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EXO Mind TPS Clinical Brain Treatment — Absolute Health, Orem Utah
EXO Mind · Absolute Health · Orem, Utah

When Conventional
Medicine Says
"Nothing More"

EXO Mind Transcranial Pulse Stimulation reaches where no other non-invasive treatment can — and initiates the neuroplastic healing the brain has always been capable of.

8–10cmBrain tissue depth
28yrsClinical experience
20minPer session — no recovery time
EUApproved — full range of conditions

EXO Mind TPS Brain Treatment in Orem, Utah: When the Brain Needs to Heal — Not Just Be Managed

If you are reading this page, you or someone you love has likely already been through the standard treatment pathway.

You have seen the specialists. You have tried the medications — some that did not work, some that worked partially, some whose side effects created new problems alongside the ones they were meant to solve. You may have been told that you have reached the limit of what treatment can offer. That this is management, not recovery. That the goal is adaptation, not healing.

Doctor Frazier's approach to that conversation is direct: the limit of what conventional medicine can currently offer is not the limit of what the brain can do. The brain is not a static organ that reaches a permanent ceiling after injury, illness, or disease. It is a dynamic, plastic, modifiable system that continues to respond to the right stimulus — long after the standard clinical timeline for recovery has closed.

EXO Mind Transcranial Pulse Stimulation is that stimulus. It reaches 8 to 10 centimeters into brain tissue — accessing the deep structures where healing is most needed and where no other non-invasive technology has previously been able to reach. It does not treat symptoms. It supports the brain's own capacity to repair, rebuild, and rewire.

This page explains what EXO Mind TPS is, what conditions it treats, what the research shows, and what an honest clinical evaluation at Absolute Health looks like. Doctor Frazier does not promise outcomes. He promises a thorough assessment, a transparent conversation about what the evidence supports for your specific situation, and access to a technology that may provide relief, recovery, or hope that the standard pathway could not.

What EXO Mind TPS Is — and Why It Works Differently

EXO Mind uses Transcranial Pulse Stimulation — focused acoustic waves delivered through the intact skull to reach specific brain structures at depths that no other non-invasive technology can access.

The comparison that matters most for patients who have previously tried or been offered TMS (Transcranial Magnetic Stimulation): TMS reaches 2 to 3 centimeters into brain tissue — the superficial cortex. EXO Mind TPS reaches 8 to 10 centimeters — the hippocampus, the deep prefrontal cortex, the limbic structures, the areas where injury, disease, and neurological dysfunction most consequentially occur.

This depth difference is not a technical footnote. It is the explanation for why TPS produces clinical results in conditions where TMS has limited or no documented efficacy — because TPS reaches the structures those conditions affect, and TMS does not.

What happens when TPS reaches brain tissue

BDNF upregulation. Brain-Derived Neurotrophic Factor — the brain's primary growth, repair, and survival signal — is released in treated tissue. BDNF tells neurons to grow, form new connections, and survive. It is the molecular mechanism by which the brain heals structural damage and builds compensatory pathways around injured areas.

Neuroinflammation reduction. Chronic neuroinflammation is present in virtually every neurological condition TPS treats. It degrades signal transmission, impairs recovery, and perpetuates the dysfunction that conventional treatment tries to manage symptomatically. TPS directly reduces inflammatory markers in treated tissue — removing a primary barrier to healing.

Cerebrovascular improvement. Improved blood flow delivers more oxygen and glucose to areas of the brain that have been running on reduced metabolic supply — often for months or years following injury or the onset of a neurological condition.

Neuroplasticity induction. New synaptic connections form. Existing pathways strengthen. Compensatory routes develop around damaged areas. The brain begins doing what it has always been capable of doing — healing itself — with the acoustic stimulus providing the biological trigger it needed to initiate that process.

These mechanisms are not theoretical. They are documented in peer-reviewed research across the conditions EXO Mind treats. Doctor Frazier reviews the specific evidence for each patient's condition at the initial consultation.

Conditions Treated at Absolute Health with EXO Mind TPS

EXO Mind TPS is not a single-condition treatment. It is a brain healing technology that produces documented clinical outcomes across a range of neurological and psychiatric conditions — because the mechanisms it operates through (BDNF, neuroplasticity, neuroinflammation reduction, cerebrovascular improvement) are relevant to all of them.

Each condition above has its own cluster of search terms, its own patient journey, and its own evidence base. The links below navigate to condition-specific pages where the mechanism, research, and clinical approach are explained in the depth that each distinct patient population needs.

Why Doctor Frazier's Approach Produces Different Outcomes Than Standalone TPS

EXO Mind TPS is the central technology at the heart of Doctor Frazier's neurological treatment program. But it is never delivered in isolation — because the brain does not exist in isolation.

The brain's capacity to respond to TPS — to produce the BDNF response, the neuroplastic remodeling, the inflammatory reduction — is directly determined by the physiological environment surrounding it. A brain operating in a chronically inflamed system, with suboptimal hormonal support, poor gut-brain axis function, and structural transmission barriers from spinal misalignment will not respond to TPS with the same magnitude as a brain whose surrounding physiology has been addressed.

Doctor Frazier evaluates and addresses all of it.

The full clinical stack at Absolute Health

EXO Mind TPS. The structural neural stimulus — the primary mechanism of healing.

Hormonal optimization. Thyroid function, sex hormones, and cortisol levels directly affect brain health, neuroplasticity capacity, and the TPS response. Suboptimal hormonal status is addressed as a foundational requirement, not an optional add-on.

Neuroinflammation reduction. Systemic inflammatory drivers — gut dysbiosis, dietary inflammation, metabolic dysfunction — are identified and addressed. The brain cannot heal in a chronically inflamed body.

Gut-brain axis support. The gut produces 95% of the body's serotonin and communicates directly with the brain through the vagus nerve. Gut health is a direct determinant of neurological recovery capacity.

Chiropractic and cranial adjusting. Structural misalignments in the cervical spine and cranium impair cerebral blood flow and nervous system communication. Doctor Frazier's chiropractic background makes this a unique and important component of the Absolute Health approach.

Laser therapy. Photobiomodulation supports mitochondrial function in neural tissue, providing the cellular energy support that the repair processes TPS initiates require to complete.

This integration is why Absolute Health consistently produces outcomes that exceed what standalone TPS providers achieve — because the treatment addresses the brain as what it is: a biological organ embedded in a physiological system that must be optimized at every level for healing to proceed at its full capacity.

The FDA Question — What Doctor Frazier Wants You to Know

If you have researched EXO Mind, you will have found that its FDA status in the United States is different from its European regulatory status. This is the kind of information some providers minimize or obscure. Doctor Frazier addresses it directly in every patient conversation.

EXO Mind is FDA-approved in Europe for the full range of neurological and mental health applications described on this page and in the condition-specific pages linked above. In the United States, EXO Mind holds FDA clearance for anxiety, depression, and mental health. Use for other conditions — TBI, Alzheimer's, stroke recovery, chronic pain, addiction — represents off-label application in the US context.

Off-label does not mean unsupported. It means the US FDA approval process — which is lengthy, expensive, and typically requires large pharmaceutical sponsor investment — has not been completed for those specific indications in the US regulatory framework, even though the technology holds European regulatory approval for them. The clinical evidence base for EXO Mind's effectiveness across these conditions is documented in peer-reviewed research regardless of regulatory status.

Doctor Frazier explains this distinction to every patient who asks — and to many who do not know to ask. The answer to 'why hasn't my neurologist mentioned this?' is usually a combination of regulatory timing, awareness lag in the US clinical community, and the reality that TPS does not have a pharmaceutical sponsor funding awareness campaigns. That is an honest answer. Doctor Frazier provides it.

  • Learn more: EXO Mind FDA Status and Clinical Evidence — Full Transparency

What the Treatment Experience at Absolute Health Looks Like

The initial consultation is the most important appointment. Doctor Frazier reviews your complete medical history, the conditions you are seeking treatment for, what you have already tried, and your specific goals for treatment. He explains what the evidence supports for your situation, what realistic outcomes look like, and what the treatment protocol involves. This is not a sales conversation. It is a clinical evaluation. You leave with enough information to make an informed decision without pressure.

If you proceed with treatment, the standard protocol is six sessions over two weeks — three sessions per week, each 20 minutes. You sit comfortably. A handheld device delivers the acoustic pulses to targeted regions of your scalp. You hear soft clicking. You feel light tapping. Many patients find sessions relaxing. There is no preparation, no recovery period, and no restrictions on activity afterward.

Most patients begin noticing changes after the third or fourth session. The most significant improvements typically develop four to six weeks after the final session — because the structural neural changes TPS initiates continue consolidating after treatment ends. Understanding this timeline is important for accurate expectations: the results you see at session six are not the results you will see at week ten.

Doctor Frazier monitors each patient's response throughout treatment and adjusts protocols as needed. He also continues addressing the full-stack physiological variables that determine how well the brain responds to TPS. The clinical relationship does not end when the sessions do.

Who Should Consider EXO Mind Treatment at Absolute Health

EXO Mind TPS is not appropriate for every patient or every condition. Doctor Frazier's clinical evaluation determines candidacy — and he is honest when the evidence does not support TPS for a specific patient's situation.

The patients who benefit most from evaluation are those where: conventional treatment has not produced expected recovery; the standard clinical timeline for recovery has passed without adequate improvement; medication management has reached its ceiling without resolution; or the patient or family is seeking an option beyond what has been offered elsewhere.

TPS is most appropriate when there is specific documented neurological involvement — when the condition has a clear brain-based mechanism that the technology's documented effects (BDNF upregulation, neuroplasticity induction, neuroinflammation reduction) are directly relevant to. Doctor Frazier's evaluation determines this alignment for each patient individually.

Standard contraindications include certain implanted electronic devices, active malignancy in the treatment area, and specific neurological conditions that require individual evaluation. These are discussed at the initial consultation.

Frequently Asked Questions — EXO Mind Clinical Treatment

My neurologist has not mentioned EXO Mind. Why?

TPS is a relatively new technology in the US clinical awareness landscape. EXO Mind received European regulatory approval ahead of US FDA clearance, and the US medical community's familiarity with TPS lags the European clinical experience by several years. Additionally, TPS is not promoted by a pharmaceutical company with a US marketing budget — which is the primary channel through which new treatments reach physicians. Most neurologists who have not encountered TPS simply have not had cause to research it yet. This is changing as the clinical evidence base grows and US providers with the technology begin treating patients and sharing outcomes.

Is EXO Mind treatment painful?

No. The sensation during treatment is soft clicking sounds and light tapping on the scalp at the contact point. Most patients describe it as unusual rather than uncomfortable, and many find it relaxing enough to rest or doze during sessions. A small number of patients experience mild, brief headache after the first one or two sessions — this resolves quickly and typically does not recur. There is no sedation, no needles, no preparation, and no recovery period.

How is this different from TMS, which my doctor has mentioned?

TMS (Transcranial Magnetic Stimulation) uses magnetic fields to stimulate brain tissue at 2–3 centimeters depth — the superficial cortex. EXO Mind TPS uses focused acoustic waves to reach 8–10 centimeters — the hippocampus, deep prefrontal cortex, and limbic structures. This depth difference is not a minor technical distinction. The structures most relevant to TBI recovery, Alzheimer's pathology, treatment-resistant depression's limbic component, stroke rehabilitation, and chronic pain centralization are located at depths TMS cannot reach. TPS can.

My family member has had their condition for several years. Is it too late for TPS to help?

This is one of the most important questions Doctor Frazier addresses at every consultation. The answer is nuanced and honest: the research documents TPS benefits in patients years and in some cases decades after initial injury or onset. The brain retains neuroplastic capacity at every age and at extended distances from the original event — it requires the right stimulus to activate that capacity. The evaluation conversation is where Doctor Frazier assesses your family member's specific situation, the extent of the condition's progression, and what realistic outcomes look like given their individual clinical picture. He will not offer false hope. He will give you an honest assessment of what the evidence supports.

How many sessions will we need?

The standard protocol is six sessions over two weeks. Some conditions — particularly longer-standing neurological injury or more advanced disease — benefit from extended protocols of 10 to 12 sessions, sometimes across two or three treatment cycles. Doctor Frazier determines the appropriate protocol at the initial evaluation and adjusts based on observed response during treatment. He explains what each protocol tier involves and what realistic outcomes look like at each level before any treatment commitment is made.

Begin with an Honest Conversation

The most important thing Doctor Frazier can offer is not a treatment. It is an honest evaluation — one that tells you specifically whether EXO Mind TPS is appropriate for your situation, what the evidence realistically supports for your condition, and what a genuine, achievable outcome looks like.

If TPS is appropriate, the path forward is clear. If it is not the right fit, Doctor Frazier will tell you that directly and help you understand what your options are. Either way, the evaluation gives you information you cannot get from a website — the clinical judgment of a physician who has reviewed your complete picture.

Absolute Health is located in Orem, Utah. Doctor Frazier serves patients from throughout Utah County and the broader Wasatch Front — including patients who have traveled from other states after discovering that the clinical capabilities at Absolute Health are not available closer to home.

Condition-Specific Information

Understanding the Treatment

Medical Disclaimer

EXO Mind Transcranial Pulse Stimulation is FDA-approved in Europe for the neurological and mental health applications described on this page. In the United States, EXO Mind holds FDA clearance for anxiety, depression, and mental health applications. Use for other indications represents off-label application supported by clinical evidence and international regulatory approval. Doctor Frazier discusses regulatory status transparently at every consultation. The content of this page is provided for educational purposes only and does not constitute medical advice. EXO Mind is not a cure for any condition described. Individual outcomes vary. All treatment decisions require individual clinical evaluation with a licensed healthcare provider. Doctor Frazier is a Doctor of Chiropractic and functional medicine provider.

Frequently Asked Questions

What conditions does EXO Mind TPS treat?

EXO Mind TPS treats traumatic brain injury and post-concussion syndrome, Alzheimer's disease and other dementias, treatment-resistant depression and anxiety, stroke recovery, chronic neurological pain, and addiction and compulsive thought patterns. Doctor Frazier evaluates each patient individually to determine candidacy and what realistic outcomes look like for their specific situation.

EXO Mind is appropriate when there is clear neurological involvement — when the condition has a brain-based mechanism that TPS's documented effects (BDNF upregulation, neuroplasticity induction, neuroinflammation reduction, cerebrovascular improvement) are directly relevant to. The initial consultation is where Doctor Frazier makes that determination for each patient specifically.

How does EXO Mind TPS work?

EXO Mind TPS delivers focused acoustic waves through the intact skull to brain tissue at depths of 8–10 centimeters. The acoustic energy triggers BDNF upregulation in treated cells — the brain's primary growth and repair signal — while simultaneously reducing neuroinflammation and improving local blood flow. These mechanisms initiate structural neuroplastic change that continues developing for weeks after treatment ends.

The depth advantage is clinically significant: TMS reaches 2–3 centimeters, accessing only the superficial cortex. EXO Mind TPS reaches 8–10 centimeters — accessing the hippocampus at 4–5cm, the deep prefrontal cortex at 3–5cm, and the limbic system at 5–8cm. These are the structures most relevant to the conditions EXO Mind treats, and they are not accessible to any other non-invasive brain treatment technology.

Is EXO Mind TPS painful?

No. EXO Mind TPS sessions involve soft clicking sounds and light tapping sensations at the contact point on the scalp. Most patients find sessions relaxing — many rest or doze during treatment. A small number experience mild, brief headache after the first one or two sessions. This resolves quickly and typically does not recur. There is no sedation, no needles, and no recovery period.

Sessions are 20 minutes. Patients arrive, are seated comfortably, and the handheld device is applied to specific scalp locations. There is no preparation before sessions and no restrictions on activity afterward. Patients drive themselves to and from appointments and return to normal activities immediately.

Why hasn't my doctor mentioned EXO Mind?

EXO Mind TPS received European regulatory approval ahead of US FDA clearance, and US physician awareness lags the European clinical experience by several years. TPS is not promoted by a pharmaceutical company with a US marketing budget — the primary channel through which new treatments reach physicians. Most neurologists who have not mentioned TPS simply have not yet had cause to research it.

Doctor Frazier discusses this directly with every patient who asks. The answer is not that EXO Mind is obscure or experimental — it is that awareness of newer technologies in the US clinical community typically takes years to reach the point where most practitioners are recommending them. This is changing as more US providers acquire the technology and share clinical outcomes.

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Schedule Your Clinical Evaluation

The evaluation is a clinical assessment — not a sales conversation. Doctor Frazier reviews your complete picture and gives you an honest answer about what the protocol can produce for your specific situation.

Absolute Health · 193 E. 860 S., Orem, Utah 84097
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EXO Mind TPS for TBI and Post-Concussion Syndrome: When the Headaches, the Brain Fog, and the Cognitive Changes Have Lasted Longer Than Anyone Told You They Would

They told you it would resolve in two to four weeks. Then they said six months. Then the conversation quietly shifted — from 'when you recover' to 'how you manage.' The headaches that still arrive without warning. The brain fog that settles over your thinking like a damp cloth. The cognitive changes — the slower processing, the word retrieval gaps, the difficulty holding complex information — that have quietly reshaped what you can do and how you do it.

This is post-concussion syndrome. And the medical system has, for most patients who experience it, very little to offer beyond time, reassurance, and the implicit message that you should be further along by now than you are.

Doctor Frazier's approach begins with a different premise: the brain that is still producing symptoms months or years after injury is not a brain that has failed to recover. It is a brain that has not yet received the right stimulus to complete the recovery process.

EXO Mind Transcranial Pulse Stimulation is that stimulus. It reaches 8–10 centimeters into the brain tissue where TBI and post-concussion pathology lives — reaching structures that no other non-invasive treatment can access — and initiates the neuroplastic healing response that the injury interrupted.

What Happens to the Brain After TBI — and Why Standard Treatments Cannot Fully Address It

Traumatic brain injury — whether from a car accident, a fall, a sports collision, a blast exposure, or any other mechanism — produces a cascade of pathological processes that standard clinical management addresses only at the surface level.

Diffuse axonal injury. The shearing forces of impact damage white matter tracts throughout the brain — the communication highways between regions. Standard imaging often misses this damage; functional deficits persist even when MRI appears normal.

Neuroinflammation. The brain's immune response to injury produces chronic neuroinflammation that persists long after the acute injury phase. This inflammation impairs signal transmission, degrades cognitive function, and actively prevents the completion of the healing process.

Reduced cerebral blood flow. TBI disrupts cerebrovascular autoregulation — the brain's ability to maintain consistent blood supply. Chronic hypoperfusion starves injured tissue of the oxygen and glucose it needs for repair.

BDNF suppression. The neuroinflammatory environment of chronic post-concussion syndrome suppresses BDNF production — cutting off the primary growth and repair signal the brain needs to rebuild damaged pathways.

Standard treatment — rest, cognitive rehabilitation, symptom management medication — does not address any of these four pathological mechanisms at the tissue level. EXO Mind TPS addresses all of them directly.

What the Research Shows for TPS and TBI

  • 60–70% of TBI patients in published studies experience significant headache reduction following TPS protocols
  • Measurable cognitive improvements on standardized neuropsychological testing
  • Quality-of-life improvements sustained at follow-up assessments
  • Neuroimaging evidence of improved perfusion in treated regions
  • Stimulation of surviving neurons to form compensatory connections around damaged areas
  • Benefits documented in patients years after initial injury — the window for neuroplastic recovery does not close with the standard clinical timeline

Doctor Frazier's TBI Protocol at Absolute Health

The initial consultation maps your complete TBI history — mechanism and date of injury, imaging history, symptom profile, what treatments you have tried and their results. Doctor Frazier uses this to determine the specific TPS protocol parameters most appropriate for your presentation and to identify the full-stack physiological variables — inflammatory load, hormonal status, cerebrovascular function, structural transmission — that are amplifying your symptoms and limiting your recovery.

The standard TPS protocol for TBI is six sessions over two weeks. For more established post-concussion presentations, an extended protocol of 10–12 sessions may be recommended. Most patients notice changes beginning around sessions three to four. The most significant improvements typically develop four to six weeks after the final session as the neuroplastic changes consolidate.

My TBI was five years ago. Is it too late for TPS to help?

The published research on TPS for TBI includes patients who are years removed from their injury — and documents meaningful improvements in that population. The neuroplastic capacity of the brain does not disappear with time; it requires the right stimulus to activate. What changes with longer time post-injury is the baseline the treatment is working from — more established pathological patterns require more sessions to address, and outcomes are more variable. Doctor Frazier's evaluation conversation is specific about what realistic outcomes look like for your particular timeline and symptom presentation.

My doctor says my MRI is normal. Does that mean I am not a candidate?

Normal MRI in post-concussion syndrome is extremely common — diffuse axonal injury and the microstructural changes of chronic TBI are often below the resolution of standard MRI imaging. Normal imaging does not mean normal brain function. Doctor Frazier's evaluation is based on clinical presentation, symptom history, and functional assessment — not imaging alone. Many patients with normal MRI results are excellent TPS candidates whose symptoms reflect real neurobiological changes that imaging cannot currently detect.

I have tried other treatments — hyperbaric oxygen, neurofeedback, medication. How is this different?

EXO Mind TPS reaches brain tissue at depths of 8–10 centimeters through acoustic energy — a mechanism that none of the treatments you mention uses. Hyperbaric oxygen addresses the oxygenation dimension of post-concussion pathology but does not produce the direct tissue-level BDNF upregulation and neuroplastic remodeling that TPS initiates. Neurofeedback trains the brain through operant conditioning at the cortical level. TPS produces structural changes at the tissue level including deep structures that surface-level interventions cannot reach. Many patients who have plateaued on other treatments find TPS produces movement where other approaches have stopped.

EXO Mind TPS is FDA-approved in Europe and holds FDA clearance in the United States for anxiety, depression, and mental health. Use for the condition described on this page represents off-label application in the US, supported by clinical evidence and international regulatory approval. This content is for educational purposes only and does not constitute medical advice. Individual outcomes vary. All treatment decisions require individual clinical evaluation. Doctor Frazier is a Doctor of Chiropractic and functional medicine provider. Absolute Health, 193 E. 860 S., Orem, UT 84097 | 801-221-1151.

Frequently Asked Questions

Can EXO Mind TPS help post-concussion syndrome years after the injury?

Yes. Published research documents TPS benefits in patients years removed from their TBI or concussion. The brain's neuroplastic capacity does not expire with the standard clinical recovery window — it requires the right stimulus to activate. EXO Mind TPS provides that stimulus at the depths where TBI pathology resides, initiating repair that the standard recovery timeline does not produce.

The standard advice to 'rest and wait' addresses acute concussion management. It does not address the chronic neuroinflammation, BDNF suppression, and white matter changes that persist in post-concussion syndrome. Doctor Frazier's evaluation specifically assesses your injury timeline, current symptom profile, and what realistic outcomes look like for your specific presentation — regardless of how long ago the injury occurred.

Why does my MRI look normal if I still have post-concussion symptoms?

Normal MRI in post-concussion syndrome is extremely common. Diffuse axonal injury — the microstructural white matter damage that produces cognitive and neurological symptoms — is typically below the resolution of standard MRI imaging. Normal imaging does not mean normal brain function. Doctor Frazier's evaluation is based on clinical presentation and functional assessment, not imaging alone.

Many of the most functionally significant TBI changes occur at a cellular and microstructural level that standard MRI cannot detect. Functional MRI, diffusion tensor imaging, and neuropsychological testing are more sensitive to these changes. Doctor Frazier reviews all available imaging and testing alongside the clinical picture in forming his assessment.

How many EXO Mind sessions are needed for TBI recovery?

The standard protocol for TBI and post-concussion syndrome is six sessions over two weeks — three per week, 20 minutes each. For more established post-concussion presentations with symptoms of one year or longer, an extended protocol of 10–12 sessions is often recommended. Doctor Frazier determines the appropriate protocol based on your specific injury timeline and symptom profile.

Most TBI patients begin noticing changes around sessions three to four. The most significant improvements typically develop four to six weeks after the final session as structural changes consolidate. Doctor Frazier schedules a follow-up evaluation at the four-week mark to assess response and determine whether additional sessions are warranted.

Schedule Your TBI Evaluation

Honest Clinical Evaluation — No Obligation

Doctor Frazier reviews your injury history, your symptoms, and what you have already tried — and tells you specifically what TPS can offer.

Absolute Health · 193 E. 860 S., Orem, Utah 84097
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EXO Mind TPS for Alzheimer's Disease and Dementia: Giving the Brain the Neuroplastic Support It Needs to Hold On Longer

Alzheimer's disease and dementia diagnoses arrive with a particular kind of grief — the anticipatory loss of a person still present. Most families who receive the diagnosis are told the same thing: the progression cannot be stopped, there are medications that may slow it modestly, and the goal is quality management for however much time remains.

Doctor Frazier does not contradict that clinical reality. He adds to it.

The brain of a patient with Alzheimer's or another dementia is not a brain that has stopped being responsive to treatment. It is a brain under extraordinary pathological stress — amyloid accumulation, tau tangles, neuroinflammation, metabolic dysfunction, and vascular compromise — in which the neuroplastic capacity that has always been present is being overwhelmed rather than absent.

EXO Mind TPS does not cure Alzheimer's disease. It supports the brain's own healing mechanisms with the deepest non-invasive neural stimulus available — BDNF upregulation, neuroinflammation reduction, cerebrovascular improvement, neuroplasticity induction — in a way that no medication currently approved for Alzheimer's treatment can produce.

The clinical research documents what this produces in practice: improved cognitive function in mild to moderate stages, slowing of functional decline, and in many cases meaningful improvements in the quality of daily experience for both patients and the families who care for them. Doctor Frazier presents these outcomes honestly — including what the evidence does not yet show — and helps each family determine whether TPS is an appropriate addition to their loved one's care.

Why the Hippocampus Matters for Alzheimer's — and Why TPS Can Reach It

Alzheimer's disease targets the hippocampus with particular severity in its early stages. The hippocampus is the brain's primary memory consolidation structure — the region where new memories are formed and where existing memories are accessed and consolidated. Its progressive damage is the neurobiological mechanism of the memory loss that defines the Alzheimer's experience.

The hippocampus sits 4–5 centimeters from the cortical surface. TMS — the most widely discussed brain stimulation technology for Alzheimer's — reaches 2–3 centimeters. TPS reaches 8–10 centimeters. The hippocampus is directly accessible to TPS in a way it is not to any other non-invasive brain stimulation technology.

When TPS reaches hippocampal tissue, it initiates the exact mechanisms most relevant to Alzheimer's pathology: BDNF upregulation (which supports neuronal survival and compensatory pathway formation), neuroinflammation reduction (which removes a primary accelerant of Alzheimer's progression), and cerebrovascular improvement (which addresses the vascular component of the disease that is increasingly recognized as significant in most Alzheimer's presentations).

What the Clinical Research Shows

  • Meaningful improvements in cognitive function in mild to moderate Alzheimer's patients in published trials
  • Slowing of functional decline in longer-term follow-up periods
  • Neuroimaging evidence of reduced neuroinflammatory markers in treated tissue
  • Improved quality-of-life measures for patients and caregivers
  • Benefits most pronounced in earlier stages — mild cognitive impairment through moderate Alzheimer's
  • Research ongoing in more advanced stages; Doctor Frazier discusses the current evidence boundary honestly at consultation

The Full-Stack Approach for Alzheimer's and Dementia Patients at Absolute Health

Doctor Frazier evaluates dementia patients through the same full-stack functional medicine lens he brings to every neurological condition. Alzheimer's is not a single-mechanism disease — it has neuroinflammatory, vascular, metabolic, hormonal, and structural dimensions that all contribute to its progression and that all respond to the right intervention.

Specifically: neuroinflammatory load — a primary modifiable driver of Alzheimer's progression — is addressed through gut health evaluation, dietary assessment, and targeted anti-inflammatory support. Hormonal status, particularly thyroid function and sex hormone levels in post-menopausal women, is assessed and optimized. Cerebrovascular function, which has growing recognition as critical to Alzheimer's progression, is supported through the TPS sessions themselves and through structural chiropractic care that removes mechanical impediments to cerebral blood flow.

This full-stack approach does not cure Alzheimer's. It addresses the physiological amplifiers of its progression that the standard of care typically leaves unaddressed — and in doing so, it creates a better biological environment for TPS to produce its maximum effect.

My parent is in moderate-stage Alzheimer's. Is it too late for TPS to help?

Moderate-stage Alzheimer's is the stage where the research documents the most consistent clinical outcomes from TPS — it is not too late. Advanced-stage Alzheimer's represents a more complex clinical picture where the extent of structural brain damage limits the response, and Doctor Frazier is honest about what the evidence supports at that stage. The consultation evaluation assesses your family member's specific staging, their current functional level, and what realistic expectations look like for their presentation.

How will we know if it is working?

Doctor Frazier discusses observable outcome markers at the initial consultation — specific cognitive and functional benchmarks that are realistic for your family member's stage and presentation. For family caregivers, the most commonly reported early signs of TPS response are improvements in word retrieval, increased engagement in conversation, better orientation to time and place, and improved sleep quality. These are not dramatic transformations. They are meaningful improvements in the day-to-day experience of a person and a family navigating an incredibly difficult disease.

Are there any risks specific to Alzheimer's patients?

TPS is well tolerated in the elderly population, including patients with cognitive impairment. The standard contraindications — certain implanted electronic devices, active malignancy in the treatment area — apply regardless of diagnosis. Doctor Frazier evaluates these at the consultation. The most important consideration for dementia patients is the ability to remain seated and relatively still during the 20-minute session — this varies by patient and stage, and Doctor Frazier's team is experienced in accommodating the specific needs of cognitively impaired patients.

EXO Mind TPS is FDA-approved in Europe and holds FDA clearance in the United States for anxiety, depression, and mental health. Use for the condition described on this page represents off-label application in the US, supported by clinical evidence and international regulatory approval. This content is for educational purposes only and does not constitute medical advice. Individual outcomes vary. All treatment decisions require individual clinical evaluation. Doctor Frazier is a Doctor of Chiropractic and functional medicine provider. Absolute Health, 193 E. 860 S., Orem, UT 84097 | 801-221-1151.

Frequently Asked Questions

Can EXO Mind TPS help Alzheimer's disease?

EXO Mind TPS produces documented improvements in cognitive function in mild to moderate Alzheimer's patients, slowing of functional decline, and quality-of-life improvements in published clinical trials. The hippocampus — Alzheimer's primary target — sits at 4–5 centimeters depth, making it directly accessible to TPS but not to TMS. Doctor Frazier presents the specific evidence honestly at every consultation.

EXO Mind does not cure Alzheimer's disease. It supports the brain's own healing mechanisms at depths no other non-invasive technology can reach — BDNF upregulation, neuroinflammation reduction, cerebrovascular improvement — in ways that clinical research shows can produce real improvements in function and quality of life, particularly in mild to moderate stages.

Is it too late for EXO Mind to help if my family member is in moderate-stage Alzheimer's?

Moderate-stage Alzheimer's is where published research documents the most consistent clinical outcomes from TPS — it is not too late. Advanced-stage Alzheimer's presents a more complex clinical picture where the extent of structural damage limits the response. Doctor Frazier's evaluation determines what realistic expectations look like for your family member's specific staging and functional level.

Family members are strongly encouraged to attend the initial consultation with the patient. Doctor Frazier's evaluation covers the patient's current functional status, what the evidence supports for their specific stage, and what observable outcome markers are realistic to track during treatment. He will not offer false hope — and he will tell you directly if TPS is not the right fit.

Can EXO Mind be combined with Alzheimer's medications like Aricept or Namenda?

Yes. EXO Mind TPS does not require stopping or modifying existing Alzheimer's medications. Patients continue their full current medication protocol during TPS sessions. For patients on medication with partial response, TPS frequently produces additional improvement through complementary mechanisms — BDNF upregulation and neuroinflammation reduction — that medication does not address.

Doctor Frazier reviews all current medications at the initial consultation. There are no documented contraindications between EXO Mind TPS and standard Alzheimer's medications. The full-stack functional medicine evaluation Doctor Frazier conducts may identify additional physiological variables — hormonal status, inflammation, gut-brain axis function — that can be addressed alongside TPS to maximize the protocol's effect.

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Family Members Welcome at the Consultation

Doctor Frazier encourages family members to attend the initial consultation. Come prepared with your loved one's medical history and current functional status.

Absolute Health · 193 E. 860 S., Orem, Utah 84097
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EXO Mind TPS for Treatment-Resistant Depression and Anxiety: A Different Mechanism for the Patients Medications Have Not Reached

The standard treatment pathway for depression begins with one antidepressant. If it does not work, or if the side effects are intolerable, the protocol is to try another. And another. By the time a patient reaches the description 'treatment-resistant depression,' they have often been through three, five, seven medication trials — sometimes over years or decades — with partial response, no response, or side effects that created new suffering alongside the depression itself.

Treatment-resistant depression is not a failure of the patient's will or effort. It is a failure of a one-mechanism treatment approach applied to a condition with multiple neurobiological mechanisms — some of which medication cannot reliably reach.

EXO Mind TPS works through a completely different mechanism than antidepressants. It does not modulate serotonin, dopamine, or norepinephrine reuptake. It reaches 8–10 centimeters into the limbic structures — the amygdala, the anterior cingulate cortex, the prefrontal-limbic regulatory circuits — that drive the emotional experience of depression, and it initiates the neuroplastic healing response that restores function in those structures directly.

For the 30% of depression patients who do not respond adequately to antidepressants, and for the patients whose medication side effects have made continued treatment impossible, TPS represents access to a mechanism that medication was never using.

The Neurobiology of Treatment-Resistant Depression — Why the Mechanism Matters

Antidepressants work primarily by increasing the availability of monoamine neurotransmitters — serotonin, dopamine, norepinephrine — in the synaptic cleft. For many patients, this is sufficient to produce meaningful improvement. For the 30% who do not respond adequately, the issue is not a lack of these neurotransmitters. The issue is structural and inflammatory — and it is not addressable through neurochemical adjustment alone.

Limbic structure dysfunction. The amygdala, hippocampus, anterior cingulate cortex, and prefrontal-limbic regulatory circuits in treatment-resistant depression show documented structural and functional changes that medication cannot reliably reverse. These structures sit at depths of 4–8 centimeters — inaccessible to TMS (2–3cm) and entirely within the therapeutic range of TPS (8–10cm).

Neuroinflammation. Multiple lines of research now document elevated neuroinflammatory markers in treatment-resistant depression — and inflammation directly impairs the synaptic transmission that antidepressants depend on to produce their effect. Treating the depression without addressing the inflammation is treating a symptom while the cause continues. TPS directly reduces neuroinflammatory markers in treated tissue.

Reduced BDNF. BDNF levels are consistently lower in depressed patients and normalize with effective treatment. Antidepressants produce modest BDNF elevation as a secondary effect. TPS produces direct tissue-level BDNF upregulation as its primary mechanism — which is one reason TPS produces responses in patients who have not responded to medications that would, if effective, also raise BDNF.

EXO Mind TPS and Current Medications — Important Clinical Facts

EXO Mind TPS does not require stopping, reducing, or changing current antidepressant medications. Patients continue their full current medication protocol while receiving TPS sessions. For patients on medication who have partial response, TPS frequently produces additional improvement beyond what medication alone achieves — through the complementary mechanisms described above.

For patients who have discontinued medications due to intolerable side effects, TPS is available as a standalone intervention. Doctor Frazier discusses the specific clinical picture for each patient at the initial consultation.

TPS is not appropriate for patients with active manic episodes. For patients with bipolar disorder and a depressive presentation, the evaluation conversation includes a specific assessment of bipolar cycling history and the relevant precautions.

What to Expect for Depression Treatment at Absolute Health

Depression treatment at Absolute Health is not simply TPS sessions. Doctor Frazier's functional medicine evaluation addresses the physiological amplifiers of treatment-resistant depression that are rarely assessed in standard psychiatric care: inflammatory markers and dietary drivers, hormonal status (thyroid dysfunction is a common and frequently missed contributor to treatment-resistant depression), gut-brain axis dysbiosis, and nutritional deficiencies in the precursors that neurotransmitter synthesis requires.

For many treatment-resistant depression patients, addressing these variables alongside TPS produces improvements that neither approach alone achieves. Doctor Frazier's clinical approach treats the whole physiological picture, not the psychiatric diagnosis in isolation.

How is EXO Mind TPS different from TMS, which my psychiatrist has discussed?

TMS is an effective and FDA-cleared treatment for depression. EXO Mind TPS and TMS are genuinely different technologies with different appropriate applications. The key distinction for depression specifically: TMS stimulates the superficial cortex at 2–3cm. The limbic structures most implicated in treatment-resistant depression — the amygdala, hippocampus, anterior cingulate cortex — sit at 4–8cm. TPS can reach them; TMS cannot. This is one mechanistic explanation for why patients who do not respond to TMS sometimes respond to TPS. Doctor Frazier discusses the comparison honestly at the consultation, including situations where TMS might be preferred.

How quickly do people respond to TPS for depression?

Depression response to TPS typically follows a different timeline than medication. Many patients notice mood improvement beginning around sessions three to five — earlier than the four to six week delay that characterizes antidepressant response. The most significant improvements often develop in the four to eight weeks following the final session as structural limbic changes consolidate. The timeline is individual — Doctor Frazier discusses realistic expectations for your specific presentation at the initial consultation.

I have severe depression and I am not currently safe. Is this the right treatment for me right now?

If you are experiencing thoughts of self-harm or suicide, please contact a crisis resource immediately — the 988 Suicide & Crisis Lifeline (call or text 988) provides 24/7 support. EXO Mind TPS is a neurological treatment that operates on a timeline of weeks. It is not an acute crisis intervention. Doctor Frazier treats patients with treatment-resistant depression in stable clinical status — patients who are safe and seeking longer-term neurological treatment for depression that has not responded adequately to other approaches. If you are in acute crisis, please seek immediate support before scheduling a TPS consultation.

EXO Mind TPS is FDA-approved in Europe and holds FDA clearance in the United States for anxiety, depression, and mental health. Use for the condition described on this page represents off-label application in the US, supported by clinical evidence and international regulatory approval. This content is for educational purposes only and does not constitute medical advice. Individual outcomes vary. All treatment decisions require individual clinical evaluation. Doctor Frazier is a Doctor of Chiropractic and functional medicine provider. Absolute Health, 193 E. 860 S., Orem, UT 84097 | 801-221-1151.

Frequently Asked Questions

How is EXO Mind TPS different from antidepressants for treatment-resistant depression?

Antidepressants modulate neurotransmitter availability in the synapse — a neurochemical approach. EXO Mind TPS reaches the limbic structures at 5–8 centimeters depth and initiates structural neuroplastic change through BDNF upregulation and neuroinflammation reduction. These are different mechanisms. TPS produces changes in structures that medication cannot reliably reach, which is why patients who do not respond to medication often respond to TPS.

Treatment-resistant depression — where two or more medication trials have not produced adequate response — is increasingly understood as involving deep limbic circuit dysfunction and neuroinflammatory components that antidepressants cannot address. EXO Mind TPS does not replace medication. It addresses the structural and inflammatory dimensions that medication leaves untreated.

Can I use EXO Mind TPS while still taking antidepressants?

Yes. EXO Mind TPS does not require stopping, reducing, or changing current antidepressant medications. Patients continue their full medication protocol during TPS sessions. For patients with partial medication response, TPS frequently produces additional improvement beyond what medication alone achieves. Doctor Frazier reviews the specific medication picture at the initial consultation.

TPS is not appropriate during active manic episodes. For patients with bipolar disorder in stable or depressive phase, Doctor Frazier conducts a specific assessment of cycling history and relevant precautions. For all other patients, continuing existing psychiatric medications alongside TPS is standard practice.

How is EXO Mind different from TMS for depression?

TMS is FDA-cleared for depression and stimulates the dorsolateral prefrontal cortex at 2–3 centimeters depth. EXO Mind TPS reaches the anterior cingulate cortex, hippocampus, and deep limbic structures at 4–8 centimeters — areas directly implicated in treatment-resistant depression that TMS cannot access. Patients who do not respond to TMS sometimes respond to TPS specifically because of this depth difference.

Doctor Frazier is direct: TMS is appropriate for depression where superficial PFC stimulation is the primary therapeutic target and where insurance coverage is a determinative factor. EXO Mind TPS is more appropriate when the limbic dimension has not responded to surface stimulation, or when the depth of the therapeutic target requires reaching beyond what TMS can achieve.

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A Different Mechanism for the Patients Medications Have Not Reached

Doctor Frazier reviews your medication history, what has and has not worked, and what TPS can realistically add to your specific situation.

Absolute Health · 193 E. 860 S., Orem, Utah 84097
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EXO Mind TPS for Stroke Recovery: Supporting the Brain's Remarkable Capacity to Rebuild After Neurological Injury

Stroke survival is one kind of victory. What comes after — the rehabilitation, the functional recovery, the often-uncertain path back toward independence — is another kind of challenge entirely.

The standard stroke rehabilitation timeline is aggressive in its early weeks and months, then gradually tapers as clinical benchmarks are reached or the rate of improvement slows. Many stroke survivors and their families arrive at a point where the formal rehabilitation has ended, the most dramatic recovery has occurred, and the remaining deficits — the language difficulties, the motor limitations, the cognitive changes, the fatigue — are described as stable or permanent.

Doctor Frazier's clinical experience with stroke patients — and the research behind EXO Mind TPS — challenges the premise that the recovery window is as closed as it is described. The brain retains neuroplastic capacity years after stroke. The appropriate stimulus can reactivate perilesional tissue, promote new pathway formation around damaged areas, and support ongoing functional recovery that the standard rehabilitation window does not capture.

This is not a claim that TPS reverses stroke damage. It is a clinical observation, supported by published research, that the brain's recovery capacity is often underestimated — and that TPS provides a stimulus for continued neuroplastic change that the post-acute rehabilitation period typically does not include.

The Neuroplastic Biology of Stroke Recovery — Why TPS Has a Role

Stroke produces a zone of permanently damaged tissue (the infarct core) surrounded by a zone of injured but potentially recoverable tissue (the penumbra and perilesional area). The functional deficits of stroke — motor weakness, language impairment, cognitive changes — reflect both the direct tissue damage and the loss of function in connected regions that are structurally intact but functionally disconnected from the damaged area.

Perilesional neuroplasticity. TPS stimulates the tissue immediately surrounding the stroke lesion — the area most capable of assuming compensatory function. BDNF upregulation in this tissue promotes new synaptic formation and the recruitment of neurons that can partially replace the function of damaged cells.

Contralateral hemisphere recruitment. The healthy hemisphere contributes to stroke recovery through a process of transcallosal reorganization. TPS can be targeted to support this reorganization process, facilitating the functional transfer that allows the intact hemisphere to compensate for damaged regions.

Cerebrovascular recovery. Stroke disrupts cerebrovascular function in and around the lesion zone. TPS-driven improvement in local blood flow and the emerging evidence of TPS-promoted angiogenesis supports ongoing vascular recovery in the affected region.

Neuroinflammation reduction. Chronic post-stroke neuroinflammation is documented and impedes ongoing recovery. TPS directly reduces inflammatory markers in treated tissue — removing an active barrier to functional recovery.

What Doctor Frazier Treats and What Is Realistic

Stroke patients at Absolute Health present across a wide range of timelines — some in the subacute phase (months after stroke), many in the chronic phase (years after stroke). Doctor Frazier is specific about what the evidence supports at each phase and what realistic outcomes look like for each patient's specific functional picture.

The deficits where TPS has the strongest research support in stroke recovery: cognitive function and processing speed, fatigue and energy (post-stroke fatigue responds well to the cerebrovascular and neuroinflammatory mechanisms TPS addresses), mood and emotional dysregulation (the emotional lability common after stroke has clear limbic circuit involvement that TPS can address directly), and in some patients, motor function improvement in the upper extremity when combined with rehabilitation exercises.

Doctor Frazier also evaluates the specific stroke etiology — ischemic versus hemorrhagic, large vessel versus small vessel disease — as this affects both the TPS protocol design and the outcome expectations that are clinically appropriate.

My stroke was three years ago and I have been told my deficits are permanent. Should I still come for an evaluation?

Yes. The research documents TPS benefits in chronic stroke patients — years after the acute event. The trajectory of recovery does slow with time, and the magnitude of improvement is typically more modest at three years than at three months. But 'permanent' is often a statement about the limits of rehabilitation, not the limits of neuroplastic recovery. Doctor Frazier's evaluation will tell you honestly what the evidence supports for your specific functional picture and timeline.

Can TPS be combined with ongoing physical or occupational therapy?

Yes — and the combination is often more effective than TPS alone. The TPS-driven neuroplasticity window — the period of elevated synaptic plasticity in the hours following a session — is the optimal window for rehabilitation exercises. Scheduling rehabilitation sessions in the four to six hours following TPS can significantly amplify the benefit of both interventions. Doctor Frazier coordinates with patients' existing rehabilitation teams to optimize the combined protocol.

EXO Mind TPS is FDA-approved in Europe and holds FDA clearance in the United States for anxiety, depression, and mental health. Use for the condition described on this page represents off-label application in the US, supported by clinical evidence and international regulatory approval. This content is for educational purposes only and does not constitute medical advice. Individual outcomes vary. All treatment decisions require individual clinical evaluation. Doctor Frazier is a Doctor of Chiropractic and functional medicine provider. Absolute Health, 193 E. 860 S., Orem, UT 84097 | 801-221-1151.

Frequently Asked Questions

How long after a stroke can EXO Mind TPS still help?

Published research documents TPS benefits in chronic stroke patients years after the acute event. The brain retains neuroplastic capacity at extended distances from the original injury — it requires the right stimulus to activate. EXO Mind TPS provides structural neuroplastic stimulus to perilesional tissue and supports compensatory pathway formation regardless of how long ago the stroke occurred.

The trajectory of recovery does slow with time, and the magnitude of improvement is typically more modest at three years than at three months. But 'permanent' is often a statement about the limits of rehabilitation, not the limits of neuroplastic recovery. Doctor Frazier's evaluation is specific about what the evidence supports for your particular timeline and functional profile.

Can EXO Mind TPS be combined with physical or occupational therapy after stroke?

Yes — and the combination is often more effective than TPS alone. The window of elevated synaptic plasticity in the four to six hours following a TPS session is the optimal window for rehabilitation exercises. Scheduling rehabilitation sessions in this window can significantly amplify the benefit of both interventions. Doctor Frazier coordinates with existing rehabilitation teams when appropriate.

The neuroplasticity that TPS initiates provides a more receptive substrate for the motor relearning, language rehabilitation, and functional recovery work that occupational and physical therapists conduct. The protocols work synergistically — TPS opens the plasticity window, rehabilitation exercises direct that plasticity toward specific functional recovery targets.

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The Neuroplastic Window Is Longer Than the Rehabilitation Window

Doctor Frazier evaluates your stroke history, deficit profile, and what TPS can produce for your specific recovery timeline.

Absolute Health · 193 E. 860 S., Orem, Utah 84097
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EXO Mind TPS for Chronic Neurological Pain: Addressing the Brain Where Chronic Pain Lives

There is a point in chronic pain — a point that every long-term pain patient knows and that the medical system is only beginning to understand — where the pain is no longer primarily about the tissue that originally caused it.

The injury healed, or healed as much as it was going to. The surgery was done. The physical cause was addressed. But the pain persisted. And over time, it became clear that the pain system itself had changed — that the nervous system had, through a process called central sensitization, learned to produce pain signals that were no longer proportionate to or even dependent on peripheral tissue damage.

This is neurological pain. Pain that lives in the brain and nervous system rather than the tissue. Pain that standard pain management — which was designed to address peripheral pathology — is poorly equipped to treat.

Doctor Frazier's approach to chronic neurological pain begins with this understanding. EXO Mind TPS reaches the brain structures where centralized pain is generated and maintained — the anterior cingulate cortex, the insula, the somatosensory cortex, the thalamic relay pathways — and supports the neuroplastic retraining that reduces the pain system's over-firing.

How Chronic Pain Becomes Neurological — and Why This Changes What Treatment Is Needed

Central sensitization. Repeated pain signals cause the dorsal horn of the spinal cord and supraspinal pain processing centers in the brain to become sensitized — reducing the threshold required to activate pain pathways and amplifying the intensity of signals that do reach consciousness.

Cortical reorganization. Chronic pain produces measurable changes to cortical pain-processing architecture — the pain map in the brain literally reorganizes around the chronic pain experience in ways that perpetuate it regardless of peripheral status.

Descending inhibitory failure. The brain normally modulates pain through descending inhibitory pathways from the prefrontal cortex and anterior cingulate cortex. Chronic pain degrades these pathways, reducing the brain's own capacity to suppress pain signals.

All three mechanisms are at the brain level. EXO Mind TPS addresses all three through the same core mechanisms it deploys for every neurological condition: BDNF-driven neuroplasticity in pain-processing structures, neuroinflammation reduction, prefrontal function restoration, and the cerebrovascular improvement that supports pain-modulating tissue.

Conditions Doctor Frazier Treats with TPS for Chronic Pain

  • Fibromyalgia and widespread chronic pain syndromes with central sensitization component
  • Complex Regional Pain Syndrome (CRPS) — both Type I and Type II
  • Neuropathic pain — diabetic neuropathy, post-herpetic neuralgia, chemotherapy-induced neuropathy
  • Chronic post-surgical pain
  • Persistent pain following TBI or spinal cord injury
  • Migraine — chronic and episodic, particularly with central sensitization component
  • Chronic pelvic pain with neurological involvement

What Doctor Frazier's Evaluation Looks For in Chronic Pain Patients

The initial consultation for chronic pain patients is often longer than for other conditions — because the history of a chronic pain patient is typically complex, and because establishing whether neurological centralization is the primary driver (versus ongoing peripheral pathology) is clinically important for designing the right protocol.

Doctor Frazier's chiropractic and functional medicine background is particularly relevant for chronic pain: structural evaluation identifies mechanical pain contributors that can be addressed alongside TPS, and the functional medicine evaluation identifies the inflammatory, hormonal, and gut-brain axis factors that commonly amplify central sensitization in chronic pain patients.

I have been told my pain is 'in my head.' Is that what you are saying too?

No — and this distinction matters. The neurological mechanism of central sensitization is not psychological. It is a documented physiological process — measurable changes to spinal cord and brain pain-processing architecture that produce real pain independent of psychological state. Saying chronic pain is 'in the brain' is not the same as saying it is imaginary or psychosomatic. It is saying that the pain system has become the problem rather than the tissue that originally caused the pain — which is a neurological condition that requires neurological treatment.

I am on opioid pain medication. Can I still receive TPS treatment?

Doctor Frazier evaluates patients on opioid medication for TPS treatment on a case-by-case basis. There is no absolute contraindication between opioid medication and TPS. However, the evaluation conversation includes an honest discussion of the relationship between opioid use and central sensitization — opioid-induced hyperalgesia is a documented phenomenon where long-term opioid use paradoxically worsens central sensitization — and what realistic expectations look like in that clinical context. Doctor Frazier works with each patient's prescribing physician as part of the treatment approach.

EXO Mind TPS is FDA-approved in Europe and holds FDA clearance in the United States for anxiety, depression, and mental health. Use for the condition described on this page represents off-label application in the US, supported by clinical evidence and international regulatory approval. This content is for educational purposes only and does not constitute medical advice. Individual outcomes vary. All treatment decisions require individual clinical evaluation. Doctor Frazier is a Doctor of Chiropractic and functional medicine provider. Absolute Health, 193 E. 860 S., Orem, UT 84097 | 801-221-1151.

Frequently Asked Questions

What is central sensitization and can EXO Mind treat it?

Central sensitization is when the nervous system becomes hypersensitized to pain signals — producing pain that is disproportionate to or independent of peripheral tissue damage. It is the mechanism behind fibromyalgia, CRPS, and many cases of chronic pain that outlast their original cause. EXO Mind TPS addresses the brain structures where central sensitization is maintained, including the anterior cingulate cortex and thalamic pain pathways.

Treating central sensitization requires addressing the brain, not just the body. Doctor Frazier's evaluation specifically assesses whether your chronic pain has a centralization component — the clinical profile that determines whether TPS is addressing the right mechanism. For patients where centralization is the primary driver, TPS reaches the structures that standard pain management cannot.

I've been told my pain is in my head. Is that what EXO Mind treats?

Central sensitization is a documented physiological process — measurable changes to spinal cord and brain pain-processing architecture that produce real pain independent of psychological state. 'In the brain' is not the same as 'imaginary.' It means the pain system has become the problem rather than the tissue that originally caused the pain. That is a neurological condition requiring neurological treatment.

Doctor Frazier is specific about this distinction with every chronic pain patient. The neurological mechanism of centralized pain is not psychological — it is observable in imaging, measurable in physiological testing, and addressable through interventions that target the brain structures involved. EXO Mind TPS is one of the few technologies that can reach these structures non-invasively.

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When Pain Has Become Neurological — Treat It at the Neurological Level

Doctor Frazier evaluates your pain history, centralization evidence, and what TPS can offer for your specific presentation.

Absolute Health · 193 E. 860 S., Orem, Utah 84097
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EXO Mind TPS for Addiction and Compulsive Thought Patterns: Addressing the Brain Architecture That Sustains the Cycle

Addiction and compulsive thought patterns are understood increasingly as neurological conditions — not moral failures, not deficits of willpower, and not purely psychological phenomena that respond only to psychological treatment.

The brain of a person in the grip of addiction or compulsive patterns has specific, measurable neurological changes: dysregulated reward circuitry in the nucleus accumbens and ventral tegmental area, reduced prefrontal cortical control over limbic impulse, and the neuroplastic entrenchment of compulsive behavioral pathways that makes the cycle self-perpetuating regardless of the person's conscious intention to stop.

EXO Mind TPS does not treat addiction or compulsive patterns as a standalone therapy. It addresses the neurological architecture that sustains them — as an adjunct to the behavioral, psychological, and community support programs that form the foundation of effective recovery. What TPS adds is the ability to work directly on the brain structures involved in reward processing and executive control — supporting the neurobiological conditions that make recovery most achievable.

The Neuroscience of Addiction — Why the Brain Needs Neurological Support in Recovery

Prefrontal cortex impairment. Substance use and compulsive behaviors consistently reduce prefrontal cortex function — specifically the inhibitory control, impulse regulation, and decision quality functions that allow a person to override the pull of compulsive behavior. Reduced PFC function is both a cause and a consequence of addiction. TPS directly restores PFC function through the mechanisms it deploys in every neurological application.

Reward pathway dysregulation. The nucleus accumbens and dopaminergic reward circuitry are structurally altered by sustained substance use or compulsive behavior — reducing baseline dopamine signaling and increasing the intensity of cue-triggered craving. TPS-driven neuroplasticity in reward-adjacent structures supports the normalization of this dysregulated signaling.

Neuroinflammation. Chronic substance use produces neuroinflammation that impairs prefrontal function and amplifies the stress-reactivity that drives relapse. TPS-driven neuroinflammation reduction addresses this barrier to recovery directly.

Compulsive thought loop architecture. Compulsive thoughts and OCD-spectrum patterns involve hyperactivation of specific neural circuits — the orbitofronto-striatal loop in particular — that TPS can modulate through the neuroplastic remodeling it initiates in relevant structures.

What Doctor Frazier's Approach Looks Like for Addiction Patients

Doctor Frazier treats addiction patients who are in active recovery programs — patients who have behavioral and therapeutic support in place and are seeking neurological adjunct treatment to support that process. He does not offer TPS as a standalone addiction treatment and does not treat patients who are not engaged with appropriate support services.

The evaluation conversation covers the patient's specific substance use or compulsive behavior history, their current recovery program and support structure, their neurological symptom profile (sleep, mood, cognitive function, anxiety), and what they are hoping TPS can add to their recovery. Doctor Frazier is honest about what TPS can and cannot offer for each specific presentation.

The functional medicine evaluation is particularly relevant for addiction patients: nutritional depletion, adrenal and hormonal disruption, gut-brain axis dysfunction, and the chronic inflammatory state of long-term substance use all contribute to the neurological barriers to recovery and all respond to Doctor Frazier's full-stack approach.

  • Alcohol use disorder — supporting neurological recovery during sobriety
  • Opioid use disorder — neurological support as adjunct to MAT or abstinence-based programs
  • Stimulant use disorder — dopaminergic recovery support
  • OCD and obsessive-compulsive spectrum disorders
  • Behavioral addictions with documented neurological circuit involvement

Will TPS reduce my cravings?

Some patients report reduction in craving intensity following TPS treatment — this is consistent with the documented effect of TPS on prefrontal cortex function and reward circuit normalization. It is not universal and it is not the primary therapeutic target. The primary goal of TPS in the addiction context is restoring the neurological conditions — prefrontal control, reduced neuroinflammation, normalized reward baseline — that make the behavioral and therapeutic work of recovery more achievable. Craving reduction, where it occurs, is a welcome secondary effect.

I am on medication-assisted treatment (MAT) for opioid use disorder. Can I receive TPS while on Suboxone or methadone?

Yes. There is no contraindication between EXO Mind TPS and medication-assisted treatment. Doctor Frazier evaluates patients on MAT for TPS treatment with the same clinical process as any other patient. The evaluation conversation covers your specific medication, dose, and recovery timeline, and establishes realistic expectations for what TPS adds in your specific clinical context.

My family member is in early recovery and is struggling. Is it too soon for TPS?

Early recovery — the first weeks and months of abstinence — is a period of significant neurological flux as the brain recalibrates from the neurochemical environment of active use. Doctor Frazier evaluates each patient's specific stability and recovery timeline before initiating TPS. For patients in early recovery who are medically stable and engaged with appropriate behavioral support, TPS can be initiated and may support the neurological recovery process during this critical window. For patients in active withdrawal or in the immediate post-acute phase, a brief stabilization period is typically recommended before beginning TPS.

EXO Mind TPS is FDA-approved in Europe and holds FDA clearance in the United States for anxiety, depression, and mental health. Use for the condition described on this page represents off-label application in the US, supported by clinical evidence and international regulatory approval. This content is for educational purposes only and does not constitute medical advice. Individual outcomes vary. All treatment decisions require individual clinical evaluation. Doctor Frazier is a Doctor of Chiropractic and functional medicine provider. Absolute Health, 193 E. 860 S., Orem, UT 84097 | 801-221-1151.

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TPS as Adjunct to Your Recovery Program — Not a Replacement

Doctor Frazier evaluates patients who are in active recovery programs and seeking neurological support.

Absolute Health · 193 E. 860 S., Orem, Utah 84097
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How Does EXO Mind Work? The Complete Science of Transcranial Pulse Stimulation

By Doctor Frazier | Doctor of Chiropractic & Functional Medicine Provider | Absolute Health, Orem, Utah

If you have found this page, you are asking the right question before making a clinical decision. What is this technology, exactly? How does it work at the tissue level? What makes it different from TMS or tDCS? And why does the depth claim matter?

This page answers all of it — for both the technically minded patient who wants to understand the cellular biology and the patient who simply wants a clear picture of what is happening inside their brain during a session. No marketing language. No vague claims. The mechanism as it is documented in peer-reviewed research, explained in plain terms.

Doctor Frazier believes that informed patients make better clinical decisions and have more realistic, useful outcome expectations. This page is written to that standard.

What Transcranial Pulse Stimulation Actually Is

Transcranial Pulse Stimulation — TPS — is a non-invasive brain stimulation technology that uses focused low-frequency acoustic pulses delivered through the intact skull to reach specific brain tissue targets at depths other technologies cannot access.

The word 'acoustic' is important. TPS is not electrical stimulation. It is not magnetic stimulation. The energy being delivered is mechanical — pressure waves, similar in principle to therapeutic ultrasound used in physical medicine for decades, but focused with a precision that allows targeting of specific brain structures at depths from the cortical surface down to 8–10 centimeters.

The EXO Mind device uses this technology with a handheld applicator that the technician positions on specific regions of the scalp. The patient hears soft clicking sounds — the acoustic pulses — and feels light tapping. The energy travels through the skull and scalp tissue to reach the targeted brain structures underneath.

What happens when those focused pulses reach brain tissue is where the clinical story begins.

What Happens Inside the Brain — The Six Cellular Mechanisms

TPS does not produce a single effect. It initiates a cascade of distinct, interacting cellular processes — each with its own timeline, its own contribution to the clinical outcomes, and its own documentation in the peer-reviewed literature. Understanding each mechanism separately is what allows a patient or clinician to understand why the results appear when they do and why they persist.

The cascade structure in that table is clinically significant. The early mechanisms — acoustic cavitation and cerebrovascular dilation — are why some patients report feeling clearer or noticing reduced brain fog within the first few sessions. The later mechanisms — BDNF-driven synaptic remodeling and prefrontal reactivation — are why the most meaningful improvements often continue developing for weeks after the final session. The patient who evaluates their results at session six has only seen the beginning of what the protocol produces.

The Depth Advantage — Why 8–10 Centimeters Changes Everything

The single most clinically significant differentiator of TPS from other non-invasive brain stimulation technologies is depth of penetration. Understanding why this matters requires a brief orientation to brain anatomy.

The outermost layer of the brain — the cortex — is approximately 2 to 4 millimeters thick and sits just beneath the skull. TMS (Transcranial Magnetic Stimulation), the best-established brain stimulation technology in clinical use, reaches 2 to 3 centimeters into brain tissue — affecting the superficial cortex and, at best, the most superficial aspects of subcortical white matter beneath it.

The structures most consequential for the conditions TPS treats — and for the cognitive performance optimization goals of the Absolute Neural Protocol — are deeper. Much deeper.

The hippocampus — 4–5 cm from the cortical surface

The hippocampus is the brain's primary memory consolidation and formation center. It is the structure most directly responsible for the BDNF-driven neuroplasticity that underlies learning, memory, and the kind of associative pattern recognition that high performers depend on. It is also one of the first structures affected by Alzheimer's pathology and one of the primary targets for TBI rehabilitation. TMS cannot reach it. TPS reaches it at 4–5 cm with full therapeutic efficacy.

The prefrontal cortex at full depth — 3–5 cm

The prefrontal cortex is the brain's executive control center. Its most critical functions — strategic thinking, working memory, impulse regulation, decision integration — depend on the deepest layers of prefrontal tissue, not just the superficial cortical surface that TMS stimulates. TPS reaches the prefrontal cortex at full therapeutic depth — the difference between touching the surface of a structure and reaching its operational core.

The limbic structures — 5–8 cm

The amygdala, cingulate cortex, and related limbic structures that regulate emotional processing, threat response, and the neurological underpinnings of depression and anxiety are located 5 to 8 centimeters from the cortical surface. These are the structures that explain why TPS produces clinical results in treatment-resistant depression that TMS — limited to superficial cortex stimulation — often cannot match. They are also the structures relevant to the emotional regulation improvements reported by executive and entrepreneur patients following the Absolute Neural Protocol.

EXO Mind TPS vs TMS vs tDCS — The Complete Technology Comparison

Patients researching brain stimulation technology will encounter three primary options: TPS, TMS, and tDCS. They are not interchangeable. They operate through different mechanisms, reach different depths, produce different types of effects, and have very different evidence bases for different clinical applications.

The most important rows in that table are mechanism and structural change. TMS and tDCS produce functional changes — they temporarily alter neuronal firing patterns or membrane excitability in ways that affect cognitive function while the effect is active. These functional changes are real and clinically documented. They are also temporary: the effect dissipates as the neurochemical adjustments reverse.

TPS produces structural changes — new synaptic connections, BDNF-driven neuroplastic remodeling, reduced inflammatory load at the tissue level, improved cerebrovascular infrastructure. These are modifications to the physical architecture of the neural tissue itself. They do not reverse when the session ends. They persist and continue developing over the weeks following treatment.

This structural vs. functional distinction is the core of why TPS and TMS produce different outcome profiles in the same clinical applications — and why TPS is particularly suited to the conditions and performance goals that require lasting change rather than temporary enhancement.

The Evidence Base — What the Research Actually Shows

EXO Mind TPS has been in clinical use internationally since its regulatory approval in Europe, where it holds approval for the full range of neurological and mental health applications described in this site. The US regulatory status reflects the staged FDA approval process for novel medical technologies, not an absence of clinical evidence.

The published research on TPS covers both clinical populations and healthy subjects. Key findings across the peer-reviewed literature include:

In TBI and concussion populations

  • 60–70% of TBI patients demonstrate significant headache reduction following TPS protocols in published studies
  • Measurable cognitive improvements on standardized testing reported across multiple trials
  • Quality-of-life improvements sustained at follow-up assessments
  • Stimulation of surviving neurons to form new compensatory connections — the neuroplastic mechanism underlying functional recovery

In depression and anxiety populations

  • Clinically meaningful response rates in treatment-resistant depression populations who have not responded to multiple medication trials
  • Effects documented in limbic structures at depths TMS cannot access — providing a mechanistic explanation for efficacy in TMS non-responders
  • Reduced relapse rates compared to medication-only management in several follow-up studies

In cognitive performance and neurologically healthy populations

  • Measurable BDNF upregulation in treated tissue documented across multiple study designs
  • Cognitive improvements on executive function, processing speed, and memory assessments
  • Quality of life and subjective cognitive performance improvements reported consistently across patient populations

In Alzheimer's and dementia populations

  • Meaningful improvements in cognitive function in mild to moderate Alzheimer's patients in published trials
  • Slowing of functional decline in longer-term follow-up periods
  • Neuroimaging evidence of reduced neuroinflammatory markers and improved cerebrovascular parameters in treated tissue

Doctor Frazier reviews the specific research most relevant to each patient's clinical situation at the initial consultation. The evidence base is not uniform across all applications — some indications have stronger and more extensive research than others — and accurate, transparent communication about what the research supports is a clinical standard at Absolute Health.

What a TPS Session Actually Feels Like

Understanding the subjective experience of a session is important for patients who are considering treatment and want to know what they are agreeing to before they sit down.

You are seated comfortably in a treatment chair. The session is 20 minutes. You do not change into a gown, remove clothing, or receive any injections or topical applications. The clinical staff positions the handheld EXO Mind device against specific regions of your scalp — the positioning varies depending on the treatment targets identified in your protocol.

You hear a soft, rhythmic clicking sound throughout the session. This is the acoustic pulse being delivered. You feel a light tapping sensation on the scalp at the contact point. Most patients describe the experience as unusual but not uncomfortable — something between a gentle tap and a mild vibration felt through the skull. A small number of patients experience mild headache in the hours after the first one or two sessions as the brain begins responding to the stimulus. This resolves quickly and typically does not recur after the first few sessions.

Many patients find sessions relaxing. You can listen to music, meditate, or simply rest. There is no requirement to focus or engage cognitively during the session — the treatment does not require your active participation. When the session ends, you stand up, collect your belongings, and leave. There is no recovery period, no post-session restrictions, and no impairment of driving or any other normal activity.

Frequently Asked Questions About How EXO Mind Works

Is the acoustic pulse the same as diagnostic ultrasound used in medical imaging?

TPS and diagnostic ultrasound both use acoustic energy, but they are not the same technology. Diagnostic ultrasound uses much higher frequencies (typically 2–18 MHz) and is designed for tissue reflection and imaging. TPS uses much lower frequencies in a focused pulse pattern specifically calibrated to produce the cellular responses — BDNF upregulation, neuroplasticity induction, cerebrovascular improvement — that drive clinical outcomes. The acoustic energy levels in TPS are calibrated to be below the threshold that would cause thermal or mechanical tissue damage — they are in the therapeutic range documented to produce the cellular signaling responses without adverse effects.

If TPS works at 8–10cm, why does it not affect tissues between the skull and the deep brain structures?

The focusing technology in TPS directs the acoustic energy to converge at the target depth — similar to how a magnifying glass focuses light at a specific focal point. The energy passes through the intervening tissue at a lower intensity that does not produce significant biological effects, and then concentrates at the targeted depth where the therapeutic intensity is reached. This is the same principle that allows focused ultrasound to treat deep tissue pathology in other medical applications without affecting the surface tissues above it.

How is structural change different from functional change — and why does it matter?

A functional change alters how neurons behave without changing their physical structure. TMS and tDCS produce functional changes: temporarily shifting neuronal firing thresholds or membrane excitability. These changes affect cognitive function while the effect is active but reverse as the neurochemical adjustments dissipate — typically within hours to days. A structural change modifies the physical architecture of the neural tissue: new synaptic connections form, existing connections strengthen, BDNF-supported neuroplastic remodeling occurs, inflammatory load decreases at the tissue level. These changes persist. They do not reverse when the session ends. For conditions requiring lasting recovery — TBI, treatment-resistant depression, chronic neurological pain — and for the performance optimization goals that require sustained elevation rather than temporary enhancement, structural change is what produces meaningful outcomes.

Why do results continue improving weeks after the final session?

The acoustic stimulus during sessions initiates the cellular processes that produce structural neural change. But those processes — BDNF-driven synaptic remodeling, neuroinflammation resolution, new blood vessel formation, new connection growth — unfold on the brain's own biological timeline, not the session timeline. The stimulus starts the process. The brain completes it. This is why peak results in TPS protocols typically occur four to six weeks after the final session, and why a patient who evaluates their improvement at session six has seen only the early stage of what the protocol produces.

Does EXO Mind work differently for cognitive performance versus clinical conditions like TBI or depression?

The underlying mechanisms — BDNF upregulation, neuroplasticity induction, cerebrovascular improvement, neuroinflammation reduction — are the same regardless of the application. What differs is the starting point and the outcome being measured. In a patient recovering from TBI, the same mechanisms drive repair of damaged tissue and formation of compensatory pathways around injury sites. In a neurologically healthy executive, the same mechanisms drive elevation of an already-functional system — stronger synaptic connections, higher BDNF baseline, reduced inflammatory friction — producing performance improvement rather than recovery. The technology does not distinguish between repair and optimization. It produces the cellular conditions for both.

I have seen EXO Mind described as using 'electromagnetic waves' — is that the same as TPS acoustic waves?

This is an important clarification. EXO Mind uses focused acoustic waves — mechanical pressure waves. Some descriptions of EXO Mind technology use 'electromagnetic' loosely to refer to the precision targeting system or describe the broader technology family, but the therapeutic mechanism is acoustic, not electromagnetic in the sense that TMS is electromagnetic. TMS uses rapidly changing magnetic fields to induce electrical currents in brain tissue. TPS uses focused acoustic pulses to create mechanical pressure effects in brain tissue. They are different physical mechanisms producing different biological responses. The depth advantage of TPS — reaching 8–10cm versus TMS's 2–3cm — is a direct consequence of the acoustic mechanism, which propagates through tissue differently than electromagnetic fields do.

Ready to Understand What TPS Can Do Specifically for You?

The science is one part of the clinical picture. The other part is your specific situation — your history, your goals, your biology, and the realistic outcome expectations that informed clinical evaluation produces. Doctor Frazier's initial consultation translates the mechanism into a specific protocol recommendation, honest outcome projections, and a clear picture of how EXO Mind fits into the broader clinical approach at Absolute Health.

Absolute Health is located in Orem, Utah. Doctor Frazier serves patients from throughout Utah County — and professionals from across the Wasatch Front who have sought clinical capabilities not available closer to home.

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Medical and Regulatory Disclaimer

EXO Mind Transcranial Pulse Stimulation is FDA-approved in Europe for the neurological and mental health applications described on this page. In the United States, EXO Mind holds FDA clearance for anxiety, depression, and mental health applications. Use for other indications represents off-label application supported by clinical evidence and international regulatory approval but not yet holding full FDA clearance for each specific indication. Doctor Frazier discusses regulatory status transparently with every patient at the initial consultation. The content of this page is provided for educational purposes only and does not constitute medical advice. All treatment decisions require individual clinical evaluation with a licensed healthcare provider. Doctor Frazier is a Doctor of Chiropractic and functional medicine provider.

Frequently Asked Questions

What is the difference between TPS, TMS, and tDCS?

TPS uses focused acoustic waves to reach 8–10 centimeters. TMS uses magnetic fields to reach 2–3 centimeters. tDCS uses weak electrical current to reach 1–2 centimeters. These are different technologies with different mechanisms, different depths, and different appropriate applications — not interchangeable alternatives. EXO Mind TPS is not a form of TMS or tDCS.

The depth difference determines which brain structures can be stimulated. The hippocampus sits at 4–5cm — within TPS range, outside TMS range. The limbic system sits at 5–8cm — within TPS range, completely outside TMS range. For conditions where these deep structures are the therapeutic target, TPS is the only non-invasive technology that can reach them.

How long do the effects of EXO Mind TPS last?

The structural changes produced by EXO Mind TPS — new synaptic connections, BDNF-driven neuroplastic remodeling, reduced inflammatory markers — are durable rather than temporary. Most patients maintain meaningful improvements for months to years following the initial protocol. Maintenance sessions of one to two per month sustain and build on the structural gains over time.

TPS produces structural change, not functional change. Functional changes (like those from medication) dissipate when the intervention stops. Structural changes (new synaptic connections, reduced inflammatory architecture) persist because they represent physical changes to brain tissue. This is the key distinction between TPS outcomes and the outcomes of most other interventions.

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Understanding the Science Is the First Step

The evaluation is where the science meets your specific situation. Doctor Frazier tells you specifically what TPS can produce for your condition.

Absolute Health · 193 E. 860 S., Orem, Utah 84097
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What to Expect During Your EXO Mind TPS Treatment: Sessions, Timeline, and How Results Develop

One of the most important things Doctor Frazier can offer before you begin treatment is accurate expectations. The right expectations are not designed to reassure. They are designed to help you evaluate your own response accurately — so you neither abandon treatment before it has had time to produce its full effect, nor continue a protocol that is genuinely not working for your situation.

This page describes exactly what happens before, during, and after EXO Mind TPS treatment — from the initial consultation through the full outcome development arc.

Before the First Session — The Initial Consultation

The initial consultation is the most important appointment. Doctor Frazier reviews your complete medical history, your current medications and supplements, your specific condition and symptoms, and what treatments you have already tried. He explains what the research shows for your specific condition and what realistic outcomes look like for your presentation.

This is a clinical evaluation, not a sales appointment. You are not committing to treatment by attending the consultation. You are gathering the information needed to make an informed decision. Doctor Frazier will tell you honestly if TPS is not the right fit for your situation.

If you proceed with treatment, Doctor Frazier establishes your specific protocol parameters — which brain regions to target, how many sessions your presentation warrants, and what adjunct functional medicine interventions are most relevant to your recovery.

During Sessions — What the Experience Is Like

You arrive at Absolute Health and are seated in a comfortable treatment chair. Sessions are 20 minutes. You do not change clothing, remove jewelry, or receive any preparation beyond positioning the handheld device on specific regions of your scalp.

The sounds you hear: soft, rhythmic clicking — the acoustic pulses being delivered. The sensation you feel: light tapping on your scalp at the contact point. The experience is consistently described by patients as unusual in the first session and then familiar and often relaxing from the second session onward.

You can listen to music, meditate, rest, or simply be present during the session. Most patients find the experience calming. A small number notice mild tiredness afterward — this is normal; the brain is working. Very rarely, a brief, mild headache occurs after the first one or two sessions and resolves within hours.

You drive yourself home. You return to your normal activities immediately. There are no restrictions on anything.

The Standard Protocol — Session Structure

Standard: six sessions over two weeks. Three sessions per week, Monday-Wednesday-Friday or Tuesday-Thursday-Saturday. Most conditions begin with this protocol. For many patients, six sessions is sufficient for meaningful and sustained improvement.

Extended: ten to twelve sessions. For longer-standing conditions — chronic TBI symptoms of several years, more advanced neurodegenerative disease, treatment-resistant depression of extended duration — an extended protocol produces more comprehensive structural changes. Doctor Frazier recommends this where the evidence and your clinical presentation support it.

Maintenance: one to two sessions every four to six months. The structural changes from TPS are lasting, not permanent. Periodic maintenance sessions sustain the neuroplastic gains and continue the anti-inflammatory and BDNF-supporting effects over time.

The Results Timeline — When to Expect What

Sessions 1–2: The foundation is being laid

Most patients notice little change in the first one to two sessions. The cerebrovascular improvements are beginning. Neuroinflammatory markers are starting to decrease. The BDNF stimulus is initiated. This phase is building the biological environment for the more visible changes that follow.

Sessions 3–4: Early changes emerge

This is where most patients begin noticing something. The changes are often subtle at first: slightly clearer thinking, slightly better sleep, a reduction in the intensity or frequency of headaches or pain. For depression and anxiety patients, mood changes — sometimes described as a lifting or lightening — frequently begin in this window.

Sessions 5–6: The treatment concludes, changes continue

By the final session, most patients have a clear sense of whether TPS is producing an effect for them. The changes experienced so far are real — but they represent the early phase of what the structural neural changes produce. The most significant improvements typically develop in the weeks after treatment ends.

Weeks 2–6 post-treatment: The consolidation arc

This is when the most meaningful changes occur for most patients. The structural neural changes initiated during sessions continue consolidating through sleep and ongoing BDNF activity. Patients who reported modest changes at session six often report significantly greater improvement at the four-week post-treatment mark. Doctor Frazier schedules a follow-up evaluation at this point to assess response and determine whether additional sessions are warranted.

Months 2–3 post-treatment: Full structural consolidation

By three months post-treatment, the full structural effect of the TPS protocol has typically developed. For most patients, this is their peak improvement point from the first protocol cycle. The improvements at this stage are durable — the structural neural changes that have occurred are not transient. Maintenance sessions in subsequent months sustain and build on this foundation.

What if I see no improvement at session four?

The absence of change at session four is clinically useful information, not a reason to stop. Doctor Frazier evaluates non-responders specifically — reviewing the protocol parameters, the full-stack physiological picture, and whether modifications to the treatment approach or additional functional medicine interventions are needed. Some patients respond later than others. Some require protocol adjustments. And some, after thorough evaluation, are genuinely not responsive to TPS for their specific condition — and Doctor Frazier will tell you that honestly rather than continuing a treatment that is not producing results.

How do I know if my improvements are from TPS or from other things I am doing?

Doctor Frazier establishes baseline assessments at the initial consultation for your most significant symptoms — condition-specific functional measures that allow comparison throughout treatment. This produces an objective reference rather than relying solely on subjective impression. The pattern of improvement — timing relative to session progression, the specific symptom domains affected, the continuation of improvement after sessions end — typically produces a clear picture of treatment response.

EXO Mind TPS holds FDA clearance in the United States for anxiety, depression, and mental health. Other applications represent off-label use supported by clinical evidence. This content is for educational purposes only. All treatment decisions require individual clinical evaluation. Doctor Frazier is a Doctor of Chiropractic and functional medicine provider. Absolute Health, 193 E. 860 S., Orem, UT 84097 | 801-221-1151.

Frequently Asked Questions

What happens during an EXO Mind TPS session?

You sit comfortably in a treatment chair. A handheld device delivers focused acoustic pulses to specific regions of your scalp — you hear soft clicking and feel light tapping at the contact point. Sessions last 20 minutes. There is no preparation required beforehand and no recovery period afterward. Most patients find sessions relaxing. You drive yourself home and return to normal activities immediately.

Doctor Frazier or a trained clinical team member positions the device based on your specific condition and treatment protocol. The targeted regions vary by condition — hippocampal targeting for memory and Alzheimer's applications, prefrontal and limbic targeting for depression, perilesional targeting for TBI and stroke. The specific protocol is determined at your initial evaluation.

When will I start seeing results from EXO Mind treatment?

Most patients begin noticing changes around sessions three to four — typically described as clearer thinking, reduced headache frequency or intensity, improved sleep, or early mood changes. The most significant improvements develop four to six weeks after the final session, as structural neural changes consolidate. Evaluating outcomes at session six understates the full effect of the protocol.

This timeline reflects the biology of structural neuroplasticity. TPS initiates changes during sessions. Those changes continue through sleep-based consolidation for weeks after treatment ends. Doctor Frazier schedules a follow-up evaluation four to six weeks after your final session — the clinically meaningful assessment point — rather than immediately after the protocol concludes.

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The Evaluation Is the Most Important Appointment

Doctor Frazier reviews your complete history and establishes realistic, specific expectations for your situation before any treatment begins.

Absolute Health · 193 E. 860 S., Orem, Utah 84097
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Who Is a Candidate for EXO Mind TPS Treatment? An Honest Clinical Guide

Doctor Frazier does not accept every patient who expresses interest in EXO Mind treatment. Clinical candidacy is determined through individual evaluation — and he is direct when a patient's specific situation does not make TPS the right choice.

This page provides an honest guide to who benefits most from EXO Mind TPS, who has standard contraindications, and what the evaluation process looks like. It is designed to help you arrive at the consultation with accurate expectations — not to pre-qualify yourself without clinical evaluation.

Who Benefits Most from EXO Mind TPS

Patients where conventional treatment has reached its ceiling. TPS is most appropriate for patients who have engaged with appropriate standard care for their condition and have not achieved the recovery they were hoping for. This is not a first-line treatment for most conditions — it is the treatment that offers a neurological mechanism that the standard pathway does not provide.

Patients with clear brain-based pathology. TPS produces its documented effects through brain tissue mechanisms — BDNF upregulation, neuroplasticity induction, neuroinflammation reduction, cerebrovascular improvement. Conditions with clear neurological involvement respond most consistently.

Patients in the mild to moderate phase of neurodegenerative conditions. The research is strongest for Alzheimer's and other dementias in mild to moderate stages. Advanced-stage presentations have a more complex outcome picture.

Treatment-resistant psychiatric presentations. Patients with depression, anxiety, or OCD-spectrum conditions who have not responded to two or more medication trials are among the strongest candidates for TPS as an alternative mechanism treatment.

Patients with chronic post-injury symptoms. TBI and post-concussion patients months to years after injury, and stroke patients in the chronic phase, respond to TPS because the neuroplastic capacity that allows healing has not been exhausted — it has simply not received the right stimulus.

Standard Contraindications

The following are standard contraindications for EXO Mind TPS. Doctor Frazier evaluates each of these at the initial consultation:

  • Implanted electronic devices: cardiac pacemakers, implanted cardioverter-defibrillators (ICDs), cochlear implants, and certain other implanted electronics near the treatment area. Not all implanted devices are contraindicated — Doctor Frazier evaluates device type, location, and TPS protocol specifically.
  • Active malignancy in or near the treatment area: active brain tumors or skull malignancies directly in the proposed treatment path.
  • Pregnancy: TPS is not evaluated for safety in pregnancy; pregnant patients are not candidates.
  • Active manic episode: TPS is not appropriate during acute mania. Patients with bipolar disorder in stable or depressive phase are evaluated individually.
  • Recent skull fracture in the treatment area: requires individual evaluation based on healing status and fracture location.

Who Should Have an Individual Evaluation Rather Than a Definitive Answer

Several patient profiles warrant individual evaluation rather than a categorical yes or no:

Patients with metal implants. Dental implants, orthopedic hardware distant from the head, and many surgical clips are not contraindications. Metal objects near the treatment path require individual assessment.

Patients with epilepsy or seizure history. A history of seizures is not an absolute contraindication to TPS. Doctor Frazier evaluates seizure type, frequency, current medication status, and the specific protocol design to determine whether TPS is appropriate.

Pediatric patients. The research base for TPS in pediatric populations is smaller than for adults. Doctor Frazier evaluates pediatric cases individually, with specific attention to the condition, age, and available evidence.

Patients with active infection or significant systemic illness. Active systemic illness is evaluated case by case — the clinical picture determines timing rather than categorical exclusion.

The Evaluation Process at Absolute Health

The initial consultation at Absolute Health is the clinical determination of candidacy. It is not an assumption that you will proceed with treatment — it is an evaluation that produces a clinical recommendation. Doctor Frazier reviews your complete history, your imaging and medical records where relevant, your current medications, and your specific symptoms and functional status.

The consultation produces one of three outcomes: a clear recommendation for TPS with a specific protocol design; a recommendation to address certain physiological variables first before initiating TPS to maximize the response; or a direct conversation about why TPS is not the right fit for your specific situation and what alternatives Doctor Frazier recommends.

All three outcomes are valuable. The evaluation is worth attending regardless of the outcome — because accurate clinical information about your situation is the most useful thing Doctor Frazier can offer, whether or not TPS is part of the answer.

Can I bring my imaging records to the consultation?

Yes — and Doctor Frazier specifically requests that you do. MRI, CT, PET scans, and neuropsychological testing results are all useful clinical context for the evaluation. If you have records from previous brain stimulation treatments (TMS, etc.), those are also helpful. You do not need imaging to have a consultation, but imaging results add clinical specificity to the evaluation.

I have multiple conditions — TBI and depression, for example. Does that affect candidacy?

Multiple conditions do not generally contraindicate TPS — and in some cases, the overlapping neurological mechanisms mean that TPS addresses multiple conditions simultaneously. The evaluation conversation maps all of your conditions and symptoms and designs a protocol that addresses the full picture rather than treating conditions in isolation.

EXO Mind TPS holds FDA clearance in the United States for anxiety, depression, and mental health. Other applications represent off-label use supported by clinical evidence. This content is for educational purposes only. All treatment decisions require individual clinical evaluation. Doctor Frazier is a Doctor of Chiropractic and functional medicine provider. Absolute Health, 193 E. 860 S., Orem, UT 84097 | 801-221-1151.

Frequently Asked Questions

Who is not a good candidate for EXO Mind TPS?

Standard contraindications for EXO Mind TPS include certain implanted electronic devices (pacemakers, ICDs, cochlear implants near the treatment area), active malignancy in the treatment area, and pregnancy. Active manic episodes are a contraindication. Epilepsy is not an absolute contraindication — Doctor Frazier evaluates seizure history individually. Most patients without implanted electronics are candidates.

Doctor Frazier's evaluation determines candidacy for each patient individually. Contraindications are reviewed specifically at the initial consultation, and patients with complex medical histories receive a thorough assessment of whether their specific situation is appropriate for TPS. The evaluation will tell you clearly whether you are a candidate — and if not, Doctor Frazier will explain what alternatives are appropriate.

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An Honest Evaluation Is Worth More Than a Yes

Doctor Frazier will tell you directly if TPS is not the right fit for your situation — and help you understand what your options are.

Absolute Health · 193 E. 860 S., Orem, Utah 84097
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EXO Mind TPS Treatment Cost and Investment: Honest Information About Pricing, Insurance, and How to Think About This Decision

Cost is a real consideration for EXO Mind TPS treatment. Doctor Frazier addresses it directly rather than asking patients to call for pricing — because the decision to pursue treatment requires complete information, and cost is part of that information.

Insurance Coverage — The Direct Answer

EXO Mind TPS is not currently covered by most US health insurance plans for the conditions described in this website. The technology holds FDA clearance in the US for anxiety, depression, and mental health — and some insurance plans cover it for those specific indications. For all other applications described here (TBI, Alzheimer's, stroke recovery, chronic pain, addiction), insurance coverage is not available through standard plans.

Doctor Frazier recommends checking with your specific insurer before the consultation — not to find coverage that likely does not exist, but to avoid any assumption that creates a financial surprise. His billing team is available to assist with insurance inquiry prior to the consultation appointment.

The Investment Reality — What Patients Are Weighing

The patients who proceed with EXO Mind TPS at Absolute Health are making an investment in neurological treatment that the insurance system does not currently cover. They are doing so after the standard covered treatment pathway has not produced the recovery they need, and after weighing the cost against the cost of continued suffering, continued dysfunction, and the quality-of-life impact of conditions that have not resolved.

Doctor Frazier does not make this calculation for patients. He provides the clinical information — what the research shows, what realistic outcomes look like for the specific presentation, what the protocol involves — and allows patients and families to make an informed investment decision with complete information.

Protocol Investment Structure

Specific pricing for EXO Mind sessions at Absolute Health is provided at the initial consultation, where Doctor Frazier can quote based on the specific protocol recommended for each patient's condition and presentation. General structure:

Initial consultation. Clinical evaluation fee. This is not credited toward treatment. It is the fee for a thorough clinical evaluation — the most important appointment in the process.

Standard six-session protocol. Session pricing is per-session or packaged. Specific pricing is provided at consultation.

Extended protocol (10–12 sessions). For conditions warranting extended treatment, a package rate is available. Discussed and priced at consultation.

Maintenance sessions. Single-session pricing for ongoing maintenance, typically one to two sessions every four to six months.

Full-stack functional medicine components. Hormonal evaluation, inflammatory panel, nutritional assessment, chiropractic and cranial care, laser therapy — these are evaluated and priced separately based on what the clinical picture warrants. Not all patients require all components.

Financing Options

Absolute Health works with healthcare financing options to make EXO Mind treatment accessible to patients for whom the full investment would otherwise be prohibitive. CareCredit and other medical financing programs are available. Doctor Frazier's team reviews financing options at the consultation for patients who need them.

How to Think About This Decision

Doctor Frazier encourages patients to consider three questions when evaluating the EXO Mind investment:

What is the cost of not treating? The financial cost of treatment is real. So is the ongoing cost — in quality of life, in functional capacity, in the toll on families, in the medical expenses of conditions that are not improving — of not pursuing the treatment.

What has the standard pathway cost? Many patients pursuing EXO Mind have already invested significantly in treatments that produced partial or no improvement. The TPS investment is not the total cost of care — it is the next clinical decision in a longer treatment journey.

What are realistic outcomes for my specific situation? Doctor Frazier's consultation provides the clinical estimate of outcome probability for each patient's specific condition and presentation. The investment calculus depends on what TPS is realistically likely to produce for you specifically.

Will my HSA or FSA cover EXO Mind treatment?

EXO Mind TPS at Absolute Health is a medical service performed under Doctor Frazier's clinical supervision. HSA and FSA funds are generally applicable to qualified medical expenses, which typically include treatments provided by licensed healthcare providers. Patients should verify FSA/HSA eligibility with their plan administrator. Doctor Frazier's billing team provides appropriate documentation for reimbursement requests.

What if I can only afford the standard six-session protocol — is that still worth doing?

Yes. The standard six-session protocol produces meaningful outcomes for most patients. Doctor Frazier designs every protocol recommendation around what is clinically appropriate for the patient's condition and budget — and he is direct when a patient's presentation warrants extended treatment rather than understating it to make the recommendation more financially accessible. A six-session protocol that produces real improvement is worth doing even if the extended protocol would produce more.

EXO Mind TPS holds FDA clearance in the United States for anxiety, depression, and mental health. Other applications represent off-label use supported by clinical evidence. This content is for educational purposes only. All treatment decisions require individual clinical evaluation. Doctor Frazier is a Doctor of Chiropractic and functional medicine provider. Absolute Health, 193 E. 860 S., Orem, UT 84097 | 801-221-1151.

Frequently Asked Questions

How much does EXO Mind TPS treatment cost in Utah?

Specific pricing for EXO Mind sessions at Absolute Health is provided at the initial consultation after Doctor Frazier has evaluated your condition and designed the appropriate protocol. General structure: the standard six-session protocol and extended protocols are priced per-session or packaged. Healthcare financing through CareCredit is available. HSA and FSA funds typically apply.

Doctor Frazier presents pricing in the context of the specific protocol recommended for your condition — because a six-session protocol and a twelve-session protocol have different investment levels and different expected outcomes. The pricing conversation happens after the clinical picture is understood, not before, so the cost discussion is grounded in specific clinical context rather than general estimates.

Does insurance cover EXO Mind TPS treatment?

Most US insurance plans do not currently cover EXO Mind TPS for the conditions treated at Absolute Health, with the exception of some plans that cover it for depression and anxiety where FDA clearance applies. For TBI, Alzheimer's, stroke recovery, chronic pain, and addiction applications, insurance coverage is not currently available through standard plans. Doctor Frazier's team assists with insurance verification.

Doctor Frazier recommends checking with your insurer before the consultation — not to find coverage that likely does not exist, but to avoid any assumption that creates a financial surprise. HSA and FSA funds are generally applicable to qualified medical expenses and typically cover EXO Mind treatment. Financing through CareCredit is available for patients who need payment plan options.

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Pricing Is Discussed at the Consultation — After Your Clinical Picture Is Understood

Doctor Frazier presents specific investment levels after evaluating your condition and designing the appropriate protocol.

Absolute Health · 193 E. 860 S., Orem, Utah 84097
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EXO Mind FDA Status and Clinical Evidence: The Complete Transparent Answer

Every patient at Absolute Health who is considering EXO Mind treatment deserves a complete, honest answer about the technology's regulatory status and clinical evidence base. Doctor Frazier does not minimize the FDA status question, does not obscure the off-label nature of some applications, and does not offer reassurance in place of accurate information.

This page provides the complete picture.

EXO Mind Regulatory Status — US vs. Europe

In the United States. EXO Mind holds FDA clearance for anxiety, depression, and mental health treatment. This clearance means the FDA has determined the device is substantially equivalent to a legally marketed device for these specific indications and that the safety and effectiveness data for these applications supports its use.

In Europe. EXO Mind is fully approved under CE marking for the complete range of neurological and mental health applications described on this website and in Doctor Frazier's clinical practice — including TBI, Alzheimer's and dementia, treatment-resistant depression, stroke recovery, chronic neurological pain, and addiction.

Off-label status in the US. Use of EXO Mind for conditions beyond anxiety, depression, and mental health represents off-label use in the United States. Off-label use is legal, common in medical practice, and does not indicate that the treatment is unsafe or unsupported by evidence. It indicates that the US FDA approval process for those specific indications has not been completed.

What Off-Label Means — and Does Not Mean

Off-label use is estimated to account for 20–60% of prescriptions and medical device use in the United States across medical specialties. Chemotherapy protocols, pediatric medications, neurological treatments — off-label use is a standard feature of evidence-based medicine, not an exception to it.

Off-label does not mean: unsupported by evidence, unsafe, experimental, unregulated, or inappropriate. It means the FDA approval process for that specific indication, in the US regulatory context, has not been completed.

The primary reasons EXO Mind's US FDA approvals for neurological conditions beyond mental health have not been completed are regulatory timeline, the investment required to fund large-scale US clinical trials for each indication, and the absence of a pharmaceutical sponsor with the incentive and capital to fund that process for a device rather than a drug.

These are regulatory and commercial realities, not clinical or safety limitations. The clinical evidence base for EXO Mind across the conditions it is used for at Absolute Health is documented in peer-reviewed research. Doctor Frazier reviews the specific evidence for each patient's condition at the initial consultation.

The Clinical Evidence Base — Condition by Condition

TBI and post-concussion syndrome. Published trials documenting 60–70% significant headache reduction, measurable cognitive improvements on standardized testing, quality-of-life improvements, and neuroimaging evidence of improved perfusion in treated regions.

Alzheimer's disease and dementia. Published trials documenting meaningful cognitive function improvements in mild to moderate stages, slowing of functional decline, and neuroimaging evidence of reduced neuroinflammatory markers.

Treatment-resistant depression. Clinically meaningful response rates in treatment-resistant populations. Mechanistic research documenting limbic structure access at depths not achievable by TMS, providing explanation for efficacy in TMS non-responders.

Stroke recovery. Studies documenting improvements in cognitive function, fatigue, mood, and in some motor function outcomes when combined with rehabilitation.

Chronic pain. Research on central sensitization modulation, pain signal pathway retraining, and quality-of-life improvements in patients with centralized chronic pain.

Addiction and compulsive patterns. Studies on prefrontal cortex restoration, reward circuit normalization, and craving reduction as TPS adjunct to behavioral treatment programs.

Doctor Frazier's Commitment to Transparency

Doctor Frazier reviews the condition-specific evidence with every patient at the initial consultation — including the strength and limitations of the current research, what is well-documented versus what is emerging, and the honest clinical picture of what TPS is likely to produce for each individual patient's situation.

He does not overstate the evidence. He does not present clinical trials as guarantees of individual outcomes. He does not minimize uncertainty where it exists. The transparency that patients deserve when making a healthcare decision about an off-label treatment is the standard of information Doctor Frazier provides in every consultation.

If EXO Mind is not fully FDA approved for my condition, can my doctor still recommend it?

Yes. Licensed healthcare providers in the United States can legally recommend off-label treatments when their clinical judgment supports it and when the patient has been fully informed of the regulatory status. Doctor Frazier's clinical recommendation for each patient is based on the evidence base for their specific condition, their individual clinical picture, and an honest conversation about what is FDA-cleared versus what is off-label. The decision to proceed is always the patient's, made with complete information.

Is EXO Mind safe?

EXO Mind TPS has an established safety profile documented across thousands of patients in its European clinical use. The acoustic energy levels used are calibrated below the threshold that would cause thermal or mechanical tissue damage. Serious adverse events are not documented in the published literature. The most common side effects are mild: soft tapping sensation during sessions, occasional brief mild headache after the first one to two sessions, and some patients feel tired after sessions as the brain responds to the stimulus. Doctor Frazier reviews the complete safety profile with each patient at the consultation, including any condition-specific considerations relevant to their individual presentation.

EXO Mind TPS holds FDA clearance in the United States for anxiety, depression, and mental health. Other applications represent off-label use supported by clinical evidence. This content is for educational purposes only. All treatment decisions require individual clinical evaluation. Doctor Frazier is a Doctor of Chiropractic and functional medicine provider. Absolute Health, 193 E. 860 S., Orem, UT 84097 | 801-221-1151.

Frequently Asked Questions

Is EXO Mind TPS approved by the FDA?

EXO Mind TPS holds FDA clearance in the United States for anxiety, depression, and mental health. It is fully approved in Europe for the complete range of neurological conditions it treats — including TBI, Alzheimer's, stroke recovery, and chronic pain. Use of EXO Mind for conditions beyond anxiety and depression in the US represents off-label application, which is legal, common, and supported by clinical evidence.

Off-label use is standard medical practice — estimated at 20–60% of prescriptions and medical device use across US specialties. The clinical evidence for EXO Mind's effectiveness across the conditions Doctor Frazier treats is documented in peer-reviewed research regardless of the specific US regulatory designation. Doctor Frazier addresses the FDA status question directly and completely at every consultation.

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Transparency Is the Standard — Not the Exception

Doctor Frazier addresses the FDA status question directly at every consultation.

Absolute Health · 193 E. 860 S., Orem, Utah 84097
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EXO Mind TPS vs TMS: An Honest Clinical Comparison for Patients Considering Both Technologies

If you are researching non-invasive brain stimulation treatment, you have likely encountered both Transcranial Magnetic Stimulation (TMS) and EXO Mind Transcranial Pulse Stimulation (TPS). Both are real, clinically used technologies. They are not the same technology, and understanding the difference matters for choosing the right treatment for your specific condition.

Doctor Frazier's goal in this comparison is accuracy, not advocacy. He will tell you when TMS is the more appropriate choice for a specific situation — and when TPS is.

The Depth Difference — Why It Matters Clinically

The primary clinical difference between TMS and EXO Mind TPS is depth of penetration. TMS uses pulsed magnetic fields to induce electrical currents in brain tissue at 2–3 centimeters from the cortical surface. EXO Mind TPS uses focused acoustic waves to reach 8–10 centimeters.

For the surface cortex — motor cortex, primary sensory cortex, and the most superficial layers of the prefrontal cortex — both technologies can produce effects. For the structures most relevant to neurological rehabilitation: hippocampus (4–5cm), deep prefrontal cortex (3–5cm), amygdala and limbic system (5–8cm), deep white matter pathways — TMS cannot reach them. TPS can.

This depth difference is the mechanistic explanation for differences in clinical efficacy between the two technologies across specific conditions. It is not a manufacturer claim. It is a documented physical property of different energy types penetrating brain tissue.

When TMS Has Clinical Advantages

Doctor Frazier is direct: there are clinical situations where TMS is the more appropriate choice.

TMS for depression with superficial PFC target. TMS is FDA-cleared for major depression targeting the dorsolateral prefrontal cortex and has a robust evidence base for this application. Patients with depression where the primary driver is superficial PFC dysfunction — and who meet FDA clearance criteria — should consider TMS as a first-line brain stimulation option. TPS is appropriate for treatment-resistant presentations where the limbic dimension has not responded to surface stimulation.

TMS for OCD. TMS has FDA clearance for OCD and documented efficacy for specific OCD presentations. Doctor Frazier evaluates OCD patients individually and may recommend TMS as a first-line option for certain presentations.

TMS accessibility and coverage. TMS is more widely available, has been in clinical use longer, and is covered by more insurance plans for its FDA-cleared indications. For patients where insurance coverage is a determinative factor, TMS may be the more accessible option for applicable conditions.

When EXO Mind TPS Has Clinical Advantages

TBI and post-concussion syndrome. TBI pathology involves deep white matter injury, hippocampal damage, and limbic disruption that TMS cannot reach. TPS is specifically documented for TBI outcomes. TMS has limited evidence for TBI.

Alzheimer's and dementia. Hippocampal degeneration is central to Alzheimer's pathology. The hippocampus is at 4–5cm — unreachable by TMS. TPS is specifically documented for Alzheimer's outcomes.

Treatment-resistant depression with limbic component. For the subset of treatment-resistant depression patients who do not respond to TMS — which is a significant population — the limbic structures at depths TMS cannot reach are often the relevant therapeutic target. TPS reaches them.

Stroke recovery. The perilesional and contralateral hemisphere targets most relevant to stroke neuroplasticity are often at depths TPS reaches more effectively.

Chronic centralized pain. Central sensitization involves deep pain-processing structures — anterior cingulate cortex, insula, thalamic pain pathways — at depths that require TPS rather than TMS for direct stimulus.

For Patients Who Have Already Tried TMS

Patients who have completed TMS treatment with partial or no response represent a significant referral population for EXO Mind TPS. The mechanistic explanation is straightforward: if the therapeutic target for your condition involves deep structures that TMS cannot reach, TPS may produce outcomes that TMS was structurally incapable of generating — regardless of the quality of the TMS protocol.

Doctor Frazier specifically evaluates TMS non-responders to determine whether the failure of TMS response is explained by depth limitations (making TPS a reasonable next step) or by other factors (making other interventions more appropriate).

My doctor has recommended TMS for my depression. Should I try TMS first or come to you for TPS first?

If your depression meets TMS FDA clearance criteria and your insurance covers TMS, trying the FDA-cleared, covered treatment first is a reasonable clinical approach. Doctor Frazier does not discourage patients from pursuing TMS when it is clinically appropriate and accessible. If TMS produces adequate response, you have found your treatment. If TMS does not produce adequate response — or if access or coverage is an obstacle — a TPS consultation with Doctor Frazier is the next appropriate step. Come with your TMS history; it provides valuable clinical context for the evaluation.

EXO Mind TPS holds FDA clearance in the United States for anxiety, depression, and mental health. Other applications represent off-label use supported by clinical evidence. This content is for educational purposes only. All treatment decisions require individual clinical evaluation. Doctor Frazier is a Doctor of Chiropractic and functional medicine provider. Absolute Health, 193 E. 860 S., Orem, UT 84097 | 801-221-1151.

Frequently Asked Questions

Should I try TMS or EXO Mind TPS for my condition?

The answer depends entirely on which brain structures are the therapeutic target for your condition. TMS reaches 2–3 centimeters — appropriate for superficial cortex applications including primary depression and some OCD presentations. EXO Mind TPS reaches 8–10 centimeters — appropriate when the hippocampus, deep limbic system, or deep prefrontal structures are involved, as in TBI, Alzheimer's, treatment-resistant depression, and chronic pain.

Doctor Frazier is direct about this comparison. If your condition meets TMS FDA clearance criteria and insurance covers TMS, trying the covered treatment first is reasonable. If TMS has not produced adequate response, or if your condition involves deep structures that TMS cannot reach, EXO Mind TPS is the appropriate next evaluation. Bring your TMS history to the consultation — it provides valuable clinical context.

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If You Have Already Tried TMS — Bring That History

Doctor Frazier evaluates TMS non-responders specifically to determine whether TPS is the appropriate next step.

Absolute Health · 193 E. 860 S., Orem, Utah 84097
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EXO Mind TPS Brain Treatment in Orem, Utah: When You Need More Than What Has Been Offered So Far

Absolute Health has been providing advanced clinical care in Orem, Utah since 1997. Doctor Frazier's practice — built on the intersection of chiropractic structural medicine, functional medicine, and advanced therapeutic technology — has always been oriented toward one goal: finding what works for patients when the standard pathway has not been enough.

EXO Mind Transcranial Pulse Stimulation is the most advanced non-invasive brain treatment technology Doctor Frazier has added to that toolkit. It reaches 8–10 centimeters into brain tissue — accessing structures no other non-invasive technology can reach — and initiates the neuroplastic healing response that the conditions it treats most require.

If you or someone you love is in Orem or anywhere in Utah County and is navigating a neurological condition that has not responded to the treatments offered so far, this page is the starting point for understanding what EXO Mind can offer.

Conditions Treated with EXO Mind at Absolute Health, Orem

  • Traumatic brain injury and post-concussion syndrome — including symptoms persisting years after injury
  • Alzheimer's disease and other dementias — cognitive support, slowing of decline, quality-of-life improvement
  • Treatment-resistant depression and anxiety — when medications have not produced adequate response
  • Stroke recovery — neuroplasticity support beyond the standard rehabilitation window
  • Chronic neurological pain — central sensitization, CRPS, neuropathic pain, fibromyalgia
  • Addiction and compulsive thought patterns — neurological support for recovery programs

Why Doctor Frazier's Orem Practice Produces Different Outcomes

Most clinical practices offering EXO Mind TPS deliver it as a standalone service. Doctor Frazier delivers it within a full-stack functional medicine framework — evaluating and addressing the hormonal status, neuroinflammatory load, gut-brain axis function, and structural transmission variables that determine how completely the brain responds to TPS.

This is not a standard of care in the TPS market. It is the standard Doctor Frazier has applied to every neurological patient at Absolute Health for nearly three decades — and it produces outcomes that standalone TPS cannot match.

About Absolute Health, Orem

Absolute Health is located at 193 E. 860 S., Orem, Utah 84097. The practice serves patients from throughout Utah County — Orem, Provo, Lindon, Vineyard, Pleasant Grove, Lehi, American Fork, Spanish Fork, Payson, and beyond — and from Salt Lake City and the broader Wasatch Front. Doctor Frazier also sees patients who have traveled from other states specifically for the combination of clinical capabilities available at Absolute Health.

In addition to EXO Mind TPS, Absolute Health offers BTL Emsculpt NEO, BTL Emsella, and the full-stack functional medicine services that support every treatment Doctor Frazier provides.

How do I book an EXO Mind consultation in Orem?

Call 801-221-1151 or use the online booking form on the practice website. Most new patients are seen within one to two weeks of their initial contact. The consultation is the first appointment — a thorough clinical evaluation that determines candidacy, protocol design, and realistic outcome expectations for your specific condition.

Do I need a referral from my doctor?

No referral is required. Patients contact Doctor Frazier's practice directly. If your physician, neurologist, or specialist has been involved in your condition, their records and notes are useful context for the consultation — but they are not a gating requirement for scheduling or proceeding.

Condition-Specific Pages

EXO Mind TPS holds FDA clearance in the United States for anxiety, depression, and mental health. Other conditions represent off-label use supported by clinical evidence and European regulatory approval. This content is for educational purposes only. All treatment decisions require individual clinical evaluation. Doctor Frazier is a Doctor of Chiropractic and functional medicine provider. Absolute Health, 193 E. 860 S., Orem, UT 84097 | 801-221-1151.

Frequently Asked Questions

Where can I get EXO Mind TPS treatment near Provo, Utah?

EXO Mind TPS clinical treatment is available at Absolute Health in Orem, Utah — 10 to 15 minutes north of Provo on State Street or University Avenue. Doctor Frazier serves all of Utah County including Provo, Orem, Lindon, Vineyard, and Pleasant Grove. No referral is required. Call 801-221-1151 to schedule your initial evaluation.

Absolute Health is located at 193 E. 860 S., Orem, Utah 84097 — centrally positioned in Utah County to serve patients from throughout the region. Doctor Frazier offers the complete EXO Mind clinical program including full-stack functional medicine evaluation, not just standalone TPS sessions — which produces meaningfully better clinical outcomes than the technology delivered in isolation.

Schedule at Absolute Health — 801-221-1151

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193 E. 860 S., Orem, Utah 84097 · Serving all of Utah County.

Absolute Health · 193 E. 860 S., Orem, Utah 84097
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EXO Mind TPS Brain Treatment Near Provo, Utah: Advanced Neurological Care a Short Drive from Home

Provo patients looking for advanced non-invasive brain treatment do not need to travel to Salt Lake City or beyond. Doctor Frazier's practice is in Orem — a straightforward 10 to 15 minute drive north on State Street or University Avenue — and offers EXO Mind Transcranial Pulse Stimulation, one of the most advanced neurological treatment technologies available outside of academic medical centers.

Provo has a large, diverse patient population with significant neurological treatment needs: BYU and UVSC athletic programs producing TBI and concussion cases; a large older adult and family population navigating dementia, depression, and chronic neurological conditions; and a broadly health-conscious community that actively seeks options beyond what standard clinical pathways offer.

Doctor Frazier's Orem practice serves all of them — with the same clinical depth and full-stack functional medicine approach that has defined Absolute Health since 1997.

Conditions Treated for Provo Patients

Doctor Frazier treats Provo patients navigating the same neurological conditions he serves throughout Utah County:

  • TBI and post-concussion syndrome — including sports-related concussion from BYU, UVSC, and high school athletic programs
  • Alzheimer's disease and other dementias — serving the significant older adult population in south Provo and surrounding areas
  • Treatment-resistant depression and anxiety
  • Stroke recovery — neuroplasticity support for Provo patients managing post-stroke deficits
  • Chronic neurological pain
  • Addiction and compulsive thought patterns

Sports Concussion in Provo — A Specific Note

Provo's concentration of high-level athletic activity — BYU football, wrestling, rugby, basketball, and the broad high school athletics population — produces a substantial local concussion burden. Many Provo athletes and former athletes are managing post-concussion symptoms that have persisted beyond the standard recovery window.

Doctor Frazier's TPS protocol for post-concussion syndrome has specific relevance for this population: it reaches the hippocampal and deep white matter structures where sports concussion damage often occurs but standard imaging does not detect, and initiates the neuroplastic repair process that the standard 'rest and wait' protocol does not provide.

How far is Doctor Frazier's practice from Provo?

Approximately 10 to 15 minutes north of central Provo via State Street or University Avenue. The practice is located at 193 E. 860 S., Orem, UT 84097 — just north of where Provo meets Orem. Exact directions and parking information are on the practice website.

I am a BYU athlete with lingering concussion symptoms. Is this appropriate for me?

Post-concussion syndrome in student-athletes is one of the conditions Doctor Frazier specifically treats. The evaluation is the appropriate first step — Doctor Frazier reviews your injury history, your current symptom profile, and your BYU athletic training and medical team's assessment before designing a protocol. He also coordinates with athletic medicine staff when appropriate and helpful.

Condition-Specific Pages

EXO Mind TPS holds FDA clearance in the United States for anxiety, depression, and mental health. Other conditions represent off-label use supported by clinical evidence and European regulatory approval. This content is for educational purposes only. All treatment decisions require individual clinical evaluation. Doctor Frazier is a Doctor of Chiropractic and functional medicine provider. Absolute Health, 193 E. 860 S., Orem, UT 84097 | 801-221-1151.

Call Absolute Health — 801-221-1151

Serving Provo Patients from Orem

193 E. 860 S., Orem, Utah 84097 · 10–15 minutes north of central Provo.

Absolute Health · 193 E. 860 S., Orem, Utah 84097
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EXO Mind TPS Brain Treatment Near Lehi and American Fork: Advanced Neurological Care in Reach for North Utah County

North Utah County — Lehi, American Fork, Pleasant Grove, and Vineyard — has experienced some of the most rapid residential growth in the state. The medical infrastructure in this corridor, however, has not kept pace with the clinical needs of its expanding population. Specialized neurological treatment options are limited, and patients who need advanced brain care have historically had to travel to Salt Lake City or further.

Doctor Frazier's Orem practice is 20 to 25 minutes south — accessible via I-15 — and offers EXO Mind TPS, one of the most advanced non-invasive neurological treatment technologies available in Utah. For north county patients navigating TBI, Alzheimer's, treatment-resistant depression, stroke recovery, chronic pain, or addiction, this is the closest access point to clinical capabilities that are not available at a comparable level anywhere between Lehi and Salt Lake City.

The North County Patient Profile

Lehi and the tech corridor along I-15 have attracted a significant professional and entrepreneurial population in their 30s, 40s, and 50s — a demographic with specific neurological needs: stress-driven neurological conditions, the cognitive impact of high-performance professional demands, TBI from active recreation, and the early presentations of conditions that benefit most from early intervention.

American Fork, Pleasant Grove, and Vineyard have large family populations with high birth rates and significant pediatric and young adult neurological needs — including sports concussion, ADHD and neurodevelopmental conditions, and the anxiety and depression presentations that are prevalent in young adults in the region.

Doctor Frazier evaluates and treats patients across this full age and presentation range.

Conditions Treated for North Utah County Patients

  • TBI and post-concussion syndrome — including youth and adult sports concussion from north county athletic programs
  • Alzheimer's disease and dementia — serving the growing older adult population in north county communities
  • Treatment-resistant depression and anxiety — including presentations in young adults and professionals
  • Stroke recovery
  • Chronic neurological pain — including patients in the tech workforce with stress-driven chronic pain presentations
  • Addiction and compulsive thought patterns

How do I get to Absolute Health from Lehi or American Fork?

From Lehi: approximately 20–25 minutes south on I-15 to the Orem exits. From American Fork: approximately 15–20 minutes south on I-15. The practice address is 193 E. 860 S., Orem, UT 84097. Directions and parking details are on the practice website.

My child was recently concussed in a high school sport. When is the right time to schedule a consultation?

Doctor Frazier evaluates post-concussion patients at any stage after injury. For acute concussion (within the first 72 hours), the standard initial management protocol from the student's athletic trainer and physician should be followed first. For patients with symptoms persisting beyond two to four weeks, a consultation with Doctor Frazier is appropriate. For patients with chronic post-concussion symptoms of months or years, the sooner the consultation the better — the neuroplastic window for recovery does not close, but earlier intervention typically produces more complete outcomes.

Condition-Specific Pages

EXO Mind TPS holds FDA clearance in the United States for anxiety, depression, and mental health. Other conditions represent off-label use supported by clinical evidence and European regulatory approval. This content is for educational purposes only. All treatment decisions require individual clinical evaluation. Doctor Frazier is a Doctor of Chiropractic and functional medicine provider. Absolute Health, 193 E. 860 S., Orem, UT 84097 | 801-221-1151.

Call Absolute Health — 801-221-1151

Serving North Utah County from Orem

193 E. 860 S., Orem, Utah 84097 · 15–25 minutes south of Lehi.

Absolute Health · 193 E. 860 S., Orem, Utah 84097
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EXO Mind TPS Brain Treatment Near Spanish Fork and Payson: Advanced Neurological Care Within Reach of South Utah County

South Utah County communities — Spanish Fork, Payson, Springville, Salem, Santaquin — have historically had the most limited access to specialized neurological care within Utah County. Patients who need treatment beyond what primary care and regional hospital services provide have faced long drives to Salt Lake City or a narrowed range of options that does not include advanced brain stimulation technology.

Doctor Frazier's Orem practice is 20 to 30 minutes north — accessible via US-6 or I-15 — and provides EXO Mind TPS, the most advanced non-invasive brain treatment technology available in the region. For south county patients who have been told 'there's nothing more we can do,' this is the clinical resource that is closest to home and that offers something meaningfully different from what has been tried.

The South County Clinical Picture

Spanish Fork, Payson, and neighboring communities share characteristics that create specific neurological care needs. Older adult populations managing dementia and Alzheimer's disease in communities with limited specialist access. Agricultural and rural occupational TBI risk. Veterans and former military personnel with TBI, chronic pain, and treatment-resistant mental health presentations. Families managing chronic neurological conditions without nearby access to advanced treatment.

Doctor Frazier's clinical experience with this patient profile spans nearly three decades. He understands the combination of clinical need and limited local access that characterizes south county neurological patients — and his evaluation approach is designed for patients who arrive with complex histories and significant prior treatment attempts.

Conditions Treated for South Utah County Patients

  • TBI and post-concussion syndrome — including veterans, agricultural workers, and recreational injury presentations
  • Alzheimer's disease and dementia — serving families managing neurodegeneration in communities with limited specialist resources
  • Treatment-resistant depression and anxiety — patients who have tried multiple medications without adequate response
  • Stroke recovery — post-acute and chronic phase neuroplasticity support
  • Chronic neurological pain — including rural occupational and injury-related chronic pain presentations
  • Addiction and compulsive patterns — neurological support for recovery in communities with limited specialized addiction services

Getting to Absolute Health from Spanish Fork and Payson

From Spanish Fork: approximately 20 minutes north on US-6 to the Orem area. From Payson: approximately 25–30 minutes north on I-15. Sessions are 20 minutes each. A standard six-session protocol involves six visits over two weeks — most patients structure these around existing errands or work schedules to minimize the impact of the drive.

There is no preparation before sessions and no recovery time after. South county patients drive directly from their session back to their regular day.

I want to schedule a consultation for my parent who lives in Payson but I am the primary caregiver. Can I attend with them?

Yes — and Doctor Frazier specifically encourages primary caregivers to attend initial consultations with family members who have Alzheimer's, dementia, or significant cognitive impairment. The clinical conversation involves the caregiver as much as the patient. Bring your family member's medical records, medication list, and a clear description of their current functional status and what you have observed changing. Doctor Frazier will give you both an honest, thorough assessment.

Same-day consultation and first session — is that possible for patients coming from further away?

In some cases, yes. For south county patients who want to minimize total trips, Doctor Frazier can structure a same-day consultation and first TPS session for confirmed candidates when scheduling allows. Mention this preference when booking — the scheduling team will do their best to accommodate it.

Condition-Specific Pages

EXO Mind TPS holds FDA clearance in the United States for anxiety, depression, and mental health. Other conditions represent off-label use supported by clinical evidence and European regulatory approval. This content is for educational purposes only. All treatment decisions require individual clinical evaluation. Doctor Frazier is a Doctor of Chiropractic and functional medicine provider. Absolute Health, 193 E. 860 S., Orem, UT 84097 | 801-221-1151.

Call Absolute Health — 801-221-1151

Serving South Utah County from Orem

193 E. 860 S., Orem, Utah 84097 · 20–30 minutes north of Spanish Fork.

Absolute Health · 193 E. 860 S., Orem, Utah 84097
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