Cognitive & Executive Performance
Focus, brain fog, burnout, and stress resilience — addressing the hormonal and metabolic contributors to how you think, decide, and lead.
We call this cognitive performance, not brain optimization. The difference is that this one can be measured. Focus, recall and stamina at work have real inputs — sleep, blood pressure, metabolic health, alcohol, mood, medications, hormones — and those get examined before anything exotic is discussed.
The first question
Is this optimization, or is something actually wrong?
Wanting sharper focus and worrying about real memory loss are two different conversations with two different pathways. Dr. Dunlap sorts out which one you are in before a plan is written — and if what you describe calls for formal evaluation or a specialist, we will say so rather than sell you a protocol.
What we address first
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Sleep
The largest and most commonly ignored driver of how your mind performs — including screening for apnea where it is warranted.
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Cardiometabolic risk
Blood pressure, glucose and lipids. What is good for your arteries is good for your thinking, over a long enough horizon.
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Alcohol and medications
Two of the most common reversible contributors, reviewed candidly — including the prescriptions you already take.
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Mood and stress
Burnout, anxiety and low mood are treated as clinical contributors to cognition, not as character flaws to push through.
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Hormones and deficiencies
Thyroid, testosterone or estrogen shifts, B12 and other correctable deficiencies — found by testing rather than assumed.
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Exercise
The intervention with the best evidence for long-term cognitive health, programmed by Liz rather than prescribed as “move more.”
On nootropics
A physician-led practice earns its credibility by saying no to what isn’t supported. Where a compound has real evidence behind it, it is on the table. Where it is marketing, it isn’t — and we will tell you which one you are looking at.
How we measure it
Your own account of focus and recall, standardized testing where it is indicated, and the inputs underneath — sleep, training, blood pressure, metabolic markers — reassessed on a schedule so progress is something we can point at rather than something you are asked to feel.
Where we practice
Available to members in Texas, Idaho, Montana, Wyoming, and Wisconsin — the states where Dr. Dunlap holds active medical licensure.
Ready to find out what’s actually driving the fog?
Begin your assessment and we’ll look at the inputs before reaching for anything exotic.
Begin Your Assessment →