopamine-producing nerve cells from damage caused by environmental toxins.
These findings represent a fundamental shift in how we understand Parkinson's prevention. Rather than viewing it as an inevitable consequence of aging, researchers now see it as a condition largely influenced by environmental factors we can control. The simplicity of these interventions makes them accessible to virtually everyone, regardless of income or location.
As the global burden of Parkinson's continues to grow, these evidence-based strategies offer hope that we can meaningfully reduce our risk through everyday choices. The key is consistency—making these protective habits part of your daily routine before symptoms ever appear.