Lifestyle medicine is often associated with chronic disease prevention and outpatient care, but its principles are just as critical in neurology, including inpatient settings. This talk will explore the six pillars of lifestyle medicine—nutrition, physical activity, restorative sleep, stress management, social connection, and avoidance of risky substances—as essential tools for improving neurological outcomes. From secondary stroke prevention to cognitive health, integrating lifestyle interventions into hospital-based neurology care can enhance recovery, reduce recurrence, and support long-term brain health. By shifting our approach to include these evidence-based strategies, we can improve both immediate and long-term neurological outcomes. Understand why prescribing these practices is as important as the medications prescribed at discharge.