11.17.2025

5 mins

Mind Mend for Athletes: Cognitive Performance and Concussion Recovery

topless man in black shorts doing exercise

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.

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

topless man in black shorts doing exercise

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.

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.