Lewy body disease (LBD), including dementia with Lewy bodies (DLB), is a prevalent neurodegenerative disorder affecting cognitive function, movement, and autonomic processes. DLB accounts for 10-15% of all dementia cases, with a projected global prevalence of 14 million by 2050. Current treatments, primarily cholinesterase inhibitors (ChEIs) and memantine, offer limited cognitive benefits and do not halt disease progression. Long-term studies suggest ChEIs may slow cognitive decline and improve survival, potentially through anti-inflammatory effects, but more research is needed.