
BRAINCOG (Cognitive optimisation)
First consultation £220 / 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 optimise 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 can also helps 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, preventing further cognitive neurodegeneration, support brain health optimisation and/or improve cognitive function,

– 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

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’.

How Braincog works

Flexible consultations

Consultations In-person or Zoom in Gibraltar / 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.
What are the costs?
6 month professional support
£ contact for fees
First consultation £180, no further commitment required. The rest of (optional) programme and fees will be explained at the end of your first consultation, but generally will include a wide array of professional services and features, with friendly payment terms..
12 month professional support
£ contact for fees
First consultation £180, no further commitment required. The rest of (optional) programme and fees will be explained at the end of your first consultation, but generally will include a wide array of professional services and features, with friendly payment terms.
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
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’).

CNELM UK / Middlesex University
QUALIFICATIONS
MSc PERSONALISED NUTRITION
BSc (HONS) NUTRITIONAL SCIENCE
PERSONALISED NUTRITION PRACTICE DIPLOMA (clinical training)
REGISTERED NUTRITIONIST (mBANT)
REGISTERED NUTRITIONAL THERAPY PRACTITIONER (CNHC
ANATOMY & PHYSIOLOGY DIPLOMA
BLOOD CHEMISTRY ANALYST
MONREAL COGNITIVE ASSESSMENT (MoCA) provider
NEURO-LINGUISTIC PROGRAMMING (NLP) PRACTITIONER
LABORATORY TESTING & ANALYSIS
DIETARY EDUCATOR
PPROFESSIONAL
Professional Indemnity Insurance HIS79788
Business Licence No BL211245
Business registration No 706331
Business Name No 11433
BANT full member
CNHC full member
Gibraltar Federation of Small Businesses member
UK Royal Society of Medicine member
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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