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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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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
©Julie Matthews/Nourishing Hope • NourishingHope.com
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
©Julie Matthews/Nourishing Hope • NourishingHope.com
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
Holistic Nutrition Approach
*From Nourishing Hope for Autism
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
Holistic Nutrition Approach
STEP 2
*From Nourishing Hope for Autism
©Julie Matthews/Nourishing Hope • NourishingHope.com
• 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
*From Nourishing Hope for Autism
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
Holistic Nutrition Approach
STEP 4
*From Nourishing Hope for Autism
©Julie Matthews/Nourishing Hope • NourishingHope.com
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)
©Julie Matthews/Nourishing Hope • NourishingHope.com
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
©Julie Matthews/Nourishing Hope • NourishingHope.com
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
©Julie Matthews/Nourishing Hope • NourishingHope.com
Juicing
• Storedandpasteurizedjuicescontainsignificantlylessnutrients:zinc,iron,calcium,vitaminsB1,B5,andB6
• Freshandrawvegetablejuicecontainmany.mesmorevitamins&phytonutrientsthanbo[led
• Higherconcentra.onofnutrients– Chlorophyllandphytonutrients
• Getnutrientswithoutneedingtoeat/chewvegetables
• Childrenthatlikeliquids,juicesandsmoothies
The Nourishing Hope Food Pyramid
Holistic Nutrition Approach
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®
©Julie Matthews/Nourishing Hope • NourishingHope.com
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
©Julie Matthews/Nourishing Hope • NourishingHope.com
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
Slide from: Dr. James Adams
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
Slide from: Dr. James Adams
©Julie Matthews/Nourishing Hope • NourishingHope.com
Vineland Adaptive Behavior Scale Over 12 months, treatment group gained 20 months of development, vs. 4 months in delay group, p<0.01
Slide from: Dr. James Adams
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
Slide from: Dr. James Adams
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%
Slide from: Dr. James Adams
Phenols & Salicylates Feingold Diet & Failsafe Diet
Beyond GFCF
• Soy-free• Corn-free• Grain-Free(SpecificCarbohydrateDiet,GAPSDietandPaleodiet)
• Feingold/PhenolsDiet• LowOxalateDiet
©Julie Matthews/Nourishing Hope • NourishingHope.com
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)
©Julie Matthews/Nourishing Hope • NourishingHope.com
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
©Julie Matthews/Nourishing Hope • NourishingHope.com
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
©Julie Matthews/Nourishing Hope • NourishingHope.com
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
Text “HOPE” to
415-212-6299
©Julie Matthews/Nourishing Hope • NourishingHope.com
ContactJulieat:[email protected]
415-235-2960
Text “HOPE” to
415-212-6299