A physician visit
$49
Your consultation with the physician is $49, credited toward your visit or program.
Sound familiar?
You’re not imagining it.
- You read the same paragraph three times.
- The word is on the tip of your tongue, and it stays there.
- You walk into a room and forget why.
- Afternoons feel like wading through mud.
- You’re tired even after a full night in bed.
- Your focus at work isn’t what it was.
What’s happening in your body
Fog has causes. Most can be checked.
Six common, checkable contributors. Often more than one is at work, which is why guessing rarely fixes it.
- SleepToo little, or broken by night sweats, snoring or stress, and the next day thinks slowly.
- HormonesPerimenopause and menopause in women, low testosterone in men.
- ThyroidAn underactive thyroid slows everything, thinking included. A blood test finds it.
- IronLow iron stores (ferritin) can cause fatigue even when your blood count is normal.
- Vitamin B12Low B12 can affect memory and nerves. A blood test finds it.
- Blood sugarHigh or swinging blood sugar can sap energy and focus. An A1c test checks it.
The evidence
What the research shows.
Published averages
Brain fog was one of the most common symptoms perimenopausal women reported.
Published averages
Tired for no clear reason? In women with low iron stores, iron helped.
What we do
Find the cause, then treat it.
Labs that look for causes
Thyroid tests, a complete blood count, ferritin, vitamin B12 and, where they fit, hormone levels and blood sugar.
Women’s hormone care
Physician-supervised programs for perimenopause and menopause: sleep, mood, energy and focus.
Men’s hormone care
Testosterone and hormone therapy for men, with laboratory monitoring throughout.
Longevity
Preventative and functional care led by a physician, with a plan for the decades ahead.
What waiting costs
What waiting costs.
- A treatable cause stays hidden. An estimated 14% of US adults are iron deficient, and it is common even without anemia, so a normal blood count can miss it.Tawfik YMK, et al. JAMA Network Open 2024 · PMID 39316402
- Fatigue from low iron responds to treatment: in a randomized trial, women with low or borderline ferritin felt less tired on iron. Untested, it stays untreated.Verdon F, et al. BMJ 2003 · PMID 12763985
- Timing matters with hormones. In a 2,362-woman study, hormone therapy started before the final period was linked to better test scores, and started after it to worse.Greendale GA, et al. Neurology 2009 · PMID 19470968
Questions
Common questions
Is brain fog a real medical problem?
It is a description, not a diagnosis, and that is exactly why it deserves a workup. Many of its causes, including thyroid, iron, vitamin B12, blood sugar, sleep and hormones, can be found with a careful history and blood tests.
Which tests will I have?
Your physician chooses with you. Usually a complete blood count, ferritin, thyroid tests and vitamin B12, and, where they fit, hormone levels and blood sugar.
Is it early dementia?
In midlife it rarely is. Studies of women through the menopause transition find small memory changes that, for all but a very small number, stay within the normal range. New or worsening confusion should still be checked, and sudden confusion, weakness or trouble speaking is an emergency: call 911.
What does it cost to start?
Your consultation with the physician is $49, credited toward your visit or program.
Decide today
Get your clear head back.
One visit, the right labs, and a plan built on your results.
Educational, not medical advice. A physician makes the final decision at your visit. Not for emergencies: call 911.