Coastal Integrative Medicine

04/30/2026

Life with Post-Concussion Syndrome (PCS) is hard. Symptoms can get in the way of anything that requires you to use your brain: school, work, social life, sports and hobbies can become a struggle while the brain slowly heals.

It’s difficult, but there are ways to cope to make your daily life with PCS more manageable. We’re here to help you through. Here are a few tips to help you get through.

If you or a loved one need help navigating PCS, reach out to our HelpLine at ConcussionAndCTE.org/HelpLine 💙

04/29/2026

OPEN EVIDENCE : From an N Of One to an N Of All

Evidence based Mitochondrial Support Cocktails from the mouth of experts to your ears. There are 15 numbered pages with a detailed dose & dosing regimen at the end which should be read by everyone who knows or believes that Mitochondrial dysfunction is playing a role in the their symptoms or the symptoms of a family member. This includes but is not limited to humans of any age who have Long Covid, Myalgic Encephalitis, recurrent episodes of Post Infectious fatigue & myalgia & cognitive dysfunction, Autism, normal aging, etc etc. Given that Mitochondria are the powerhouses of our cells the sky is the limit when it comes to the number of scenarios in which our mitochondria may begin to fail us

Mitochondrial Dysfunction does NOT a Genetic Inborn Error Of Mitochondria make. Genetic disorders are very rare, generally diagnosed at an early age, require extensive testing to confirm and in most cases are not “cured” by Mito Cocktails🧠

Secondary / Induced Mitochondrial Dysfunction that follows infection, environmental exposures, not being young has the potential to respond well to MitoCocktails if crafted correctly and consumed consistently over time🧠

Testing can be done to evaluate for non genetic Mitochondrial Dysfunction often by way of cheek swabs that can be collected at home by the patient / parent and returned in the mail by the patient / Parent. Religen has offered this type of testing for many years and there are several others that appear to offer the same. These tests are not covered by insurance and can range from $200 -600. Because MitoCoctails have little to no potential to do harm other than to your bank out choosing to skip the testing and go straight to treating is very reasonable🧠

At this point in time there are ONLY 3 Tier 1 Core Supplements to be used across the board without the need for specific testing recommended by Mitochondrial Specialists - CoQ10 / Ubiquinol & Riboflavin & Alpha Lipoic. If you run out science this is where you start by implementing one at a time in the order in which they are recommended & in the doses that they are recommended & for the length of time needed to adequately assess for benefit or not which is at least 3 months🧠

Tier 2 supplements should be added in based on known deficiencies / abnormalities🧠

Tier 3 supplements are generally needed / used only in specific genetic mitochondrial disorders🧠

NAD is not currently recommended as part of MitoCocktails for reasons explained in any easy to understand way in the handout below🧠

Ditto for an easy to understand explanation of why spending money on injectable NAD or expensive oral Nicotinamide precursors as compared to very inexpensive Niacin is not recommended by Mitochondrial specialists🧠

A potential exception to this no need for expensive precursors rule may be NR which may provide a benefit in the gut as an unrelated side hustle to its main gig as as an expensive alternative to dirt cheap Niacin. The gut effect is desirable but does not grant MitoCocktail ingredients status🧠

Link To Coastal Integrative Medicine’s Folinic & Methyl Folate Protocol
https://us.fullscript.com/plans/coastalmed-folinic-methyl-folate-2-0

CoastalintegrativeMedicine.com
SMS 772-344-1409
Email cimappts@gmail.com

04/27/2026

Sterol Pathway Does Not Just Statins Imply. This also includes Beta Blockers & SSRI & Wellbutrin & Buspar & Trazadone & Antipsychotics🧠

Stopping a Statin while pregnant will rarely a problem cause. This is not so much the case for mental health meds when they are being used to control Suicidal ideations, Debilitating Depression / Mania, Catatonia, Voices etc. Not to mention Beta Blockers which in the combined alpha beta blocker med Labetelol has been mainstay of treatment for hypertension while pregnant🧠

The chance of this pathway being the only one where disruption demonstrates an elevated risk is slim to none because Autism is a multifactorial disease where Genetics / God / Mother Nature loads to gun and pre & post natal exposures pull the trigger🧠

Obsessing over finding a single scapegoat and the magic bullet intervention / avoidance that will prevent / cure Autism is a distraction that serves at the pleasure of sellers of snake oil guaranteed to make Autism go away🚫🧠

Cholesterol is a vital molecule, especially during embryonic development. Disruption of the cholesterol biosynthetic pathway can arise from pathogenic genetic variants or exposure to prescription medications. We investigated the relationship between fifteen sterol biosynthesis inhibiting medications...

04/24/2026

OPEN EVIDENCE: From An N Of One To An N Of All
Folic & Folinic & Methyl Folate Oh My! Everything you every wanted to know & likely much more about the symptoms, work up and treatment of Folate One Carbon Methylation ( FOCM) Mutations including the reason Folinic aka Leucovorin must BOTH be used in patients with clinically significant MTHFR variants who also have have Cerebral Folate Receptor antibodies🧠

Spoiler Alert: In 20 years of ordering & reading results I have NEVER seen even one patient with a severe variant and the chance that anyone reading has one or will be diagnosed with one is slim to none. Ditto for clinically significant variant of one of MANY other FOCM mutations🧠

For some reason the MTHFR FOCM gets all the attention and is given way too much credit for being the source of symptoms. In most people it is an incidentaloma🧠

In the general population up to 70 / 100 people have 1 or more variants and in my patient demographic that approaches 90% as my patient base is skewed toward patients with NeuroDevelopmental & NeuroImmune disorders. Some of these variants have as few as 30 cases EVER documented🧠

Being gifted by God or Mother Nature with Multiple FOCM mutations including MTHFR is the rule NOT the exception and I am as shocked when I come across a patient with no variants as I am when I come across an adult with no antibody evidence of previous exposure to EBV, CMV, HSV 1/2, HHV6 etc, etc🧠

This 21 page handout provides all a parent, patient, provider needs to know to diagnose and treat and is a great resource to keep as a Cheat Sheet🧠

CoastalintegrativeMedicine.com
SMS 772-344-1409
Email cimappts@gmail.com

04/23/2026

04/21/2026

PANS/PANDAS are included in the FY2026 PRMRP pre-announcement, signaling a new federal funding opportunity under the DoD CDMRP program. Applications are not yet open; investigators should begin preparing proposals. 🔗https://www.pandasppn.org/pans-pandas-prmrp-funding

04/20/2026

Lion’s & CBD & THC Oh My Not High🧠

CoastalintegrativeMedicine.com
SMS 772-344-1409
Email cimappts@gmail.com

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04/20/2026

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