Recovery Overview
Hypoxic TBI · PFC Rehab
🧠
Priority #1. Hypoxic brain injury preferentially damages the PFC — the exact circuitry for habit formation, impulse control, working memory, and follow-through. The failure to stick to things is neurological, not a character flaw. This protocol targets structural repair and functional restoration across every available lever.
Active Peptides
10
compounds in stack
Daily Steps
6
morning protocol
Training Days
6/wk
PPL split
Neurofeedback
✓
qEEG received 6/22
Rehab Duration
4 yrs
since injury
FIRE Target
Age 45
13 years out
Core Repair Targets
- 1 PFC gray matter density — structural repair
- 2 Dopaminergic signaling — motivation & reward circuitry
- 3 Default Mode Network regulation — focused attention
- 4 Synaptic plasticity — new habit loop formation
- 5 Autonomic regulation — HRV, stress response, sleep
Pre-Injury Cognitive Baseline (CBS, June 25 2021)
Healthy Brain
⚠️
Taken June 25, 2021 at Hanley Center — after first overdose but before the 2022 hypoxic brain injury. This is what your brain looked like when it was intact. These are the targets, not just the baseline.
| Domain | Score | Percentile | Range |
|---|---|---|---|
| Spatial Planning | 126 | 96th | Above Average |
| Grammatical Reasoning (Verbal) | 117 | 87th | Above Average |
| Feature Match (Attention) | 105 | 62nd | Average |
| Monkey Ladder (Visuospatial WM) | 103 | 58th | Average |
| Odd One Out (Deductive Reasoning) | 103 | 58th | Average |
| Token Search (Working Memory) | 102 | 55th | Average |
| Digit Span (Verbal STM) | 95 | 38th | Average |
| Spatial Span (Spatial STM) | 92 | 29th | Average |
Post-Injury CNS Vital Signs (2026)
Current State
| Domain | Score | Percentile | Range |
|---|---|---|---|
| Neurocognition Index (NCI) | 81 | 10th | Low Average |
| Composite Memory | 69 | 2nd | Very Low |
| Verbal Memory | 80 | 9th | Low Average |
| Visual Memory | 69 | 2nd | Very Low |
| Reaction Time | 62 | 1st | Very Low |
| Complex Attention | 87 | 19th | Low Average |
| Cognitive Flexibility | 87 | 19th | Low Average |
| Processing Speed | 113 | 81st | Above Average |
| Executive Function | 85 | 16th | Low Average |
| Reasoning | 65 | 1st | Very Low |
| Simple Attention | 76 | 5th | Low |
| Executive Function Brain Age | 41 | — | 9yr gap (chronological: 32) |
Before / After — The Impact of the Injury
📌
CBS (2021) vs CNS Vital Signs (2026) use different instruments so scores aren't directly comparable — but the domains overlap enough to see the trajectory clearly. Pre-injury: all scores average or above. Post-injury: most domains in the bottom 2–20th percentile.
| Domain | Pre-Injury (2021) | Post-Injury (2026) | Direction |
|---|---|---|---|
| Planning / Executive | 126 — 96th %ile | 85 — 16th %ile | ⬇ Severe drop |
| Reasoning (Verbal / Deductive) | 117 / 103 | 65 — 1st %ile | ⬇ Severe drop |
| Working Memory | 102–103 — avg | 69–87 — 2nd–19th %ile | ⬇ Significant drop |
| Attention | 105 — 62nd %ile | 76–87 — 5th–19th %ile | ⬇ Significant drop |
| Processing Speed | not tested (CBS) | 113 — 81st %ile | ✓ Preserved |
Clinical Team
| Provider | Role | Contact | Status |
|---|---|---|---|
| Dr. Frederick Starr | qEEG · Integrative Neurotherapy LLC, East Brunswick NJ | 732-307-7229 | ✓ qEEG Complete (6/22) |
| Spravato Provider | Esketamine (Spravato) sessions | — | ✓ Active |
Pharmacy & Insurance IDs
| Item | Number |
|---|---|
| Pharmacy Member ID | 51207792511 |
| RxGrp | 99994002 |
| RxBIN | 610020 |
| Medical Member ID | 100174E33 |
| Medical GRP | 00003636 |
| Medical Payer ID | 56155 |
Daily Brain Rehab Protocol
Morning · Every Day
⚡
Execute this protocol before work, every day. Sequence matters — OM meditation primes alpha state for neurofeedback, which primes PFC activation for cognitive training.
Morning Sequence
01
OM Meditation
Silence, early morning. Primes alpha brain state before neurofeedback.
20+ min
02
Box Breathing
4s inhale · 4s hold · 4s exhale · 4s hold. Activates PFC via vagal tone before cognitive work.
5 min
03
Myndlift — Alpha Uptraining
Post-qEEG targeted electrode placement. Theta inhibition · Alpha reward · SMR reward · High-beta inhibition.
Per session
04
Dual N-Back Training
Start at N=1. Do NOT rush progression. Most validated PFC-targeting cognitive intervention available.
15–20 min
05
Cold Exposure
NE spike → dopaminergic upregulation → PFC activation. Peak effect during afterdrop/rewarming phase.
2–4 min
06
Single-Leg Balance Drills
Cerebellum-PFC coordination pathways. Proprioception rehabilitation.
5–10 min
Weekly Pennebaker Writing
Mon – Thu
Expressive writing 4× per week. Processes emotional load that would otherwise consume PFC bandwidth. Write continuously for 20 minutes about whatever is on your mind — thoughts, feelings, experiences. No editing. No rereading during the session.
Mon
Tue
Wed
Thu
Fri off
Sat off
Sun off
Breathwork Stack
| Protocol | Pattern | When | Effect |
|---|---|---|---|
| Box Breathing | 4–4–4–4 | Before cognitive tasks / neurofeedback | PFC activation via vagal tone · ↑ HRV |
| 4-7-8 Breathing | 4–7–8 | Before sleep | HRV improvement · deep sleep priming · GH optimization |
| Cyclic Sighing | 2× inhale · long exhale | Real-time stress | Fastest physiological stress reduction · <5 min effect |
Habit Tracker
Today
💾
Backed by Cloudflare KV — persists across devices. No login/auth on this yet, same limitation as the PIN gate elsewhere on this dashboard. Low-sensitivity data (checkbox completion only).
Today's Checklist
0/7
Last 14 Days
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Daily Log
Protocol · Nutrition · Weight
💾
Protocol, meals, and weight for the day — logged once, synced across devices via Supabase.
🌅 Morning Protocol
💉 Peptides & Injections
💊 Oral Supplements
🏃 Fitness & Cardio
🍽️ Nutrition 0 / 2500 cal
Calories0 / 2500
Protein0 / 210g
Fat0 / 90g
⚖️ Weight —
📲
Synced from your Renpho scale via Apple Health. Ask Claude in chat to "log today's weight" and it'll pull your latest Renpho reading straight in here. Manual entry always works too.
✍️ Notes
Peptide & Neuroprotective Stack
Injections · Intranasal
⚠️
Cerebrolysin cycle: 20 days ON / 10 days OFF. Log your cycle start date. On off-weeks all other protocols continue as normal. EVER Neuro Pharma 20mL ampoules only — pharmaceutical grade, IM only, not subQ.
Full Peptide Stack
| Compound | Route | Dose | Frequency | Cycle | Notes |
|---|---|---|---|---|---|
| Cerebrolysin | IM | 5mL→10mL | Daily Mon–Fri | 20 on / 10 off | EVER Neuro Pharma only |
| Semax | Intranasal | 250–500mcg | 2×/day | 10 on / 5 off | AM dose · cognitive drive |
| Selank | Intranasal | 250–500mcg | 2×/day | 10 on / 5 off | PM dose · calm + anxiety |
| BPC-157 | subQ | 250–500mcg | Daily | 4–8 wk on / 2–4 wk off | Neuroprotection + systemic healing |
| GHK-Cu | subQ | 1–3mg | Daily | Same as BPC-157 | Rotate injection sites |
| TB-500 | subQ | 2.5mg | T/Th loading → 1×/wk | 4–8 week cycle | Systemic healing + neuroprotection |
| MOTS-c | subQ | 5mg | Every 5 days | Max 3 cycles/yr (20d each) | Inject at night · 2hrs post-meal |
| Retatrutide | subQ | Mid-titration | Every 5 days | TRIUMPH Phase 3 | Switched from tirzepatide |
| NAD+ | subQ | 100mg | M / W / F | No strict cycle | AM only · avoid evening |
| Glutathione | subQ | 200–400mg | M / W / F | No strict cycle | Can stack same day as NAD+ |
| Adderall XR | Oral | Current dose | Daily · before 1pm | — | No dosing after 1pm |
| Spravato | Intranasal | Prescribed | Per protocol | — | ↑ BDNF · synaptogenesis · heavy lifting |
Research Compounds — To Evaluate
| Compound | Suggested Dose | Mechanism | Source | Priority |
|---|---|---|---|---|
| NSI-189 Phosphate | 40mg/day AM | Hippocampal neurogenesis · 20–30% volume increase · procognitive | SwissChems $39.99/60 caps · PureRawz | 🟡 Medium |
| Dihexa | Research only | More potent BDNF mimetic than cerebrolysin per some researchers | Harder to source | 🔴 Future |
PFC-Specific Supplement Stack
Oral · Daily
💡
Immediate adds: Mag L-Threonate + CDP-Choline + Creatine + Lion's Mane. All available on Amazon, low cost, low risk, high evidence. Add these this week.
Core Supplement Stack
| Supplement | Dose | Timing | Mechanism | Status |
|---|---|---|---|---|
| Magnesium L-Threonate | 2,000mg | Before bed | Crosses BBB · ↑ synaptic density in PFC specifically · ↓ cortisol · improves N3 sleep depth | ⬜ Add |
| CDP-Choline (Citicoline) | 250–500mg | AM with food | Phospholipid membrane integrity · dopamine receptor upregulation · PFC energy substrate | ⬜ Add |
| Creatine Monohydrate | 5g/day | Any time · consistent | ↑ Cerebral phosphocreatine · directly improves PFC energy availability · underused in TBI recovery | ⬜ Add |
| Lion's Mane Extract | 1,000–2,000mg | AM | NGF upregulation · remyelination support · low cost, low risk, strong evidence | ⬜ Add |
| Phosphatidylserine | 300mg | AM with food | PFC membrane repair · cortisol regulation · synaptic signaling | ⬜ Add |
| Omega-3 (DHA-dominant) | 2,000–3,000mg DHA | With largest meal | Structural component of PFC neuronal membranes · ↓ neuroinflammation | ⬜ Add |
| B-Complex | Full spectrum | AM with food | Myelin repair · methylation support · homocysteine regulation | ⬜ Add |
| Zinc + Copper | 15–30mg Zn / 1–2mg Cu | PM away from iron | NMDA receptor function · hypoxic injury disrupts Zn/Cu ratio | ⬜ Add |
Nutrition Targets (PFC Repair)
| Target | Amount | Why |
|---|---|---|
| Protein | 180–200g/day | Neurotransmitter synthesis · muscle preservation |
| Calories (training days) | 2,200–2,400 kcal | Energy availability for brain repair + training |
| DHA (Omega-3) | 2–3g DHA/day | Structural component of PFC membranes |
| Creatine | 5g/day | Cerebral energy · direct PFC function improvement |
| Polyphenols | Daily | Blueberries, dark chocolate, green tea · cross BBB · ↓ neuroinflammation |
| Fermented foods | Daily | Kefir, sauerkraut, kimchi · gut-brain axis → PFC function |
| Prebiotic fiber | 25–35g/day | Microbiome diversity → downstream PFC signaling |
| Zinc:Copper ratio | ~15:1 | NMDA receptor function · hypoxic injury disrupts this |
Cognitive Training Protocol
PFC Activation · Daily
Dual N-Back
2-back
How it works:
Each round, a letter is spoken and one square lights up.
Your job: did the letter match what you heard N rounds ago? Did the position match where it lit up N rounds ago?
Press A for audio (letter) match · L for location (position) match.
You have 3 seconds to respond before the next trial begins automatically.
First 2 trials are warm-up — just watch, no response needed yet.
N-Back History
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Additional Cognitive Tasks
Three more tasks tied to the 16-channel montage — Focus Line (Go/No-Go attention), Steady Hold (C3/C4 stillness), Bridge (P3/P4+F3/F4 spatial span). Each logs to the same KV store as N-Back above; history for each is shown below its game.
Focus Line History
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Steady Hold History
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Bridge History
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Training Modalities
| Protocol | Duration | Frequency | What It Trains | Notes |
|---|---|---|---|---|
| Dual N-Back | 15–20 min | Daily | Working memory · PFC activation · fluid intelligence | Start N=1 · do NOT rush progression |
| Task-Switching Drills | 10–15 min | 3–4×/wk | Cognitive flexibility · PFC executive control | Alternate 2 distinct tasks on timer (e.g. math → reading → math) |
| Working Memory Journal | 5–10 min | Daily PM | Hippocampal-PFC encoding | Recall your entire day in order from memory, without notes |
| Timed Reading + Recall | 20+5 min | 3–4×/wk | Sustained attention · encoding · PFC endurance | Read 20 min → close book → write everything recalled |
| Delayed Gratification Practice | Ongoing | Daily | PFC inhibitory circuits · impulse control | Wait 10–15 min before acting on any impulse (food, phone, etc.) |
Habit Engineering Principles
Implementation Intentions
Write every habit as: "When X happens, I will do Y". This bypasses the PFC initiation bottleneck and routes through habit circuitry directly. Your injured PFC doesn't need to decide — the trigger decides for it.
Environment Engineering
Remove the decision point entirely. Gear out the night before. Schedule locked. Triggers automatic. PFC is depleted by decisions — the fewer required, the higher the execution rate.
Self-Compassion Is Mechanistic, Not Soft
Shame activates the amygdala and suppresses PFC activity. Every time you beat yourself up for failing a habit, you make the next attempt neurologically harder. Reframe failure as data, not character evidence.
Physical Protocol
6 Days/Week · PPL Split
Training Overview
| Variable | Target | Notes |
|---|---|---|
| Training Split | PPL — Push / Pull / Legs | 6 days/week |
| Body Goal | Recomposition · ~210 lbs | — |
| Cardio A | 12/3/30 | 12% incline · 3.0 mph · 30 min |
| Cardio B | Stairmaster Level 6 | 30 min |
| Zone 2 Target | 150–180 min/week | Conversational pace · HR ~120–140 · #1 BDNF producer |
| Heavy Compounds | 2 sessions/week min | Squat · deadlift · press → IGF-1 + BDNF cascade |
Cold Exposure
Target: 2–4 minutes · Daily
NE spike → dopaminergic upregulation → PFC activation. Peak catecholamine effect occurs during the afterdrop and rewarming — not during cold exposure itself. Don't cut short.
Balance & Mobility
· Single-leg balance drills — daily · 5–10 min
· 90/90 hip stretches
· Couch stretch (hip flexors)
· Copenhagen adductor work
· Dead bugs + glute bridges
· Single-leg RDLs
Additional Daily Movement
| Activity | Duration | Notes |
|---|---|---|
| Qi Gong | Daily · 10 min min | Even 10 minutes counts |
| Breathwork (morning) | 5 min | 4s inhale / 6–8s exhale on wake |
| Jump Rope | Per session | Coordination + cardio |
Sleep Architecture Optimization
The Multiplier
🚨
Sleep is the multiplier on every other intervention. Fragmented or shallow sleep cuts the efficacy of cerebrolysin, neurofeedback, peptides, and cognitive training by ~50%. Brain consolidates plasticity changes during N3 and REM. If sleep is broken, the protocol is running at half power.
Sleep Optimization Targets
| Variable | Target | Why It Matters |
|---|---|---|
| Wake Time | Consistent · 7 days/week | Single highest-leverage sleep intervention. Anchors circadian rhythm. |
| Room Temperature | 65–68°F | Core temperature drop is required for N3 (deep sleep) entry. |
| Blue/Bright Light | None after 9pm | Delays melatonin onset by 90+ minutes. |
| Adderall XR Cutoff | No dosing after 1pm | Half-life fragments sleep architecture if dosed late. |
| Mag L-Threonate | 2,000mg before bed | ↓ Cortisol · improves N3 depth · synaptic density. |
| 4-7-8 Breathing | Before sleep | HRV improvement · growth hormone optimization overnight. |
| Sleep Tracking | Oura Ring or Whoop | Need objective N3 + REM % data. Subjective feeling is insufficient. |
Target Sleep Architecture
N3 Deep
20%+ target
REM
25%+ target
Total Sleep
7.5–9 hrs
Track with Oura Ring or Whoop for objective data. Log N3 + REM % weekly.
Neurofeedback Protocol
mPFC Rehab · qEEG-Guided
✓
qEEG received 2026-06-22 (MYNEURVA BEAM). Protocol thresholds set v1.0 2026-07-07: SMR reward at Fz/F3 (z=0.0), Theta inhibit at Fz (z=1.5), High-Beta inhibit at F3 (z=1.0), Beta+High-Beta inhibit at F4/C4 (z=1.0/0.7), Alpha reward at P3/P4 (z=−0.5). All Z-score based — auto-scales to your per-session baseline. Progression schedule embedded in config.
Hardware
| Headset | OpenBCI Cyton + Ultracortex Mark IV |
| Source | eBay · ~$595 |
| Channels | 8 channels · full 10-20 system |
| App | Myndlift (alpha uptraining) |
| Target Sites | Fp1, Fp2, Fz, F3, F4 (mPFC) |
| Ruled Out | Emotiv EPOC X — lacks Fz/Cz coverage |
Training Protocols
| Alpha Uptraining | 8–12 Hz · Fz/Cz · restores calm focused attention · reduces hypervigilance |
| SMR Training | 12–15 Hz · C3/C4 · impulse control · motor regulation |
| Theta Suppression | 4–8 Hz · Fp1/Fp2 · directly targets PFC underactivation in hypoxic TBI |
| High-Beta Inhibition | >25 Hz · reduces anxiety/rumination loops |
Clinical Provider
| Provider | Dr. Frederick Starr |
| Practice | Integrative Neurotherapy LLC |
| Location | East Brunswick, NJ |
| Phone | 732-307-7229 |
| Credential | qEEG Diplomate certified |
Action Items
- ✓Receive qEEG results from Dr. Starr (2026-06-22, MYNEURVA BEAM)
- Configure Myndlift targeting based on qEEG results
- ✓Calibrate protocol_config.json from qEEG findings (numeric thresholds pending Dr. Starr's review)
- Add Supabase integration to recovery dashboard
- ✓Select hardware — OpenBCI Cyton + Ultracortex Mark IV
- ✓Rule out Emotiv EPOC X (insufficient electrode coverage)
- ✓Take CNS Vital Signs baseline test
- ✓Send MRI to Hackensack.nj@myneurva.com
Session History
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Weekly Injection Schedule
All Routes · All Compounds
⚠️
Cerebrolysin is 20 days ON / 10 days OFF. Log your cycle start date. On off-weeks all other protocols continue as normal.
Daily Schedule
Monday
Cerebrolysin 5–10mL IMBPC-157 250–500mcgGHK-Cu 1–3mgNAD+ 100mgGlutathione 200–400mgSemax 250–500mcgSelank 250–500mcg
Tuesday
Cerebrolysin 5–10mL IMBPC-157 250–500mcgGHK-Cu 1–3mgTB-500 2.5mgSemax 250–500mcgSelank 250–500mcg
Wednesday
Cerebrolysin 5–10mL IMBPC-157 250–500mcgGHK-Cu 1–3mgNAD+ 100mgGlutathione 200–400mgSemax 250–500mcgSelank 250–500mcg
Thursday
Cerebrolysin 5–10mL IMBPC-157 250–500mcgGHK-Cu 1–3mgTB-500 2.5mgSemax 250–500mcgSelank 250–500mcg
Friday
Cerebrolysin 5–10mL IMBPC-157 250–500mcgGHK-Cu 1–3mgNAD+ 100mgGlutathione 200–400mgSemax 250–500mcgSelank 250–500mcg
Saturday
BPC-157 250–500mcgGHK-Cu 1–3mgSemax 250–500mcgSelank 250–500mcg
Sunday
BPC-157 250–500mcgGHK-Cu 1–3mgSemax 250–500mcgSelank 250–500mcg
Every 5 days
Retatrutide (TRIUMPH Phase 3)MOTS-c 5mg — inject at night
Priority Order of Operations
What to do first
Ranked Action List
01
Complete qEEG with Dr. Starr
Received 2026-06-22 (MYNEURVA BEAM). protocol_config.json calibrated — numeric thresholds now pending Dr. Starr's clinical review.
02
Protect sleep architecture
Consistent wake time · Adderall cutoff at 1pm · Mag L-Threonate before bed · 65–68°F room
03
Continue cerebrolysin cycles + Spravato
Structural work in progress. Don't interrupt cycles.
04
Dual N-Back daily
Even 15 minutes minimum. Start at N=1. Do not rush progression.
05
Zone 2 cardio + cold exposure
150–180 min/week Zone 2 · 2–4 min cold daily. BDNF production engines.
06
Add Mag L-Threonate + CDP-Choline + Creatine + Lion's Mane
All available on Amazon. Low cost, low risk, high evidence. Order this week.
07
Write implementation intentions for all habits
"When X happens, I will do Y" format for every protocol step. Do this week.
08
Evaluate NSI-189 Phosphate
40mg/day AM · SwissChems $39.99/60 caps · loop in provider first
09
Consider EMDR if injury period carries unprocessed trauma
Chronic threat state from unresolved trauma is a direct headwind on PFC function.
10
Add Omega-3 DHA, B-Complex, Phosphatidylserine, Zinc/Copper
Complete the oral supplement stack for full membrane repair support.
Faith Journal
Drawing Nearer · 14-Day Study
✝️
14-day devotional study, read alongside your own NLT Bible. Journal entries and progress save straight to Supabase — same backend pattern as your habit tracker.