Cold Plunge, Ketones, and Creatine - Yay or Nay in Concussion Recovery with Dr. Mike T Nelson | E23

Life After Impact: The Concussion Recovery Podcast

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Dr. Mike Nelson explains how ketones and lactate can serve as alternative fuel sources for the brain after concussion when glucose metabolism becomes impaired. This metabolic insight opens new possibilities for recovery support and symptom management.
• Concussions disrupt glucose metabolism in the brain but don't affect ketone and lactate pathways
• Parasympathetic nervous system activation techniques help balance autonomic disruption after brain injury
• Breathing with longer exhales, wide-gaze relaxation, and gentle walking promote parasympathetic tone
• Cold water therapy can be beneficial but should start "warm" (55-60°F) and focus on time over intensity
• Face-only cold exposure with breath holding triggers the mammalian dive reflex for parasympathetic activation
• Magnesium (particularly bisglycinate) supports nervous system regulation, especially before bedtime
• Ketone esters provide quick access to alternative brain fuel within 15-20 minutes of consumption
• Taking 10-20g of ketones before exercise may improve tolerance and reduce symptom flares
• Creatine (10-20g daily) shows promise as both preventive and recovery support for brain injuries
• Research shows impressive protective effects in animal models but human brain uptake differs
• The "kitchen sink approach" combining multiple therapies likely offers fastest recovery path
Website: mikenelson.com

Podcast: Flex Diet Podcast

Instagram: @DrMikeTNelson

Carrick Institute Course taught by Dr. Mike T Nelson: Ketones and Traumatic Brain Injury
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Dr. Wolf's book Concussion Breakthrough: Discover the Missing Pieces of Concussion Recovery is now available on Amazon!
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Website: lifeafterimpact.com
Medical disclaimer: this video or podcast is for general informational purposes only, and does not constitute the practice of medicine or other professional healthcare services, including the giving of medical advice. No doctor patient relationship is formed. The use of this information and materials included is at the user's own risk. The content of this video or podcast is not intended to be a substitute for medical advice diagnosis or treatment. Consumers of this information should seek the advice of a medical professional for any and all health related issues.

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1. Ketones and Concussion Recovery (00:00:00)

2. Autonomic Recovery Strategies (00:02:24)

3. Cold Immersion and Parasympathetic Support (00:06:01)

4. Supplements and Ketones (00:10:24)

5. Research Directions and Kitchen Sink Approach (00:19:06)

6. Creatine for Brain Protection (00:24:25)

7. Closing Thoughts and Resources (00:29:33)