ADHD Treatment with Amino Acids and Diet: Two Recent Studies

We have long held the opinion that the symptoms of ADHD could be lessened, and perhaps fully treated, by the use of amino acids and the help of specific ADHD diets such as our diet and eating program at http://ADHDdiet.info. Now two studies, one from Italy and the other from Norway, give more support for our position that prescription medications, particularly stimulants, are not the only effective treatments available.

Children with Fragile X syndrome

The study from Italy looked at the effectiveness of just one amino acid in a population of ADHD children are well known as poor responders to stimulant treatment – children with Fragile X syndrome and ADHD.

Fragile X syndrome is the most common hereditary form of mental retardation, and many children with the condition also have ADHD, or at least the symptom inventory of Attention Deficit Hyperactivity Disorder . Over the years stimulants such as Ritalin have been used to treat these ADHD symptoms with these children, but with mixed or poor response. Stimulants often caused the children to be more irritable, to be less verbal, and often more withdrawn, so the researchers explored the possibility that the amino acid L-Acetyle Carnitine (LAC) might be helpful in reducing the ADHD symptoms, but without the side-effects.

The research team from the Università Cattolica in Rome studied 51 boys, ages 6 to 12, diagnosed with both Fragile X syndrome and ADHD. It was a double-blind study, so the boys were divided into two groups, one to get the amino acid treatment and the other a placebo. They study lasted for one year, with the boys evaluated at the beginning (baseline), at six months, and after a year.

The boys treated with the L-Acetyle Carnitine showed significant improvements. They were less hyperactive and had improved attention and focus, and without any of the side-effects that would be expected in this population from treatment with stimulants. In fact, there were no adverse side-effects reported by the amino acid group at all. The boys were also given intelligence tests, but there were no significant gains made on the IQ testing.

"We propose that LAC be recommended as a treatment of ADHD in FXS children," the authors state, "since it effectively reduces hyperactive behavior and improves social abilities without adverse side effects." They also suggest that these results may be applicable to children with autism, who also do not easily tolerate stimulants.

We have personally studies and observed the positive results from treatment with a combination of amino acids, lipid complexes, and homeopathic medicines in Attend with ADHD children. And we recommend that parents and physicians take a closer look at this alternative treatment.

SOURCE: American Journal of Medical Genetics. Part A published online Feb. 19, 2008. Part B will be published in April, 2008.

Go to the ADHD Diet Information site to get the full ADHD diet in eBook PDF format, including our UPDATES for 2016. We also have the full 21 minute information video on our ADHD eating program.

ADHD Diet Video

ADHD and Diet: Restrict Milk

The second study had to do with diet as a treatment intervention for ADHD. It seems that at least a small group of children with ADHD, perhaps ten percent or so, have a particular type of protein imbalance that may be contributing to a child’s ADHD symptoms, or may be causing that child’s ADHD problem entirely.

Back in 1996 a group of researchers in Norway began to study 23 children with ADHD. They placed the children on a milk free diet and have followed the children since. The researchers wanted to see if the ADHD symptoms in the children, particularly hyperactivity and impulsivity, would improve by avoiding milk, or more specifically the casein in the milk.

Since a one of our ADHD diet recommendations has been to stop drinking cow’s milk for two weeks, then add it back in to the diet and see if there is any adverse reaction to it, we were very interested in the observations from this study.

Milk is one of the most common food allergens in children. Studies in several countries around the world show a prevalence of milk allergy in children around 2% to 5%. Some estimates are much higher, as the researchers in this study propose. Cow's milk contains at least 20 protein components that may cause allergic responses. The milk proteins, casein and whey are the main problems. Caseins give milk its "milky" appearance and is the protein in milk that makes it possible to make cheese. Whey makes up the remainder of the milk substance.

The group was working under the theory that a metabolic disorder making it difficult to break down certain proteins, including could cause mental problems ranging from Autism to Schizophrenia to Attention Deficit Hyperactivity Disorder (ADHD).

All twenty-three children in the long-term study, who were between four and 11 years old when the project started, had symptoms of ADHD and had been shown to have abnormal levels of peptides in their urine. All of the children followed a strict casein-free diet the first year, and the results were overwhelmingly positive. Twenty-two of the twenty-three children had “clear improvements” in their behavior and attention span.

One of the researchers noted, "One of the kids I worked with started on the diet on Wednesday and by the weekend his parents said they saw a huge positive change in his behavior.

A number of the children have since stopped following the diet for different reasons and some were put on medication, but after eight years six were still strictly avoiding all milk products and several had also cut out gluten, which is found in wheat, rye, barley and to some extent oats.

"We see a clear difference between those who stopped and those who stayed on the diet," said another researcher.

"It's incredible. We've seen intelligence tests that had gone steadily down suddenly turn around and go back up" after a change of diet, reported a third member of the team.

One subject in the study, who is now seventeen years old, reported that if he cheats on the diet he knows it will hurt his school performance right away. "I can tell right away when I've eaten something I shouldn't. It's really hard to concentrate. I'm always careful before tests," he says, taking a big bite of gluten and milk-free carrot cake.

Hundreds of other Norwegian children with ADHD have in recent years been put on milk-free diets to help deal with their condition, but Fosse complains many doctors don't inform parents of the option. "We want to get the word out that this can be an alternative. Parents have to do a lot of searching before they get this information," said one mother whose child has improved.

Not drinking cow’s milk is certainly a simple and safe intervention to try. And, as we like to say, if what you are doing works, don’t mess with it. But if it doesn’t work, try something else.

Douglas Cowan, Psy.D., M.S. is a licensed Marriage and Family Therapist in Tehachapi, CA who has been a skillful counselor to children, teens, and adults helping them to overcome ADHD, find relief for depression or anxiety, and solve other problems in life since 1989. He served on the medical advisory board to the company that makes Attend and Extress from 1997 through 2011, and he is the Editor of the ADHD Information Library online resource. His weekly ADHD Newsletter goes out to 9,500 families. Visit his website at http://DouglasCowan.me for more information on achieving greater health, personal growth, Christ-centered spirituality, stress management, parenting skills, ADHD, working out the stresses of being a care-giver to elderly parents and also being a parent to teenagers, or finding greater meaning in retirement years, Dr. Cowan can be a valuable resource to you.

Douglas Cowan, Psy.D., MFT
27400 Oakflat Dr.
Tehachapi, CA 93561
(661) 972-5953

ADHD and Caffeine: a Treatment Option

For many years our ADHD diet has promoted the use of moderate amounts of caffeine in the morning, along with a protein drink supplement and the nutraceutical medicine Attend, as a part of the program. Parents have reported success using the program, both with their ADHD children as well as in their own lives.

Caffeine is a mild CNS stimulant that can be used with ADHD children, teens, and adults, if used purposefully and in moderation. All stimulants are vaso-dilators, meaning that they allow the blood vessels to increase in size and increase the blood flow in the brain. One of the primary physiological problems causing ADHD seems to be a lack of blood flow to certain regions of the brain, and stimulants help to improve blood flow and reduce symptoms caused by this problem, at least temporarily.

It is estimated that 100 mg of caffeine is equivalent to 5 mg of Ritalin, which is the lowest therapeutic dose, and the usual starting dose for children. It is similar to Ritalin in that caffeine is absorbed and begins working in about 45 minutes, and the benefits wear off after about three to four hours. And, of course, caffeine can have the same kinds of side effects as other stimulants.

There may be times when it would be advantageous to have caffeine available for someone with ADHD who is successfully using stimulant medication, such as to avoid the “rebound” or “trough” effects of the stimulants, or on weekend outings, etc.

Also, if 5 mg of Ritalin is a successful therapeutic dose, parents and physicians should at least talk about using caffeine instead.

Caffeine is the most commonly used psychoactive drug in the world, with about 80% of the world’s population drinking down caffeine every day. The average daily consumption of caffeine among American adults and teens is about 260 to 300 mg per day, but about one person in four consumes more than 600 mg each day. And yes, caffeine in large amounts, over a long period of time, is addictive.

How does America get its caffeine? Here’s a pretty good list:

• Coffee, 8 oz cup has 135 mg
• Instant coffee, 8 oz cup has 95 mg
• Expresso, 1 oz shot has 50 mg
• Tea, 8 oz cup has 60 mg
• Green Tea, 8 oz cup has 30-40 mg
• Coca-cola, 12 oz has 35 mg
• Diet Coke, 12 oz has 45 mg
• Dr Pepper, 12 oz has 40 mg
• Mountain Dew, 12 oz has 55 mg
• Pepsi cola, 12 oz has 37 mg
• Sunkist Orange, 12 oz has 40 mg
• Red Bull, 8.5 oz has 80 mg
• Full Throttle, 8.0 oz has 70 mg
• SoBe No Fear, bottle has 160 mg
• Pain Relievers such as Excedrin, Bayer max strength, Midol have 60-65 mg

Drinking sodas, coffee, “energy drinks,” and other beverages with caffeine, should never replace drinking water. The human body, and specifically the brain, needs an adequate supply of water ever day in order to function optimally. Drinking a diet Pepsi is not a substitute for water. So make sure that your ADHD child or ADHD teenager is still drinking 4 to 8 glasses of water per day, depending on their body size, how hot it is outside, how active they are during the day, and so on.

Go to the ADHD Diet Information site to get the full ADHD diet in eBook PDF format, including our UPDATES for 2016. We also have the full 21 minute information video on our ADHD eating program.

Of course, whenever possible we would recommend using our ADHD diet recommendations and our specific treatment strategies for ADHD, including Attend, and other alternative treatments for ADHD, in lieu of Ritalin or stimulant medications.

Douglas Cowan, Psy.D., M.S. is a licensed Marriage and Family Therapist in Tehachapi, CA who has been a skillful counselor to children, teens, and adults helping them to overcome ADHD, find relief for depression or anxiety, and solve other problems in life since 1989. He served on the medical advisory board to the company that makes Attend and Extress from 1997 through 2011, and he is the Editor of the ADHD Information Library online resource. His weekly ADHD Newsletter goes out to 9,500 families. Visit his website at http://DouglasCowan.me for more information on achieving greater health, personal growth, Christ-centered spirituality, stress management, parenting skills, ADHD, working out the stresses of being a care-giver to elderly parents and also being a parent to teenagers, or finding greater meaning in retirement years, Dr. Cowan can be a valuable resource to you.

Douglas Cowan, Psy.D., MFT
27400 Oakflat Dr.
Tehachapi, CA 93561
(661) 972-5953

Thoughts for This Summer

School is almost out and summer vacation is nearly upon us. How will you spend the time wisely to prepare your child for success in the next school year? How will you use the time to improve your child’s ADHD symptoms?

We have several suggestions for you, and here is merely the first.

ADHD Diet : Summer's the Time to Try It!

Since summer usually brings a bit more flexibility it is a good time to give our ADHD Diet a serious try. We have our own eating program for ADHD here, and there are other good programs available online to consider. Any good eating program will take about four weeks to assess whether or not any positive changes are coming from using it.

In our program we recommend NOT eating certain foods for two weeks, then adding them back into the diet to see if there are any food sensitivities contributing to the ADHD symptoms. If so, then appropriate changes can be made through the next school year. We also recommend avoiding sugars and carbohydrates paired together in foods, such as in breakfast cereals, doughnuts, and many snack foods.

Also watch out for sodas. In most cases, there is one spoon of sugar in each ounce of soda. A twelve ounce can has twelve spoons of refined sugar (more or less). This is not a good idea for anyone, especially your ADHD child or teen. Water is the answer, and summer time is the time to begin this new habit.

Our program also recommends using certain foods to help to feed the brain, beginning with a higher protein breakfast to start off the day. This may call for a new set of morning habits, like cooking a breakfast rather than just pouring it out into a bowl, but the benefits can far outweigh the costs and investment of time. Summer is a great time to begin these new habits.

Go to the ADHD Diet Information site to get the full ADHD diet in eBook PDF format, including our UPDATES for 2016. We also have the full 21 minute information video on our ADHD eating program.

Douglas Cowan, Psy.D., M.S. is a licensed Marriage and Family Therapist in Tehachapi, CA who has been a skillful counselor to children, teens, and adults helping them to overcome ADHD, find relief for depression or anxiety, and solve other problems in life since 1989. He served on the medical advisory board to the company that makes Attend and Extress from 1997 through 2011, and he is the Editor of the ADHD Information Library online resource. His weekly ADHD Newsletter goes out to 9,500 families. Visit his website at http://DouglasCowan.me for more information on achieving greater health, personal growth, Christ-centered spirituality, stress management, parenting skills, ADHD, working out the stresses of being a care-giver to elderly parents and also being a parent to teenagers, or finding greater meaning in retirement years, Dr. Cowan can be a valuable resource to you.

Douglas Cowan, Psy.D., MFT
27400 Oakflat Dr.
Tehachapi, CA 93561
(661) 972-5953

Essential Fatty Acids or Omega Oils are Valuable in the Treatment of ADHD

About 70% of the tissues of the human brain are made of Fats and Fatty Acids. They are considered the building blocks of the brain, brain functioning, and brain health from conception to the latest stages of life. They are linked to IQ, nerve development, eye development and health, memory and attention, skin and hair health, the myelination of nerve cells, and more.

For example, the myelin sheath that covers neurons is about 70% fatty acids and about 30% protein. Oleic Acid is the most common Fatty Acid in myelin. Oleic Acid is very common in our diets. Milk, Olive Oils, and Nuts are all high in Oleic Acid.

Fatty Acids such as DHA (docosahexaenoic acid) and AA (arachidonic acid) are essential to the health and development of babies. During pregnancy Fatty Acids are taken from the mother, so the mother should be taking supplements and eating foods rich in Fatty Acids. As infants these Fatty Acids are supplied through breast milk and some formulas. A developing baby must have a diet rich in FAs for optimum brain and eye development.

"Essential Fatty Acids" are so named because they are not made by the human body and must be obtained through diet or supplements. The two Essential Fatty Acids are the omega 3 fatty acid Alpha-Linolenic acid, and the omega 6 fatty acid Linoleic acid. Alpha-Linolenic acid and Linoleic acid can undergo changes that would form longer chain fatty acids such as DGLA, AA, and DHA.

Go to the ADHD Diet Information site to get the full ADHD diet in eBook PDF format, including our UPDATES for 2016. We also have the full 21 minute information video on our ADHD eating program.

"Omega 3 fatty acids" are concentrated in the brain, and Omega 3 deficiencies may be associated with learning problems, depression, behavioral problems, hyperactivity, and other neurological problems throughout life. Omega 6 fatty acids are found in most cells throughout the body. Omega 6 fatty acids are essential for growth, reproduction, immune function, brain development, healthy skin and hair, and more.

There are other Fatty Acids which are perhaps "essential" too. They are gamma-linolenic acid (omega-6), lauric acid (saturated fatty acid), and palmitoleic acid (monosaturated fatty acid).

Docosahexaenoic Acid, or DHA, is an Omega 3 fatty acid that is very important throughout our lives for optimal synaptic functioning. DHA is the structural fatty acid in the gray matter human brain and in the human eye. There has been a lot of research on DHA and infant brain development in the past twenty years which have shown the critical importance of DHA to fetal development and newborns.

A correlation exists between low levels of DHA and problems associated with aging in adults. Dementia, depression, memory problems, and vision problems are all associated with DHA deficiencies in adults. One study found that the brains of Alzheimer's patients showed lower levels of DHA and AA than the brains of healthy geriatric patients. Foods such as fish, meats, and eggs are the main adult sources of DHA. Supplements are helpful too.

Some researchers think that DHA and other Fatty Acid deficiencies play a role in ADHD.

Essential Fatty Acids | Omega Oils | ADHD Treatment

The studies on Essential Fatty Acid levels in Attention Deficit Disorder are interesting enough for parents and professionals to consider including Essential Fatty Acid supplementation as an important part of the treatment of ADHD in children, teens, and adults. We have linked to a few of the studies below for you to consider.

In Stevens, et al “Essential fatty acids metabolism in boys with attention-deficit hyperactivity disorder” the study found that the 53 ADHD subjects studied had significantly lower concentrations of key essential fatty acids than did the control groups. In the control group without ADHD about 9% of the subjects showed symptoms of EFA deficiency, but in the ADHD group about 40% showed signs of EFA deficiency. The symptoms included: increased thirst, frequent urination, dry skin, and dry or brittle hair.

Low levels of Omega 6 EFAs contributed to higher incidents of illness (colds, flu, etc.), and deficits in Omega 3 EFAs contributed to problems with learning, behavior, sleep, and temper tantrums. The results of Stevens’ study showed that the ADHD subjects had significantly lower amounts of polar lipid fatty acids in plasma, and also lower concentrations of total fatty acids than the control group.

Mitchel, et al “Clinical characteristics and serum essential fatty acid levels in hyperactive children” found significantly lower plasma concentrations of EFAs in children with hyperactivity. They also found that the children they studies had higher rates of thirst, frequent urination, dry skin, dry hair, and brittle nails, which are all symptomatic of EFA deficiencies.

There are dozens of studies that support the case for EFA supplementation as a part of the overall treatment approach to Attention Deficit Disorder - ADHD. We would recommend it highly and see no downside to adding Essential Fatty Acids to one’s diet.

See our ADHD Eating Program for our recommendations, or read the articles listed below for more information.

Benefits from EFA Supplementation in ADHD
Effects of Fatty Acids on ADHD Symptoms and LDs
Essential Fatty Acid Metabolism ADHD
Flax Seed Oil and Vitamin C with ADHD
Oxford-Durham Study: Fatty Acids ADHD and DCD
Polyunsaturated Fatty Acids in ADHD

Douglas Cowan, Psy.D., M.S. is a licensed Marriage and Family Therapist in Tehachapi, CA who has been a skillful counselor to children, teens, and adults helping them to overcome ADHD, find relief for depression or anxiety, and solve other problems in life since 1989. He served on the medical advisory board to the company that makes Attend and Extress from 1997 through 2011, and he is the Editor of the ADHD Information Library online resource. His weekly ADHD Newsletter goes out to 9,500 families. Visit his website at http://DouglasCowan.me for more information on achieving greater health, personal growth, Christ-centered spirituality, stress management, parenting skills, ADHD, working out the stresses of being a care-giver to elderly parents and also being a parent to teenagers, or finding greater meaning in retirement years, Dr. Cowan can be a valuable resource to you.

Douglas Cowan, Psy.D., MFT
27400 Oakflat Dr.
Tehachapi, CA 93561
(661) 972-5953

Food Allergies in Children: Some Thoughts

by Anthony Kane, MD

Introduction There are a number of controversial areas in medicine when it comes to ADHD. Food allergy is certainly one of them.

The classic allergic reaction, which is classified as the type-1 hypersensitivity reaction, can be elicited by food, but this is fairly uncommon. When we discuss food sensitivities in ADHD we are discussing a different, not well-defined, mechanism. One of the main progenitors of the food allergy/ADHD connection is Dr.

Doris Rapp. Dr. Rapp was a pediatric allergist who noticed that many children in her practice had significant physical and behavioral changes when exposed to certain foods. They may have red ear lobes, dark circles under their eyes, or glazed eyes after eating certain foods. These children could have tremendous swings in behavior.

They can be calm one minute and wildly hyperactive a few minutes later. To make it more interesting, children with food allergies usually crave the food that affects them negatively. That means a child who is allergic to peanuts will demand peanut butter and jelly for lunch everyday, and for the rest of the afternoon you have to peel him off of the ceiling.

What is Food Allergy? The classic allergic reaction operates through a very specific mechanism. The reaction is caused when a specific type of antibody, called IgE, reacts with a specific provoking substance called an allergen. The result of this interaction is an allergic response and the person is deemed allergic to that allergen.



Go to the ADHD Diet Information site to get the full ADHD diet in eBook PDF format, including our UPDATES for 2013. We also have the full 21 minute information video on our ADHD eating program.

The specific type of antibody involved in classic allergy is called IgE. The proposed antibody mechanism for this type of food allergy does not involve IgE, but a different antibody called IgG. This is significant because standard allergy testing tests only for IgE antibodies. If your child has IgG mediated sensitivity, his allergy test is going to miss it.

That means that your child may have a severe allergy to a specific food, but your allergist will tell you he is not allergic to it.

Why the Controversy?

Reason 1: Diagnosis - I said this was a very controversial area of medicine and here is one of the reasons why. Food allergies are very difficult to diagnose. One reason is that the symptoms wax and wane. When a child has a classic allergy, for example to bee stings, then every time a bee stings him, he will have a reaction.

Food allergies don't work that way. There seems to be a threshold that must be exceeded before there are any symptoms. In addition, this threshold seems to vary from day to day. On some days a food will affect the child, and on other days it won't.

Dr. Rapp explains this phenomenon using the analogy of a barrel. We can view each allergic child as if he has a barrel. As long as the barrel is empty or only partially full, your child will have no problems. Your child won't become hyperactive until his barrel is overflowing. Various things will fill your child's barrel.

Let's say your child is sensitive to chocolate, cats, and peanut butter. Each of these things all can partially fill his barrel. As long as he only has peanut butter or only plays with the cat, his barrel is only partially full. That means that there are no symptoms and that his behavior is fine. Then, one day he has a peanut butter and jelly sandwich, has chocolate ice cream for dessert and plays with the cat all afternoon.

These things in combination make his barrel overflow, and by evening he is out of control. Your child has food allergies, but sometimes they affect him and sometimes they don't. The barrel can change sizes. If your child has a cold or is upset his barrel gets smaller. It takes less to make it overflow.

If he is happy his barrel is bigger. It takes more to make it overflow. If he isn't eating well and that day he is low on certain nutrients his barrel gets smaller. Many traditional allergists find this barrel concept ludicrous. It doesn't fit into the pattern of how other allergies work.

Reason 2: Method of Diagnosis - The next problem is the way in which you test for food allergies. Dr. Rapp describes a technique called provocation-neutralization testing. This method works as follows: Say that a child frequently has headaches after eating eggs. The practitioner will give an intradermal injection of egg extract. If this elicits the child's headache, then the child tests positive for egg allergy.

Other signs of a positive test include an increase in pulse rate of 20 points, a large skin reaction (this indicates a classic IgE reaction), a change in the child's handwriting, or some other physical or emotional complaint.

This last criterion "some other physical or emotional complaint" is problematic. It is too vague. The result is that when studies compared how several physicians evaluated the same group of patients, their results didn't agree. For each patient if there were twenty different doctors with twenty different sets of findings. None of their diagnoses matched.

Reason 3: The Mechanism - As I mentioned before, the proposed mechanism is an IgG mediated response. Some food allergists diagnose specific food allergies by measuring IgG levels. This runs counter to all of modern allergy practice.

Allergists give allergy shots to treat allergy. The way this works is they give a low level of allergen, which is not enough to elicit an IgE reaction. The dose is slowly increased until eventually the patient can tolerate a significant exposure to the allergen. This is how it works. The repeated low-level exposure to the allergen induces the body to make a different antibody to the substance. This antibody attaches to the allergen and deactivates it before IgE can cause the allergy reaction.

What is this antibody that allergists try to induce to cure their patients of their allergies? You guessed it, IgG.

So the very antibody the traditional allergists have been inducing for decades to successfully treat allergies, the food allergy people claim is the antibody guilty of causing allergies. For a traditional allergist this is nothing short of heresy. IgG has been used for decades to treat allergies successfully.

Comes along Rapp and her friends and they claim that IgG causes allergy? This is a little hard for some people to accept.

Just how strongly do allergists reject this idea? I once tried to contact an Israeli physician who was a food allergy specialist to discuss with him provocation-neutralization testing. I called the hospital where he is on staff and asked to speak with him. For some reason the operator instead put me through to the head of the Department of Allergy. I began discussing with him the theory of food allergies, provocation-neutralization testing and IgG testing. He told me that he was the head of a committee of allergists who were in the process of testifying before the Israeli Knesset to get legislation passed to make IgG testing illegal in Israel.

Can you imagine? You visit a prison in Israel. In one cell there is car thief. In the next cell there is a mass murderer. And in the next cell there is a guy who tested someone for food allergies. \Now that's pretty strong opposition!

Do Food Allergies Really Exist? The formal medical societies like the AMA claim there is no such thing as food allergies. Rapp and her friends have been screaming for decades that they do exist. So, what is the bottom line?

Does it really make sense that what a child eats can affect him so strongly that experts will diagnose him as having ADHD? We know that the brain is a highly complicated and sensitive organ. We know that many foods have a physiological effect on the body without inducing a classic allergic response. For example, people who are sensitive to monosodium glutamate can have a severe reaction to eating it. The chemicals in red wine affect certain people.

We also know that ingesting certain foods alters brain function. Diet has been proven to influence neurotransmitter function. Components of foods can also be used as drugs. For example, tryptophan, tyrosine, and choline have been used in the treatment of sleep disorders, pain, depression, mania, hypertension, shock, or dyskinesias.

The logic of Rapp's argument is so strong and there is enough circumstantial evidence, that I feel that the question is really the other way around. We know that the brain is intricate and has tremendous metabolic requirements. We know that some people have very strong reactions, including behavioral changes, to certain foods. These things are undisputed. If it turns out that foods do not elicit significant problems in sensitive children, in my opinion, we would need to explain why not!

Are we really seeing an allergy mechanism to food?

I prefer to stay out of that debate. Rather than be ostracized by the doctors who specialize in allergy, I feel it is safer to call them food sensitivities. There are no doctors who specialize in sensitivity.

Does Your Child Have Food Sensitivities? A large number of ADHD children may be having a negative response to food, and this response may be the primary cause of their ADHD.

In what type of child should you suspect food allergies? The following is a list of symptoms that resulted from food allergies in certain children:

• Hyperactivity
• Changes in mood
• Halitosis
• Sleep disturbances
• Delay in sleep onset
• Migraines
• Other headaches
• Abdominal pain
• Bedwetting
• Tantrums
• Eczema
• Asthma
• Seizures

Research shows that by treating the food allergies all of these symptoms can be relieved. If you see your child's symptoms in this list it is possible that food allergies may be contributing to his problem. If your child also has other allergic problems, such as allergy or asthma, then food allergies are almost certainly contributing to his problems.

What Should You Do? As I wrote in How to Help the Child You Love, there are a number of approaches to diagnosing food allergies. None of them are well substantiated and all of them have difficulties. Yet, many people find that these diagnostic techniques worked for them. Therefore, I'd suggest you could use them provided you have it on good authority that the person administering them has a strong record of success. In my experience, these techniques are more of an art than a science. They really depend upon the talent of the diagnostician.

As I said last time, the best approach to finding food allergies in your child is an elimination diet. It doesn't really matter which one you choose. I prefer the three that I outline in How to Help the Child You Love.

Conclusion
Researchers claim that the percentage of ADHD children whose behavioral symptoms are affected by foods ranges from 60% to 75%. This, however, is probably not an accurate number.

Parents who consent to have their children participate in diet studies usually believe they have observed food-induced problems in their children. Therefore, children who participate in these studies are more likely to respond to foods than the general population.

The truth is we do not know what percentage of ADHD children will respond to dietary changes, but it seems that the number is significant. Treating the food sensitivities in ADHD children has a number of advantages over using medication.

One major advantage all the current methods of treatment can be used to treat pre-school children. Most clinicians do not use medication on pre-school children.

A more significant advantage of treating food allergy is that when it works, it works all day. In contrast, Ritalin wears off in about 4 hours. All this, of course, is providing that food allergies really do exist.

The main thing to remember is that if you think your child has food allergies, then the biggest mistake you can make is to go to an allergist. They don't believe in food allergies. And whatever you do, do not go to an allergist and ask to have your child provocation-neutralization tested for food allergies. He is going to laugh at you.

Food allergy is an alternative medicine diagnosis.

Still, there are physicians who specialize in diagnosing and treating these sensitivities, but they no longer call themselves allergists. Rapp and her group were so ostracized by the formal allergy societies that they eventually broke off and formed a new field called Environmental Medicine.

Therefore, if you want a physician to treat your child you need to find an Environmental Medicine specialist. They are not so common, but they are around.

As I mentioned before, there are a number of approaches to treating food sensitivities. The one you can do yourself is to use an elimination diet. I devoted a large section of How to Help the Child You Love describing exactly how to use elimination diets to diagnose and treat food sensitivities.

In the final analysis, I feel it is fair to say that many ADHD children have sensitivities to the foods they eat. These sensitivities may exacerbate their ADHD symptoms. I won't go so far as to say that food allergies cause ADHD. That means that if your ADHD child has severe food sensitivity, treating that sensitivity may not get rid of his ADHD. However, until you treat his food allergy, nothing else you do will really help your child's ADHD, either.

Anthony Kane, MD
ADD ADHD Advances.

Anthony Kane, MD., is a physician, an international lecturer, and director of special education. He is the author of a book, numerous articles, and a number of online programs dealing with ADHD treatment, ODD, parenting issues, and education. Visit his ADD ADHD Advances website.

To sign up for the free ADD ADHD Advances online journal send a blank email to: subcribe @ addadhdadvances.com

akane @ addadhdadvances dot com

Go to the ADHD Diet Information site to get the full ADHD diet in eBook PDF format, including our UPDATES for 2016. We also have the full 21 minute information video on our ADHD eating program.

Douglas Cowan, Psy.D., M.S. is a licensed Marriage and Family Therapist in Tehachapi, CA who has been a skillful counselor to children, teens, and adults helping them to overcome ADHD, find relief for depression or anxiety, and solve other problems in life since 1989. He served on the medical advisory board to the company that makes Attend and Extress from 1997 through 2011, and he is the Editor of the ADHD Information Library online resource. His weekly ADHD Newsletter goes out to 9,500 families. Visit his website at http://DouglasCowan.me for more information on achieving greater health, personal growth, Christ-centered spirituality, stress management, parenting skills, ADHD, working out the stresses of being a care-giver to elderly parents and also being a parent to teenagers, or finding greater meaning in retirement years, Dr. Cowan can be a valuable resource to you.

Douglas Cowan, Psy.D., MFT
27400 Oakflat Dr.
Tehachapi, CA 93561
(661) 972-5953

Ashley and her husband David are friends of mine. Over dinner a few weeks ago we were discussing the very positive results that they had seen from a Casein Free - Gluten Free eating program with their son William. I asked Ashley to write an article for our website and newsletter, as what she has learned just may help other of our readers. Read it carefully, and consider if some of these tips may help your child as well. -- Dr. Cowan, Editor

Results with a Casein Free, Gluten Free Diet

If you are a parent of a child who has autism or autistic-like tendencies then you know the challenges of everyday life. Irregular sleep patterns, tantrums, food aversions or obsessions, hand flapping, and perhaps the most heart wrenching is the withdrawn state of your loved one.

When William was born he was miserable; actually miserable is an understatement. He cried for the first six months of life. It didn’t matter what we did he just cried. We could hold him or set him down or leave him out back with strangers; nothing seemed to matter to him. Getting him onto a set schedule that might as well have been etched into stone helped a little with the sleeping, but for the most part he was still unreachable. William had no receptive language at all, meaning he didn’t understand what we were saying to him and had no expressive language either. He was trapped inside himself with no way out.

At 14 months I broke the news to my husband David that William was most likely autistic. For some parents this is a death blow because there is no cure in western medicine and the treatments are sometimes worse than the symptoms. It doesn’t have to be a negative experience; turn your feelings of guilt into hope by trying to do everything possible to better their situation: therapies, support, and diet.

In case your wondering if your child is autistic there are common red flag signs that most autistic children exhibit: withdrawn, little eye contact, not really affectionate, obsessive behavior with certain toys, spinning themselves or objects over and over, terrible balance, and tantrums at transitions or if something is moved from an area where they had left it. William had all of these but the dead give away for me was the sensory issues with his hands. Heaven forbid that he got anything on his hands. This need to save his hands from touching any unfamiliar surface would come at a cost; when he would fall he would catch himself with his head. He was the only one year old that would throw a fit if his napkin was not beside his plate before he began to eat.

When he was two he could only say three words “momma, dada, ou oh.” It was heartbreaking, I was putting in at least five hours a day working with him on language and speaking and therapies but nothing helped. I had heard of the gluten casein soy free diet but that was down in Orange County where everyone had money and time.

Then David came home with a magazine featuring Jenny McCarthy on the cover without realizing it was a mommy magazine, but since she’s good looking he read it anyways. The article was on how she started her son on the casein free diet and how he started talking within a few days. I remember thinking “what could it hurt?” According to the gluten casein free website, the two proteins act like opiates to people with autism and bind to the opiate receptor sites in the brain. Kids actually go through withdrawal when taken off the food; it’s amazing!

So armed with a grocery list from whole foods and Trader Joe’s, I went dairy free for a few weeks. The results were unbelievable! Within days William could say fifteen words and completely understood what I was saying to him. He had been in speech for over six months and nothing, but three days without dairy and he could understand me and speak. He was coming out of the isolation he had been kept in for the past two years.

If taking the kid off casein worked that well, then avoiding gluten would be next to try. Those results can take up to four months to see; plus getting the diet down and making mistakes is bound to happen. Again I hit up whole foods, which makes shopping for gluten and casein free items idiot proof!

Taking William off casein and gluten and soy was hard but the results far out way the effort. At three years old he can speak with an impressive vocabulary and has the receptive language of a seven year old.

Providing a diet like this sounds like a daunting task; gluten is literally in almost everything from normal breads to Chap Stick and even the backs of stamps and stickers. Here are some of the staples we have in our house for William:

• Rice dream organic milk (only do organic, some rice milks have low levels of arsenic) instead of milk;
• We also like the So Delicious Coconut milk and their yogurts and ice cream;
• Earth’s Balance gluten free, casein free, and soy free butter and cooking butter;
• Trader Joe’s dairy free pancakes or pancake mix, rice breads, corn breads;
• Don’t do oatmeal unless it’s the Bob’s brand, others are made on equipment shared with milk and cross contaminated,
• Enjoy Life chocolate bars;
• Dayio cheeses;
• Ian’s chicken nuggets.

The diet can be as inexpensive or expensive as you choose to have it. For eating out tips see the TACA website.

Please be mindful of these easy pitfalls:

• stickers have gluten,
• use only Crayola crayons,
• be careful of yourcosmetics, soaps, chap sticks (Burt’s bees wax is clean),
• anything with soy will have a similar effect as the casein.

JUST BECAUSE IT SAYS GLUTEN FREE DOESN’T MEAN IT WON’T HAVE CASEIN OR SOY; I still mess this up.

William is doing amazing thanks to this diet and it’s easy to spot when we mess up because within thirty minutes he’s jibber jabbering some unintelligible words and spinning in circles for hours.

The other thing we do for him is provide B12 injections twice a week and a multivitamin along with cod liver oil in strawberry flavor. See a DAN Doctor if possible (defeat autism now) for the injections, use only methycobalamin.

So what do you do? It’s an easy answer if you want your child to progress, try the diet! What could it hurt? And in no way would you be alone! There are so many support groups out there and the TACA (talking about curing autism) website is phenomenal.

keywords: gluten, autism, "gluten free diet"

Douglas Cowan, Psy.D., M.S. is a licensed Marriage and Family Therapist in Tehachapi, CA who has been a skillful counselor to children, teens, and adults helping them to overcome ADHD, find relief for depression or anxiety, and solve other problems in life since 1989. He served on the medical advisory board to the company that makes Attend and Extress from 1997 through 2011, and he is the Editor of the ADHD Information Library online resource. His weekly ADHD Newsletter goes out to 9,500 families. Visit his website at http://DouglasCowan.me for more information on achieving greater health, personal growth, Christ-centered spirituality, stress management, parenting skills, ADHD, working out the stresses of being a care-giver to elderly parents and also being a parent to teenagers, or finding greater meaning in retirement years, Dr. Cowan can be a valuable resource to you.

Douglas Cowan, Psy.D., MFT
27400 Oakflat Dr.
Tehachapi, CA 93561
(661) 972-5953

If you or your child are struggling with ADHD, you need to understand this : No matter how effective your ADHD treatment intervention might be, if you or your child are eating a bunch of junk - your ADHD symptoms will not improve! No ADHD treatment - no matter how powerful - can overcome eating junk foods.

There are several good ways to treat ADHD such as stimulant medications, Attend and other nutraceuticals, and EEG neurofeedback training. But you MUST eat to optimize your brain's performance! Using this ADHD Diet can help any of these treatment interventions work better - but if you eat junk none of them will work!

Here is our "ADHD diet" and eating program for ADD ADHD kids. It is not a very strict program like the Feingold ADHD diet plan. But you will have to stop having most of your meals at your local fast food restaurant. This program is recommended for every member of the family. It's not just an "ADHD diet". It's the same program that we put professional athletes and business executives on for optimized performance, with only minor changes.

We have found that this ADHD Diet makes a huge difference with about 20% to 25% of the ADHD kids that try it even without using any other intervention. We strongly believe that whether one is using a medication such as Ritalin, or using a natural alternative such as Attend, that this type of eating program plays a big role in achieving success when used as a part of a treatment plan.

The most common feedback that we get from parents is, "Well, it helped my kid somewhat, but I really feel great!"

Results fall into a "Bell Curve." A few do great, a few are completely unaffected, and most do somewhat better but it is not enough as a stand-alone intervention. Please have realistic expectations with this ADD ADHD Diet, or with any diet for ADHD. But please try it. It just may be a big help to your family.

Finding Out if it is ADD ADHD or Food Allergies : A Brief Elimination Diet

What NOT to eat for TWO WEEKS: the first step in this ADHD Diet

First, let's find out if there are food allergies causing the ADHD symptoms or behaviors. Eliminate these foods for two weeks, then get ready to add them back in to the ADHD diet...

NO DAIRY PRODUCTS, especially cow's milk. This is the single most important restriction for the first two weeks. The American Pediatric Association estimates that a significant percentage of all children are allergic to milk. Instead try Almond milk, Rice milk, or Better Than Milk. We are looking at "Raw Organic Milk" which has not been pasteurized. Since it still has enzymes it might be digested better than the "ultra-pasteurized" milk. And drink lots of water for two weeks.

NO YELLOW FOODS. Especially Yellow Corn or Yellow Squash. Bananas are white, but don't eat the yellow peel. About 1/1000 people have problems with the stuff that makes these foods yellow in color.

NO JUNK FOODS. If it comes in a cellophane wrapper, don't eat it. Stop eating junk food and your brain will work better. Junk foods tend to be very high in sugars and carbohydrates, and our brains get fuzzy and our kids get more hyperactive when sugars and carbohydrates are eaten together.

NO FRUIT JUICES. They have too much sugar. One small glass of apple juice has the sugar content of eight apples. Later on you can have juice, but for now if you have to have any juice just dilute it with water 50/50.

CUT SUGAR INTAKE BY 90%. If you can, cut it down to zero. Sugar is in just about everything, but try to really restrict eating it. Do your best to reduce your sugar intake without going crazy.

CUT CHOCOLATE BY 90%. No more than a single piece, once a week. Chocolate is our favorite food here at newideas.net but it has about 220 different chemicals, some of which people can have problems with.

NO NUTRASWEET. None. Period. Never. It's bad for you. It is bad for your brain. This is not just a two week restriction. It is not very good for your brain.

NO PROCESSED MEATS and NO MSG. Only get meats with labels that say, “Turkey and Water,” etc. This is not just a two week restriction. If the meat has chemicals listed that you can't pronounce, don't buy it and don't eat it.

CUT FRIED FOODS BY 90%. The Trans-Fats in fried foods and other less than healthy foods compete in the body with good Fatty Acids, and the Essential Fatty Acids. You can either have unhealthy Trans-Fats, or healthy EFA, but not both in the same space in your brain. This is not just a two week restriction. Good fats with good fatty acids are your friends. Bad fats such as Trans-fats or Poly-Unsaturated fats are bad for us. Good fat sources can include animal fats, coconut oil, olive oil, flax oil and so on.

AVOID FOOD COLORINGS WHENEVER POSSIBLE. See if your child is sensitive to any particular colors, such as Reds, Yellows, etc. For now, though, avoid all if possible.

AVOID FISH. We hate to say this, as there used to be so many benefits to eating fish, especially the Essential Fatty Acids (EFAs) or Omega Oils. But the problem these days is that the mercury levels in most fish is simply too high to be either safe or healthy. Mercury is the second most toxic metal on earth, and is a terrible neuro-toxin. Until we clean up the oceans and the rivers of mercury, just don't eat it. Sorry.

SUMMARY: Just eat foods that God made for a while. Eat like people did in the 1940's, or the 1840's. Go to a used book store and get some good old cook books for recipe ideas. There really are about 10,000 meals that you CAN eat. Just not much in the way of “fast foods” or “convenience” foods.

After the First Two Weeks of the ADHD Diet : What to Eat

What we recommend that you eat to feed your brain, from the ADHD Information Library of http://newideas.net

AFTER TWO WEEKS begin adding some of the restricted foods back into your diet, one food every other day. The foods that are bad for you all of the time, such as trans-fats, nutrasweet, and other chemical food additives should be out of your diet forever. Junk foods and fast foods should be eliminated too. But of the "test" foods such as dairy products, eat A LOT of that food every day for four days. If you have a problem with one of the foods, you will see some kind of a “reaction” within four days. The reaction can vary from big red splotches on the body to ears turning bright red to explosive temper outbursts. If there's a problem, you'll know. If there's no problem, enjoy the food.

ADHD Diet: WHAT TO EAT TO OPTIMIZE THE ADHD BRAIN

Just as some foods make the brain "foggy," other foods can enhance and optimize brain performance. Here are some things to eat to feed the ADHD brain...

FOR BREAKFAST SERVE HIGH PROTEIN, LOW CARBOHYDRATE MEALS. Say, “Good-bye,” to Breakfast cereals and milk. Breakfast cereals are mostly carbohydrate and sugar, which is a bad combination for the ADHD brain. And many children are allergic to milk. So the classic American breakfast of cereal with milk is a bad idea.

Instead, serve 60% to 70% Protein and 30% to 40% Carbohydrates for Breakfast. Eggs, breakfast meats, and some toast would be fine. Other meals of the day could be 50% Protein and 50% Carbohydrate.

PROTEIN SUPPLEMENTS might be needed to get the added protein for Breakfast. They are often very helpful in the afternoon as well. Here is our favorite recipe for a Protein Shake:

a) Make a cup of coffee with a flavor that you or your child will like (yes, I know I'm breaking my own rules here, as these flavors will have some sugar, but I'm trying to get your kid to actually drink the thing, and also get some caffeine mixed with the protein.). Pour the hot coffee into a blender with about 6 oz of ice. Turn on the blender for a bit.

b) Add a good quality protein powder. There are many good ones available. If you can't find one that you like, ask at your local health food store. Get protein powders that are mostly protein and very little carbohydrate. Add between 15 and 20 grams of protein to the cold coffee in the blender.

c) Turn on the blender again.

d) Drink it up.

This protein shake is helpful for a lot of people. For many small kids, and many adults, this recipe works about as well as a small dose of Ritalin (100 mg of caffeine is roughly the same as 5 mg of Ritalin). So many who might just take a small dose of Ritalin might get away with just doing this.

Don't forget, though, that even caffeine can have some side effects. Every once in a while we find someone that has problems with the caffeine in the coffee. Usually, though, the caffeine in the coffee helps the person to focus better. The protein helps to feed the brain. If you find this helpful, have one with Breakfast, and one around 3 pm. If it is not helpful, then don't bother with it.

DRINK LOTS OF WATER. The brain is about 80% water, and increasing your water intake to 7 to 10 glasses per day might be very helpful all by itself. Sodas, Gatorade, teas, icees, etc., do not count as water. Only water counts as water.

MINERAL SUPPLEMENTS may be helpful. Colloidal Minerals or fully chelated minerals are the best. There are several good choices. Don't buy minerals in the grocery store. Get good minerals.

ATTEND, EXTRESS, or MEMORIN from VAXA. Attend is an excellent brain food, so we recommend the Attend product for everyone from ADHD kids and teens, to athletes, businessmen and women, students, and more. Extress is recommended for those with problems with hyperactivity and temper, and is also good for improved sleep and anxiety or worry. Memorin is for those with poor concentration or memory. These are strongly recommended.

Here is more information here at http://newideas.net on ATTEND, the amino acid based, homeopathic medicine that is a great alternative to stimulants.

FLAX SEED OIL or PRIMROSE OIL or WALNUT OIL. These are good sources of Omega oils, and many with ADHD are deficient in Omega oils (or essential fatty acids). Primrose oil is high in Omega-6s, so this is important to take. Flax seed oil is high in Omega-3s, which are also good. Try to get twice as many Omega 6s as Omega 3s in your daily diet. Borage oils and Walnut oils are OK. You can rub many of these oils onto your skin and let it soak in too. Mix about a spoonful a day into cold foods as you prepare them, or add to salad dressings, etc.

After having read a lot more, we have become convinced that Fish oils, and even Krill oils, should just be avoided. They are just not that great -- not that helpful. Read more about Essential Fatty Acids and ADHD at http://newideas.net/adhd/research/essential-fatty-acids and in the other articles in that section.

EAT LOTS OF FRUITS AND VEGETABLES

AVOID ALUMINUM EXPOSURE

AVOID HEAVY METAL EXPOSURES These heavy metal exposures come in the form of amalgam dental fillings, which are 50% mercury (extremely toxic), 20% copper (also toxic), and about 15% nickel (also toxic). Nickel is also common with dental braces and with dental crowns. Cadmium is toxic, and is found in dental fillings, and also in cigarette smoke. And there are other toxic heavy metals found in pesticides and herbicides. And now there's also too much mercury in fish.

Eat in a healthy manner.

26 Apr 2012 Medical News Today Press Release

ADHD Diet Information

Together with child and adolescent psychiatrists, researchers from the University of Copenhagen have just completed an extensive report which reviews the studies which have been done so far on the significance of diet for children and young people with ADHD. The report shows that there are potential benefits in changing the diets of children with ADHD, but that key knowledge in the area is still lacking.

The comprehensive report covers the scientific literature on the significance of diet for children with ADHD: "Our conclusion is that more research is required in the area. There is a lot to suggest that by changing their diet, it is possible to improve the condition for some ADHD children," says professor in paediatric nutrition Kim Fleischer Michaelsen from the Department of Human Nutrition at the Faculty of Life Sciences, University of Copenhagen, who is heading the study.

Professor Kim Fleischer stresses that more research is needed: "Several of the studies show, for example, that fatty acids from fatty fish moderate the symptoms. Other studies detect no effect. Elimination diets are also promising. These look at whether there is anything in the diet which the children cannot consume without adverse side effects. However, we still lack knowledge about which children with ADHD benefit from dietary changes, how positive the effect is in the long term and what the changes mean for children's health." Dietary changes not beneficial for everyone

The report shows that not all ADHD children benefit from changes to their diet, and that there are still many unknown factors. Tine Houmann, a consultant at the Centre for Child & Adolescent Psychiatry, says: "There are different types of ADHD, and the disturbance is probably due to both genetic and environmental factors. We know that children with ADHD react very differently to both medication and dietary changes. We therefore need to study which children benefit from dietary changes, and whether we can identify genetic or environmental factors that can predict this."

Bigger studies needed

The experts hope that, by acquiring more knowledge on the subject, it is possible to reduce the use of medication and instead develop special dietary advice for the children:

"It is promising that many research results indicate that dietary changes can help some ADHD children. However, it is crucial that bigger studies on dietary changes are conducted on children with ADHD to see how effective this is and how long the benefits last," says Kim Fleischer Michaelsen, while stressing that parents should always seek professional advice before changing their children's diet.

References:
The report (only available in Danish) is financed by the Danish Ministry of Social Affairs and Integration, which wanted a detailed review of the literature within this area.
University of Copenhagen

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See our ADHD Diet at http://adhddiet.info

Douglas Cowan, Psy.D., M.S. is a licensed Marriage and Family Therapist in Tehachapi, CA who has been a skillful counselor to children, teens, and adults helping them to overcome ADHD, find relief for depression or anxiety, and solve other problems in life since 1989. He served on the medical advisory board to the company that makes Attend and Extress from 1997 through 2011, and he is the Editor of the ADHD Information Library online resource. His weekly ADHD Newsletter goes out to 9,500 families. Visit his website at http://DouglasCowan.me for more information on achieving greater health, personal growth, Christ-centered spirituality, stress management, parenting skills, ADHD, working out the stresses of being a care-giver to elderly parents and also being a parent to teenagers, or finding greater meaning in retirement years.