Patient Resource
The cleaner the history, the faster the pattern appears
A diagnostic optimization evaluation works with what you bring. You do not need to have everything perfectly organized. You need the real picture — medications, labs, sleep, supplement stack, timeline, and the symptoms you have not said out loud yet.
Bring This If You Have It
What helps the evaluation move faster
Medications
Current medications with doses and timing. Prior medications — what was tried, at what dose, how long, and what happened. Any OTC medications including sleep aids, allergy medications, and pain medications.
Labs
Any labs from the past 12 months. Most useful: thyroid panel, ferritin, B12, vitamin D, CBC, CMP, A1c or fasting glucose, lipids. Do not worry if they are incomplete — bring what exists.
Sleep data
Sleep study results if you have had one. Wearable sleep data if available — trends over time are more useful than single nights. CPAP compliance data if you use CPAP. Your actual sleep schedule including what time you go to bed, when you fall asleep, and when you wake.
Supplement and biohacking stack
Every supplement, peptide, hormone, GLP-1 medication, nootropic, and biohacking intervention. Brand and dose when possible. Start dates if you remember them. What you hoped each one would do.
Symptom timeline
When did focus, mood, sleep, or energy problems start? Was there a before? What changed — company stage, workload, relationship, loss, medication, injury, illness, hormonal change? What has gotten better or worse over time?
Prior diagnoses
What diagnoses have you been given? Which ones felt accurate? Which ones did not explain the pattern? What treatment followed each diagnosis and what happened?
Do Not Worry About
What not to prepare perfectly
- Having everything perfectly organized
- Knowing the exact dates of every medication change
- Having lab values memorized
- Presenting your week in a way that sounds reasonable
- Preparing a polished narrative about what is wrong
Bring the actual week — not the version you would send to an investor. The unpolished version is more useful.
What The Evaluation Covers
What happens during the evaluation
The evaluation maps symptoms against timeline, setting, recovery, and medical history. It reviews medication history — not just the current prescription — for patterns that indicate diagnosis accuracy or medical contributors that have been missed.
Sleep, nutrition, substance use, lab values, and wearable or biometric data are reviewed when relevant. The goal is a pattern that explains the clinical picture in front of us, not a label attached to a symptom checklist.
At the end, the evaluation produces a sequenced plan — not a list of everything to do at once, but a clear next step with a reason.
The Right Fit
This evaluation is useful when the standard picture is not complete
ADHD that may be burnout, or burnout that may be ADHD
Medication that stopped making sense
Focus, mood, sleep, or energy problems with a complicated medical history
GLP-1, hormone, supplement, or peptide use intersecting with psychiatric symptoms
Wearable or lab data with no clinical interpretation
A diagnosis that does not fully explain the pattern
Request Evaluation and Bring What You Already Have
You do not need perfect records. Bring the medications, the labs, the sleep data, the stack, and the actual week. We will build the pattern from there.
Request Diagnostic Evaluation