Clinical Protocols

Emerging Evidence

Brain Performance Protocol

Cognitive enhancement through nootropics, neurofeedback, and lifestyle interventions.

28 articles · 225 min total
01

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
02

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
03

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
04

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
05

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
06

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
07

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
08

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
09

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
10

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
11

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)
12

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
13

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
14

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
15

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
16

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

Dr. 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
17

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
18

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
19

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

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

Creatine for Longevity and Brain Health: What the Evidence Actually Shows
20

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
21

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
22

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
23

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
24

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
25

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
26

Dihexa Dosage: Nootropic Protocol and Safety

Dihexa dosing guide by Dr. 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
27

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
28

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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