Texas does not have an off-season, and neither do you. The work is still yours: the practice you run, the crews you schedule, the parents you now manage care for, the board seat you said yes to. What has changed is the overhead. Holding four moving pieces used to be automatic; now the fourth one costs something. You reread a clause you already read. You reach for a name that sat in the front row of your memory for twenty years and find the seat empty.
That experience has a phrase people type into search bars late at night, and what comes back is mostly essays, supplement lists, and routines from people with ring lights. Our position is different, and it is medical: brain fog is a symptom, and symptoms deserve workups, not just explanations. If what you actually meant to search was a cognitive health clinic for adults over 50 in Texas, this page is the answer that search rarely returns: a licensed practice that will measure what is measurable and tell you plainly what your numbers do and do not say. We Are Not Influencers. We Are Physicians.
New Genesis Vitality is a physician-led telehealth practice, and this page is the Texas door to our Cognitive & Neuro-Optimization program. The deeper education, what commonly contributes to brain fog in your 40s and 50s and how the evaluation is built, lives on our brain fog treatment hub. What follows here is the Texas-specific version: who is licensed to see you, what it costs, and how it works whether you are in Amarillo or Austin.
Brain fog treatment by telehealth in Texas is a medical evaluation of cognitive symptoms for patients located in Texas, conducted by video with a Texas-licensed provider and grounded in blood work drawn at a Quest location near you. The evaluation measures common, checkable contributors, B12 and folate, vitamin D, thyroid function, and metabolic markers, and ends with a licensed provider walking you through what the numbers mean. Where those results identify contributing factors that can be addressed medically, your provider addresses them; where they do not, you leave with a documented baseline and an honest reading instead of a theory.
No part of the process requires an office visit. The only in-person moment is the blood draw itself.
The initial consultation is $199, runs about 30 minutes by video, and books into evening and weekend slots as readily as business hours, which matters when your calendar is part of what the fog is taxing. Expect precise questions: the timeline, the pattern across a day, what a bad week looks like next to a good one. Those specifics narrow the workup before a single tube of blood is drawn.
Your provider orders labs during the consultation, and Quest handles every draw, which in Texas means a location within reach whether you are inside a metro loop or two counties past one. Panels start at $99; the Neurocognitive panel, twelve measurements aimed at the checkable contributors to cognitive symptoms, is $269, and that price already covers the draw. One cost note worth knowing: if you have recent blood work from any clinician, bring it, and your provider builds from what is still current instead of billing you to repeat it. Every panel we run is detailed on the lab testing page.
You get your numbers twice: Quest sends results directly to you, and your provider walks through them with you at a follow-up visit, $149, usually about 15 minutes. The plan addresses contributing factors where medically appropriate, and it gets revisited as your labs and your experience change. If everything comes back unremarkable, you will be told exactly that, because “unremarkable” is a finding too: it retires a set of suspects and hands you a reference point for every lab you draw after it.
This page is medically reviewed by Brad Wasson, DO, Board-Certified Family Medicine, Longevity Specialist, who is based in the DFW metroplex; like every clinician at the practice, he works by telehealth, with no physical office and no in-person visits anywhere in the model.
Care visits for Texas patients in this program are with Jeff Beaty, DO, Board-Certified in Emergency Medicine and Certified in Peptide Medicine, and Keith Kirbow, APRN, FNP-C, PMHNP-BC, a nurse practitioner who is dual-board-certified in family practice and psychiatry. That pairing is deliberate. Cognitive symptoms rarely file themselves neatly under “metabolic” or “psychological,” and Kirbow’s dual certification exists for precisely that ambiguity. The full picture of our Texas practice, every service and every clinician licensed here, is on the telehealth in Texas page.
You have run harder on less before; that is not in doubt. What is worth knowing is what, specifically, is asking you to.
Book a consultationPut your own numbers on the table, and make the next decision from data instead of from worry.