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Using Labs to Manage Your Child’s Biomedical Program and Interpret the Results

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

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Using Labs to Manage Your Child’s Biomedical Program and Interpret the Results

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  1. 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

  2. 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

  3. Build your foundation • Create your own History and Physical: some- times a time line is helpful • Review your: • 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?

  4. 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

  5. Basic initial testing • Blood • 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

  6. Viral Titers QUANTITATVE IgG: CMV EBV HHV6 HSV Varicella Measles Mumps Rubella Hep. B surface Ab Polio Strep Titers ASO titer quantitative AntiDNASE B Ab quantitative Mitochondrial Tests: Blood Amino Acids Carnitine Panel Lactic Acid Pyruvate Acid Additional Blood Tests

  7. Physical Presentation “Never sick” “Always sick” Regression after illness Poor eye contact Improved eye contact with a fever Stimmy Behavior Hand flapping Sideways glancing Finger flicking Treatments Olive leaf extract Elderberry Oil of Oregano Herbs/Nutrients that support the immune system Antiviral medications: Valtrex High dose Vitamin A Homeopathy Enzymes Viruses

  8. Physical Presentation Poor eating Clearing the throat Swollen lymph glands Obsessive thoughts/behavior Seizures Tics Someone else in the family has strep Treatments Biofilm treatment esp if strep is found in the stool Antibiotics: Zithromax Probiodics Immune supportive agents: IVIG Berberine Golden Seal Oregon grape root Strep

  9. GI Health Markers • Stool testing • CDSA • CPP x3 • Microbiology • Urine organic acid test (OAT) • Great Plains lab- OAT • Metabolic Analysis Profile (MAP) Genova diagnostics

  10. Yeast symptoms • 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

  11. 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

  12. More Treatment options… • Antifungals • Drugs • Nystatin, Ampho B • Fluconazole • Itraconazole • Ketoconazole • Herbals • Berberine • Grapefruit Seed Extract • Oil of Oregano, Pau d’Arco • Garlic, Samento • Homeopathy

  13. Look OUT for “Die Off” • Loose stools, diarrhea • Behavior, irritability • Head aches, head banging • Fatigue • Sleep disturbance • Rashes

  14. Parasites • What may keep you and your child up at night

  15. Signs and Symptoms of Parasites • 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

  16. Treatment for Parasites • Probiotics • Herbs • Wormwood • Black walnut • Pumpkin seeds • Clove • Coconut oil • Homeopathy • Antiparasitic medications • Metronidazole • Paromomycin

  17. They don’t go down without a fight!!

  18. Potential reactions when eliminating these pathogens • Symptoms • Irritability, aggression, behavioral issues • Increased stimming, hyperactivity, sleeplessness • Skin rash, diaper rash, fever • Possible Causes • 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

  19. Treatment Approach • 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

  20. Clostridia produce toxins and enzymes that create severe gut inflammation and produce watery diarrhea

  21. 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 Clostridia issues

  22. Evaluation of Heavy Metal Toxicity • 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.

  23. Benefits of Chelation • Better sleep • Cognitive gains • Better speech and language • Improved eye contact • Fine and gross motor improvement • Better focus, attention, awareness

  24. IMPORTANT to continue to monitor symptoms. • Labs can only help point us in the right direction.

  25. Have courage and follow your own path.

  26. Thank You and Good Luck on your Journey

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