Scope of Work

Clinical Contexts

CIBNA undertakes high-depth analytical work in complex clinical contexts where symptoms persist, interpretations diverge, or standard medical pathways fail to provide clarity.


The domains below reflect the types of clinical situations we analyze.
They do not represent medical treatment, therapeutic services, or disease-specific care.

Complex & Unresolved Clinical Situations

  • Persistent symptoms with inconclusive, incomplete, or conflicting findings
  • Long diagnostic histories without a unifying explanatory framework
  • Cases involving multiple specialists and fragmented interpretations
  • “Everything appears normal” scenarios with ongoing functional impairment
  • Situations requiring advanced synthesis across clinical history, laboratory data, and physiological patterns

Systemic Neuro-Metabolic & Regulatory Complexity

  • Multisystem clinical presentations involving neurological, metabolic, immune, and regulatory domains
  • Conditions in which symptoms shift across systems over time rather than remaining localized
  • Chronic or progressive states with unclear internal structure despite extensive evaluation
  • Disrupted physiological adaptability, recovery capacity, and long-term resilience
  • Clinical contexts where system-level dysregulation cannot be explained by isolated organ pathology

Neurofunctional & Regulatory Instability

  • Episodic or fluctuating neurological symptoms without clear structural explanation
  • Paroxysmal, seizure-like, or transient neurological events with inconclusive findings
  • Autonomic and regulatory instability affecting energy, cognition, and stress tolerance
  • Central fatigue, cognitive overload, and reduced functional reserve
  • Contexts suggesting disruption of regulatory coordination rather than focal disease

Sleep & Circadian Regulation

  • Persistent difficulty initiating or maintaining sleep
  • Night awakenings, early awakenings, and non-restorative sleep
  • Sleep–energy dysregulation affecting cognition, mood stability, and daytime function
  • Sleep disruption occurring alongside neurofunctional, metabolic, or systemic complexity

Neurodevelopmental & Pediatric Case Contexts

  • Non-standard developmental trajectories and regulatory divergence
  • Behavioral, sensory, and adaptive instability in childhood
  • Pediatric complexity following infections, medications, or systemic stressors
  • Autism-related analytical contexts where families seek deeper integrative interpretation
  • Multisystem pediatric presentations requiring high-depth, cross-domain analysis

Hematological & Oxygen Transport Complexity

  • Persistent anemia-like presentations with paradoxical or inconclusive laboratory findings
  • Lack of sustained response to standard, single-parameter interventions
  • Discordance between hematological markers and clinical symptoms
  • System-level patterns affecting oxygen delivery, energy availability, and resilience

Metabolic & Cardiovascular Risk Contexts

  • Persistent lipid profile abnormalities with unclear drivers
  • Discordance between cholesterol markers and overall clinical presentation
  • Long-term cardiovascular and metabolic risk assessment in complex cases
  • System-level metabolic regulation patterns requiring integrated interpretation

Physician-Supported Analytical Review

  • Second-opinion analytical synthesis for complex or unresolved cases
  • Advanced differential interpretation across biochemical, neurofunctional, and genomic data
  • Literature-informed analytical review where clinical narratives diverge
  • Analytical support to clarify patterns and inform further clinical decision-making

Developmental, Resilience & Long-Term Health Architecture

  • High-depth analytical evaluation of biological architecture in the absence of overt disease
  • Identification of developmental, metabolic, and neurofunctional vulnerability patterns
  • Strategic analysis of long-term adaptability, resilience, and physiological reserve
  • Early identification of system-level constraints affecting future health trajectories
  • Analytical support for informed long-term health and aging strategies in complex profiles

Important Notice

CIBNA does not provide medical treatment or clinical care.
All work is conducted as high-depth analytical interpretation to support clinical decision-making by treating physicians and informed individuals.