Cherry-Picking Superfoods to Aid TBI Recovery

A small red fruit that appears in various forms throughout the year is more than simply a tasty treat. Cherries pack natural pigment, known as anthocyanins, melatonin, and quercetin that cross the blood-brain barrier, reduce neuroinflammation, and protect injured neurons. It has long been known that anthocyanins cut brain injury volume by up to 27%, with anti-inflammatory potency similar to that of ibuprofen. Three more recent human randomized controlled trials also confirmed measurable improvements in memory, attention, and mental fatigue after daily tart cherry juice consumption.

These neurological improvements, highly beneficial to those with brain injuries, include a 23% reduction in memory errors in one 12-week. The NIH’s National Academies Press identified polyphenols found abundantly in cherries as interacting with neuronal survival pathways after traumatic brain injury (TBI). A 2025 review in Nutritional Neuroscience concluded that these compounds lessen neuroinflammation and oxidative stress following brain injury. An earlier comprehensive USDA-supported review of 29 human cherry studies also found cherry consumption decreased oxidative stress markers in 8 of 10 studies and reduced inflammation in 11 of 16 studies.

However, studies show that not all cherries deliver equal benefits. Montmorency tart cherries provide the highest benefits, though dark sweet varieties also carry high anthocyanin levels. Cherries also do not need to be eaten raw to be advantageous. Liquefied tart cherry juice concentrate has proven to be the most clinically validated form, though cherries that have been cooked retain significant amounts of active compounds. When frozen, cherries still provide these benefits, as they preserve 90–95% of polyphenols.

*Beyond delicious cherry pie, recipe research shows me that cherries are a feature in numerous recipes that are well-suited for every time of the day. For breakfast, for example, try cherry overnight oats (rolled oats, frozen cherries, ground flaxseed, and almond butter) which requires zero morning prep and provides steady brain energy. A cherry-chocolate brain smoothie is a good snack (tart cherries blended with cocoa powder, spinach, chia seeds, and almond milk) that delivers anthocyanins and omega-3s in one glass. For TBI-related sleep disruption, tart cherry turmeric bedtime tea (cherry juice simmered with ginger, turmeric, and chamomile) supports both natural melatonin production and neuroinflammation recovery simultaneously.

University of Alabama’s COMPASS for Brain Injury Care

The University of Alabama officially launched the COMPASS Brain Health Initiative (Comprehensive Post-Acute Specialty Services) on March 4, 2026, becoming the first clinic of its kind in Alabama. The program provides free, same-day interdisciplinary evaluations for individuals living with the persistent effects of traumatic brain injury.

COMPASS is entirely funded by the Alabama Department of Rehabilitation Services (ADRS), making every evaluation free of charge. The state’s involvement runs deep: planning began in October 2025, funding was secured in December 2025, and collaboration spans the Governor’s Office, the Alabama Department of Veterans Affairs, the Department of Mental Health, and the justice system. The clinic serves an estimated 102,000 Alabamians living with TBIs, with patients split roughly equally between civilians and veterans.

ADRS TBI Director April B. Turner underscored the program’s significance: “There’s nothing like this that exists. Having a clinic where our veterans or the guard or folks in long-term recovery can come into our centers, and… have specialists that we can refer them to for free…is just pivotal.”

(ADRS also announced five satellite TBI centers across the state, in Birmingham, Mobile, Decatur, Opelika, and Enterprise, extending COMPASS’s reach statewide.)

NJ’s Proposed Step Forward May Be a Step Too Far

New Jersey Senate Bill S192, introduced January 13, 2026, would allow residents diagnosed with a traumatic or acquired brain injury to voluntarily add a designation to their driver’s license or state ID. The notation, stored in a Motor Vehicle Commission registry accessible to law enforcement, aims to improve interactions between officers and brain-injured individuals.

The bill is sponsored by Senate Transportation Committee Chair Senator Patrick Diegnan, with Senator Parker Space among its co-sponsors, making it a bipartisan measure. “[Individuals with brain injuries] often have differing communication styles and body language, which an officer could misinterpret. Having a designation would help to lower the risk of negative encounters,” states Diegnan.  This is not Diegnan’s first push on the issue. Predecessor bills S3673 and A2961 carried over from the 2024 – 2025 session.

Other states have already enacted comparable measures. Virginia allows residents to voluntarily add a traumatic brain injury designation to their driver’s license or ID card through the DL-145 form. Maine has codified acquired brain injury identification cards under Title 29-A, §1410-A of state statute. While New Jersey, Virginia and Maine may politically lean left, the contents of the bill are bipartisan, in relation to state. In right-leaning Tennessee, Code § 55-50-307 provides a similar acquired brain injury designation for driver’s licenses and photo ID cards.

Proponents argue the bill saves lives by reducing dangerous miscommunications during traffic stops. Critics, however, raise civil liberties concerns, as a visible disability marker could expose individuals to stigma, implicit bias, or unequal treatment. Well-intentioned protection could inadvertently promote discrimination against the brain-injured population.

What will happen to S192 in New Jersey remains uncertain. Since introduction, the Senate Transportation Committee passed it with amendment by a unanimous 6–0 vote on February 5, 2026. It now sits in Senate Budget and Appropriations Committee, before being sent to the Senate and Assembly.

Spring Forward, Fall Down: Neurological Effect of Time Change

Every March, we lose an hour of sleep, or we gain an hour of sunlight, depending on your perspective. For TBI survivors, this forced clock shift has medically been proven to be particularly cruel. Up to 70% of survivors already struggle with disrupted sleep and circadian rhythms. Unfortunately, that is the same biological clock that drives the neural repair process itself.

The twist, though, is that the extra daylight we are about to gain can actually help injured brains heal. Powered by sunlight, studies have shown that Vitamin D is typically low in brain injury patients, particularly at rehab admission, and deficiency is linked to worse survival. While adding a Vitamin D supplement into your daily pill regiment is good, natural Vitamin D absorption is always best.   

While it may seem a biannual norm, it wasn’t until March 19, 1918 that time became a legislative concern in the United States. President Woodrow Wilson signed the Standard Time Act of 1918, also known as the Calder Act, “to save daylight and to provide standard time, for the United States.”. (On January 20, 1942, President Roosevelt established War Time, which halted the time shift from 1942 – 1945.)

More recently, opposition to time change has increased and a large minority of Americans say that they do not want to keep switching their clocks. In Congress, S.29, Sunshine Protection Act of 2025, sponsored by current Secretary of State, former Florida Senator, Marco Rubio and Rep. Vern Buchanan (FL) would have made Daylight Savings Time permanent. This Congressional year, Rep. Greg Steube (FL) introduced H.R. 7378, Daylight Act of 2026, that would permanently move U.S. clocks forward by 30 minutes and eliminate the biannual time change. As of March 4, 2026, this Act is in the House.

*British Columbia will permanently adopt year-round daylight saving time in 2026, with the final “spring forward” occurring on Sunday, March 8, 2026. It may be useful to observe how this change, or lack there of, functions in another country that has same time zones before passing legislation.

“Eat Your Vegetables” for a Healthy Brain

Vitamin K is generally known for its role in blood clotting, but scientists have long been uncovering its powerful impact on brain health. Available to view through PubMed, biochemical journal Biofactors noted as far back as 2012, “There is now convincing evidence that vitamin K has important actions in the nervous system.” A 2022 study published in Nature, also available on PubMed, found that vitamin K suppresses ferroptosis, a type of cell death driven by lipid damage and linked to brain injury. 

Vitamin K activates brain proteins Gas6 and protein S, which shield neurons from damage and support cell recovery after injury. While the vitamin is important for all people’s brain health, it is life-or-death for infants. The CDC has reported that babies who don’t receive a vitamin K shot at birth are 81 times more likely to develop Vitamin K Deficiency Bleeding [VKDB]. Between 30% and 60% of late-onset cases of VKDB involve brain hemorrhage, and one in five affected infants will die.

More recently, the public medical library published a 2025 Tufts University study, first reported in The Journal of Nutrition, that confirmed “low vitamin K intake reduced menaquinone-4 concentrations in brain tissues and impaired learning- and memory-related cognitive function.” 

Beyond neuroprotection, the NIH Office of Dietary Supplements notes that Vitamin K strengthens bones and supports healthy blood circulation. The old adage of “eat your vegetables” is apropos, as top food sources include kale, spinach, broccoli, and Brussels sprouts.    

Developing the “Dancing Molecule”

Northwestern University scientists have developed an injectable nanomaterial, dubbed “dancing molecules”, that cross the blood-brain barrier and shield brain tissue from post-stroke damage. Published January 2026 in Neurotherapeutics, the therapy uses tiny, constantly moving molecular assemblies, known as supramolecular therapeutic peptides (STPs), delivered intravenously that self-organize into nanofibers inside injured brain tissue. In mice, a single IV dose given after blood flow was restored significantly reduced inflammation, tissue death, and harmful immune response with no observed toxicity.

In July 2025, Amphix Bio, the company behind the treatment, posted on LinkedIn: “We are thrilled to announce the FDA has granted an Orphan Drug Designation to AMFX-200, our lead candidate based on the Supramolecular Therapeutic Peptide (STP) platform, for the treatment of acute spinal cord injury. This will accelerate our efforts to bring this novel neuro-regenerative therapeutic to the clinic.”*

* I cannot find any record of human trials of this stroke treatment, as of yet. Additionally, key limitations remain, as results are preclinical only, dosing must be precise to prevent blood clotting, and long-term human safety is unproven.

Liquid Gold for Your Brain: Extra Virgin Olive Oil

Your pantry might hold one of the most powerful brain-protective foods on the planet. Research now links extra virgin olive oil (EVOO), long recognized as a boon to heart health, to a sharply lower risk of dementia, faster brain injury recovery, and protection against the toxic plaques that drive Alzheimer’s disease.

The National Institute on Aging states, “Consuming olive oil is associated with lowering the risk of dementia-related death.” This association was found to be true “regardless of overall diet quality”. These findings were compelling enough that the 2025–2030 U.S. Dietary Guidelines, issued by USDA and HHS, placed olive oil at the center of the new federal nutrition framework.

The 2026 PREDIMED-Plus study, which focused on the benefits of the Mediterranean diet for reducing the risk of type 2 diabetes, revealed that EVOO works through the gut-brain axis, with participants showing improved memory and cognitive function alongside greater microbiota diversity. Animal studies from 2025 showed that oleocanthal, a polyphenol unique to high-quality EVOO, reduced brain infarct size and sped recovery after traumatic brain injury.

The key is EVOO’s polyphenols, specifically oleocanthal, oleuropein, and hydroxytyrosol, which cross the blood-brain barrier, clear amyloid plaques, and calm neuroinflammation. Only cold-pressed extra virgin oil retains these compounds at therapeutic levels, so quality matters. Refined olive oil could not replicate these results.

Ready to cook for your brain? Try combining EVOO with other ingredients known to promote brain health, such as salmon, or another staple of the Mediterranean diet, mint.

Pentagon’s New Coding Rules Aim to Protect Warfighters

On January 23, 2026, the Department of Defense’s Traumatic Brain Injury Center of Excellence published updated ICD-10-CM coding guidance specifically for warfighter brain injuries. ICD-10-CM (International Classification of Diseases, 10th Revision, Clinical Modification) is the standardized system doctors use to classify and record diagnoses. Without precise codes, injuries go miscounted and undertreated.

The new guidance is particularly critical now, as modern warfare inflicts unique brain hazards. Low-level blast overpressure from repeated weapons firing, extreme G-forces on pilots, and unexplained neurological incidents now have dedicated diagnostic codes, enabling better surveillance and resource allocation.

Just days earlier, on January 20, the Center released a research review revealing that mild TBI raises PTSD risk two- to threefold, findings that will shape military treatment protocols. Meanwhile, the Army’s baseline cognitive screening program, launched in August 2024, aims to assess every troop’s brain health proactively.

Minnesota Overhauls Brain Injury Waiver Program

Minnesota’s Brain Injury (BI) Waiver Program has supported survivors of traumatic and acquired brain injuries since 1992. In 2026, it is facing sweeping changes, bringing both new benefits and serious concerns for tens of thousands of residents who depend on it.

On the positive side, the program covers 44 distinct services, has no waitlist, and swim lessons have been added as an allowable Consumer Directed Community Support expense. Administratively, “MnCHOICES is a computer application used… to support their assessment and support planning work for Minnesotans who need long-term services and supports (LTSS), regardless of age, type of disability or service needs.” 

But disability advocates are alarmed. The 2025 Legislature passed $1.3 billion in disability waiver cuts, and structured day services – vital therapeutic programming for brain injury survivors – have been removed from the BI Waiver service definition entirely. Currently, roughly 15 to 20 states run standalone brain injury waivers, including Colorado, New York, Massachusetts, and Kansas, though they vary widely.

Additionally, recent investigation into the state’s BI Waiver Program, and into Medicaid grants, as a whole, seems to have also uncovered significant fraud, including overbilling for services, billing for services not rendered, and improper billing by unlicensed staff. In January 2026, this discovery of fraud prompted the state to freeze enrollment of the Brain Injury Waiver Program, and other programs.

Helmet Lab Results Expose Need for New Youth Standards

Brain damage, particularly CTE, has widely been discussed in the past decades as a negative consequence of football. Beyond action on the field, a growing body of research reveals that this damage may be exasperated by the equipment worn by players to prevent harm. Research links heavier football helmets to increased brain injury risk in young players.

Virginia Tech’s Helmet Lab found that children, whose neck muscles are weaker and heads proportionally larger than adults’, are especially vulnerable – sustaining concussions at approximately 60g of head acceleration, compared to roughly 100g for college athletes. This knowledge has resulted in a drive of both equipment reforms and legislative action for youth football across the United States. Led by the National Operating Committee on Standards for Athletic Equipment, new StandardND005 regulations were finalized in July 2025. Youth football helmets must be a maximum of no more than 3.5 pounds, effective September 1, 2027.

States are also not waiting. In West Virginia, Senate Bill 657, the Cohen Craddock Student Athlete Safety Act, named for a 13-year-old who died August 24, 2024, from a football-related brain injury, advanced through the Senate Education Committee on February 12, 2026. The bill would allow schools to adopt protective soft-shell helmet covers during practices. At the federal level, Senator Durbin (IL) introduced S.2889 on September 18, 2025, conditioning federal education funding on state-level concussion safety protocols. (Beyond this initial reading, no further action appears to have been taken.)