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These include zinc, omega-3 fatty acids, vitamins C and D, magnesium, and,if your child is dairy-free, calcium. Add one supplement at a time and wait for days before adding the next supplement. The purpose of these supplements is to repair deficits of nutrients with widespread effects, therefore, you may notice many improvements.
Cod liver oil may improve eye contact and decrease strange eye movements, agitation or hyperactivity, and enhance skin health and immune defenses. Vitamin D has major importance in immunity, as does vitamin C , and in addition, helps with detoxification and reduction of oxidative stress. Magnesium may prove helpful with relaxation, sound sensitivity, sleep, bowel movements in larger doses it is a good laxative.
Calcium may also be calming and is often helpful with children who press on or gouge their eyeballs. These children may require higher doses up to as much as mg per day. In each case, the second component is heavier than the mineral, and the label needs to be read carefully to obtain the correct and desired dose. When we speak of dosages of mineral supplements, we mean elemental minerals, or the mineral itself, and not the entire compound. You will undoubtedly meet resistance when you decide to give your child a strange tasting powder or oil, and succeeding with some of the unpleasant tasting supplements requires ingenuity and perseverance.
It usually requires tough love and experimentation. The most reliable to administer supplements is with a medicine syringe, just as you would give an antibiotic. You can likewise sweeten it with juice concentrate, maple syrup, etc. One of our patients who had a severely restricted diet, but learned to accept the syringe, would eat soup from a syringe, but only if she was told it was medicine.
Other parents have found smoothies or homemade sorbet or fruitsicles, or for the rare child who eats it, soup, to work as a vehicle to administer supplements. Failing this, several companies have formulated many of their supplements in naturally flavored, sugar free liquids or powders to make them more palatable. And some supplements such as zinc, vitamin D, magnesium, calcium, buffered vitamin C are easily concealed in juice or food.
We are happy to recommend specific brands of supplements and remedies should you choose to work with us. If your child has bowel problems of any sort, or a history of repeated infections and antibiotics, it is reasonable to offer help with probiotics and digestive enzymes.
Probiotics, or beneficial bacteria for the bowel, come in a variety of forms and packages. Some children respond much better to one product than to another, and so it is worth trying one brand for a few weeks, and then switching to something different e.
It may be particularly beneficial to feed your child cultured foods such as coconut kefir or sauerkraut or unpasteurized pickles or other home cultured foods which contain lots of good bacteria. In addition to probiotics, digestive enzymes may provide considerable benefit for abnormal stools, abdominal pain, food intolerance, and difficult behaviors. As with probiotics, there are a number of good products available, and it is useful to try several different preparations in order to obtain the best results.
It is valuable to do a two to three week trial with at least two different preparations, including a plant based enzyme and a pancreatic animal based enzyme, as their effects can be quite different. As you add supportive therapies, be sure to continue to reference your problem list and grading system regularly, to address the four questions posed above. While none of the below-listed interventions are dangerous, choosing the right supports and their proper sequence can get very complicated.
When possible, it is best to work with us or another trained physician to guide you in the supplementation process. Iron may improve energy and immune function, but can be constipating. If your child eats very few fruits and vegetables, B vitamins and trace minerals including selenium, chromium, manganese, molybdenum in particular may be helpful. Many supplement companies make balanced trace mineral supplements which also contain mg of zinc, thereby replacing your zinc supplement.
B vitamins, while grouped as a single type of supplement, mainly because they are water soluble and work somewhat in concert, are actually very different one from another, and deserve a separate discussion. Our children are most commonly helped by methyl B12, B6, reduced folic acid folinic acid or methyl folate , and B3. Contrary to popular opinion, it is not necessary to give all the B vitamins when supplementing, though there is often a deficiency or need for several of them which may benefit from a complete B supplement.
We like to give methylB12 as the first B vitamin, preferably by injection, and have found this to be of great benefit for a significant number of children we treat. Notable benefits in speech, understanding, sleep, behavior, mood, energy, and executive function have been noted in children with autism related issues.
A very small number simply do not tolerate B12 at all. Please note that B12 is far more effective by injection than by oral route or lotion or nasal spray. If your physician is willing to write a prescription for it, we can provide information regarding compounding pharmacies to assist you in getting your prescription filled.
We can also assist in providing guidance about how to safely and easily give the shots which are very nearly painless, except for the angst of the parent giving the shot. If your physician is not comfortable helping you with this, we can help you if your child becomes a patient of record with the Evergreen Center. When effective, it seems to help make children more comfortable in their bodies, calming and improving problem- solving through communication and better access to their own resources.
Starting doses of around 50 mg are commonly used, and may be increased stepwise up to maximum of 8 mg per pound. It should be combined with magnesium in the doses described above. Vitamin B6 can cause a sensory nerve problem in high doses, but there has been no demonstration of this problem in autistic children receiving these maximum doses over long periods of time.
However, as always, it is essential to be gentle and observant. A later trial may be beneficial when the digestive tract is functioning well, and when the child has a good intake of protein. Folinic acid or methyl folate are active forms of folic acid which work together with B12 to enhance energy production and transport, neurotransmitter synthesis, myelin production, detoxification, cellular communication, immune function, gene expression and regulation.
Folic acid, which is found in many supplements, but not in foods, requires activation by an enzyme which is frequently impaired in children with chronic health problems. As a consequence, it is preferable to use either folinic acid available by prescription as Leucovorin, or over the counter or methyl folate available by prescription as Deplin, or over the counter.
Support of the folate pathway is frequently helpful in children with autism, and is extremely safe, even at very high doses. Children may become agitated if dose is excessive.
Starting with a dose of mcg 0. We have found that some children need extremely high doses of to 80, mcg per day, due to a blockage in the mechanism for transport of folate into the nervous system. These extremely high doses are best given by prescription Leucovorin is available in 25, mcg tablets, and Deplin in 15, mcg tablets.
It is important to note that blood levels of both vitamin B12 and folic acid are a poor indicator of nutritional status, as these vitamins are critical in brain function, and blood levels correlate poorly with brain levels due to impairments in brain uptake of these vitamins which are occur frequently in children with autism.
If the blood levels are low, then the brain is likely also deficient, but is blood levels are high, this may indicate a block in brain uptake, with actual brain deficiency. Niacinamide thus may be calming, and it sometimes helps reduce stimming behaviors.
It also is essential in the energy and antioxidant pathways which are so critical to healthy brain function. Niacinamide should be given with an equal or greater dosage of supplemental vitamin C for mg of B3, give at least mg vitamin C. The usual doses in pound children are to mg per day. In very high doses, vitamin B3 can cause liver stress, which is always associated with nausea and or decreased appetite.
Both can cause overstimulation or agitation, and TMG is somewhat more likely to do so. If this should occur, the child will calm down to baseline within a day or two of discontinuing the supplement. For TMG, we use doses of mg to start, and may move to doses as high as mg per day with further benefit. One good study used a TMG dose of mg per day without problem in any of the children. For DMG, we generally start with mg per day, working up as tolerated to mg or higher per day. Rimland reported that children with severe agitation or aggression have , in some cases ,responded to DMG doses of up to mg per day.
DMAE has brought improvements in disposition, behavior and language, with doses of 50 to mg daily. Higher doses are safe, and could be used if the child is showing encouraging improvements on lower doses. Occasionally, children will become agitated on DMAE, and it must be discontinued. It is worth commenting on the experience that children with autism may react paradoxically to almost any remedy offered.
In some cases, the agitation is a sign of a healing crisis, or a healthy readjustment occurring with some resistance. Nevertheless, in all cases it is an indication to reduce the dose, or stop the remedy and provide further support to the body before offering it again. This experience is in line with the finding that children with autism are often very different from one another, so that it is not reliable to predict an effect in one child based on an effect seen in another child.
We need to work with our child as an individual, while still learning from the experiences of other children. While all of the remedies and interventions described above are safe and approved for use without prescription, we strongly encourage you to work with a physician.
It is best, when possible, to establish a doctor-patient relationship with the Evergreen Center. If you do not have physical access to our center or to a physician supportive of your work with your child, please contact us for further education and support at info childrenandautism.
Autism is very complex, and there are many more interventions, sometimes including prescription medications which may be needed to make further gains. As we learn more about autism, promising new remedies emerge, which are especially helpful with some of our children. The following daily doses would be appropriate the average-sized five year old child: Administering Supplements You will undoubtedly meet resistance when you decide to give your child a strange tasting powder or oil, and succeeding with some of the unpleasant tasting supplements requires ingenuity and perseverance.
Introduce Probiotics and Digestive Enzymes If your child has bowel problems of any sort, or a history of repeated infections and antibiotics, it is reasonable to offer help with probiotics and digestive enzymes. Supplements for Specific Conditions As you add supportive therapies, be sure to continue to reference your problem list and grading system regularly, to address the four questions posed above.
Children Who Eat Few Fruits and Vegetables If your child eats very few fruits and vegetables, B vitamins and trace minerals including selenium, chromium, manganese, molybdenum in particular may be helpful.
B Vitamins B vitamins, while grouped as a single type of supplement, mainly because they are water soluble and work somewhat in concert, are actually very different one from another, and deserve a separate discussion. General Comments Regarding Supplementation It is worth commenting on the experience that children with autism may react paradoxically to almost any remedy offered.