IMMUNITY

DIGESTION

NUTRITION BEHAVIOR DIET NEUROLOGIC

METABOLISM

Underlying Predispositions Including Problems With: Gut flora, Digestion, Absorption, Utilization, Metabolism, Detoxification, Nutrition, Sulfation, Methylation, Oxidation

The Total Load Diet, Lifestyle, Environment, Toxins, Medications

TRIGGER THE TIPPING POINT ASD DIAGNOSIS

REACTIONS TO Foods, Additives, Dyes, Toxins, Pesticides, Medications, Vaccines, Environmental Exposures

1 Remove offending foods and substances What Interferes Gluten, milk casein, soy, corn, phenols, oxalates, starches & sugars Antacids Inflammation Artificial additives, chemicals, pesticides, toxins Antibiotics Poor gut flora Pathogens Toxins Replace with Healthy foods which do not promote reactions What Helps Probiotics Omega-3 Optimize Prebiotics Vitamins A and D Nutritional status Enzymes Zinc GI flora, function, enzymes, absorption Demulscents Glutamine Sulfation, methylation, detoxification

SPECIAL DIETS

SPECIAL DIETS

. Artificial sweeteners, preservatives, colors, flavors . High fructose corn syrup, agave . Sodas: diet and regular . Hydrogenated oils / trans fats / margarine . Refined grains and processed foods . Sugar . Caffeine . Deep fried foods . Craved foods . Food reactions

2 If it does not grow……do not eat it! FOOD ARTIFICIAL ADDITIVES, PRESERVATIVES Nutrient -Dense, Eco-Friendly Good Fats and Oils American Academy of Pediatrics Acknowledgement • Pasture-fed, grass-fed animals • Extra virgin olive oil • Eggs, seafood, meat, poultry • Butter, animal fats • Meta analysis of 15 trials concluded that a wide • Beans, nuts, seeds • Coconut oil variety of preservatives in the foods commonly • Homemade bone broths • Expeller pressed oils consumed by children, can result in neurobehavioral effects, including ADHD, and some children may be • Vegetables and fruits Natural Sweeteners (limit) more sensitive. • Fermented foods, beverages • Honey, maple syrup • Whole ancient grains • Natural juices • “A preservative-free, food coloring-free diet is a (soaked, sprouted, fermented) • Stevia reasonable intervention.” • Celtic sea salt Resources McCann et al. Lancet. 2007:370)9598):1560-1567 • Filtered water Nourishing Traditions by Sally Fallon ADHD and Food Additives Revisited Schonwald AAP Grand Rounds.2008; • Raw vegetable juices Weston A. Price Foundation

ASD DIET OPTIONS DESCRIPTION GFCFSF No GLUTEN: wheat, rye, barley, spelt, No: Gluten, Casein, Soy kamut, oats; MILK casein; Soy PST Low Phenol Diet Avoid high salicylate, phenolic foods. Low Saliclyate/Feingold/Failsafe No artificial ingredients SCD Specific Carbohydrate Diet Restricts carbos to: fruit, non-starch GAPS vegetables and honey. No double Gut and Psychology Syndrome sugars: lactose, maltose, sucrose. BED Body Ecology Diet Anti-yeast diet. No sugar. Use of Anti-yeast fermented foods. Food combining. LOD Low Oxalate Diet Avoid: nuts, beans, greens, some grains and fruits. Worse w/ dysbiosis. Basic Healthy Diet General healthy diet with good protein Nourishing Traditions (Fallon) and nutrient dense foods. FODMAP Avoidance Diet Avoid: Fermentable Oligosaccharides, Disaccharides, Monosaccharides, And Polyols (sugar alcohols) Rotation Diet Based on food families + 4 day rotation. Julie Matthews

DIET UNDERLYING PROBLEMS AND SYMPTOMS GFCF DPPIV deficiency >>opioids from gluten, casein (soy proteins). GFCFSF Cravings for gluten, milk/casein, soy. Poor focus, eye contact. Low Phenol Impaired phenol sulfotransferase (PST) and impaired sulfation Salicylate PST metabolizes phenols, participates in brain neuron firing. Feingold Artificial additives; apples, berries, citrus, grapes, tomatoes. Failsafe Red cheeks, ears. Addiction to sources. Silly, aggressive. SCD Disaccharidase deficiency leads to inability to digest double GAPS sugars (lactose, sucrose, maltose, isomaltose) GI symptoms, yeast overgrowth. Grains, beans, starch reactions. BED Underlying bowel dysbiosis due to insufficient good flora and Anti-Yeast the presence of pathogens. Yeast overgrowth. Worse w/ sugars, starches. Fatigue, poor concentration. LOD Bowel dysbiosis: insufficient flora for binding oxalates in gut. Low Deficiencies: B6 & magnesium lead to increased oxalates. Oxalate Pain especially after oxalate foods. Inflammation, sandy stools. FODMAP Problems: lactose, fructose, fructans, galactans, sugar alcohols. Avoidance IBS: maldigestion, gas, bloating, burping, constipation/diarrhea. Rotation For multiple food reactions rendering avoidance too difficult. Julie Matthews Dana Laake

3 SPECIAL DIETS GFCFSF WHAT IT IS No Glutens: wheat, oat, barley, rye, spelt, kamut No milk products / milk casein (protein) No soy: edamame, , natto, tamari, tempeh, WHEN TO USE IT Gluten and milk cravings Silly, OCD, self-injury GI: constipation, diarrhea High pain tolerance Poor focus and eye contact Sensory, stims WHAT IT DOES Eliminates opioid source foods (gluten, casein, soy) Improves: focus, attention, eye contact, behavior Reduces: stims, cravings, picky appetite, GI issues

ANIMAL SOURCE SATURATED Vegetables Seafood UNSATURATED Fruits Meats Monounsaturated Grains No gluten Poultry  Omega-9 olive, avocado, almond Beans No soy Eggs Nuts No milk sources Polyunsaturated Essential Fatty Acids Seeds PLANT SOURCE  Omega-3 Beans No soy fish, beans, nuts, seeds Nuts  Omega-6 Seeds vegetables + their oils

CAN RESULT IN RESIDUES OF Amino Acids AMINO ACID CHAINS CALLED PEPTIDES Can be 20,000 amino acids long

If the digestive barrier is healthy, PEPTIDES are ► Too large to be absorbed and ► Will not cross into the blood stream

If the gut barrier is “leaky” - PEPTIDES can ► Be absorbed into the blood separate amino acids ► Stimulate an immune reaction …from each other ► Cross into the brain Karyn Seroussi ► Act as false neurotransmitters

4 When the gut mucosal barrier is too permeable - it allows large molecules to cross into circulation …like holes in a window screen ….allow flies in the room

DPP IV FUNCTION DIPEPTIDYL PEPTIDASE-IV  Increase directly related to opioid food-sources  Can be absorbed via the “leaky” gut barrier, and From poor digestion of specific proteins  Can cross the blood brain barrier SINGLE  Are measureable in urine, CSF, breast milk, blood OPIOID AMINO PEPTIDES DPP-IV ACIDS GLUTEN opioid peptides are Gliadorphin ENZYME tyr – pro – gln –pro –gln –pro –phe GLIADORPHIN There are no problems if any (From Gluten) of the following are true:

BOVINE CASEIN opioid peptides are Casomorphin CASOMORPHIN

) (From Casein)) ..No opioid sources (gluten, casein) [Bovine Beta-Casomorphin 7 BCM7] ..Opioids are well digested tyr – pro – phe –pro –gly –pro –ile ..Gut barrier is healthy – not leaky

DPP IV FUNCTION DIPEPTIDYL PEPTIDASE IV Are.. • Hallucinogenic • Addicting SINGLE OPIOID AMINO Can cause… PEPTIDES • Silly, spacey behavior DPP-IV ACIDS • Inattention, mood changes ENZYME • Aggression, self-injury •Stims Opioids enter the circulation GLIADORPHIN • Poor eye contact (From Gluten) ..if they are not digested CASOMORPHIN • High pain tolerance

..and the gut is leaky ) (From Casein)) • Addictions to glutens and milk products Opioids cross into the brain • Picky appetite and alter function and behavior

5 Differences A1 “Bad” A2 “Good” Position 67 Histidine Proline BCM7 Opioids Yes No Cow (Bovine) Holstein Brown Swiss Jersey, Milk Sources Guernsey, Asian, African Other Sources Goat Sheep Food sources must be consumed Buffalo Human (gluten, casein, soy) Diabetes CVD Possibly linked Low / no link DPP-IV enzymes must be faulty . Gene mutation changed A2 to A1 milk. Position 67 changed from proline in A2 to histidine in A1. The gut must be leaky . Human milk is best - if the nursing mother avoids animal milk. . Avoid animal milk initially, later introducing safer A2 milks. . If milk is tolerated, use milk only from pasture-fed animals. Cjeslinska A et al. Int J Food Sci Nutr. 2012 Jun;63(4):426-30. Kaminski S et al. J Appl Genet. 2007;48(3):189-98 Woodford K and Cowan T. Devil n the Milk, 2009.

HYPOTHESIS OR FACT? In the GI tract, the BCM7 casomorphin opioids Food source opiate-like endorphins have been: have a positive beneficial effect on … . Identified in urine, CSF, breast milk, and blood . GI growth and development . Linked to: . Motility Autism . Absorption functions Postpartum depression . Secretions Infant SIDS . Immune function Schizophrenia . Dysbiosis Behavior and attention problems Changes in brain function The problems occur when the opioids are K Reichelt, MD www.gluten-free.org/reichelt.html absorbed through a damaged “leaky” gut Whiteley and Shattock Expert Opin Ther Targets 6(2): 175. 2002. Richard Deth, PhD. Int Soc for Autism Res, May 2010.

WHEAT-FREE IS NOT GLUTEN-FREE CLINICAL PEARLS ON GFCFSF GLUTEN GRAINS HIDDEN SOURCES Negative tests for gluten and casein are NOT Wheat Hydrolyzed Plant Proteins proof that gluten and milk are tolerated Rye Hydrolyzed Vegetable Protein Trial avoidance is the best test. Barley Artificial flavors and coloring Triticale Dextrin For Celiac: testing includes blood panel, small intestine biopsy, and the gene test. Spelt Malt “ Absolute avoidance is the solution Kamut Citric acid right now. The future is optimistic.”* Semolina MSG Groats Soy sauces (most) * Alessio Fasano. Surprises from Celiac Disease Scientific American: Aug 2009 (54 – 61). Oats (w/ gluten) Playdoh

6 WHEAT-FREE IS NOT GLUTEN-FREE FOR 1 C OF WHEAT AMOUNT QUALITIES Rice Montina Water chestnut THICKENERS Buckwheat flour 7/8 C Strong flavor, light is best Millet Sorghum Jerus. artichoke Agar Corn flour 1 C Light, corn taste Quinoa Tapioca Nut flours Arrowroot Cornmeal/starch 3/4 C Sweet flavor, crunchy Amaranth Taro Bean flours Cornstarch Chickpea flour 3/4 C For baking, distinct taste Buckwheat Yam Seed flours Gelatin Wild rice Sago Coconut flour Guar gum Nut flours (fine) 1/2 C For baking, strong flavor Corn Malanga Yucca/cassava powder Potato flour 1 C Heavy, use small amounts Teff Lotus Lara’s GF Oats Potato Potato starch 3/4 C Light, refined, low fiber Tapioca Rice flour 7/8 C Can be gritty, bland Sweet rice flour Sorghum 7/8 C Combine w/ other flours Xanthan gum Tapioca flour 1 C Light, white flour, chewy

SUBSTITUTE FOR GLUTEN SUBSTITUTES EQUAL TO 1 TBS WHEAT FLOUR PROVIDES STRETCH BINDING AND TEXTURE

Arrowroot 1 1/2 tsp. AMOUNT Bean flours 1 tbs. TYPE OF BAKED GOODS PER 1 CUP Cornstarch 1 1/2 tsp. FLOUR Breads 1 tsp. Gelatin powder 1 1/2 tsp. dissolved in water (unflavored) Cakes 1/4 tsp. Guar gum 1 1/2 tsp. mixed in liquid Cookies 1/4 tsp. Potato starch 1/2 tbs. Muffins, Quick breads 3/4 tsp. Tapioca flour 1 1/2 tbs. Pizza crusts 2 tsp.

From the GLUTEN-FREE GOURMET books From the book: COOKING FREE . 1 1/2 cups sorghum flour . 6 parts white rice flour . 1 1/2 cups potato starch, cornstarch, . 2 part potato starch flour or amaranth starch . 1 part tapioca flour . 1 cup tapioca flour . 1/2 cup flour: almond, corn, Combine all ingredients. bean or chestnut Blend with a whisk and store, ready for use. Combine all ingredients. Blend with a whisk and store, ready for use.

7 FLOUR BLENDS BREADS PASTAS MIXES Arrowhead Mills Ener-G Foods DeBoles Arrowheadmills.com ener-g.com deboles.com Authentic Foods Glutino Ener-G Foods Authenticfoods.com glutino.com ener-g.com Glutino Kinnininnick Glutino www.glutino.com Kinninnick.com glutino.com Kinnikinnick Lara’s GF Oats Lundberg Kinnikinnick.com Creamhillestates.com Lundberg.com

Dad’s GF Pizza Crust Foods By George PIZZA CRUSTS Glutenfreepizza.com Foodsbygeorge.com

“LITTLE MISS MUFFIT WAS WRONG” MILK-FREE IS NOT CASEIN FREE . Animal milk and cream . Evaporated milk Milk and Yogurt Oil / Butter Ice Cream . Butter . Galactose Rice milk Coconut oil/butter Fruit popsicles . Butter flavor . Half-and-half Coconut milk Ghee (clarified) Sorbets w/o milk . Buttermilk . Ice cream, ice-milk Coconut yogurt Lard (best in baking) Italian ice . Casein . Kefir, Yogurt Hemp milk Earth Balance Non-dairy ice cream . Caseinate . Lactose Soy milk Kosher Chocolate . Cheese (all) . Lactalbumin Tofu milk Pareve only GFCFSF chocolate . Cool whip . Sherbet Potato milk . Condensed milk . Sour cream Nut milks . Cottage cheese . Whey Vance’s DariFree . Cream cheese

THE NEW FUNCTIONAL FOOD Perfectly legal! Coconut is a healthy, nutritious seed that is good for Contains no THC digestion, immunity and cardiovascular health Produced from seeds of hemp plant Coconut water (liquid in the coconut) is a natural Healthy alternative for milk electrolyte solution – far superior to any sports drink Not SCD compliant

Jelly-like kernel has enzymes, nutrients, and fiber CONTAINS THE FOLLOWING Protein and Amino Acids Coconut milk is made by squeezing the grated flesh Vitamins: A, D, E, B12, B2, folic acid Coconut Milk can be fermented into kefir or yogurt - both contain an abundance of flora Minerals: calcium, magnesium, potassium, phosphorus, iron, zinc

8 MILK PROD SUBSTITUTE “SOY SORRY” 1C milk 1C rice, nut, soy, hemp, coconut milk Primary Other Found in.. 1C yogurt 1C coconut or soy yogurt Soy oil Lecithin Baked goods 1C light cream 3/4C milk substitute +1/4C butter substitute Edamame HVP Meat products 1C heavy cream 2/3C milk substitute +1/3C butter substitute Miso Mono- and Baby foods and formulas 1C cottage cheese 1 C crumbled tofu (add dressing to flavor) Natto Diglycerides Deli meats 1C buttermilk 2 tbs. lemon juice in 1 C milk substitute Sprouts (soy) MSG Cheese substitutes Vitamin E SOUNDS LIKE DAIRY …BUT IT’S NOT Tamari Butter substitutes Calcium lactate Lactic acid Tempeh Oil, margarine Calcium stearoyl lactylate Oleoresin Beverages Tofu Coffee substitutes Cocoa butter Sodium lactage Yuba Dressings, Cream of tartar Sodium steroyl lactylate Candy, caramel Sueson Vess “Special Eats”

“SOY SORRY” Glutens Cow Milk Products Soy . Legume, common allergen, difficult to digest Opioid source Opioid source Opioid source . Genetically modified (GM) since 1996 Gluten intolerances BCM-7 from A1 milk Common allergen Celiac disease Lactose intolerance Difficult to digest Altered protein substances Lectins Lectins Genetically modified Increased allergens Pro-inflammatory Pro-inflammatory Pro-inflammatory . Processing requires high heat and chemicals Allergy potential Mucous increase Endocrine disrupter . Can also form opiate-like peptides (peptiduria) IgE, IgG Propionic acid Goitrogenic . Inflammatory and immune effects Oxalates Oxalates / phytates . Endocrine disrupter: infancy to adults Allergy potential lead to malabsorption: IgE, IgG Ca, Mg, Fe, Cu, Zn . Goitrogen (blocker to thyroid hormone synthesis) Allergy potential . Phytate and oxalate content leads to nutrient IgE, IgG malabsorption: Ca, Mg, Iron, Copper, Zinc

AGE PROTEIN gr/D CASEIN-FREE SOURCE Grains and milk products are not essential food groups. Infant to 1 9 – 15 8 grams of protein in… They have been part of the human diet for only .005% of 2 million years of total human history 2 to 3 20 – 25 1 oz fish, poultry, meat .05% of 200,000 years of modern human history 4 to 6 25 – 35 1 egg They are not required for human life 7 to 11 35 – 45 1/2 cup beans / hummus They are choices within the 3 food groups: 12 to 17 45 – 60 1/4 cup nuts / seeds Glutens are grains - a Carbohydrate choice Adult 60 – 90 2 Tbsp. nut butters Milk products are a Protein choice Soy is a Protein and Carbohydrate choice ASD: usually higher needs due to maldigestion, poor absorption and poor utilization of amino acids The following must be maintained: PROTEIN FAT Calories ■ Protein ■ Nutrients Age 1 to 8 12 gr/D – 20 gr/D (including calcium, magnesium and D) CARBOHYDRATE Age 10 - Adult 25 – 38 gr/D

9 AGE RDA / TX mg UL SUBSTITUTES DRI / RDA / AI THERAPY RANGE 0 – 1 210 – 250 - For 300 mg Ca in 1 Cup Milk 0 – 12 months 30 - 75 mg (AI) 50 – 150 mg 1 – 3 700 2500 1 C Rice or coconut milk fortified 1 – 3 years 80 mg 100 - 350 mg 1 C Hemp or almond milk fortified 4 – 8 800 2500 4 – 8 years 130 mg 100 - 600 mg 1.3 C Tofu (if tolerated) 9 – 18 800 – 1300 2500 9 – 13 years 240 mg 300 – 750 mg 5 oz Salmon canned w/ bones 14 – >30 years M 410 mg F 320 mg 300 - 800 mg Adult 800 – 1200 2500 2 ½ oz Sardines canned w/ bones Preg 1300 2500 2 ½ -3 C Green leafies, broccoli Pregnancy 350 – 400 mg 400 – 800 mg

SUPPLEMENT SOLUBLE TASTE TEXTURE ABSORPTION OTHER Food sources: dark greens, vegetables, beans, nuts, seeds Citrate Good Neutral Chalky Excellent Acidic Supplements: Chelates Moderate Sweet Varies Excellent Neutral . Low toxicity. Excess causes diarrhea which depletes Mg. Carbonate Good Neutral Chalky Good Alkaline . Least stool effect: glycinate, chelate, aspartate, gluconate. Magnesium is critical for calcium utilization.. . Most stool effect: citrate, chloride (good for constipation).

VIT D INTAKE IU UL(IU) SOURCES OF D IU’S 0 to 1 400 or more 1,500 1 tbsp. Cod liver oil 1,360 Child 600 – 2,000 3,000 3.5 oz fish 360 1,000 – 8,000 >10,000 Adult 1 can sardines 250 Preg 1,000 – 4,000 >5,000 1 egg (yolk) 20 SUPPLEMENTS Milk/ milk substitutes 100 Vitamin D3 Cholecalciferol Sun exposure 20 min 10,000 Fish oil and micelized liquids Vitamin D2 Ergocalciferol TOXICITY Less effective long term More than 20,000 for months. LAB TESTS Not from sun exposure. 25 OH D3: 40 -100 ng/ml Self-limiting. Deficiency: H Alk Phos, Low PTH Avoid in Sarcoidosis.

Protein Fiber Age Calories/Day Grams/Day Grams/Day Water Ounces/D 2 to 3 1000 to 1400 20 to 25 15 30 to 35 4 to 6 1200 to 1800 25 to 35 15 to 19 40 to 45 ANIMAL SOURCE SATURATED Vegetables 7 to 11 1200 to 2000 35 to 45 15 to 20 45 to 60 12 to 17 1600 to 2400 45 to 60 20 to 25 55 to 60 Seafood UNSATURATED Fruits Protein 24 to 60 Gr/D High Fiber Vegetables More Vegetables Protein at Every Meal 1 serving = 8 to 20 Gr/meal Monounsaturated Eat with other food or Meats 8 grams protein = Grains No gluten on empty stomach 1 oz meat, fish, poultry 1 – 3 cups/day or more  Omega-9 1 egg Poultry Eat More: green, orange, 1/2 cup beans olive, avocado, almond Beans No soy red, purple Eggs 2 oz nuts, seeds 2 Tbs nut butters Polyunsaturated Nuts 1/3 C cottage cheese, No milk sources AVOID Greek yogurt Essential Fatty Acids Seeds Artificial additives Artificial sweeteners Fruit. Less Starches PLANT SOURCE Preservatives,coloring Fruit, Starches, Grains  Omega-3 Sodas: diet and regular Not on an empty stomach HFCS – corn syrup Eat Less Breads, Pasta Beans No soy fish, beans, nuts, seeds Hydrogenated oils Bagels, Cold Cereals Refined foods Starches, Juices Nuts  Omega-6 Fried foods Choose a wide variety of Eat Deli Meat color, textures and flavors Whole Grains 1.5 – 6 servings vegetables + their oils Caffeine Fermented Foods Seeds Sugar Drink: Water Green and Herb Teas Seltzer w/ juice. Fruit 1 – 2.5 /day Sweeteners: Juice, maple syrup, honey, stevia Oils: Flaxseeds ground, olive, avocado, coconut, almond © MAPS 2012

10 Protein Fiber Age Calories/Day Grams/Day Grams/Day Water Ounces/D Calories/ Day Protein Fiber Water 2 to 3 1000 to 1400 20 to 25 15 30 to 35 Grams/Day Grams/Day Ounces/D 4 to 6 1200 to 1800 25 to 35 15 to 19 40 to 45 Female 2000 to 2400 60 to 75 25 to 30 60 to 75 7 to 11 1200 to 2000 35 to 45 15 to 20 45 to 60 Males 2400 to 3000 25 to 35 30 to 35 70 to 90 12 to 17 1600 to 2400 45 to 60 20 to 25 55 to 60

Protein 24 to 60 Gr/D High Fiber Vegetables Protein 60 to 90 Gr/D High Fiber Vegetables More Vegetables Protein at Every Meal 1 serving = 8 to 20 Gr/meal Eat with other food or More Vegetables Protein at every meal 1 serving = 20 to 30 Gr/meal Eat with other food or 8 grams protein = on empty stomach 8 grams protein = on empty stomach 1 oz meat, fish, poultry 1 – 3 cups/day or more 1 oz meat, fish, poultry 1 – 3 cups/day or more 1 egg Eat More: green, orange, 1 egg Eat More: green, orange, 1/2 cup beans red, purple 1/2 cup beans red, purple 2 oz nuts, seeds 2 oz nuts, seeds 2 Tbs nut butters 2 Tbs nut butters NO MILK, CASEIN, SOY AVOID NO MILK, CASEIN, SOY AVOID Artificial additives Artificial additives Artificial sweeteners Artificial sweeteners Fruit. Less Starches Preservatives,coloring Fruit. Less Starches Preservatives,coloring Fruit, Starches, Grains Sodas: diet and regular Fruit, Starches, Grains Sodas: diet and regular Not on an empty stomach HFCS – corn syrup Not on an empty stomach HFCS – corn syrup Eat Less Breads, Pasta Hydrogenated oils Eat Less Breads, Pasta Hydrogenated oils Bagels, Cold Cereals Refined foods Bagels, Cold Cereals Refined foods Starches, Juices Fried foods Starches, Juices Fried foods Choose a wide variety of Eat Deli Meat Choose a wide variety of Eat Deli Meat color, textures and flavors Whole Grains 1.5 – 6 servings Caffeine color, textures and flavors Whole Grains 1.5 – 6 serv Caffeine Fermented Foods Alcohol Fermented Foods Sugar Drink: Water Green and Herb Teas Seltzer w/ juice. Fruit 1 – 2.5 /day Sugar Drink: Water Green and Herb Teas Seltzer w/ juice. Fruit 1 – 2.5 /day Sweeteners: Juice, maple syrup, honey, stevia NO GLUTEN Sweeteners: Juice, maple syrup, honey, stevia NO GLUTEN Oils: Flaxseeds ground, olive, avocado, coconut, almond Oils: Flaxseeds ground, olive, avocado, coconut, almond © MAPS 2012 © MAPS 2012

Include some protein at every meal and snack. High fiber vegetables: raw, juiced, steamed, in soups, smoothies, and purees added to spaghetti sauce and muffins. Age > 2 to 34 to 67 to 11 12 to 17 Adult F Adult M Grams/Day > 20 - 25 25 - 35 35 - 45 45 - 60 60 - 75 75 - 90 Fruits: whole fruits are best. Add to smoothies. Grams/Meal> 6 – 8 8 – 12 12 - 15 15 - 20 20 - 25 25 - 30 Avoid fruit juices or dilute juices w/ water 1:4 Serv= Serv= Serv = Serv= Serv= Serv= Grains: non-gluten, rice, quinoa, buckwheat 8 Grams Protein Is Found In: Daily Servings Age Age Age Age Adults 1 ounce Seafood, meat, poultry, cheese 2to 3 4 to 6 7 to 11 12 to 17 Vegetables - cups 1 1.5 - 2 2 2 - 3 3 - 3.5 1 Large Egg Fruits - cups 1 1 - 1.5 1.5 - 2 2 - 2.5 2 - 2.5 1/2 Cup Beans, Hummus Grains – servings* 1.5 - 3 2 - 4 3 - 5 3 - 6 3 - 7 1/4 Cup Nuts, Seeds 2 TBSP Nut Butter *Grains are a carbohydrate choice, not a mandatory food group. 1/2 C Yogurt If not consuming grains – expand vegetables and beans. 1/3 C Greek yogurt / cottage cheese 1 grain serving = 1 small slice bread, 1/2 / small muffin 1/2 C rice / pasta / oatmeal /granola

Protein: 1 serving = each person’s… . 1 palm for fish, fowl, meat Seafood – organic Grass fed, pastured meats, poultry Eggs – 1 egg = 1 oz seafood, meat, poultry (1 – 2 oz for child, 3 – 4 for teen or adult

. 1 cupped palm for nuts / seeds Organic, raw.

. 2 cupped palms for beans

11 PERCEPTION IS REALITY . Select the diet that matches the symptoms . Start one diet at a time Zinc deficiency increases: . For GFCFSF – if removing both is difficult . Poor taste bud function and taste perception First avoid milk – it clears sooner . Sensory dysfunction and oral sensory dysfunction Then remove gluten . Accumulation of toxic metals It is best to avoid soy too Toxic metals and zinc deficiency increase: . Go gently into the diet – slow introduction . Pica – appetite for non-food substances . Withdrawal symptoms are common . Food aversions . Keep diet diaries and note reactions . Read labels and check with manufacturers Correct the nutrient deficiencies . Check all medications Get rid of the problem foods . Get ideas from parents and web sites Consider feeding therapy if needed www.gfcfdiet.com & Julie Matthews: www.NourishingHope.com

BASICS FOR EVERYONE . Deep breathe prior to eating . Most feeding problems begin with solid foods. . Chew thoroughly . In those with sensory delays, solids and textures . Eat slowly may be rejected. The child is not ready. . Drink water with and between meals . Feed according to the sensory age, not the . Eat smaller meals w/ fewer foods chronological age. . Go back to purees and baby foods if needed. . Select variety over the week . Expand as oral sensory development improves. . Rotate foods if allergic . Consider feeding assessment and therapy. . Consider food combining

. Try ethnic foods (Chinese, Indian) –usually GFCFSF . Keep mealtime pleasant . Have some family meals that are “The Diet” . No cell phones or interruptions . Try lunch and dinner foods for breakfast . Include pleasant background music There are no “breakfast police” . No gross talk at the table . Are you “gellin?” Gelatin helps digestion . No negative comments about the food Use “real” homemade soups and broths . Use fermented foods – homemade Allow TV or favorite video in order to: . Use separate pans for special diets . Reduce the sensory focus on the food . Educate the child’s teacher . Sneak more food in . Send a toy in the lunch box . Make a positive connection with eating . Send special diet treats to school for party use

12 Hide purees of healthy fruits, vegetables, and meats in:  Smoothies  Egg = protein, amino acids  Applesauce  Nuts = protein  Spaghetti sauce  Meatloaf, meatballs  Dried fruit, molasses = iron  Nut butters, hummus  Flaxseed = fiber and EFA’s  Muffins, brownies, pancakes  Protein powder How to do it:  Calcium powder  Start with 1/2 to 1 teas   Increase gradually as tolerated Pureed vegetables  The puree should be free of “lumps”  Pureed meats This improves nutrition and acclimates the body to new foods. Karyn Seroussi

. Study the food your child loves

. Cut chicken to similar size and shape . Easier on the child and better compliance . GFCFSF flour . Less opportunity for sneaking

. Fry in tolerated oil . Less cross contamination (utensils) . Others may experience improvement in Yes, these really are GFCFSF! . Serve in BK or McD digestion, energy, focus, attention, immunity container if necessary! Karyn Seroussi . Helpful with ADD, ADHD, and mood disorders

. Strictness counts: . Milk clears the system in weeks to months. . Soy clears the system in weeks to months. My Special Diet . Gluten may take 3 to 6 months or more. is cool! . Common Mistakes: Rice Krispies, Goat’s Milk, My food rocks! Wheat-free Bread, etc. . Gluten reaction? It might set you back a few days or weeks. . If you are sitting on 12 tacks and remove 6, there may be no noticeable difference. Don’t quit!

13 . Give extra digestive enzymes ASAP . Three month trial of strict GFCFSF is reasonable . Alkalize! Sodium potassium bicarbonate. . Take one day at a time . Increase fluids . There is no way to know exactly when to stop . Activated charcoal – works if given immediately (it can also bind medications and supplements) . The underlying issues must be resolved . Benadryl or other antihistamine . Early reintroduction can result in regression . Epsom salt and baking soda bath or Mg sulf cream . Introduce one food type at a time, weeks apart: • Start with small amounts first . Increase probiotics (double or triple) • If tolerated, introduce large amounts frequently . Melatonin for the reaction of insomnia Why? You need to know if the food is safe. . Investigate the reason, and create safeguards

CASE STUDIES Days, weeks, or months – depending upon… . Age . Autism subtype Quick Response to an . Other conditions present Organic, Additive-Free . Compliance Diet . Length of time on diet . Nutritional status . Toxic exposures . Bowel health and dysbiosis

CASE STUDIES AVOIDING SALICYLATES - 5 YEAR OLD GIRL WITH ADHD

On Artificial Additives Organic Feingold Diet Organic Feingold Diet Coloring, Preservatives After 1 Week After 2 Weeks Processing Therapy Coloring Within Processing Therapy Recommended The Lines Not Needed Preventing Autism

14 MARY FROM BIRTH TO 18 MONTHS MARY FROM BIRTH TO 18 MONTHS HISTORY MOTHER’S DIET CONNECTIONS • Mother is skilled observer Speech therapist with knowledge in GFCFSF diets •Healthy infant MOM: ON GLUTEN, MILK and SOY • Alternating her diet from “Off the Diet” to “On GFCFSF” •Breast fed Regression occurred Mary regressed off the diet and improved on GFCFSF •Delays in: Social and eye contact This occurred over repeated attempts Sitting Communication 10 Crawling Crawling (lopsided) Ceased pulling up to stand 9 Standing 8 Not walking 7 PHYSICAL Walking MOM: GFCFSF DIET 6 Language Development progressed 5 4 COMMUNICATION Eye contact Social 3 Communication 2 Oral motor SOCIAL Physical milestones IMPROVEMENT SCALE 1 Social awareness 0 •MARY age appropriate by 18 mo OFF DIET ON GFCFSF OFF DIET ON GFCFSF

CASE STUDIES SETH – ASPERGER’S – AGE 6 ½ BEFORE GFCF AFTER 7 DAYS ON GFCF • Poor school work habits • Significant improvement • Poor attention to work • Better attention to work Simple and Quick • Difficulty getting to task • Settled in immediately Improvements • Constant reminders • Responds to requests • Hyperactivity •Calm With Diet • Stims and OCD • Significantly reduced • Peptide test - negative - symptoms suggested GFCF • Non-opioid reaction to gluten and casein His teacher called to note a “dramatic improvement. This is the first time. What changed?”

. Protein Diet is one part of the nutritional approach. The nutritional approach is one part of .. . Vegetables “The Treatment Triad” . Fruits . GF Grains . Limited Sugars . No Junk Food . GFCFSF

15 These books are dedicated to the courageous children, and to all who love and serve them. We are humbled in your presence

© MAPS 2012

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