This practitioner is ReCODE 2.0 certified and is a Doctor of Osteopathic Medicine (D.O.), double board certified in Physical Medicine and Rehabilitation (PM&R) and Osteopathic Manipulative Medicine (OMM). His primary goal is to work with participants on the Bredesen Protocol to prevent and reverse cognitive decline through the PreCODE and ReCODE programs.

For the last 22 years, he has helped teach osteopathic medical students in medical school, in office and in free clinic settings.

Several years into clinical practice, he found he was unable to help some patients with cognitive decline. In 2016, he first took training with Dr. Bredesen at the Buck Institute in Novato, CA, as the Bredesen Protocol seemed like a natural fit into his patient care approach.

Training in the Biodynamic Approach to Osteopathy in the Cranial Field has given him a valuable way in which to address Traumatic Brain Injury (TBI).  In addition to Osteopathic treatment, this practitioner utilizes many strategies to help his Bredesen Protocol patients, including testing from Great Plains Laboratories, Vibrant Health, Cyrex Laboratories and Doctors Data.  A key principle he has learned as an Osteopath is to find cause, a principle he applies alongside addressing the six subtypes for cognitive decline identified by Dr. Bredesen, in developing a comprehensive treatment plan.
 

MEET AND GREET VISIT (30 minutes): $200
Ask questions about the protocol and this practitioner’s program. Discuss what it means to work together to see if it’s a good fit.

ReCODE REPORT OR PreCODE REPORT REVIEW AND INTRODUCTION VISIT (1 hour): $300
If the participant has an existing ReCODE Report or PreCODE Report with current results and wants to start the practitioner relationship with a review of their existing report and discuss how to continue working together and see if it’s a good fit.

GETTING STARTED PACKAGE (2 appointments): $1200
This option includes the INITIAL VISIT (2 hours) and the FOLLOW-UP VISIT (1.5 hours).

In the INITIAL VISIT the practitioner will gather the necessary information for your ReCODE Report or PreCODE Report (see INITIAL VISIT section below).
The FIRST FOLLOW-UP VISIT will include a review or the ReCODE Report or PreCODE Report, action plan, and conversation about scheduling the next appointment (see FIRST FOLLOW-UP VISIT section below).

All FOLLOW-UP VISITS THEREAFTER (to track progress) are booked at an hourly rate of $400 (see FOLLOW-UP VISITS THEREAFTER section below).
 

PROGRAM FOR ReCODE SUBSCRIBERS (program length 6 months): $2100
This program includes:

5 Visits with this ReCODE practitioner (Initial Visit: 2 hours, First Follow-up Visit: 1.5 hours, and 3 Follow-up Visits Thereafter: 1 hour)
2 ReCODE Reports* to track your progress through the program
Access to deeper dive testing to identify the root causes
Development of action from a ReCODE practitioner for your care plan, which may include: treatment, repeating labs* and assessments over time to include new data in an updated ReCODE Report, nutrition and lifestyle changes, additional testing to complete, monitoring metabolic health with tracking glucose and ketones.
Includes 2 (5-10) minute calls per month (to answer quick questions between Visits)
*Lab and supplement costs are not included in the program price.

PROGRAM FOR PreCODE SUBSCRIBERS (6 months):  $1400
This program includes:

3 Visits with a ReCODE practitioner (Initial Visit: 2 hours, First Follow-up Visit: 1.5 hours, and 1 Follow-up Visit Thereafter: 1 hour)

2 PreCODE Reports* to track your progress through the program
Access to deeper dive testing to identify the root causes
Development of action from a ReCODE practitioner for your care plan, which may include: treatment, repeating labs* and assessments over time to include new data in an updated PreCODE Report, nutrition and lifestyle changes, additional testing to complete, monitoring metabolic health with tracking glucose and ketones.
Includes 2 (5-10) minute calls per month (to answer quick questions between Visits)
*Lab and supplement costs are not included in the program price.

INITIAL VISIT (2 hours): Cost $750

Review family and medical history, specifics concerning cognitive decline, current issues and assess current lifestyle
Perform a physical exam
Perform in-office cognitive evaluation: MoCA test (I have MoCA certification)
Participant instructed on how to take CNS Vital Signs (ReCODE) or Cq Assessment (PreCODE) on the Apollo Health website (from home) or review existing results (if recent results are already available on the portal)
Participant purchases the baseline labs from Apollo Health and follows instructions for scheduling blood draw and completing the health history questions.
Participant is encouraged to explore the Apollo Health Guides, Town Halls, Forums, Support Groups, EVOO, Facebook Live recorded videos
Discuss the Ketoflex 12/3 Nutrition Guidelines, start implementing diet changes to follow protocol
Discuss Exercise recommendations and action plan
Set up test for Sleep Apnea (as needed) or monitoring nighttime oxygen saturation
Set up ERMI Testing if environmental mold is suspected and take free VCS Test online (link on Apollo Health site)
Set up BrainHQ account and start brain-training 30 minutes a day, 3 days a week (for improvement)
Participant reads Tracking Glucose Guide and purchases dual glucose/ketone meter (and strips) or talk to their doctor about Continuous Glucose Monitoring. Fasting morning glucose goal range: 70-90 mg/dL (3.89–5.0 mmol/L) every day for three weeks in a row. Journal results to track progress. Once target range is reliably met, add tracking ketones (dual glucose/ketone monitor or Biosense)
Osteopathic Evaluation and short initial treatment if indicated
Set date for FIRST FOLLOW-UP VISIT
Explain the program, next steps, and what the participant can expect moving forward and answer any questions, discuss any concerns

FIRST FOLLOW-UP VISIT (1.5 hours): Cost $600

Generally, 4-6 weeks after the INITIAL VISIT
Review first ReCODE Report or PreCODE Report in depth, together
Create lab order for optional/additional testing, if needed (discuss costs)
More in depth Osteopathic Treatment if indicated
Introduction to the health coach and nutritionist (discuss time / costs)
Establish health plan for next steps
Discuss supplement regimen (how to obtain, cost, dosage, which ones to start first)

Discuss monthly CNS Vital Signs (ReCODE) or Cq Assessment (PreCODE) scores
Check BrainHQ progress and adjust training to focus on areas identified in the latest CNS Vital Signs scores or Cq Assessment scores to improve
Set date for next Follow-up Visit
Answer any questions, discuss any concerns

FOLLOW-UP VISITS THEREAFTER (1 hour): Cost $400

Continued support and adjustments to health plan in the following areas: nutrition, monitoring glucose and ketones, BrainHQ, exercise, sleep, stress management, and supplement recommendation adjustments (as needed)
Check monthly CNS Vital Signs (ReCODE) or Cq Assessment (PreCODE) scores to track progress
Check BrainHQ progress and adjust training to focus on areas identified in the latest CNS Vital Signs scores or Cq Assessment scores to improve
Discuss additional treatments or programs: infra-red sauna, meditation, EWOT Therapy, KAATSU, Dynamic Neural Retaining System (DNRS), HeartMath, photobiomodulation (light therapy) and neurofeedback (brainwave biofeedback), Plasmalogens, Neural Agility, Cold Therapy and Cryotherapy, Lymphatic Massage, Hyperbaric Oxygen Therapy (specific to your needs as recommended)
Repeat cognitive assessment administration (SLUMS exam or MoCA test) every 6 months to track progress and include the new data in an updated ReCODE Report or PreCODE Report.
Ahead of updating the report, the participant can retake CNS Vital Signs (ReCODE) or Cq Assessment (PreCODE) to include new data in updated ReCODE Report or PreCODE Report.
Discussion and lab orders given to retest suboptimal and abnormal results in the short term to track progress through treatment. Practitioner inputs new data to update participant’s data and generate another ReCODE Report  or PreCODE Report any time new data is available to track progress.
The goal is to keep working on treatments targeting the areas identified in the ReCODE Report or PreCODE Report—and retesting and generating updated reports with the goal of moving all of the subtype sliders on page 4 of the ReCODE Report or PreCODE Report into the green optimal range. The ReCODE Report and PreCODE Report measure where the participant is currently, in terms of the optimal range for the Bredesen Protocol.
Osteopathic Treatment as indicated

CONTINUED CARE PROGRAM (6 months): Cost $1500

If a practitioner’s program concludes, what are the options for the participant to continue their care?

To continue tracking your progress on the protocol, this practitioner offers a program to build on the progress made in the first program. This program includes:

6 (1 hour) Follow-up Visits with a ReCODE practitioner
2 ReCODE Reports or PreCODE Reports* to track your progress through the program.
Modification of actions plans, which may include: Osteopathic treatment, supplements, nutrition and lifestyle, retesting, monitoring metabolic health with tracking glucose and ketones.


*Lab and supplement costs are not included in the program