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At last month’s 10th Annual San Diego Symposium for Metabolic Health, neuroscientist Dr. Dominic D’Agostino delivered one of the most talked-about presentations of the week. His lecture, “Traumatic Brain Injury: Mechanisms and Metabolic-Based Treatments,” challenged us to rethink the way brain injuries are treated—and the opportunities we are missing. “When a patient comes in who has sustained a traumatic brain injury, you really need to stick to first principles,” he told the audience. “Airway, breathing, circulation. But I think there’s a really great opportunity that’s missed—metabolic therapies could be done as part of the ABCs.” Dr. D’Agostino argued that traumatic brain injury is best understood as a metabolic crisis. “Traumatic brain injury is a neuro-metabolic dysregulation issue,” he said. “There’s neuroinflammation, blood flow issues, hypoxia, and failed glucose metabolism in the brain. Ketones can rescue brain energy metabolism in these situations.” He didn’t just speak in theory—he shared powerful stories. “This is a person I was connected with, a special operations war fighter," said D'Agostino, as he gestured toward the screen. "His parachute did not open. About six or seven months before this picture was taken, he was in a coma. His father sent me an email: ‘Thank you for helping my son.’ He was moved to the Tampa VA hospital, and the polytrauma team there basically brought him back to life. He’s fully operational now—no signs of traumatic brain injury.” Dr. D’Agostino also emphasized how much is at stake: “Upwards of 77% of people with severe, moderate TBI have a psychiatric illness. Depression, substance abuse, anxiety—these are not being addressed in rehabilitation or follow-up.” And he offered hope for patients and clinicians alike. “Ketones are neuroprotective, cardioprotective, anti-inflammatory, and anti-catabolic. They enhance mitochondrial function and resilience. This is really the recipe for recovery.” His presentation, like so many others in San Diego, reinforced why these gatherings are so valuable—bringing together clinicians, researchers, and community members to share insights that can change lives. Register for the next Symposium here - https://www.lowcarbusa.org/events/ To see this entire presentation and to gain access to all of the presentations (including the full day of presentations focused on neurological conditions) from the 10th Annual San Diego Symposium for Metabolic Health, click here: https://www.lowcarbusa.org/san-diego-... Also note that CME credits are available.