About This Episode and Dr. Fred Grover
Dr. Grover discusses novel treatments for depression, anxiety, traumatic brain injury and age-related decline in cognitive function. His therapies include neurofeedback, quantitative EEG brain maps, sound and light therapies as well as meditation and IV glutathione.
Dr. Grover is a well recognized Board Certified Family Physician (FAAFP) who has been practicing medicine in Denver since 1996. He has additional board certifications in Integrative medicine (ABIHM) and Anti-Aging, Restorative Medicine (ABAARM) His passion and special expertise include:
- Integrative and Functional medicine
- Primary care medicine with a focus on prevention.
- Anti-aging, Age Management, Restorative medicine
- Bio-identical hormone replacement / hormone restoration
- Brain Health and mind-body balance, preventative neurology
- Aesthetic dermatalogy.
In summary, Dr. Grover's passion and expertise are aligned with his goal of helping you heal from the inside out, addressing the more complex underlying root causes of symptom or disease manifestation.
He is an Assistant Clinical Professor of Family Medicine at the University of Colorado Denver, and teaches residents and medical students about Integrative Medicine in the office, and via lectures at the University of Colorado.
He is listed as one of the few 5 star family doctors in Denver Magazine as well. Dr. Grover completed additional Board Certifications in Anti-Aging Medicine, and Integrative Holistic Medicine, giving him the skills for integrating cutting edge modern medicine and complementary (alternative) therapies into patient care.
Contact Dr. Grover
3400 E. Bayaud Ave.
Discussed in This Podcast
02:51 Health Risks of Football: Dr. Grover is seeing more young players in his practice. The kinetic forces of football can jostle the brain. The cranium is a solid structure, but the brain is more like Jell-O. Inflammation and shearing injuries can occur, with the possibility of eventually abnormal protein formation and manifest cognitive impairment. Sports teams are beginning to recognize early signs and symptoms of chronic traumatic encephalopathy.
04:52 Diagnosing Reduced Brain Function: Dr. Grover takes a detailed history and examines his patients, possibly following up with an MRI or CT to check the anatomical structures of the brain for abnormalities. If there is no structural abnormality, a SPECT image or functional MRI is performed. SPECT provides a better image of the microvascular blood flow. Most common injuries found using the SPECT are in the temporal region of the brain. When an area of reduced profusion is found, treatment begins.
05:52 Nutrition/Lifestyle Protocol for the Brain: Dr. Grover’s treatment protocol is a global approach, which includes nutrition. He utilizes anti-inflammatories, like glutathione, omega-3s, and coenzyme Q10 to support the microglia and neuronal regeneration, as well as neurotransmitter function. He tests for MTHFR, COMT and other detoxification pathways that may be impaired, contributing to poor healing. A lifestyle assessment is conducted, looking for ways to improve mindfulness. It means getting people away from their electronics and into meditation, and getting people off the couch and into yoga or other meditative practice, like walking meditation. Regular aerobic exercise improves cerebral vascular blood flow.
07:03 Near Infrared Light Therapy: Dr. Grover’s transcranial near infrared light therapy study has been completed. It showed a dramatic improvement amongst veterans who had suffered TBIs as far as 5 to 10 years prior. It improved blood flow and cognition, as well as reduced of depression and suicidality.
08:53 Neurofeedback: Neurofeedback is a methodology where leads are connected to the head. Electricity is not administered. Instead, it reads the brain’s electrical activity. Participants listen to music or watch a movie when they enter the right brain wave activity for improved focus. If they lose focus, the music or movie is removed until focus is regained. This operant conditioning trains the brain to reconnect in tracks that have been damaged. Neurofeedback is done after a QEEG brain map. Dr. Grover is doing a study of athletes, where brain imaging through electrical brain mapping is done prior to any head injuries. After a head injury, new mapping is examined for abnormalities. Neurofeedback is used to bring the athlete back to baseline or even an improved state. Neurofeedback can be done prophylactically to prevent injury and to improve function and performance. Having a baseline brain map of your brain on file is a good idea.
13:08 Dr. Grover’s Journey: After Dr. Grover did a family medicine residency in Colorado, he traveled the world. He then became a university instructor. He then diversified, receiving certifications in anti-aging and integrative holistic medicine. To provide good medical care, he needed the extra expertise. Conventional western medicine is sick care, rather than the preventative and wellness care he wanted to provide.
16:21 Brain Health: There is mental health crisis, a rise in cognitive impairment, a rise in Alzheimer’s disease, a rise in (and more recognition of) traumatic brain injury. The current therapies for these are about making profits for big drugs, rather than looking at things from a comprehensive holistic manner. Dr. Grover became frustrated with this model and began developing his protocols and therapies, like biofeedback, hormone therapy, nutrition and mindfulness.
19:00 Hormones and Brain Health: Men and women are tanking on their hormones much younger than they should. One hypothesis is that cortisol may be suppressing some of the pituitary signaling hormones, FSH and LH, lowering our testosterone. This can lead to adrenal fatigue and drops in growth hormone. This is addressed through exercise, mindfulness and nutrition. If needed, bioidentical hormone replacement is used. It is all about the big picture. There is no silver bullet.
20:23 Neurofeedback: Within about 20 sessions, people with depression or anxiety will see improvement. Muse, HeartMath and BrainMaster are effective home devices. When heartrate variability is improved, theta brain wave activity is enhanced.
24:06 Treatment for Injuries: Dr. Grover takes a proactive approach, rather than sending someone home to rest. He uses a SPECT scan, which shows reduced blood flow and small vessel damage from injuries where an MRI will not recognize an issue. PET imaging will show this subtle damage to the brain as well.
25:36 More on Near Infrared Light Therapy: LED lights are in a cap placed over the head. The LEDs emit a wavelength that goes through the skull, hitting the small vessels in the brain which will release NOS (Nitric oxide synthase), causing vasal dilation. This helps to open capillaries which have been damaged or in spasm. SPECT images show up to 100% improvement in blood flow after 18 light therapy sessions of 20 minutes.
27:26 Hormone Imbalances from Head Injury: If a man has a head injury, he can have a major drop in testosterone. The pituitary gland dangles at the base of the brain and receives blows from the impact of a head injury. A head injury can cut testosterone levels in half. Hormones are regenerative to the brain and helps with neurotransmitter balance.
29:02 Professional Football Players: Many have chronic inflammation from brain trauma and do not have full blood flow for repair. They can begin to develop Alzheimer’s-like symptoms, and dementia.
29:58 Microglia: These macrophages of the brain do not turn off. When there is an inflammatory event, the microglia continue to light up the inflammatory pathways. This inflammation can be dampened with curcumin, Nrf2 activation, anti-inflammatories, omega 3s, medium chain triglycerides, coconut oil and a good healthy diet that has plenty of antioxidants. Keeping glucose under control is critical. Healing comes from a number of modalities and a number of supplements.
33:37 MTHFR: The status of everyone’s MTHFR SNP should be checked and addressed. It can cause inflammation and neurotransmitter imbalances. Correcting these can make a huge impact upon how effective the brain heals.
33:55 Energy Medicine: Dr. Grover is fascinated with energy medicine. He meditates and walks in nature. Acupuncture can help balance your meridians and chi. He has done qigong classes for balancing energy. Energy medicine should be a daily part of everyone’s life. It can be as simple as meditating and brining light to areas of your body that feel out of balance, or as complicated as working with an acupuncturist, healing hands or reiki master. Any type of energy medicine that balances you is worthwhile. Be a spiritual adventurer to find what resonates with your body.
36:01 Shamanism: The root of shamanism is from Tibet, back in the days of Genghis Kahn. Native Americans all had shamans. It is prevalent throughout the world. Shamans are able to go beyond the realm of our existing world. They tap into universal consciousness. Astrophysicists would agree to the existence of universal consciousness. Sometimes plants are used to bring shamans into that state. The pineal gland in the brain, related with the 3rd eye, is activated in that state. By activating the pineal gland, you are able to activate a deeper structure that allows you to see and receive information from the environment. For Dr. Grover, it is helpful in clinical decision making. He also works with his patient’s chakras.
41:42 Sound as a Healer: Today’s isolated primal tribes still get into circles for drumming, singing and chanting. It can entrance the brain to activate deeper brain structures and allow them to heal themselves energetically. Sound at the right tone has its own sacred geometry that is healing. Dr. Grover has a sound healing table with transducers that send music or chants through the body. Your energy body absorbs it. Your mind absorbs it to a certain degree. Sound therapy is often done at Dr. Grover’s office at the same time as massage or acupuncture. Explore sacred sites. Dr. Grover recommends Chaco Canyon in Northwestern New Mexico or Palenque, a Maya ruin in Mexico. Have an open mind. Sit and be with the spirits and energy the energy that has been created. It can change you in a way that you cannot imagine.
45:32 Dr. Grover’s Favorite Herb: CoQ10 would be his choice for the mitochondrial benefits. Number two might be glutathione or NAC. He also appreciates the anti-inflammatory benefits of omega 3s. Everyone has different needs.
46:37 Dr. Grover’s Elevator Pitch: We need more mindfulness, feeling connectedness to community, and meditation. We need to be more active. Get regular exercise. Our brains are overwhelmed from all of the craziness of the news, our electronics, and all of the other stressors in our lives. Mindfulness, connectedness and exercise can help greatly.