I’d give him 10 mg Singular a day (maybe a little more because of his size) and see what happens in 2 weeks.
His condition could be from many things - but something is up.
If it were dementia - I’d back in some kind of vascular dementia or similar, Alzheimer type to me is slower, it looks like he’s getting worse pretty quickly.
At this rate, he won’t be doing much in 4 years time.
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