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©Julie Matthews/Nourishing Hope • NourishingHope.com

JulieMa)hews,CNCJulie Matthews is not a physician. She does not diagnose or treat disease. This information and her statements are not intended to replace a one-on-one relationship with a qualified health-care professional, and is not intended to provide medical advice. For medical advice, always seek a physician. This information is intended for educational purposes only, and is solely as a sharing of knowledge and information based upon the experience and research of Julie Matthews/Nourishing Hope.

Nourishing Hope for Autism Food & Nutrition MATTER

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to Improve Autism and ADHDü GFCFStep-by-StepSuccessGuideü MyTop12Recipes..andmore

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Nourishing Hope Agenda • WholeBodyDisorders• FoodsandIngredientstoAvoid&Nutrient-DenseFoodstoAdd

• Specialdiets:GFCF,SCD/GAPS,lowoxalateandmore

• ReviewofDr.JamesAdamsrecentstudyonGFCFDietandSupplementa.on

• HelpingpickyeatersText “HOPE” to 415-212-6299

Autism is a neurological condition

– body chemistry

influences brain chemistry.

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Body’s Effect on Brain ADHD • Autism • Asthma • Allergies • Anxiety

IMMUNE

Gut Inflammation Poor pathogen fighting

Food sensitivities

DIGESTION

Leaky gut Dysbiosis

Less nutrient absorption

DETOXIFICATION

Decreased detoxification Food additives

NEUROLOGY

Brain Inflammation Opiates

Microbial toxins Neurotransmitters

Nutrient deficiencies

Biochemistry


Effects of Faulty Biochemistry in Autism

To work properly, biochemical pathways

require nutrients…

that come from…

WHAT WE EAT

As you improve the body and its systems…

you support improved health,

learning and behavior.

Guthasconstantcontactwithfood•  Immune:

–  Physicalbarrierofdefenseagainstbacteria,viruses,etc.–  Largestpartoftheimmunesystem(70%)foundinthegut

•  Neurotransmi[ers:–  Thegreatestamount(90%)ofthe“brainchemical”serotoninisfoundintheGItract

–  Aminoacids(absorbedfromproteindiges.on)areprecursorsforneurotransmi[ers

•  Fullbodyfunc.on:–  Vitamins/mineralsabsorbedinthegutarecofactorsforenzymereac.ons,metabolism,conversionofnutrientsandfat

Importance of GI Health “Alldiseasebeginsinthegut”

-Hippocrates,thefatherofmodernmedicine

How Diet Can Help - Support Digestion & Biochemistry •  LeakyGutandGutInflamma:on

q  Removefoodsthatinflamegutq  Addfoodsthatreduceinflamma.onandhealthegutq  Addfoodsthatsupplybeneficialbacteria

•  NutrientDeficienciesq  Increasethequalityoffoodanddiges.bility

•  YeastOvergrowthq  Removesugarsq  Reducerefinedflourproductsandstarchesq  Addprobio.c-richfoods

•  ToxicityandPoorDetoxifica:onq  Avoidfoodaddi.vesq  Avoidtoxinsinfoodsupplyandmealprepara.on

•  FaultyMethyla:onandSulfa:onq  Removephenolicfoodsq  Improvemethyla.onandsulfa.onthroughsupplementa.on

• Gastrointes.nalproblemsrelieved• Diarrhea&cons.pa.onlessens•  Improvedlanguageskillsandlearning• Greaterfocusanda[en.on•  Reducedhyperac.vity•  Eyecontact• Moreappropriatebehavior•  Be[ersleeping•  Easiertoilettraining•  Skinrashesoreczemaclearup

ü GeneralHealth&HappinessImproved

What Parents Report with Dietary Intervention


Healing Diets

Remove:Avoidoffendingfoodsandsubstances– Ar.ficialaddi.ves– Gluten,casein,soy,corn,phenols,oxalates,starches

Replenish:Increasehealthyfoods– Wholeandunprocessedfoods(sweetpotatoesnotpotatochips)– Organicandlocallygrown– Fermentedfoods:richinprobio.cs– Grass-fed/pasturedmeatandeggs– Goodfats

Nourishing Hope - Contents

Holistic Nutrition Approach

*From Nourishing Hope for Autism

STEP 1



AVOID Top 7 Things to Get Out of the Diet

•  Foodaddi.vescancause:Hyperac.vity*,ina[en.veness,aggression,irritability,headaches/pain,triggerasthma,canbeaddic.ve

*McCann D, Barrett A, Cooper A, Crumpler D, Dalen L, Grimshaw K, Kitchin E, Lok K, Porteous L, Prince E, Sonuga-Barke E, Warner JO, Stevenson J. “Food additives and hyperactive behaviour in 3-year-old and 8/9-year-old children in the community: a randomised, double-blinded, placebo-controlled trial.” Lancet. 2007 Nov 3;370(9598):1560-7

Ingredients to Avoid Sources Food additives: Artificial colors/flavors and preservatives, Nitrite and sulfites

candy, cereal, “kids’ foods Bacon/lunch meat, dried fruit/wine

MSG (hydrolyzed protein, yeast extracts) broth, bullion, soup, meat-flavored foods

Pesticides non-organic produce and meat

Aspartame and other artificial sweeteners Sodas, candy, and other foods

Trans fats partially hydrogenated oil, commercial margarine, mayonnaise, peanut butter

(Added) Sugar Sugary foods, high fructose corn syrup

Food allergens Gluten, dairy, eggs


STEP 2



• AVOIDchemicalsinthefoodweeat,ANDfromourhomeandenvironment

• Room“freshener,”fragranceandperfume•  Flameretardantincarseats&clothing•  Fabricsogener• Chemicalcleaners•  Sunscreens(nanoandchemical)•  Toothpaste•  Fleatreatmentsandantsprays•  Foodsupply:Ar.ficialaddi.ves,cookwareandstoragecontainers

Common Household Toxins Holistic Nutrition Approach

STEP 3


Nutrient Deficiencies in Autism

• Magnesium,calcium,zinc,selenium,iron• VitaminB6,B12,folicacid,B1,B2,B3,bio.n• VitaminDandA• VitaminC• Omega3fa[yacids• Aminoacids:glutathione,cysteine,l-carni.ne,taurine,andglycine

Food vs. Supplements

• Foodisthefounda.onforgejngpropernutri.on.

–  Foodhasphytonutrients,enzymes,probio.csandothercompoundsneededforgoodhealth

• However,formostchildren,addi.onalsupplementa.onmayberequired

– Amul.vitamin/mineralformulahelpsensureallchildrenmeetminimumrequirements

–  Specialdietsmaylimitintakeofcertainnutrients(likecalciumonadairy-freediet),supplementalnutrientsmaybeneeded

–  Forgene.c/biochemicalreasons,certainac.veformsorhigheramountsmaybenecessary

First 9 Supplements to Consider 1.  Diges.veEnzymes2.  Probio.cs3.  B12-methylcobalamin4.  Folate-Folinicor5-MTHF5.  B6-pyridoxineorP5P6.  Magnesium7.  Calcium8.  Codliveroilorfishoil9.  Mul.vitamin/mineralformula


STEP 4



Children Cannot Live on Junk Food •  Boywithau.smhospitalized-limpandseverepainwithwalking,cough,tachypnea,hypoxia,andtachycardia-diagnosedwithpulmonaryhypertension.

•  Theboyateonlychickennuggets,crackers,cookiesandwater.Hewouldnoteatfruits,vegetables,juice,orvitamins.

•  Foundtohave“undetectable”levelsofvitaminC,lowvitaminB1,B6,B12,andvitaminD.

•  Oncenutrientlevelswerereplenished,metabolicbonediseaseandpulmonaryhypertensionwerereversed–andahealthyboyrevived.

Ø Goodnutri.onisessen.al,evenwithapickyeaterDuvall, Melody G., et al. “Pulmonary Hypertension Associated With Scurvy and Vitamin Deficiencies in an Autistic Child.” Pediatrics 132.6 (2013): e1699-e1703.

Children Cannot Live on Junk Food •  Boywithau.smhospitalized-limpandseverepainwithwalking,cough,tachypnea,hypoxia,andtachycardia-diagnosedwithpulmonaryhypertension.

•  Theboyateonlychickennuggets,crackers,cookiesandwater.Hewouldnoteatfruits,vegetables,juice,orvitamins.

•  Foundtohave“undetectable”levelsofvitaminC,lowvitaminB1,B6,B12,andvitaminD.

•  Oncenutrientlevelswerereplenished,metabolicbonediseaseandpulmonaryhypertensionwerereversed–andahealthyboyrevived.

Ø Goodnutri:onisessen:al,evenwithapickyeater

The Nourishing Hope Food Pyramid

Animal Protein

Protein •  Protein(essen.alaminoacids)buildingblocksfor:

– Muscleand.ssuegrowthandrepair,neurotransmi[ers,immuneresponses,enzymes,detoxifica.on

• Ogenneedtofocusongejngmoreindiet•  Someproteinateachmeal•  Bioindividuality-amountsvary.

–  Somekidsneedmore,somechildrencannotprocessproteinwell:Highammonia,lowHCl,lowzinc,B6,oriron

•  Animalproteiniseasiertodigestandhasmoreconcentratedamountsofproteinforchildreninneedofhealing

Animal Protein

• RedMeat

• BoneBroths

• Fish

• OrganMeats

• Poultry

• Eggs

• Dairy(op.onal)


Vegetables Vegetables •  Leafygreen•  Redvegetables•  Orange/yellowvegetables•  Purplevegetables•  Greenvegetable(greenbeans,celery,fennel)•  Cruciferousvegetables•  Sulfur-Rich/ImmuneSuppor.ve•  Fermentedvegetables•  Starchytubers(op.onal)•  Somepeopleavoidhighsalicylateandhighoxalatevegetables

Fats / Oils Fats / Oils

• Fishoil:Salmon,sardines,fisheggs/salmonroe,codliverandfishoilsupplements

• Plantoils:Oliveoil,avocados,nuts/seeds• Plantsaturatedfats:coconutoil,palmoil,macadamianuts

• Animalfats:lardandbacon(pork),tallow(beef),chickenfat(Pasturedsources)

• Dairyfat:casein-freeghee(Grass-fedsources)• AVOIDVegetableoil:canola,safflower,corn,soy,andco[onseedoils

Fish Oil Studies •  BrainDevelopment1•  Au.sm2

•  ADHD,3omega3deficiencyinADHD•  Speech,imita.on,coordina.on,eyecontact,behavior,sensoryissues4

•  Behavior,reading,spelling•  Inflamma.on•  Depression•  Heartdisease1. McCannJC,AmesBN.Isdocosahexaenoicacid,ann-3long-chainpolyunsaturatedfa[yacid,requiredfordevelopmentofnormalbrain

func.on?Anoverviewofevidencefromcogni.veandbehavioraltestsinhumansandanimals.AmJClinNutr2005;82:281-295.2.  Amminger,G.Paul,GregorE.Berger,MiriamR.Schäfer,ClaudiaKlier,MaxH.Friedrich,andMarthaFeucht."Omega-3fa[yacids

supplementa.oninchildrenwithau.sm:adouble-blindrandomized,placebo-controlledpilotstudy."Biologicalpsychiatry61,no.4(2007):551-553.

3.  StevensL,ZhangW,PeckL,etal.EFAsupplementa.oninchildrenwithina[en.on,hyperac.vity,andotherdisrup.vebehaviors.Lipids2003;38:1007-1021.

4.  ClaudiaMorrisandMarilynAgin.Syndromeofallergy,apraxia,andmalabsorp.on:Characteriza.onofaneurodevelopmentalphenotypethatrespondstoomega3andvitaminEsupplementa.on.Alterna:veTherapies.jul/aug2009,Vol.15,No.4

Saturated Fat VitalRolesofSaturatedFat•  Brain—Saturatedfatsimportantbraindevelopment

•  Bones–Saturatedfatshelpbodyputcalciuminbones

•  Liver–Saturatedfatsprotecttheliverfrompoisons

•  Lungs–Can’tfunc.onwithoutsaturatedfats—protectsagainstasthma

•  ImmuneSystem–Enhancedbysaturatedfats—fightsinfec.on

•  Essen.alFa[yAcids–Worktogetherwithsaturatedfats

Plant and animal saturated fat

Plant Animal Coconut Meat/fat Palm Eggs Macadamia Butter

Coconut Oil •  Contains many

antifungal and antiviral components

•  Anti-inflammatory effects

•  More easily digested and absorbed

•  Used immediately to create energy

•  Enhances absorption of minerals


Animal Fat •  Goodfats:

–  Monounsaturatedfat–  Essen.alfa[yacids–  Saturatedfat

•  Essen.alfatsolublevitamins:A,D,E,andK–  Assimila.onofminerals–  Importantforimmunefunc.on–  An.oxidantstatusoroxida.vestress–  Strongbones

•  Cholesterol–  Braindevelopmentandfunc.on–  Aidsdiges.on–  Buildsstrongbonesandmuscles,andRepairsdamaged.ssue–  Buildingblockforhormones–  Regulatesbloodsugar–  Protectsagainstinfec.ousdiseases–  Cholesterolisanac.vatorforoxytocinreceptorsinthebrain

The Foundations

Top Nutrition Boosters 4 Foundations from the Pyramid

• Grass-fedmeat• Brothandstock• Fermenta.ons• Juicing

Grass-fed/pastured Conven:onal• RichinVitaminA,D,andKandgoodfats

• Eggsfrompasturedhenshigheromega3/DHA*

• Meat-HigherinCLAandtryptophan

• Cream/bu[erhigherinvitaminsA&D

• Unhealthyanimals-poorfood• Inflammatorygrains-createinflammatoryfood

• LowVitaminsA&Dandothers• Higherinfats&cholesterol-par.cularlybadfats

• Higherinarachidonicacid(inflammatory)

• Lowinan.-inflammatoryfats

--Organicisnotnecessarilygrass-fed

Goodsourcesnearyou–checkoutWestonAPrice.orgchapterleaders* Lopez-Bote, C. J., R.Sanz Arias, A.I. Rey, A. Castano, B. Isabel, J. Thos (1998). "Effect of free-range feeding on omega-3 fatty acids and alpha-tocopherol content and oxidative stability of eggs." Animal Feed Science and Technology 72: 33-40.

Grass-fed/Pastured Animal Protein

Broths

• Providesnutrientsineasytoabsorbform• BoneBroths• Richingela.n,aminoacids,andminerals• VegetableBroths• Addingvegetablestobrothsincreasesthevitaminandmineralcontentofthebrothandaddsflavor

Fermented Foods Rich in Probiotics Dairy-free:•  Rawsauerkraut/Culturedvegetables•  Non-dairyyogurt•  Beverages(containyeastthatkillscandida):

• Kombucha• Youngcoconutkefir• “Sodas”(hibiscus/rosehipteawithkefirstarter)

Dairy:Milk-basedyogurt/kefir

Bacterialferments(Lactobacillus)

YeastandBacteriaferments

• Culturedvegetables• Yogurts

• Kefirs• Kombucha


Juicing

• Storedandpasteurizedjuicescontainsignificantlylessnutrients:zinc,iron,calcium,vitaminsB1,B5,andB6

• Freshandrawvegetablejuicecontainmany.mesmorevitamins&phytonutrientsthanbo[led

• Higherconcentra.onofnutrients–  Chlorophyllandphytonutrients

• Getnutrientswithoutneedingtoeat/chewvegetables

• Childrenthatlikeliquids,juicesandsmoothies

The Nourishing Hope Food Pyramid


STEP 5 Therapeutic Diets & BioIndividual Nutrition

Special Diets GFCF(Gluten-freeandCasein-free)Nogluten(wheat,rye,barley,spelt,kamut,andoats)orcasein(dairy)

FoodSensi:vityElimina:on/Rota:onElimina.ngallotherfoodsensi.vi.es:Soy,corn,eggs,citrus,peanuts,chocolate,canesugar

SCD(SpecificCarbohydrateDiet)/GAPSRestrictscarbohydratestoonlyfruits,non-starchyvegetables,andhoney.Nograins,starchyvegetables,ormucilaginousfiber

Paleo/PrimalBlueprintMeat,fruit,vegetables,fatandnuts.Nograinsorbeans.Ogenremovespotatoesanddairytoo.

LowOxalateDietRestrictshighoxalatefoods(nuts,beans,greens)

LowFODMAPSDietLowinfermentable,poorlyabsorbedcarbssuchasfructose,lactoseandFOS.

BodyEcologyDiet&otherYeastDietsAn.-yeastdietcombiningprinciplesofan.-yeastdietsincludingnosugar,acid/alkaline,fermentedfoods

Feingold/FAILSAFEDietsRestrictshighphenolicfoods,includingallar.ficialingredientsandhighsalicylatefruits(andmore)

WestonAPriceDietaryPrinciples:Solidnutri.onfounda.onforeveryone

BioIndividuality

NeedtoConsider:• Geneexpression• Biochemicalimbalances• Nutrientdeficiencies• Healthcondi.ons• Environmentalstressors• Microbiome

Goal=BioIndividualNutri.on®


Gluten-Free/Casein-Free: (GFCF) & Other Food Sensitivities

Gluten and Casein

• CommonIgGreac.onsinau.sm• Possibleopiateresponse• Inflammatoryresponse• Autoimmuneresponse

– An.bodiestofolatereceptoralpha(casein)• Otherpossiblereac.ons• Tryingthedietisthe“goldstandard”ofhowachildreactstoglutenandcasein=Trythediet

Gluten/Casein Studies in Autism (Evidence Level: A) •  ResearchonglutenandcaseinandOPIOIDSinAu.sm

–  JinsmaaY,YoshikawaM.(1999)Enzyma.creleaseofneocasomorphinandbeta-casomorphinfrombovinebeta-casein.Pep.des,20:957-962.

–  ReicheltKL,KnivsbergAM,LihndG,NodlandM:Probablee.ologyandpossibletreatmentofchildhoodau.sm.BrainDysfunc.on1991;4:308-319.

–  KamińskiS,CieslińskaA,KostyraE.(2007)Polymorphismofbovinebeta-caseinanditspoten.aleffectonhumanhealth.TheJournalofAppliedGene.cs,48(3):189-198.

–  Sha[ockP,WhiteleyP.(2002)Biochemicalaspectsinau.smspectrumdisorders:upda.ngtheopioid-excesstheoryandpresen.ngnewopportuni.esforbiomedicalinterven.on.ExpertOpinTherTargets.Apr;6(2):175-83

Gluten/Casein Studies in Autism (Evidence Level: A) •  DIGESTIVEPROBLEMSWITHGLUTEN&CASEINinAu.sm

–  JyonouchiH,GengL,RubyA,ReddyC,Zimmerman-BierB.(2005)Evalua.onofanassocia.onbetweengastrointes.nalsymptomsandcytokineproduc.onagainstcommondietaryproteinsinchildrenwithau.smspectrumdisorders.JPediatr.May;146(5):582-4.

•  REDUCEDAUTISTICSYMPTOMSwithGFCFdiet–  KnivsbergAM,ReicheltKL,NodlandM.(2001)Reportsondietaryinterven.oninau.s.c

disorders.Nutri.onalNeuroscience,4(1):25-37.–  KnivsbergAM,ReicheltKL,HoienT,NodlandM.(2002)Arandomised,controlledstudy

ofdietaryinterven.oninau.s.csyndromes.Nutri.onalNeuroscience,5(4):251-61–  WhiteleyP,HaracoposD,KnivsbergAM,ReicheltKL,ParlarS,JacobsenJetal.The

ScanBritrandomised,controlled,single-blindstudyofagluten-andcasein-freedietaryinterven.onforchildrenwithau.smspectrumdisorders.NutrNeurosci2010;13(2):87-100.

Gluten/Celiac and Autism 5 Year old Boy •  Describedas“anincreasinglypickyeaterandwouldrejectfoodonthebasisoftaste,smell,orappearance.”

•  Severelanguageproblems,bloa.ng,belching,abdominalpain,nausea,vomi.ng,anddiarrhea.DeficienciesinvitaminsA,D,andE,andomega3&6,saturatedfat,CoQ10andfolate.

•  Ongluten-freediet“gastrointes.nalsymptomsrapidlyresolved,andsignsandsymptomssugges.veofau.smprogressivelyabated.”

•  “Within1month,theboy’sgastrointes.nalsymptomswererelievedandhisbehaviorhadchangeddrama.cally.…Becameprogressivelymorecommunica.veandtoldherthathelovedher.Within3months,hisfunc.oninghadimprovesomuchthathenolongerrequiredanindividualizedleaningprogramandwasabletoenteranormalclassroomwithnoaide.”

Genuis,StephenJ.,andThomasP.Bouchard."Celiacdiseasepresen.ngasau.sm."Journalofchildneurology25.1(2010):114-119.

Grains HiddenSourcesWheatRyeBarleySpeltKamutTri.caleOats(commercial)Semolina

HydrolyzedVegetableProteinsMSGDextrinMaltCitricacidAr.ficialflavors&coloring“Spices”Soysauce(unlesswheat-free)Potatochips/fries

Gluten Grains & Ingredients to Avoid


Casein-Containing Foods to Avoid

MilkCheese(all)YogurtBu[er

Bu[ermilkIcecream

KefirCream

Sourcream

WheyGalactose

Casein,CaseinateLactose,Lactalbumin

Lac.cacidSherbet

CannedtunaCoolwhip

Ar.ficialbu[erflavor

Avoid Soy •  Notgoodsubs.tutefordairyorprotein•  Verydifficulttodigest•  Irritatethegastrointes.naltract•  Blocksabsorp.on-calcium,magnesium,iron,copperandespeciallyzinc-duetophy.cacidandoxalates

•  Soycompoundsblockthyroidfunc.on•  Endocrinedisrup.oninthereproduc.vehormonesofbothmalesandfemales

•  Formopioids1Soysources:tofu,soyprotein,miso,tempeh,soymilk,soycheeseoricecream,soysauce,tamari,soyoil

Hiddensoy:lecithin,vitaminE

1.  Ohinata, K., Agui, S., & Yoshikawa, M. (2007). Soymorphins, Novel. MU. Opioid Peptides Derived from Soy. BETA.-Conglycinin. BETA.-Subunit, Have Anxiolytic Activities. Bioscience, biotechnology, and biochemistry, 71(10), 2618-2621.

Dr. Jim Adams Study The following slides courtesy of Dr. Adams

Treatment Schedule Day 0: Vitamin/Mineral supplementation begins. Day 30: Essential Fatty Acid supplementation begins. Day 60: Epsom Salt baths begin (2x/week) Day 90: Carnitine supplementation begins Day 180 Digestive Enzyme supplementation begins; Day 210: Healthy, casein-free, gluten-free diet is begun.

Group meeting with nutritionist, and then individual meeting to review diet planning with family

Day 365: Final assessment of autism severity and overall

functioning status. Blood and urine collections at beginning and end of study.

Slide from: Dr. James Adams

Participants

Treatmentgroup:37started,28finished•  3dropped(lackofinterest)•  4disqualified(inconsistentwithsupplements)•  2hadpossibleadverseeffectofvitamin/mineralsupplementonbehavior,stoppedallsupplements,buthadgoodimprovementonspecialdiet

Delaygroup:30started,27finished1disqualifiedduetomajorimprovementindiet2disqualifiedduetomajorchangeinschool


RIAS (IQ/Memory) •  Verbal IQ – little change •  Memory – little change •  Non-verbal IQ – treatment group improved more Treatment +6.7; Delay: -0.6; p=0.02



Vineland Adaptive Behavior Scale Over 12 months, treatment group gained 20 months of development, vs. 4 months in delay group, p<0.01


Parent Global Impressions

Scale: -3 (much worse), 0 – no change, 1-slightly better, 2-better, 3-much better

Treatment group had much greater improvement than Delay group on Average PGI-R score, 1.2 vs. 0.1, p<0.0001


Parent Ratings of Treatment Effectiveness

Scale: 0–no change; 1–slightly better; 2–better; 3–much better Slide from: Dr. James Adams

Treatment Continuation

Vitamin/Mineral – 85% will continue EFA – 89% Epsom Salt – 70% Carnitine – 44% Digestive Enzyme – 44% Healthy GFCFSF Diet – 63%


Phenols & Salicylates Feingold Diet & Failsafe Diet

Beyond GFCF

• Soy-free• Corn-free• Grain-Free(SpecificCarbohydrateDiet,GAPSDietandPaleodiet)

• Feingold/PhenolsDiet• LowOxalateDiet


Effects of Faulty Biochemistry in Autism Phenols, Salicylates, and Amines

Cancause:• Hyperac.vity• Redcheeks/ears•  Itchyskin• Upsetstomach• Asthma• Headaches• Bedwejng• Fa.gue• Diarrhea

• Depression•  Irritability• Aggression• Defiantbehavior• Sleepissues• Cravingsforsalicylates,amines,and/orglutamates.

High Phenol/Salicylates •  Almonds•  Apples•  Apricots•  Berries,raspberries,cherries•  Chilipowder•  Ciderandcidervinegar•  Cloves•  Coffee•  Coladrinks•  Cucumbersandpickles•  Currypowder•  Endive•  Grapes,raisins,currants

•  Honey•  Nectarinesandpeaches•  Orangesandoranges•  Paprika•  Peppers(bellandchili)•  Pineapple•  Plumsandprunes•  Radishes•  Tea•  Tomatoes• Wineandwinevinegar•  Oilofwintergreen

Continue to Evolve Diet

• Insteadofgivingupondiet,considerotherfactorsthatcouldbeinterferingwithresults.

– Salicylates– Oxalates– Grains– FODMAPS– Andmore

Grain-Free Diets SpecificCarbohydrateDiet,GAPSDiet,Paleo

Types of Grain-Free Diets

•  SpecificCarbohydrateDiet(SCD)andGutandPsychologySyndromeDiet(GAPSDiet)

–  Removesdi-andpolysaccharides–  Allowscertainbeans

• Paleo–  Removesgrainsandallbeans,andnoaddedsugar.However,doesnotnecessarilyremovealldi-andpolysaccharides(seaweed,aloe,flax,chia)

–  SomePaleoauthorsdonotremoveallstarchytubers(sweetpotatoes)


Low FODMAPS Diet

FODMAPs Acronym

•  Fermentable• Oligosaccharides

–  Fructans–  Fructo-oligosaccharides(FOS)–  Galacto-oligosaccharides

• Disaccharides–  Lactose

• Monosaccharides–  Fructose

• And• Polyols–sugaralcohols

FODMAP Foods Fermentablecarbohydrates • Fructans:Onion,Ar.chokes,asparagus,beets,Brusselssprouts,cabbage,garlic,leeks,peas,bulb/whitepartofgreenonions

• Galacto-oligosaccharides:Legumes• Lactose:Milk,yogurt,co[agecheese• Fructose:Apples,pears,mango,watermelon,honey

• Polyols:Sugaralcoholssuchasxylitol

Phenols & Salicylates Feingold Diet and Failsafe Diet

Phenols and Amines Phenol/aromatic ring bound to -OH group Broken down by phenolsulfotranferase enzymes (PST) • Ar.ficialPhenols

–  Ar.ficialcolors,flavors,preserva.ves(petroleum-based)–  Propionicacid

•  Salicylates–  Salicylicacid(aspirin)–  Phenolsoccurringinplantfoodslikeapples,berries,grapes,almonds,honey,spices/herbs

• Amines–  Neurotransmi[ers–serotonindopamine–  Histamine,tyramineandotheraminecontainingfoods

Foods High in Food “Chemicals”

Salicylates•  Berries• Apples• Grapes•  Tomato• Almonds• Honey• Avocado•  Spinach•  Cantaloupe• Watermelon• Dates• Herbsandspices

Amines•  Banana•  Cheese,yellow• Agedorbluecheese•  Chocolate/cocoa• Wine/beer•  Fermentedfoods:sauerkraut,yogurt,tempeh

•  Soysauce•  Bonebroths• Meatandagedmeat

Glutamates• MSG• Autolyzedyeast•  Soysauce• Parmesancheese• Vegemite/Marmite

•  Sauerkraut• Bonebroths• Gela.n• Peas• Corn• Tomatoes


Biochemistry Effects of Faulty Biochemistry in Autism

Low Oxalate Diet

Oxalates Defined

• Oxalateisanionormoleculewithanega.vecharge•  Foundinplantfoods–andcancomefromthediet• Canalsobemadebythebody(endogenous)• Boundtogetherintheguttheyareexcretedinthestoolbeforeabsorbing

•  Inthebody,theyareexcretedintheurineormaybestoredin.ssues

High Oxalate Foods

• Nuts,especiallyalmonds&peanut

• Beans,most• Beets• Figs• Rhubarb• Swisschard• Fieldgreens• Spinach• Amaranthandbuckwheat• Soy

• Sweetpotatoes• Someberries-Gooseberries,raspberriesandblackberries

• Chocolate• Citruspeel• Kiwiandstarfruit• Tea

Top Diets GFCF(Gluten-freeandCasein-free)Nogluten(wheat,rye,barley,spelt,kamut,andoats)orcasein(dairy)

FoodSensi:vityElimina:on/Rota:onElimina.ngallotherfoodsensi.vi.es:Soy,corn,eggs,citrus,peanuts,chocolate,canesugar

SCD(SpecificCarbohydrateDiet)/GAPSRestrictscarbohydratestoonlyfruits,non-starchyvegetables,andhoney.Nograins,starchyvegetables,ormucilaginousfiber

Paleo/PrimalBlueprintMeat,fruit,vegetables,fatandnuts.Nograinsorbeans.Ogenremovespotatoesanddairytoo.

LowOxalateDietRestrictshighoxalatefoods(nuts,beans,greens)

LowFODMAPSDietLowinfermentable,poorlyabsorbedcarbssuchasfructose,lactoseandFOS.

BodyEcologyDiet&otherYeastDietsAn.-yeastdietcombiningprinciplesofan.-yeastdietsincludingnosugar,acid/alkaline,fermentedfoods

Feingold/FAILSAFEDietsRestrictshighphenolicfoods,includingallar.ficialingredientsandhighsalicylatefruits(andmore)

WestonAPriceDietaryPrinciples:Solidnutri.onfounda.onforeveryone


Food and Nutrition Strategy

Nourishing Diet

Food intolerances?

Histamines

Food sensitivities

Feingold/ phenols

glutamates

Child’s Unique Diet/ BioIndividual Nutrition Needs

Begin GFCF

Yeast/dysbiosis/inflammation?

Low Oxalate BED

SCD/GAPS

Consider & Adjust

Biochemical Causes of Picky Eating •  Addic.onstoopiates(gluten/casein)causeconsump.onofprimarilywheatanddairycontainingfoods

•  Addic.onstochemicals(MSG,ar.ficialaddi.ves)causerestric.ontoonebrandorlargepreferenceforprocessedfoods

• Nutrientdeficiencies(zinc)makeseverythingtastebadorbland.

•  Yeast,viral,andmicrobialovergrowthmaycausefocusonea.ngmainlyhighcarbandsugarfoods

•  Sensorysensi.vi.escanrestricttheconsump.onofcertaintextures-Seekafeedingtherapistwhenneeded

Ideas for Picky Eating

• Removeaddic.vefoods•  Improvenutrientstatuswithsupplementa.on• Getcrea.vewithTEXTURE

–  Chickenpancakesandmeatballsforprotein–  VegetableLaktesandCarrot/KaleChipsforvegetables

•  Incorporate(“hide”)pureedvegetablesinmuffins,pancakes,meatballs,pastasauce

• VisualPresenta.onIdeas and Recipes

for Picky Eaters

In Cooking to Heal

Vegetable Favorites

• Kalechips• Brusselssproutchips• Carrotchips• Bu[ernutsquashchips• Carrotfries• Rutabagafries• Bu[ernutsquashhashbrowns

Words of Encouragement

• Learningcurveissteep,but…• YouWILLgetthehangofit-nothardtodo• Thoughnotalwayseasyatfirst,theimprovementsmakeitworthwhile

• Assymptomsdecrease,quality.meincreases• It’sbeneficialtofocusonimprovingdiet

I’ll provide you (via e-mail) ü Today’spresenta.onslidesü E-book–Using Food and Nutrition �

to Improve Autism and ADHDü GFCFStep-by-StepSuccessGuideü MyTop12Recipes..andmore

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415-235-2960

Text “HOPE” to

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