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Brain Fog, Energy & Chronic Fatigue
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Brain Fog & Chronic Fatigue · Ann Arbor

This Is Not in Your Head. It Is in Your Biology.

Brain fog, chronic fatigue, cognitive decline, and burnout are not psychological failures, they are biological states with identifiable, measurable, and treatable causes. Mitochondrial dysfunction, neuroinflammation, HPA dysregulation, nutrient insufficiency, and toxin burden are among the most common drivers. Arbour Longevity finds which one, or which combination, is operating in you.
  • OAT: Mitochondrial & Organic Acids
  • Nutrient & Micronutrient Panel
  • Neuroinflammation Assessment
  • Cognitive Peptides Available
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Brain & Energy Medicine at Arbour Longevity

Measure the Biology. Then Change It.

Cellular Energy Production

Mitochondrial Dysfunction

When your cells' power plants are failing, everything suffers.

Mitochondria produce over 90% of cellular energy, and their dysfunction is the single most common undiagnosed cause of unexplained fatigue, brain fog, exercise intolerance, and accelerated aging. Organic acids testing (OAT) provides a direct window into mitochondrial function, measuring the metabolic intermediates that reveal exactly where energy production is breaking down and which nutrients are rate-limiting.

Arbour Longevity approach: Organic acids testing (OAT) for comprehensive mitochondrial and metabolic assessment · Targeted nutrient repletion (CoQ10, B vitamins, magnesium, carnitine) · NAD+ IV protocol for mitochondrial restoration · Toxin assessment for mitochondrial disruptors · Peptide protocols when indicated (MOTS-c)

Common Presentations

  • Severe fatigue
  • Exercise intolerance
  • Brain fog
  • Muscle weakness
  • Chemical sensitivity
OAT panel included when clinically indicated · Pricing at consultation

Cognitive Performance

Brain Fog & Cognitive Decline

Clarity is not a luxury. It is a biological output of a healthy system.

Brain fog, the constellation of poor concentration, word-finding difficulty, mental slowness, and memory disruption, is one of the most commonly reported symptoms in functional medicine practice and one of the most consistently under-addressed in conventional medicine. Arbour Longevity's brain fog assessment identifies the specific drivers, inflammatory, nutritional, hormonal, or mitochondrial, and targets each one with precision.

Arbour Longevity approach: Comprehensive inflammatory marker panel · Hormone assessment including thyroid and cortisol · OAT for mitochondrial and neurotransmitter metabolites · Micronutrient assessment · Cognitive peptide protocols when appropriate (Selank, Semax, investigational, disclosed at consultation)

Common Presentations

  • Poor concentration
  • Word retrieval
  • Mental slowness
  • Memory
  • Decision fatigue
Evaluated in comprehensive functional medicine intake

Stress Physiology

Burnout & Chronic Fatigue

Not a lifestyle choice. A physiological state.

Clinical burnout and chronic fatigue syndromes represent a spectrum of HPA axis dysregulation, mitochondrial depletion, and neuroinflammation that cannot be resolved by rest alone. Arbour Longevity's approach maps the physiological underpinnings, cortisol curve via DUTCH, mitochondrial status via OAT, inflammatory burden, and nutrient depletion, and addresses each component with a targeted restoration protocol.

Arbour Longevity approach: DUTCH test for cortisol and adrenal assessment · OAT for mitochondrial status · Inflammatory marker panel · IV nutritional support (Myers, NAD+) · Adaptogenic and restorative protocols · Sleep physiology assessment

Common Presentations

  • Chronic Unrefreshing sleep
  • Post-exertional fatigue
  • Emotional exhaustion
  • Social withdrawal
  • Depersonalization
Integrated DUTCH + OAT + clinical assessment · Pricing at consultation

Nutrient Biochemistry

Nutrient Deficiency Assessment

The foundation no protocol can function without.

Almost every biological process implicated in brain fog and fatigue, neurotransmitter synthesis, mitochondrial energy production, methylation, hormone metabolism, and cellular repair, requires specific micronutrients as cofactors. Deficiencies in B12, folate, magnesium, zinc, iron, vitamin D, and CoQ10 are among the most common and most consistently missed drivers of chronic cognitive and energy symptoms.

Arbour Longevity approach: Comprehensive micronutrient assessment · Standard and specialty lab evaluation for B12, folate, vitamin D, ferritin, zinc, magnesium, CoQ10 · Targeted IV and oral repletion protocols · Genomic assessment for absorption and metabolism variants (MTHFR)

Commonly Deficient

  • B12 / Folate
  • Vitamin D
  • Magnesium
  • Ferritin
  • CoQ10
  • Zinc
Standard and specialty nutrient labs at consultation

Brain & Energy Medicine · Ann Arbor

The Biology of Clarity Is Findable. And Fixable.

Schedule a brain and energy consultation at Arbour Longevity. We will find what is driving your cognitive and energy symptoms, not guess, not suggest lifestyle changes, but identify the specific biological mechanisms and address them directly.

  • OAT Panel Available
  • NAD+ IV Integration
  • Cognitive Peptides When Indicated