Low ferritin value can indicate inflammation in the body.

Ferritin: More Than Iron—A Diagnostic Power Tool

June 24, 2025/by Nidhi Reva
Callie’s Story of Seizures, Strength, and Starting Over

“Not All in Her Head”: Callie’s Story of Seizures, Strength, and Starting Over

June 19, 2025/by Nidhi Reva
save your tick

An Important Reminder From Nurse Nan: Save Your Tick

June 17, 2025/by Nan Kinder, RN
Losing your mind or are you sick?

“I Think I’m Losing My Mind”: When Treating Tick-Borne Illness Feels Worse Before It Gets Better

June 12, 2025/by Nidhi Reva
Chronic joint and muscle pain or is it EDS?

A Patient’s Story: From Pushing Herself to Be Stronger—To Acceptance

June 12, 2025/by Nidhi Reva

Long COVID Webinar and Q&A

June 3, 2025/by Kaplan Center
Gary Kaplan on Good Morning Washington

Good Morning Washington Visits the Kaplan Center! Part 2

June 2, 2025/by Kaplan Center
Nidhi Reva on Good Morning Washington

Good Morning Washington Visits The Kaplan Center! Part 1

May 13, 2025/by Kaplan Center
Which Respiratory Infection Do You Have

Which Respiratory Infection Do You Have?

December 10, 2024/by Kaplan Center
Diets and Blood Sugar

Eating “Right” But Feeling Wrong? The Problem with One-Size-Fits-All Diets and Blood Sugar

December 4, 2024/by Kaplan Center
Nutrition Tips for Thyroid Health

Nutrition Tips for Thyroid Health

November 21, 2024/by Kaplan Center
cultivating gratitude

4 Ways to Practice Gratitude During the Holidays

November 21, 2024/by Gary Kaplan, DO
Sharpen Your Cognitive Health and Eliminate Brain Fog

Out of the Fog: Strategies to Prevent Brain Fog and Sharpen Cognitive Function

November 19, 2024/by Kaplan Center
Marlene Ekwede

Employee of the Quarter: Marlene Ekwede

October 28, 2024/by Kaplan Center
Stop Eating These Foods

Stop Eating These Foods And Clear Up Your Brain!

October 28, 2024/by Gary Kaplan, DO
managing_medications

8 Tips To Help You Manage Your Medications

October 21, 2024/by Gary Kaplan, DO
Yoga for osteoporosis

Preventing & Treating Osteoporosis with Yoga, Resistance Training, Diet, & Medications

October 14, 2024/by Lisa Lilienfield, MD
Managing Chronic Inflammation

The Role of Functional Medicine in Managing Chronic Inflammation

October 9, 2024/by Kaplan Center
Comprehensive Care for Longevity

Living Longer, Living Better: Advanced Diagnostics and Unique Treatments for Longevity

October 4, 2024/by Lisa Lilienfield, MD
8 Steps to a Healthier Gut

8 Steps to a Healthier Gut

October 3, 2024/by Kaplan Center
best_foods_for_brain-fog

Top 6 Food Types to Clear Your Brain Fog and Boost Your Cognitive Function

Do you often experience brain fog? It’s that feeling of mental fatigue that drains your energy, causes poor concentration, and prevents you from gathering your thoughts. I’m sure that many of you can relate to that. Actually, brain fog is a common trend in our modern society. It may occur as a symptom of an underlying illness, side-effects from medication, hidden allergies (e.g. gluten), lack of sleep, dehydration, and even over-eating (i.e. eating too many calories).

However, brain fog is not a medical diagnosis, but a set of subjective symptoms that people experience and describe as:

  • Poor concentration
  • Mental Confusion
  • Eye fatigue
  • Headache
  • Poor sleep
  • A decrease in intellectual productivity

The good news is that there are small tweaks that can be done nutritionally to help clear brain fog, boost energy, and increase productivity. The key is keeping your brain well-fed, nourished, and oxygenated.

1. Drink Up! Water is the way to go.

Water is vital to the proper functioning of human cells and our body systems; it accounts for 60% to 70% of total body weight in lean adults, and 45% to 55% in obese adults. Water plays a major role in brain function; approximately 75% of the processes that take place in the brain occur in the presence of water!

Drinking adequate amounts of water will help increase mental clarity and concentration, help prevent headaches, and help in the removal of toxins and cellular waste that accumulate in the blood and travel to the brain.

How much should you drink? A simple way to calculate your daily water requirement is by dividing your body weight in half and replacing pounds with ounces. So if you weigh 140 lbs., your water requirement is 70 oz. There are two other factors to keep in mind, and the first is physical activity; athletes and active people need more water than sedentary people. The second factor is the weather; during the hot summer months, you need to boost up your water intake even more.

2. Brain Fuel: Omega 3’s

Omega-3 foods are good for the brain

Omega 3s are the most preferred “essential” nutrient to the brain and nervous system. They are called essential because our body does not make them, so we need to get them from our diet.
Among their infinite benefits, omega 3s lower inflammation, protect cell membranes, improve cognition and memory, and improve mood stability.

What to eat: The best sources of omega 3 are fatty fish (salmon, trout, cod liver, herring, mackerel, and sardines), shellfish (shrimp, oysters, clams, and scallops), or krill oil. You may also get omega 3s from plant-based foods, such as flaxseed, chia seeds, or walnuts, however, their conversion to the absorbable form, known as EPA and DHA, is very low – between 5% – 10%.

Questions? Give Us a Call!

703-532-4892 x2

3. Rainbow foods: Flavonoids

flavonoids are good for the brain

Flavonoids are plant-derived compounds that have antioxidant properties. They scavenge harmful toxic cellular wastes in the body called “free radicals.” Free radicals damage brain cells and DNA through a process called oxidation, which contributes to brain fog related symptoms.

Studies indicate that flavonoids found in certain fruits and veggies are able to improve memory and brain function, thereby helping to lower symptoms related to brain fog.

Fruits like grapes, pomegranates, strawberries, and blueberries have shown to improve many aspects of memory and learning, such as: rapid and slow memory acquisition, short-term working memory, long-term reference memory, and memory retention and retrieval.

What to eat: Lots of fruits and vegetables! Go for a rainbow of color.

4. Quercetin-rich foods

Quercetin is a flavonol (a subtype of flavonoids) found in plants and known for its antioxidant properties.
Unique to quercetin is its ability to block histamine release, the main trigger for allergies which can cause symptoms of brain fog.

What to eat: Foods that are rich in quercetin are: ancho peppers, red onions, dill weed, cranberries, and buckwheat.

5. Brain Treat: Dark Chocolate

Dark Chocolate for brain health

In addition to being delicious, DARK chocolate is a superfood, which means it’s a highly potent antioxidant and brain booster. Cocoa flavonols, which are the active compounds in the cocoa powder found in chocolate, have been shown to increase blood flow to the brain, providing it with an abundant supply of nutrients and oxygen.

Studies have shown cocoa flavonols improve cognitive function and blood pressure control in older adults, improve concentration, and can help stabilize mood.

What to eat: When buying a chocolate bar, the darker the chocolate, the better (look for 70% or more cacao* content). You can also buy good quality, dark chocolate cocoa powder, but you’ll notice it can be bitter, so a great way of getting it in your diet is by adding it to your smoothies.

* Cocoa powder comes from raw cacao that has been roasted at high temperatures.

6. Happy Brain = Happy gut: Probiotic-rich foods

probiotic foods for brain health and gut health

The human body carries over 100 trillion bacteria in the gut, outweighing the human body’s cells! These bacteria work synergistically with the body’s systems and contribute to the synthesis of vitamins and neurotransmitters (brain chemicals), and also help with food digestion.

The gut also hosts harmful bacteria, but in smaller amounts. These opportunistic species thrive on sugars, which can lead to overgrowth and create an imbalance in the microbiome. The connection between the brain and gut is bi-directional, which means if one consumes a high processed meal that is loaded with simple sugars, the brain will suffer from a lack of neurotransmitters and vital nutrients. This leads to brain fog symptoms and potentially other serious conditions. So basically, food choices and a clean diet are tremendous for brain health.

What to eat: Incorporating probiotic-rich food in your diet will help balance gut flora and get rid of harmful bacteria. These foods are Sauerkraut, kimchi, Kombucha (watch out for sugar content), and kefir. Supplementing with probiotics is another great way to get good bacteria into your diet.

We are here for you, and we want to help.

Our goal is to return you to optimal health as soon as possible. To schedule an appointment please call: 703-532-4892 x2

References:

Boots, A. W., Haenen, G. M., & Bast, A. (2008). Health effects of quercetin: from antioxidant to nutraceutical. European Journal Of Pharmacology, 585(2-3), 325-337. doi:10.1016/j.ejphar.2008.03.008
Anand David, A. V., Arulmoli, R., & Parasuraman, S. (2016). Overviews of Biological Importance of Quercetin: A Bioactive Flavonoid. Pharmacognosy Reviews, 10(20), 84-89. doi:10.4103/0973-7847.194044
Linus Pauling Institute | Oregon State University | Micronutrient Information Center | Essential Fatty Acids
Nehlig, A. (2013) The neuroprotective effects of cocoa flavanol and its influence on cognitive performance. Br J Clin Pharmacol. Mar; 75(3): 716–727.


This article was first seen in Dr. Kaplan’s column for MindBodyGreen on 4/17/2017. Reviewed on 9/19/24.

5_steps_chronic_pain

5 Steps For Better Health If You Have a Chronic Illness or Pain

Today, medical care is a highly specialized and compartmentalized business, and many physicians are pressured by significant time constraints. When your health problems are complex, it can be difficult and frustrating to find answers. Be your own advocate, don’t be afraid to ask questions, and seize control of your health.

5 Important Steps For Better Health When You Have a Chronic Illness or Pain

  1. Find An Expert. Chronic pain can undermine every aspect of your life – your work, relationships, recreational activities, self-esteem, and hope for the future. You want – and need – a pain specialist who is going to investigate the causes of your particular pain problem, strive to understand exactly how it has affected your life, and work with you to create and implement a personalized and comprehensive treatment strategy that fits the context of your life. You don’t have to just live with it. Chronic pain or illness should not define who you are and what you do.
  2. Understand Your Diagnosis. A diagnosis is not just a label; expect your doctor to provide you with resources to help you better understand your own condition; and expect him or her to lay out clear recommendations for your short and long-term treatment, including steps that you can take to assist with your own healing process.
  3. Understand the Value of Non-invasive Manual Therapies to Your Recovery. Seek out a physician who is knowledgeable about non-invasive manual therapies that will support your recovery. Ideally, you want a doctor who can recommend highly skilled manual practitioners who will communicate with your doctor about your progress and the need for adjustments in your ongoing medical care.
  4. Be Careful about Using Pain MedicationWhile medications may help with pain, some also have the potential to cause other problems with your health and quality of life. Be confident that the medication your doctor has prescribed for you is truly the most effective and least invasive way of treating your chronic pain problem.
  5. Understand All the Factors that May Be Contributing to Your Condition. Many times there are underlying, undiagnosed factors that may be contributing to your pain. Nutrition, emotional issues, hormone imbalances, biotoxicity or neurotoxicity, and sleep disorders can all cause inflammatory reactions in the body which can lead to a cascade of painful symptoms.

Chronic pain is a multi-faceted problem that requires a multi-disciplinary approach to diagnosing and treating your pain.

We are here for you, and we want to help.

Our goal is to return you to optimal health as soon as possible. To schedule an appointment please call: 703-532-4892 x2

Updated September 16, 2024

Welcome Nidhi Reva PA-C

Meet Nidhi Reva, MPH, PA-C

The Kaplan Center is thrilled to introduce the newest member of our Team, Nidhi Reva, certified Physician Assistant!

Nidhi brings a wealth of knowledge, compassion and dedication to patient care that aligns perfectly with our practice values and we are confident that she will be a wonderful asset to our Team. Please read her Letter to Patients below.

A Letter to Patients from Nidhi:

My name is Nidhi Reva, and I am thrilled to join the Kaplan Center Team and to have the opportunity to work with you on your health journey.

At the Kaplan Center, I’ll be working closely with Dr. Kaplan to ensure that you continue to receive the focused, timely, and comprehensive care you deserve. I have a particular interest in working with patients who have complex medical histories, especially those who may have felt dismissed or unheard by the medical community. I welcome the challenge of unraveling intricate health issues and providing trigger point injections and other modalities to provide compassionate care.

To share a bit about my background, I began my journey with a Bachelor of Science from Michigan State University and later earned a Master of Public Health in Health Policy and Management from Emory University, where I focused on serving underserved populations. I also completed a Master of Medical Science at Emory University School of Medicine’s Physician Assistant Program. Currently, I am obtaining a certification in the Functional Medicine and Nutritional Practitioner program with the American Academy of Functional Medicine.

Over the years, I’ve gained extensive experience as a physician assistant in women’s health, including positions at Virginia Hospital Center Physician Group’s OBGYN Practice and Reiter Hill Johnson and Nevin OBGYN. I’ve also served as the Director of Medical Wellness at Integrated Neurology Services, where I specialized in treating chronic headaches, migraines, fatigue, and pain using various integrative approaches. Beyond my clinical work, I’m an adjunct professor and preceptor at the George Washington University Physician Assistant Program.

I’m also passionate about education and founded Nested LLC, which provides comprehensive childbirth and newborn care education, along with CPR certification. Through Nested’s Project Nido, I lead an annual volunteer mission to Ecuador, providing free medical and dental care to underserved communities, Project Nido.  

On a personal note, I have two daughters and enjoy walking, painting, and spending time with my family and friends.

Nidhi Reva, MPH, PA-C