BRAINCOG (Memory optimisation)
First consultation £180 / 60mins
Includes recording case history, MoCA test, 1x blood test analysis, initial recommendations.
BRAINCOG is a professional, evidence-based, personalised diet and lifestyle programme for middle-aged or older adults interested in optimising cognitive health and reduce the risks of Mild Cognitive Impairment and Alzheimer’s disease. Cognitive function is assessed via the peer-reviewed Montreal Cognitive Assessment (MoCA). This programme may also help improve anxiety, brain fog, sleep, headaches, migraines, focus productivity, mental health and general wellbeing.
LEARN MORE ABOUT BRAINCOG
Braincog is a personalised diet and lifestyle programme to optimise cognitive health and reduce the risks of Mild Cognitive Impairment and Alzheimer’s disease. Anyone who wants to improve their anxiety, brain fog, sleep, headaches, migraines, focus productivity, mental health and wellbeing can participate. specifically intended for individuals aged 30 years and older who may be asymptomatic, showing subjective or clinically diagnosed cognitive decline, and/or interested in maintaining cognitive health. You will learn how to apply personalised strategies that can go a long way in helping you reduce the risks of further cognitive neurodegeneration, support brain health optimisation and/or improve cognitive function,
Preventing MCI / Alzheimer’s
A large body of research suggests that MCI and Alzheimer’s disease are now ‘optional diseases’, meaning that they are not a consequence of the normal aging process as we have been made to believe. Evidence quite strongly suggests that what we eat and how we live our lives (aka modifiable risk factors), irrespective whether or not you may have the Alzheimer’s gene or a family history of it, largely contributes to the development of cognitive decline. Evidence from recent clinical trials and a large body of supporting research, suggests that a personalised nutrition and lifestyle programme may prevent the development of these conditions if implemented up to 20-30 years preceding a hypothetical diagnosis during the ‘prodromal period’.
– A family history of dementia
– Memory loss that disrupts daily life
– Confusion with either time or place
– New problems with speaking or writing
– Difficulty completing familiar tasks
– Tendency to misplace things
– Unable to recall recent events
– Unable to retrace your steps
– Stress, anxiety, headaches, brainfog
These symptoms could be a sign of early cognitive decline. If so, then BRAINCOG can help improve your: sleep, anxiety, brain fog, headaches, migraines, focus productivity, cognition, mental health, and reduce the risks of MCI/Alzheimer’s disease
BRAINCOG is designed to be fun, easy to follow at a comfortable pace, personalised but with some compromises adapted to each individual’s capabilities. BRAINCOG gives you a unique and thorough professional evaluation of your past and current health as well potentially identify your root causes of your symptoms and cognitive status. Also included is an MCI / Alzheimer’s orientated nutrition course to understand the essentials of preserving and improving cognitive function going forward. Although no guarantees can be made, by the end of the six or twelve months a number of improvements may be noticed. Depending on the persons’s initial cognitive health, medications, age, complexity of their underlying health condition(s), and assuming they have implemented the programme as strictly as possible, they may experience maintained or improved memory and cognitive function, improvements in anxiety, headaches, brain fog, stress resilience, and general mental wellbeing.
Andrew Fortuna NT is MOCA qualified. MoCA is a screening tool administered by certified healthcare professionals who have completed the official training, as first step to detect evidence of cognitive impairment across 6 cognitive domains. With proper administration, the MoCA test should accurately reflect your cognitive performance, but it is not designed to make a medical diagnosis, but rather as tool to support a diagnosis by a qualified, specialist medical professional. MoCA has been widely adopted in clinical settings and used in academic and non-academic research around the world. The sensitivity of MoCA for detecting MCI is 90%, compared to 18% for the Mini Mental State Examination (MMSE) test often used for detecting Alzheimer’s disease. Early detection of cognitive decline is critical to reduce the risks of MCI or Alzheimer’s years in advance of clinical symptoms of frank dementia.
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COGNITIVE DOMAINS EVALUATED
1) Short term memory
Remembering new information
2)Visuospatial abilities
Drawing, remembering spatial relationship between items
3)Executive functions
Planning, problem solving
4)Attention, concentration & working memory
Multi-step tasks
5)Language
Use of appropriate words
6)Orientation to time and place
Remembering dates, current locations
How Braincog works
MONTH 0
Poor brain health. Online questionnaire,
lab tests, Personalised intervention explained. Root causes identified
MONTH 1
Starting to feel a bit better, still symptomatic. Nutrition education expands
MONTH 2
Continued improvements, some weight loss, less symptoms, more clarity and focus, revised plans
MONTH 3
More weight loss and energy, symptoms less noticeable, improve cognitive function. Better sleep, less anxiety
MONTH 4
Stable weight and energy, symptoms less noticeable, improve cognitive function. Better sleep, less anxiety, less headaches / migraines
MONTH 5
More weight loss and energy, symptoms less noticeable, improve cognitive function. Better sleep, less anxiety, less headaches / migraines.
MONTH 6
Tangible improvements in cognitive and brain function. Preservation of cognitive in those with normal baseline cognitive function
MONTH 7-12
Significant improvements in cognitive and brain function. Preservation of cognitive in those with normal baseline cognitive function, improvement in those with early Alzheimer’s disease
Flexible consultations
Consultations In-person or online over Zoom
Gibraltar or Worldwide
Backed up by peer-reviewed science
30 years of evidence from thousands of peer-reviewed studies
Evidence strongly suggests disease progression can be prevented with diet and lifestyle
This large META-ANALYSIS features a systematic review of 396 papers that were selected from more than 44,000 on prevention of Alzheimer’s disease.
Considered the gold-standard clinical trial, this STUDY demonstrates that a multi-domain approach can help prevent cognitive decline.
A leading STUDY in a major scientific journal describes various modifiable risk factors by that may account for up to 40% of all dementia diagnoses.
LATEST CLIENT NEWS
MCI client improves episodic memory
CLICK TO LEARN MORE ABOUT THE CASE
Fantastic news received today from one of my long-term clients, a 55 yr old male client with suspected Mild Cognitive Impairment (MCI) enrolled on my BRAINGCOG cognitive optimisation programme, with empirical evidence suggesting an improvement in episodic memory (delayed recall) – see scores on image above.
12th NOVEMBER 2024
At baseline, his Montreal Cognitive Assessment (MoCA) test total score was 22/30 (cut-off 26/30), below normal for his age and education level which suggested Mild Cognitive Impairment (MCI), and early signs of neurodegenerative processes (e.g., early Alzheimer’s disease). Additionally his baseline Memory Index Score (MIS) of 6/15 was significantly low for his age and education level, strongly suggesting impaired memory recall, encoding, consolidation, or retrieval, especially episodic memory, which is commonly affected in (amnestic) early cognitive decline.
13th MAY 2025.
After a personalised Nutritional and lifestyle programmes had been implemented for 6 months, his MOCA total score remained the same (22/30) and although the score suggested no overall global improvement, it does suggest no deterioration (very good news). However, his MIS improved significantly by nearly double (6/11 vs 11/15) which suggested better encoding and/or retrieval of information into long-term memory and improved brain function, very likely due to the diet and lifestyle recommendations.
CLINCIAL SIGNIFICANCE
These results evidences two things, 1) the importance of targeting memory impairment early on to avoid or reduce the risks of progression to Alzheimer’s disease or other neurodegenrative diseases, and 2) potentially evidences the efficacy of my BRAINCOG programme.
Alzheimer’s client improves quality of life
CLICK TO LEARN MORE ABOUT THE CASE
Iv been working for five month with a 67 year old female client diagnosed with mild-moderate Alzheimer’s disease. The patient presented severely underweight, cholecystectomy (a surgical procedure to removes the gallbladder), considerable Rheumatoid pain and swelling in both her hands, and prescribed with several medications.
After 5 months, her Rheumatoid arthritis has almost completely resolved, her digestion improved and associated digestive symptoms resolved. Her weight has increased by 1kg and remained stable, her skin, physical complexion, fat-free mass (muscle) and sleep have considerably improved causing a marked improvement in overall quality of life, corroborated by her partner and immediate family. However her cognitive tests appear to suggest a mild decline, causing me to suspect one of her medications may be contributing factor.
I wrote a letter to the GHA memory clinic specialist (who was amazed at the overall improvement of the patient) and I made some further recommendations to them. The specialist agreed to my rationale and recommendations, and we are working in collaboration for the next four month to see if my recommendations improves outcomes in this patient. This is a great example of conventional and complementary medicine working in collaboration (as it should). Stay tuned for a further update on this client towards the end of the year.
What are the costs?
6 month professional support
First consultation £180, no further commitment required. The rest of (optional) programme and fees is detailed below. Payment terms flexible. See special summer offer.
12 month professional support
First consultation £180, no further commitment required. The rest of (optional) programme and fees is detailed below. Payment terms flexible. See special summer offer.
Most Popular
6 MONTHS
Minus -£220 first consultation
Remaining £1380 -Deposit & instalments
TOTAL £1600 or summer offer (£1500)
1x 60mins first consultation- 2x 45mins follow-ups p/month
- Professional health & symptoms questionnaire
- Professional medical case history analysis
- Symptoms trackings
- Root causes explained
- 1x lab testing interpretation & analysis
(lab test not inclusive) - Genetic testing interpretation (tests not inclusive)
- 2x Montreal Cognitive Assessments
- Cognitive training
- Personalised dietary plans & recipes (revised & updated)
- Nutrition education
- Personalised online portal & resources
- Daily food log & activity tracking
- 1x 1 hr grocery shopping trips
- Sync your Apple watch, Fitbit etc
- Periodic tasks & challenges
- Goal setting & NLP Mental reframing
- Accountability
- Email support 24/7
- 1x Nature Therapy session, 8am - 5pm (Kids / partner welcome)
BEST VALUE
12 MONTHS
Minus -£220 first consultation
Remaining £1880 - Deposit & instalments
TOTAL £2100 or summer offer (£1900)
1x 90mins first consultation- 2x 60mins follow-ups p/month
- 1x 20min catch up phone / Zoom calls p/month
- Professional health & symptoms questionnaire
- Professional medical case history analysis
- Symptoms tracking
- Root causes explained
- 1x lab testing interpretation & analysis
(lab test not inclusive) - Genetic testing interpretation (tests not inclusive)
- 3x Montreal Cognitive Assessments
- Cognitive training
- Personalised dietary plans & recipes (revised & updated)
- Nutrition education
- Personalised online portal & resources
- Daily food log & activity tracking
- 3x 1 hr grocery shopping trips
- Sync your Apple watch, Fitbit etc
- Periodic tasks & challenges
- Goal setting & NLP Mental reframing
- Accountability
- 1x Iridology session
- Priority email support 24/7
Overview
Studied Nutrition Science (BSc) Hons and Personalised Nutrition (MSc) based on a systems biology approach, a holistic and integrative method used to understand complex biological systems by analysing their interconnected components, rather than studying individual parts in isolation. It involved a deep emphasis on nutritional biochemistry, and the influence of nutrients and food components on cellular and molecular pathways involved in the pathophysiology of a wide range of chronic diseases using evidence-based pathophysiological reasoning. Clinical training, required to meet UK National Occupational Standards, involved being able to apply all this knowledge to four supervised clients experiencing a wide range of chronic health conditions to help ameliorate or prevent disease based on the Functional Medicine Model.
For his BSc (Hons) research project and Masters dissertation, he specialised his work on dietary interventions for the prevention of Mild Cognitive Impairment and Alzheimer’s disease, especially for carriers of the Apolipoprotein E4 (aka ‘the Alzheimer’s gene’).
ACADEMIC & PROFESSIONAL QUALIFICATIONS
– MSc PERSONALISED NUTRITION (Middlesex University)
– BSc (Hons) NUTRITIONAL SCIENCE (Middlesex University)
– PERSONALISED NUTRITION PRACTICE DIP (clinical training)
– REGISTERED NUTRITIONIST
– REGISTERED NUTRITIONAL THERAPY PRACTITIONER
– ANATOMY & PHYSIOLOGY DIPLOMA
– BLOOD CHEMISTRY ANALYST
– MONTREAL COGNITIVE ASSESSMENT (MoCA) rater
– NEURO-LINGUISTIC PROGRAMMING (NLP) PRACTITIONER
– LABORATORY TESTING & ANALYSIS
PROFESSIONAL STANDARDS
ANDREW FORTUNA NT is a member of the British Association for Nutrition and Lifestyle Medicine (BANT), the leading professional body regulating Registered Nutritional Therapy Practitioners in one to-one clinical practice in the UK. BANT members are regulated by the CNHC, demonstrating to the general public and to other healthcare providers that they meet UK-wide standards of practice in their work. CNHC members are overseen by the UK Professional Standards Authority (PSA) for Health and Social care, who also regulates dieticians and General practitioners in Gibraltar and the UK. WARNING: For your safety, always choose to work with nutrition provider like myself, who is a member of regulatory body, clinically trained in Nutrition to support persons with medically diagnosed conditions.
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