11.17.2025
5 mins
Mind Mend for Athletes: Cognitive Performance and Concussion Recovery


Dr. James Dill, MD
Co Founder, Rejuvenate
The Brain Is Your Most Important Athletic Asset—Protect and Optimize It
Every athlete obsesses over physical training—mileage, power output, strength gains, VO2 max. But the organ that ultimately determines performance receives far less attention: your brain. The brain coordinates every movement, regulates every physiological system, processes every tactical decision, and manages the psychological stress that can make or break performance.
For athletes, brain health and cognitive function aren't luxury considerations—they're performance essentials. Whether you're recovering from a concussion, managing persistent brain fog that limits training quality, dealing with the cognitive effects of overtraining, or simply seeking the mental clarity that elevates performance, optimizing brain function is foundational to athletic success.
This is why Rejuvenate developed the Mind Mend protocol—a physician-supervised treatment specifically designed to support neurological health, accelerate concussion recovery, and enhance cognitive performance for athletes.
The Brain-Performance Connection
Understanding why brain health matters so much for athletic performance reveals why Mind Mend therapy can be transformative:
Neurological Coordination and Movement Quality
Every athletic movement—from a marathon runner's stride to a weightlifter's clean—requires precise neurological coordination. Your brain must:
Generate motor signals to the right muscles at the right time
Integrate sensory feedback about body position and movement
Adjust force production in real-time
Maintain postural stability
Coordinate complex multi-joint movements
When brain function is suboptimal—from concussion, inflammation, oxidative stress, or fatigue—movement quality suffers. Coordination feels off, reaction times slow, and performance degrades even when muscles and cardiovascular systems are capable.
Decision-Making and Tactical Execution
Many sports require split-second tactical decisions:
Race pacing and strategy execution
Team sport positioning and play recognition
Combat sport timing and counter-reactions
Training intensity judgments
Cognitive function directly impacts your ability to make optimal decisions under stress. Brain fog, mental fatigue, or concussion-related cognitive impairment can cost you races, games, or training quality.
Psychological Resilience and Pain Tolerance
The brain mediates your perception of discomfort, effort, and pain. Athletes with better cognitive function demonstrate:
Higher pain tolerance during intense efforts
Better maintenance of technique when fatigued
Greater psychological resilience under competitive stress
Improved ability to push through discomfort
Autonomic Regulation
Your brain's autonomic nervous system regulates:
Heart rate and blood pressure responses
Breathing patterns
Thermoregulation (critical for Arizona athletes)
Stress hormone release
Recovery and adaptation processes
Optimal brain function supports better autonomic balance, which translates to improved training tolerance and recovery.
The Athletic Brain Under Stress
Athletes face multiple sources of neurological stress that can impair cognitive function:
Concussion and Traumatic Brain Injury
Contact sport athletes face obvious concussion risks, but even non-contact athletes can experience head trauma from falls, collisions, or accidents. Each concussion:
Disrupts neuronal function
Creates neuroinflammation
Generates oxidative stress
Impairs cellular energy production
Can cause lasting cognitive effects if not properly managed
Subconcussive Impacts
Even impacts that don't cause diagnosed concussions create cumulative neurological stress. Athletes in sports with repeated head contact accumulate subconcussive trauma that can impair cognitive function over time.
Training-Induced Inflammation
Intense training creates systemic inflammation that affects the brain. While acute inflammation is part of normal training stress, chronic inflammation from overtraining or insufficient recovery can impair cognitive function, mood, and neurological health.
Oxidative Stress
The brain is particularly vulnerable to oxidative stress because it:
Uses 20% of the body's oxygen despite being only 2% of body weight
Contains high levels of oxidizable fats
Has relatively lower antioxidant defenses than other organs
Hard training generates oxidative stress throughout the body, including the brain, potentially impairing cognitive function.
Overtraining and Central Fatigue
Overtraining affects the brain directly, causing:
Persistent mental fatigue and brain fog
Impaired decision-making and focus
Mood disturbances (irritability, depression)
Sleep disruption
Reduced motivation and training enjoyment
This "central fatigue" can persist even when muscles are physically capable of training.
Sleep Deprivation
Athletes often sacrifice sleep for training, work, or recovery activities. Inadequate sleep directly impairs:
Memory consolidation
Learning of new skills and tactics
Cognitive processing speed
Mood regulation
Physical recovery processes
What Mind Mend Does for Athletic Brains
The Mind Mend protocol combines multiple compounds that synergistically support brain health, cognitive function, and neurological recovery:
NAD+ (300-500mg): Cellular Energy for Neurons
Your brain is the most metabolically active organ in your body. Neurons require massive amounts of ATP to:
Maintain electrochemical gradients
Generate action potentials
Support neurotransmitter synthesis and recycling
Power cellular repair processes
NAD+ is essential for mitochondrial ATP production. When NAD+ is depleted—from aging, stress, or overtraining—neurons struggle to maintain optimal function. This manifests as brain fog, mental fatigue, and cognitive impairment.
IV NAD+ therapy:
Restores cellular energy production in brain cells
Supports mitochondrial function in neurons
Activates sirtuins (proteins that coordinate cellular stress responses)
Enhances neuronal repair and recovery processes
Athletes report improved mental clarity, focus, and cognitive processing speed within hours of NAD+ administration.
Glutathione (300mg): Neuroprotection from Oxidative Damage
The brain's vulnerability to oxidative stress makes glutathione particularly important for neurological health. As the master antioxidant, glutathione:
Neutralizes free radicals before they damage neurons
Regenerates other antioxidants (vitamins C and E)
Supports detoxification of harmful metabolites
Protects the blood-brain barrier
Reduces neuroinflammation
For athletes, glutathione protection is crucial during:
Concussion recovery (when oxidative stress is elevated)
High-volume training (generating systemic oxidative stress)
Aging (as natural glutathione production declines)
B Vitamin Complex: Neurotransmitter Support
B vitamins play critical roles in brain function:
B1 (Thiamine): Glucose metabolism in the brain, nerve signal transmission B2 (Riboflavin): Energy production, antioxidant recycling B3 (Niacin): DNA repair, stress response regulation B5 (Pantothenic Acid): Neurotransmitter synthesis, stress hormone production B6 (Pyridoxine): Serotonin and dopamine synthesis, nerve function B12 (Methylcobalamin): Myelin synthesis, nerve regeneration, homocysteine metabolism
Athletes often develop B vitamin deficiencies from high metabolic demands, making supplementation particularly valuable for cognitive support.
Magnesium (200-300mg): Neurological Calm and Function
Magnesium affects brain function through multiple mechanisms:
Regulates neuronal excitability (prevents excessive activation)
Supports neurotransmitter release and receptor function
Protects against excitotoxicity (damage from excessive neurotransmitter activity)
Supports blood-brain barrier integrity
Enhances neuroplasticity (learning and adaptation)
Many athletes are magnesium-deficient from sweat losses and inadequate dietary intake, compounding neurological stress.
The Synergistic Effect
Mind Mend's power comes from combining these compounds in a single treatment:
NAD+ provides cellular energy for all neurological processes
Glutathione protects neurons from oxidative damage
B vitamins support neurotransmitter synthesis and function
Magnesium regulates excitability and enhances neuroplasticity
This comprehensive approach addresses multiple mechanisms of neurological dysfunction simultaneously—creating effects greater than any single compound alone.
Applications for Athletes: When Mind Mend Matters Most
Post-Concussion Recovery
Concussion recovery protocols traditionally focus on rest and gradual return to activity. While essential, these approaches don't actively support the cellular recovery processes that determine healing speed and completeness.
Mind Mend therapy accelerates concussion recovery by:
Restoring neuronal energy production (often impaired post-concussion)
Reducing post-injury neuroinflammation
Protecting against secondary oxidative damage
Supporting repair of damaged neural structures
Enhancing cognitive function during recovery
Typical Protocol:
Begin 48-72 hours post-injury (after medical clearance)
Weekly treatments during acute recovery phase (weeks 1-4)
Biweekly treatments during gradual return to activity (weeks 4-8)
Monthly maintenance if persistent symptoms
Many athletes report faster symptom resolution and improved cognitive function compared to rest alone.
Post-Concussion Syndrome (PCS)
For athletes dealing with persistent symptoms months or years after concussion—headaches, brain fog, dizziness, cognitive impairment—Mind Mend offers hope. PCS often involves ongoing neuroinflammation and mitochondrial dysfunction that standard treatments don't address.
Protocol for PCS:
More aggressive initial treatment: 2x weekly for 4-6 weeks
Gradual reduction to weekly, then biweekly maintenance
Long-term support (monthly treatments) for sustained symptom management
Some athletes with years of PCS symptoms experience significant improvement with consistent Mind Mend therapy.
Long COVID Brain Fog
Many athletes develop persistent cognitive dysfunction after COVID-19 infection—brain fog, difficulty concentrating, mental fatigue, reduced training capacity. Research suggests this involves neuroinflammation, mitochondrial dysfunction, and oxidative stress—exactly what Mind Mend targets.
Protocol for Long COVID:
Initial intensive phase: weekly treatments for 6-8 weeks
Maintenance phase: biweekly to monthly based on response
Combined with gradual return to training
Athletes report improved mental clarity, reduced brain fog, and better training tolerance with Mind Mend therapy.
Chronic Brain Fog and Mental Fatigue
Not all cognitive dysfunction comes from diagnosed conditions. Many athletes experience persistent brain fog from:
Chronic overtraining
Accumulated training stress
Poor sleep quality
Nutritional deficiencies
Chronic inflammation
Mind Mend addresses the underlying cellular dysfunction driving these symptoms.
Protocol for Chronic Brain Fog:
Initial trial: single treatment with symptom tracking
If responsive: weekly to biweekly treatments during heavy training phases
Maintenance: monthly treatments to sustain cognitive clarity
Pre-Competition Cognitive Optimization
Some athletes use Mind Mend strategically before major competitions to optimize cognitive function:
Enhanced mental clarity and focus
Better tactical decision-making
Improved pain tolerance and psychological resilience
Optimized stress response and autonomic regulation
Protocol for Competition Prep:
Single treatment 3-5 days before competition
Not immediately before (allow time for integration)
Test in training before using in competition
Overtraining Recovery
Central fatigue—the neurological component of overtraining—can persist even when muscles recover. Mind Mend supports:
Restoration of neurological energy systems
Reduction of neuroinflammation
Improved mood and motivation
Enhanced sleep quality
Faster return to normal training capacity
Protocol for Overtraining:
2x weekly initially during forced rest period
Weekly as return to training begins
Biweekly to monthly as training normalizes
Masters Athletes (40+)
Age-related cognitive decline affects athletes just like everyone else. NAD+ levels decline with age, oxidative stress increases, and neuroinflammation becomes more common. Mind Mend helps masters athletes maintain the cognitive function they had when younger.
Protocol for Masters Athletes:
Monthly maintenance treatments year-round
Weekly to biweekly during peak training phases
Focus on cognitive performance preservation
High-Stress Competition Periods
Athletes facing particularly stressful competition periods—championship seasons, qualifying events, multi-day tournaments—use Mind Mend to maintain cognitive function under psychological stress:
Better stress management
Improved decision-making under pressure
Enhanced recovery between competitive efforts
Maintained focus and motivation
Protocol for Competition Seasons:
Weekly treatments during high-stress competitive periods
Post-competition recovery sessions
Pre-key event optimization (3-5 days before)
What to Expect: The Athlete Experience with Mind Mend
Understanding realistic expectations helps optimize treatment protocols:
During Infusion (90 minutes to 4 hours)
Mind Mend infusions take longer than simpler treatments because NAD+ requires slow administration to minimize side effects:
NAD+ Administration: Slower infusion prevents nausea or cramping. Many athletes read, work, or rest during treatment. The 90 minutes to 4 hours passes quickly and productively.
Immediate Sensations: Some athletes report subtle sensations during NAD+ infusion—mild abdominal cramping (usually managed by slowing infusion), occasional nausea (rare with proper administration), or a sense of warmth or calm.
Mental State: Many athletes notice enhanced mental clarity even during infusion—thoughts feel clearer, focus improves, mental energy increases.
Immediate Effects (Hours 1-12)
The first day after Mind Mend, most athletes notice:
Mental Clarity: Thoughts feel sharper, clearer, more organized. Brain fog lifts noticeably.
Enhanced Focus: Ability to concentrate on tasks improves. Athletes report better training focus and quality.
Energy Without Stimulation: Mental energy increases, but it's clean and sustained—not the jittery feeling from caffeine.
Improved Mood: Many athletes report subtle mood elevation—more optimistic, motivated, and engaged.
Short-Term Benefits (Days 2-7)
Over the week following treatment:
Sustained Mental Performance: The cognitive clarity persists and often strengthens over several days.
Better Sleep: Sleep quality frequently improves—falling asleep easier, sleeping more deeply, waking more refreshed.
Reduced Headaches: Athletes with chronic headaches (including post-concussion) often experience significant relief.
Improved Training Quality: Mental focus during training sessions improves, enhancing skill acquisition and tactical execution.
Faster Cognitive Processing: Reaction times feel quicker, decision-making is sharper, tactical awareness is heightened.
Cumulative Effects (Weeks 2-8)
With consistent treatment during the appropriate recovery or optimization phase:
For Concussion Recovery:
Progressive symptom reduction
Faster return to baseline cognitive function
Improved exercise tolerance
Reduced post-exertional symptom exacerbation
For Chronic Brain Fog:
Sustained mental clarity becomes the new baseline
Training capacity and quality improve consistently
Mood stabilization and improved motivation
Better stress management
For Performance Optimization:
Enhanced tactical awareness and decision-making
Improved training response and skill acquisition
Better psychological resilience under stress
Maintained cognitive function despite training demands
Sport-Specific Mind Mend Applications
Different sports benefit from cognitive optimization in different ways:
Endurance Sports (Running, Cycling, Triathlon)
Cognitive Demands:
Pacing strategy execution
Maintaining technique when fatigued
Pain tolerance during intense efforts
Tactical racing decisions
Mind Mend Benefits:
Enhanced pacing judgment
Better maintenance of form when tired
Improved ability to push through discomfort
Sharper tactical decisions during races
Typical Use: Monthly maintenance + pre-key events (3-5 days before)
Team Sports (Soccer, Basketball, Football, Volleyball)
Cognitive Demands:
Split-second tactical decisions
Spatial awareness and positioning
Anticipation and reaction to opponents
Communication and team coordination
Concussion recovery (contact sports)
Mind Mend Benefits:
Faster processing of game situations
Enhanced peripheral awareness
Better decision-making under pressure
Accelerated concussion recovery
Typical Use: Post-concussion protocol + monthly maintenance during season
Combat Sports (MMA, Boxing, Wrestling)
Cognitive Demands:
Lightning-fast reaction times
Pattern recognition and counter-timing
Managing repeated head impacts
Strategic execution under fatigue
Mind Mend Benefits:
Neuroprotection from repeated impacts
Maintained cognitive speed despite training stress
Enhanced tactical execution
Faster recovery from sparring sessions
Typical Use: Weekly during fight camps, biweekly during regular training
Precision Sports (Golf, Shooting, Archery)
Cognitive Demands:
Intense focus and concentration
Emotional regulation under pressure
Fine motor control coordination
Mental endurance during long competitions
Mind Mend Benefits:
Enhanced sustained focus
Better emotional stability
Improved mind-body coordination
Reduced mental fatigue during long events
Typical Use: Monthly maintenance + pre-major competition optimization
CrossFit and Functional Fitness
Cognitive Demands:
Complex movement pattern execution
Strategic workout pacing
Mental toughness during suffering
Rapid adaptation to unknown challenges
Mind Mend Benefits:
Better movement quality under fatigue
Enhanced pacing strategies
Improved psychological resilience
Faster skill acquisition
Typical Use: Weekly during competition prep, monthly during off-season
Ultra-Endurance Events
Cognitive Demands:
Decision-making during sleep deprivation
Maintaining focus for 12-100+ hours
Managing hallucinations and cognitive drift
Strategic resource management
Mind Mend Benefits:
Better cognitive function during prolonged efforts
Pre-event cognitive optimization
Post-event neurological recovery
Typical Use: Pre-event (3-5 days before) + post-event recovery (within 48 hours)
Combining Mind Mend with Other Performance Protocols
Mind Mend works synergistically with other treatments:
Mind Mend + Performance Hydration
For athletes training in Arizona heat where dehydration impairs cognitive function:
Combined Benefits:
Optimal hydration for brain function
Cellular energy and neuroprotection
Enhanced training quality
When to Combine: Post-hard training in extreme heat
Mind Mend + CBD
For athletes managing both cognitive issues and inflammation/pain:
Combined Benefits:
Neurological support from Mind Mend
Anti-inflammatory effects from CBD
Enhanced sleep quality from both
Comprehensive recovery support
When to Combine: Post-concussion, during overtraining recovery, or for comprehensive performance optimization
Mind Mend + Enhanced Endurance Protocol
For ultra-endurance athletes needing comprehensive support:
Full Protocol:
NAD+ (300mg)
Glutathione (300mg)
B-Complex
Magnesium (300mg)
CBD (8ml)
Combined Benefits:
Complete cellular energy support
Comprehensive antioxidant protection
Full-spectrum recovery optimization
When to Combine: Post-ultra events, during peak training blocks, for complete performance optimization
Safety, Contraindications, and Considerations
Mind Mend is generally safe when properly administered:
Common Side Effects (Generally Mild)
During NAD+ Infusion:
Mild nausea (managed by slowing infusion)
Abdominal cramping (usually brief)
Flushing or warmth sensation
Restlessness (typically mild)
Post-Treatment:
Rare: mild headache (usually resolves quickly)
Occasional: vivid dreams (not unpleasant)
Uncommon: temporary fatigue (day 1-2)
Contraindications
Discuss with physician if you have:
Active cancer (NAD+ affects cellular metabolism)
Certain psychiatric conditions (discuss with provider)
Severe kidney disease (dose adjustments needed)
Drug Interactions
Mind Mend has minimal drug interactions but should be discussed with your physician if you take:
Certain psychiatric medications
Chemotherapy drugs
Medications metabolized by certain liver enzymes
Medical Supervision Essential
Mind Mend should only be administered in medical settings with:
✓ Physician evaluation before starting
✓ Medical-grade compounds from regulated pharmacies
✓ Monitoring during infusion
✓ Proper infusion rates and protocols
✗ Unqualified staff in "wellness spas"
Tracking and Measuring Cognitive Benefits
Objective assessment helps quantify Mind Mend benefits:
Subjective Cognitive Tracking
Daily Ratings (1-10 scale):
Mental clarity and focus
Energy level
Mood
Sleep quality
Training enjoyment and motivation
Track Before and After Treatment: Establish baseline, then monitor changes
Objective Cognitive Measures
Reaction Time Tests: Free apps and online tools measure processing speed
Memory Tests: Digit span, word recall, or pattern recognition tasks
Training Quality Metrics:
Technical execution during fatigue
Tactical decision-making effectiveness
Consistency hitting training targets
For Concussion Recovery
Symptom Checklists: Track all post-concussion symptoms daily
Cognitive Testing: Baseline testing (pre-season) allows comparison during recovery
Return-to-Play Progression: Document tolerance of each graduated return phase
The Investment: Cost-Benefit for Athletes
Mind Mend represents a significant investment in cognitive health:
Typical Costs:
Mind Mend Protocol: $300-500 per session
Intensive protocols (2x weekly): $600-1000 weekly
Maintenance (monthly): $300-500 monthly
Value Considerations:
For Concussion Recovery:
Faster return to sport (reduced time off = retained fitness)
More complete recovery (reduced long-term PCS risk)
Protected future brain health
For Performance Optimization:
Enhanced training quality (better stimulus from each session)
Improved competition performance (sharper decisions under pressure)
Competitive advantage through cognitive edge
For Career Longevity:
Neuroprotection from training stress
Better long-term cognitive health
Extended competitive career
Who Benefits Most:
Athletes recovering from concussion (invaluable for proper healing)
Contact sport athletes needing neuroprotection
Athletes with persistent brain fog or cognitive issues
Masters athletes maintaining cognitive function
Competitors where mental edge matters for winning
Getting Started with Mind Mend
If you're considering Mind Mend therapy:
Step 1: Consultation Schedule a physician consultation to discuss:
Current cognitive symptoms or concerns
Concussion history
Training demands and stress levels
Goals (recovery vs. optimization)
Medical history and medications
Step 2: Initial Treatment Experience a Mind Mend session and track your response:
Cognitive clarity and focus
Mental energy
Sleep quality
Training quality in following days
Step 3: Protocol Design Based on your response and needs:
Concussion recovery: intensive protocol
Chronic issues: weekly to biweekly
Optimization: monthly maintenance
Competition prep: strategic pre-event timing
Step 4: Monitor and Adjust Track subjective and objective markers, adjusting frequency and timing based on response and goals.
The Future of Cognitive Performance in Sports
Sports medicine is increasingly recognizing brain health as central to athletic performance. Mind Mend represents the cutting edge of this evolution—moving from reactive treatment of brain injuries to proactive optimization of cognitive function.
The athletes achieving breakthrough performances aren't leaving brain health to chance. They're actively protecting, recovering, and optimizing the neurological systems that ultimately control every aspect of athletic performance.
Ready to Optimize Your Athletic Brain?
Whether you're recovering from concussion, managing persistent brain fog, or simply seeking the cognitive clarity that elevates performance, Mind Mend offers physician-supervised neurological support that goes far beyond rest and hope.
Schedule a consultation to discuss how Mind Mend can support your cognitive health, accelerate recovery, or enhance your competitive performance.
Rejuvenate offers physician-supervised Mind Mend protocols at our Tucson locations. All treatments include medical evaluation to ensure safety and protocol optimization for your specific neurological needs.

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Discover how Rejuvenate can transform your health and well-being.

Discover how Rejuvenate can transform your health and well-being.

Discover how Rejuvenate can transform your health and well-being.

11.17.2025
5 mins
Mind Mend for Athletes: Cognitive Performance and Concussion Recovery


Dr. James Dill, MD
Co Founder, Rejuvenate
The Brain Is Your Most Important Athletic Asset—Protect and Optimize It
Every athlete obsesses over physical training—mileage, power output, strength gains, VO2 max. But the organ that ultimately determines performance receives far less attention: your brain. The brain coordinates every movement, regulates every physiological system, processes every tactical decision, and manages the psychological stress that can make or break performance.
For athletes, brain health and cognitive function aren't luxury considerations—they're performance essentials. Whether you're recovering from a concussion, managing persistent brain fog that limits training quality, dealing with the cognitive effects of overtraining, or simply seeking the mental clarity that elevates performance, optimizing brain function is foundational to athletic success.
This is why Rejuvenate developed the Mind Mend protocol—a physician-supervised treatment specifically designed to support neurological health, accelerate concussion recovery, and enhance cognitive performance for athletes.
The Brain-Performance Connection
Understanding why brain health matters so much for athletic performance reveals why Mind Mend therapy can be transformative:
Neurological Coordination and Movement Quality
Every athletic movement—from a marathon runner's stride to a weightlifter's clean—requires precise neurological coordination. Your brain must:
Generate motor signals to the right muscles at the right time
Integrate sensory feedback about body position and movement
Adjust force production in real-time
Maintain postural stability
Coordinate complex multi-joint movements
When brain function is suboptimal—from concussion, inflammation, oxidative stress, or fatigue—movement quality suffers. Coordination feels off, reaction times slow, and performance degrades even when muscles and cardiovascular systems are capable.
Decision-Making and Tactical Execution
Many sports require split-second tactical decisions:
Race pacing and strategy execution
Team sport positioning and play recognition
Combat sport timing and counter-reactions
Training intensity judgments
Cognitive function directly impacts your ability to make optimal decisions under stress. Brain fog, mental fatigue, or concussion-related cognitive impairment can cost you races, games, or training quality.
Psychological Resilience and Pain Tolerance
The brain mediates your perception of discomfort, effort, and pain. Athletes with better cognitive function demonstrate:
Higher pain tolerance during intense efforts
Better maintenance of technique when fatigued
Greater psychological resilience under competitive stress
Improved ability to push through discomfort
Autonomic Regulation
Your brain's autonomic nervous system regulates:
Heart rate and blood pressure responses
Breathing patterns
Thermoregulation (critical for Arizona athletes)
Stress hormone release
Recovery and adaptation processes
Optimal brain function supports better autonomic balance, which translates to improved training tolerance and recovery.
The Athletic Brain Under Stress
Athletes face multiple sources of neurological stress that can impair cognitive function:
Concussion and Traumatic Brain Injury
Contact sport athletes face obvious concussion risks, but even non-contact athletes can experience head trauma from falls, collisions, or accidents. Each concussion:
Disrupts neuronal function
Creates neuroinflammation
Generates oxidative stress
Impairs cellular energy production
Can cause lasting cognitive effects if not properly managed
Subconcussive Impacts
Even impacts that don't cause diagnosed concussions create cumulative neurological stress. Athletes in sports with repeated head contact accumulate subconcussive trauma that can impair cognitive function over time.
Training-Induced Inflammation
Intense training creates systemic inflammation that affects the brain. While acute inflammation is part of normal training stress, chronic inflammation from overtraining or insufficient recovery can impair cognitive function, mood, and neurological health.
Oxidative Stress
The brain is particularly vulnerable to oxidative stress because it:
Uses 20% of the body's oxygen despite being only 2% of body weight
Contains high levels of oxidizable fats
Has relatively lower antioxidant defenses than other organs
Hard training generates oxidative stress throughout the body, including the brain, potentially impairing cognitive function.
Overtraining and Central Fatigue
Overtraining affects the brain directly, causing:
Persistent mental fatigue and brain fog
Impaired decision-making and focus
Mood disturbances (irritability, depression)
Sleep disruption
Reduced motivation and training enjoyment
This "central fatigue" can persist even when muscles are physically capable of training.
Sleep Deprivation
Athletes often sacrifice sleep for training, work, or recovery activities. Inadequate sleep directly impairs:
Memory consolidation
Learning of new skills and tactics
Cognitive processing speed
Mood regulation
Physical recovery processes
What Mind Mend Does for Athletic Brains
The Mind Mend protocol combines multiple compounds that synergistically support brain health, cognitive function, and neurological recovery:
NAD+ (300-500mg): Cellular Energy for Neurons
Your brain is the most metabolically active organ in your body. Neurons require massive amounts of ATP to:
Maintain electrochemical gradients
Generate action potentials
Support neurotransmitter synthesis and recycling
Power cellular repair processes
NAD+ is essential for mitochondrial ATP production. When NAD+ is depleted—from aging, stress, or overtraining—neurons struggle to maintain optimal function. This manifests as brain fog, mental fatigue, and cognitive impairment.
IV NAD+ therapy:
Restores cellular energy production in brain cells
Supports mitochondrial function in neurons
Activates sirtuins (proteins that coordinate cellular stress responses)
Enhances neuronal repair and recovery processes
Athletes report improved mental clarity, focus, and cognitive processing speed within hours of NAD+ administration.
Glutathione (300mg): Neuroprotection from Oxidative Damage
The brain's vulnerability to oxidative stress makes glutathione particularly important for neurological health. As the master antioxidant, glutathione:
Neutralizes free radicals before they damage neurons
Regenerates other antioxidants (vitamins C and E)
Supports detoxification of harmful metabolites
Protects the blood-brain barrier
Reduces neuroinflammation
For athletes, glutathione protection is crucial during:
Concussion recovery (when oxidative stress is elevated)
High-volume training (generating systemic oxidative stress)
Aging (as natural glutathione production declines)
B Vitamin Complex: Neurotransmitter Support
B vitamins play critical roles in brain function:
B1 (Thiamine): Glucose metabolism in the brain, nerve signal transmission B2 (Riboflavin): Energy production, antioxidant recycling B3 (Niacin): DNA repair, stress response regulation B5 (Pantothenic Acid): Neurotransmitter synthesis, stress hormone production B6 (Pyridoxine): Serotonin and dopamine synthesis, nerve function B12 (Methylcobalamin): Myelin synthesis, nerve regeneration, homocysteine metabolism
Athletes often develop B vitamin deficiencies from high metabolic demands, making supplementation particularly valuable for cognitive support.
Magnesium (200-300mg): Neurological Calm and Function
Magnesium affects brain function through multiple mechanisms:
Regulates neuronal excitability (prevents excessive activation)
Supports neurotransmitter release and receptor function
Protects against excitotoxicity (damage from excessive neurotransmitter activity)
Supports blood-brain barrier integrity
Enhances neuroplasticity (learning and adaptation)
Many athletes are magnesium-deficient from sweat losses and inadequate dietary intake, compounding neurological stress.
The Synergistic Effect
Mind Mend's power comes from combining these compounds in a single treatment:
NAD+ provides cellular energy for all neurological processes
Glutathione protects neurons from oxidative damage
B vitamins support neurotransmitter synthesis and function
Magnesium regulates excitability and enhances neuroplasticity
This comprehensive approach addresses multiple mechanisms of neurological dysfunction simultaneously—creating effects greater than any single compound alone.
Applications for Athletes: When Mind Mend Matters Most
Post-Concussion Recovery
Concussion recovery protocols traditionally focus on rest and gradual return to activity. While essential, these approaches don't actively support the cellular recovery processes that determine healing speed and completeness.
Mind Mend therapy accelerates concussion recovery by:
Restoring neuronal energy production (often impaired post-concussion)
Reducing post-injury neuroinflammation
Protecting against secondary oxidative damage
Supporting repair of damaged neural structures
Enhancing cognitive function during recovery
Typical Protocol:
Begin 48-72 hours post-injury (after medical clearance)
Weekly treatments during acute recovery phase (weeks 1-4)
Biweekly treatments during gradual return to activity (weeks 4-8)
Monthly maintenance if persistent symptoms
Many athletes report faster symptom resolution and improved cognitive function compared to rest alone.
Post-Concussion Syndrome (PCS)
For athletes dealing with persistent symptoms months or years after concussion—headaches, brain fog, dizziness, cognitive impairment—Mind Mend offers hope. PCS often involves ongoing neuroinflammation and mitochondrial dysfunction that standard treatments don't address.
Protocol for PCS:
More aggressive initial treatment: 2x weekly for 4-6 weeks
Gradual reduction to weekly, then biweekly maintenance
Long-term support (monthly treatments) for sustained symptom management
Some athletes with years of PCS symptoms experience significant improvement with consistent Mind Mend therapy.
Long COVID Brain Fog
Many athletes develop persistent cognitive dysfunction after COVID-19 infection—brain fog, difficulty concentrating, mental fatigue, reduced training capacity. Research suggests this involves neuroinflammation, mitochondrial dysfunction, and oxidative stress—exactly what Mind Mend targets.
Protocol for Long COVID:
Initial intensive phase: weekly treatments for 6-8 weeks
Maintenance phase: biweekly to monthly based on response
Combined with gradual return to training
Athletes report improved mental clarity, reduced brain fog, and better training tolerance with Mind Mend therapy.
Chronic Brain Fog and Mental Fatigue
Not all cognitive dysfunction comes from diagnosed conditions. Many athletes experience persistent brain fog from:
Chronic overtraining
Accumulated training stress
Poor sleep quality
Nutritional deficiencies
Chronic inflammation
Mind Mend addresses the underlying cellular dysfunction driving these symptoms.
Protocol for Chronic Brain Fog:
Initial trial: single treatment with symptom tracking
If responsive: weekly to biweekly treatments during heavy training phases
Maintenance: monthly treatments to sustain cognitive clarity
Pre-Competition Cognitive Optimization
Some athletes use Mind Mend strategically before major competitions to optimize cognitive function:
Enhanced mental clarity and focus
Better tactical decision-making
Improved pain tolerance and psychological resilience
Optimized stress response and autonomic regulation
Protocol for Competition Prep:
Single treatment 3-5 days before competition
Not immediately before (allow time for integration)
Test in training before using in competition
Overtraining Recovery
Central fatigue—the neurological component of overtraining—can persist even when muscles recover. Mind Mend supports:
Restoration of neurological energy systems
Reduction of neuroinflammation
Improved mood and motivation
Enhanced sleep quality
Faster return to normal training capacity
Protocol for Overtraining:
2x weekly initially during forced rest period
Weekly as return to training begins
Biweekly to monthly as training normalizes
Masters Athletes (40+)
Age-related cognitive decline affects athletes just like everyone else. NAD+ levels decline with age, oxidative stress increases, and neuroinflammation becomes more common. Mind Mend helps masters athletes maintain the cognitive function they had when younger.
Protocol for Masters Athletes:
Monthly maintenance treatments year-round
Weekly to biweekly during peak training phases
Focus on cognitive performance preservation
High-Stress Competition Periods
Athletes facing particularly stressful competition periods—championship seasons, qualifying events, multi-day tournaments—use Mind Mend to maintain cognitive function under psychological stress:
Better stress management
Improved decision-making under pressure
Enhanced recovery between competitive efforts
Maintained focus and motivation
Protocol for Competition Seasons:
Weekly treatments during high-stress competitive periods
Post-competition recovery sessions
Pre-key event optimization (3-5 days before)
What to Expect: The Athlete Experience with Mind Mend
Understanding realistic expectations helps optimize treatment protocols:
During Infusion (90 minutes to 4 hours)
Mind Mend infusions take longer than simpler treatments because NAD+ requires slow administration to minimize side effects:
NAD+ Administration: Slower infusion prevents nausea or cramping. Many athletes read, work, or rest during treatment. The 90 minutes to 4 hours passes quickly and productively.
Immediate Sensations: Some athletes report subtle sensations during NAD+ infusion—mild abdominal cramping (usually managed by slowing infusion), occasional nausea (rare with proper administration), or a sense of warmth or calm.
Mental State: Many athletes notice enhanced mental clarity even during infusion—thoughts feel clearer, focus improves, mental energy increases.
Immediate Effects (Hours 1-12)
The first day after Mind Mend, most athletes notice:
Mental Clarity: Thoughts feel sharper, clearer, more organized. Brain fog lifts noticeably.
Enhanced Focus: Ability to concentrate on tasks improves. Athletes report better training focus and quality.
Energy Without Stimulation: Mental energy increases, but it's clean and sustained—not the jittery feeling from caffeine.
Improved Mood: Many athletes report subtle mood elevation—more optimistic, motivated, and engaged.
Short-Term Benefits (Days 2-7)
Over the week following treatment:
Sustained Mental Performance: The cognitive clarity persists and often strengthens over several days.
Better Sleep: Sleep quality frequently improves—falling asleep easier, sleeping more deeply, waking more refreshed.
Reduced Headaches: Athletes with chronic headaches (including post-concussion) often experience significant relief.
Improved Training Quality: Mental focus during training sessions improves, enhancing skill acquisition and tactical execution.
Faster Cognitive Processing: Reaction times feel quicker, decision-making is sharper, tactical awareness is heightened.
Cumulative Effects (Weeks 2-8)
With consistent treatment during the appropriate recovery or optimization phase:
For Concussion Recovery:
Progressive symptom reduction
Faster return to baseline cognitive function
Improved exercise tolerance
Reduced post-exertional symptom exacerbation
For Chronic Brain Fog:
Sustained mental clarity becomes the new baseline
Training capacity and quality improve consistently
Mood stabilization and improved motivation
Better stress management
For Performance Optimization:
Enhanced tactical awareness and decision-making
Improved training response and skill acquisition
Better psychological resilience under stress
Maintained cognitive function despite training demands
Sport-Specific Mind Mend Applications
Different sports benefit from cognitive optimization in different ways:
Endurance Sports (Running, Cycling, Triathlon)
Cognitive Demands:
Pacing strategy execution
Maintaining technique when fatigued
Pain tolerance during intense efforts
Tactical racing decisions
Mind Mend Benefits:
Enhanced pacing judgment
Better maintenance of form when tired
Improved ability to push through discomfort
Sharper tactical decisions during races
Typical Use: Monthly maintenance + pre-key events (3-5 days before)
Team Sports (Soccer, Basketball, Football, Volleyball)
Cognitive Demands:
Split-second tactical decisions
Spatial awareness and positioning
Anticipation and reaction to opponents
Communication and team coordination
Concussion recovery (contact sports)
Mind Mend Benefits:
Faster processing of game situations
Enhanced peripheral awareness
Better decision-making under pressure
Accelerated concussion recovery
Typical Use: Post-concussion protocol + monthly maintenance during season
Combat Sports (MMA, Boxing, Wrestling)
Cognitive Demands:
Lightning-fast reaction times
Pattern recognition and counter-timing
Managing repeated head impacts
Strategic execution under fatigue
Mind Mend Benefits:
Neuroprotection from repeated impacts
Maintained cognitive speed despite training stress
Enhanced tactical execution
Faster recovery from sparring sessions
Typical Use: Weekly during fight camps, biweekly during regular training
Precision Sports (Golf, Shooting, Archery)
Cognitive Demands:
Intense focus and concentration
Emotional regulation under pressure
Fine motor control coordination
Mental endurance during long competitions
Mind Mend Benefits:
Enhanced sustained focus
Better emotional stability
Improved mind-body coordination
Reduced mental fatigue during long events
Typical Use: Monthly maintenance + pre-major competition optimization
CrossFit and Functional Fitness
Cognitive Demands:
Complex movement pattern execution
Strategic workout pacing
Mental toughness during suffering
Rapid adaptation to unknown challenges
Mind Mend Benefits:
Better movement quality under fatigue
Enhanced pacing strategies
Improved psychological resilience
Faster skill acquisition
Typical Use: Weekly during competition prep, monthly during off-season
Ultra-Endurance Events
Cognitive Demands:
Decision-making during sleep deprivation
Maintaining focus for 12-100+ hours
Managing hallucinations and cognitive drift
Strategic resource management
Mind Mend Benefits:
Better cognitive function during prolonged efforts
Pre-event cognitive optimization
Post-event neurological recovery
Typical Use: Pre-event (3-5 days before) + post-event recovery (within 48 hours)
Combining Mind Mend with Other Performance Protocols
Mind Mend works synergistically with other treatments:
Mind Mend + Performance Hydration
For athletes training in Arizona heat where dehydration impairs cognitive function:
Combined Benefits:
Optimal hydration for brain function
Cellular energy and neuroprotection
Enhanced training quality
When to Combine: Post-hard training in extreme heat
Mind Mend + CBD
For athletes managing both cognitive issues and inflammation/pain:
Combined Benefits:
Neurological support from Mind Mend
Anti-inflammatory effects from CBD
Enhanced sleep quality from both
Comprehensive recovery support
When to Combine: Post-concussion, during overtraining recovery, or for comprehensive performance optimization
Mind Mend + Enhanced Endurance Protocol
For ultra-endurance athletes needing comprehensive support:
Full Protocol:
NAD+ (300mg)
Glutathione (300mg)
B-Complex
Magnesium (300mg)
CBD (8ml)
Combined Benefits:
Complete cellular energy support
Comprehensive antioxidant protection
Full-spectrum recovery optimization
When to Combine: Post-ultra events, during peak training blocks, for complete performance optimization
Safety, Contraindications, and Considerations
Mind Mend is generally safe when properly administered:
Common Side Effects (Generally Mild)
During NAD+ Infusion:
Mild nausea (managed by slowing infusion)
Abdominal cramping (usually brief)
Flushing or warmth sensation
Restlessness (typically mild)
Post-Treatment:
Rare: mild headache (usually resolves quickly)
Occasional: vivid dreams (not unpleasant)
Uncommon: temporary fatigue (day 1-2)
Contraindications
Discuss with physician if you have:
Active cancer (NAD+ affects cellular metabolism)
Certain psychiatric conditions (discuss with provider)
Severe kidney disease (dose adjustments needed)
Drug Interactions
Mind Mend has minimal drug interactions but should be discussed with your physician if you take:
Certain psychiatric medications
Chemotherapy drugs
Medications metabolized by certain liver enzymes
Medical Supervision Essential
Mind Mend should only be administered in medical settings with:
✓ Physician evaluation before starting
✓ Medical-grade compounds from regulated pharmacies
✓ Monitoring during infusion
✓ Proper infusion rates and protocols
✗ Unqualified staff in "wellness spas"
Tracking and Measuring Cognitive Benefits
Objective assessment helps quantify Mind Mend benefits:
Subjective Cognitive Tracking
Daily Ratings (1-10 scale):
Mental clarity and focus
Energy level
Mood
Sleep quality
Training enjoyment and motivation
Track Before and After Treatment: Establish baseline, then monitor changes
Objective Cognitive Measures
Reaction Time Tests: Free apps and online tools measure processing speed
Memory Tests: Digit span, word recall, or pattern recognition tasks
Training Quality Metrics:
Technical execution during fatigue
Tactical decision-making effectiveness
Consistency hitting training targets
For Concussion Recovery
Symptom Checklists: Track all post-concussion symptoms daily
Cognitive Testing: Baseline testing (pre-season) allows comparison during recovery
Return-to-Play Progression: Document tolerance of each graduated return phase
The Investment: Cost-Benefit for Athletes
Mind Mend represents a significant investment in cognitive health:
Typical Costs:
Mind Mend Protocol: $300-500 per session
Intensive protocols (2x weekly): $600-1000 weekly
Maintenance (monthly): $300-500 monthly
Value Considerations:
For Concussion Recovery:
Faster return to sport (reduced time off = retained fitness)
More complete recovery (reduced long-term PCS risk)
Protected future brain health
For Performance Optimization:
Enhanced training quality (better stimulus from each session)
Improved competition performance (sharper decisions under pressure)
Competitive advantage through cognitive edge
For Career Longevity:
Neuroprotection from training stress
Better long-term cognitive health
Extended competitive career
Who Benefits Most:
Athletes recovering from concussion (invaluable for proper healing)
Contact sport athletes needing neuroprotection
Athletes with persistent brain fog or cognitive issues
Masters athletes maintaining cognitive function
Competitors where mental edge matters for winning
Getting Started with Mind Mend
If you're considering Mind Mend therapy:
Step 1: Consultation Schedule a physician consultation to discuss:
Current cognitive symptoms or concerns
Concussion history
Training demands and stress levels
Goals (recovery vs. optimization)
Medical history and medications
Step 2: Initial Treatment Experience a Mind Mend session and track your response:
Cognitive clarity and focus
Mental energy
Sleep quality
Training quality in following days
Step 3: Protocol Design Based on your response and needs:
Concussion recovery: intensive protocol
Chronic issues: weekly to biweekly
Optimization: monthly maintenance
Competition prep: strategic pre-event timing
Step 4: Monitor and Adjust Track subjective and objective markers, adjusting frequency and timing based on response and goals.
The Future of Cognitive Performance in Sports
Sports medicine is increasingly recognizing brain health as central to athletic performance. Mind Mend represents the cutting edge of this evolution—moving from reactive treatment of brain injuries to proactive optimization of cognitive function.
The athletes achieving breakthrough performances aren't leaving brain health to chance. They're actively protecting, recovering, and optimizing the neurological systems that ultimately control every aspect of athletic performance.
Ready to Optimize Your Athletic Brain?
Whether you're recovering from concussion, managing persistent brain fog, or simply seeking the cognitive clarity that elevates performance, Mind Mend offers physician-supervised neurological support that goes far beyond rest and hope.
Schedule a consultation to discuss how Mind Mend can support your cognitive health, accelerate recovery, or enhance your competitive performance.
Rejuvenate offers physician-supervised Mind Mend protocols at our Tucson locations. All treatments include medical evaluation to ensure safety and protocol optimization for your specific neurological needs.

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Discover how Rejuvenate can transform your health and well-being.

Discover how Rejuvenate can transform your health and well-being.

Discover how Rejuvenate can transform your health and well-being.
