Dr. David Musnick M.D. (Dr. M), board-certified in Internal Medicine & Sports Medicine, picks up right where Brain Fog Part 1 left off in this ~20-minute solo episode.
Quick recap: Brain fog = brain dysfunction with inflammation, slowed neurotransmission, and that classic “slow, foggy, not sharp” feeling. Simple/occasional fog is concerning; when it comes with memory issues, poor focus, word-finding trouble, or speech problems, it’s much more serious. Episodes ~15–20 minutes (vs. fleeting) warrant extra attention. Part 1 covered a broad list of triggers: brain inflammation, food allergies, EMFs, heavy metals, Lyme/co-infections, viruses, brain autoimmunity, and beyond.
Part 2 answers: Which tests make sense? And what foundational steps help almost everyone?
Recommended Tests
Inflammation markers (systemic inflammation often fuels brain inflammation & fog):Epstein-Barr reactivation (common hidden driver of brain fog & “brain fatigue” where mental tasks drain you quickly):Full panel required (not basic EBV test):• VCA IgG & IgM• EBNA• Early Antigen (EA)Any marker ≥8× upper normal limit signals reactivation—needs functional treatment (no standard antiviral drug exists).Mold/mycotoxins (if exposure suspected): Urine mycotoxin panel (e.g., Mosaic Diagnostics, RealTime Labs, others).Other blood clues: Homocysteine (elevated harms brain vessels).Imaging: Brain MRI not typically first-line unless severe/progressive cognitive changes or neurological red flags.
Dr. M emphasizes: Pinpoint and treat root causes (e.g., reactivated viruses, mold, infections) with a knowledgeable functional medicine or functional neurology provider. Cause-specific care is key—general “brain fog fixes” alone won’t cut it if Lyme, EBV, or mycotoxins are driving it.
Universal Basics to Start TodayWhile hunting the root cause, layer in these brain-protective steps (many from Part 1): prioritize 7.5+ hours quality sleep, daily exercise to raise BDNF, organic/grass-fed foods, parsley (apigenin to calm microglia), EMF reduction (WiFi off at night), avoid plastics/excitotoxins, and more.
Direct, practical, mechanism-focused—no long intros or filler. Perfect if you’re dealing with persistent mental cloudiness, post-viral fatigue, or just want sharper thinking.
Part 3 or future episodes may cover targeted treatments for big culprits like Epstein-Barr.
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