Clinical Protocols

Emerging Evidence

Brain Performance Protocol

Cognitive enhancement through nootropics, neurofeedback, and lifestyle interventions.

40 articles · 337 min total
01

Creatine Dosage Guide: Loading, Maintenance, and Timing Protocols

Evidence-based creatine dosage protocols — loading vs skip-load, daily maintenance, timing windows, and form selection for performance and longevity.

Creatine Dosage Guide: Loading, Maintenance, and Timing Protocols
02

Adamax: The Semax Analog With No Published Studies

Adamax is a designer Semax analog with an adamantane cap borrowed from P021. No study has tested it; what is known, what users report, and the dosing in circulation.

Adamax: The Semax Analog With No Published Studies
03

Cerebrolysin: What the Stroke and Dementia Trials Actually Show

Cerebrolysin is a pig-brain peptide drug licensed in Austria and other countries. Cochrane reviews, the CASTA and CARS trials, label doses and community use.

Cerebrolysin: What the Stroke and Dementia Trials Actually Show
04

Cortagen (AEDP): Brain Bioregulator and Nerve-Repair Data

Cortagen (Ala-Glu-Asp-Pro) is a Khavinson brain-cortex tetrapeptide. Rat nerve-regeneration and ischaemia data exist; human evidence is an unpublished claim.

Cortagen (AEDP): Brain Bioregulator and Nerve-Repair Data
05

Intranasal Oxytocin: A Famous Effect That Keeps Failing Replication

Intranasal oxytocin has hundreds of trials and a replication problem. What the large RCTs and registered replications show, how it is dosed, and what users report.

Intranasal Oxytocin: A Famous Effect That Keeps Failing Replication
06

P021 (P21): The CNTF-Derived Peptide With Only Mouse Data

P021 is a CNTF-derived peptide that boosted neurogenesis and memory in mice and rats. No human study exists. Mechanism, evidence, community dosing and risks.

P021 (P21): The CNTF-Derived Peptide With Only Mouse Data
07

PE-22-28 (Mini-Spadin): A TREK-1 Peptide Tested Only in Mice

PE-22-28 is a 7-amino-acid spadin analog that blocks the TREK-1 channel and acted as a fast antidepressant in mice. No human has received it in a study.

PE-22-28 (Mini-Spadin): A TREK-1 Peptide Tested Only in Mice
08

Pinealon (EDR): Brain Bioregulator, Evidence and Dosing

Pinealon (Glu-Asp-Arg) is a Khavinson tripeptide sold for the brain. Cell and mouse data plus one small uncontrolled human study. Evidence, dosing and reports.

Pinealon (EDR): Brain Bioregulator, Evidence and Dosing
09

Vesugen (KED): Vascular Bioregulator, Evidence and Dosing

Vesugen (Lys-Glu-Asp) is a Khavinson Cytogen sold for blood vessels. Endothelial cell data, Alzheimer mouse work and one small human study. What it shows.

Vesugen (KED): Vascular Bioregulator, Evidence and Dosing
10

Brain Aging and Cognitive Reserve: What Is Established, What Is Emerging

What protects the aging brain? Risk factors and lifestyle trials vs zoster-vaccine signals and neuromodulation, each graded by strength of evidence.

Brain Aging and Cognitive Reserve: What Is Established, What Is Emerging
11

Tesamorelin and the Aging Brain: One Trial, Many Questions

A 2012 RCT linked the GHRH analogue tesamorelin to better executive function in older adults. Why one trial is not enough, plus safety and legal status.

Tesamorelin and the Aging Brain: One Trial, Many Questions
12

Lion's Mane Dosage: Physician Protocol for Cognitive and Nerve Benefits

Evidence-based lion's mane dosage guide covering optimal doses for cognition, neuropathy, and gut health—plus timing, cycling, forms, and who should avoid it.

Lion's Mane Dosage: Physician Protocol for Cognitive and Nerve Benefits
13

Methylene Blue as a Nootropic: Mitochondrial Mechanisms, Dosing Protocol, and Safety

Methylene blue enhances mitochondrial electron transport, improves memory, and reduces brain fog. Learn dosing protocols, evidence, and key safety limits.

Methylene Blue as a Nootropic: Mitochondrial Mechanisms, Dosing Protocol, and Safety
14

GLP-1 Agonists and Alzheimer's Prevention: What the Evidence Shows in 2026

Semaglutide and tirzepatide do more than control weight. Here's what the clinical evidence shows about GLP-1 agonists for cognitive protection and Alzheimer's risk reduction.

GLP-1 Agonists and Alzheimer's Prevention: What the Evidence Shows in 2026
15

Creatine for Women: Dosage, Hormonal Effects & Clinical Evidence

A physician's guide to creatine supplementation for women — hormone interactions, optimal dosage by cycle phase, menopause benefits, and what the evidence actually shows.

Creatine for Women: Dosage, Hormonal Effects & Clinical Evidence
16

Bacopa Monnieri: A Physician's Evidence-Based Guide to Cognitive Enhancement and Stress Resilience

Bacopa monnieri improves memory, reduces anxiety, and protects neurons. Discover the clinical evidence, optimal dosing, forms, and who benefits most from this Ayurvedic nootropic.

Bacopa Monnieri: A Physician's Evidence-Based Guide to Cognitive Enhancement and Stress Resilience
17

Creatine for Brain Health: The Cognitive Benefits Your Longevity Stack Is Missing

Clinical evidence shows creatine monohydrate boosts cognitive performance under sleep deprivation, in vegetarians, and after TBI—far beyond its muscle reputation.

Creatine for Brain Health: The Cognitive Benefits Your Longevity Stack Is Missing
18

Grip Strength as a Longevity Biomarker: What Your Handshake Predicts About Mortality

Grip strength is one of the most powerful predictors of all-cause mortality, cardiovascular disease, and cognitive decline. Here is what the evidence shows and what to do about it.

Grip Strength as a Longevity Biomarker: What Your Handshake Predicts About Mortality
19

Semax Dosage and Nasal Protocol: A Clinical Guide for Standard, NA-Semax, and the Amidate Form

Precise Semax dosing by variant — 0.1% standard, NA-Semax, NA-Semax Amidate — with cycling schedules, titration steps, and nasal administration technique.

Semax Dosage and Nasal Protocol: A Clinical Guide for Standard, NA-Semax, and the Amidate Form
20

CDP-Choline (Citicoline): The Physician's Guide to Dosing, Evidence, and Clinical Use

A clinical review of CDP-choline (citicoline) for cognitive function, brain fog, and neuroprotection — with dosing protocols, mechanisms, and comparison to alpha-GPC.

CDP-Choline (Citicoline): The Physician's Guide to Dosing, Evidence, and Clinical Use
21

Methylene Blue Dosage Guide: Clinical Protocols, Forms, and Safety

Evidence-based methylene blue dosage guide covering cognitive, mitochondrial, and antimicrobial applications with safety protocols and contraindications.

Methylene Blue Dosage Guide: Clinical Protocols, Forms, and Safety
22

Nootropic Peptides: A Physician's Guide to Cognitive Enhancement

Compare the top nootropic peptides—Semax, Selank, Dihexa, Humanin, and DSIP—with clinical evidence, dosing protocols, and candidacy criteria from an integrative physician.

Nootropic Peptides: A Physician's Guide to Cognitive Enhancement
23

Plasmalogens: The Brain Phospholipid Declining With Age (And How to Restore It)

Plasmalogen deficiency accelerates cognitive decline. Learn what these critical ether phospholipids do, why they drop with age, and the clinical evidence for supplementation.

Plasmalogens: The Brain Phospholipid Declining With Age (And How to Restore It)
24

Klotho Protein: The Anti-Aging Hormone That Controls How Fast You Age

Klotho protein declines with age and predicts cognitive decline, kidney disease, and cardiovascular risk. Here's what the science says about boosting it.

Klotho Protein: The Anti-Aging Hormone That Controls How Fast You Age
25

Pregnenolone: The Neurosteroid That Powers Memory, Mood, and Stress Resilience

Pregnenolone is the master precursor to all steroid hormones. Learn how declining levels affect cognition, stress response, and how to supplement safely under clinical guidance.

Pregnenolone: The Neurosteroid That Powers Memory, Mood, and Stress Resilience
26

L-Theanine: Evidence-Based Guide to Dosage, Benefits, and Synergistic Stacks

Clinical review of L-theanine: mechanisms, optimal dosing for anxiety, sleep, and cognitive performance, plus evidence-based stacking protocols for adult patients.

L-Theanine: Evidence-Based Guide to Dosage, Benefits, and Synergistic Stacks
27

Phosphatidylcholine: The Essential Phospholipid for Liver, Brain, and Cellular Health

Dr. Douwes explains how phosphatidylcholine supports liver detoxification, cognitive function, and cellular membrane integrity — and who needs it most.

Phosphatidylcholine: The Essential Phospholipid for Liver, Brain, and Cellular Health
28

Alpha-GPC: The Physician's Guide to Choline for Cognitive Performance and Neuroprotection

Dr. med. univ. Julian Douwes reviews Alpha-GPC dosing, mechanisms, clinical evidence for brain performance, acetylcholine synthesis, and how it compares to other choline sources.

Alpha-GPC: The Physician's Guide to Choline for Cognitive Performance and Neuroprotection
29

Acetyl-L-Carnitine (ALCAR): Brain Health, Fatigue, and Neuropathy — A Physician's Review

Acetyl-L-Carnitine (ALCAR) supports mitochondrial energy, acetylcholine synthesis, and nerve repair. Dr. Douwes reviews the clinical evidence, dosing, and stacking strategies.

Acetyl-L-Carnitine (ALCAR): Brain Health, Fatigue, and Neuropathy — A Physician's Review
30

Lithium Orotate: Neuroprotection, Mood Stability & Longevity

A physician's guide to lithium orotate microdosing — mechanisms of neuroprotection, evidence for mood stability, Alzheimer's prevention research, and safe dosing protocols.

Lithium Orotate: Neuroprotection, Mood Stability & Longevity
31

Creatine for Longevity and Brain Health: What the Evidence Actually Shows

Creatine does far more than build muscle. This physician-written guide covers creatine supplementation for longevity, cognitive health, and sarcopenia prevention.

Creatine for Longevity and Brain Health: What the Evidence Actually Shows
32

Shilajit: Fulvic Acid, Mitochondrial Energy, and Testosterone Support

A physician's clinical guide to shilajit — how fulvic acid drives mitochondrial energy, supports testosterone, and offers neuroprotective effects. Dosing, forms, and safety.

Shilajit: Fulvic Acid, Mitochondrial Energy, and Testosterone Support
33

Phosphatidylserine: Memory, Cortisol & Cognitive Aging

A physician's clinical guide to phosphatidylserine — how it supports memory, blunts cortisol, and slows cognitive aging. Evidence-based dosage and protocols.

Phosphatidylserine: Memory, Cortisol & Cognitive Aging
34

Rhodiola Rosea: Clinical Evidence for Fatigue, Cortisol, and Cognitive Performance

A physician's guide to Rhodiola rosea — how it modulates the HPA axis, reduces stress-related fatigue, and improves cognitive performance in clinical practice.

Rhodiola Rosea: Clinical Evidence for Fatigue, Cortisol, and Cognitive Performance
35

Semax: The Nootropic Peptide That Amplifies BDNF and Protects the Brain

Semax is a synthetic ACTH-derived peptide that upregulates BDNF, enhances focus and memory, and offers neuroprotection — used clinically in Russia for decades.

Semax: The Nootropic Peptide That Amplifies BDNF and Protects the Brain
36

Clearing Brain Fog After Treatment: Recovery Timeline

What to expect during brain fog recovery after Lyme treatment — the multi-system recovery approach, realistic timelines, and evidence-based strategies.

Clearing Brain Fog After Treatment: Recovery Timeline
37

Neuropsychological Testing for Brain Fog: When and Why

When to get neuropsychological testing for brain fog. What the evaluation measures, how it differs from standard neurology exams, and what the results mean for treatment.

Neuropsychological Testing for Brain Fog: When and Why
38

Dihexa Dosage: Nootropic Protocol and Safety

Dihexa dosing guide by Dr. med. univ. Julian Douwes. Oral and subcutaneous protocols, the c-Met safety question, and why caution is warranted with this potent nootropic peptide.

Dihexa Dosage: Nootropic Protocol and Safety
39

Brain Fog Treatment: A Physician's Complete Guide

Brain fog treatment options from neuroinflammation workup to neuromodulation. Causes include post-COVID, Lyme, MCAS, and mold. TPS, NAD+, and hyperbaric oxygen covered.

Brain Fog Treatment: A Physician's Complete Guide
40

Cognitive Performance Protocol

Evidence-based protocol for mental clarity, focus, and memory from a physician who treats cognitive dysfunction daily.

Cognitive Performance Protocol
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