For Referring Physicians
The lifestyle, nutrition, and supplementation layer most neuropathy patients never get — built by a peripheral nerve surgeon.
Most physicians managing neuropathy patients are excellent at diagnosis and pharmacologic management. Few have the bandwidth — or formal training — to build integrated lifestyle, nutrition, and supplementation protocols around the underlying nerve biology. That's the layer I fill.
My adjunct work centers on the NeuroAxis Protocol — a clinical framework I developed that integrates three modifiable pillars (lifestyle intervention, targeted nutrition, evidence-based supplementation) into a single, individualized plan designed to optimize the metabolic and biochemical environment for nerve function. You retain the patient. I fill the gap.
Credentials
Michael Fitzmaurice, MD, MS
- Fellowship-trained peripheral nerve microsurgeon
- 15+ years in peripheral nerve surgery
- 3,000+ nerve procedures performed
- Master of Science, Biomedical Science
- Fellowship — Longevity & Anti-Aging Medicine (A4M)
- Fellowship — Stem Cell & Regenerative Medicine (A4M)
- Background in exercise physiology
- Two peer-reviewed publications on nerve-supportive nutrient formulation
The Clinical Framework
The NeuroAxis Protocol
An integrated adjunct protocol built around three pillars that standard nerve management often leaves untouched. Each pillar is individualized to the patient's diagnosis, metabolic profile, and stage of recovery.
- Lifestyle intervention — structured activity prescription informed by exercise physiology, sleep and recovery optimization, and modifiable risk factor reduction
- Targeted nutrition — metabolic and nutritional strategies addressing insulin resistance, inflammation, and the substrate requirements of nerve repair and remyelination
- Evidence-based supplementation — individualized nutrient protocols grounded in the peer-reviewed literature on nerve health, mitochondrial function, and neuroinflammation
The framework draws on my background in peripheral nerve surgery, exercise physiology, and fellowship training in Longevity / Anti-Aging Medicine and Regenerative Medicine through the American Academy of Anti-Aging Medicine (A4M).
Patient Populations
Patients best suited for the protocol
- Diabetic and pre-diabetic peripheral neuropathy patients needing structured metabolic optimization
- Idiopathic peripheral neuropathy where workup is complete and standard care has plateaued
- Chemotherapy-induced peripheral neuropathy patients in active or post-treatment phases
- Post-surgical nerve recovery patients (decompression, repair, graft) seeking recovery-phase support
- Patients with metabolic syndrome, insulin resistance, or visceral adiposity contributing to neuropathic risk
- Patients over 40 with stalled fat loss, sarcopenia, or age-related metabolic decline affecting nerve health
- Patients seeking a structured second-opinion review of their existing nerve-supportive lifestyle and nutritional approach
Scope of Practice
How my role fits alongside yours
What I do
- Build the lifestyle, nutrition, and supplementation layer most physicians don't have time to structure
- Apply the NeuroAxis Protocol to the patient's specific diagnosis and metabolic profile
- Use exercise physiology principles to program activity and recovery for neuropathy and post-surgical patients
- Translate the peer-reviewed literature on nerve-supportive nutrients into a practical, individualized regimen
- Report back to the referring physician on protocol structure and meaningful clinical changes
What I don't do
- Prescribe medication or modify the patient's existing pharmacologic regimen
- Order imaging, EMG/NCS, or laboratory workup — I work from records you provide
- Replace the primary treating neurologist, endocrinologist, PCP, or surgeon
- Perform surgical consultation or operative planning through this referral pathway
- Make diagnostic determinations — my role is adjunct optimization, not primary diagnosis
Referral Process
How a referral works
Start with a 30-minute peer case discussion — book a time below and send relevant records ahead of the call. We'll review the case together, I'll outline what the NeuroAxis Protocol would look like for your patient, and you'll have a clear picture of fit before any handoff. If we proceed, the patient is scheduled directly, I report back to you on the protocol and meaningful clinical changes, and you remain the primary point of care throughout.
Schedule a Case Discussion
Book a 30-minute peer call
No-cost, physician-to-physician. Discuss a specific patient or get a feel for whether the adjunct pathway fits your practice.
Book a 30-Min Case Discussion