Nutritional Supplements for People on the Autism Spectrum
Tips on giving nutritional supplements
It really helps to have a medical professional guide you through the maze.
Consider Dr. Bryan Jepson or one of the nutritionists, at Thoughtful House,
www.thoughtfulhouse.org.
Be sure that all supplements are gluten-free and casein-free, and free of anything
else that your child is allergic or intolerant to. If your child has a bad reaction,
they may be reacting to colors, sweeteners, flavorings, or soy in the supplement;
if so, try a “cleaner” version of the same supplement.
Most supplements are best taken with food, but most probiotics are probably
best given at least two hours away from digestive enzymes.
Usually it is best to only introduce one supplement at a time, so you can see how
your child reacts to it. Wait until your child is stabilized on it before you add
another supplement.
Keep a log of when you introduce a supplement (with brand and dosage), or
change the brand or dosage, and how your child reacts.
Just because a supplement is not good for your child at one time, does not mean
that it might not be good for them at another time, either because of changes in
their body, or because you are giving it in combination with different
supplements.
Parents should also take some supplements if they are to make it through the
journey, especially a good multi-vitamin, calcium/magnesium, and an omega-3
fatty acid supplement.
Nutritional supplements to try or to consider - This is just a selective list. There are lots
more that may help your child.
Digestive Enzymes - Giving digestive enzymes at the beginning of every meal
helps break down food into usable nutrients, including any gluten or casein that
might have inadvertently gotten into the food. Some of the major brands are
Kirkman, Houston Nutraceuticals, and DigestRight from Learner’s Edge.
Probiotics - We all have beneficial bacteria living in our gastrointestinal tracts.
These help us digest our food and absorb nutrients. Kids on the spectrum have
trouble maintaining a healthy level of these beneficial bacteria, so
supplementation with probiotics can be important. Make sure that your
probiotics are not grown on whey or other dairy products. Some doctors say they
are best given at least two hours away from digestive enzymes. Some of the
major brands are Kirkman and Klaire.
Essential Fatty Acids - Omega-3 fatty acids are very important for kids on the
spectrum. Be sure to only use fish oil that has been tested for mercury. Give
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EFA’s only in the morning, so that they do not interfere with sleep. Some of the
major brands are Thorne and Nordic Naturals.
Hydrogenated Oils - AVOID hydrogenated oils (trans fat) in the diet, which are
very bad for all of us, but especially bad for kids on the spectrum. Look for
cooking oils that are expeller pressed or cold pressed.
Cod Liver Oil - Cod liver oil can help tremendously with eye contact. It is one of
the few sources of the cis form of vitamin A, which is believed to reconnect the
retinoid receptors in the brain. Use a cod liver oil that has been tested free of
mercury. Give it only in the morning, so that it does not interfere with sleep. One
of the major brands is Kirkman.
Multi-Vitamin Multi-Mineral - A good multi-vitamin multi-mineral can get a
lot of the important vitamins and minerals into your child in an efficient way, as
well as include some of the trace elements that they only need in small amounts.
Be sure to use a multi-vitamin that does not contain copper, as kids on the autism
spectrum tend to have unbalanced zinc to copper ratios. It’s best to give these
only with breakfast or lunch, as some vitamins given later in the day can
interfere with sleep. Some of the major multi-vitamins are Kirkman Nu-Thera
with P5P and Child Essence from Learner’s Edge. A good multi-mineral such as
Thorne Citramin II may also help with Pica (chewing on non-food items).
Methylcobalamin (Methyl B-12) and Folinic Acid
Methylcobalamin (the methyl form of Vitamin B-12) can be a powerful thing for
kids on the autism spectrum. It is not absorbed well when given orally, and is
best given by injection into a muscle or through a nose spray, but injections are
more effective than nose spray. (Injections can be given by parents at home.) The
nose spray is available by prescription from Coastal Compounding in Savannah,
Georgia (912-354-5188). The injections are available from People’s Pharmacy by
prescription.
In healthy kids, folic acid is turned into folinic acid before the body can use it.
Doctors think kids on the autism spectrum may have trouble with this
conversion, and that it is better to give them folinic acid. Folinic acid works
synergistically with methyl B-12, and can be combined with methyl B-12 in an
injection or nose spray.
Methyl B-12 and folinic acid are also available in capsule or liquid form from
Kirkman. Give them at breakfast or lunch so they do not interfere with sleep.
Vitamin B-6 - Vitamin B-6 was one of the first nutritional supplements that was
found to help kids on the autism spectrum. Most of the multi-vitamins
formulated for kids on the spectrum will contain it. It’s best to give B-6 only with
breakfast or lunch, as it can interfere with sleep if given later in the day. P5P is a
preferred form of B-6. Kirkman is a good brand.
Vitamin E - Vitamin E is an essential antioxidant. It is also important in
supporting immune response and may play a role in allergic response. Taken at
dinner, vitamin E can help with sleep. Kirkman is a good brand.
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Calcium and Magnesium - Calcium and magnesium help to calm kids and
improve their sleep. They work together, and are often found in the same
capsule or tablet. Calcium is one of the few nutritional supplements that is
unaffected by heat, and you can get it from Kirkman Labs in powdered form and
cook with it. Magnesium tends to soften stools, and calcium tends to harden
them. They are often contained in small amounts in multi-vitamins. Calcium and
magnesium can be given any time of day, and can be given at bedtime to
improve sleep (but multi-vitamins should be given earlier in the day). Thorne is
also a good brand.
Zinc - Kids on the autism spectrum generally have an out-of-balance copper to
zinc ratio, with too much copper and not enough zinc. Zinc can have a calming
effect, too. It can be given any time of day. Kirkman is a good brand.
Chromium – Chromium given before meals can help with sugar craving.
Kirkman is a good brand.
TMG or DMG - Kids on the spectrum have a methylation problem. TMG
(trimethylglycine) or DMG (dimethylglycine) give them the methyl groups they
need. They work with folinic acid to complete a chemical chain reaction in their
bodies. Kirkman is a good brand.
Taurine - Our digestive systems break down our food into amino acids, which
are the building blocks of our bodies. Taurine is a sulfur-containing amino acid
that plays a calming role as a neurotransmitter, has antioxidant properties, and is
needed for proper bilary function. Thorne and Kirkman are good brands.
Melatonin - Melatonin makes us sleepy. Our bodies make melatonin naturally,
but most kids on the autism spectrum don’t have enough in their bodies.
Kirkman Labs makes a Slo-Release Melatonin that is released slowly over the
course of the night. Give melatonin only at bedtime. It is also a strong
antioxidant that is really good for our kids.
Glutathione - Glutathione is in every cell of our bodies, but kids on the autism
spectrum don’t have enough of it. Glutathione is not absorbed well when given
orally, and should be given transdermally on the skin, by infusion into a blood
vessel, or by breathing it using a nebulizer. It can be given any time of the day.
The liquid form used in a nebulizer is available by prescription from McGuff
Pharmacy in Santa Ana, CA (877) 444-1133.
Major supplement brands
Houston Nutraceuticals
Kirkman Labs
Klaire Labs
Learner’s Edge
Nordic Naturals
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Pure Encapsulations
Thorne Research
Where to buy nutritional supplements
Allergy Supply Company – allergysupply.com – (800) 323-6744 – sells nebulizers
Family Pharmacy of Sarasota - ssl.familypharmacy.net – (888) 245-5000 –sells
Thorne, Nordic Naturals, Klaire, and lots of other brands
Houston Nutraceuticals – houstonni.com – (866) 757-8627 – specializes in
digestive enzymes for kids on the autism spectrum
Kirkman Labs - www.kirkmanlabs.com – (800) 245-8282 - specializes in all kinds
of nutritional supplements for kids on the autism spectrum, and will talk to you
about dosage, etc.
Learner’s Edge - www.learners-edge.com – (877) 585-3699 – has a short list of
excellent products for kids on the spectrum
People’s Pharmacy – www.peoplesrx.com - numerous locations in Austin – sales
people knowledgeable, be sure to ask for gluten-free casein-free supplements
Thoughtful House - www.thoughtfulhouse.org – (512) 732-8400 - 3001 Bee Caves
Road, Austin 78746 – medical clinic for the treatment of autism
Ways to give nutritional supplements
Open capsules and mix contents with food or beverage
Swallow capsules intact
Rubbing a transdermal cream on the skin
Injecting it into a muscle (can be done by parents at home)
Infusing it into a blood vessel, by either a relatively quick “push,” or a slow drip
(requires a doctor)
Breathing in a mist containing the supplement, using a nebulizer
Nose spray
Books
“Healing the New Childhood Epidemics: Autism, ADHD, Asthma, and
Allergies,” by Kenneth Bock, M.D.
“Changing the Course of Autism,” by Bryan Jepson, M.D.
“PDR for Nutritional Supplements,” available from Kirkman Labs
“Earl Mindell’s New Vitamin Bible,” by Earl Mindell and Hester Mundis 9/2/2009
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