Oregon doctor adds ReCODE 2.0 Alzheimer’s protocol in Central Oregon

Dr. Coby Hanes of Prineville is among Oregon’s first practitioners certified in ReCODE 2.0, a functional-medicine protocol aimed at identifying root causes of early cognitive decline. The move brings a new option to Central Oregon families who often had to travel to Portland or out of state for this kind of care.

Why it matters: - Dr. Coby Hanes’ certification in ReCODE 2.0 brings a root-cause approach to early cognitive decline to Central Oregon. - Families in Prineville and nearby communities now have a local option for cognitive health evaluation instead of traveling to Portland or leaving Oregon. - The protocol is positioned as an alternative to wait-and-monitor care when memory changes first appear.

What happened: - Dr. Coby L. Hanes, DC, IFMCP, of The Center for Functional Medicine in Prineville, completed Dr. Dale Bredesen’s ReCODE 2.0 Advanced Clinical Training. - Hanes is among the first practitioners in Oregon to be certified in the protocol. - The clinic is offering a free three-minute cognitive health assessment at Center4FunctionalMedicine.com. - The clinic also directs patients to its ReCODE page to learn more and request a consultation.

The details: - ReCODE 2.0 is described as a precision approach that evaluates multiple drivers of cognitive decline rather than targeting a single pathway. - The protocol looks at at least 36 risk factors tied to Alzheimer’s disease and cognitive decline, including chronic inflammation, insulin resistance, hormone and nutrient imbalances, vascular changes, toxins, sleep problems and genetic risk such as APOE4 status. - Hanes uses comprehensive examinations and advanced functional laboratory testing to identify which factors are present in each patient. - Hanes then builds an individualized plan based on the specific drivers found in that patient. - Hanes said the work is “closer to detective work than anything.” - Hanes said two people with the same diagnosis can have different drivers and should have different treatment plans. - The Center for Functional Medicine says the assessment takes about three minutes.

Between the lines: - The announcement reflects growing demand for non-drug and multi-factor approaches after decades of failed Alzheimer’s drug trials. - The message to families is less about waiting for a formal diagnosis and more about acting when cognitive changes are still early. - Hanes said the approach requires long-term lifestyle change, including eating, sleeping, moving and stress management, and family support matters. - That framing suggests the protocol depends on participation from spouses or adult children as much as from the patient.

What's next: - Central Oregon families worried about memory or cognitive changes can use the free assessment as a first step. - Patients who want more detail can seek a consultation through the clinic’s ReCODE page. - Hanes is urging families to act before symptoms worsen, especially while the person still “sounds mostly like themselves.”

The bottom line: - Hanes is trying to move Alzheimer’s and cognitive decline care earlier, closer to home and toward individualized treatment rather than passive monitoring.