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Blast injuries, sports concussions, and head trauma from motor vehicle accidents, falls, or assaults can have a profound impact on sleep, memory, cognition, mood, and relationships.
The term used to describe this trauma to the head and the long-term symptom map linked to it is Traumatic Brain Injury, or TBI.
Mild TBI is a concussion. At the time of injury, some victims experience confusion or disorientation lasting less than 24 hours; loss of consciousness for up to 30 minutes; or memory loss lasting less than 24 hours. For others, there can be virtually no symptoms at the time of injury, but develop gradually over time.
Spartan Medical & Associates in Charlotte, NC treats long-term symptoms associated with TBI by targeting brain health and the disruptions in the hormonal system that it controls.

Get more information on treatment of Traumatic Brain Injuries

Traumatic Brain Injury Background

The window of opportunity for symptoms to emerge after traumatic brain injury is 12 months, which means that there’s value in collecting laboratory tests periodically after the date of injury in order to chronicle any changes in the brain.

Symptoms, which can often be correlated with the location of trauma, may include fatigue, agitation, headaches, visual disturbances, difficulty sleeping, anxiety, apathy, difficulty concentrating, memory problems, loss of sex drive, confusion, and difficulty organizing thoughts.

Symptoms emerge because traumatic brain injury induces an inflammatory response in the brain that disrupts neural pathways, promotes neuronal cell death, and induces hormonal deficits. We know from the medical literature that neuro-inflammation can persist for up to 17 years after the initial trauma. We also know that common health problems such as obesity, cardiovascular disease, diabetes and the development of dementia can be linked to the incidence of traumatic brain injury through the common thread of neuro-inflammation.

The TBI program at Spartan Medical & Associates blends the best of a lifestyle medical practice with program threads that are specifically designed to quiet neuro-inflammation, improve hormonal imbalances, and optimize neural coherence. We created our TBI program by integrating best practices in nutrition and exercise from in-patient centers for TBI with additional focus on neuro-inflammation and all of its functional consequences.

The potential to improve quality of life and resolve long-term symptoms after traumatic brain injury is a reality, with over 1500 patients having been successfully treated using the strategies leveraged at Spartan Medical Associates.

Dr Robert Driver

Bob Driver is a board certified Emergency Medicine physician who has been practicing medicine for over fifteen years. He is certified in Advanced Bioidentical Hormone Replacement Therapy and is also a member of the Age Management Medical Group. He received his Bachelor of Science in Business Administration from Duquesne University and his Doctor of Medicine from Drexel University College of Medicine.

Bob founded Spartan Medical Associates as his opinion of aging and health evolved during his professional career. He noticed a lack of focus on proactive medicine and was frustrated with the failings of standard medical treatments. He also learned to reject the notion that some things just come with old age. Fatigue, weight gain, muscle atrophy, osteoporosis, and other “old age symptoms” can be prevented and reversed. Bob has become an expert on BHRT and wants to help clients restore balance for a healthier life. He offers individualized bioidentical hormone replacement strategies and a concierge level of service that brings the expertise to you.



​Spartan medical associates has now partnered with Dr Mark Gordon and the Millennium TBI Network.

TBI Service Concepts

We approach the management of symptomatic mild TBI through four distinct threads.

  1. Support an environment in the brain that promotes optimal function and brain health; and
  2. Reconcile patient symptoms against exam findings and laboratory tests that look at the function of hormonal systems controlled by the brain; and
  3. Design a clinical nutrition and exercise program to support a comprehensive platform for improving mTBI symptoms based on objective testing; and
  4. Follow-up with routine patient assessments.


​Hormones and Traumatic Brain Injury

Traumatic brain injury ignites a neuro-inflammatory fuse which disrupts hormonal systems that are controlled from the brain.

The brain centers typically affected include the hypothalamus and the anterior pituitary. The posterior pituitary is typically spared after traumatic brain injury because of some structural advantages in its anatomy.

The hypothalamus and anterior pituitary control the production of growth hormone, thyroid hormone, testosterone, estrogen and cortisol.

The most common hormonal issues identified after traumatic brian injury include either a growth hormone deficiency or a testosterone deficiency.

The lead time between traumatic brain injury and the onset of a deficiency can run out to 12-months.

If left unchecked, these changes can reduce longevity and promote age-related chronic diseases such as diabetes and heart disease.

Our approach to the treatment of traumatic brain injury at Spartan Medical exploits nutrition and exercise in tandem with dedicated attention to managing the neuro-inflammatory environment in the brain and any secondary hormonal deficiencies. Patients with persistent complaints such as disrupted sleep cycles or brain fog are referred for additional treatment using advanced transcranial magnetic stimulation.

The decision to suspend various treatment layers as the neuro-inflammatory burden improves presents patients with an opportunity to move forward without the need for continuous medical support.

Spartan Medical & Associates has now partnered with Dr Mark Gordon and the Millennium TBI Network. 

​Dr. Mark Gordon is the Medical Director of Education at Access Medical Laboratory and is recognized as a top leader world wide in Interventional Endocrinology (Anti Aging Medicine). Andrew Marr is a former Green Beret and founder of the Warrior Angels Foundation.

Program Overview

Our program objectives focus on improving quality of life and promoting health span. Gains can be subdivided into promoting brain health and reducing the risk for long-term complications due to endocrine system disruption such as cardiovascular disease, stroke, osteoporosis, frailty syndromes and mental health disorders.

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