Brain Health for Veterans

The VA system is structured around individual diagnoses. You see a neurologist for TBI, a psychiatrist for PTSD, an addiction specialist for substance use, and a primary care provider for metabolic concerns. Each clinician evaluates their piece in isolation. Our clinic treats the whole brain. Dr. Orr conducts a unified neurological evaluation that maps the overlapping damage from blast exposure, traumatic brain injury, post-traumatic stress, and substance use simultaneously. From that single diagnostic picture, we build a treatment protocol that addresses everything at once rather than sending you to four different departments.

Yes. Mac Donald et al. (2011) demonstrated that blast exposure produces diffuse axonal injury visible on advanced imaging even when standard CT and MRI appear normal and when no loss of consciousness occurred. Many service members were exposed to repeated blasts from IEDs, breaching charges, or heavy weapons without ever receiving a TBI diagnosis. If you were in proximity to blast events during your service and are experiencing cognitive symptoms — memory difficulty, concentration problems, irritability, sleep disruption, headaches — a comprehensive neurological evaluation with advanced imaging is warranted.

We begin with a comprehensive neurological examination followed by advanced brain imaging using protocols designed to detect the subtle white matter injuries that standard imaging misses. Lab work includes inflammatory biomarkers, metabolic panels measuring mitochondrial function markers, neurotransmitter metabolites, hormonal profiles (including testosterone and cortisol, which are commonly disrupted after TBI and chronic stress), and oxidative stress levels. Cognitive testing establishes baseline function across memory, processing speed, executive function, and attention. These results are integrated into a single diagnostic picture that captures the full scope of injury.

Absolutely. Our treatment is designed to complement VA care, not replace it. Many of our veteran patients continue seeing their VA providers for medication management, mental health counseling, and primary care while receiving neurological treatment at our clinic. We provide detailed documentation of all findings and treatment to any providers you authorize, so your care remains coordinated. Our therapies — NAD+ IV, exosome therapy, stem cells, metabolic optimization — address dimensions of brain injury that the VA system is not currently equipped to treat.

The Neurogenesis Project operates outside of insurance networks, including TRICARE and VA benefits. Our diagnostic and treatment protocols use therapies that are not currently covered by government or commercial insurance plans. We provide detailed superbills and medical documentation that patients can submit for potential out-of-network reimbursement. Some veterans have had success using Health Savings Accounts or flexible spending accounts. Our patient coordinator can discuss costs, payment options, and documentation before you schedule.

Our Intensive Brain Health Program is typically delivered over three to five consecutive days. During that window, you receive the full diagnostic workup, a detailed review of findings with Dr. Orr and Dr. Edwards, and a complete course of IV-based and regenerative therapies. Some veterans return for follow-up infusion cycles at intervals of four to eight weeks depending on clinical response. The concentrated format was designed with veterans and out-of-state patients in mind — you fly in, receive treatment, and return home with a clear follow-up plan.

VA Community Care allows eligible veterans to receive care from non-VA providers under certain criteria. Whether our treatments qualify depends on the specific service and your eligibility, which the VA determines. We recommend contacting your VA coordinator to request a Community Care referral. We can provide clinical documentation to support the request, but the authorization decision rests with the VA.

Yes, and in most veterans we see, they co-occur. Blast exposure and combat stress frequently produce both conditions, and the neurological presentations overlap. Our evaluation distinguishes the relative contributions through imaging, biomarkers, and clinical assessment. The treatment protocol addresses both simultaneously. IV NAD+ therapy targets mitochondrial dysfunction common to both.

Bring your DD-214 or equivalent service documentation. If you have VA medical records, bring copies of relevant evaluations, particularly TBI screening, neuropsychological testing, brain imaging reports, and psychiatric evaluations. Brain MRI images on disc are preferable to reports alone. A current medication list including all VA-prescribed and over-the-counter medications is essential. The more documentation we have, the more efficiently we can focus the evaluation.