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Dr. Ayla Wolf and Dr. Tatiana Habanova discuss the neuroendocrine changes post-concussion, particularly the impact on thyroid and adrenal function. Dr. Habanova explains that hypothyroidism often results from pituitary dysfunction rather than direct thyroid issues. She emphasizes the importance of assessing hormone levels immediately post-concussion or after a few weeks. They highlight the need for regular re-evaluation of thyroid medication dosage as the brain heals. Dr. Habanova also advocates for annual brain health assessments to monitor cognitive function and overall brain health, stressing the importance of early intervention and comprehensive neurological evaluations.

• New research shows even mild concussions can cause significant hormonal changes
• Pituitary dysfunction creates a downstream effect on thyroid, adrenal, and other systems
• Thyroid medication needs may change frequently during concussion recovery
• Thyroid symptoms often overlap with dysautonomia symptoms, complicating diagnosis
• Cortisol rhythm disruptions explain afternoon energy crashes in concussion patients

• Annual brain health assessments should become as routine as dental checkups
• People with mild cognitive changes often "shrink their world" without realizing it
• Cognitive testing isn't about measuring intelligence but identifying functional changes
• Tracking symptoms and biomarkers empowers patients in their recovery journey
• Addressing toxins and environmental factors that burden the endocrine system is essential

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