Perimenopause brain fog is real, measurable and usually time-limited. What the SWAN and KEEPS trials found, and what no supplement has shown.
CoQ10 has eight human cognitive trials, about half of them null, and its biggest high-dose neurological trial was stopped for futility.
Cocoa flavanols and memory: COSMOS tested 500 mg a day for three years in over 5,700 people and found no cognitive effect at all.
Vitamin D and cognition: observational studies link low levels to dementia risk, but randomized trials including VitaMIND found no cognitive benefit.
Folate and B vitamins did not slow cognitive aging across 11 trials and 22,000 people, but one subgroup with high homocysteine did benefit.
Two prevention trials of ginkgo, GEM and GuidAge, enrolled almost 6,000 people between them over five to six years. Neither reduced dementia.
Racetams, noopept and phenibut are not lawful US dietary ingredients. FDA has issued warning letters, and one analysis found five such drugs in supplements.
FDA concluded vinpocetine is not a lawful dietary ingredient and warned women of childbearing age to avoid it. Here is the documentation.