While experts are uncertain if brain fog—the diminished ability to focus or multitask—has been on the rise, Google searches this common symptom of long COVID have been skyrocketing.
While brain fog can be caused by long COVID , that's not the only condition it can be symptomatic of.
The first thing to know is that brain fog is a symptom (like fatigue), not a health condition, disorder, or disease (like diabetes ).
“Brain fog is not a disease,” says Parsley Health's Dr. Nisha Chellam . “It is a symptom of an underlying condition.”
“Brain fog is multifactorial,” says Parsley Health's Dr. Ruvini Wijetilaka , which means it could be caused or exacerbated by a variety of factors. “It could happen because your gut health isn’t optimal or your nutrition isn’t up to par. Lack of movement can also contribute to brain fog. We’ve also been seeing post-viral brain fog, AKA long COVID.”
"Changes in the brain or its function are related to inflammation, poor blood flow, and lack of energy," says Dr. Chellam.
You should uncover the underlying cause of brain fog before you and your healthcare provider choose a medical course of action, says Dr. Chellam. "Given the varying causes of brain fog, it's good to get testing done.”
In the meantime, there are lots of things you can do to support your cognitive health—including changing how you eat.
Inflammation, one of the multifactorial causes of brain fog, can be caused by certain foods. To reduce inflammation, limit or avoid inflammatory foods like gluten, dairy, ultra-processed foods, and foods with a lot of sugar.
While eliminating all inflammatory foods may not be an option, taking steps can have a big impact—and it's never a bad thing to become more in tune with how your body responds to what you eat.
"Be intuitive about your body," says Dr. Chellam. “For example—toast with orange juice can make brain fog worse. You may feel better initially, but then crash."
If you suspect certain foods are causing a reaction, a food diary is a great way to keep track. Pay close attention to patterns that arise over time. "Sometimes a food reaction can take up to 72 hours to show up as a problem," says Dr. Chellam.
“Alcohol is never a good option for the brain,” says Dr. Chellam. “Studies have shown that even one glass of alcohol can be detrimental. It is worse in people who have genetic traits to not detox alcohol well.”
As for your morning cup of coffee, Dr. Wijetilaka suggests swapping to a lower-caffeine option or trying out alternatives, like mushroom coffee. “Responses to caffeine are based on genetics," she says. "If you are a poor metabolizer of caffeine, you can have associated brain fog with increased anxiety."
Dr. Chellam reiterates that many different things can cause brain fog, so knowing the root cause is important.
“Some people just need nutrients to, like B complex or vitamin D or omega 3, to resolve their brain fog" says Dr. Chellam. "Others will need to have their gut evaluated and treated. Still others will need infections treated or hormones replaced."
"I like to use nootropics to help with brain health,” adds Dr. Wijetilaka.
As always talk, to your doctor before trying a new supplement—taking the wrong supplement can won't help your brain fog, and can even be a health risk.
“Addressing brain fog is both a science and an art,” says Dr. Chellam. Getting an accurate cause of the brain fog through talking with their clinician and testing will determine the supplements an individual needs.
While there are things you can do on your own—like eating the right foods—you won’t know the root cause of your brain fog without medical support.
Parsley Health is the doctor that helps you live healthier, longer, by treating the root cause of symptoms and conditions. Our medical teams—staffed by leading clinicians and health coaches—spend more time with you, order the right tests, and prescribe food, sleep and movement alongside medications so you can get better—and feel better.
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