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Julie Ma)hews, CNC Julie 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. Food and Nutrition for Autism

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Julie  Ma)hews,  CNC  Julie 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.

Food and Nutrition for Autism

I’ll provide you (via e-mail)

• PDF  of  today’s  slides  • E-­‐book  –  Using  Food  and  Nutri8on                                    to  Improve  Au8sm  and  ADHD  

• GFCF  Success  Guide  Visit  the  Houston  Enzymes  booth  

Nourishing Hope Agenda

• Whole  Body  Disorders  • Current  State  of  NutriAon  Today    • Foods  and  Ingredients  to  Avoid  &  Nutrient-­‐Dense  Foods  to  Add  

• Special  diets:  GFCF,  SCD/GAPS,  low  oxalate  and  more  

• Helping  picky  eaters  

Autism is a neurological condition – body chemistry

influences brain chemistry.

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

Autism: Canaries in the Coal Mine • Most  sensiAve  children  • Telling  us  our  world  is  too  toxic    and  nutrient  deficient  

• Most  other  childhood  disorders    have  similar  underlying  causes  and  contribuAng  factors    

–  InflammaAon  and  immune  dysfuncAon    – Nutrient  deficiencies    – Poor  digesAon  – Toxicity  and  impaired  detoxificaAon    

• We  can  all  learn  a  lot  and  apply  these  same  principles  for  health  and  healing  

As you improve the body and its systems…

you support improved health,

learning and behavior.

Gut  has  constant  contact  with  food  •  Immune:    

–  Physical  barrier  of  defense  against  bacteria,  viruses,  etc.  –  Largest  part  of  the  immune  system  (70%)  found  in  the  gut  

•  NeurotransmiZers:    –  The  greatest  amount  (90%)  of  the  “brain  chemical”    serotonin  is  found  in  the  GI  tract    

–  Amino  acids  (absorbed  from  protein  digesAon)    are  precursors  for  neurotransmiZers  

•  Full  body  funcAon:  –  Vitamins/minerals  absorbed  in  the  gut  are  cofactors  for  enzyme  reacAons,  metabolism,  conversion  of  nutrients  and  fat  

Importance of GI Health “All  disease  begins  in  the  gut”  

-­‐  Hippocrates,  the  father  of  modern  medicine  

How Diet Can Help - Support Digestion & Biochemistry •  Leaky  Gut  and  Gut  Inflamma8on  

q  Remove  foods  that  inflame  gut  q  Add  foods  that  reduce  inflammaAon  and  heal  the  gut  q  Add  foods  that  supply  beneficial  bacteria  

•  Nutrient  Deficiencies  q  Increase  the  quality  of  food  and  digesAbility  

•  Yeast  Overgrowth  q  Remove  sugars  q  Reduce  refined  flour  products  and    starches  q  Add  probioAc-­‐rich  foods  

•  Toxicity  and  Poor  Detoxifica8on  q  Avoid  food  addiAves  q  Avoid  toxins  in  food  supply  and  meal  preparaAon  

•  Faulty  Methyla8on  and  Sulfa8on  q  Remove  phenolic  foods  q  Improve  methylaAon  and  sulfaAon  through  supplementaAon  

• GastrointesAnal  problems  relieved    • Diarrhea  &  consApaAon  lessens  •  Improved  language  skills  and  learning  • Greater  focus  and  aZenAon  •  Reduced  hyperacAvity  •  Eye  contact  • More  appropriate  behavior  •  BeZer  sleeping  •  Easier  toilet  training  •  Skin  rashes  or  eczema  clear  up  

ü General  Health  &  Happiness  Improved  

What Parents Report with Dietary Intervention

Healing Diets

Remove:  Avoid  offending  foods  and  substances  – ArAficial  addiAves  – Gluten,  casein,  soy,  corn,  phenols,  oxalates,  starches  

Replenish:  Increase  healthy  foods  – Whole  and  unprocessed  foods  (sweet  potatoes  not  potato  chips)  – Organic  and  locally  grown  – Fermented  foods:  rich  in  probioAcs    – Grass-­‐fed/pastured  meat  and  eggs  – Good  fats  

Nourishing Hope - Contents

Holistic Nutrition Approach

*From Nourishing Hope for Autism

STEP 1

Holistic Nutrition Approach

*From Nourishing Hope for Autism

AVOID Top 7 Things to Get Out of the Diet

•  Food  addiAves  can  cause:  HyperacAvity*,  inaZenAveness,  aggression,  irritability,  headaches/pain,  trigger  asthma,  can  be  addicAve  

*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

1.  Celery    2.  Peaches    3.  Strawberries    4.  Apples    5.  Blueberries    6.  Nectarines    7.  Bell  Peppers    8.  Spinach    9.  Cherries    10.  Kale/Collard  Greens    11.  Potatoes    12.  Grapes  (Imported)  

* Environmental Working Group

ONLY Buy organic!

Dirty Dozen

Sugar •  Feeds  yeast    • Depresses  the  immune  system  • Contributes  to  inflammaAon  • Refined  sugar  such  as  table  sugar  (white  cane  sugar)  is  devoid  of  nutrients/minerals  that  help  process  the  sugar  

• Natural,  less-­‐refined  sugar  (more  minerals  and  less  refinement):  Raw  honey,  Maple  syrup  (grade  B),  sucanat,  fruit,  blackstrap  molasses,  

•  4-­‐5  grams  per  serving  (1  teaspoon  “sugars”)  =  2  oz  fruit  juice,  2  tsp  dried  fruit,  1  TBSP  ketchup  

Holistic Nutrition Approach

STEP 2

*From Nourishing Hope for Autism

• AVOID  chemicals  in  the  food  we  eat,  AND  from  our  home  and  environment  

• Room  “freshener,”  fragrance  and  perfume  •  Flame  retardant  in  car  seats  &  clothing  •  Fabric  sonener  • Chemical  cleaners    •  Sunscreens  (nano  and  chemical)  •  Toothpaste  •  Flea  treatments  and  ant  sprays  •  Food  supply:  ArAficial  addiAves,  cookware  and  storage  containers  

Common Household Toxins

Holistic Nutrition Approach

STEP 3

*From Nourishing Hope for Autism

Nutrient Deficiencies in Autism

• Magnesium,  calcium,  zinc,  selenium,  iron  • Vitamin  B6,  B12,  folic  acid,  B1,  B2,  B3,  bioAn  • Vitamin  D  and  A  • Vitamin  C  • Omega  3  faZy  acids  • Amino  acids:  glutathione,  cysteine,  l-­‐carniAne,  taurine,  and  glycine  

Deficiencies stem from…

•  Poor  quality  food  consumpAon  from  the  SAD  diet  •  Picky  and  restricAve  eaAng      •  Insufficient  digesAon  or  absorpAon  (inborn  or  acquired)  •  Ability  for  the  cell  to  uAlize  nutrient  • Not  converted  to  acAve  form  •  Improper  enzymes  or  nutrients  needed  for  biochemical  pathways  (methylaAon,  transulfuraAon,  and  sulfaAon)  

•  Increased  toxins  and  inflammaAon  -­‐  use  up  needed  nutrients  

•  IntesAnal  dysbiosis  and  lack  of  beneficial  bacteria  • MedicaAon  induced  nutrient  depleAon  

Food vs. Supplements

• Food  is  the  foundaAon  for  gepng  proper  nutriAon.    

–  Food  has  phytonutrients,  enzymes,  probioAcs  and  other  compounds  needed  for  good  health  

• However,  for  most  children,  addiAonal  supplementaAon  may  be  required  

– A  mulAvitamin/mineral  formula  helps  ensure  all  children  meet  minimum  requirements  

–  Special  diets  may  limit  intake  of  certain  nutrients  (like  calcium  on  a  dairy-­‐free  diet),  supplemental  nutrients  may  be  needed  

–  For  geneAc/biochemical  reasons,  certain  acAve  forms  or  higher  amounts  may  be  necessary  

First 9 Supplements to Consider 1.  DigesAve  Enzymes    2.  ProbioAcs  3.  B12  -­‐  methylcobalamin  4.  Folate  -­‐  Folinic  or  5-­‐MTHF  5.  B6  -­‐  pyridoxine  or  P5P  6.  Magnesium  7.  Calcium    8.  Cod  liver  oil  or  fish  oil    9.  MulAvitamin/mineral  formula  

Children Cannot Live on Junk Food •  Boy  with  auAsm  hospitalized  -­‐  limp  and  severe  pain  with  walking,  cough,  tachypnea,  hypoxia,  and  tachycardia  -­‐  diagnosed  with  pulmonary  hypertension.    

•  The  boy  ate  only  chicken  nuggets,  crackers,  cookies  and  water.    He  would  not  eat  fruits,  vegetables,  juice,  or  vitamins.  

•  Found  to  have  “undetectable”  levels  of  vitamin  C,  low  vitamin  B1,  B6,  B12,  and  vitamin  D.    

•  Once  nutrient  levels  were  replenished,  metabolic  bone  disease  and  pulmonary  hypertension  were  reversed  –  and  a  healthy  boy  revived.  

Ø Good  nutriAon  is  essenAal,  even  with  a  picky  eater  Duvall, 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 •  Boy  with  auAsm  hospitalized  -­‐  limp  and  severe  pain  with  walking,  cough,  tachypnea,  hypoxia,  and  tachycardia  -­‐  diagnosed  with  pulmonary  hypertension.    

•  The  boy  ate  only  chicken  nuggets,  crackers,  cookies  and  water.    He  would  not  eat  fruits,  vegetables,  juice,  or  vitamins.  

•  Found  to  have  “undetectable”  levels  of  vitamin  C,  low  vitamin  B1,  B6,  B12,  and  vitamin  D.    

•  Once  nutrient  levels  were  replenished,  metabolic  bone  disease  and  pulmonary  hypertension  were  reversed  –  and  a  healthy  boy  revived.  

Ø Good  nutri8on  is  essen8al,  even  with  a  picky  eater  

Holistic Nutrition Approach

STEP 4

*From Nourishing Hope for Autism

The Nourishing Hope Food Pyramid

Animal Protein

Protein •  Protein  (essenAal  amino  acids)  building  blocks  for:    

– Muscle  and  Assue  growth  and  repair,  neurotransmiZers,  immune  responses,  enzymes,  detoxificaAon    

• Onen  need  to  focus  on  gepng  more  in  diet  •  Some  protein  at  each  meal  •  Bio  individuality  -­‐  amounts  vary.      

–  Some  kids  need  more,  some  children  cannot  process  protein  well:    High  ammonia,  low  HCl,  low  zinc,  B6,  or  iron  

•  Animal  protein  is  easier  to  digest  and  has  more  concentrated    amounts  of  protein  for  children    in  need  of  healing  

Animal Protein

• Red  Meat  

• Bone  Broths  

• Fish  

• Organ  Meats  

• Poultry  

• Eggs  

• Dairy  (opAonal)  

Vegetables

Vegetables •  Leafy  green    •  Red  vegetables  •  Orange/yellow  vegetables  •  Purple  vegetables  •  Green  vegetable  (green  beans,  celery,  fennel)  •  Cruciferous  vegetables  •  Sulfur-­‐Rich/Immune  SupporAve  •  Fermented  vegetables  •  Starchy  tubers  (opAonal)  •  Some  people  avoid  high  salicylate  and  high  oxalate  vegetables  

Leafy Greens Sources • Kale  -­‐  Curly  green  kale,  Red  Russian  kale,  lacinato  (dino)  kale,  black  kale  

• Collard  greens  • Mustard  greens  • Watercress  • Swiss  chard  • Arugula  • Field  greens  

Avoid Spinach Oxalate is an Anti-Nutrient • Availability  of  calcium  in  spinach  is  very  poor  •  Spinach  –  oxalate  levels  are  so  high  they  bind  exisAng  calcium  in  the  food  making  it  unavailable,  AND  bind  to  the  calcium  (and  other  minerals)  from  other  sources  in  the  diet  rendering  them  unusable  as  well.  1,  2  

• Oxalate  Level  in  Spinach  -­‐  100  grams/3  oz  equals  over  1,000  mg  oxalate  from  raw  spinach  

• Oxalate  reduces  the  quanAty  and  quality  of  bone  formaAon/density  

1.  Speirs,  Mary.  "The  uAlizaAon  of  the  calcium  in  various  greens."  The  Journal  of  NutriAon  17.6  (1939):  557-­‐564.  2.  Peterson,  Catherine  A.,  J.  A.  Eurell,  and  J.  W.  Erdman  Jr.  "Bone  composiAon  and  histology  of  young  growing  

rats  fed  diets  of  varied  calcium  bioavailability:  spinach,  nonfat  dry  milk,  or  calcium  carbonate  added  to  casein."  The  Journal  of  nutriAon  122.1  (1992):  137.  

Fats / Oils

•  Omega  3s,  monounsaturated  fat,  and  saturated  fat  •  Fat  and  saturated  fat  are  essenAal  for  babies  and  brain  development  

•  Breast  milk  is  53%  fat  &  25%  saturated  fat  •  Hormone  balance  and  mood  •  FormaAon/fluidity  of  cell  membrane  •  CreaAng  energy  in  cell  and  helps  burns  fat  •  Omega  3s  (very  helpful  with  depression,  hyperacAvity,  and  inflammaAon)  

•  Animal  fats  are  healthy  and  an  important  part  of  the  diet  

Get  40%  (or  more)  of  calories  from  fat  

Fats

Fats / Oils

• Fish  oil:  Salmon,  sardines,  fish  eggs/salmon  roe,  cod  liver  and  fish  oil  supplements  

• Plant  oils:  Olive  oil,  avocados,  nuts/seeds  • Plant  saturated  fats:  coconut  oil,  palm  oil,  macadamia  nuts  

• Animal  fats:  lard  and  bacon  (pork),  tallow  (beef),  chicken  fat  (Pastured  sources)  

• Dairy  fat:  casein-­‐free  ghee  (Grass-­‐fed  sources)  • AVOID  Vegetable  oil:  canola,  safflower,  corn,  soy,  and  coZonseed  oils  

Fish Oil Studies •  Brain  Development  1  •  AuAsm  2  

•  ADHD,3  omega  3  deficiency  in  ADHD    •  Speech,  imitaAon,  coordinaAon,  eye  contact,  behavior,  sensory  issues  4  

•  Behavior,  reading,  spelling  •  InflammaAon  •  Depression  •  Heart  disease  1. McCann  JC,  Ames  BN.  Is  docosahexaenoic  acid,  an  n-­‐3  long-­‐chain  polyunsaturated  faZy  acid,  required  for  development  of  normal  brain  

funcAon?  An  overview  of  evidence  from  cogniAve  and  behavioral  tests  in  humans  and  animals.  Am  J  Clin  Nutr  2005;82:281-­‐295.    2.  Amminger,  G.  Paul,  Gregor  E.  Berger,  Miriam  R.  Schäfer,  Claudia  Klier,  Max  H.  Friedrich,  and  Martha  Feucht.  "Omega-­‐3  faZy  acids  

supplementaAon  in  children  with  auAsm:  a  double-­‐blind  randomized,  placebo-­‐controlled  pilot  study."  Biological  psychiatry  61,  no.  4  (2007):  551-­‐553.  

3.  Stevens  L,  Zhang  W,  Peck  L,  et  al.  EFA  supplementaAon  in  children  with  inaZenAon,  hyperacAvity,  and  other  disrupAve  behaviors.  Lipids  2003;38:1007-­‐1021.    

4.  Claudia  Morris  and  Marilyn  Agin.  Syndrome  of  allergy,  apraxia,  and  malabsorpAon:  CharacterizaAon  of  a  neurodevelopmental  phenotype  that  responds  to  omega  3  and  vitamin  E  supplementaAon.  Alterna9ve  Therapies.  jul/aug  2009,  Vol.  15,  No.  4  

Saturated Fat Vital  Roles  of  Saturated  Fat  •  Brain  —Saturated  fats  important  brain  development  

•  Bones  –  Saturated  fats  help  body  put  calcium  in  bones  

•  Liver  –  Saturated  fats  protect  the  liver  from  poisons  

•  Lungs  –  Can’t  funcAon  without  saturated  fats  —protects  against  asthma  

•  Immune  System  –  Enhanced  by                                                                saturated  fats—fights  infecAon  

•  EssenAal  FaZy  Acids  –  Work                                        together  with  saturated  fats  

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

• Contains:  • Good  fats:    

–  Saturated  fat  – Monounsaturated  fat  –  EssenAal  faZy  acids  

• EssenAal  fat  soluble  vitamins:  A,  D,  E,  and  K  – AssimilaAon  of  minerals  –  Important  for  immune  funcAon  – AnAoxidant  status  or  oxidaAve  stress  –  Strong  bones  

• Cholesterol  

Uses of Cholesterol

• Brain  development  and                                                                      funcAon  

• Aids  digesAon  • Builds  strong  bones  and  muscles  • Repairs  damaged  Assue  • Building  block  for  hormones  • Regulates  blood  sugar  • Protects  against  infecAous  diseases  • Cholesterol  is  an  acAvator  for    oxytocin  receptors  in  the  brain  

The Foundations

Top Nutrition Boosters 4 Foundations from the Pyramid

• Grass-­‐fed  meat  • Broth  and  stock  • FermentaAons  • Juicing  

Grass-­‐fed/pastured   Conven8onal  • Rich  in  Vitamin  A,  D,  and  K  and  good  fats  

• Eggs  from  pastured  hens  higher  omega  3  /DHA*  

• Meat  -­‐  Higher  in  CLA  and  tryptophan  

• Cream/buZer  higher  in  vitamins  A  &  D  

• Unhealthy  animals-­‐poor  food  • Inflammatory  grains-­‐create  inflammatory  food  

• Low  Vitamins  A&D  and  others  • Higher  in  fats  &  cholesterol-­‐parAcularly  bad  fats  

• Higher  in  arachidonic  acid  (inflammatory)  

• Low  in  anA-­‐inflammatory  fats    

-­‐-­‐Organic  is  not  necessarily  grass-­‐fed    

Good  sources  near  you–check  out  WestonAPrice.org  chapter  leaders  * 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

Vitamin A and D levels in Grass-Fed vs Conventional • Eggs  

– 8x  the  vitamin  D  – 2x  the  vitamin  A  

• BuZer  – 3x  the  vitamin  D  – 10-­‐13x  the  vitamin  A  

• Lard  – 12x  the  vitamin  D  

*  Tested  by  the  Weston  A  Price  Founda9on  

Broths

• Provides  nutrients  in  easy  to  absorb  form  • Bone  Broths  • Rich  in  gelaAn,  amino  acids,  and  minerals  • Vegetable  Broths  • Adding  vegetables  to  broths  increases  the  vitamin  and  mineral  content  of  the  broth  and  adds  flavor  

Fermented Foods Rich in Probiotics •  FuncAons  of  good  bacteria  

–  Regulate  peristalsis  and  bowel  movements  –  Break  down  bacterial  toxins    –  Make  vitamins  needed  and  uAlize:  B1,  B2,  B3,  B5,  B6,    B12,  A  and  K  

–  Digest  protein  into  amino  acids  (for  use  by  the  body)  –  Produce  anAbioAcs  and  anAfungals    –  Help  breakdown  sugars,  lactose,  and  oxalates  –  Support  immune  system  and  increase  number  of  immune  cells  –  Balance  intesAnal  pH  –  Protect  against  environmental  toxins:  mercury,  pesAcides,  polluAon  

Raw  fermented  foods  contain  billions    (even  trillions)  of  bacteria/serving!  

Fermented Foods Rich in Probiotics Dairy-­‐free:  •  Raw  sauerkraut/Cultured  vegetables    •  Non-­‐dairy  yogurt    •  Beverages  (contain  yeast  that  kills  candida):    

• Kombucha    • Young  coconut  kefir  • “Sodas”  (hibiscus/rosehip  tea  with  kefir  starter)  

Dairy:  Milk-­‐based  yogurt/kefir  

Bacterial  ferments    (Lactobacillus)  

Yeast  and  Bacteria  ferments  

• Cultured  vegetables  • Yogurts  

• Kefirs  • Kombucha  

Juicing

• Stored  and  pasteurized  juices  contain  significantly  less  nutrients:  zinc,  iron,  calcium,  vitamins  B1,  B5,  and  B6  

• Fresh  and  raw  vegetable  juice  contain  many  Ames  more  vitamins  &  phytonutrients  than  boZled    

• Higher  concentraAon  of  nutrients    –  Chlorophyll  and  phytonutrients    

• Get  nutrients  without  needing  to  eat/chew  vegetables    

• Children  that  like  liquids,  juices  and  smoothies  

The Nourishing Hope Food Pyramid

Holistic Nutrition Approach

STEP 5

Top Diets GFCF  (Gluten-­‐free  and  Casein-­‐free)  No  gluten  (wheat,  rye,  barley,  spelt,  kamut,  and  oats)  or  casein  (dairy)

Food  Sensi8vity  Elimina8on/Rota8on  EliminaAng  all  other  food  sensiAviAes:  Soy,  corn,  eggs,  citrus,  peanuts,  chocolate,  cane  sugar

SCD  (Specific  Carbohydrate  Diet)/GAPS  Restricts  carbohydrates  to  only  fruits,  non-­‐starchy  vegetables,  and  honey.    No  grains,  starchy  vegetables,  or  mucilaginous  fiber

Paleo/Primal  Blueprint  Meat,  fruit,  vegetables,  fat  and  nuts.  No  grains  or  beans.  Onen  removes  potatoes  and  dairy  too.

Low  Oxalate  Diet  Restricts  high  oxalate  foods  (nuts,  beans,  greens)

Low  FODMAPS  Diet  Low  in  fermentable,  poorly  absorbed  carbs  such  as  fructose,  lactose  and  FOS.

Body  Ecology  Diet  &  other  Yeast  Diets  AnA-­‐yeast  diet  combining  principles  of  anA-­‐yeast  diets  including  no  sugar,  acid/alkaline,  fermented  foods

Feingold/FAILSAFE  Diets  Restricts  high  phenolic  foods,  including  all  arAficial  ingredients  and  high  salicylate  fruits  (and  more)

Weston  A  Price  Dietary  Principles:  Solid  nutriAon  foundaAon  for  everyone

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

Food Allergies & Sensitivities

• Food  allergies  (IgE):  immediate/acute  – Hives,  anaphylacAc  shock  – Peanuts,  eggs*  

• Food  SensiAviAes  (IgG):  delayed  – DigesAve  disturbances,  inflammaAon,  pain,  hyperacAvity,  anxiety  

– Gluten,  casein,  soy,  corn*  

*Any  food  can  be  an  allergy  or  a  sensi9vity  

Gluten and Casein

• Common  IgG  reacAons  in  auAsm  • Possible  opiate  response  • Inflammatory  response  • Autoimmune  response  

– AnAbodies  to  folate  receptor  alpha  (casein)  • Other  possible  reacAons  • Trying  the  diet  is  the  “gold  standard”  of  how  a  child  reacts  to  gluten  and  casein  =  Try  the  diet  

Digestive Enzymes Break Proteins into Amino Acids

When  someone  is  unable  to  break  down  gluten  or  casein  proteins  into  individual  amino  acids,  they  remain  as  protein  chains  or  opioids  

Opioid Peptides can cause…

• AddicAon  (foods)  • High  pain  tolerance  • InaZenAon  and  spacey  behavior  • Aggression  (self  and  others)  • SAmming  • Mood  changes  • Poor  eye  contact  • Anxiety,  depression,  and  irritability  

Gluten/Casein Studies in Autism (Evidence Level: A) •  Research  on  gluten  and  casein  and  OPIOIDS  in  AuAsm  

–  Jinsmaa  Y,  Yoshikawa  M.  (1999)  EnzymaAc  release  of  neocasomorphin  and  beta-­‐casomorphin  from  bovine  beta-­‐casein.  PepAdes,  20:957-­‐962.  

–  Reichelt  KL,  Knivsberg  AM,  Lihnd  G,  Nodland  M:  Probable  eAology  and  possible  treatment  of  childhood  auAsm.  Brain  DysfuncAon  1991;  4:  308-­‐319.  

–  Kamiński  S,  Cieslińska  A,  Kostyra  E.  (2007)  Polymorphism  of  bovine  beta-­‐casein  and  its  potenAal  effect  on  human  health.  The  Journal  of  Applied  GeneAcs,  48(3):189-­‐198.  

–  ShaZock  P,  Whiteley  P.  (2002)  Biochemical  aspects  in  auAsm  spectrum  disorders:  updaAng  the  opioid-­‐excess  theory  and  presenAng  new  opportuniAes  for  biomedical  intervenAon.  Expert  Opin  Ther  Targets.  Apr;6(2):175-­‐83  

Gluten/Casein Studies in Autism (Evidence Level: A) •  DIGESTIVE  PROBLEMS  WITH  GLUTEN  &  CASEIN  in  AuAsm  

–  Jyonouchi  H,  Geng  L,  Ruby  A,  Reddy  C,  Zimmerman-­‐Bier  B.  (2005)  EvaluaAon  of  an  associaAon  between  gastrointesAnal  symptoms  and  cytokine  producAon  against  common  dietary  proteins  in  children  with  auAsm  spectrum  disorders.  J  Pediatr.  May;146(5):582-­‐4.  

•  REDUCED  AUTISTIC  SYMPTOMS  with  GFCF  diet  –  Knivsberg  AM,  Reichelt  KL,  Nodland  M.  (2001)  Reports  on  dietary  intervenAon  in  auAsAc  

disorders.  NutriAonal  Neuroscience,  4(1):25-­‐37.  –  Knivsberg  AM,  Reichelt  KL,  Hoien  T,  Nodland  M.  (2002)  A  randomised,  controlled  study  

of  dietary  intervenAon  in  auAsAc  syndromes.  NutriAonal  Neuroscience,  5(4):251-­‐61  –  Whiteley  P,  Haracopos  D,  Knivsberg  AM,  Reichelt  KL,  Parlar  S,  Jacobsen  J  et  al.  The  

ScanBrit  randomised,  controlled,  single-­‐blind  study  of  a  gluten-­‐  and  casein-­‐free  dietary  intervenAon  for  children  with  auAsm  spectrum  disorders.  Nutr  Neurosci  2010;  13(2):  87-­‐100.  

Gluten/Celiac and Autism 5 Year old Boy •  Described  as  “an  increasingly  picky  eater  and  would  reject  food  on  the  basis  of  taste,  smell,  or  appearance.”      

•  Severe  language  problems,  bloaAng,  belching,  abdominal  pain,  nausea,  vomiAng,  and  diarrhea.    Deficiencies  in  vitamins  A,  D,  and  E,  and  omega  3  &  6,  saturated  fat,  CoQ10  and  folate.  

•  On  gluten-­‐free  diet  “gastrointesAnal  symptoms  rapidly  resolved,  and  signs  and  symptoms  suggesAve  of  auAsm  progressively  abated.”  

•  “Within  1  month,  the  boy’s  gastrointesAnal  symptoms  were  relieved  and  his  behavior  had  changed  dramaAcally.  …Became  progressively  more  communicaAve  and  told  her  that  he  loved  her.    Within  3  months,  his  funcAoning  had  improve  so  much  that  he  no  longer  required  an  individualized  leaning  program  and  was  able  to  enter  a  normal  classroom  with  no  aide.”  

Genuis,  Stephen  J.,  and  Thomas  P.  Bouchard.  "Celiac  disease  presenAng  as  auAsm."  Journal  of  child  neurology  25.1  (2010):  114-­‐119.  

Grains   Hidden  Sources  Wheat  Rye  Barley    Spelt  Kamut  TriAcale  Oats  (commercial)  Semolina  

Hydrolyzed  Vegetable  Proteins  MSG  Dextrin  Malt  Citric  acid  ArAficial  flavors  &  coloring  “Spices”  Soy  sauce  (unless  wheat-­‐free)  Potato  chips/fries  

Gluten Grains & Ingredients to Avoid

Casein-Containing Foods to Avoid

Milk  Cheese  (all)    Yogurt  BuZer    

 BuZermilk    Ice  cream  

 Kefir    Cream  

 Sour  cream    

 Whey    Galactose  

 Casein,  Caseinate  Lactose,  Lactalbumin  

 LacAc  acid    Sherbet  

Canned  tuna  Cool  whip  

ArAficial  buZer  flavor  

Avoid Soy •  Not  good  subsAtute  for  dairy  or  protein  •  Very  difficult  to  digest  •  Irritate  the  gastrointesAnal  tract  •  Blocks  absorpAon  -­‐  calcium,  magnesium,  iron,  copper  and  especially  zinc  -­‐  due  to  phyAc  acid  and  oxalates  

•  Soy  compounds  block  thyroid  funcAon    •  Endocrine  disrupAon  in  the  reproducAve  hormones  of  both  males  and  females  

•  Form  opioids  1  Soy  sources:  tofu,  soy  protein,  miso,  tempeh,  soy  milk,  soy  cheese  or  ice  cream,  soy  sauce,  tamari,  soy  oil      

Hidden  soy:  lecithin,  vitamin  E  

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.

Beyond GFCF

• Soy-­‐free  • Corn-­‐free  • Grain-­‐Free  (Specific  Carbohydrate  Diet,  GAPS  Diet  and  Paleo  diet)    

• Feingold/Phenols  Diet  • Low  Oxalate  Diet  

Phenols & Salicylates Feingold Diet & Failsafe Diet

Effects of Faulty Biochemistry in Autism

Phenols, Salicylates, and Amines Can  cause:  • HyperacAvity  • Red  cheeks/ears  •  Itchy  skin  • Upset  stomach  • Asthma  • Headaches    • Bedwepng  • FaAgue  • Diarrhea  

• Depression  •  Irritability  • Aggression  • Defiant  behavior  • Sleep  issues  • Cravings  for  salicylates,  amines,  and/or  glutamates.  

 

High Phenol/Salicylates •  Almonds  •  Apples  •  Apricots  •  Berries,  raspberries,  cherries  •  Chili  powder  •  Cider  and  cider  vinegar  •  Cloves  •  Coffee  •  Cola  drinks  •  Cucumbers  and  pickles  •  Curry  powder  •  Endive  •  Grapes,  raisins,  currants  

•  Honey  •  Nectarines  and  peaches  •  Oranges  and  oranges  •  Paprika  •  Peppers  (bell  and  chili)  •  Pineapple  •  Plums  and  prunes  •  Radishes  •  Tea  •  Tomatoes  • Wine  and  wine  vinegar  •  Oil  of  wintergreen  

Continue to Evolve Diet

• Instead  of  giving  up  on  diet,  consider  other  factors  that  could  be  interfering  with  results.  

– Salicylates  – Oxalates  – Grains    – FODMAPS    – And  more  

Top Diets GFCF  (Gluten-­‐free  and  Casein-­‐free)  No  gluten  (wheat,  rye,  barley,  spelt,  kamut,  and  oats)  or  casein  (dairy)

Food  Sensi8vity  Elimina8on/Rota8on  EliminaAng  all  other  food  sensiAviAes:  Soy,  corn,  eggs,  citrus,  peanuts,  chocolate,  cane  sugar

SCD  (Specific  Carbohydrate  Diet)/GAPS  Restricts  carbohydrates  to  only  fruits,  non-­‐starchy  vegetables,  and  honey.    No  grains,  starchy  vegetables,  or  mucilaginous  fiber

Paleo/Primal  Blueprint  Meat,  fruit,  vegetables,  fat  and  nuts.  No  grains  or  beans.  Onen  removes  potatoes  and  dairy  too.

Low  Oxalate  Diet  Restricts  high  oxalate  foods  (nuts,  beans,  greens)

Low  FODMAPS  Diet  Low  in  fermentable,  poorly  absorbed  carbs  such  as  fructose,  lactose  and  FOS.

Body  Ecology  Diet  &  other  Yeast  Diets  AnA-­‐yeast  diet  combining  principles  of  anA-­‐yeast  diets  including  no  sugar,  acid/alkaline,  fermented  foods

Feingold/FAILSAFE  Diets  Restricts  high  phenolic  foods,  including  all  arAficial  ingredients  and  high  salicylate  fruits  (and  more)

Weston  A  Price  Dietary  Principles:  Solid  nutriAon  foundaAon  for  everyone

Food and Nutrition Strategy

Nourishing Diet

Food intolerances?

Histamines

Food sensitivities

Feingold/ phenols

glutamates

Your Child’s Diet

GFCF

Yeast/dysbiosis/inflammation?

Low Oxalate BED

SCD/GAPS

Possible Causes Picky Eating

•  AddicAons  to  opiates  (gluten/casein)  cause  consumpAon  of  primarily  wheat  and  dairy  containing  foods  

•  AddicAons  to  chemicals  (MSG,  arAficial  addiAves)  cause  restricAon  to  one  brand  or  large  preference  for  processed  foods  

• Nutrient  deficiencies  (zinc)  makes  everything  taste  bad  or  bland.  

•  Yeast,  viral,  and  microbial  overgrowth  may  cause  focus  on  eaAng  mainly  high  carb  and  sugar  foods  

•  Sensory  sensiAviAes  can  restrict  the  consumpAon  of  certain  textures  -­‐  Seek  a  feeding  therapist  when  needed  

Ideas for Picky Eating

• Remove  addicAve  foods  •  Improve  nutrient  status  with  supplementaAon  • Get  creaAve  with  TEXTURE  

–  Chicken  pancakes  and  meatballs  for  protein  –  Vegetable  Laktes  and  Carrot/Kale  Chips  for  vegetables  

•  Incorporate  (“hide”)  pureed  vegetables  in  muffins,  pancakes,  meatballs,  pasta  sauce  

• Visual  PresentaAon  

Vegetable Favorites

• Kale  chips  • Brussels  sprout  chips  • Carrot  chips  • BuZernut  squash  chips  • Carrot  fries  • Rutabaga  fries  • BuZernut  squash  hash  browns  

Words of Encouragement • Learning  curve  is  steep,  but…  • You  WILL  get  the  hang  of  it  -­‐  not  hard  to  do  • Though  not  always  easy  at  first,  the  improvements  make  it  all  worthwhile  

• As  symptoms  decrease,  parents  have  more  free  Ame  to  do  fun  things  with  their  child  and  the  gains  your  child  can  make  are  priceless  

• There  is  no  downside  to  improving  diet  

I’ll provide you (via e-mail)

• PDF  of  today’s  slides  • E-­‐book  –  Using  Food  and  Nutri8on                                    to  Improve  Au8sm  and  ADHD  

• GFCF  Success  Guide  Visit  the  Houston  Enzymes  booth  

Contact  Julie  at:    [email protected]  NourishingHope.com  

415-­‐235-­‐2960