Your history, symptoms, exposures, nutrition, stress levels, sleep patterns, and medications are reviewed in detail. Cognitive testing is used as a baseline to monitor future improvements.

Depending on your symptoms, this often includes:

• Metabolic labs (glucose, insulin, HbA1c)

• Inflammation markers (CRP, homocysteine)

• Thyroid and adrenal hormones

• Sex hormones (estrogen, progesterone, testosterone)

• Vitamin and nutrient status (B12, D, magnesium, omega-3 index)

• Toxicity screening (heavy metals, mycotoxins)

• Gut-immune markers

• Vascular and cardiac risk markers

At HealthSpan Internal Medicine, we frequently use IntellxxDNA — an advanced genomics tool that identifies specific genetic patterns affecting brain inflammation, detoxification, mitochondrial function, lipid transport, methylation, and Alzheimer’s-related risk pathways (including APOE).

Genomics allow us to tailor the plan with extraordinary precision.

Your plan may include:

• Medical nutrition therapy (including ketogenic or low-glycemic patterns)

• Treatment of insulin resistance

• Hormone optimization when appropriate

• Detoxification support if toxins are contributing

• Supplements chosen to match your lab/genomic patterns

• Sleep optimization

• Stress regulation and nervous-system balance

• Anti-inflammatory strategies

• Gut microbiome restoration

• Targeted treatment of chronic infections if identified

Most people begin noticing early improvements within 6–12 weeks, with deeper changes occurring over 3–12 months.

Ongoing assessments include:

• Repeat cognitive testing

• Lab follow-ups

• Genomics-informed adjustments

• Medicaiton optimization

• Symptom tracking

• Lifestyle coaching and accountability

ReCODE is generally safe when supervised by a trained clinician, but patients may experience:

• Temporary fatigue as metabolic patterns shift

• Digestive changes during microbiome therapy

• Headaches or mood changes during detoxification

• Hormone-related side effects if hormone therapy is part of the plan

These are typically manageable with dose adjustments or pacing changes.

ReCODE is not a replacement for emergency care or neurologic evaluation when needed.

Seek urgent medical attention if you experience:

• Sudden confusion or an abrupt change in mental status

• New weakness, numbness, or difficulty speaking

• Severe headache or vision changes

• Chest pain, shortness of breath, or sudden dizziness

• Rapidly worsening cognition over days to weeks

These may indicate a stroke, infection, or another medical emergency.