FAQs

The Bredesen Protocol is a personalized medical approach developed by neurologist Dr. Dale Bredesen to address the multiple factors that contribute to cognitive decline. Rather than focusing on a single treatment, the protocol evaluates metabolic, inflammatory, hormonal, toxin-related, and lifestyle contributors that may influence brain health.

The RECODE program is designed for individuals experiencing cognitive decline, memory changes, or Mild Cognitive Impairment. Using the Bredesen Protocol, Dr. Dersam performs a comprehensive evaluation to identify the factors contributing to cognitive symptoms and develops a personalized treatment plan.

The PRECODE program focuses on prevention and early intervention. It is designed for individuals who want to understand their personal risk factors for cognitive decline and take proactive steps to protect long-term brain health.

The RECODE program may be appropriate for individuals who:

  • are experiencing memory changes or increasing forgetfulness
  • have been diagnosed with Mild Cognitive Impairment
  • have early-stage Alzheimer’s disease
  • are experiencing persistent brain fog or cognitive changes

The PRECODE program is often recommended for individuals who:

  • have a family history of Alzheimer’s disease
  • want to reduce risk for cognitive decline
  • want advanced testing to evaluate metabolic and genetic risk factors
  • want a proactive brain health strategy

Yes. Dr. Dersam currently works with patients virtually within Arizona. Virtual consultations allow patients to complete comprehensive evaluations and follow-up visits from home.

Research behind the Bredesen Protocol has shown that in some individuals, addressing the biological contributors to cognitive decline may help stabilize or improve cognitive function. Results vary from person to person, but many patients pursue this approach because it focuses on identifying and addressing the underlying drivers of brain health.

Dr. Dersam’s practice focuses on specialized functional medicine care and the Bredesen RECODE and PRECODE programs. These services are not typically covered by traditional insurance plans.

However, many laboratory tests, imaging studies, and specialist referrals may be covered by your insurance depending on your plan. Our team can help guide you through the testing process.

If you are experiencing a medical emergency, call 911 or go to the nearest emergency room. Dr. Dersam’s practice focuses on outpatient brain health and functional medicine care and does not provide emergency services.

If additional evaluation or care is needed, Dr. Dersam may recommend consultations with neurologists, cardiologists, imaging specialists, or other medical professionals. When appropriate, she can collaborate with your other healthcare providers to support a coordinated approach to care.

Absolutely. You have the right (with prior written notice) to access your medical records so you can inspect or request copies. Of course, Dr. Dersam will maintain confidentiality of your medical records as required by law.

Ready to Take the Next Step in Protecting Your Brain Health?

Learn whether the Bredesen RECODE or PRECODE program may be right for you. Schedule a consultation to discuss your cognitive health goals and next steps.

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Hormone Key Markers

Adrenal Hormones

  • Cortisol (Pooled)
  • Cortisone (Pooled)
  • Cortisol/Cortisone Ratio
  • α-Tetrahydrocortisol (α-THF)
  • β-Tetrahydrocortisol (β-THF)
  • β-Tetrahydrocortisone (β-THE)
  • Corticosterone
  • Deoxycorticosterone
  • Pregnenolone
  • Melatonin (Pooled)
  • Metabolized Cortisol (THF+THE)
  • Morning Cortisol
  • Noon Cortisol
  • Evening Cortisol
  • Night Cortisol
  • Morning Cortisone
  • Afternoon Cortisone
  • Evening Cortisone
  • Night Cortisone
  • Morning Melatonin
  • Afternoon Melatonin
  • Evening Melatonin
  • Night Melatonin
  • Morning Creatinine
  • Afternoon Creatinine
  • Evening Creatinine
  • Nighttime Creatinine
  • Total Cortisone

Sex Hormones

  • Estradiol (E2)
  • Estriol (E3)
  • Estrone (E1)
  • Total Estrogen
  • E3/(E1+E2) Ratio
  • Progesterone (Pg)
  • 20α-Dihydroprogesterone
  • 3α-Dihydroprogesterone
  • 5α-DHT
  • Androstenedione
  • Testosterone (T)
  • Epi-Testosterone (Epi-T)
  • T/Epi-T Ratio
  • DHEA
  • DHEA-S
  • Androsterone
  • Etiocholanolone
  • 5α,3α-Androstanediol
  • 5β-Androstanediol
  • Allopregnanolone
  • α-Pregnanediol
  • β-Pregnanediol
  • β-Pregnanediol/E2
  • 16α-OH Estrone
  • 2-OH Estradiol
  • 2-OH Estrone
  • 2-OH (E1 + E2)/16α-OH E1
  • 2-OH E1 /4-OH E1
  • 2-MeO E1/2-OH E1
  • 2-MeO Estradiol
  • 2-MeO Estrone
  • 4-OH Estradiol
  • 4-OH Estrone
  • 4-MeO E1/4-OH E1
  • 4-MeO E2/4-OH E2
  • 4-MeO Estradiol
  • 4-MeO Estrone

Endocrine Disruptors

  • Bisphenol A (BPA)
  • Atrazine
  • Glyphosate
  • Monoethyl Phthalate
  • Mono-2-ethylhexyl Phthalate
  • Mono-(2-ethyl-5-hydroxyhexyl)
  • Phthalate
  • Mono-(2-ethyl-5-oxohexyl) Phthalate
  • Methylparaben
  • Ethylparaben
  • Butylparaben
  • Propylparaben
  • Triclosan
  • Perchlorate

Bone Health

  • Deoxypyridinoline (DPD) Crosslinks
  • Pyridinoline (PYD) Crosslinks

Oxidative Stress

  • 8-Hydroxy-2′-deoxyguanosine (8OHdG)