Neurosurgeon Dr. Teo joins Michael and Kelly to challenge the “pineal cysts are always asymptomatic” dogma. He recounts the serendipity that led him to operate, why some patients improve after surgery, and how mechanical explanations (aqueduct and venous compression) can account for headaches, neuro/visual issues—and even severe psychiatric symptoms. Dr. Teo also discusses peer pushback, litigation fears, and the need for careful consent with a skilled pineal-region surgeon. The conversation acknowledges alternate hypotheses (including hormonal theories), highlights progress since the Human Connectome Project, and shares practical guidance for patients seeking help.If you’ve been told “it’s all in your head,” this one is for you.

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