Neurocognitive Performance
Sharpen memory, restore focus, and protect long-term brain health through advanced diagnostics, targeted neuroprotection, and evidence-based cognitive enhancement.
Why cognitive performance matters
Who benefits from cognitive optimization?
A comprehensive approach to brain performance
Cognitive Assessment
Accurate optimization begins with objective measurement. We use validated, standardized neuropsychological assessments to establish a comprehensive baseline of your cognitive function, including working memory capacity, information processing speed, executive function, and verbal and visual recall. These benchmarks allow us to track meaningful progress over time and tailor interventions to the specific domains where you need the most support.
- Standardized neuropsychological testing battery
- Working memory and recall evaluation
- Processing speed and reaction time analysis
- Executive function and decision-making assessment
- Longitudinal tracking with repeated measures
Brain Health Optimization
Cognitive performance depends on the structural and metabolic health of the brain itself. We evaluate and target the key pillars of neural function: neuroinflammation, which silently degrades synaptic signaling; brain-derived neurotrophic factor (BDNF), the protein most critical for neuroplasticity and learning; mitochondrial energy production within neurons; and the integrity of the blood-brain barrier, which protects the central nervous system from circulating toxins and inflammatory molecules.
- Neuroinflammation biomarker assessment
- BDNF and neuroplasticity support protocols
- Mitochondrial function and CoQ10 optimization
- Blood-brain barrier integrity evaluation
- Omega-3 index and phospholipid analysis
Memory & Focus Enhancement
For patients seeking sharper focus and more reliable memory, we combine evidence-based cognitive training with targeted supplementation. Nootropic peptides such as Selank and Semax, available through our peptide program, modulate neurotransmitter activity and promote neuroprotective signaling without the side-effect profile of stimulant medications. We also evaluate neurotransmitter precursors, including choline, tyrosine, and tryptophan, to ensure the brain has the raw materials it needs for sustained attention and accurate recall.
- Working memory training protocols
- Nootropic peptide evaluation (Selank, Semax, Dihexa)
- Neurotransmitter precursor optimization
- Attention and focus strategies
- Digital cognitive exercise programs
Stress & Resilience
Chronic stress is one of the most potent drivers of cognitive decline. Elevated cortisol shrinks the hippocampus, impairs prefrontal cortex function, and disrupts sleep architecture, all of which erode memory, focus, and emotional regulation. We assess your hypothalamic-pituitary-adrenal (HPA) axis function through diurnal cortisol mapping, then employ targeted interventions including adaptogenic herbs, phosphatidylserine, magnesium threonate, and lifestyle modifications to restore a healthy stress response and protect cognitive reserve.
- Four-point diurnal cortisol mapping
- HPA axis dysregulation protocols
- Adaptogen therapy (ashwagandha, lion's mane, rhodiola)
- Emotional regulation and resilience training
- Sleep optimization for cognitive recovery
Dr. James Rosing, MD, FACS
Stanford-Trained Surgeon & Functional Medicine
Dr. Rosing takes a systems-based approach to brain health, recognizing that cognitive function is influenced by every dimension of physiology. He evaluates the interconnected factors affecting your brain, from hormonal status and gut-brain axis integrity to neuroinflammation and mitochondrial energy production, to create personalized protocols for optimal cognitive performance.
His philosophy centers on measurable outcomes rather than subjective impressions. He uses standardized cognitive assessments at baseline and follow-up to track progress objectively, ensuring that every intervention produces real, quantifiable improvements in the domains that matter most to you.
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Unlock your cognitive potential
Take the first step toward sharper memory, sustained focus, and long-term brain health with a comprehensive cognitive evaluation.