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Ziemann Hintz AO 2008 CAM Madison - PowerPoint

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					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
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
 Basic

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?





Gathering information
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
 When

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

Additional Blood Tests


Viral Titers QUANTITATVE IgG:
        



Strep Titers
 



CMV EBV HHV6 HSV Varicella Measles Mumps Rubella Hep. B surface Ab Polio

ASO titer quantitative AntiDNASE B Ab quantitative

Mitochondrial Tests: Blood Amino Acids Carnitine Panel Lactic Acid Pyruvate Acid

Viruses


Physical Presentation
    



Treatments
   



“Never sick” “Always sick” Regression after illness Poor eye contact Improved eye contact with a fever Stimmy Behavior
• Hand flapping • Sideways glancing • Finger flicking



  

Olive leaf extract Elderberry Oil of Oregano Herbs/Nutrients that support the immune system Antiviral medications: Valtrex High dose Vitamin A Homeopathy Enzymes

Strep


Physical Presentation
   



Treatments


  

Poor eating Clearing the throat Swollen lymph glands Obsessive thoughts/behavior Seizures Tics Someone else in the family has strep

  

  

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
  

testing

CDSA CPP x3 Microbiology

 Urine
 

organic acid test (OAT)

Great Plains lab- OAT Metabolic Analysis Profile (MAP) Genova diagnostics

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

Treatment
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
 Start

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

Look OUT for “Die Off”
     

Loose stools, diarrhea Behavior, irritability Head aches, head banging Fatigue Sleep disturbance Rashes

Parasites


What may keep you and your child up at night

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

Treatment for Parasites
 

Probiotics Herbs
• • • • • 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


Symptoms
  

Irritability, aggression, behavioral issues Increased stimming, hyperactivity, sleeplessness Skin rash, diaper rash, fever 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



Possible Causes
  



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

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


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
sleep  Cognitive gains  Better speech and language  Improved eye contact  Fine and gross motor improvement  Better focus, attention, awareness
 Better

 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


				
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