Download Using Labs to Manage Your Child`s Biomedical

Using Labs to Manage
Your Child’s Biomedical
Program and Interpret
the Results
Tracy Ziemann PA-C
Sonja Hintz RN
True Health Medical Center
Naperville, IL
Goals for this Presentation
 Basic
Laboratory Tests your general
practitioner can order
 How do the lab findings present in my
child’s behavior
 Potential treatment options available for
abnormal results
Build your foundation
Create your own History and Physical:
some- times a time line is helpful
Review your:
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Environment: Home, School and other
places, what triggers are there
Diet: texture, food choices, when your
child eats
Elimination: Are your Childs stool
frequent, or infrequent, what color and
odor do they have?
Gathering information
 When
a doctor sees an autistic child there
is a need for the parent to relay the child's
physical condition
 In the biomedical treatment of autism we
look at behaviors and the physical
condition of the child to place them in
category
Basic initial testing
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Blood
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CBC, CMP
TSH, Free T4
Iron, Ferritin
Lead, blood
Copper (serum), Zinc (plasma)
Ammonia, blood (Has to be sent Frozen)
Immune system evaluation: IgG total and 4
subclasses, IgA and 2 subclasses, total IgE and IgM
Additional Blood Tests
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Viral Titers
QUANTITATVE IgG:
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CMV
EBV
HHV6
HSV
Varicella
Measles
Mumps
Rubella
Hep. B surface Ab
Polio
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Strep Titers
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ASO titer quantitative
AntiDNASE B Ab
quantitative
Mitochondrial Tests:
Blood Amino Acids
Carnitine Panel
Lactic Acid
Pyruvate Acid
Viruses
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Physical Presentation
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“Never sick”
“Always sick”
Regression after illness
Poor eye contact
Improved eye contact with
a fever
Stimmy Behavior
• Hand flapping
• Sideways glancing
• Finger flicking
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Treatments
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Olive leaf extract
Elderberry
Oil of Oregano
Herbs/Nutrients that
support the immune
system
Antiviral medications:
Valtrex
High dose Vitamin A
Homeopathy
Enzymes
Strep
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Physical Presentation
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Poor eating
Clearing the throat
Swollen lymph glands
Obsessive
thoughts/behavior
Seizures
Tics
Someone else in the
family has strep
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Treatments
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Biofilm treatment esp if
strep is found in the
stool
Antibiotics: Zithromax
Probiodics
Immune supportive
agents: IVIG
Berberine
Golden Seal
Oregon grape root
GI Health Markers
 Stool
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CDSA
CPP x3
Microbiology
 Urine
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testing
organic acid test (OAT)
Great Plains lab- OAT
Metabolic Analysis Profile (MAP) Genova
diagnostics
Yeast symptoms
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Giggly, inappropriate laughing
Foggy, spacey
Change in bowel movements (foul/yeasty
smelling stools), gas, and bloated belly
Yeasty rash/diaper rash, white coating on
tongue, red ring around the anus, ringworm,
cradle cap
Bedwetting or accidents
Sleep disturbance or Night waking
Hyperactivity, hand flapping, toe walking
Sugar craving
Treatment
 Start
a potent Probiotic
 Digestive Enzymes
 Clean up the diet
Casein/Gluten free
Limit sugar
Consider SCD and/or Low oxalate
 Support the gut and reduce inflammation
Vitamins/supplements, herbs, medications
More Treatment options…
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Antifungals
• Drugs
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Nystatin, Ampho B
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Fluconazole
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Itraconazole
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Ketoconazole
• Herbals
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Berberine
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Grapefruit Seed Extract
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Oil of Oregano, Pau d’Arco
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Garlic, Samento
Homeopathy
Look OUT for “Die Off”
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Loose stools, diarrhea
Behavior, irritability
Head aches, head
banging
Fatigue
Sleep disturbance
Rashes
Parasites
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What may
keep you
and your
child up
at night
Signs and Symptoms of Parasites
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Discomfort and bloating of stomach
Itchy buttocks, night waking, fecal smearing
Diarrhea and constipation
Teeth grinding
Mal absorption of nutrients, pica, insatiable appetite
Allergies
Behavior changes and/or aggression, worse at full moon
 Picking
 Biting
 Restlessness
Treatment for Parasites
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Probiotics
Herbs
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Wormwood
Black walnut
Pumpkin seeds
Clove
Coconut oil
Homeopathy
Antiparasitic medications
• Metronidazole
• Paromomycin
 They
don’t go
down without a
fight!!
Potential reactions when
eliminating these pathogens
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Symptoms
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Irritability, aggression, behavioral issues
Increased stimming, hyperactivity, sleeplessness
Skin rash, diaper rash, fever
Possible Causes
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Side effect of supplement or allergy to drug
Yeast or Bacterial Flare-up (Balancing act)
Detox Reaction = Too rapid of an effect leading to vitamin or
mineral deficiency, oxidative stress, liver or kidney stress
Die off = Rapid death of gut bugs, leading to excess release of
toxins and subsequent liver or kidney stress
Treatment Approach
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Rate severity, if severe stop supplement, notify
physician
Treat with Activated charcoal/Bentonite clay and/or
Alka Seltzer Gold, homeopathic remedy, if helpful
probably die off
Rule out dysbiosis, treat accordingly
Check ammonia level
Add Liver Support
• Milk thistle, artichoke extract, dandelion root
• Give at bedtime
Clostridia produce
toxins and
enzymes that
create severe
gut inflammation
and produce
watery diarrhea
Clostridia issues
Symptoms
 Aggressive
 Temper
 Agitation
 Irritable
 Very foul stools
 Mucus in stools
 Severe diarrhea
following antibiotic
use
Treatment
 Probiotics, High
Potency single strain
 Sacchyromyces
Boulardii
 Antibiotics
• Vancomycin
• Metronidazole
(Flagyl)
 Immune modulators
 Homeopathics
 HBOT
Evaluation of Heavy Metal Toxicity
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Provocative Testing is often unconvincing in ASD due to
impaired detoxification.
Urine Toxics, Fecal Toxics, and Hair Analysis show
excretion of toxic metals. We have no way to determine
total body burden.
RBC Blood testing is a poor measure of chronic heavy
metal burden. However, blood may show acute
exposure.
There are no standards for diagnosing chronic toxicity.
There are no tests to determine body burden of metals.
Lead is a bone seeker and can only be measured in
blood 12 hrs after exposure, therefore blood Pb is not an
adequate indicator of low level chronic toxicity.
Mercury has an affinity for fatty tissue and a developing
brain, and is very rarely seen in blood.
Urinary porphyrin testing – promising.
Benefits of Chelation
 Better
sleep
 Cognitive gains
 Better speech and language
 Improved eye contact
 Fine and gross motor improvement
 Better focus, attention, awareness
 IMPORTANT
to continue to
monitor symptoms.
 Labs can only help point us
in the right direction.
Have
courage and
follow your
own path.
Thank You and
Good Luck on your Journey