Module 3 Understanding the ADHD Childadhdwellnessexpert.s3.amazonaws.com/Module 3/AWE_Module3_pa… · ADHD Child PART 4 Understanding the ADHD Body Understanding the ADHD Child Module

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Dr. Yannick Pauli

www.adhdwellnessexpert.com

Module 3

Understanding theADHD Child

PART 4Understanding the ADHD Body


Understanding the ADHD Child

Module topicsModule topics:

• Environmental neurotoxins

• Nutrient deficiencies

• Food allergies

• Gut imbalances

• Immune impairments

http://www.adhdwellnessexpert.com/


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Metabolic imbalances in ADHDMetabolic imbalances in ADHD

and Autism Spectrum Disorderand Autism Spectrum Disorder



Metabolic imbalancesMetabolic imbalances

Environmental Neurotoxins

Nutrient Deficiencies

Food allergies

Gut imbalances

Immune system impairments



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Environmental neurotoxinsEnvironmental neurotoxins




• Maternal to fetal transport of neurotoxins can readily occur in pregnancy

• Alcohol (OR=2), cigarette (OR=3) and drugs are well-known risk factors forADHD

• Chronic, low-level lead intoxication occurs in 20% of children less than 6years old at levels that are known to cause cognitive deficits and behavioraldisturbances

• Lead has no threshold for causing damage

• One study found a striking dose-response relationship between hair leadlevels and the likelihood of being diagnosed with ADHD, as well as the ratedseverity of attention deficit



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• Phase II depression- sulfation low in 15/17- glutathione conjugation low in 14/17- glucuronidation low in 17/17- glycine conjugation low in 12/17

• Sulfation deficit



Nutrient deficienciesNutrient deficiencies



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Essential Fatty Acids InsufficiencyEssential Fatty Acids Insufficiency

• Several studies have shown children with ADHD have lowerlevels of gamma linolenic acid (GLA – omega 6), arachidonic acid(AA – omega 6) and docosahexaenoic acid (DHA – omega 3)

• Other study has showed low plasma eicosapentaenoic acid(EPA – omega 3)

• DHA is the most important brain fatty acids. Important role forretinal development and highly concentrated in synapses.Dopamine-producing nerve endings are made up of 80% DHA.

• Bottle-feeding is a risk factor for ADHD (OR=2)



Vitamin B6Vitamin B6

• Pyridoxine is essential for neurotransmitter synthesis

• No studies on measured insufficiency

• One study of high dose showed improvement in behavior



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IronIron

• Essential for normal brain growth, neurotransmitter synthesisand catabolism.

• Deficiency can cause abnormal dopamine neurotransmission

• A controlled study of 53, children diagnosed with ADHD hadlower ferritin levels;

• The ferritin level was significantly correlated to inattentivesymptoms



IronIron

• Two studies of iron supplementation have been done

• First one, in non-anemic ADHD children, found a 30% decreasein Parents’ Conners rating scale (but not in teachers’)

• A second one with ferrous sulphate found significantimprovement in 2 out of 3 behavioral scales



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MagnesiumMagnesium

• Plays a role in neurotransmitter synthesis

• One polish study reported a RBC magnesium deficiency in 95%of 116 ADHD children

• Those children were also deficient in copper, zinc, calcium andiron

• One study of magnesium supplementation over 6 monthsshowed significant reduction in symptoms in the treated group,while the control group worsened



ZincZinc

• Plays a role in neurological development and immune function,and also as a cofactor relevant to neurotransmitter metabolism

• Several studies have found children with ADHD has lower levelsof zinc in blood and urine

• A study found that zinc levels were negatively correlated torating of ADHD by parents and teachers



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ZincZinc

• Zinc status has been shown to predict poor response tostimulant medication (zinc+methylphenidate had better outcomethan methylphenidate alone)

• One study found that zinc sulphate supplementation for 12weeks improved ADHD scales for hyperactivity, impulsivity, andsocialization (but not inattention)



Amino acidsAmino acids

One study analyzing plasma levels of various amino acidsreported that ADHD children were lower in the following(compared to controls):

• phenylalanine• tyrosine• tryptophan• isoleucine



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Nutrient deficienciesNutrient deficiencies

• Below normal glutamine• High glutamate• High copper / zinc ratio• Low methionine level• Lower plasma sulphate• Low activated B6 (P5P)• B12 deficiency• calcium deficiency



Food allergiesFood allergies



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• In mid-1970s, Feingold claimed up to 50% of children withADHD were sensitive to food additives as well as to salicylate thatoccur naturally in some foods

•Several studies have found a significant correlation betweenADHD and atopic illness

• ADHD is linked to food allergies and food intolerances, at leastin some subset of children




• One study demonstrated EEG changes immediately followingthe ingestion of previously identified sensitizing foods

• Neuroactive peptides from food have been shown to play asignificant role in the etiology of autism

• Per capita daily consumption of food additives in the US is 13-15grams



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• One study suggest up to 88% of ADHD children react to foodadditives in sublingual challenge testing

• Doris Rapp has claimed 2/3 of children with ADHD haveunrecognized food allergies that generate most, if not all, of theirsymptoms

• Data from double-blind studies indicate 75% of ADHD childrenrespond favorably to food elimination diets




Tip:

Show it to skeptics

http://unritalinsolution.com/adhdblog/2010/02/08/dr-doris-rapp-on-adhd-and-allergies/



http://unritalinsolution.com/adhdblog/2010/02/08/dr-doris-rapp-on-adhd-and-allergies/

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• A 1978 study done on 261 hyperactive children found that 74%manifested abnormal glucose tolerance in response to a sucrosemeal



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Gut imbalancesGut imbalances



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• Lyon showed that children with ADHD (66) had the following:- 74% had gut permeability- 46% had absent lactobacilli and bifidobacteria4- 44% had depressed secretory IgA- 41% had protozoal parasites- 32% had Candida albicans overgrowth

• 85% of autistic have malabsorption• maldigestion (58% have low CHO digestion)• microbial overgrowth




• Endoscopic abnormalities in autistic- 69% have chronic esophagitis- 67% have chronic duodenitis- 42% have chronic gastritis

• urinary organic acids elevation• urinary peptides



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Immune system impairmentImmune system impairment



Immune system imbalanceImmune system imbalance

T-cell deficiency in autism

ADHD children have been shown to have:- Abnormal cellular and humoral immunity- Lower plasma complement- Antineural antibodies



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Core Causes andCore Causes and

10 Key Indicator Questions10 Key Indicator Questions



KEY INDICATOR QUESTIONSKEY INDICATOR QUESTIONS

1. Has the mother undergone significant emotional stress duringpregnancy?

Rationale:

Maternal stress during pregnancy alters the subtle balance of hormones inthe mother. That has been shown to have a negative impact on thedeveloping fetus, sensitizing it also to future stresses. Moreover, itimpacts the proper development of the prefrontal cortex, especially inboys.



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2. Has the child suffered a stressful birth or birth trauma?

Rationale:

Stressful or traumatic birth (including C-section, use of forceps or vacuum,or even lots of pulling and twisting on the head) in a “natural” birth candamage the tissues of the delicate upper part of the neck. Chiropractorscall these damages vertebral subluxations.




3. Was the child born differently than with natural, vaginalbirth?

Rationale:

The vaginal delivery process allows for the activation of primitiveneurological reflexes that are essential to proper neurologicaldevelopment of the child. If the child was born by C-section, thoseprimitive neurological reflexes may not have been activated properly.



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4. Did the baby cry at the moment of delivery?

Rationale:

If the child did not cry at birth, it might be a sign that the brain receivedinsufficient oxygen (hypoxia) during labor.




5. Did the baby have “craddle cap” or “milk crust” (neonatalseborrhea dermatitis)?

Rationale:

Craddle cap or milk crust ma be a sign of intolerance, sensitivity or allergyto milk. This intolerance may even be transmitted through breast-feedingif the mother eats dairy products herself.



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6. Does the mother have amalgam fillings?

Rationale:

Amalgam fillings are made up of 50% mercury. Part of mercury leaks outof the mother and can cross the placental barrier. This is especially true ifthe mother has dental work done on those fillings during pregnancy.




7. Has the child been vaccinated?

Rationale:

Some vaccines contain mercury in the form of thiomersal. They also containaluminum and other toxins that can affect the proper development of thebrain. Heavy metals have been correlated to ADHD severity.



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8. Did the child crawl and go on all four before to walk?

Rationale:

Military crawling and going on all four before starting to walk is an importantsequential part of neurological development. If the child did not go throughthose stages, or went through them improperly or too fast, his or herneurological development may be have been subtly compromised.




9. Has the child received one or more course of antibiotics?

Rationale:

Antibiotics – along with bottle feeding, stress, junk foods and the use ofNSAIDs – will alter the delicate balance of the gut ecosystem. The normal,beneficial flora may not have developed properly or may have been altered.In consequence, bad bacteria and other organisms can develop which willstress the immune system and produce lots of toxins that get into the bodyand the brain



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10. Does the child suffer from bruxism (teeth grinding),especially at night?

Rationale:

Teet grinding, especially at night, may be a sign of parasitic infection. Asmall study of 63 ADHD children done by Dr. Michael Lyon, a Canadiandoctor trained in functional medicine, revealed that more than 40% ofchildren with ADHD had parasites.



DONDON’’T MISST MISS

The video on values and how values influence our ability to payattention and remember



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Module 3 Understanding the ADHD Childadhdwellnessexpert.s3.amazonaws.com/Module 3/AWE_Module3_pa… · ADHD Child PART 4 Understanding the ADHD Body Understanding the ADHD Child Module