ADHD and Nutrition

A Review of Nutritional and Integrative Treatments

Dianne Rishikof MS RDN LDN

ADHD background

3 types

ldquoinattentiverdquo type

ldquohyperactiverdquo type

ldquocombinedrdquo type

Genetic and environmental factors

wwwHealthTakesGutscom

Incidence of ADHD

11 of all children are diagnosed with ADHD

Doubled in less than 10 years

Why the increase

Better at finding them

Misdiagnosis

Symptoms exist on a spectrum

Loosened the definition

More kids have it

wwwHealthTakesGutscom

Outline

Diet and Nutrition Factors and Treatment Strategies

Individual Nutrient and Herbal Supplementation

Environmental Toxins

Other lifestyle factors

wwwHealthTakesGutscom

Diet

Whole foods diet Low processed foods

Water

wwwHealthTakesGutscom

Whole foods diet

Good quality protein

Grass fed beef organic chicken clean fish

Smart Carb

Fruits and veggies including starchy veggies

Sustains blood sugar and energy

Contains fiber vitamins and minerals

Contains prebiotics and phytochemicals

Healthy fats

Olive oil avocados O-3s

wwwHealthTakesGutscom

Whole foods diet

Cut out (down on) the processed foods

Automatically get the good and exclude the lsquobadrsquo

Sugar

Refined flours starches grains

Trans fat

Pro-inflammatory oils

wwwHealthTakesGutscom

Breakfast

High protein smart carb

Goal to maintain normal blood sugar

Glycemic response

Blood sugar spike and crash

No one could pay attention

Could use the glycemic indexload or just EAT WHOLE

FOODS

wwwHealthTakesGutscom

Snacking

Small frequent snacks

Maintain blood sugar levels

Provide good nutrition for growing brains

Should be whole foods and healthy

Same guidelines as a meal

Protein healthy fats and smart carbs

wwwHealthTakesGutscom

Reduced appetite Side effect of

medications

Reduced appetite

Reward for trying something new (vs pressure or punishment)

Meds after meals

Nutrient dense snacksfood

Make them count

Let them eat when they are hungry (off schedule)

Let them be off the meds as much as possible

Supplements

Protein

Vitamins

wwwHealthTakesGutscom

Food Sensitivities

40-60 have food sensitivities

Gluten dairy corn soy eggs peanuts tree nuts

Testing

IgG

MRT

Elimination Diets

2-6 weeks

Diet references 1 2 3 4 5 6

wwwHealthTakesGutscom

Feingold Additives

24 types of food additives in processed foods

Preservatives

BHA

BHT

TBHQ

Artificial Colors

Artificial Sweeteners

Artificial Flavors

wwwHealthTakesGutscom

Feingold Salicylates

Natural chemical found in foods

Almonds apples apricots berries cherries cucumbers

grapes green peppers nectarines oranges peaches

plums tangerines tea tomatoes

Eliminate for 4-6 weeks reintroduce 1 at a time

httpfeingoldorg

wwwHealthTakesGutscom

ADHD background

3 types

ldquoinattentiverdquo type

ldquohyperactiverdquo type

ldquocombinedrdquo type

Genetic and environmental factors

wwwHealthTakesGutscom

Incidence of ADHD

11 of all children are diagnosed with ADHD

Doubled in less than 10 years

Why the increase

Better at finding them

Misdiagnosis

Symptoms exist on a spectrum

Loosened the definition

More kids have it

wwwHealthTakesGutscom

Outline

Diet and Nutrition Factors and Treatment Strategies

Individual Nutrient and Herbal Supplementation

Environmental Toxins

Other lifestyle factors

wwwHealthTakesGutscom

Diet

Whole foods diet Low processed foods

Water

wwwHealthTakesGutscom

Whole foods diet

Good quality protein

Grass fed beef organic chicken clean fish

Smart Carb

Fruits and veggies including starchy veggies

Sustains blood sugar and energy

Contains fiber vitamins and minerals

Contains prebiotics and phytochemicals

Healthy fats

Olive oil avocados O-3s

wwwHealthTakesGutscom

Whole foods diet

Cut out (down on) the processed foods

Automatically get the good and exclude the lsquobadrsquo

Sugar

Refined flours starches grains

Trans fat

Pro-inflammatory oils

wwwHealthTakesGutscom

Breakfast

High protein smart carb

Goal to maintain normal blood sugar

Glycemic response

Blood sugar spike and crash

No one could pay attention

Could use the glycemic indexload or just EAT WHOLE

FOODS

wwwHealthTakesGutscom

Snacking

Small frequent snacks

Maintain blood sugar levels

Provide good nutrition for growing brains

Should be whole foods and healthy

Same guidelines as a meal

Protein healthy fats and smart carbs

wwwHealthTakesGutscom

Reduced appetite Side effect of

medications

Reduced appetite

Reward for trying something new (vs pressure or punishment)

Meds after meals

Nutrient dense snacksfood

Make them count

Let them eat when they are hungry (off schedule)

Let them be off the meds as much as possible

Supplements

Protein

Vitamins

wwwHealthTakesGutscom

Food Sensitivities

40-60 have food sensitivities

Gluten dairy corn soy eggs peanuts tree nuts

Testing

IgG

MRT

Elimination Diets

2-6 weeks

Diet references 1 2 3 4 5 6

wwwHealthTakesGutscom

Feingold Additives

24 types of food additives in processed foods

Preservatives

BHA

BHT

TBHQ

Artificial Colors

Artificial Sweeteners

Artificial Flavors

wwwHealthTakesGutscom

Feingold Salicylates

Natural chemical found in foods

Almonds apples apricots berries cherries cucumbers

grapes green peppers nectarines oranges peaches

plums tangerines tea tomatoes

Eliminate for 4-6 weeks reintroduce 1 at a time

httpfeingoldorg

wwwHealthTakesGutscom

Incidence of ADHD

11 of all children are diagnosed with ADHD

Doubled in less than 10 years

Why the increase

Better at finding them

Misdiagnosis

Symptoms exist on a spectrum

Loosened the definition

More kids have it

wwwHealthTakesGutscom

Outline

Diet and Nutrition Factors and Treatment Strategies

Individual Nutrient and Herbal Supplementation

Environmental Toxins

Other lifestyle factors

wwwHealthTakesGutscom

Diet

Whole foods diet Low processed foods

Water

wwwHealthTakesGutscom

Whole foods diet

Good quality protein

Grass fed beef organic chicken clean fish

Smart Carb

Fruits and veggies including starchy veggies

Sustains blood sugar and energy

Contains fiber vitamins and minerals

Contains prebiotics and phytochemicals

Healthy fats

Olive oil avocados O-3s

wwwHealthTakesGutscom

Whole foods diet

Cut out (down on) the processed foods

Automatically get the good and exclude the lsquobadrsquo

Sugar

Refined flours starches grains

Trans fat

Pro-inflammatory oils

wwwHealthTakesGutscom

Breakfast

High protein smart carb

Goal to maintain normal blood sugar

Glycemic response

Blood sugar spike and crash

No one could pay attention

Could use the glycemic indexload or just EAT WHOLE

FOODS

wwwHealthTakesGutscom

Snacking

Small frequent snacks

Maintain blood sugar levels

Provide good nutrition for growing brains

Should be whole foods and healthy

Same guidelines as a meal

Protein healthy fats and smart carbs

wwwHealthTakesGutscom

Reduced appetite Side effect of

medications

Reduced appetite

Reward for trying something new (vs pressure or punishment)

Meds after meals

Nutrient dense snacksfood

Make them count

Let them eat when they are hungry (off schedule)

Let them be off the meds as much as possible

Supplements

Protein

Vitamins

wwwHealthTakesGutscom

Food Sensitivities

40-60 have food sensitivities

Gluten dairy corn soy eggs peanuts tree nuts

Testing

IgG

MRT

Elimination Diets

2-6 weeks

Diet references 1 2 3 4 5 6

wwwHealthTakesGutscom

Feingold Additives

24 types of food additives in processed foods

Preservatives

BHA

BHT

TBHQ

Artificial Colors

Artificial Sweeteners

Artificial Flavors

wwwHealthTakesGutscom

Feingold Salicylates

Natural chemical found in foods

Almonds apples apricots berries cherries cucumbers

grapes green peppers nectarines oranges peaches

plums tangerines tea tomatoes

Eliminate for 4-6 weeks reintroduce 1 at a time

httpfeingoldorg

wwwHealthTakesGutscom

Outline

Diet and Nutrition Factors and Treatment Strategies

Individual Nutrient and Herbal Supplementation

Environmental Toxins

Other lifestyle factors

wwwHealthTakesGutscom

Diet

Whole foods diet Low processed foods

Water

wwwHealthTakesGutscom

Whole foods diet

Good quality protein

Grass fed beef organic chicken clean fish

Smart Carb

Fruits and veggies including starchy veggies

Sustains blood sugar and energy

Contains fiber vitamins and minerals

Contains prebiotics and phytochemicals

Healthy fats

Olive oil avocados O-3s

wwwHealthTakesGutscom

Whole foods diet

Cut out (down on) the processed foods

Automatically get the good and exclude the lsquobadrsquo

Sugar

Refined flours starches grains

Trans fat

Pro-inflammatory oils

wwwHealthTakesGutscom

Breakfast

High protein smart carb

Goal to maintain normal blood sugar

Glycemic response

Blood sugar spike and crash

No one could pay attention

Could use the glycemic indexload or just EAT WHOLE

FOODS

wwwHealthTakesGutscom

Snacking

Small frequent snacks

Maintain blood sugar levels

Provide good nutrition for growing brains

Should be whole foods and healthy

Same guidelines as a meal

Protein healthy fats and smart carbs

wwwHealthTakesGutscom

Reduced appetite Side effect of

medications

Reduced appetite

Reward for trying something new (vs pressure or punishment)

Meds after meals

Nutrient dense snacksfood

Make them count

Let them eat when they are hungry (off schedule)

Let them be off the meds as much as possible

Supplements

Protein

Vitamins

wwwHealthTakesGutscom

Food Sensitivities

40-60 have food sensitivities

Gluten dairy corn soy eggs peanuts tree nuts

Testing

IgG

MRT

Elimination Diets

2-6 weeks

Diet references 1 2 3 4 5 6

wwwHealthTakesGutscom

Feingold Additives

24 types of food additives in processed foods

Preservatives

BHA

BHT

TBHQ

Artificial Colors

Artificial Sweeteners

Artificial Flavors

wwwHealthTakesGutscom

Feingold Salicylates

Natural chemical found in foods

Almonds apples apricots berries cherries cucumbers

grapes green peppers nectarines oranges peaches

plums tangerines tea tomatoes

Eliminate for 4-6 weeks reintroduce 1 at a time

httpfeingoldorg

wwwHealthTakesGutscom

Diet

Whole foods diet Low processed foods

Water

wwwHealthTakesGutscom

Whole foods diet

Good quality protein

Grass fed beef organic chicken clean fish

Smart Carb

Fruits and veggies including starchy veggies

Sustains blood sugar and energy

Contains fiber vitamins and minerals

Contains prebiotics and phytochemicals

Healthy fats

Olive oil avocados O-3s

wwwHealthTakesGutscom

Whole foods diet

Cut out (down on) the processed foods

Automatically get the good and exclude the lsquobadrsquo

Sugar

Refined flours starches grains

Trans fat

Pro-inflammatory oils

wwwHealthTakesGutscom

Breakfast

High protein smart carb

Goal to maintain normal blood sugar

Glycemic response

Blood sugar spike and crash

No one could pay attention

Could use the glycemic indexload or just EAT WHOLE

FOODS

wwwHealthTakesGutscom

Snacking

Small frequent snacks

Maintain blood sugar levels

Provide good nutrition for growing brains

Should be whole foods and healthy

Same guidelines as a meal

Protein healthy fats and smart carbs

wwwHealthTakesGutscom

Reduced appetite Side effect of

medications

Reduced appetite

Reward for trying something new (vs pressure or punishment)

Meds after meals

Nutrient dense snacksfood

Make them count

Let them eat when they are hungry (off schedule)

Let them be off the meds as much as possible

Supplements

Protein

Vitamins

wwwHealthTakesGutscom

Food Sensitivities

40-60 have food sensitivities

Gluten dairy corn soy eggs peanuts tree nuts

Testing

IgG

MRT

Elimination Diets

2-6 weeks

Diet references 1 2 3 4 5 6

wwwHealthTakesGutscom

Feingold Additives

24 types of food additives in processed foods

Preservatives

BHA

BHT

TBHQ

Artificial Colors

Artificial Sweeteners

Artificial Flavors

wwwHealthTakesGutscom

Feingold Salicylates

Natural chemical found in foods

Almonds apples apricots berries cherries cucumbers

grapes green peppers nectarines oranges peaches

plums tangerines tea tomatoes

Eliminate for 4-6 weeks reintroduce 1 at a time

httpfeingoldorg

wwwHealthTakesGutscom

Whole foods diet

Good quality protein

Grass fed beef organic chicken clean fish

Smart Carb

Fruits and veggies including starchy veggies

Sustains blood sugar and energy

Contains fiber vitamins and minerals

Contains prebiotics and phytochemicals

Healthy fats

Olive oil avocados O-3s

wwwHealthTakesGutscom

Whole foods diet

Cut out (down on) the processed foods

Automatically get the good and exclude the lsquobadrsquo

Sugar

Refined flours starches grains

Trans fat

Pro-inflammatory oils

wwwHealthTakesGutscom

Breakfast

High protein smart carb

Goal to maintain normal blood sugar

Glycemic response

Blood sugar spike and crash

No one could pay attention

Could use the glycemic indexload or just EAT WHOLE

FOODS

wwwHealthTakesGutscom

Snacking

Small frequent snacks

Maintain blood sugar levels

Provide good nutrition for growing brains

Should be whole foods and healthy

Same guidelines as a meal

Protein healthy fats and smart carbs

wwwHealthTakesGutscom

Reduced appetite Side effect of

medications

Reduced appetite

Reward for trying something new (vs pressure or punishment)

Meds after meals

Nutrient dense snacksfood

Make them count

Let them eat when they are hungry (off schedule)

Let them be off the meds as much as possible

Supplements

Protein

Vitamins

wwwHealthTakesGutscom

Food Sensitivities

40-60 have food sensitivities

Gluten dairy corn soy eggs peanuts tree nuts

Testing

IgG

MRT

Elimination Diets

2-6 weeks

Diet references 1 2 3 4 5 6

wwwHealthTakesGutscom

Feingold Additives

24 types of food additives in processed foods

Preservatives

BHA

BHT

TBHQ

Artificial Colors

Artificial Sweeteners

Artificial Flavors

wwwHealthTakesGutscom

Feingold Salicylates

Natural chemical found in foods

Almonds apples apricots berries cherries cucumbers

grapes green peppers nectarines oranges peaches

plums tangerines tea tomatoes

Eliminate for 4-6 weeks reintroduce 1 at a time

httpfeingoldorg

wwwHealthTakesGutscom

Whole foods diet

Cut out (down on) the processed foods

Automatically get the good and exclude the lsquobadrsquo

Sugar

Refined flours starches grains

Trans fat

Pro-inflammatory oils

wwwHealthTakesGutscom

Breakfast

High protein smart carb

Goal to maintain normal blood sugar

Glycemic response

Blood sugar spike and crash

No one could pay attention

Could use the glycemic indexload or just EAT WHOLE

FOODS

wwwHealthTakesGutscom

Snacking

Small frequent snacks

Maintain blood sugar levels

Provide good nutrition for growing brains

Should be whole foods and healthy

Same guidelines as a meal

Protein healthy fats and smart carbs

wwwHealthTakesGutscom

Reduced appetite Side effect of

medications

Reduced appetite

Reward for trying something new (vs pressure or punishment)

Meds after meals

Nutrient dense snacksfood

Make them count

Let them eat when they are hungry (off schedule)

Let them be off the meds as much as possible

Supplements

Protein

Vitamins

wwwHealthTakesGutscom

Food Sensitivities

40-60 have food sensitivities

Gluten dairy corn soy eggs peanuts tree nuts

Testing

IgG

MRT

Elimination Diets

2-6 weeks

Diet references 1 2 3 4 5 6

wwwHealthTakesGutscom

Feingold Additives

24 types of food additives in processed foods

Preservatives

BHA

BHT

TBHQ

Artificial Colors

Artificial Sweeteners

Artificial Flavors

wwwHealthTakesGutscom

Feingold Salicylates

Natural chemical found in foods

Almonds apples apricots berries cherries cucumbers

grapes green peppers nectarines oranges peaches

plums tangerines tea tomatoes

Eliminate for 4-6 weeks reintroduce 1 at a time

httpfeingoldorg

wwwHealthTakesGutscom

Breakfast

High protein smart carb

Goal to maintain normal blood sugar

Glycemic response

Blood sugar spike and crash

No one could pay attention

Could use the glycemic indexload or just EAT WHOLE

FOODS

wwwHealthTakesGutscom

Snacking

Small frequent snacks

Maintain blood sugar levels

Provide good nutrition for growing brains

Should be whole foods and healthy

Same guidelines as a meal

Protein healthy fats and smart carbs

wwwHealthTakesGutscom

Reduced appetite Side effect of

medications

Reduced appetite

Reward for trying something new (vs pressure or punishment)

Meds after meals

Nutrient dense snacksfood

Make them count

Let them eat when they are hungry (off schedule)

Let them be off the meds as much as possible

Supplements

Protein

Vitamins

wwwHealthTakesGutscom

Food Sensitivities

40-60 have food sensitivities

Gluten dairy corn soy eggs peanuts tree nuts

Testing

IgG

MRT

Elimination Diets

2-6 weeks

Diet references 1 2 3 4 5 6

wwwHealthTakesGutscom

Feingold Additives

24 types of food additives in processed foods

Preservatives

BHA

BHT

TBHQ

Artificial Colors

Artificial Sweeteners

Artificial Flavors

wwwHealthTakesGutscom

Feingold Salicylates

Natural chemical found in foods

Almonds apples apricots berries cherries cucumbers

grapes green peppers nectarines oranges peaches

plums tangerines tea tomatoes

Eliminate for 4-6 weeks reintroduce 1 at a time

httpfeingoldorg

wwwHealthTakesGutscom

Snacking

Small frequent snacks

Maintain blood sugar levels

Provide good nutrition for growing brains

Should be whole foods and healthy

Same guidelines as a meal

Protein healthy fats and smart carbs

wwwHealthTakesGutscom

Reduced appetite Side effect of

medications

Reduced appetite

Reward for trying something new (vs pressure or punishment)

Meds after meals

Nutrient dense snacksfood

Make them count

Let them eat when they are hungry (off schedule)

Let them be off the meds as much as possible

Supplements

Protein

Vitamins

wwwHealthTakesGutscom

Food Sensitivities

40-60 have food sensitivities

Gluten dairy corn soy eggs peanuts tree nuts

Testing

IgG

MRT

Elimination Diets

2-6 weeks

Diet references 1 2 3 4 5 6

wwwHealthTakesGutscom

Feingold Additives

24 types of food additives in processed foods

Preservatives

BHA

BHT

TBHQ

Artificial Colors

Artificial Sweeteners

Artificial Flavors

wwwHealthTakesGutscom

Feingold Salicylates

Natural chemical found in foods

Almonds apples apricots berries cherries cucumbers

grapes green peppers nectarines oranges peaches

plums tangerines tea tomatoes

Eliminate for 4-6 weeks reintroduce 1 at a time

httpfeingoldorg

wwwHealthTakesGutscom

Reduced appetite Side effect of

medications

Reduced appetite

Reward for trying something new (vs pressure or punishment)

Meds after meals

Nutrient dense snacksfood

Make them count

Let them eat when they are hungry (off schedule)

Let them be off the meds as much as possible

Supplements

Protein

Vitamins

wwwHealthTakesGutscom

Food Sensitivities

40-60 have food sensitivities

Gluten dairy corn soy eggs peanuts tree nuts

Testing

IgG

MRT

Elimination Diets

2-6 weeks

Diet references 1 2 3 4 5 6

wwwHealthTakesGutscom

Feingold Additives

24 types of food additives in processed foods

Preservatives

BHA

BHT

TBHQ

Artificial Colors

Artificial Sweeteners

Artificial Flavors

wwwHealthTakesGutscom

Feingold Salicylates

Natural chemical found in foods

Almonds apples apricots berries cherries cucumbers

grapes green peppers nectarines oranges peaches

plums tangerines tea tomatoes

Eliminate for 4-6 weeks reintroduce 1 at a time

httpfeingoldorg

wwwHealthTakesGutscom

Food Sensitivities

40-60 have food sensitivities

Gluten dairy corn soy eggs peanuts tree nuts

Testing

IgG

MRT

Elimination Diets

2-6 weeks

Diet references 1 2 3 4 5 6

wwwHealthTakesGutscom

Feingold Additives

24 types of food additives in processed foods

Preservatives

BHA

BHT

TBHQ

Artificial Colors

Artificial Sweeteners

Artificial Flavors

wwwHealthTakesGutscom

Feingold Salicylates

Natural chemical found in foods

Almonds apples apricots berries cherries cucumbers

grapes green peppers nectarines oranges peaches

plums tangerines tea tomatoes

Eliminate for 4-6 weeks reintroduce 1 at a time

httpfeingoldorg

wwwHealthTakesGutscom

Feingold Additives

24 types of food additives in processed foods

Preservatives

BHA

BHT

TBHQ

Artificial Colors

Artificial Sweeteners

Artificial Flavors

wwwHealthTakesGutscom

Feingold Salicylates

Natural chemical found in foods

Almonds apples apricots berries cherries cucumbers

grapes green peppers nectarines oranges peaches

plums tangerines tea tomatoes

Eliminate for 4-6 weeks reintroduce 1 at a time

httpfeingoldorg

wwwHealthTakesGutscom

Feingold Salicylates

Natural chemical found in foods

Almonds apples apricots berries cherries cucumbers

grapes green peppers nectarines oranges peaches

plums tangerines tea tomatoes

Eliminate for 4-6 weeks reintroduce 1 at a time

httpfeingoldorg

wwwHealthTakesGutscom

Failsafe Diet

Free of Additives Low in Salicylates and Amines Flavor

Enhancers

Salicylates histamines Benzoates Glutamic Acid Sulfites

Very restrictive but effective

Eliminate all plant AND artificial chemicals

Failsafedietcom

Fedupcomaufactsheetsoverview

wwwHealthTakesGutscom

Gut Health

Gut is as important to psychiatry as anything Gut references 1 2 3

Intestinal Permeability

Potential dysbiosis

Candida

5R protocol

Probiotics

wwwHealthTakesGutscom

Multivitamin

To cover all bases

Eliminations of foods

Reduced appetites

Give body what it needs so it doesnrsquot take from brain

Evidence that it is a helpful addition to treatment

httpwwwncbinlmnihgovpubmed26682999 J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105

httpwwwncbinlmnihgovpubmed26573366Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17

wwwHealthTakesGutscom

Gut Health

Gut is as important to psychiatry as anything Gut references 1 2 3

Intestinal Permeability

Potential dysbiosis

Candida

5R protocol

Probiotics

wwwHealthTakesGutscom

Multivitamin

To cover all bases

Eliminations of foods

Reduced appetites

Give body what it needs so it doesnrsquot take from brain

Evidence that it is a helpful addition to treatment

httpwwwncbinlmnihgovpubmed26682999 J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105

httpwwwncbinlmnihgovpubmed26573366Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17

wwwHealthTakesGutscom

Multivitamin

To cover all bases

Eliminations of foods

Reduced appetites

Give body what it needs so it doesnrsquot take from brain

Evidence that it is a helpful addition to treatment

httpwwwncbinlmnihgovpubmed26682999 J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105

httpwwwncbinlmnihgovpubmed26573366Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17

wwwHealthTakesGutscom

Individual Nutrients

Omega 3 fatty acids

Essential to eat (can not make)

Crucial for brain function

ADHD have lower levels in the blood vs lsquonormalrsquo kids

Deficiencies of O-3 cause

Decreased attention

Increased hyperactivity

Increased impulsivity

Supplementation STRONG evidence

300mg-2000mg a day

wwwHealthTakesGutscom

Individual Nutrients Iron

Ferratin

ADHD kids have half what they should

Measure first never supplement blindly

Zinc

Low zinc is correlated with ADHD

Studies show ADHD improved with supplemental zinc

Essential fatty acid conversion

Brain development

Neurotransmitter conversion

Deficiency symptom inattentiveness httpwwwncbinlmnihgovpubmed20034331Acta Med Croatica 2009

Oct63(4)307-13

httpwwwncbinlmnihgovpubmed14687872Prog Neuropsychopharmacol Biol Psychiatry 2004 Jan28(1)181-90

wwwHealthTakesGutscom

Individual Nutrients Iron

Ferratin

ADHD kids have half what they should

Measure first never supplement blindly

Zinc

Low zinc is correlated with ADHD

Studies show ADHD improved with supplemental zinc

Essential fatty acid conversion

Brain development

Neurotransmitter conversion

Deficiency symptom inattentiveness httpwwwncbinlmnihgovpubmed20034331Acta Med Croatica 2009

Oct63(4)307-13

httpwwwncbinlmnihgovpubmed14687872Prog Neuropsychopharmacol Biol Psychiatry 2004 Jan28(1)181-90

wwwHealthTakesGutscom

Individual Nutrients Magnesium

Low levels have been documented in ADHD

Deficiency symptoms distractibility hyperactivity

Supplementation = improvement

Especially if in conjunction with Zinc and O-3

80-200mgday

Glycinate

lsquohttpwwwncbinlmnihgovpubmed16846100 Magnes Res 2006 Mar19(1)46-52

httpwwwncbinlmnihgovpubmed25373528Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432

Vitamin D

Common deficiency httpwwwncbinlmnihgovpubmed26664441 Iran J Child Neurol 2015

Fall9(4)48-53

httpwwwncbinlmnihgovpubmed24610453Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5

wwwHealthTakesGutscom

Individual Nutrients

Folate

Methylfolate

MTHFR

B6

P-5-P

Choline

Precursor to acetylcholine-NT for focus and processing

speed

Carnitine

Reduces hyperactivity

wwwHealthTakesGutscom

Individual nutrients

Phosphatidylserine

Good evidence

Improves ADHD symptoms and ST memory

Increases dopamine and acetylcholine levels

Decreases stress

With O-3 reduces ADHD symptoms (hyperactive) httpwwwncbinlmnihgovpubmed23495677

httpwwwncbinlmnihgovpubmed23312676

httpwwwncbinlmnihgovpubmed21807480

wwwHealthTakesGutscom

Individual nutrients

Phosphatidylserine

Good evidence

Improves ADHD symptoms and ST memory

Increases dopamine and acetylcholine levels

Decreases stress

With O-3 reduces ADHD symptoms (hyperactive) httpwwwncbinlmnihgovpubmed23495677

httpwwwncbinlmnihgovpubmed23312676

httpwwwncbinlmnihgovpubmed21807480

wwwHealthTakesGutscom

Individual Nutrients

Anti-oxidants

Oxidative stress

Detox

Glutathione

Vitamins C E A Selenium httpwwwncbinlmnihgovpubmed26207130 Psychiatry

Investig 2015 Jul12(3)361-6 doi 104306pi2015123361

httpwwwncbinlmnihgovpubmed26188640Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003

wwwHealthTakesGutscom

Individual Supplements

Gingko Biloba

Helps with focus and attention

httpwwwncbinlmnihgovpubmed25925875

Tyrosine

Precursor to dopamine

5HTP

Precursor to serotonin

wwwHealthTakesGutscom

Supplements of note

Calming

Glutamine

Precursor to GABA

GABA

Valerian

Lemon balm

L-theanine

Inositol

wwwHealthTakesGutscom

Supplements of note

Huperzine

Increases acetylcholine in brain

Bacopa monnierei

Focus and attention

wwwHealthTakesGutscom

Toxins

Heavy metals

Mercury

Lead

Chemicals

Food

Pesticides additives

Cleaning

Air

smoke

Toys plastic PCBs

wwwHealthTakesGutscom

Testing

Micronutrient (Spectracell)

Genetic SNP testing (23andme Genomics Solutions Now

Neuroscience Nutrigenomix)

Heavy Metal Testing (urine or hair)

Neurotransmitter (urine) Neurotransmitters excreted in the urine as biomarkers of nervous system activity Validity and

clinical applicabilityDavid T Marclowast Joseph W Ailts Danielle C Ailts Campeau Michael J Bull Kelly

L OlsonNeuroScience Inc 373 280th Street Osceola WI 54020 United States

Food sensitivity

Organic Acids Test (urine)

For Candida dysbiosis

wwwHealthTakesGutscom

Lifestyle factors

Exercise

STRONG evidence Exercise References 1 2 3 4 5 6 7 8 9

Improves ADHD

Sleep

7-8 hours a night httpwwwncbinlmnihgovpubmed26503122

httpwwwncbinlmnihgovpubmed20839894

httpwwwncbinlmnihgovpubmed16624231

Limit screens

30min-1 hrday

wwwHealthTakesGutscom

Supplements of note

Huperzine

Increases acetylcholine in brain

Bacopa monnierei

Focus and attention

wwwHealthTakesGutscom

Toxins

Heavy metals

Mercury

Lead

Chemicals

Food

Pesticides additives

Cleaning

Air

smoke

Toys plastic PCBs

wwwHealthTakesGutscom

Testing

Micronutrient (Spectracell)

Genetic SNP testing (23andme Genomics Solutions Now

Neuroscience Nutrigenomix)

Heavy Metal Testing (urine or hair)

Neurotransmitter (urine) Neurotransmitters excreted in the urine as biomarkers of nervous system activity Validity and

clinical applicabilityDavid T Marclowast Joseph W Ailts Danielle C Ailts Campeau Michael J Bull Kelly

L OlsonNeuroScience Inc 373 280th Street Osceola WI 54020 United States

Food sensitivity

Organic Acids Test (urine)

For Candida dysbiosis

wwwHealthTakesGutscom

Lifestyle factors

Exercise

STRONG evidence Exercise References 1 2 3 4 5 6 7 8 9

Improves ADHD

Sleep

7-8 hours a night httpwwwncbinlmnihgovpubmed26503122

httpwwwncbinlmnihgovpubmed20839894

httpwwwncbinlmnihgovpubmed16624231

Limit screens

30min-1 hrday

wwwHealthTakesGutscom

Toxins

Heavy metals

Mercury

Lead

Chemicals

Food

Pesticides additives

Cleaning

Air

smoke

Toys plastic PCBs

wwwHealthTakesGutscom

Testing

Micronutrient (Spectracell)

Genetic SNP testing (23andme Genomics Solutions Now

Neuroscience Nutrigenomix)

Heavy Metal Testing (urine or hair)

Neurotransmitter (urine) Neurotransmitters excreted in the urine as biomarkers of nervous system activity Validity and

clinical applicabilityDavid T Marclowast Joseph W Ailts Danielle C Ailts Campeau Michael J Bull Kelly

L OlsonNeuroScience Inc 373 280th Street Osceola WI 54020 United States

Food sensitivity

Organic Acids Test (urine)

For Candida dysbiosis

wwwHealthTakesGutscom

Lifestyle factors

Exercise

STRONG evidence Exercise References 1 2 3 4 5 6 7 8 9

Improves ADHD

Sleep

7-8 hours a night httpwwwncbinlmnihgovpubmed26503122

httpwwwncbinlmnihgovpubmed20839894

httpwwwncbinlmnihgovpubmed16624231

Limit screens

30min-1 hrday

wwwHealthTakesGutscom

Testing

Micronutrient (Spectracell)

Genetic SNP testing (23andme Genomics Solutions Now

Neuroscience Nutrigenomix)

Heavy Metal Testing (urine or hair)

Neurotransmitter (urine) Neurotransmitters excreted in the urine as biomarkers of nervous system activity Validity and

clinical applicabilityDavid T Marclowast Joseph W Ailts Danielle C Ailts Campeau Michael J Bull Kelly

L OlsonNeuroScience Inc 373 280th Street Osceola WI 54020 United States

Food sensitivity

Organic Acids Test (urine)

For Candida dysbiosis

wwwHealthTakesGutscom

Lifestyle factors

Exercise

STRONG evidence Exercise References 1 2 3 4 5 6 7 8 9

Improves ADHD

Sleep

7-8 hours a night httpwwwncbinlmnihgovpubmed26503122

httpwwwncbinlmnihgovpubmed20839894

httpwwwncbinlmnihgovpubmed16624231

Limit screens

30min-1 hrday

wwwHealthTakesGutscom

Lifestyle factors

Exercise

STRONG evidence Exercise References 1 2 3 4 5 6 7 8 9

Improves ADHD

Sleep

7-8 hours a night httpwwwncbinlmnihgovpubmed26503122

httpwwwncbinlmnihgovpubmed20839894

httpwwwncbinlmnihgovpubmed16624231

Limit screens

30min-1 hrday

wwwHealthTakesGutscom

Lifestyle Factors

Meditation and mindfulness and yoga httpwwwncbinlmnihgovpubmed26137496Biomed Res Int

20152015962857 doi 1011552015962857

Martial Arts

Biofeedback neurofeedback

Nature

Fresh air

Time in nature calms brain

wwwHealthTakesGutscom

Putting it all together

Whole foods diet

Processed food free-eliminates many problems

Get rid of additives

Possible elimination of gluten dairy salicylates

Plenty of water

Make sure high protein breakfast

Supplements Multivitamin

O-3s

Probiotic

Consider folate Mg Zn other specfic nutrients

Others as needed based on individual case

wwwHealthTakesGutscom

Putting it all together

Testing

Determined if needed based on individual case

Exercise

Sleep

Limit screens

Nature

Be aware of the nutritional implications of meds

wwwHealthTakesGutscom

Questions

Dianne Rishikof MS RDN LDN

wwwDianneRishikofcom

wwwHealthTakesGutscom

DianneRishikofgmailcom

wwwHealthTakesGutscom

Putting it all together

Testing

Determined if needed based on individual case

Exercise

Sleep

Limit screens

Nature

Be aware of the nutritional implications of meds

wwwHealthTakesGutscom

Questions

Dianne Rishikof MS RDN LDN

wwwDianneRishikofcom

wwwHealthTakesGutscom

DianneRishikofgmailcom

wwwHealthTakesGutscom

Questions

Dianne Rishikof MS RDN LDN

wwwDianneRishikofcom

wwwHealthTakesGutscom

DianneRishikofgmailcom

wwwHealthTakesGutscom

Resources and References

httpwwwadditudemagcom

httpfeingoldorg

diannerishikofcomnutritional-supplements

The kid-friendly ADHD and Autism Cookbook

Amen Daniel Healing ADD New York Berkeley Publishing 2013

ADHD without drugs Sandford Newmark Tucson AZ Nurtured Heart Publications c2010

wwwHealthTakesGutscom

References

Shaken E Lakhan and Karen F Vieira Nutrition therapies

for mental disorders Nutrition Journal 2008 72

Neurotransmitters excreted in the urine as biomarkers of

nervous system activity Validity and clinical applicability David T Marclowast Joseph W Ailts Danielle C Ailts

Campeau Michael J Bull Kelly L Olson NeuroScience Inc 373 280th Street Osceola WI 54020 United States

httpwwwncbinlmnihgovpubmed25925875

Complement Ther Clin Pract 2015 May21(2)61-7 doi 101016jctcp201504001 Epub 2015 Apr 18

wwwHealthTakesGutscom

Gut Health references

1 Forsyth P Voices from within gut microbes and the CNS Cell Mol Life Science 2013 7055-69

2 Koloski NA Jones M Kalantar J Weltman M Zaguirre J Talley NJ The brain-gut pathway in functional gastrointestinal disorders is bidirectional a 12-year prospective population-based study Gut 2012611284-1290

3 Marilia Carabottia Annunziata Sciroccoa Maria Antonietta Masellib Carola Severia The gut-brain axis interactions between enteric microbiota central and enteric nervous systems Annals of Gastroenterology (2015) 28 203-209

wwwHealthTakesGutscom

Exercise references

1 httpwwwncbinlmnihgovpubmed26504324 Phys Ther Sci 2015 Sep27(9)2915-9 doi 101589jpts272915 Epub 2015 Sep 30

2 httpwwwncbinlmnihgovpubmed25988743Child Care Health Dev 2015 May 18 doi 101111cch12255 The main cumulative evidence indicates that short-term aerobic exercise based on several aerobic intervention formats seems to be effective for mitigating symptoms such as attention hyperactivity impulsivity anxiety executive function and social disorders in children with ADHD

3 httpwwwncbinlmnihgovpubmed25671205J Exerc Nutrition Biochem 2014 Dec18(4)379-84 doi 105717jenb2014184379 Epub 2014 Dec 31We thus showed that exercise effectivelyalleviates ADHD-induced symptoms through enhancing dopamine D2 expression in the brain

wwwHealthTakesGutscom

Exercise references

1 httpwwwncbinlmnihgovpubmed26504324 Phys Ther Sci 2015 Sep27(9)2915-9 doi 101589jpts272915 Epub 2015 Sep 30

2 httpwwwncbinlmnihgovpubmed25988743Child Care Health Dev 2015 May 18 doi 101111cch12255 The main cumulative evidence indicates that short-term aerobic exercise based on several aerobic intervention formats seems to be effective for mitigating symptoms such as attention hyperactivity impulsivity anxiety executive function and social disorders in children with ADHD

3 httpwwwncbinlmnihgovpubmed25671205J Exerc Nutrition Biochem 2014 Dec18(4)379-84 doi 105717jenb2014184379 Epub 2014 Dec 31We thus showed that exercise effectivelyalleviates ADHD-induced symptoms through enhancing dopamine D2 expression in the brain

wwwHealthTakesGutscom

Exercise references

4 httpwwwncbinlmnihgovpubmed25646023 J Atten Disord 2015 Feb 2 pii 1087054715569282 A 12-week table tennis exercise mayhave clinical relevance in motor skills and executive functions of children with ADHD

5 httpwwwncbinlmnihgovpubmed25561359 Res Dev Disabil 2015 Mar38181-91 doi 101016jridd201412005 These findings support the hypothesis that long-term PA has a positive effect on executive functions of children with ADHD regardless of the specificity of the PA The outcomes indicated that regular PA can be used as a complementary or alternative non-pharmacologic treatment for ADHD

6 httpwwwncbinlmnihgovpubmed25220093Child Adolesc Psychiatr Clin N Am 2014 Oct23(4)899-936 doi 101016jchc201405005these data provide a strong rationale for whya program of structured physical exercise might serve as an effectiveintervention for children with ADHD

wwwHealthTakesGutscom

Exercise references

7

httpwwwtheatlanticcomhealtharchive201409exe

rcise-seems-to-be-beneficial-to-children380844

8

httpwwwncbinlmnihgovpmcarticlesPMC3556380

9

httpwwwncbinlmnihgovpmcarticlesPMC3556380

wwwHealthTakesGutscom

Diet references

1 httpwwwncbinlmnihgovpubmed24934907 Nord

J Psychiatry 2015 Jan69(1)1-18 doi

103109080394882014921933

2 httpwwwncbinlmnihgovpubmed18826452 Nutr Rev 2008 Oct66(10)558-68

3 Child Adolesc Psychiatr Clin N Am 2014 October

23(4) 937ndash953 doi101016jchc201405010

wwwHealthTakesGutscom

Diet references

4 httpwwwncbinlmnihgovpubmed22232312

Pediatrics 2012 Feb129(2)330-7 doi 101542peds2011-

2199 Epub 2012 Jan 9 The diet factor in attention-

deficithyperactivity disorder Millichap JG1 Yee MM

5 httpwwwncbinlmnihgovpubmed20034331Acta

Med Croatica 2009 Oct63(4)307-13

6 httpwwwncbinlmnihgovpubmed14687872Prog

Neuropsychopharmacol Biol Psychiatry 2004

Jan28(1)181-90

wwwHealthTakesGutscom

References

httpwwwncbinlmnihgovpubmed26503122

httpwwwncbinlmnihgovpubmed20839894

httpwwwncbinlmnihgovpubmed16624231

httpwwwncbinlmnihgovpubmed26137496

Biomed Res Int 20152015962857 doi 1011552015962857

httpwwwncbinlmnihgovpubmed26207130

Psychiatry Investig 2015 Jul12(3)361-6 doi 104306pi2015123361

wwwHealthTakesGutscom

References

httpwwwncbinlmnihgovpubmed26188640

Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003

httpwwwncbinlmnihgovpubmed26664441

Iran J Child Neurol 2015 Fall9(4)48-53

httpwwwncbinlmnihgovpubmed24610453

Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5

wwwHealthTakesGutscom

References

lsquohttpwwwncbinlmnihgovpubmed16846100

Magnes Res 2006 Mar19(1)46-52

httpwwwncbinlmnihgovpubmed25373528

Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432

httpwwwncbinlmnihgovpubmed26682999

J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105

httpwwwncbinlmnihgovpubmed26573368

Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17

wwwHealthTakesGutscom

References

httpwwwncbinlmnihgovpubmed23495677

httpwwwncbinlmnihgovpubmed23312676

httpwwwncbinlmnihgovpubmed21807480

wwwHealthTakesGutscom