• Dr. Coby Hanes Functional Medicine Doctor
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Alzheimer's & Cognitive Decline

Reversal of Cognitive Decline Program

Precision Medicine for Memory Loss, Mild Cognitive Impairment, and Early Alzheimer’s. If you or someone you love is experiencing memory loss, brain fog, or early cognitive decline — emerging research in functional and precision medicine suggests that these changes are often driven by multiple underlying biological factors — many of which can be identified and addressed.
Become A Patient
Cognitive Health Quiz
Dr. Hanes’ Credentials

IFM Certified

ReCODE 2.0

Botanical Medicine

Functional Neurology

400+

Failed drug trials for Alzheimer’s

84%

Showed improvement in ReCODE clinical trial

30+

Years experience

#1

ReCODE 2.0 certified in Oregon
  • One of Oregon's first ReCODE 2.0 certified physicians
  • One of Oregon's first ReCODE 2.0 certified physicians
  • Patients seen nationwide & internationally
  • Free discovery call available

What We Hear

When Memory Changes Begin

Cognitive decline rarely appears suddenly. For most individuals, subtle changes begin years before a formal diagnosis is made.

💬 “There isn’t much we can do.”
💬 “Let’s monitor it.”
💬 “This is just part of getting older.”

But emerging research in functional and precision medicine suggests that cognitive decline is often driven by multiple underlying biological factors — many of which can be identified and addressed.

Early Warning Signs to Watch For

  • Increasing forgetfulness
  • Brain fog or mental fatigue
  • Losing track of conversations
  • Declining ability to multitask
  • Difficulty finding words
  • Trouble concentrating
  • Misplacing items more frequently
  • Difficulty with planning or organizing

These symptoms are often dismissed as “normal aging.” However, they’re often the earliest signals that underlying biological processes are affecting brain function. Identifying these drivers early creates the best opportunity to support cognitive health before significant decline occurs.

Why Conventional Care Falls Short

The problem with "monitor and manage"

Traditional medical approaches to cognitive decline typically focus on diagnosis and symptom management. Patients may receive:
📋 Cognitive screening tests
🖥️ Imaging studies
💊 Medications intended to slow symptom progression

While these interventions can play an important role in care, they often do not investigate the deeper biological factors influencing brain health.

Research increasingly suggests that cognitive decline is multifactorial — meaning multiple physiological systems may be involved. When these drivers are not addressed, cognitive decline will continue and accelerate over time.
This is where our root-cause precision medicine approach can provide deeper insight.

Biological Factors That May Drive Cognitive Decline

These are the upstream contributors that functional medicine investigates — and that conventional medicine often overlooks.
  • Increasing forgetfulness
  • Gut microbiome imbalance
  • Nutrient deficiencies
  • Poor sleep quality
  • Insulin resistance
  • Toxin exposure
  • Hormonal imbalance
  • Vascular circulation issues
Dr. Hanes specializes in identifying the metabolic, inflammatory, gut-related, and environmental factors that can influence brain health and cognitive performance.

A Precision Medicine Approach

The ReCODE 2.0 Protocol

The ReCODE 2.0 Protocol, developed by neurologist Dr. Dale Bredesen, represents a systems-based approach to cognitive health that evaluates multiple biological pathways simultaneously. Instead of focusing on a single medication, the ReCODE framework investigates the underlying contributors affecting brain function.

🔥

Metabolic Health

🧬

Inflammation Markers

🧪

Nutrient Status

☠️

Toxin Exposure

🌱

Gut Health & Microbiome

⚖️

Hormone Status

😴

Sleep Quality

🧬

Genetic Factors (ApoE)

By analyzing these systems together, it becomes possible to develop a personalized strategy designed to support brain function and neurological resilience. Dr. Hanes incorporates these principles into a precision medicine approach tailored to each patient’s unique biology.

The Program

The Reversal of Cognitive Decline Program

A structured process designed to identify and address the biological drivers influencing cognitive health — across three carefully sequenced phases.

1

Phase One

Comprehensive Root Cause Testing

The first step is gaining a detailed understanding of your individual physiology and risk factors. This comprehensive evaluation allows us to identify the factors most likely affecting your cognitive health.
  • Metabolic & inflammatory markers
  • Toxin exposure assessment
  • Nutrient status & hormone balance
  • Gut microbiome health
  • Cardiovascular & genetic risk factors

2

Phase Two

Personalized Brain Health Protocol

Based on testing results, Dr. Hanes develops a customized precision medicine protocol designed for your unique biology. Because cognitive decline often involves multiple systems, addressing these factors together is essential.
  • Therapeutic nutrition strategies
  • Metabolic optimization
  • Detoxification support
  • Targeted supplementation
  • Gut restoration & sleep optimization

3

Phase Three

Ongoing Monitoring & Clinical Guidance

Optimizing brain health requires ongoing monitoring and adjustments over time. This structured support helps ensure your treatment plan evolves as your health improves
  • Regular follow-up visits
  • Protocol adjustments as needed
  • Progress monitoring
  • Education & coaching

Example Case

Mild Cognitive Impairment — Patient in her early 60s

A patient in her early 60s presented with Mild Cognitive Impairment (MCI) and progressive memory difficulties. Comprehensive testing revealed several contributing factors that had never been thoroughly investigated:
  • Insulin resistance
  • Nutrient deficiencies
  • Elevated inflammatory markers
  • Disrupted sleep patterns

Outcome

After implementing a personalized program targeting these drivers, she experienced improvements in mental clarity, energy, and day-to-day cognitive performance.
Individual results vary and outcomes cannot be guaranteed.

Clinical Experience

What Patients Frequently Report

Many individuals experiencing cognitive decline have multiple underlying factors that have never been thoroughly investigated. Through comprehensive testing and personalized interventions, patients frequently report improvements in:
  • Mental clarity and sharpness
  • Memory recall
  • Focus and concentration
  • Energy levels
  • Sleep quality
  • Overall cognitive performance

Is This Program Right for You?

Who This Program May Be Appropriate For

Early intervention is often one of the most important factors in supporting cognitive resilience.
  • Mild Cognitive Impairment (MCI) — early or confirmed
  • Early Alzheimer's disease or subjective cognitive decline
  • Persistent brain fog that hasn't been explained
  • APOE4 genetic risk or strong family history of dementia
  • Desire to proactively support long-term brain health before symptoms appear

Apply for a Cognitive Health Consultation

If you are concerned about memory loss, cognitive decline, or early Alzheimer’s, we invite you to explore whether this approach may help support your cognitive health. Early evaluation may help identify factors that can be addressed to support long-term brain function.
Become A Patient
Cognitive Health Quiz

During your consultation we will review your health history and cognitive concerns, discuss potential contributing factors, determine appropriate testing, and outline possible next steps. Dr. Hanes only accepts the cases he believes will benefit.

Meet Dr. Coby L. Hanes, DC, IFMCP

Your physician for precision cognitive medicine

Dr. Coby L. Hanes is an Institute for Functional Medicine Certified Practitioner (IFMCP) with extensive experience investigating complex chronic health conditions through a systems biology approach.

His clinical focus includes the critical connection between brain health, gut health, and metabolism — along with auto-immune conditions, inflammation, and environmental exposures. This integrated perspective is essential when addressing conditions such as cognitive decline, brain fog, and early neurodegenerative changes.

Dr. Hanes utilizes advanced functional testing and personalized treatment strategies to identify the underlying drivers affecting brain function, rather than simply managing symptoms.

Patients seek out Dr. Hanes for his thorough investigative approach to complex health challenges, particularly those involving the brain–gut connection and metabolic drivers of neurological health.

Dr. Coby L. Hanes

DC, IFMCP Chiropractic & Certified Functional Medicine Physician Prineville, Oregon — serving patients nationwide

IFM Certified

ReCODE 2.0

Botanical Medicine

Functional Neurology

Areas of Clinical Focus

  • Brain health & cognitive decline
  • Gut health & microbiome
  • Metabolic dysfunction
  • Autoimmune conditions
  • Inflammation & environmental exposures
At Center4FunctionalMedicine, our mission is to help patients restore health by addressing the interconnected systems that influence brain, gut, metabolic, and immune health.

Ready to Take the Next Step?

Apply for a Cognitive Health Consultation

If you are concerned about memory loss, cognitive decline, or early Alzheimer’s, we invite you to explore whether this approach may help. Dr. Hanes only accepts the cases he believes will benefit.

STEP 1

❤️

We review your health history and cognitive concerns

STEP 2

🧬

Discuss potential contributing biological factors

STEP 3

🔬

Determine appropriate testing and labs

STEP 4

📋

Outline possible next steps in your care
Become A Patient
Cognitive Health Quiz
ReCODE patients: first visit $500 with $250 non-refundable deposit · In-person initial visit required · Telemedicine follow-ups available · Out-of-state & international patients welcome
This information is for educational purposes only. Individual results vary and outcomes cannot be guaranteed.

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