Membership
The Cognitive Longevity Program
Membership pays for prevention, health, and wellness services — beyond what any insurance plan covers, and alongside your medical care rather than instead of it. The Cognitive Longevity Program is how we deliver them: a neurologist deciding which changes matter most for you and which comes first, the support to put them into practice, and the measurement that shows whether they worked.
What the program is
It is not a bundle of services. It is one thing that repeats.
A decision. Out of everything that could be worked on, two things are chosen — and put in an order, for a reason specific to you.
The work of actually doing them. Someone goes through what the change means in practice, finds out what got in the way, and adjusts the approach rather than repeating the instruction.
A measurement. At the end, the thing that was supposed to move is measured again. It worked, it partly worked, or it didn’t — and all three of those are useful, because each one narrows what comes next.
Then it happens again. That is the whole program, and it is the same in year five as in month one.
A neurologist decides what to change first. You get the support to actually change it. Then we measure whether it worked.
Who decides, and who does the work
Dr. Izor decides what you try, and reads the result. Which two changes, in what order, and what the measurement means when it comes back. That decision is the part of this that requires a neurologist rather than a coach or an algorithm — a health coach can support a change but cannot tell you which change matters most for your neurology, or recognize when a result means something other than what it appears to mean.
The team does the work of making it happen. Going through the protocol, checking in, finding out what got in the way, adjusting. This is the part that most programs skip and the part that determines whether anything actually changes.
That division is deliberate. Deciding and doing are different jobs, and the failure of ordinary brain-health advice is that the first one happens in a fifteen-minute visit and the second one happens to nobody.
Fellowship-trained and board-certified in movement disorders. Founded Central Texas’s first subspecialty movement disorder clinic in 2004. More than 400 DBS procedures since 2005. Twenty years spent watching how neurological disease actually progresses is the qualification that matters for preventing it — more than any wellness credential.
How one cycle works
A cycle is one change, run properly: chosen, supported, and measured against a target set before it starts.
One at a time is deliberate. Two changes at once and you cannot tell which one worked — and finding out which one worked is the entire point.
Baseline. Sleep quality 4/10. Waking three times most nights.
Chosen. Sleep protocol — timing, light exposure, alcohol, bedroom environment. Target set before starting: nights without a waking episode. Re-measured at week 12.
Week 2. The alcohol change isn’t holding. Not unwillingness — three client dinners a month. Adjusted: a weekly cap rather than elimination, and a rule about timing rather than quantity.
Week 6. Holding. Waking down to twice most nights.
Week 12. Waking once most nights. Quality 6/10. Partial.
What that means. It worked enough to keep and not enough to stop. The protocol becomes standing — it stays, without needing more attention. The waking that remains is a different question than the one we started with, and it’s now worth looking at clinically rather than behaviourally. The next cycle moves to something else.
Illustrative. A partial result is the most common outcome and the most useful one — it tells you what to keep, what to stop asking of yourself, and where the next question actually is.
What we look at
Six domains. Not ten services.
| Domain | What it covers |
|---|---|
| Thinking, memory, and behavior | Serial cognitive and behavioral measurement, against your own baseline rather than a population average |
| Vascular and inflammation | The state of circulation your brain depends on — and where many of the earliest, most modifiable signals appear |
| Metabolic | Glucose, lipids, visceral fat. The system most responsive to the changes you can actually make |
| Sleep | Quality, timing, breathing. The domain that most often has to be fixed before anything else will hold |
| Strength and movement | Grip, gait, capacity. Among the best available predictors of the next decade, and almost never measured |
| Hearing and vision | Correctable, consequential, and routinely ignored — uncorrected hearing loss is among the largest modifiable risks to your brain |
Your neurological care is not a seventh domain. Your diagnosis, your treatment, your medication and your procedures are medical care. They continue exactly as they would anywhere, billed to your insurance, and the program runs alongside them rather than instead of them.
The same program, wherever you started
Newly diagnosed
With Parkinson’s or essential tremor. The program is what answers “what else can I do?” — the question conventional neurology handles worst.
A parent or sibling with dementia
It establishes where you actually stand, and what is worth doing about it.
Carrying a demanding role
Cognitive stamina now, and your brain in twenty years, without a week spent being worked up.
No diagnosis, and you intend to keep it that way
The earliest work is the work that compounds.
What differs is what gets measured and what gets chosen. What doesn’t differ is the method.
What’s included, and what’s additional
There are three separate parts to this: what is included in membership, what may be purchased separately, and your regular medical care billed to insurance. Confusing them is the most common misunderstanding about how this works.
| Included in membership | Additional, priced separately |
|---|---|
| Baseline assessment and analysis | Advanced laboratory panels |
| The plan — what you change, and in what order | Fasting-mimicking diet kits (ProLon) or DIY alternatives |
| Implementation support | Compounded peptide therapies |
| Measurement, analysis, and re-measurement | Compounded hormone therapies |
| Education built for your situation | Non-invasive neuromodulation adjunctive devices |
| Longitudinal tracking | Recommended supplements |
| Advanced imaging |
The right-hand column is not a menu we are steering you toward. These are interventions a plan may draw on when they fit — chosen for you rather than applied by default, priced separately, and never assumed. Most members will use some of them and no member uses all of them.
The left-hand column is what membership is. It does not vary with how many items from the right you end up using.
Your medical care — evaluation, diagnosis, treatment, procedures, medication management, DBS programming — is billed to your insurance or Medicare in the usual way. That is a third thing, and membership does not change it.
What we don’t do
A third list, shorter than both of the above, and the one that says the most about how decisions get made here.
No biological-age testing. It produces a number that will not change what we do.
No whole-body MRI screening. In asymptomatic people it finds things that mostly need explaining rather than treating.
No protocol of the month.
No standard supplement stack — and this one needs more than a line.
Supplements are a tool inside a plan, not the plan. Where one has real evidence and fits your picture, we will name it specifically — which formulation, and why that one rather than another. Where it doesn’t, we say so, which is the more common answer.
You are free to purchase it wherever you prefer.
What we don’t do is put everyone on the same list, build detox-style regimens, or let a bottle stand in for a decision. If a supplement is the most interesting thing about your plan, the plan isn’t a very good one.
Each of those is a decision, and most of them cost us money to leave out. That is the point — what a practice declines to sell you tells you more than a longer list of what it will.
How this works with your insurance
Two separate things.
Your medical care — evaluation, diagnosis, treatment, procedures, medication management, DBS programming — is billed to your insurance or Medicare in the usual way, and you pay your normal copay or deductible. Membership does not change that and does not replace it.
Membership pays for prevention, health, and wellness services. The Cognitive Longevity Program is how we deliver them: a neurologist deciding which changes matter most for you and which comes first, the support to put them into practice, and the measurement that shows whether they worked — non-covered services that work alongside your medical care.
No insurance plan pays for that part — not here, not anywhere. Many members are able to use HSA or FSA funds; check with your plan administrator.
Cost is discussed at the complimentary meet-and-greet, and you will not be asked to decide in that meeting.
See what actually happens
The clearest way to understand the program is to see the first ninety days of it, week by week.
Medically reviewed by Robert M. Izor, MD, MS — August 2026