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©Julie Matthews/Nourishing Hope • NourishingHope.com

JulieMatthews,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 AutismFood & Nutrition MATTER

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Nourishing Hope Agenda

•WholeBodyDisorders• FoodsandIngredientstoAvoid&Nutrient-DenseFoodstoAdd

• Specialdiets:GFCF,SCD/GAPS,lowoxalateandmore

•ReviewofDr.JamesAdamsrecentstudyonGFCFDietandSupplementation

•Helpingpickyeaters

Autism is a neurological condition

– body chemistry

influences brain chemistry.


Body’s Effect on BrainADHD • Autism • Asthma • Allergies • Anxiety

IMMUNE

Gut InflammationPoor pathogen fighting

Food sensitivities

DIGESTION

Leaky gutDysbiosis

Less nutrient absorption

DETOXIFICATION

Decreased detoxificationFood additives

NEUROLOGY

Brain InflammationOpiates

Microbial toxinsNeurotransmitters

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

• Neurotransmitters:– Thegreatestamount(90%)ofthe“brainchemical”

serotoninisfoundintheGItract– Aminoacids(absorbedfromproteindigestion)

areprecursorsforneurotransmitters

• Fullbodyfunction:– Vitamins/mineralsabsorbedinthegutarecofactorsforenzyme

reactions,metabolism,conversionofnutrientsandfat

Importance of GI Health“Alldiseasebeginsinthegut”

- Hippocrates,thefatherofmodernmedicine


How Diet Can Help -Support Digestion & Biochemistry• LeakyGutandGutInflammation

q Removefoodsthatinflamegutq Addfoodsthatreduceinflammationandhealthegutq Addfoodsthatsupplybeneficialbacteria

• NutrientDeficienciesq Increasethequalityoffoodanddigestibility

• YeastOvergrowthq Removesugarsq Reducerefinedflourproductsandstarchesq Addprobiotic-richfoods

• ToxicityandPoorDetoxificationq Avoidfoodadditivesq Avoidtoxinsinfoodsupplyandmealpreparation

• FaultyMethylationandSulfationq Removephenolicfoodsq Improvemethylationandsulfationthroughsupplementation

• Gastrointestinalproblemsrelieved• Diarrhea &constipationlessens• Improvedlanguageskillsandlearning• Greaterfocusandattention• Reducedhyperactivity• Eyecontact• Moreappropriatebehavior• Bettersleeping• Easiertoilettraining• Skinrashesoreczemaclearup

üGeneralHealth&HappinessImproved

What Parents Report with Dietary Intervention


Healing DietsRemove:Avoidoffendingfoodsandsubstances

– Artificialadditives– Gluten,casein,soy,corn,phenols,oxalates,starches

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

Nourishing Hope - Contents


Holistic Nutrition Approach

*From Nourishing Hope for Autism

STEP 1




AVOIDTop 7 Things to Get Out of the Diet

• Foodadditivescancause:Hyperactivity*,inattentiveness,aggression,irritability,headaches/pain,triggerasthma,canbeaddictive

*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 SourcesFood additives:Artificial colors/flavors and preservatives, Nitrite and sulfites

candy, cereal, “kids’ foodsBacon/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

Holistic Nutrition ApproachSTEP 2



• AVOIDchemicalsinthefoodweeat,ANDfromourhomeandenvironment

• Room“freshener,” fragranceandperfume• Flameretardantincarseats&clothing• Fabricsoftener• Chemicalcleaners• Sunscreens(nanoandchemical)• Toothpaste• Fleatreatmentsandantsprays• Foodsupply:Artificialadditives,cookwareandstoragecontainers

Common Household Toxins


STEP 3



Nutrient Deficiencies in Autism

• Magnesium,calcium,zinc,selenium,iron• VitaminB6,B12,folicacid,B1,B2,B3,biotin• VitaminDandA• VitaminC• Omega3fattyacids• Aminoacids:glutathione,cysteine,l-carnitine,taurine,andglycine

Food vs. Supplements• Foodisthefoundationforgettingpropernutrition.

– Foodhasphytonutrients,enzymes,probioticsandothercompoundsneededforgoodhealth

• However,formostchildren,additionalsupplementationmayberequired

– Amultivitamin/mineralformulahelpsensureallchildrenmeetminimumrequirements

– Specialdietsmaylimitintakeofcertainnutrients(likecalciumonadairy-freediet),supplementalnutrientsmaybeneeded

– Forgenetic/biochemicalreasons,certainactiveformsorhigheramountsmaybenecessary


First 9 Supplements to Consider1. DigestiveEnzymes2. Probiotics3. B12- methylcobalamin4. Folate - Folinic or5-MTHF5. B6- pyridoxineorP5P6. Magnesium7. Calcium8. Codliveroilorfishoil9. Multivitamin/mineralformula


STEP 4



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

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

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

• Oncenutrientlevelswerereplenished,metabolicbonediseaseandpulmonaryhypertensionwerereversed– andahealthyboyrevived.

ØGoodnutritionisessential,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• Boywithautismhospitalized- limpandseverepainwithwalking,cough,tachypnea,hypoxia,andtachycardia-diagnosedwithpulmonaryhypertension.

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

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

• Oncenutrientlevelswerereplenished,metabolicbonediseaseandpulmonaryhypertensionwerereversed– andahealthyboyrevived.

ØGoodnutritionisessential,evenwithapickyeater


The Nourishing Hope Food Pyramid

Animal Protein


Protein• Protein(essentialaminoacids)buildingblocksfor:

– Muscleandtissuegrowthandrepair,neurotransmitters,immuneresponses,enzymes,detoxification

• Oftenneedtofocusongettingmoreindiet• Someproteinateachmeal• Bioindividuality- amountsvary.

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

• Animalproteiniseasiertodigestandhasmoreconcentratedamountsofproteinforchildreninneedofhealing

Animal Protein• RedMeat

• BoneBroths

• Fish

• OrganMeats

• Poultry

• Eggs

• Dairy(optional)


Vegetables

Vegetables• Leafygreen• Redvegetables• Orange/yellowvegetables• Purplevegetables• Greenvegetable(greenbeans,celery,fennel)• Cruciferousvegetables• Sulfur-Rich/ImmuneSupportive• Fermentedvegetables• Starchytubers(optional)• Somepeopleavoidhighsalicylate andhighoxalatevegetables


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,andcottonseedoils


Fish Oil Studies• BrainDevelopment1• Autism2• ADHD,3omega3deficiencyinADHD• Speech,imitation,coordination,eyecontact,behavior,sensoryissues4

• Behavior,reading,spelling• Inflammation• Depression• Heartdisease1. McCannJC,AmesBN.Isdocosahexaenoicacid,ann-3long-chainpolyunsaturatedfattyacid,requiredfordevelopmentofnormalbrain

function?Anoverviewofevidencefromcognitiveandbehavioraltestsinhumansandanimals.AmJClinNutr2005;82:281-295.2. Amminger,G.Paul,GregorE.Berger,MiriamR.Schäfer,ClaudiaKlier,MaxH.Friedrich,andMarthaFeucht."Omega-3fattyacids

supplementationinchildrenwithautism:adouble-blindrandomized,placebo-controlledpilotstudy."Biologicalpsychiatry 61,no.4(2007):551-553.

3. StevensL,ZhangW,PeckL,etal.EFAsupplementationinchildrenwithinattention,hyperactivity,andotherdisruptivebehaviors.Lipids2003;38:1007-1021.

4. ClaudiaMorrisandMarilynAgin.Syndromeofallergy,apraxia,andmalabsorption:Characterizationofaneurodevelopmentalphenotypethatrespondstoomega3andvitaminEsupplementation.AlternativeTherapies.jul/aug2009,Vol.15,No.4

Saturated FatVitalRolesofSaturatedFat• Brain—Saturatedfatsimportantbraindevelopment

• Bones– Saturatedfatshelpbodyputcalciuminbones

• Liver– Saturatedfatsprotecttheliverfrompoisons

• Lungs– Can’tfunctionwithoutsaturatedfats—protectsagainstasthma

• ImmuneSystem– Enhancedbysaturatedfats—fightsinfection

• EssentialFattyAcids– Worktogetherwithsaturatedfats

Plant and animal saturated fat

Plant AnimalCoconut Meat/fatPalm 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– Essentialfattyacids– Saturatedfat

• Essentialfatsolublevitamins:A,D,E,andK– Assimilationofminerals– Importantforimmunefunction– Antioxidantstatusoroxidativestress– Strongbones

• Cholesterol– Braindevelopmentandfunction– Aidsdigestion– Buildsstrongbonesandmuscles,andRepairsdamagedtissue– Buildingblockforhormones– Regulatesbloodsugar– Protectsagainstinfectiousdiseases– Cholesterolisanactivatorforoxytocinreceptorsinthebrain

The Foundations


Top Nutrition Boosters4 Foundations from the Pyramid

• Grass-fedmeat• Brothandstock• Fermentations• Juicing

Grass-fed/pastured Conventional•RichinVitaminA,D,and K andgoodfats

•Eggsfrompasturedhens higheromega3/DHA*

•Meat- HigherinCLA andtryptophan

•Cream/butterhigherinvitaminsA&D

•Unhealthyanimals-poorfood• Inflammatorygrains-createinflammatoryfood

•LowVitaminsA&Dandothers•Higherinfats&cholesterol-particularlybadfats

•Higherinarachidonicacid(inflammatory)

•Lowinanti-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/PasturedAnimal Protein


Broths• Providesnutrientsineasytoabsorbform• BoneBroths• Richingelatin,aminoacids,andminerals• VegetableBroths• Addingvegetablestobrothsincreasesthevitaminandmineralcontentofthebrothandaddsflavor

Fermented FoodsRich in ProbioticsDairy-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

• Freshandrawvegetablejuicecontainmanytimesmorevitamins&phytonutrients thanbottled

• Higherconcentrationofnutrients– Chlorophyllandphytonutrients

• Getnutrientswithoutneedingtoeat/chewvegetables

• Childrenthatlikeliquids,juicesandsmoothies

The Nourishing HopeFood Pyramid



STEP 5

Therapeutic Diets &BioIndividual Nutrition


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

FoodSensitivityElimination/RotationEliminatingallotherfoodsensitivities:Soy,corn,eggs,citrus,peanuts,chocolate,canesugar

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

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

LowOxalateDietRestrictshighoxalatefoods(nuts,beans,greens)

LowFODMAPSDietLowinfermentable,poorlyabsorbedcarbssuchasfructose,lactoseandFOS.

BodyEcologyDiet&otherYeastDietsAnti-yeastdietcombiningprinciplesofanti-yeastdietsincludingnosugar,acid/alkaline,fermentedfoods

Feingold/FAILSAFEDietsRestrictshighphenolicfoods,includingallartificialingredientsandhighsalicylatefruits(andmore)

WestonAPriceDietaryPrinciples:Solidnutritionfoundationforeveryone

BioIndividuality

NeedtoConsider:•Geneexpression•Biochemicalimbalances•Nutrientdeficiencies•Healthconditions•Environmentalstressors•Microbiome

Goal=BioIndividualNutrition®


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

Gluten and Casein• CommonIgGreactionsinautism• Possibleopiateresponse• Inflammatoryresponse• Autoimmuneresponse

– Antibodiestofolatereceptoralpha(casein)

• Otherpossiblereactions• Tryingthedietisthe“goldstandard” ofhowachildreactstoglutenandcasein=Trythediet


Gluten/Casein Studies in Autism (Evidence Level: A)

• ResearchonglutenandcaseinandOPIOIDSinAutism– JinsmaaY,YoshikawaM.(1999)Enzymaticreleaseofneocasomorphin

andbeta-casomorphinfrombovinebeta-casein.Peptides,20:957-962.– ReicheltKL,KnivsbergAM,LihndG,NodlandM:Probableetiologyand

possibletreatmentofchildhoodautism.BrainDysfunction1991;4:308-319.

– KamińskiS,CieslińskaA,KostyraE.(2007)Polymorphismofbovinebeta-caseinanditspotentialeffectonhumanhealth.TheJournalofAppliedGenetics,48(3):189-198.

– ShattockP,WhiteleyP.(2002)Biochemicalaspectsinautismspectrumdisorders:updatingtheopioid-excesstheoryandpresentingnewopportunitiesforbiomedicalintervention.ExpertOpinTherTargets.Apr;6(2):175-83

Gluten/Casein Studies in Autism (Evidence Level: A)• DIGESTIVEPROBLEMSWITHGLUTEN&CASEINinAutism

– JyonouchiH,GengL,RubyA,ReddyC,Zimmerman-BierB.(2005)Evaluationofanassociationbetweengastrointestinalsymptomsandcytokineproductionagainstcommondietaryproteinsinchildrenwithautismspectrumdisorders.JPediatr.May;146(5):582-4.

• REDUCEDAUTISTICSYMPTOMSwithGFCFdiet– KnivsbergAM,ReicheltKL,NodlandM.(2001)Reportsondietaryinterventioninautistic

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

ofdietaryinterventioninautisticsyndromes.NutritionalNeuroscience,5(4):251-61– WhiteleyP,HaracoposD,KnivsbergAM,ReicheltKL,ParlarS,JacobsenJetal.The

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


Gluten/Celiac and Autism5 Year old Boy• Describedas“anincreasinglypickyeaterandwouldrejectfoodonthebasisoftaste,smell,orappearance.”

• Severelanguageproblems,bloating,belching,abdominalpain,nausea,vomiting,anddiarrhea. DeficienciesinvitaminsA,D,andE,andomega3&6,saturatedfat,CoQ10andfolate.

• Ongluten-freediet“gastrointestinalsymptomsrapidlyresolved,andsignsandsymptomssuggestiveofautismprogressivelyabated.”

• “Within1month,theboy’sgastrointestinalsymptomswererelievedandhisbehaviorhadchangeddramatically. …Becameprogressivelymorecommunicativeandtoldherthathelovedher. Within3months,hisfunctioninghadimprovesomuchthathenolongerrequiredanindividualizedleaningprogramandwasabletoenteranormalclassroomwithnoaide.”

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

Grains HiddenSourcesWheatRyeBarleySpeltKamutTriticaleOats(commercial)Semolina

HydrolyzedVegetableProteinsMSGDextrinMaltCitricacidArtificialflavors&coloring“Spices”Soysauce(unlesswheat-free)Potatochips/fries

Gluten Grains & Ingredients to Avoid


Casein-Containing Foods to Avoid

MilkCheese(all)

YogurtButter

ButtermilkIcecream

KefirCream

Sourcream

WheyGalactose

Casein,CaseinateLactose,Lactalbumin

LacticacidSherbet

CannedtunaCoolwhip

Artificialbutterflavor

Avoid Soy• Notgoodsubstitutefordairyorprotein• Verydifficulttodigest• Irritatethegastrointestinaltract• Blocksabsorption- calcium,magnesium,iron,copperandespeciallyzinc- duetophyticacidandoxalates

• Soycompoundsblockthyroidfunction• Endocrinedisruptioninthereproductivehormonesofbothmalesandfemales

• 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 StudyThe following slides courtesy of Dr. Adams

Treatment ScheduleDay 0: Vitamin/Mineral supplementation begins. Day 30: Essential Fatty Acid supplementation begins. Day 60: Epsom Salt baths begin (2x/week)Day 90: Carnitine supplementation beginsDay 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 ScaleOver 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 betterSlide from: Dr. James Adams

Treatment Continuation

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



Phenols & SalicylatesFeingold Diet & Failsafe Diet

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

• Feingold/PhenolsDiet• LowOxalateDiet



Phenols, Salicylates, and AminesCancause:• Hyperactivity• Redcheeks/ears• Itchyskin• Upsetstomach• Asthma• Headaches• Bedwetting• Fatigue• 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 FoodsFermentablecarbohydrates

• Fructans:Onion,Artichokes,asparagus,beets,Brusselssprouts,cabbage,garlic,leeks,peas,bulb/whitepartofgreenonions

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

• Polyols:Sugaralcoholssuchasxylitol

Phenols & SalicylatesFeingold Diet and Failsafe Diet


Phenols and AminesPhenol/aromatic ring bound to -OH groupBroken down by phenolsulfotranferase enzymes (PST)

• ArtificialPhenols– Artificialcolors,flavors,preservatives(petroleum-based)– Propionicacid

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

• Amines– Neurotransmitters– 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• Autolyzed yeast• Soysauce• Parmesancheese• Vegemite/Marmite

• Sauerkraut• Bonebroths• Gelatin• Peas• Corn• Tomatoes


Biochemistry



Low Oxalate Diet

Oxalates Defined

• Oxalateisanionormoleculewithanegativecharge• Foundinplantfoods– andcancomefromthediet• Canalsobemadebythebody(endogenous)• Boundtogetherintheguttheyareexcretedinthestoolbeforeabsorbing

• Inthebody,theyareexcretedintheurineormaybestoredintissues


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

FoodSensitivityElimination/RotationEliminatingallotherfoodsensitivities:Soy,corn,eggs,citrus,peanuts,chocolate,canesugar

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

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

LowOxalateDietRestrictshighoxalatefoods(nuts,beans,greens)

LowFODMAPSDietLowinfermentable,poorlyabsorbedcarbssuchasfructose,lactoseandFOS.

BodyEcologyDiet&otherYeastDietsAnti-yeastdietcombiningprinciplesofanti-yeastdietsincludingnosugar,acid/alkaline,fermentedfoods

Feingold/FAILSAFEDietsRestrictshighphenolicfoods,includingallartificialingredientsandhighsalicylatefruits(andmore)

WestonAPriceDietaryPrinciples:Solidnutritionfoundationforeveryone


Food and Nutrition Strategy

Nourishing Diet

Food intolerances?

Histamines

Food sensitivities

Feingold/phenols

glutamates

Child’s Unique Diet/ BioIndividual Nutrition Needs

GFCF

Yeast/dysbiosis/inflammation?

Low Oxalate BED

SCD/GAPS

Biochemical Causes of Picky Eating• Addictionstoopiates(gluten/casein)causeconsumptionofprimarilywheatanddairycontainingfoods

• Addictionstochemicals(MSG,artificialadditives)causerestrictiontoonebrandorlargepreferenceforprocessedfoods

• Nutrientdeficiencies(zinc)makeseverythingtastebadorbland.

• Yeast,viral,andmicrobialovergrowthmaycausefocusoneatingmainlyhighcarbandsugarfoods

• Sensorysensitivitiescanrestricttheconsumptionofcertaintextures- Seekafeedingtherapistwhenneeded


Ideas for Picky Eating

• Removeaddictivefoods• Improvenutrientstatuswithsupplementation• GetcreativewithTEXTURE

– Chickenpancakesandmeatballsforprotein– VegetableLaktesandCarrot/KaleChipsforvegetables

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

• VisualPresentation

Vegetable Favorites• Kalechips• Brusselssproutchips• Carrotchips• Butternutsquashchips• Carrotfries• Rutabagafries• Butternutsquashhashbrowns


Words of Encouragement

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

• Assymptomsdecrease,qualitytimeincreases• It’sbeneficialtofocusonimprovingdiet

I’ll provide you (via e-mail)

üPDFoftoday’sslidesüe-Book– “UsingFoodandNutrition

toImproveAutismandADHD”üGFCFSuccessGuideüBecomeapartofthecommunity

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ContactJulieat:

[email protected]

415-235-2960

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