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Nourishing Hope Nourishing Hope Nutrition Intervention for - - PowerPoint PPT Presentation

Nourishing Hope Nourishing Hope Nutrition Intervention for Nutrition Intervention for Autism Spectrum Disorders Autism Spectrum Disorders Julie Matthews Certified Nutrition Consultant Trudy Scott - Research Assistant The food we feed a


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Nutrition Intervention for Autism Spectrum Disorders Nutrition Intervention for Autism Spectrum Disorders

Julie Matthews

Certified Nutrition Consultant

Trudy Scott - Research Assistant

Nourishing Hope Nourishing Hope

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SLIDE 2

The food we feed a child has significant impact

  • Background and Biochemistry

Background and Biochemistry

  • Nutrition Basics

Nutrition Basics

  • Diet Options

Diet Options

  • Nutrition Boosters

Nutrition Boosters

  • Beginning & Evolving a Diet

Beginning & Evolving a Diet

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SLIDE 3

What is Autism and Autism Spectrum Disorder (ASD)?

  • Social:

Social: Not playful, avoids eye contact Not playful, avoids eye contact

  • Communication:

Communication: Not use gestures, receptive and Not use gestures, receptive and expressive language poor expressive language poor

  • Unusual interests and behaviors:

Unusual interests and behaviors: Repetitive Repetitive actions, hand flapping, picky eating, actions, hand flapping, picky eating, “ “stimming stimming” ”

Autism, PDD, Autism, PDD, Asperger Asperger’ ’s s Syndrome, ADHD Syndrome, ADHD

  • Physical:

Physical: Constipation, diarrhea, hyperactivity, Constipation, diarrhea, hyperactivity, fatigue, aches and pains, digestive pain and gas, fatigue, aches and pains, digestive pain and gas, difficulty sleeping, anxiety difficulty sleeping, anxiety

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SLIDE 4

Underlying Causes and Contributors

  • Genetics:

Genetics: MTHFR, GST, COMT. Involving the systems of methylation, sulfation, detoxification, digestion, gut/brain barrier, inflammation, immune function.

  • Environmental:

Environmental: Toxins, vaccinations, nutrient Toxins, vaccinations, nutrient deficiencies, antibiotics and deficiencies, antibiotics and dysbiosis dysbiosis, endogenous , endogenous toxins (opiates from food, microbial toxins) toxins (opiates from food, microbial toxins)

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SLIDE 5

Biochemistry

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SLIDE 6

Affects of Faulty Sulfation

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SLIDE 7

Complex and Interrelated Whole Body Disorder

Brain is Downstream

Yeast toxins Undermethylated neurotransmitters Brain inflammation Increased toxicity Nutrient deficiencies Opiates

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Why the GI System is So Important

  • Physical barrier of defense against bacteria, viruses, etc.
  • The largest part of the immune system is contained

within the gut (70%)

  • Vitamins/minerals cofactors for enzymatic reactions and

metabolism, etc.

  • Nutrients are precursors for neurotransmitters
  • The greatest concentration of serotonin, 90%, is found in

the GI tract The Health of the GI System Determines Function of Body

From Lisa Lewis, Ph.D.

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SLIDE 9

How Diet Can Help -

Support Digestion & Biochemistry

  • Leaky Gut and Gut Inflammation

– Remove foods that inflame gut – Add foods that heal the gut – Add foods that supply beneficial bacteria

  • Nutrient Deficiencies

– Increase the quality of food and digestibility

  • Yeast Overgrowth

– Remove sugars – Remove starches – Add probiotic-rich foods

  • Toxicity and Poor Detoxification

– Avoid food additives – Avoid toxins in food supply and meal preparation

  • Faulty Methylation and Sulfation

– Remove phenolic foods – Improve methylation and sulfation through supplementation

Feeling Better >>> Learning Better Feeling Better >>> Learning Better

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SLIDE 10

Symptoms Diet May Improve

  • Ability to focus
  • Eye contact
  • Aggression
  • Gastrointestinal problems
  • Language
  • Sleep difficulties
  • Toilet training
  • Rash or eczema may improve
  • Behavior

From Lisa Lewis, Ph.D

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Autistic Spectrum Disorders are caused by genetic predispositions combined with environmental factors that create disordered biochemistry and damaged organs & systems. Nutrition affects this chemistry and the body Nutrition affects this chemistry and the body

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Holistic Nutrition Approach

QuickTime™ and a decompressor are needed to see this picture. QuickTime™ and a decompressor are needed to see this picture.

#1

Cleaning up the Diet Diet Basics

#4 #2

Cleaning up the Home Beginning an ASD Diet

#5

Removing Food Intolerances

#6

Evolving the diet: Nutrition Boosters

#7

Refining the ASD Diet

#8

Cleaning up the Gut

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Supplement Specifics

#10 #3

Supplement Basics Immune Support

#11

Detox

#12 INITIAL STEPS MOVING FORWARD

From Nourishing Hope

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Nutrition Basics

Macronutrients: Fats, Protein,and Carbohydrates

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Unhealthy Ingredients to Avoid

  • Artificial colors/flavors and preservatives
  • MSG (hydrolyzed protein, yeast extracts)
  • Pesticides
  • Aspartame and other artificial sweeteners
  • Trans fats (hydrogenated fat)
  • Excessive/Refined Sugar
  • Nitrates/nitrites (bacon, hotdogs, lunch meat)
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A Healthy Diet

  • Whole foods
  • Unprocessed
  • Organic
  • Fermented foods: rich in probiotics
  • Grass-fed/pastured meat and eggs
  • Good fats
  • Free of food intolerances
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Fats

  • Brain development and brain function
  • Hormone balance and mood
  • Formation/fluidity of cell membrane
  • Creating energy in cell and helps burns fat
  • Reduces inflammation

Supplement with vitamin E to prevent oxidation of fats.

Omega 3 Omega 6 Omega 9 Saturated Fat

Borage oil (GLA) Evening primrose oil (GLA) Black currant oil (GLA) Nuts/seeds and their oil Hemp seeds/oil (GLA) Grapeseed oil Fish oil or cod liver oil Flax seed oil DHA and EPA supplements AVOID Vegetable oil: canola, safflower, corn, soy oils Olive oil Avocado Nuts/seeds Coconut oil Palm/Red Palm

  • il

Animal fats Ğ ghee/dairy, bacon

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SLIDE 17

Fats

  • 30+% Many children - 40% or more.

– Breast milk is 53% fat (25% saturated).

  • Proceed slowly - not everyone can digest fats well.

Problematic for those with:

– High oxalates – Gallbladder/bile imbalances – Enzyme insufficiency

  • Signs of poor fat digestion

– Stool light tan or gray in color, large in volume. Sometimes stool will float. Malodorous flatulence.

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Vital Roles of Saturated Fat

Brain—Saturated fats are important for development of the brain Bones – Saturated fats help the body put calcium in the bones Liver – Saturated fats protect the liver from poisons Lungs – Can’t function without saturated fats—protects against asthma Immune System – Enhanced by saturated fats—fights infection Essential Fatty Acids – Work together with saturated fats

Coconut Oil:

  • Contains many antifungal

and antiviral components

  • Anti-inflammatory effects
  • More easily digested and

absorbed

  • Used immediately to create

energy

  • Enhances absorption of

minerals

Coconut Oil: Coconut Oil:

  • Contains many antifungal

and antiviral components

  • Anti-inflammatory effects
  • More easily digested and

absorbed

  • Used immediately to create

energy

  • Enhances absorption of

minerals

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Benefits of Cholesterol

  • Brain development and function
  • Boosts mental performance
  • Aids digestion
  • Builds strong bones
  • Builds muscle
  • Building block for hormones
  • Regulates your blood sugar
  • Repairs damaged tissue
  • Protects against infectious diseases
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Key Nutrients for Brain Development

  • Vitamin A - Cod liver oil; liver, butter

and egg yolks from grass-fed animals

  • Vitamin D - Cod liver oil; lard, butter

and egg yolks from grass-fed animals

  • Choline - Cod liver oil, egg yolks
  • DHA - Cod liver oil; liver, butter, egg yolks from

grass-fed animals

  • Zinc - Red meat of grass-fed animals, shellfish
  • Tryptophan - Meat of grass-fed animals
  • Cholesterol - Dairy foods, eggs, seafood,

meat of grass-fed animals

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Variety and quality are the keys to fat intake Variety and quality Variety and quality are the keys to are the keys to fat intake fat intake

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Vitamin A

  • Protein assimilation
  • Calcium absorption
  • Proper growth and healing
  • Speech/language
  • Vision
  • Proper function of the glands
  • Thyroid function
  • Immune system function
  • Production of stress and sex

hormones

Vitamin D

  • Healthy bones
  • Proper growth
  • Mineral absorption
  • Muscle tone
  • Immune system function
  • Healthy nervous system
  • Cell function
  • Insulin production
  • Reproduction

Animal Fat (Grass-fed) is High in Vitamins A and D

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Animal Products

  • Quality is essential

Grass-fed/pastured Commercial

  • Rich in DHA (brain

development)

  • Rich in Vitamin A
  • Rich in Vitamin D
  • Higher in CLA
  • Higher in Tryptophan (sleep

and mood) *Organic is not necessarily grass-fed

  • Unhealthy animals -

unhealthy food

  • Inflammatory grains -

create inflammatory food

  • Low in Vitamins A and D
  • Low in anti-inflammatory

fats

  • Higher in arachidonic

acid (inflammatory)

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Consider RAW Dairy

  • PASTEURIZED Dairy - Inflammation and gut reaction

– Casein molecule altered – Lectins (grain-fed milk)

  • Raw dairy is not for everyone - however some who cannot tolerate

pasteurized dairy can consume raw dairy

  • Use with SCD - homemade 24-hour raw milk yogurt
  • Raw butter - very little casein
  • Fatty acids (such as butyric acid)

– Nourish brain and intestinal lining – Antimicrobial properties

  • Phosphatase - calcium absorption
  • Enzymes for digestion
  • Natural probiotics
  • Milk fat reduces asthma

See RealMilk.com

Information & Sources

See RealMilk.com

Information & Sources

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Protein

  • Protein (essential amino acids) building blocks for:

– Muscle and tissue growth and repair, neurotransmitters, immune responses, enzymes, detoxification

  • Bio individuality - amounts vary.
  • Some children cannot process protein well:

– High ammonia, low HCl, low zinc, B6, or iron

Signs of protein deficiency: Stunted growth, lack of appetite, edema, suppressed immune system, muscle wasting, anxiety, sparse hair, dry skin

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Avoid Soy

  • Not good substitute for dairy
  • Very difficult to digest
  • Irritate the gastrointestinal tract
  • Blocks absorption - calcium, magnesium, iron, copper

and especially zinc - due to phytic acid and oxalates

  • Blocks thyroid function
  • Endocrine disruption in the reproductive hormones of

both males and females

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  • When eggs (and dairy) are not tolerated, protein

becomes limited

  • When nuts and beans are not tolerated, protein intake

becomes even more limited

  • Grains, nuts, beans, and other starches - inflammatory

to the gut.

  • Difficult to be vegetarian with some diets, as meat is

relied upon with SCD and other diets.

  • Can be difficult to get enough protein

–Eat eggs if tolerated –Free form amino acids (5 grams amino acids = 30 grams dietary protein)

Note on Vegetarian Diets

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Carbohydrates

  • Add complex carbohydrates: whole grains, vegetables, fruit,

starchy vegetables

  • Reduce refined carbohydrates: flour products (bread,

crackers, chips), cookies, pasta

  • Avoid Sugars: Refined sugar, honey, juices

– 4-5 grams per serving (1 teaspoon “sugars”) = 2 oz fruit juice, 2 tsp dried fruit, 1 TBSP ketchup – Keep to 4 servings/day

  • Sugar cravings - Yeast overgrowth, stress/anxiety

(sensory sensitivity), and blood sugar imbalances All grains problematic for some

  • All starches & sugars (except monosaccharides)

problematic for some (SCD)

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Diet Options

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Diet Options to Choose From

ASD Diet Options ARI Survey Results

parents’ reporting noticeable symptomatic improvement

GFCF (Gluten-free and Casein-free) No gluten (wheat, rye, barley, spelt, kamut, and oats)

  • r casein (dairy)

GFCF - 65% improved No Dairy - 50% improved No Wheat - 49% improved Food Sensitivity Elimination Eliminating all other food sensitivities: Soy, corn, eggs, citrus, peanuts, chocolate, cane sugar No Eggs – 49% improved No Chocolate – 49% improved No Sugar – 48% improved Rotation Diet – 49% improved Feingold Diet/Low Phenols Restricts high phenolic foods, including all artificial ingredients and high salicylate fruits 54% - improved SCD (Specific Carbohydrate Diet) Restricts carbohydrates to only fruits, non-starchy vegetables, and honey. No grains, starchy vegetables, or mucilaginous fibers SCD - 66% improved Candida Diet – 54% improved Body Ecology Diet Anti-yeast diet combining principles of anti-yeast diets including no sugar, acid/alkaline, fermented foods Nourishing Traditions/ Weston A. Price Good quality fats, soaking and fermenting for digestion Low Oxalate Diet Restricts high oxalate foods (nuts, beans, greens)

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Selecting a Diet Foundational Diets

  • GFCF – Start here. 65% improved.
  • Specific Carbohydrate Diet – For bowel

inflammation, diarrhea, gut dysbiosis that is not

  • improving. 66% improved.
  • Body Ecology Diet – For yeast overgrowth
  • Weston A. Price - Not ready to eliminate foods
  • yet. Focus on nourishment.
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Additional Diets

  • Food Sensitivities. Elimination and Rotation

Diets.

  • Feingold/Phenols – For red cheeks, red ears,

hyperactivity/fatigue, irritability, aggression

  • Low Oxalate Diet – For pain (body or GI),

urinary incontinence, pain, or irritation, constipation or diarrhea not relieve by SCD, continued stimming after meals, poor growth

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SLIDE 33

Nutrition Boosters

Foods and preparation methods that increase nutrient density and digestibility

Grandma knew best Grandma knew best

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SLIDE 34

Nutrients Needed for Pathways

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Helpful Supplements

  • Digestive Enzymes

Digestive Enzymes

  • Probiotics

Probiotics

  • Cod liver oil/fish oil/

Cod liver oil/fish oil/EFAs EFAs

  • Magnesium

Magnesium

  • Calcium

Calcium

  • Zinc

Zinc

  • B6

B6

  • Vitamins A, C, and E

Vitamins A, C, and E

  • CoQ10

CoQ10

  • Glutathione/NAC

Glutathione/NAC

  • Methylation

Methylation: B12, : B12, folinic folinic or 5MTHF, TMG/DMG

  • r 5MTHF, TMG/DMG
  • Transfer factor

Transfer factor

  • Amino acids

Amino acids

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Nutrient-dense Foods

  • Sweet potatoes: beta carotene, vitamin C, magnesium, fiber
  • Leafy greens: calcium, vitamin C, folic acid, beta carotene, magnesium, iron
  • Whole grains: selenium, vitamin E, magnesium, B6
  • Nuts and seeds: calcium, magnesium, iron, zinc, B6, vitamin E, folic acid
  • Beans and legumes: folic acid, B6, zinc, iron
  • Blackstrap molasses: iron, magnesium
  • Organic liver: iron, vitamin C, B12, folic acid, beta carotene, vitamin A
  • Hemp seeds: GLA, omega-3, vitamin E, L-arginine. All essential amino acid.
  • Nettles (can make a tea ): calcium, magnesium, potassium, iron, antioxidants
  • Kombu and seaweed: calcium, magnesium, iron
  • Eggs, from pastured hens (if not sensitive): B12, vitamin A, B-vitamins,

vitamin D, vitamin E, selenium, calcium, iodine, zinc, iron, choline

  • Animal protein and fats (grass-fed): Vitamin A, vitamin D, DHA, tryptophan
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Good ways to Boost Nutrient Levels

  • Cook and puree orange vegetables (or any). Freeze in ice

cube trays and add to smoothies

  • Cook and puree any vegetables and add to meatballs,

meat patties, meatloaf, or pasta sauce

  • Cook allowable grains or gluten-free pasta in homemade

broth

  • Nettles can be consumed as a tea, or added to a

homemade broth

  • Seaweed - Add kombu or other sea vegetable to cooking

grains, soups, tomato sauce, even boiling pasta

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Juicing

  • Higher concentration of nutrients

– Chlorophyll and phytonutrients

  • Get nutrients without needing to eat/chew vegetables
  • Children that like liquids, juices and smoothies

Add vegetable juice to smoothies. Add a bit of fruit to vegetable juice for flavor or added sweetness Add supplements to vegetable juice (instead of fruit juices)

P r e p a r a t i

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t i p P r e p a r a t i

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t i p

Start with Add as you evolve taste Go cautiously (high sugar)

  • Cucumber
  • Celery
  • Fennel
  • Ginger
  • Lemon
  • Green apples
  • Parsley, cilantro
  • Kale or other greens
  • Cabbage (ulcers)
  • Cranberries
  • Carrot
  • Beet
  • Fruit: Apple, pear
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Soaking “seeds” – easy to do

Grains, nuts, seeds, beans

  • Increases digestibility
  • Reduces inflammatory response
  • Breaks down phytic acid and oxalates
  • Fermenting grains breaks down lectins

Nuts - Soak in water (with or w/o salt) for 7-12 hours. Drain and refrigerate, use to make nut milk,

  • r drain and dehydrate

(eat or make nut butter) Grains - Soak in water for 8-24 hours with 2 TBSP lemon juice

  • r vinegar. Drain and cook

with fresh water. Beans - Soak in water for 8-24 hours with hearty pinch

  • f baking soda. Drain and cook with fresh water.

P r e p a r a t i

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t i p P r e p a r a t i

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Fermented Foods – Rich in Probiotics

Functions of good bacteria

– Regulate peristalsis and bowel movements – Break down bacterial toxins – Make vitamins needed and utilize: B1, B2, B3, B5, B6, B12, A and K – Digest protein into amino acids (for use by the body) – Produce antibiotics and antifungals – Help breakdown sugars, lactose, and oxalates – Support immune system and increase number of immune cells – Balance intestinal pH – Protect against environmental toxins: mercury, pesticides, pollution

Raw fermented foods contain billions of bacteria/serving!

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Fermented Foods – Rich in Probiotics

Dairy-free:

  • Raw sauerkraut
  • Beverages (contain yeast that kills candida):
  • Kombucha
  • Coconut juice kefir
  • “Sodas” (hibiscus/rosehip tea with kefir starter)
  • Nut milk yogurt

Dairy: Milk-based yogurt/kefir Dairy-free:

  • Raw sauerkraut
  • Beverages (contain yeast that kills candida):
  • Kombucha
  • Coconut juice kefir
  • “Sodas” (hibiscus/rosehip tea with kefir starter)
  • Nut milk yogurt

Dairy: Milk-based yogurt/kefir

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SLIDE 42

Homemade Bone & Vegetable Broths

  • Grass-fed/pastured chickens or beef bones

– Add 2 Tablespoons of vinegar - increases the calcium and magnesium

  • Vegetables, seaweed, greens, nettles
  • Nutrient dense, easy to assimilate nutrients

– trace minerals, amino acids, calcium, magnesium, potassium, iron Cook grains, soups, and/or pasta in broths - nutrients will absorb into food

P r e p a r a t i

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Grandma knew best Grandma knew best

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Bone Broths and Gelatin

Bone broth contains gelatin:

  • Gelatin’s colloidal properties aid digestion of all foods
  • Glycine: Sleep, detox environmental toxins,

component of glutathione, improves gastic acid secretions and protein digestion

  • Proline: Formation of connective tissue: skin, gut,

ligaments

  • Broken down by DPPIV
  • Free glutamate - potentially problematic for

glutamate sensitive children Bone broth contains gelatin:

  • Gelatin’s colloidal properties aid digestion of all foods
  • Glycine: Sleep, detox environmental toxins,

component of glutathione, improves gastic acid secretions and protein digestion

  • Proline: Formation of connective tissue: skin, gut,

ligaments

  • Broken down by DPPIV
  • Free glutamate - potentially problematic for

glutamate sensitive children

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Water and Salt

  • Purified Water

– Avoid tap water, fluoridated and chlorinated water – Get a water filter (point of entry, reverse osmosis, carbon block or ionic - not Brita). Avoid bottled water (plastic and transportation).

  • Nutritive Salt

– Salt cravings - sign of nutrient deficiencies – Avoid stripped white “table salt” - may contain aluminum – Choose nutritive salt with trace minerals – Celtic Sea Salt or Himalayan crystal salt

  • Sole - water and salt combine to make minerals ionic

– They are highly absorbable, alkalizing, and help with elimination – Add 1 tsp to 8 oz glass of water – See Water and Salt, by Handel and Ferreira

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Beginning and Evolving a Diet

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Begin by Removing Artificial Ingredients

Avoid trans fats (hydrogenated oil, fried foods, margarine, mayo, commercial peanut butter) Avoid artificial sweetener & high fructose corn syrup Avoid artificial ingredients (artificial colors, flavors, and preservatives) Avoid MSG (hydrolyzed vegetable/soy protein, autolyzed yeast, yeast extract, natural flavors) Avoid Nitrates/nitrites

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SLIDE 47

Eliminate Foods, Additives and Factors that Irritate the GI Tract

Food intolerances (IgG test and LEAP test) MSG Carageenan Olestra Lectins, oxalates and phytates from “seeds”(grains even non-gluten, bean, nuts, seeds) Yeast, antibiotics, and some medications (NSAIDS)

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SLIDE 48

Avoiding Toxins in the Kitchen

Toxins Around the Kitchen Safer Cooking Alternatives Avoid aluminum cans Buy in glass Avoid storing in plastic Store in glass w/metal or plastic lid Avoid Teflon, copper, and aluminum pans Use stainless steel (attracts a magnet), cast iron or enameled cast iron Avoid the microwave, do not reheat in plastic Heat in oven or on stove Avoid plastic wrap & aluminum foil Use wax paper or glass with lid

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For Picky Eaters

  • Always provide food child likes in addition to "new" food.
  • Only offer one new food at a time.
  • Include small portion of new food and serve everyone at the table.
  • Involve your children in food preparation of "new" food.
  • Small taste ~ 1/2 teaspoon. Let child determine amount.
  • Inform them. Let child know whether it is sweet, salty or sour.
  • Let them spit it out.
  • If at First You Don't Succeed, Try and Try Again! At least 15 times!
  • Try new food in a texture they prefer - crunchy, smooth, etc.
  • Avoid being emotionally “attached” - children sense anxiety.

– Keep mealtime calm. Visualize child eating/enjoying new foods.

  • Avoid forcing or pushing - maintain trust.
  • Choose rewards or other encouragement.
  • Make sure the whole family participates.
  • Make it fun!
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SLIDE 50

Evolving the Diet

  • Involve the family as much as possible
  • Remove known food allergens: peanuts, etc.
  • Begin to add nutrient dense whole foods
  • Add fermented foods
  • Introduce new GFCF substitutes before removing

familiar gluten/casein foods

  • Implement GFCF (or other foundational diet) for 3-6

months

– Regardless of test results – Begin with casein-free, then gluten-free

  • Determine other food sensitivities

– Based on dietary challenge testing (and/or lab results) – Be careful not to substitute soy (for dairy) and corn (for gluten) – often equally problematic

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SLIDE 51

Chart Progress and Further Refine

  • Correlations not always clear - Keep diet record.
  • Add one food at a time - Take note.
  • Avoid changing foods & supplements simultaneously.
  • Watch for symptoms or regression:

– Sometimes a “regression” is actually a sign of healing, i.e. removal

  • f gluten/casein may cause opiate withdrawal

– However, sometimes a new food substitution (corn) is problematic and needs to be removed

  • Look for improvement
  • See what’s remaining, and consider additional diets/dietary
  • intervention. Changing the diet or layering diets.
  • Seek help from a nutrition consultant or qualified

practitioner/physician

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SLIDE 52

NourishingHope.com

Book • Website • Radio Show • Community Contact Julie at: Julie@HealthfulLiving.org www.NourishingHope.com 415-437-6807 For food sources, diet resources, and scientific references