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ADHD and Nutrition
A Review of Nutritional and Integrative Treatments
Dianne Rishikof MS RDN LDN
ADHD background
3 types
ldquoinattentiverdquo type
ldquohyperactiverdquo type
ldquocombinedrdquo type
Genetic and environmental factors
wwwHealthTakesGutscom
Incidence of ADHD
11 of all children are diagnosed with ADHD
Doubled in less than 10 years
Why the increase
Better at finding them
Misdiagnosis
Symptoms exist on a spectrum
Loosened the definition
More kids have it
wwwHealthTakesGutscom
Outline
Diet and Nutrition Factors and Treatment Strategies
Individual Nutrient and Herbal Supplementation
Environmental Toxins
Other lifestyle factors
wwwHealthTakesGutscom
Diet
Whole foods diet Low processed foods
Water
wwwHealthTakesGutscom
Whole foods diet
Good quality protein
Grass fed beef organic chicken clean fish
Smart Carb
Fruits and veggies including starchy veggies
Sustains blood sugar and energy
Contains fiber vitamins and minerals
Contains prebiotics and phytochemicals
Healthy fats
Olive oil avocados O-3s
wwwHealthTakesGutscom
Whole foods diet
Cut out (down on) the processed foods
Automatically get the good and exclude the lsquobadrsquo
Sugar
Refined flours starches grains
Trans fat
Pro-inflammatory oils
wwwHealthTakesGutscom
Breakfast
High protein smart carb
Goal to maintain normal blood sugar
Glycemic response
Blood sugar spike and crash
No one could pay attention
Could use the glycemic indexload or just EAT WHOLE
FOODS
wwwHealthTakesGutscom
Snacking
Small frequent snacks
Maintain blood sugar levels
Provide good nutrition for growing brains
Should be whole foods and healthy
Same guidelines as a meal
Protein healthy fats and smart carbs
wwwHealthTakesGutscom
Reduced appetite Side effect of
medications
Reduced appetite
Reward for trying something new (vs pressure or punishment)
Meds after meals
Nutrient dense snacksfood
Make them count
Let them eat when they are hungry (off schedule)
Let them be off the meds as much as possible
Supplements
Protein
Vitamins
wwwHealthTakesGutscom
Food Sensitivities
40-60 have food sensitivities
Gluten dairy corn soy eggs peanuts tree nuts
Testing
IgG
MRT
Elimination Diets
2-6 weeks
Diet references 1 2 3 4 5 6
wwwHealthTakesGutscom
Feingold Additives
24 types of food additives in processed foods
Preservatives
BHA
BHT
TBHQ
Artificial Colors
Artificial Sweeteners
Artificial Flavors
wwwHealthTakesGutscom
Feingold Salicylates
Natural chemical found in foods
Almonds apples apricots berries cherries cucumbers
grapes green peppers nectarines oranges peaches
plums tangerines tea tomatoes
Eliminate for 4-6 weeks reintroduce 1 at a time
httpfeingoldorg
wwwHealthTakesGutscom
Failsafe Diet
Free of Additives Low in Salicylates and Amines Flavor
Enhancers
Salicylates histamines Benzoates Glutamic Acid Sulfites
Very restrictive but effective
Eliminate all plant AND artificial chemicals
Failsafedietcom
Fedupcomaufactsheetsoverview
wwwHealthTakesGutscom
Gut Health
Gut is as important to psychiatry as anything Gut references 1 2 3
Intestinal Permeability
Potential dysbiosis
Candida
5R protocol
Probiotics
wwwHealthTakesGutscom
Multivitamin
To cover all bases
Eliminations of foods
Reduced appetites
Give body what it needs so it doesnrsquot take from brain
Evidence that it is a helpful addition to treatment
httpwwwncbinlmnihgovpubmed26682999 J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105
httpwwwncbinlmnihgovpubmed26573366Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17
wwwHealthTakesGutscom
Individual Nutrients
Omega 3 fatty acids
Essential to eat (can not make)
Crucial for brain function
ADHD have lower levels in the blood vs lsquonormalrsquo kids
Deficiencies of O-3 cause
Decreased attention
Increased hyperactivity
Increased impulsivity
Supplementation STRONG evidence
300mg-2000mg a day
wwwHealthTakesGutscom
Individual Nutrients Iron
Ferratin
ADHD kids have half what they should
Measure first never supplement blindly
Zinc
Low zinc is correlated with ADHD
Studies show ADHD improved with supplemental zinc
Essential fatty acid conversion
Brain development
Neurotransmitter conversion
Deficiency symptom inattentiveness httpwwwncbinlmnihgovpubmed20034331Acta Med Croatica 2009
Oct63(4)307-13
httpwwwncbinlmnihgovpubmed14687872Prog Neuropsychopharmacol Biol Psychiatry 2004 Jan28(1)181-90
wwwHealthTakesGutscom
Individual Nutrients Magnesium
Low levels have been documented in ADHD
Deficiency symptoms distractibility hyperactivity
Supplementation = improvement
Especially if in conjunction with Zinc and O-3
80-200mgday
Glycinate
lsquohttpwwwncbinlmnihgovpubmed16846100 Magnes Res 2006 Mar19(1)46-52
httpwwwncbinlmnihgovpubmed25373528Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432
Vitamin D
Common deficiency httpwwwncbinlmnihgovpubmed26664441 Iran J Child Neurol 2015
Fall9(4)48-53
httpwwwncbinlmnihgovpubmed24610453Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5
wwwHealthTakesGutscom
Individual Nutrients
Folate
Methylfolate
MTHFR
B6
P-5-P
Choline
Precursor to acetylcholine-NT for focus and processing
speed
Carnitine
Reduces hyperactivity
wwwHealthTakesGutscom
Individual nutrients
Phosphatidylserine
Good evidence
Improves ADHD symptoms and ST memory
Increases dopamine and acetylcholine levels
Decreases stress
With O-3 reduces ADHD symptoms (hyperactive) httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
Individual Nutrients
Anti-oxidants
Oxidative stress
Detox
Glutathione
Vitamins C E A Selenium httpwwwncbinlmnihgovpubmed26207130 Psychiatry
Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
httpwwwncbinlmnihgovpubmed26188640Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
wwwHealthTakesGutscom
Individual Supplements
Gingko Biloba
Helps with focus and attention
httpwwwncbinlmnihgovpubmed25925875
Tyrosine
Precursor to dopamine
5HTP
Precursor to serotonin
wwwHealthTakesGutscom
Supplements of note
Calming
Glutamine
Precursor to GABA
GABA
Valerian
Lemon balm
L-theanine
Inositol
wwwHealthTakesGutscom
Supplements of note
Huperzine
Increases acetylcholine in brain
Bacopa monnierei
Focus and attention
wwwHealthTakesGutscom
Toxins
Heavy metals
Mercury
Lead
Chemicals
Food
Pesticides additives
Cleaning
Air
smoke
Toys plastic PCBs
wwwHealthTakesGutscom
Testing
Micronutrient (Spectracell)
Genetic SNP testing (23andme Genomics Solutions Now
Neuroscience Nutrigenomix)
Heavy Metal Testing (urine or hair)
Neurotransmitter (urine) Neurotransmitters excreted in the urine as biomarkers of nervous system activity Validity and
clinical applicabilityDavid T Marclowast Joseph W Ailts Danielle C Ailts Campeau Michael J Bull Kelly
L OlsonNeuroScience Inc 373 280th Street Osceola WI 54020 United States
Food sensitivity
Organic Acids Test (urine)
For Candida dysbiosis
wwwHealthTakesGutscom
Lifestyle factors
Exercise
STRONG evidence Exercise References 1 2 3 4 5 6 7 8 9
Improves ADHD
Sleep
7-8 hours a night httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
Limit screens
30min-1 hrday
wwwHealthTakesGutscom
Lifestyle Factors
Meditation and mindfulness and yoga httpwwwncbinlmnihgovpubmed26137496Biomed Res Int
20152015962857 doi 1011552015962857
Martial Arts
Biofeedback neurofeedback
Nature
Fresh air
Time in nature calms brain
wwwHealthTakesGutscom
Putting it all together
Whole foods diet
Processed food free-eliminates many problems
Get rid of additives
Possible elimination of gluten dairy salicylates
Plenty of water
Make sure high protein breakfast
Supplements Multivitamin
O-3s
Probiotic
Consider folate Mg Zn other specfic nutrients
Others as needed based on individual case
wwwHealthTakesGutscom
Putting it all together
Testing
Determined if needed based on individual case
Exercise
Sleep
Limit screens
Nature
Be aware of the nutritional implications of meds
wwwHealthTakesGutscom
Questions
Dianne Rishikof MS RDN LDN
wwwDianneRishikofcom
wwwHealthTakesGutscom
DianneRishikofgmailcom
wwwHealthTakesGutscom
Resources and References
httpwwwadditudemagcom
httpfeingoldorg
diannerishikofcomnutritional-supplements
The kid-friendly ADHD and Autism Cookbook
Amen Daniel Healing ADD New York Berkeley Publishing 2013
ADHD without drugs Sandford Newmark Tucson AZ Nurtured Heart Publications c2010
wwwHealthTakesGutscom
References
Shaken E Lakhan and Karen F Vieira Nutrition therapies
for mental disorders Nutrition Journal 2008 72
Neurotransmitters excreted in the urine as biomarkers of
nervous system activity Validity and clinical applicability David T Marclowast Joseph W Ailts Danielle C Ailts
Campeau Michael J Bull Kelly L Olson NeuroScience Inc 373 280th Street Osceola WI 54020 United States
httpwwwncbinlmnihgovpubmed25925875
Complement Ther Clin Pract 2015 May21(2)61-7 doi 101016jctcp201504001 Epub 2015 Apr 18
wwwHealthTakesGutscom
Gut Health references
1 Forsyth P Voices from within gut microbes and the CNS Cell Mol Life Science 2013 7055-69
2 Koloski NA Jones M Kalantar J Weltman M Zaguirre J Talley NJ The brain-gut pathway in functional gastrointestinal disorders is bidirectional a 12-year prospective population-based study Gut 2012611284-1290
3 Marilia Carabottia Annunziata Sciroccoa Maria Antonietta Masellib Carola Severia The gut-brain axis interactions between enteric microbiota central and enteric nervous systems Annals of Gastroenterology (2015) 28 203-209
wwwHealthTakesGutscom
Exercise references
1 httpwwwncbinlmnihgovpubmed26504324 Phys Ther Sci 2015 Sep27(9)2915-9 doi 101589jpts272915 Epub 2015 Sep 30
2 httpwwwncbinlmnihgovpubmed25988743Child Care Health Dev 2015 May 18 doi 101111cch12255 The main cumulative evidence indicates that short-term aerobic exercise based on several aerobic intervention formats seems to be effective for mitigating symptoms such as attention hyperactivity impulsivity anxiety executive function and social disorders in children with ADHD
3 httpwwwncbinlmnihgovpubmed25671205J Exerc Nutrition Biochem 2014 Dec18(4)379-84 doi 105717jenb2014184379 Epub 2014 Dec 31We thus showed that exercise effectivelyalleviates ADHD-induced symptoms through enhancing dopamine D2 expression in the brain
wwwHealthTakesGutscom
Exercise references
4 httpwwwncbinlmnihgovpubmed25646023 J Atten Disord 2015 Feb 2 pii 1087054715569282 A 12-week table tennis exercise mayhave clinical relevance in motor skills and executive functions of children with ADHD
5 httpwwwncbinlmnihgovpubmed25561359 Res Dev Disabil 2015 Mar38181-91 doi 101016jridd201412005 These findings support the hypothesis that long-term PA has a positive effect on executive functions of children with ADHD regardless of the specificity of the PA The outcomes indicated that regular PA can be used as a complementary or alternative non-pharmacologic treatment for ADHD
6 httpwwwncbinlmnihgovpubmed25220093Child Adolesc Psychiatr Clin N Am 2014 Oct23(4)899-936 doi 101016jchc201405005these data provide a strong rationale for whya program of structured physical exercise might serve as an effectiveintervention for children with ADHD
wwwHealthTakesGutscom
Exercise references
7
httpwwwtheatlanticcomhealtharchive201409exe
rcise-seems-to-be-beneficial-to-children380844
8
httpwwwncbinlmnihgovpmcarticlesPMC3556380
9
httpwwwncbinlmnihgovpmcarticlesPMC3556380
wwwHealthTakesGutscom
Diet references
1 httpwwwncbinlmnihgovpubmed24934907 Nord
J Psychiatry 2015 Jan69(1)1-18 doi
103109080394882014921933
2 httpwwwncbinlmnihgovpubmed18826452 Nutr Rev 2008 Oct66(10)558-68
3 Child Adolesc Psychiatr Clin N Am 2014 October
23(4) 937ndash953 doi101016jchc201405010
wwwHealthTakesGutscom
Diet references
4 httpwwwncbinlmnihgovpubmed22232312
Pediatrics 2012 Feb129(2)330-7 doi 101542peds2011-
2199 Epub 2012 Jan 9 The diet factor in attention-
deficithyperactivity disorder Millichap JG1 Yee MM
5 httpwwwncbinlmnihgovpubmed20034331Acta
Med Croatica 2009 Oct63(4)307-13
6 httpwwwncbinlmnihgovpubmed14687872Prog
Neuropsychopharmacol Biol Psychiatry 2004
Jan28(1)181-90
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
httpwwwncbinlmnihgovpubmed26137496
Biomed Res Int 20152015962857 doi 1011552015962857
httpwwwncbinlmnihgovpubmed26207130
Psychiatry Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26188640
Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
httpwwwncbinlmnihgovpubmed26664441
Iran J Child Neurol 2015 Fall9(4)48-53
httpwwwncbinlmnihgovpubmed24610453
Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5
wwwHealthTakesGutscom
References
lsquohttpwwwncbinlmnihgovpubmed16846100
Magnes Res 2006 Mar19(1)46-52
httpwwwncbinlmnihgovpubmed25373528
Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432
httpwwwncbinlmnihgovpubmed26682999
J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105
httpwwwncbinlmnihgovpubmed26573368
Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
ADHD background
3 types
ldquoinattentiverdquo type
ldquohyperactiverdquo type
ldquocombinedrdquo type
Genetic and environmental factors
wwwHealthTakesGutscom
Incidence of ADHD
11 of all children are diagnosed with ADHD
Doubled in less than 10 years
Why the increase
Better at finding them
Misdiagnosis
Symptoms exist on a spectrum
Loosened the definition
More kids have it
wwwHealthTakesGutscom
Outline
Diet and Nutrition Factors and Treatment Strategies
Individual Nutrient and Herbal Supplementation
Environmental Toxins
Other lifestyle factors
wwwHealthTakesGutscom
Diet
Whole foods diet Low processed foods
Water
wwwHealthTakesGutscom
Whole foods diet
Good quality protein
Grass fed beef organic chicken clean fish
Smart Carb
Fruits and veggies including starchy veggies
Sustains blood sugar and energy
Contains fiber vitamins and minerals
Contains prebiotics and phytochemicals
Healthy fats
Olive oil avocados O-3s
wwwHealthTakesGutscom
Whole foods diet
Cut out (down on) the processed foods
Automatically get the good and exclude the lsquobadrsquo
Sugar
Refined flours starches grains
Trans fat
Pro-inflammatory oils
wwwHealthTakesGutscom
Breakfast
High protein smart carb
Goal to maintain normal blood sugar
Glycemic response
Blood sugar spike and crash
No one could pay attention
Could use the glycemic indexload or just EAT WHOLE
FOODS
wwwHealthTakesGutscom
Snacking
Small frequent snacks
Maintain blood sugar levels
Provide good nutrition for growing brains
Should be whole foods and healthy
Same guidelines as a meal
Protein healthy fats and smart carbs
wwwHealthTakesGutscom
Reduced appetite Side effect of
medications
Reduced appetite
Reward for trying something new (vs pressure or punishment)
Meds after meals
Nutrient dense snacksfood
Make them count
Let them eat when they are hungry (off schedule)
Let them be off the meds as much as possible
Supplements
Protein
Vitamins
wwwHealthTakesGutscom
Food Sensitivities
40-60 have food sensitivities
Gluten dairy corn soy eggs peanuts tree nuts
Testing
IgG
MRT
Elimination Diets
2-6 weeks
Diet references 1 2 3 4 5 6
wwwHealthTakesGutscom
Feingold Additives
24 types of food additives in processed foods
Preservatives
BHA
BHT
TBHQ
Artificial Colors
Artificial Sweeteners
Artificial Flavors
wwwHealthTakesGutscom
Feingold Salicylates
Natural chemical found in foods
Almonds apples apricots berries cherries cucumbers
grapes green peppers nectarines oranges peaches
plums tangerines tea tomatoes
Eliminate for 4-6 weeks reintroduce 1 at a time
httpfeingoldorg
wwwHealthTakesGutscom
Failsafe Diet
Free of Additives Low in Salicylates and Amines Flavor
Enhancers
Salicylates histamines Benzoates Glutamic Acid Sulfites
Very restrictive but effective
Eliminate all plant AND artificial chemicals
Failsafedietcom
Fedupcomaufactsheetsoverview
wwwHealthTakesGutscom
Gut Health
Gut is as important to psychiatry as anything Gut references 1 2 3
Intestinal Permeability
Potential dysbiosis
Candida
5R protocol
Probiotics
wwwHealthTakesGutscom
Multivitamin
To cover all bases
Eliminations of foods
Reduced appetites
Give body what it needs so it doesnrsquot take from brain
Evidence that it is a helpful addition to treatment
httpwwwncbinlmnihgovpubmed26682999 J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105
httpwwwncbinlmnihgovpubmed26573366Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17
wwwHealthTakesGutscom
Individual Nutrients
Omega 3 fatty acids
Essential to eat (can not make)
Crucial for brain function
ADHD have lower levels in the blood vs lsquonormalrsquo kids
Deficiencies of O-3 cause
Decreased attention
Increased hyperactivity
Increased impulsivity
Supplementation STRONG evidence
300mg-2000mg a day
wwwHealthTakesGutscom
Individual Nutrients Iron
Ferratin
ADHD kids have half what they should
Measure first never supplement blindly
Zinc
Low zinc is correlated with ADHD
Studies show ADHD improved with supplemental zinc
Essential fatty acid conversion
Brain development
Neurotransmitter conversion
Deficiency symptom inattentiveness httpwwwncbinlmnihgovpubmed20034331Acta Med Croatica 2009
Oct63(4)307-13
httpwwwncbinlmnihgovpubmed14687872Prog Neuropsychopharmacol Biol Psychiatry 2004 Jan28(1)181-90
wwwHealthTakesGutscom
Individual Nutrients Magnesium
Low levels have been documented in ADHD
Deficiency symptoms distractibility hyperactivity
Supplementation = improvement
Especially if in conjunction with Zinc and O-3
80-200mgday
Glycinate
lsquohttpwwwncbinlmnihgovpubmed16846100 Magnes Res 2006 Mar19(1)46-52
httpwwwncbinlmnihgovpubmed25373528Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432
Vitamin D
Common deficiency httpwwwncbinlmnihgovpubmed26664441 Iran J Child Neurol 2015
Fall9(4)48-53
httpwwwncbinlmnihgovpubmed24610453Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5
wwwHealthTakesGutscom
Individual Nutrients
Folate
Methylfolate
MTHFR
B6
P-5-P
Choline
Precursor to acetylcholine-NT for focus and processing
speed
Carnitine
Reduces hyperactivity
wwwHealthTakesGutscom
Individual nutrients
Phosphatidylserine
Good evidence
Improves ADHD symptoms and ST memory
Increases dopamine and acetylcholine levels
Decreases stress
With O-3 reduces ADHD symptoms (hyperactive) httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
Individual Nutrients
Anti-oxidants
Oxidative stress
Detox
Glutathione
Vitamins C E A Selenium httpwwwncbinlmnihgovpubmed26207130 Psychiatry
Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
httpwwwncbinlmnihgovpubmed26188640Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
wwwHealthTakesGutscom
Individual Supplements
Gingko Biloba
Helps with focus and attention
httpwwwncbinlmnihgovpubmed25925875
Tyrosine
Precursor to dopamine
5HTP
Precursor to serotonin
wwwHealthTakesGutscom
Supplements of note
Calming
Glutamine
Precursor to GABA
GABA
Valerian
Lemon balm
L-theanine
Inositol
wwwHealthTakesGutscom
Supplements of note
Huperzine
Increases acetylcholine in brain
Bacopa monnierei
Focus and attention
wwwHealthTakesGutscom
Toxins
Heavy metals
Mercury
Lead
Chemicals
Food
Pesticides additives
Cleaning
Air
smoke
Toys plastic PCBs
wwwHealthTakesGutscom
Testing
Micronutrient (Spectracell)
Genetic SNP testing (23andme Genomics Solutions Now
Neuroscience Nutrigenomix)
Heavy Metal Testing (urine or hair)
Neurotransmitter (urine) Neurotransmitters excreted in the urine as biomarkers of nervous system activity Validity and
clinical applicabilityDavid T Marclowast Joseph W Ailts Danielle C Ailts Campeau Michael J Bull Kelly
L OlsonNeuroScience Inc 373 280th Street Osceola WI 54020 United States
Food sensitivity
Organic Acids Test (urine)
For Candida dysbiosis
wwwHealthTakesGutscom
Lifestyle factors
Exercise
STRONG evidence Exercise References 1 2 3 4 5 6 7 8 9
Improves ADHD
Sleep
7-8 hours a night httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
Limit screens
30min-1 hrday
wwwHealthTakesGutscom
Lifestyle Factors
Meditation and mindfulness and yoga httpwwwncbinlmnihgovpubmed26137496Biomed Res Int
20152015962857 doi 1011552015962857
Martial Arts
Biofeedback neurofeedback
Nature
Fresh air
Time in nature calms brain
wwwHealthTakesGutscom
Putting it all together
Whole foods diet
Processed food free-eliminates many problems
Get rid of additives
Possible elimination of gluten dairy salicylates
Plenty of water
Make sure high protein breakfast
Supplements Multivitamin
O-3s
Probiotic
Consider folate Mg Zn other specfic nutrients
Others as needed based on individual case
wwwHealthTakesGutscom
Putting it all together
Testing
Determined if needed based on individual case
Exercise
Sleep
Limit screens
Nature
Be aware of the nutritional implications of meds
wwwHealthTakesGutscom
Questions
Dianne Rishikof MS RDN LDN
wwwDianneRishikofcom
wwwHealthTakesGutscom
DianneRishikofgmailcom
wwwHealthTakesGutscom
Resources and References
httpwwwadditudemagcom
httpfeingoldorg
diannerishikofcomnutritional-supplements
The kid-friendly ADHD and Autism Cookbook
Amen Daniel Healing ADD New York Berkeley Publishing 2013
ADHD without drugs Sandford Newmark Tucson AZ Nurtured Heart Publications c2010
wwwHealthTakesGutscom
References
Shaken E Lakhan and Karen F Vieira Nutrition therapies
for mental disorders Nutrition Journal 2008 72
Neurotransmitters excreted in the urine as biomarkers of
nervous system activity Validity and clinical applicability David T Marclowast Joseph W Ailts Danielle C Ailts
Campeau Michael J Bull Kelly L Olson NeuroScience Inc 373 280th Street Osceola WI 54020 United States
httpwwwncbinlmnihgovpubmed25925875
Complement Ther Clin Pract 2015 May21(2)61-7 doi 101016jctcp201504001 Epub 2015 Apr 18
wwwHealthTakesGutscom
Gut Health references
1 Forsyth P Voices from within gut microbes and the CNS Cell Mol Life Science 2013 7055-69
2 Koloski NA Jones M Kalantar J Weltman M Zaguirre J Talley NJ The brain-gut pathway in functional gastrointestinal disorders is bidirectional a 12-year prospective population-based study Gut 2012611284-1290
3 Marilia Carabottia Annunziata Sciroccoa Maria Antonietta Masellib Carola Severia The gut-brain axis interactions between enteric microbiota central and enteric nervous systems Annals of Gastroenterology (2015) 28 203-209
wwwHealthTakesGutscom
Exercise references
1 httpwwwncbinlmnihgovpubmed26504324 Phys Ther Sci 2015 Sep27(9)2915-9 doi 101589jpts272915 Epub 2015 Sep 30
2 httpwwwncbinlmnihgovpubmed25988743Child Care Health Dev 2015 May 18 doi 101111cch12255 The main cumulative evidence indicates that short-term aerobic exercise based on several aerobic intervention formats seems to be effective for mitigating symptoms such as attention hyperactivity impulsivity anxiety executive function and social disorders in children with ADHD
3 httpwwwncbinlmnihgovpubmed25671205J Exerc Nutrition Biochem 2014 Dec18(4)379-84 doi 105717jenb2014184379 Epub 2014 Dec 31We thus showed that exercise effectivelyalleviates ADHD-induced symptoms through enhancing dopamine D2 expression in the brain
wwwHealthTakesGutscom
Exercise references
4 httpwwwncbinlmnihgovpubmed25646023 J Atten Disord 2015 Feb 2 pii 1087054715569282 A 12-week table tennis exercise mayhave clinical relevance in motor skills and executive functions of children with ADHD
5 httpwwwncbinlmnihgovpubmed25561359 Res Dev Disabil 2015 Mar38181-91 doi 101016jridd201412005 These findings support the hypothesis that long-term PA has a positive effect on executive functions of children with ADHD regardless of the specificity of the PA The outcomes indicated that regular PA can be used as a complementary or alternative non-pharmacologic treatment for ADHD
6 httpwwwncbinlmnihgovpubmed25220093Child Adolesc Psychiatr Clin N Am 2014 Oct23(4)899-936 doi 101016jchc201405005these data provide a strong rationale for whya program of structured physical exercise might serve as an effectiveintervention for children with ADHD
wwwHealthTakesGutscom
Exercise references
7
httpwwwtheatlanticcomhealtharchive201409exe
rcise-seems-to-be-beneficial-to-children380844
8
httpwwwncbinlmnihgovpmcarticlesPMC3556380
9
httpwwwncbinlmnihgovpmcarticlesPMC3556380
wwwHealthTakesGutscom
Diet references
1 httpwwwncbinlmnihgovpubmed24934907 Nord
J Psychiatry 2015 Jan69(1)1-18 doi
103109080394882014921933
2 httpwwwncbinlmnihgovpubmed18826452 Nutr Rev 2008 Oct66(10)558-68
3 Child Adolesc Psychiatr Clin N Am 2014 October
23(4) 937ndash953 doi101016jchc201405010
wwwHealthTakesGutscom
Diet references
4 httpwwwncbinlmnihgovpubmed22232312
Pediatrics 2012 Feb129(2)330-7 doi 101542peds2011-
2199 Epub 2012 Jan 9 The diet factor in attention-
deficithyperactivity disorder Millichap JG1 Yee MM
5 httpwwwncbinlmnihgovpubmed20034331Acta
Med Croatica 2009 Oct63(4)307-13
6 httpwwwncbinlmnihgovpubmed14687872Prog
Neuropsychopharmacol Biol Psychiatry 2004
Jan28(1)181-90
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
httpwwwncbinlmnihgovpubmed26137496
Biomed Res Int 20152015962857 doi 1011552015962857
httpwwwncbinlmnihgovpubmed26207130
Psychiatry Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26188640
Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
httpwwwncbinlmnihgovpubmed26664441
Iran J Child Neurol 2015 Fall9(4)48-53
httpwwwncbinlmnihgovpubmed24610453
Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5
wwwHealthTakesGutscom
References
lsquohttpwwwncbinlmnihgovpubmed16846100
Magnes Res 2006 Mar19(1)46-52
httpwwwncbinlmnihgovpubmed25373528
Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432
httpwwwncbinlmnihgovpubmed26682999
J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105
httpwwwncbinlmnihgovpubmed26573368
Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
Incidence of ADHD
11 of all children are diagnosed with ADHD
Doubled in less than 10 years
Why the increase
Better at finding them
Misdiagnosis
Symptoms exist on a spectrum
Loosened the definition
More kids have it
wwwHealthTakesGutscom
Outline
Diet and Nutrition Factors and Treatment Strategies
Individual Nutrient and Herbal Supplementation
Environmental Toxins
Other lifestyle factors
wwwHealthTakesGutscom
Diet
Whole foods diet Low processed foods
Water
wwwHealthTakesGutscom
Whole foods diet
Good quality protein
Grass fed beef organic chicken clean fish
Smart Carb
Fruits and veggies including starchy veggies
Sustains blood sugar and energy
Contains fiber vitamins and minerals
Contains prebiotics and phytochemicals
Healthy fats
Olive oil avocados O-3s
wwwHealthTakesGutscom
Whole foods diet
Cut out (down on) the processed foods
Automatically get the good and exclude the lsquobadrsquo
Sugar
Refined flours starches grains
Trans fat
Pro-inflammatory oils
wwwHealthTakesGutscom
Breakfast
High protein smart carb
Goal to maintain normal blood sugar
Glycemic response
Blood sugar spike and crash
No one could pay attention
Could use the glycemic indexload or just EAT WHOLE
FOODS
wwwHealthTakesGutscom
Snacking
Small frequent snacks
Maintain blood sugar levels
Provide good nutrition for growing brains
Should be whole foods and healthy
Same guidelines as a meal
Protein healthy fats and smart carbs
wwwHealthTakesGutscom
Reduced appetite Side effect of
medications
Reduced appetite
Reward for trying something new (vs pressure or punishment)
Meds after meals
Nutrient dense snacksfood
Make them count
Let them eat when they are hungry (off schedule)
Let them be off the meds as much as possible
Supplements
Protein
Vitamins
wwwHealthTakesGutscom
Food Sensitivities
40-60 have food sensitivities
Gluten dairy corn soy eggs peanuts tree nuts
Testing
IgG
MRT
Elimination Diets
2-6 weeks
Diet references 1 2 3 4 5 6
wwwHealthTakesGutscom
Feingold Additives
24 types of food additives in processed foods
Preservatives
BHA
BHT
TBHQ
Artificial Colors
Artificial Sweeteners
Artificial Flavors
wwwHealthTakesGutscom
Feingold Salicylates
Natural chemical found in foods
Almonds apples apricots berries cherries cucumbers
grapes green peppers nectarines oranges peaches
plums tangerines tea tomatoes
Eliminate for 4-6 weeks reintroduce 1 at a time
httpfeingoldorg
wwwHealthTakesGutscom
Failsafe Diet
Free of Additives Low in Salicylates and Amines Flavor
Enhancers
Salicylates histamines Benzoates Glutamic Acid Sulfites
Very restrictive but effective
Eliminate all plant AND artificial chemicals
Failsafedietcom
Fedupcomaufactsheetsoverview
wwwHealthTakesGutscom
Gut Health
Gut is as important to psychiatry as anything Gut references 1 2 3
Intestinal Permeability
Potential dysbiosis
Candida
5R protocol
Probiotics
wwwHealthTakesGutscom
Multivitamin
To cover all bases
Eliminations of foods
Reduced appetites
Give body what it needs so it doesnrsquot take from brain
Evidence that it is a helpful addition to treatment
httpwwwncbinlmnihgovpubmed26682999 J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105
httpwwwncbinlmnihgovpubmed26573366Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17
wwwHealthTakesGutscom
Individual Nutrients
Omega 3 fatty acids
Essential to eat (can not make)
Crucial for brain function
ADHD have lower levels in the blood vs lsquonormalrsquo kids
Deficiencies of O-3 cause
Decreased attention
Increased hyperactivity
Increased impulsivity
Supplementation STRONG evidence
300mg-2000mg a day
wwwHealthTakesGutscom
Individual Nutrients Iron
Ferratin
ADHD kids have half what they should
Measure first never supplement blindly
Zinc
Low zinc is correlated with ADHD
Studies show ADHD improved with supplemental zinc
Essential fatty acid conversion
Brain development
Neurotransmitter conversion
Deficiency symptom inattentiveness httpwwwncbinlmnihgovpubmed20034331Acta Med Croatica 2009
Oct63(4)307-13
httpwwwncbinlmnihgovpubmed14687872Prog Neuropsychopharmacol Biol Psychiatry 2004 Jan28(1)181-90
wwwHealthTakesGutscom
Individual Nutrients Magnesium
Low levels have been documented in ADHD
Deficiency symptoms distractibility hyperactivity
Supplementation = improvement
Especially if in conjunction with Zinc and O-3
80-200mgday
Glycinate
lsquohttpwwwncbinlmnihgovpubmed16846100 Magnes Res 2006 Mar19(1)46-52
httpwwwncbinlmnihgovpubmed25373528Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432
Vitamin D
Common deficiency httpwwwncbinlmnihgovpubmed26664441 Iran J Child Neurol 2015
Fall9(4)48-53
httpwwwncbinlmnihgovpubmed24610453Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5
wwwHealthTakesGutscom
Individual Nutrients
Folate
Methylfolate
MTHFR
B6
P-5-P
Choline
Precursor to acetylcholine-NT for focus and processing
speed
Carnitine
Reduces hyperactivity
wwwHealthTakesGutscom
Individual nutrients
Phosphatidylserine
Good evidence
Improves ADHD symptoms and ST memory
Increases dopamine and acetylcholine levels
Decreases stress
With O-3 reduces ADHD symptoms (hyperactive) httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
Individual Nutrients
Anti-oxidants
Oxidative stress
Detox
Glutathione
Vitamins C E A Selenium httpwwwncbinlmnihgovpubmed26207130 Psychiatry
Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
httpwwwncbinlmnihgovpubmed26188640Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
wwwHealthTakesGutscom
Individual Supplements
Gingko Biloba
Helps with focus and attention
httpwwwncbinlmnihgovpubmed25925875
Tyrosine
Precursor to dopamine
5HTP
Precursor to serotonin
wwwHealthTakesGutscom
Supplements of note
Calming
Glutamine
Precursor to GABA
GABA
Valerian
Lemon balm
L-theanine
Inositol
wwwHealthTakesGutscom
Supplements of note
Huperzine
Increases acetylcholine in brain
Bacopa monnierei
Focus and attention
wwwHealthTakesGutscom
Toxins
Heavy metals
Mercury
Lead
Chemicals
Food
Pesticides additives
Cleaning
Air
smoke
Toys plastic PCBs
wwwHealthTakesGutscom
Testing
Micronutrient (Spectracell)
Genetic SNP testing (23andme Genomics Solutions Now
Neuroscience Nutrigenomix)
Heavy Metal Testing (urine or hair)
Neurotransmitter (urine) Neurotransmitters excreted in the urine as biomarkers of nervous system activity Validity and
clinical applicabilityDavid T Marclowast Joseph W Ailts Danielle C Ailts Campeau Michael J Bull Kelly
L OlsonNeuroScience Inc 373 280th Street Osceola WI 54020 United States
Food sensitivity
Organic Acids Test (urine)
For Candida dysbiosis
wwwHealthTakesGutscom
Lifestyle factors
Exercise
STRONG evidence Exercise References 1 2 3 4 5 6 7 8 9
Improves ADHD
Sleep
7-8 hours a night httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
Limit screens
30min-1 hrday
wwwHealthTakesGutscom
Lifestyle Factors
Meditation and mindfulness and yoga httpwwwncbinlmnihgovpubmed26137496Biomed Res Int
20152015962857 doi 1011552015962857
Martial Arts
Biofeedback neurofeedback
Nature
Fresh air
Time in nature calms brain
wwwHealthTakesGutscom
Putting it all together
Whole foods diet
Processed food free-eliminates many problems
Get rid of additives
Possible elimination of gluten dairy salicylates
Plenty of water
Make sure high protein breakfast
Supplements Multivitamin
O-3s
Probiotic
Consider folate Mg Zn other specfic nutrients
Others as needed based on individual case
wwwHealthTakesGutscom
Putting it all together
Testing
Determined if needed based on individual case
Exercise
Sleep
Limit screens
Nature
Be aware of the nutritional implications of meds
wwwHealthTakesGutscom
Questions
Dianne Rishikof MS RDN LDN
wwwDianneRishikofcom
wwwHealthTakesGutscom
DianneRishikofgmailcom
wwwHealthTakesGutscom
Resources and References
httpwwwadditudemagcom
httpfeingoldorg
diannerishikofcomnutritional-supplements
The kid-friendly ADHD and Autism Cookbook
Amen Daniel Healing ADD New York Berkeley Publishing 2013
ADHD without drugs Sandford Newmark Tucson AZ Nurtured Heart Publications c2010
wwwHealthTakesGutscom
References
Shaken E Lakhan and Karen F Vieira Nutrition therapies
for mental disorders Nutrition Journal 2008 72
Neurotransmitters excreted in the urine as biomarkers of
nervous system activity Validity and clinical applicability David T Marclowast Joseph W Ailts Danielle C Ailts
Campeau Michael J Bull Kelly L Olson NeuroScience Inc 373 280th Street Osceola WI 54020 United States
httpwwwncbinlmnihgovpubmed25925875
Complement Ther Clin Pract 2015 May21(2)61-7 doi 101016jctcp201504001 Epub 2015 Apr 18
wwwHealthTakesGutscom
Gut Health references
1 Forsyth P Voices from within gut microbes and the CNS Cell Mol Life Science 2013 7055-69
2 Koloski NA Jones M Kalantar J Weltman M Zaguirre J Talley NJ The brain-gut pathway in functional gastrointestinal disorders is bidirectional a 12-year prospective population-based study Gut 2012611284-1290
3 Marilia Carabottia Annunziata Sciroccoa Maria Antonietta Masellib Carola Severia The gut-brain axis interactions between enteric microbiota central and enteric nervous systems Annals of Gastroenterology (2015) 28 203-209
wwwHealthTakesGutscom
Exercise references
1 httpwwwncbinlmnihgovpubmed26504324 Phys Ther Sci 2015 Sep27(9)2915-9 doi 101589jpts272915 Epub 2015 Sep 30
2 httpwwwncbinlmnihgovpubmed25988743Child Care Health Dev 2015 May 18 doi 101111cch12255 The main cumulative evidence indicates that short-term aerobic exercise based on several aerobic intervention formats seems to be effective for mitigating symptoms such as attention hyperactivity impulsivity anxiety executive function and social disorders in children with ADHD
3 httpwwwncbinlmnihgovpubmed25671205J Exerc Nutrition Biochem 2014 Dec18(4)379-84 doi 105717jenb2014184379 Epub 2014 Dec 31We thus showed that exercise effectivelyalleviates ADHD-induced symptoms through enhancing dopamine D2 expression in the brain
wwwHealthTakesGutscom
Exercise references
4 httpwwwncbinlmnihgovpubmed25646023 J Atten Disord 2015 Feb 2 pii 1087054715569282 A 12-week table tennis exercise mayhave clinical relevance in motor skills and executive functions of children with ADHD
5 httpwwwncbinlmnihgovpubmed25561359 Res Dev Disabil 2015 Mar38181-91 doi 101016jridd201412005 These findings support the hypothesis that long-term PA has a positive effect on executive functions of children with ADHD regardless of the specificity of the PA The outcomes indicated that regular PA can be used as a complementary or alternative non-pharmacologic treatment for ADHD
6 httpwwwncbinlmnihgovpubmed25220093Child Adolesc Psychiatr Clin N Am 2014 Oct23(4)899-936 doi 101016jchc201405005these data provide a strong rationale for whya program of structured physical exercise might serve as an effectiveintervention for children with ADHD
wwwHealthTakesGutscom
Exercise references
7
httpwwwtheatlanticcomhealtharchive201409exe
rcise-seems-to-be-beneficial-to-children380844
8
httpwwwncbinlmnihgovpmcarticlesPMC3556380
9
httpwwwncbinlmnihgovpmcarticlesPMC3556380
wwwHealthTakesGutscom
Diet references
1 httpwwwncbinlmnihgovpubmed24934907 Nord
J Psychiatry 2015 Jan69(1)1-18 doi
103109080394882014921933
2 httpwwwncbinlmnihgovpubmed18826452 Nutr Rev 2008 Oct66(10)558-68
3 Child Adolesc Psychiatr Clin N Am 2014 October
23(4) 937ndash953 doi101016jchc201405010
wwwHealthTakesGutscom
Diet references
4 httpwwwncbinlmnihgovpubmed22232312
Pediatrics 2012 Feb129(2)330-7 doi 101542peds2011-
2199 Epub 2012 Jan 9 The diet factor in attention-
deficithyperactivity disorder Millichap JG1 Yee MM
5 httpwwwncbinlmnihgovpubmed20034331Acta
Med Croatica 2009 Oct63(4)307-13
6 httpwwwncbinlmnihgovpubmed14687872Prog
Neuropsychopharmacol Biol Psychiatry 2004
Jan28(1)181-90
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
httpwwwncbinlmnihgovpubmed26137496
Biomed Res Int 20152015962857 doi 1011552015962857
httpwwwncbinlmnihgovpubmed26207130
Psychiatry Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26188640
Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
httpwwwncbinlmnihgovpubmed26664441
Iran J Child Neurol 2015 Fall9(4)48-53
httpwwwncbinlmnihgovpubmed24610453
Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5
wwwHealthTakesGutscom
References
lsquohttpwwwncbinlmnihgovpubmed16846100
Magnes Res 2006 Mar19(1)46-52
httpwwwncbinlmnihgovpubmed25373528
Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432
httpwwwncbinlmnihgovpubmed26682999
J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105
httpwwwncbinlmnihgovpubmed26573368
Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
Outline
Diet and Nutrition Factors and Treatment Strategies
Individual Nutrient and Herbal Supplementation
Environmental Toxins
Other lifestyle factors
wwwHealthTakesGutscom
Diet
Whole foods diet Low processed foods
Water
wwwHealthTakesGutscom
Whole foods diet
Good quality protein
Grass fed beef organic chicken clean fish
Smart Carb
Fruits and veggies including starchy veggies
Sustains blood sugar and energy
Contains fiber vitamins and minerals
Contains prebiotics and phytochemicals
Healthy fats
Olive oil avocados O-3s
wwwHealthTakesGutscom
Whole foods diet
Cut out (down on) the processed foods
Automatically get the good and exclude the lsquobadrsquo
Sugar
Refined flours starches grains
Trans fat
Pro-inflammatory oils
wwwHealthTakesGutscom
Breakfast
High protein smart carb
Goal to maintain normal blood sugar
Glycemic response
Blood sugar spike and crash
No one could pay attention
Could use the glycemic indexload or just EAT WHOLE
FOODS
wwwHealthTakesGutscom
Snacking
Small frequent snacks
Maintain blood sugar levels
Provide good nutrition for growing brains
Should be whole foods and healthy
Same guidelines as a meal
Protein healthy fats and smart carbs
wwwHealthTakesGutscom
Reduced appetite Side effect of
medications
Reduced appetite
Reward for trying something new (vs pressure or punishment)
Meds after meals
Nutrient dense snacksfood
Make them count
Let them eat when they are hungry (off schedule)
Let them be off the meds as much as possible
Supplements
Protein
Vitamins
wwwHealthTakesGutscom
Food Sensitivities
40-60 have food sensitivities
Gluten dairy corn soy eggs peanuts tree nuts
Testing
IgG
MRT
Elimination Diets
2-6 weeks
Diet references 1 2 3 4 5 6
wwwHealthTakesGutscom
Feingold Additives
24 types of food additives in processed foods
Preservatives
BHA
BHT
TBHQ
Artificial Colors
Artificial Sweeteners
Artificial Flavors
wwwHealthTakesGutscom
Feingold Salicylates
Natural chemical found in foods
Almonds apples apricots berries cherries cucumbers
grapes green peppers nectarines oranges peaches
plums tangerines tea tomatoes
Eliminate for 4-6 weeks reintroduce 1 at a time
httpfeingoldorg
wwwHealthTakesGutscom
Failsafe Diet
Free of Additives Low in Salicylates and Amines Flavor
Enhancers
Salicylates histamines Benzoates Glutamic Acid Sulfites
Very restrictive but effective
Eliminate all plant AND artificial chemicals
Failsafedietcom
Fedupcomaufactsheetsoverview
wwwHealthTakesGutscom
Gut Health
Gut is as important to psychiatry as anything Gut references 1 2 3
Intestinal Permeability
Potential dysbiosis
Candida
5R protocol
Probiotics
wwwHealthTakesGutscom
Multivitamin
To cover all bases
Eliminations of foods
Reduced appetites
Give body what it needs so it doesnrsquot take from brain
Evidence that it is a helpful addition to treatment
httpwwwncbinlmnihgovpubmed26682999 J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105
httpwwwncbinlmnihgovpubmed26573366Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17
wwwHealthTakesGutscom
Individual Nutrients
Omega 3 fatty acids
Essential to eat (can not make)
Crucial for brain function
ADHD have lower levels in the blood vs lsquonormalrsquo kids
Deficiencies of O-3 cause
Decreased attention
Increased hyperactivity
Increased impulsivity
Supplementation STRONG evidence
300mg-2000mg a day
wwwHealthTakesGutscom
Individual Nutrients Iron
Ferratin
ADHD kids have half what they should
Measure first never supplement blindly
Zinc
Low zinc is correlated with ADHD
Studies show ADHD improved with supplemental zinc
Essential fatty acid conversion
Brain development
Neurotransmitter conversion
Deficiency symptom inattentiveness httpwwwncbinlmnihgovpubmed20034331Acta Med Croatica 2009
Oct63(4)307-13
httpwwwncbinlmnihgovpubmed14687872Prog Neuropsychopharmacol Biol Psychiatry 2004 Jan28(1)181-90
wwwHealthTakesGutscom
Individual Nutrients Magnesium
Low levels have been documented in ADHD
Deficiency symptoms distractibility hyperactivity
Supplementation = improvement
Especially if in conjunction with Zinc and O-3
80-200mgday
Glycinate
lsquohttpwwwncbinlmnihgovpubmed16846100 Magnes Res 2006 Mar19(1)46-52
httpwwwncbinlmnihgovpubmed25373528Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432
Vitamin D
Common deficiency httpwwwncbinlmnihgovpubmed26664441 Iran J Child Neurol 2015
Fall9(4)48-53
httpwwwncbinlmnihgovpubmed24610453Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5
wwwHealthTakesGutscom
Individual Nutrients
Folate
Methylfolate
MTHFR
B6
P-5-P
Choline
Precursor to acetylcholine-NT for focus and processing
speed
Carnitine
Reduces hyperactivity
wwwHealthTakesGutscom
Individual nutrients
Phosphatidylserine
Good evidence
Improves ADHD symptoms and ST memory
Increases dopamine and acetylcholine levels
Decreases stress
With O-3 reduces ADHD symptoms (hyperactive) httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
Individual Nutrients
Anti-oxidants
Oxidative stress
Detox
Glutathione
Vitamins C E A Selenium httpwwwncbinlmnihgovpubmed26207130 Psychiatry
Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
httpwwwncbinlmnihgovpubmed26188640Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
wwwHealthTakesGutscom
Individual Supplements
Gingko Biloba
Helps with focus and attention
httpwwwncbinlmnihgovpubmed25925875
Tyrosine
Precursor to dopamine
5HTP
Precursor to serotonin
wwwHealthTakesGutscom
Supplements of note
Calming
Glutamine
Precursor to GABA
GABA
Valerian
Lemon balm
L-theanine
Inositol
wwwHealthTakesGutscom
Supplements of note
Huperzine
Increases acetylcholine in brain
Bacopa monnierei
Focus and attention
wwwHealthTakesGutscom
Toxins
Heavy metals
Mercury
Lead
Chemicals
Food
Pesticides additives
Cleaning
Air
smoke
Toys plastic PCBs
wwwHealthTakesGutscom
Testing
Micronutrient (Spectracell)
Genetic SNP testing (23andme Genomics Solutions Now
Neuroscience Nutrigenomix)
Heavy Metal Testing (urine or hair)
Neurotransmitter (urine) Neurotransmitters excreted in the urine as biomarkers of nervous system activity Validity and
clinical applicabilityDavid T Marclowast Joseph W Ailts Danielle C Ailts Campeau Michael J Bull Kelly
L OlsonNeuroScience Inc 373 280th Street Osceola WI 54020 United States
Food sensitivity
Organic Acids Test (urine)
For Candida dysbiosis
wwwHealthTakesGutscom
Lifestyle factors
Exercise
STRONG evidence Exercise References 1 2 3 4 5 6 7 8 9
Improves ADHD
Sleep
7-8 hours a night httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
Limit screens
30min-1 hrday
wwwHealthTakesGutscom
Lifestyle Factors
Meditation and mindfulness and yoga httpwwwncbinlmnihgovpubmed26137496Biomed Res Int
20152015962857 doi 1011552015962857
Martial Arts
Biofeedback neurofeedback
Nature
Fresh air
Time in nature calms brain
wwwHealthTakesGutscom
Putting it all together
Whole foods diet
Processed food free-eliminates many problems
Get rid of additives
Possible elimination of gluten dairy salicylates
Plenty of water
Make sure high protein breakfast
Supplements Multivitamin
O-3s
Probiotic
Consider folate Mg Zn other specfic nutrients
Others as needed based on individual case
wwwHealthTakesGutscom
Putting it all together
Testing
Determined if needed based on individual case
Exercise
Sleep
Limit screens
Nature
Be aware of the nutritional implications of meds
wwwHealthTakesGutscom
Questions
Dianne Rishikof MS RDN LDN
wwwDianneRishikofcom
wwwHealthTakesGutscom
DianneRishikofgmailcom
wwwHealthTakesGutscom
Resources and References
httpwwwadditudemagcom
httpfeingoldorg
diannerishikofcomnutritional-supplements
The kid-friendly ADHD and Autism Cookbook
Amen Daniel Healing ADD New York Berkeley Publishing 2013
ADHD without drugs Sandford Newmark Tucson AZ Nurtured Heart Publications c2010
wwwHealthTakesGutscom
References
Shaken E Lakhan and Karen F Vieira Nutrition therapies
for mental disorders Nutrition Journal 2008 72
Neurotransmitters excreted in the urine as biomarkers of
nervous system activity Validity and clinical applicability David T Marclowast Joseph W Ailts Danielle C Ailts
Campeau Michael J Bull Kelly L Olson NeuroScience Inc 373 280th Street Osceola WI 54020 United States
httpwwwncbinlmnihgovpubmed25925875
Complement Ther Clin Pract 2015 May21(2)61-7 doi 101016jctcp201504001 Epub 2015 Apr 18
wwwHealthTakesGutscom
Gut Health references
1 Forsyth P Voices from within gut microbes and the CNS Cell Mol Life Science 2013 7055-69
2 Koloski NA Jones M Kalantar J Weltman M Zaguirre J Talley NJ The brain-gut pathway in functional gastrointestinal disorders is bidirectional a 12-year prospective population-based study Gut 2012611284-1290
3 Marilia Carabottia Annunziata Sciroccoa Maria Antonietta Masellib Carola Severia The gut-brain axis interactions between enteric microbiota central and enteric nervous systems Annals of Gastroenterology (2015) 28 203-209
wwwHealthTakesGutscom
Exercise references
1 httpwwwncbinlmnihgovpubmed26504324 Phys Ther Sci 2015 Sep27(9)2915-9 doi 101589jpts272915 Epub 2015 Sep 30
2 httpwwwncbinlmnihgovpubmed25988743Child Care Health Dev 2015 May 18 doi 101111cch12255 The main cumulative evidence indicates that short-term aerobic exercise based on several aerobic intervention formats seems to be effective for mitigating symptoms such as attention hyperactivity impulsivity anxiety executive function and social disorders in children with ADHD
3 httpwwwncbinlmnihgovpubmed25671205J Exerc Nutrition Biochem 2014 Dec18(4)379-84 doi 105717jenb2014184379 Epub 2014 Dec 31We thus showed that exercise effectivelyalleviates ADHD-induced symptoms through enhancing dopamine D2 expression in the brain
wwwHealthTakesGutscom
Exercise references
4 httpwwwncbinlmnihgovpubmed25646023 J Atten Disord 2015 Feb 2 pii 1087054715569282 A 12-week table tennis exercise mayhave clinical relevance in motor skills and executive functions of children with ADHD
5 httpwwwncbinlmnihgovpubmed25561359 Res Dev Disabil 2015 Mar38181-91 doi 101016jridd201412005 These findings support the hypothesis that long-term PA has a positive effect on executive functions of children with ADHD regardless of the specificity of the PA The outcomes indicated that regular PA can be used as a complementary or alternative non-pharmacologic treatment for ADHD
6 httpwwwncbinlmnihgovpubmed25220093Child Adolesc Psychiatr Clin N Am 2014 Oct23(4)899-936 doi 101016jchc201405005these data provide a strong rationale for whya program of structured physical exercise might serve as an effectiveintervention for children with ADHD
wwwHealthTakesGutscom
Exercise references
7
httpwwwtheatlanticcomhealtharchive201409exe
rcise-seems-to-be-beneficial-to-children380844
8
httpwwwncbinlmnihgovpmcarticlesPMC3556380
9
httpwwwncbinlmnihgovpmcarticlesPMC3556380
wwwHealthTakesGutscom
Diet references
1 httpwwwncbinlmnihgovpubmed24934907 Nord
J Psychiatry 2015 Jan69(1)1-18 doi
103109080394882014921933
2 httpwwwncbinlmnihgovpubmed18826452 Nutr Rev 2008 Oct66(10)558-68
3 Child Adolesc Psychiatr Clin N Am 2014 October
23(4) 937ndash953 doi101016jchc201405010
wwwHealthTakesGutscom
Diet references
4 httpwwwncbinlmnihgovpubmed22232312
Pediatrics 2012 Feb129(2)330-7 doi 101542peds2011-
2199 Epub 2012 Jan 9 The diet factor in attention-
deficithyperactivity disorder Millichap JG1 Yee MM
5 httpwwwncbinlmnihgovpubmed20034331Acta
Med Croatica 2009 Oct63(4)307-13
6 httpwwwncbinlmnihgovpubmed14687872Prog
Neuropsychopharmacol Biol Psychiatry 2004
Jan28(1)181-90
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
httpwwwncbinlmnihgovpubmed26137496
Biomed Res Int 20152015962857 doi 1011552015962857
httpwwwncbinlmnihgovpubmed26207130
Psychiatry Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26188640
Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
httpwwwncbinlmnihgovpubmed26664441
Iran J Child Neurol 2015 Fall9(4)48-53
httpwwwncbinlmnihgovpubmed24610453
Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5
wwwHealthTakesGutscom
References
lsquohttpwwwncbinlmnihgovpubmed16846100
Magnes Res 2006 Mar19(1)46-52
httpwwwncbinlmnihgovpubmed25373528
Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432
httpwwwncbinlmnihgovpubmed26682999
J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105
httpwwwncbinlmnihgovpubmed26573368
Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
Diet
Whole foods diet Low processed foods
Water
wwwHealthTakesGutscom
Whole foods diet
Good quality protein
Grass fed beef organic chicken clean fish
Smart Carb
Fruits and veggies including starchy veggies
Sustains blood sugar and energy
Contains fiber vitamins and minerals
Contains prebiotics and phytochemicals
Healthy fats
Olive oil avocados O-3s
wwwHealthTakesGutscom
Whole foods diet
Cut out (down on) the processed foods
Automatically get the good and exclude the lsquobadrsquo
Sugar
Refined flours starches grains
Trans fat
Pro-inflammatory oils
wwwHealthTakesGutscom
Breakfast
High protein smart carb
Goal to maintain normal blood sugar
Glycemic response
Blood sugar spike and crash
No one could pay attention
Could use the glycemic indexload or just EAT WHOLE
FOODS
wwwHealthTakesGutscom
Snacking
Small frequent snacks
Maintain blood sugar levels
Provide good nutrition for growing brains
Should be whole foods and healthy
Same guidelines as a meal
Protein healthy fats and smart carbs
wwwHealthTakesGutscom
Reduced appetite Side effect of
medications
Reduced appetite
Reward for trying something new (vs pressure or punishment)
Meds after meals
Nutrient dense snacksfood
Make them count
Let them eat when they are hungry (off schedule)
Let them be off the meds as much as possible
Supplements
Protein
Vitamins
wwwHealthTakesGutscom
Food Sensitivities
40-60 have food sensitivities
Gluten dairy corn soy eggs peanuts tree nuts
Testing
IgG
MRT
Elimination Diets
2-6 weeks
Diet references 1 2 3 4 5 6
wwwHealthTakesGutscom
Feingold Additives
24 types of food additives in processed foods
Preservatives
BHA
BHT
TBHQ
Artificial Colors
Artificial Sweeteners
Artificial Flavors
wwwHealthTakesGutscom
Feingold Salicylates
Natural chemical found in foods
Almonds apples apricots berries cherries cucumbers
grapes green peppers nectarines oranges peaches
plums tangerines tea tomatoes
Eliminate for 4-6 weeks reintroduce 1 at a time
httpfeingoldorg
wwwHealthTakesGutscom
Failsafe Diet
Free of Additives Low in Salicylates and Amines Flavor
Enhancers
Salicylates histamines Benzoates Glutamic Acid Sulfites
Very restrictive but effective
Eliminate all plant AND artificial chemicals
Failsafedietcom
Fedupcomaufactsheetsoverview
wwwHealthTakesGutscom
Gut Health
Gut is as important to psychiatry as anything Gut references 1 2 3
Intestinal Permeability
Potential dysbiosis
Candida
5R protocol
Probiotics
wwwHealthTakesGutscom
Multivitamin
To cover all bases
Eliminations of foods
Reduced appetites
Give body what it needs so it doesnrsquot take from brain
Evidence that it is a helpful addition to treatment
httpwwwncbinlmnihgovpubmed26682999 J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105
httpwwwncbinlmnihgovpubmed26573366Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17
wwwHealthTakesGutscom
Individual Nutrients
Omega 3 fatty acids
Essential to eat (can not make)
Crucial for brain function
ADHD have lower levels in the blood vs lsquonormalrsquo kids
Deficiencies of O-3 cause
Decreased attention
Increased hyperactivity
Increased impulsivity
Supplementation STRONG evidence
300mg-2000mg a day
wwwHealthTakesGutscom
Individual Nutrients Iron
Ferratin
ADHD kids have half what they should
Measure first never supplement blindly
Zinc
Low zinc is correlated with ADHD
Studies show ADHD improved with supplemental zinc
Essential fatty acid conversion
Brain development
Neurotransmitter conversion
Deficiency symptom inattentiveness httpwwwncbinlmnihgovpubmed20034331Acta Med Croatica 2009
Oct63(4)307-13
httpwwwncbinlmnihgovpubmed14687872Prog Neuropsychopharmacol Biol Psychiatry 2004 Jan28(1)181-90
wwwHealthTakesGutscom
Individual Nutrients Magnesium
Low levels have been documented in ADHD
Deficiency symptoms distractibility hyperactivity
Supplementation = improvement
Especially if in conjunction with Zinc and O-3
80-200mgday
Glycinate
lsquohttpwwwncbinlmnihgovpubmed16846100 Magnes Res 2006 Mar19(1)46-52
httpwwwncbinlmnihgovpubmed25373528Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432
Vitamin D
Common deficiency httpwwwncbinlmnihgovpubmed26664441 Iran J Child Neurol 2015
Fall9(4)48-53
httpwwwncbinlmnihgovpubmed24610453Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5
wwwHealthTakesGutscom
Individual Nutrients
Folate
Methylfolate
MTHFR
B6
P-5-P
Choline
Precursor to acetylcholine-NT for focus and processing
speed
Carnitine
Reduces hyperactivity
wwwHealthTakesGutscom
Individual nutrients
Phosphatidylserine
Good evidence
Improves ADHD symptoms and ST memory
Increases dopamine and acetylcholine levels
Decreases stress
With O-3 reduces ADHD symptoms (hyperactive) httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
Individual Nutrients
Anti-oxidants
Oxidative stress
Detox
Glutathione
Vitamins C E A Selenium httpwwwncbinlmnihgovpubmed26207130 Psychiatry
Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
httpwwwncbinlmnihgovpubmed26188640Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
wwwHealthTakesGutscom
Individual Supplements
Gingko Biloba
Helps with focus and attention
httpwwwncbinlmnihgovpubmed25925875
Tyrosine
Precursor to dopamine
5HTP
Precursor to serotonin
wwwHealthTakesGutscom
Supplements of note
Calming
Glutamine
Precursor to GABA
GABA
Valerian
Lemon balm
L-theanine
Inositol
wwwHealthTakesGutscom
Supplements of note
Huperzine
Increases acetylcholine in brain
Bacopa monnierei
Focus and attention
wwwHealthTakesGutscom
Toxins
Heavy metals
Mercury
Lead
Chemicals
Food
Pesticides additives
Cleaning
Air
smoke
Toys plastic PCBs
wwwHealthTakesGutscom
Testing
Micronutrient (Spectracell)
Genetic SNP testing (23andme Genomics Solutions Now
Neuroscience Nutrigenomix)
Heavy Metal Testing (urine or hair)
Neurotransmitter (urine) Neurotransmitters excreted in the urine as biomarkers of nervous system activity Validity and
clinical applicabilityDavid T Marclowast Joseph W Ailts Danielle C Ailts Campeau Michael J Bull Kelly
L OlsonNeuroScience Inc 373 280th Street Osceola WI 54020 United States
Food sensitivity
Organic Acids Test (urine)
For Candida dysbiosis
wwwHealthTakesGutscom
Lifestyle factors
Exercise
STRONG evidence Exercise References 1 2 3 4 5 6 7 8 9
Improves ADHD
Sleep
7-8 hours a night httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
Limit screens
30min-1 hrday
wwwHealthTakesGutscom
Lifestyle Factors
Meditation and mindfulness and yoga httpwwwncbinlmnihgovpubmed26137496Biomed Res Int
20152015962857 doi 1011552015962857
Martial Arts
Biofeedback neurofeedback
Nature
Fresh air
Time in nature calms brain
wwwHealthTakesGutscom
Putting it all together
Whole foods diet
Processed food free-eliminates many problems
Get rid of additives
Possible elimination of gluten dairy salicylates
Plenty of water
Make sure high protein breakfast
Supplements Multivitamin
O-3s
Probiotic
Consider folate Mg Zn other specfic nutrients
Others as needed based on individual case
wwwHealthTakesGutscom
Putting it all together
Testing
Determined if needed based on individual case
Exercise
Sleep
Limit screens
Nature
Be aware of the nutritional implications of meds
wwwHealthTakesGutscom
Questions
Dianne Rishikof MS RDN LDN
wwwDianneRishikofcom
wwwHealthTakesGutscom
DianneRishikofgmailcom
wwwHealthTakesGutscom
Resources and References
httpwwwadditudemagcom
httpfeingoldorg
diannerishikofcomnutritional-supplements
The kid-friendly ADHD and Autism Cookbook
Amen Daniel Healing ADD New York Berkeley Publishing 2013
ADHD without drugs Sandford Newmark Tucson AZ Nurtured Heart Publications c2010
wwwHealthTakesGutscom
References
Shaken E Lakhan and Karen F Vieira Nutrition therapies
for mental disorders Nutrition Journal 2008 72
Neurotransmitters excreted in the urine as biomarkers of
nervous system activity Validity and clinical applicability David T Marclowast Joseph W Ailts Danielle C Ailts
Campeau Michael J Bull Kelly L Olson NeuroScience Inc 373 280th Street Osceola WI 54020 United States
httpwwwncbinlmnihgovpubmed25925875
Complement Ther Clin Pract 2015 May21(2)61-7 doi 101016jctcp201504001 Epub 2015 Apr 18
wwwHealthTakesGutscom
Gut Health references
1 Forsyth P Voices from within gut microbes and the CNS Cell Mol Life Science 2013 7055-69
2 Koloski NA Jones M Kalantar J Weltman M Zaguirre J Talley NJ The brain-gut pathway in functional gastrointestinal disorders is bidirectional a 12-year prospective population-based study Gut 2012611284-1290
3 Marilia Carabottia Annunziata Sciroccoa Maria Antonietta Masellib Carola Severia The gut-brain axis interactions between enteric microbiota central and enteric nervous systems Annals of Gastroenterology (2015) 28 203-209
wwwHealthTakesGutscom
Exercise references
1 httpwwwncbinlmnihgovpubmed26504324 Phys Ther Sci 2015 Sep27(9)2915-9 doi 101589jpts272915 Epub 2015 Sep 30
2 httpwwwncbinlmnihgovpubmed25988743Child Care Health Dev 2015 May 18 doi 101111cch12255 The main cumulative evidence indicates that short-term aerobic exercise based on several aerobic intervention formats seems to be effective for mitigating symptoms such as attention hyperactivity impulsivity anxiety executive function and social disorders in children with ADHD
3 httpwwwncbinlmnihgovpubmed25671205J Exerc Nutrition Biochem 2014 Dec18(4)379-84 doi 105717jenb2014184379 Epub 2014 Dec 31We thus showed that exercise effectivelyalleviates ADHD-induced symptoms through enhancing dopamine D2 expression in the brain
wwwHealthTakesGutscom
Exercise references
4 httpwwwncbinlmnihgovpubmed25646023 J Atten Disord 2015 Feb 2 pii 1087054715569282 A 12-week table tennis exercise mayhave clinical relevance in motor skills and executive functions of children with ADHD
5 httpwwwncbinlmnihgovpubmed25561359 Res Dev Disabil 2015 Mar38181-91 doi 101016jridd201412005 These findings support the hypothesis that long-term PA has a positive effect on executive functions of children with ADHD regardless of the specificity of the PA The outcomes indicated that regular PA can be used as a complementary or alternative non-pharmacologic treatment for ADHD
6 httpwwwncbinlmnihgovpubmed25220093Child Adolesc Psychiatr Clin N Am 2014 Oct23(4)899-936 doi 101016jchc201405005these data provide a strong rationale for whya program of structured physical exercise might serve as an effectiveintervention for children with ADHD
wwwHealthTakesGutscom
Exercise references
7
httpwwwtheatlanticcomhealtharchive201409exe
rcise-seems-to-be-beneficial-to-children380844
8
httpwwwncbinlmnihgovpmcarticlesPMC3556380
9
httpwwwncbinlmnihgovpmcarticlesPMC3556380
wwwHealthTakesGutscom
Diet references
1 httpwwwncbinlmnihgovpubmed24934907 Nord
J Psychiatry 2015 Jan69(1)1-18 doi
103109080394882014921933
2 httpwwwncbinlmnihgovpubmed18826452 Nutr Rev 2008 Oct66(10)558-68
3 Child Adolesc Psychiatr Clin N Am 2014 October
23(4) 937ndash953 doi101016jchc201405010
wwwHealthTakesGutscom
Diet references
4 httpwwwncbinlmnihgovpubmed22232312
Pediatrics 2012 Feb129(2)330-7 doi 101542peds2011-
2199 Epub 2012 Jan 9 The diet factor in attention-
deficithyperactivity disorder Millichap JG1 Yee MM
5 httpwwwncbinlmnihgovpubmed20034331Acta
Med Croatica 2009 Oct63(4)307-13
6 httpwwwncbinlmnihgovpubmed14687872Prog
Neuropsychopharmacol Biol Psychiatry 2004
Jan28(1)181-90
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
httpwwwncbinlmnihgovpubmed26137496
Biomed Res Int 20152015962857 doi 1011552015962857
httpwwwncbinlmnihgovpubmed26207130
Psychiatry Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26188640
Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
httpwwwncbinlmnihgovpubmed26664441
Iran J Child Neurol 2015 Fall9(4)48-53
httpwwwncbinlmnihgovpubmed24610453
Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5
wwwHealthTakesGutscom
References
lsquohttpwwwncbinlmnihgovpubmed16846100
Magnes Res 2006 Mar19(1)46-52
httpwwwncbinlmnihgovpubmed25373528
Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432
httpwwwncbinlmnihgovpubmed26682999
J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105
httpwwwncbinlmnihgovpubmed26573368
Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
Whole foods diet
Good quality protein
Grass fed beef organic chicken clean fish
Smart Carb
Fruits and veggies including starchy veggies
Sustains blood sugar and energy
Contains fiber vitamins and minerals
Contains prebiotics and phytochemicals
Healthy fats
Olive oil avocados O-3s
wwwHealthTakesGutscom
Whole foods diet
Cut out (down on) the processed foods
Automatically get the good and exclude the lsquobadrsquo
Sugar
Refined flours starches grains
Trans fat
Pro-inflammatory oils
wwwHealthTakesGutscom
Breakfast
High protein smart carb
Goal to maintain normal blood sugar
Glycemic response
Blood sugar spike and crash
No one could pay attention
Could use the glycemic indexload or just EAT WHOLE
FOODS
wwwHealthTakesGutscom
Snacking
Small frequent snacks
Maintain blood sugar levels
Provide good nutrition for growing brains
Should be whole foods and healthy
Same guidelines as a meal
Protein healthy fats and smart carbs
wwwHealthTakesGutscom
Reduced appetite Side effect of
medications
Reduced appetite
Reward for trying something new (vs pressure or punishment)
Meds after meals
Nutrient dense snacksfood
Make them count
Let them eat when they are hungry (off schedule)
Let them be off the meds as much as possible
Supplements
Protein
Vitamins
wwwHealthTakesGutscom
Food Sensitivities
40-60 have food sensitivities
Gluten dairy corn soy eggs peanuts tree nuts
Testing
IgG
MRT
Elimination Diets
2-6 weeks
Diet references 1 2 3 4 5 6
wwwHealthTakesGutscom
Feingold Additives
24 types of food additives in processed foods
Preservatives
BHA
BHT
TBHQ
Artificial Colors
Artificial Sweeteners
Artificial Flavors
wwwHealthTakesGutscom
Feingold Salicylates
Natural chemical found in foods
Almonds apples apricots berries cherries cucumbers
grapes green peppers nectarines oranges peaches
plums tangerines tea tomatoes
Eliminate for 4-6 weeks reintroduce 1 at a time
httpfeingoldorg
wwwHealthTakesGutscom
Failsafe Diet
Free of Additives Low in Salicylates and Amines Flavor
Enhancers
Salicylates histamines Benzoates Glutamic Acid Sulfites
Very restrictive but effective
Eliminate all plant AND artificial chemicals
Failsafedietcom
Fedupcomaufactsheetsoverview
wwwHealthTakesGutscom
Gut Health
Gut is as important to psychiatry as anything Gut references 1 2 3
Intestinal Permeability
Potential dysbiosis
Candida
5R protocol
Probiotics
wwwHealthTakesGutscom
Multivitamin
To cover all bases
Eliminations of foods
Reduced appetites
Give body what it needs so it doesnrsquot take from brain
Evidence that it is a helpful addition to treatment
httpwwwncbinlmnihgovpubmed26682999 J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105
httpwwwncbinlmnihgovpubmed26573366Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17
wwwHealthTakesGutscom
Individual Nutrients
Omega 3 fatty acids
Essential to eat (can not make)
Crucial for brain function
ADHD have lower levels in the blood vs lsquonormalrsquo kids
Deficiencies of O-3 cause
Decreased attention
Increased hyperactivity
Increased impulsivity
Supplementation STRONG evidence
300mg-2000mg a day
wwwHealthTakesGutscom
Individual Nutrients Iron
Ferratin
ADHD kids have half what they should
Measure first never supplement blindly
Zinc
Low zinc is correlated with ADHD
Studies show ADHD improved with supplemental zinc
Essential fatty acid conversion
Brain development
Neurotransmitter conversion
Deficiency symptom inattentiveness httpwwwncbinlmnihgovpubmed20034331Acta Med Croatica 2009
Oct63(4)307-13
httpwwwncbinlmnihgovpubmed14687872Prog Neuropsychopharmacol Biol Psychiatry 2004 Jan28(1)181-90
wwwHealthTakesGutscom
Individual Nutrients Magnesium
Low levels have been documented in ADHD
Deficiency symptoms distractibility hyperactivity
Supplementation = improvement
Especially if in conjunction with Zinc and O-3
80-200mgday
Glycinate
lsquohttpwwwncbinlmnihgovpubmed16846100 Magnes Res 2006 Mar19(1)46-52
httpwwwncbinlmnihgovpubmed25373528Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432
Vitamin D
Common deficiency httpwwwncbinlmnihgovpubmed26664441 Iran J Child Neurol 2015
Fall9(4)48-53
httpwwwncbinlmnihgovpubmed24610453Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5
wwwHealthTakesGutscom
Individual Nutrients
Folate
Methylfolate
MTHFR
B6
P-5-P
Choline
Precursor to acetylcholine-NT for focus and processing
speed
Carnitine
Reduces hyperactivity
wwwHealthTakesGutscom
Individual nutrients
Phosphatidylserine
Good evidence
Improves ADHD symptoms and ST memory
Increases dopamine and acetylcholine levels
Decreases stress
With O-3 reduces ADHD symptoms (hyperactive) httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
Individual Nutrients
Anti-oxidants
Oxidative stress
Detox
Glutathione
Vitamins C E A Selenium httpwwwncbinlmnihgovpubmed26207130 Psychiatry
Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
httpwwwncbinlmnihgovpubmed26188640Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
wwwHealthTakesGutscom
Individual Supplements
Gingko Biloba
Helps with focus and attention
httpwwwncbinlmnihgovpubmed25925875
Tyrosine
Precursor to dopamine
5HTP
Precursor to serotonin
wwwHealthTakesGutscom
Supplements of note
Calming
Glutamine
Precursor to GABA
GABA
Valerian
Lemon balm
L-theanine
Inositol
wwwHealthTakesGutscom
Supplements of note
Huperzine
Increases acetylcholine in brain
Bacopa monnierei
Focus and attention
wwwHealthTakesGutscom
Toxins
Heavy metals
Mercury
Lead
Chemicals
Food
Pesticides additives
Cleaning
Air
smoke
Toys plastic PCBs
wwwHealthTakesGutscom
Testing
Micronutrient (Spectracell)
Genetic SNP testing (23andme Genomics Solutions Now
Neuroscience Nutrigenomix)
Heavy Metal Testing (urine or hair)
Neurotransmitter (urine) Neurotransmitters excreted in the urine as biomarkers of nervous system activity Validity and
clinical applicabilityDavid T Marclowast Joseph W Ailts Danielle C Ailts Campeau Michael J Bull Kelly
L OlsonNeuroScience Inc 373 280th Street Osceola WI 54020 United States
Food sensitivity
Organic Acids Test (urine)
For Candida dysbiosis
wwwHealthTakesGutscom
Lifestyle factors
Exercise
STRONG evidence Exercise References 1 2 3 4 5 6 7 8 9
Improves ADHD
Sleep
7-8 hours a night httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
Limit screens
30min-1 hrday
wwwHealthTakesGutscom
Lifestyle Factors
Meditation and mindfulness and yoga httpwwwncbinlmnihgovpubmed26137496Biomed Res Int
20152015962857 doi 1011552015962857
Martial Arts
Biofeedback neurofeedback
Nature
Fresh air
Time in nature calms brain
wwwHealthTakesGutscom
Putting it all together
Whole foods diet
Processed food free-eliminates many problems
Get rid of additives
Possible elimination of gluten dairy salicylates
Plenty of water
Make sure high protein breakfast
Supplements Multivitamin
O-3s
Probiotic
Consider folate Mg Zn other specfic nutrients
Others as needed based on individual case
wwwHealthTakesGutscom
Putting it all together
Testing
Determined if needed based on individual case
Exercise
Sleep
Limit screens
Nature
Be aware of the nutritional implications of meds
wwwHealthTakesGutscom
Questions
Dianne Rishikof MS RDN LDN
wwwDianneRishikofcom
wwwHealthTakesGutscom
DianneRishikofgmailcom
wwwHealthTakesGutscom
Resources and References
httpwwwadditudemagcom
httpfeingoldorg
diannerishikofcomnutritional-supplements
The kid-friendly ADHD and Autism Cookbook
Amen Daniel Healing ADD New York Berkeley Publishing 2013
ADHD without drugs Sandford Newmark Tucson AZ Nurtured Heart Publications c2010
wwwHealthTakesGutscom
References
Shaken E Lakhan and Karen F Vieira Nutrition therapies
for mental disorders Nutrition Journal 2008 72
Neurotransmitters excreted in the urine as biomarkers of
nervous system activity Validity and clinical applicability David T Marclowast Joseph W Ailts Danielle C Ailts
Campeau Michael J Bull Kelly L Olson NeuroScience Inc 373 280th Street Osceola WI 54020 United States
httpwwwncbinlmnihgovpubmed25925875
Complement Ther Clin Pract 2015 May21(2)61-7 doi 101016jctcp201504001 Epub 2015 Apr 18
wwwHealthTakesGutscom
Gut Health references
1 Forsyth P Voices from within gut microbes and the CNS Cell Mol Life Science 2013 7055-69
2 Koloski NA Jones M Kalantar J Weltman M Zaguirre J Talley NJ The brain-gut pathway in functional gastrointestinal disorders is bidirectional a 12-year prospective population-based study Gut 2012611284-1290
3 Marilia Carabottia Annunziata Sciroccoa Maria Antonietta Masellib Carola Severia The gut-brain axis interactions between enteric microbiota central and enteric nervous systems Annals of Gastroenterology (2015) 28 203-209
wwwHealthTakesGutscom
Exercise references
1 httpwwwncbinlmnihgovpubmed26504324 Phys Ther Sci 2015 Sep27(9)2915-9 doi 101589jpts272915 Epub 2015 Sep 30
2 httpwwwncbinlmnihgovpubmed25988743Child Care Health Dev 2015 May 18 doi 101111cch12255 The main cumulative evidence indicates that short-term aerobic exercise based on several aerobic intervention formats seems to be effective for mitigating symptoms such as attention hyperactivity impulsivity anxiety executive function and social disorders in children with ADHD
3 httpwwwncbinlmnihgovpubmed25671205J Exerc Nutrition Biochem 2014 Dec18(4)379-84 doi 105717jenb2014184379 Epub 2014 Dec 31We thus showed that exercise effectivelyalleviates ADHD-induced symptoms through enhancing dopamine D2 expression in the brain
wwwHealthTakesGutscom
Exercise references
4 httpwwwncbinlmnihgovpubmed25646023 J Atten Disord 2015 Feb 2 pii 1087054715569282 A 12-week table tennis exercise mayhave clinical relevance in motor skills and executive functions of children with ADHD
5 httpwwwncbinlmnihgovpubmed25561359 Res Dev Disabil 2015 Mar38181-91 doi 101016jridd201412005 These findings support the hypothesis that long-term PA has a positive effect on executive functions of children with ADHD regardless of the specificity of the PA The outcomes indicated that regular PA can be used as a complementary or alternative non-pharmacologic treatment for ADHD
6 httpwwwncbinlmnihgovpubmed25220093Child Adolesc Psychiatr Clin N Am 2014 Oct23(4)899-936 doi 101016jchc201405005these data provide a strong rationale for whya program of structured physical exercise might serve as an effectiveintervention for children with ADHD
wwwHealthTakesGutscom
Exercise references
7
httpwwwtheatlanticcomhealtharchive201409exe
rcise-seems-to-be-beneficial-to-children380844
8
httpwwwncbinlmnihgovpmcarticlesPMC3556380
9
httpwwwncbinlmnihgovpmcarticlesPMC3556380
wwwHealthTakesGutscom
Diet references
1 httpwwwncbinlmnihgovpubmed24934907 Nord
J Psychiatry 2015 Jan69(1)1-18 doi
103109080394882014921933
2 httpwwwncbinlmnihgovpubmed18826452 Nutr Rev 2008 Oct66(10)558-68
3 Child Adolesc Psychiatr Clin N Am 2014 October
23(4) 937ndash953 doi101016jchc201405010
wwwHealthTakesGutscom
Diet references
4 httpwwwncbinlmnihgovpubmed22232312
Pediatrics 2012 Feb129(2)330-7 doi 101542peds2011-
2199 Epub 2012 Jan 9 The diet factor in attention-
deficithyperactivity disorder Millichap JG1 Yee MM
5 httpwwwncbinlmnihgovpubmed20034331Acta
Med Croatica 2009 Oct63(4)307-13
6 httpwwwncbinlmnihgovpubmed14687872Prog
Neuropsychopharmacol Biol Psychiatry 2004
Jan28(1)181-90
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
httpwwwncbinlmnihgovpubmed26137496
Biomed Res Int 20152015962857 doi 1011552015962857
httpwwwncbinlmnihgovpubmed26207130
Psychiatry Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26188640
Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
httpwwwncbinlmnihgovpubmed26664441
Iran J Child Neurol 2015 Fall9(4)48-53
httpwwwncbinlmnihgovpubmed24610453
Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5
wwwHealthTakesGutscom
References
lsquohttpwwwncbinlmnihgovpubmed16846100
Magnes Res 2006 Mar19(1)46-52
httpwwwncbinlmnihgovpubmed25373528
Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432
httpwwwncbinlmnihgovpubmed26682999
J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105
httpwwwncbinlmnihgovpubmed26573368
Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
Whole foods diet
Cut out (down on) the processed foods
Automatically get the good and exclude the lsquobadrsquo
Sugar
Refined flours starches grains
Trans fat
Pro-inflammatory oils
wwwHealthTakesGutscom
Breakfast
High protein smart carb
Goal to maintain normal blood sugar
Glycemic response
Blood sugar spike and crash
No one could pay attention
Could use the glycemic indexload or just EAT WHOLE
FOODS
wwwHealthTakesGutscom
Snacking
Small frequent snacks
Maintain blood sugar levels
Provide good nutrition for growing brains
Should be whole foods and healthy
Same guidelines as a meal
Protein healthy fats and smart carbs
wwwHealthTakesGutscom
Reduced appetite Side effect of
medications
Reduced appetite
Reward for trying something new (vs pressure or punishment)
Meds after meals
Nutrient dense snacksfood
Make them count
Let them eat when they are hungry (off schedule)
Let them be off the meds as much as possible
Supplements
Protein
Vitamins
wwwHealthTakesGutscom
Food Sensitivities
40-60 have food sensitivities
Gluten dairy corn soy eggs peanuts tree nuts
Testing
IgG
MRT
Elimination Diets
2-6 weeks
Diet references 1 2 3 4 5 6
wwwHealthTakesGutscom
Feingold Additives
24 types of food additives in processed foods
Preservatives
BHA
BHT
TBHQ
Artificial Colors
Artificial Sweeteners
Artificial Flavors
wwwHealthTakesGutscom
Feingold Salicylates
Natural chemical found in foods
Almonds apples apricots berries cherries cucumbers
grapes green peppers nectarines oranges peaches
plums tangerines tea tomatoes
Eliminate for 4-6 weeks reintroduce 1 at a time
httpfeingoldorg
wwwHealthTakesGutscom
Failsafe Diet
Free of Additives Low in Salicylates and Amines Flavor
Enhancers
Salicylates histamines Benzoates Glutamic Acid Sulfites
Very restrictive but effective
Eliminate all plant AND artificial chemicals
Failsafedietcom
Fedupcomaufactsheetsoverview
wwwHealthTakesGutscom
Gut Health
Gut is as important to psychiatry as anything Gut references 1 2 3
Intestinal Permeability
Potential dysbiosis
Candida
5R protocol
Probiotics
wwwHealthTakesGutscom
Multivitamin
To cover all bases
Eliminations of foods
Reduced appetites
Give body what it needs so it doesnrsquot take from brain
Evidence that it is a helpful addition to treatment
httpwwwncbinlmnihgovpubmed26682999 J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105
httpwwwncbinlmnihgovpubmed26573366Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17
wwwHealthTakesGutscom
Individual Nutrients
Omega 3 fatty acids
Essential to eat (can not make)
Crucial for brain function
ADHD have lower levels in the blood vs lsquonormalrsquo kids
Deficiencies of O-3 cause
Decreased attention
Increased hyperactivity
Increased impulsivity
Supplementation STRONG evidence
300mg-2000mg a day
wwwHealthTakesGutscom
Individual Nutrients Iron
Ferratin
ADHD kids have half what they should
Measure first never supplement blindly
Zinc
Low zinc is correlated with ADHD
Studies show ADHD improved with supplemental zinc
Essential fatty acid conversion
Brain development
Neurotransmitter conversion
Deficiency symptom inattentiveness httpwwwncbinlmnihgovpubmed20034331Acta Med Croatica 2009
Oct63(4)307-13
httpwwwncbinlmnihgovpubmed14687872Prog Neuropsychopharmacol Biol Psychiatry 2004 Jan28(1)181-90
wwwHealthTakesGutscom
Individual Nutrients Magnesium
Low levels have been documented in ADHD
Deficiency symptoms distractibility hyperactivity
Supplementation = improvement
Especially if in conjunction with Zinc and O-3
80-200mgday
Glycinate
lsquohttpwwwncbinlmnihgovpubmed16846100 Magnes Res 2006 Mar19(1)46-52
httpwwwncbinlmnihgovpubmed25373528Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432
Vitamin D
Common deficiency httpwwwncbinlmnihgovpubmed26664441 Iran J Child Neurol 2015
Fall9(4)48-53
httpwwwncbinlmnihgovpubmed24610453Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5
wwwHealthTakesGutscom
Individual Nutrients
Folate
Methylfolate
MTHFR
B6
P-5-P
Choline
Precursor to acetylcholine-NT for focus and processing
speed
Carnitine
Reduces hyperactivity
wwwHealthTakesGutscom
Individual nutrients
Phosphatidylserine
Good evidence
Improves ADHD symptoms and ST memory
Increases dopamine and acetylcholine levels
Decreases stress
With O-3 reduces ADHD symptoms (hyperactive) httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
Individual Nutrients
Anti-oxidants
Oxidative stress
Detox
Glutathione
Vitamins C E A Selenium httpwwwncbinlmnihgovpubmed26207130 Psychiatry
Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
httpwwwncbinlmnihgovpubmed26188640Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
wwwHealthTakesGutscom
Individual Supplements
Gingko Biloba
Helps with focus and attention
httpwwwncbinlmnihgovpubmed25925875
Tyrosine
Precursor to dopamine
5HTP
Precursor to serotonin
wwwHealthTakesGutscom
Supplements of note
Calming
Glutamine
Precursor to GABA
GABA
Valerian
Lemon balm
L-theanine
Inositol
wwwHealthTakesGutscom
Supplements of note
Huperzine
Increases acetylcholine in brain
Bacopa monnierei
Focus and attention
wwwHealthTakesGutscom
Toxins
Heavy metals
Mercury
Lead
Chemicals
Food
Pesticides additives
Cleaning
Air
smoke
Toys plastic PCBs
wwwHealthTakesGutscom
Testing
Micronutrient (Spectracell)
Genetic SNP testing (23andme Genomics Solutions Now
Neuroscience Nutrigenomix)
Heavy Metal Testing (urine or hair)
Neurotransmitter (urine) Neurotransmitters excreted in the urine as biomarkers of nervous system activity Validity and
clinical applicabilityDavid T Marclowast Joseph W Ailts Danielle C Ailts Campeau Michael J Bull Kelly
L OlsonNeuroScience Inc 373 280th Street Osceola WI 54020 United States
Food sensitivity
Organic Acids Test (urine)
For Candida dysbiosis
wwwHealthTakesGutscom
Lifestyle factors
Exercise
STRONG evidence Exercise References 1 2 3 4 5 6 7 8 9
Improves ADHD
Sleep
7-8 hours a night httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
Limit screens
30min-1 hrday
wwwHealthTakesGutscom
Lifestyle Factors
Meditation and mindfulness and yoga httpwwwncbinlmnihgovpubmed26137496Biomed Res Int
20152015962857 doi 1011552015962857
Martial Arts
Biofeedback neurofeedback
Nature
Fresh air
Time in nature calms brain
wwwHealthTakesGutscom
Putting it all together
Whole foods diet
Processed food free-eliminates many problems
Get rid of additives
Possible elimination of gluten dairy salicylates
Plenty of water
Make sure high protein breakfast
Supplements Multivitamin
O-3s
Probiotic
Consider folate Mg Zn other specfic nutrients
Others as needed based on individual case
wwwHealthTakesGutscom
Putting it all together
Testing
Determined if needed based on individual case
Exercise
Sleep
Limit screens
Nature
Be aware of the nutritional implications of meds
wwwHealthTakesGutscom
Questions
Dianne Rishikof MS RDN LDN
wwwDianneRishikofcom
wwwHealthTakesGutscom
DianneRishikofgmailcom
wwwHealthTakesGutscom
Resources and References
httpwwwadditudemagcom
httpfeingoldorg
diannerishikofcomnutritional-supplements
The kid-friendly ADHD and Autism Cookbook
Amen Daniel Healing ADD New York Berkeley Publishing 2013
ADHD without drugs Sandford Newmark Tucson AZ Nurtured Heart Publications c2010
wwwHealthTakesGutscom
References
Shaken E Lakhan and Karen F Vieira Nutrition therapies
for mental disorders Nutrition Journal 2008 72
Neurotransmitters excreted in the urine as biomarkers of
nervous system activity Validity and clinical applicability David T Marclowast Joseph W Ailts Danielle C Ailts
Campeau Michael J Bull Kelly L Olson NeuroScience Inc 373 280th Street Osceola WI 54020 United States
httpwwwncbinlmnihgovpubmed25925875
Complement Ther Clin Pract 2015 May21(2)61-7 doi 101016jctcp201504001 Epub 2015 Apr 18
wwwHealthTakesGutscom
Gut Health references
1 Forsyth P Voices from within gut microbes and the CNS Cell Mol Life Science 2013 7055-69
2 Koloski NA Jones M Kalantar J Weltman M Zaguirre J Talley NJ The brain-gut pathway in functional gastrointestinal disorders is bidirectional a 12-year prospective population-based study Gut 2012611284-1290
3 Marilia Carabottia Annunziata Sciroccoa Maria Antonietta Masellib Carola Severia The gut-brain axis interactions between enteric microbiota central and enteric nervous systems Annals of Gastroenterology (2015) 28 203-209
wwwHealthTakesGutscom
Exercise references
1 httpwwwncbinlmnihgovpubmed26504324 Phys Ther Sci 2015 Sep27(9)2915-9 doi 101589jpts272915 Epub 2015 Sep 30
2 httpwwwncbinlmnihgovpubmed25988743Child Care Health Dev 2015 May 18 doi 101111cch12255 The main cumulative evidence indicates that short-term aerobic exercise based on several aerobic intervention formats seems to be effective for mitigating symptoms such as attention hyperactivity impulsivity anxiety executive function and social disorders in children with ADHD
3 httpwwwncbinlmnihgovpubmed25671205J Exerc Nutrition Biochem 2014 Dec18(4)379-84 doi 105717jenb2014184379 Epub 2014 Dec 31We thus showed that exercise effectivelyalleviates ADHD-induced symptoms through enhancing dopamine D2 expression in the brain
wwwHealthTakesGutscom
Exercise references
4 httpwwwncbinlmnihgovpubmed25646023 J Atten Disord 2015 Feb 2 pii 1087054715569282 A 12-week table tennis exercise mayhave clinical relevance in motor skills and executive functions of children with ADHD
5 httpwwwncbinlmnihgovpubmed25561359 Res Dev Disabil 2015 Mar38181-91 doi 101016jridd201412005 These findings support the hypothesis that long-term PA has a positive effect on executive functions of children with ADHD regardless of the specificity of the PA The outcomes indicated that regular PA can be used as a complementary or alternative non-pharmacologic treatment for ADHD
6 httpwwwncbinlmnihgovpubmed25220093Child Adolesc Psychiatr Clin N Am 2014 Oct23(4)899-936 doi 101016jchc201405005these data provide a strong rationale for whya program of structured physical exercise might serve as an effectiveintervention for children with ADHD
wwwHealthTakesGutscom
Exercise references
7
httpwwwtheatlanticcomhealtharchive201409exe
rcise-seems-to-be-beneficial-to-children380844
8
httpwwwncbinlmnihgovpmcarticlesPMC3556380
9
httpwwwncbinlmnihgovpmcarticlesPMC3556380
wwwHealthTakesGutscom
Diet references
1 httpwwwncbinlmnihgovpubmed24934907 Nord
J Psychiatry 2015 Jan69(1)1-18 doi
103109080394882014921933
2 httpwwwncbinlmnihgovpubmed18826452 Nutr Rev 2008 Oct66(10)558-68
3 Child Adolesc Psychiatr Clin N Am 2014 October
23(4) 937ndash953 doi101016jchc201405010
wwwHealthTakesGutscom
Diet references
4 httpwwwncbinlmnihgovpubmed22232312
Pediatrics 2012 Feb129(2)330-7 doi 101542peds2011-
2199 Epub 2012 Jan 9 The diet factor in attention-
deficithyperactivity disorder Millichap JG1 Yee MM
5 httpwwwncbinlmnihgovpubmed20034331Acta
Med Croatica 2009 Oct63(4)307-13
6 httpwwwncbinlmnihgovpubmed14687872Prog
Neuropsychopharmacol Biol Psychiatry 2004
Jan28(1)181-90
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
httpwwwncbinlmnihgovpubmed26137496
Biomed Res Int 20152015962857 doi 1011552015962857
httpwwwncbinlmnihgovpubmed26207130
Psychiatry Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26188640
Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
httpwwwncbinlmnihgovpubmed26664441
Iran J Child Neurol 2015 Fall9(4)48-53
httpwwwncbinlmnihgovpubmed24610453
Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5
wwwHealthTakesGutscom
References
lsquohttpwwwncbinlmnihgovpubmed16846100
Magnes Res 2006 Mar19(1)46-52
httpwwwncbinlmnihgovpubmed25373528
Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432
httpwwwncbinlmnihgovpubmed26682999
J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105
httpwwwncbinlmnihgovpubmed26573368
Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
Breakfast
High protein smart carb
Goal to maintain normal blood sugar
Glycemic response
Blood sugar spike and crash
No one could pay attention
Could use the glycemic indexload or just EAT WHOLE
FOODS
wwwHealthTakesGutscom
Snacking
Small frequent snacks
Maintain blood sugar levels
Provide good nutrition for growing brains
Should be whole foods and healthy
Same guidelines as a meal
Protein healthy fats and smart carbs
wwwHealthTakesGutscom
Reduced appetite Side effect of
medications
Reduced appetite
Reward for trying something new (vs pressure or punishment)
Meds after meals
Nutrient dense snacksfood
Make them count
Let them eat when they are hungry (off schedule)
Let them be off the meds as much as possible
Supplements
Protein
Vitamins
wwwHealthTakesGutscom
Food Sensitivities
40-60 have food sensitivities
Gluten dairy corn soy eggs peanuts tree nuts
Testing
IgG
MRT
Elimination Diets
2-6 weeks
Diet references 1 2 3 4 5 6
wwwHealthTakesGutscom
Feingold Additives
24 types of food additives in processed foods
Preservatives
BHA
BHT
TBHQ
Artificial Colors
Artificial Sweeteners
Artificial Flavors
wwwHealthTakesGutscom
Feingold Salicylates
Natural chemical found in foods
Almonds apples apricots berries cherries cucumbers
grapes green peppers nectarines oranges peaches
plums tangerines tea tomatoes
Eliminate for 4-6 weeks reintroduce 1 at a time
httpfeingoldorg
wwwHealthTakesGutscom
Failsafe Diet
Free of Additives Low in Salicylates and Amines Flavor
Enhancers
Salicylates histamines Benzoates Glutamic Acid Sulfites
Very restrictive but effective
Eliminate all plant AND artificial chemicals
Failsafedietcom
Fedupcomaufactsheetsoverview
wwwHealthTakesGutscom
Gut Health
Gut is as important to psychiatry as anything Gut references 1 2 3
Intestinal Permeability
Potential dysbiosis
Candida
5R protocol
Probiotics
wwwHealthTakesGutscom
Multivitamin
To cover all bases
Eliminations of foods
Reduced appetites
Give body what it needs so it doesnrsquot take from brain
Evidence that it is a helpful addition to treatment
httpwwwncbinlmnihgovpubmed26682999 J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105
httpwwwncbinlmnihgovpubmed26573366Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17
wwwHealthTakesGutscom
Individual Nutrients
Omega 3 fatty acids
Essential to eat (can not make)
Crucial for brain function
ADHD have lower levels in the blood vs lsquonormalrsquo kids
Deficiencies of O-3 cause
Decreased attention
Increased hyperactivity
Increased impulsivity
Supplementation STRONG evidence
300mg-2000mg a day
wwwHealthTakesGutscom
Individual Nutrients Iron
Ferratin
ADHD kids have half what they should
Measure first never supplement blindly
Zinc
Low zinc is correlated with ADHD
Studies show ADHD improved with supplemental zinc
Essential fatty acid conversion
Brain development
Neurotransmitter conversion
Deficiency symptom inattentiveness httpwwwncbinlmnihgovpubmed20034331Acta Med Croatica 2009
Oct63(4)307-13
httpwwwncbinlmnihgovpubmed14687872Prog Neuropsychopharmacol Biol Psychiatry 2004 Jan28(1)181-90
wwwHealthTakesGutscom
Individual Nutrients Magnesium
Low levels have been documented in ADHD
Deficiency symptoms distractibility hyperactivity
Supplementation = improvement
Especially if in conjunction with Zinc and O-3
80-200mgday
Glycinate
lsquohttpwwwncbinlmnihgovpubmed16846100 Magnes Res 2006 Mar19(1)46-52
httpwwwncbinlmnihgovpubmed25373528Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432
Vitamin D
Common deficiency httpwwwncbinlmnihgovpubmed26664441 Iran J Child Neurol 2015
Fall9(4)48-53
httpwwwncbinlmnihgovpubmed24610453Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5
wwwHealthTakesGutscom
Individual Nutrients
Folate
Methylfolate
MTHFR
B6
P-5-P
Choline
Precursor to acetylcholine-NT for focus and processing
speed
Carnitine
Reduces hyperactivity
wwwHealthTakesGutscom
Individual nutrients
Phosphatidylserine
Good evidence
Improves ADHD symptoms and ST memory
Increases dopamine and acetylcholine levels
Decreases stress
With O-3 reduces ADHD symptoms (hyperactive) httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
Individual Nutrients
Anti-oxidants
Oxidative stress
Detox
Glutathione
Vitamins C E A Selenium httpwwwncbinlmnihgovpubmed26207130 Psychiatry
Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
httpwwwncbinlmnihgovpubmed26188640Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
wwwHealthTakesGutscom
Individual Supplements
Gingko Biloba
Helps with focus and attention
httpwwwncbinlmnihgovpubmed25925875
Tyrosine
Precursor to dopamine
5HTP
Precursor to serotonin
wwwHealthTakesGutscom
Supplements of note
Calming
Glutamine
Precursor to GABA
GABA
Valerian
Lemon balm
L-theanine
Inositol
wwwHealthTakesGutscom
Supplements of note
Huperzine
Increases acetylcholine in brain
Bacopa monnierei
Focus and attention
wwwHealthTakesGutscom
Toxins
Heavy metals
Mercury
Lead
Chemicals
Food
Pesticides additives
Cleaning
Air
smoke
Toys plastic PCBs
wwwHealthTakesGutscom
Testing
Micronutrient (Spectracell)
Genetic SNP testing (23andme Genomics Solutions Now
Neuroscience Nutrigenomix)
Heavy Metal Testing (urine or hair)
Neurotransmitter (urine) Neurotransmitters excreted in the urine as biomarkers of nervous system activity Validity and
clinical applicabilityDavid T Marclowast Joseph W Ailts Danielle C Ailts Campeau Michael J Bull Kelly
L OlsonNeuroScience Inc 373 280th Street Osceola WI 54020 United States
Food sensitivity
Organic Acids Test (urine)
For Candida dysbiosis
wwwHealthTakesGutscom
Lifestyle factors
Exercise
STRONG evidence Exercise References 1 2 3 4 5 6 7 8 9
Improves ADHD
Sleep
7-8 hours a night httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
Limit screens
30min-1 hrday
wwwHealthTakesGutscom
Lifestyle Factors
Meditation and mindfulness and yoga httpwwwncbinlmnihgovpubmed26137496Biomed Res Int
20152015962857 doi 1011552015962857
Martial Arts
Biofeedback neurofeedback
Nature
Fresh air
Time in nature calms brain
wwwHealthTakesGutscom
Putting it all together
Whole foods diet
Processed food free-eliminates many problems
Get rid of additives
Possible elimination of gluten dairy salicylates
Plenty of water
Make sure high protein breakfast
Supplements Multivitamin
O-3s
Probiotic
Consider folate Mg Zn other specfic nutrients
Others as needed based on individual case
wwwHealthTakesGutscom
Putting it all together
Testing
Determined if needed based on individual case
Exercise
Sleep
Limit screens
Nature
Be aware of the nutritional implications of meds
wwwHealthTakesGutscom
Questions
Dianne Rishikof MS RDN LDN
wwwDianneRishikofcom
wwwHealthTakesGutscom
DianneRishikofgmailcom
wwwHealthTakesGutscom
Resources and References
httpwwwadditudemagcom
httpfeingoldorg
diannerishikofcomnutritional-supplements
The kid-friendly ADHD and Autism Cookbook
Amen Daniel Healing ADD New York Berkeley Publishing 2013
ADHD without drugs Sandford Newmark Tucson AZ Nurtured Heart Publications c2010
wwwHealthTakesGutscom
References
Shaken E Lakhan and Karen F Vieira Nutrition therapies
for mental disorders Nutrition Journal 2008 72
Neurotransmitters excreted in the urine as biomarkers of
nervous system activity Validity and clinical applicability David T Marclowast Joseph W Ailts Danielle C Ailts
Campeau Michael J Bull Kelly L Olson NeuroScience Inc 373 280th Street Osceola WI 54020 United States
httpwwwncbinlmnihgovpubmed25925875
Complement Ther Clin Pract 2015 May21(2)61-7 doi 101016jctcp201504001 Epub 2015 Apr 18
wwwHealthTakesGutscom
Gut Health references
1 Forsyth P Voices from within gut microbes and the CNS Cell Mol Life Science 2013 7055-69
2 Koloski NA Jones M Kalantar J Weltman M Zaguirre J Talley NJ The brain-gut pathway in functional gastrointestinal disorders is bidirectional a 12-year prospective population-based study Gut 2012611284-1290
3 Marilia Carabottia Annunziata Sciroccoa Maria Antonietta Masellib Carola Severia The gut-brain axis interactions between enteric microbiota central and enteric nervous systems Annals of Gastroenterology (2015) 28 203-209
wwwHealthTakesGutscom
Exercise references
1 httpwwwncbinlmnihgovpubmed26504324 Phys Ther Sci 2015 Sep27(9)2915-9 doi 101589jpts272915 Epub 2015 Sep 30
2 httpwwwncbinlmnihgovpubmed25988743Child Care Health Dev 2015 May 18 doi 101111cch12255 The main cumulative evidence indicates that short-term aerobic exercise based on several aerobic intervention formats seems to be effective for mitigating symptoms such as attention hyperactivity impulsivity anxiety executive function and social disorders in children with ADHD
3 httpwwwncbinlmnihgovpubmed25671205J Exerc Nutrition Biochem 2014 Dec18(4)379-84 doi 105717jenb2014184379 Epub 2014 Dec 31We thus showed that exercise effectivelyalleviates ADHD-induced symptoms through enhancing dopamine D2 expression in the brain
wwwHealthTakesGutscom
Exercise references
4 httpwwwncbinlmnihgovpubmed25646023 J Atten Disord 2015 Feb 2 pii 1087054715569282 A 12-week table tennis exercise mayhave clinical relevance in motor skills and executive functions of children with ADHD
5 httpwwwncbinlmnihgovpubmed25561359 Res Dev Disabil 2015 Mar38181-91 doi 101016jridd201412005 These findings support the hypothesis that long-term PA has a positive effect on executive functions of children with ADHD regardless of the specificity of the PA The outcomes indicated that regular PA can be used as a complementary or alternative non-pharmacologic treatment for ADHD
6 httpwwwncbinlmnihgovpubmed25220093Child Adolesc Psychiatr Clin N Am 2014 Oct23(4)899-936 doi 101016jchc201405005these data provide a strong rationale for whya program of structured physical exercise might serve as an effectiveintervention for children with ADHD
wwwHealthTakesGutscom
Exercise references
7
httpwwwtheatlanticcomhealtharchive201409exe
rcise-seems-to-be-beneficial-to-children380844
8
httpwwwncbinlmnihgovpmcarticlesPMC3556380
9
httpwwwncbinlmnihgovpmcarticlesPMC3556380
wwwHealthTakesGutscom
Diet references
1 httpwwwncbinlmnihgovpubmed24934907 Nord
J Psychiatry 2015 Jan69(1)1-18 doi
103109080394882014921933
2 httpwwwncbinlmnihgovpubmed18826452 Nutr Rev 2008 Oct66(10)558-68
3 Child Adolesc Psychiatr Clin N Am 2014 October
23(4) 937ndash953 doi101016jchc201405010
wwwHealthTakesGutscom
Diet references
4 httpwwwncbinlmnihgovpubmed22232312
Pediatrics 2012 Feb129(2)330-7 doi 101542peds2011-
2199 Epub 2012 Jan 9 The diet factor in attention-
deficithyperactivity disorder Millichap JG1 Yee MM
5 httpwwwncbinlmnihgovpubmed20034331Acta
Med Croatica 2009 Oct63(4)307-13
6 httpwwwncbinlmnihgovpubmed14687872Prog
Neuropsychopharmacol Biol Psychiatry 2004
Jan28(1)181-90
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
httpwwwncbinlmnihgovpubmed26137496
Biomed Res Int 20152015962857 doi 1011552015962857
httpwwwncbinlmnihgovpubmed26207130
Psychiatry Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26188640
Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
httpwwwncbinlmnihgovpubmed26664441
Iran J Child Neurol 2015 Fall9(4)48-53
httpwwwncbinlmnihgovpubmed24610453
Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5
wwwHealthTakesGutscom
References
lsquohttpwwwncbinlmnihgovpubmed16846100
Magnes Res 2006 Mar19(1)46-52
httpwwwncbinlmnihgovpubmed25373528
Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432
httpwwwncbinlmnihgovpubmed26682999
J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105
httpwwwncbinlmnihgovpubmed26573368
Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
Snacking
Small frequent snacks
Maintain blood sugar levels
Provide good nutrition for growing brains
Should be whole foods and healthy
Same guidelines as a meal
Protein healthy fats and smart carbs
wwwHealthTakesGutscom
Reduced appetite Side effect of
medications
Reduced appetite
Reward for trying something new (vs pressure or punishment)
Meds after meals
Nutrient dense snacksfood
Make them count
Let them eat when they are hungry (off schedule)
Let them be off the meds as much as possible
Supplements
Protein
Vitamins
wwwHealthTakesGutscom
Food Sensitivities
40-60 have food sensitivities
Gluten dairy corn soy eggs peanuts tree nuts
Testing
IgG
MRT
Elimination Diets
2-6 weeks
Diet references 1 2 3 4 5 6
wwwHealthTakesGutscom
Feingold Additives
24 types of food additives in processed foods
Preservatives
BHA
BHT
TBHQ
Artificial Colors
Artificial Sweeteners
Artificial Flavors
wwwHealthTakesGutscom
Feingold Salicylates
Natural chemical found in foods
Almonds apples apricots berries cherries cucumbers
grapes green peppers nectarines oranges peaches
plums tangerines tea tomatoes
Eliminate for 4-6 weeks reintroduce 1 at a time
httpfeingoldorg
wwwHealthTakesGutscom
Failsafe Diet
Free of Additives Low in Salicylates and Amines Flavor
Enhancers
Salicylates histamines Benzoates Glutamic Acid Sulfites
Very restrictive but effective
Eliminate all plant AND artificial chemicals
Failsafedietcom
Fedupcomaufactsheetsoverview
wwwHealthTakesGutscom
Gut Health
Gut is as important to psychiatry as anything Gut references 1 2 3
Intestinal Permeability
Potential dysbiosis
Candida
5R protocol
Probiotics
wwwHealthTakesGutscom
Multivitamin
To cover all bases
Eliminations of foods
Reduced appetites
Give body what it needs so it doesnrsquot take from brain
Evidence that it is a helpful addition to treatment
httpwwwncbinlmnihgovpubmed26682999 J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105
httpwwwncbinlmnihgovpubmed26573366Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17
wwwHealthTakesGutscom
Individual Nutrients
Omega 3 fatty acids
Essential to eat (can not make)
Crucial for brain function
ADHD have lower levels in the blood vs lsquonormalrsquo kids
Deficiencies of O-3 cause
Decreased attention
Increased hyperactivity
Increased impulsivity
Supplementation STRONG evidence
300mg-2000mg a day
wwwHealthTakesGutscom
Individual Nutrients Iron
Ferratin
ADHD kids have half what they should
Measure first never supplement blindly
Zinc
Low zinc is correlated with ADHD
Studies show ADHD improved with supplemental zinc
Essential fatty acid conversion
Brain development
Neurotransmitter conversion
Deficiency symptom inattentiveness httpwwwncbinlmnihgovpubmed20034331Acta Med Croatica 2009
Oct63(4)307-13
httpwwwncbinlmnihgovpubmed14687872Prog Neuropsychopharmacol Biol Psychiatry 2004 Jan28(1)181-90
wwwHealthTakesGutscom
Individual Nutrients Magnesium
Low levels have been documented in ADHD
Deficiency symptoms distractibility hyperactivity
Supplementation = improvement
Especially if in conjunction with Zinc and O-3
80-200mgday
Glycinate
lsquohttpwwwncbinlmnihgovpubmed16846100 Magnes Res 2006 Mar19(1)46-52
httpwwwncbinlmnihgovpubmed25373528Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432
Vitamin D
Common deficiency httpwwwncbinlmnihgovpubmed26664441 Iran J Child Neurol 2015
Fall9(4)48-53
httpwwwncbinlmnihgovpubmed24610453Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5
wwwHealthTakesGutscom
Individual Nutrients
Folate
Methylfolate
MTHFR
B6
P-5-P
Choline
Precursor to acetylcholine-NT for focus and processing
speed
Carnitine
Reduces hyperactivity
wwwHealthTakesGutscom
Individual nutrients
Phosphatidylserine
Good evidence
Improves ADHD symptoms and ST memory
Increases dopamine and acetylcholine levels
Decreases stress
With O-3 reduces ADHD symptoms (hyperactive) httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
Individual Nutrients
Anti-oxidants
Oxidative stress
Detox
Glutathione
Vitamins C E A Selenium httpwwwncbinlmnihgovpubmed26207130 Psychiatry
Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
httpwwwncbinlmnihgovpubmed26188640Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
wwwHealthTakesGutscom
Individual Supplements
Gingko Biloba
Helps with focus and attention
httpwwwncbinlmnihgovpubmed25925875
Tyrosine
Precursor to dopamine
5HTP
Precursor to serotonin
wwwHealthTakesGutscom
Supplements of note
Calming
Glutamine
Precursor to GABA
GABA
Valerian
Lemon balm
L-theanine
Inositol
wwwHealthTakesGutscom
Supplements of note
Huperzine
Increases acetylcholine in brain
Bacopa monnierei
Focus and attention
wwwHealthTakesGutscom
Toxins
Heavy metals
Mercury
Lead
Chemicals
Food
Pesticides additives
Cleaning
Air
smoke
Toys plastic PCBs
wwwHealthTakesGutscom
Testing
Micronutrient (Spectracell)
Genetic SNP testing (23andme Genomics Solutions Now
Neuroscience Nutrigenomix)
Heavy Metal Testing (urine or hair)
Neurotransmitter (urine) Neurotransmitters excreted in the urine as biomarkers of nervous system activity Validity and
clinical applicabilityDavid T Marclowast Joseph W Ailts Danielle C Ailts Campeau Michael J Bull Kelly
L OlsonNeuroScience Inc 373 280th Street Osceola WI 54020 United States
Food sensitivity
Organic Acids Test (urine)
For Candida dysbiosis
wwwHealthTakesGutscom
Lifestyle factors
Exercise
STRONG evidence Exercise References 1 2 3 4 5 6 7 8 9
Improves ADHD
Sleep
7-8 hours a night httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
Limit screens
30min-1 hrday
wwwHealthTakesGutscom
Lifestyle Factors
Meditation and mindfulness and yoga httpwwwncbinlmnihgovpubmed26137496Biomed Res Int
20152015962857 doi 1011552015962857
Martial Arts
Biofeedback neurofeedback
Nature
Fresh air
Time in nature calms brain
wwwHealthTakesGutscom
Putting it all together
Whole foods diet
Processed food free-eliminates many problems
Get rid of additives
Possible elimination of gluten dairy salicylates
Plenty of water
Make sure high protein breakfast
Supplements Multivitamin
O-3s
Probiotic
Consider folate Mg Zn other specfic nutrients
Others as needed based on individual case
wwwHealthTakesGutscom
Putting it all together
Testing
Determined if needed based on individual case
Exercise
Sleep
Limit screens
Nature
Be aware of the nutritional implications of meds
wwwHealthTakesGutscom
Questions
Dianne Rishikof MS RDN LDN
wwwDianneRishikofcom
wwwHealthTakesGutscom
DianneRishikofgmailcom
wwwHealthTakesGutscom
Resources and References
httpwwwadditudemagcom
httpfeingoldorg
diannerishikofcomnutritional-supplements
The kid-friendly ADHD and Autism Cookbook
Amen Daniel Healing ADD New York Berkeley Publishing 2013
ADHD without drugs Sandford Newmark Tucson AZ Nurtured Heart Publications c2010
wwwHealthTakesGutscom
References
Shaken E Lakhan and Karen F Vieira Nutrition therapies
for mental disorders Nutrition Journal 2008 72
Neurotransmitters excreted in the urine as biomarkers of
nervous system activity Validity and clinical applicability David T Marclowast Joseph W Ailts Danielle C Ailts
Campeau Michael J Bull Kelly L Olson NeuroScience Inc 373 280th Street Osceola WI 54020 United States
httpwwwncbinlmnihgovpubmed25925875
Complement Ther Clin Pract 2015 May21(2)61-7 doi 101016jctcp201504001 Epub 2015 Apr 18
wwwHealthTakesGutscom
Gut Health references
1 Forsyth P Voices from within gut microbes and the CNS Cell Mol Life Science 2013 7055-69
2 Koloski NA Jones M Kalantar J Weltman M Zaguirre J Talley NJ The brain-gut pathway in functional gastrointestinal disorders is bidirectional a 12-year prospective population-based study Gut 2012611284-1290
3 Marilia Carabottia Annunziata Sciroccoa Maria Antonietta Masellib Carola Severia The gut-brain axis interactions between enteric microbiota central and enteric nervous systems Annals of Gastroenterology (2015) 28 203-209
wwwHealthTakesGutscom
Exercise references
1 httpwwwncbinlmnihgovpubmed26504324 Phys Ther Sci 2015 Sep27(9)2915-9 doi 101589jpts272915 Epub 2015 Sep 30
2 httpwwwncbinlmnihgovpubmed25988743Child Care Health Dev 2015 May 18 doi 101111cch12255 The main cumulative evidence indicates that short-term aerobic exercise based on several aerobic intervention formats seems to be effective for mitigating symptoms such as attention hyperactivity impulsivity anxiety executive function and social disorders in children with ADHD
3 httpwwwncbinlmnihgovpubmed25671205J Exerc Nutrition Biochem 2014 Dec18(4)379-84 doi 105717jenb2014184379 Epub 2014 Dec 31We thus showed that exercise effectivelyalleviates ADHD-induced symptoms through enhancing dopamine D2 expression in the brain
wwwHealthTakesGutscom
Exercise references
4 httpwwwncbinlmnihgovpubmed25646023 J Atten Disord 2015 Feb 2 pii 1087054715569282 A 12-week table tennis exercise mayhave clinical relevance in motor skills and executive functions of children with ADHD
5 httpwwwncbinlmnihgovpubmed25561359 Res Dev Disabil 2015 Mar38181-91 doi 101016jridd201412005 These findings support the hypothesis that long-term PA has a positive effect on executive functions of children with ADHD regardless of the specificity of the PA The outcomes indicated that regular PA can be used as a complementary or alternative non-pharmacologic treatment for ADHD
6 httpwwwncbinlmnihgovpubmed25220093Child Adolesc Psychiatr Clin N Am 2014 Oct23(4)899-936 doi 101016jchc201405005these data provide a strong rationale for whya program of structured physical exercise might serve as an effectiveintervention for children with ADHD
wwwHealthTakesGutscom
Exercise references
7
httpwwwtheatlanticcomhealtharchive201409exe
rcise-seems-to-be-beneficial-to-children380844
8
httpwwwncbinlmnihgovpmcarticlesPMC3556380
9
httpwwwncbinlmnihgovpmcarticlesPMC3556380
wwwHealthTakesGutscom
Diet references
1 httpwwwncbinlmnihgovpubmed24934907 Nord
J Psychiatry 2015 Jan69(1)1-18 doi
103109080394882014921933
2 httpwwwncbinlmnihgovpubmed18826452 Nutr Rev 2008 Oct66(10)558-68
3 Child Adolesc Psychiatr Clin N Am 2014 October
23(4) 937ndash953 doi101016jchc201405010
wwwHealthTakesGutscom
Diet references
4 httpwwwncbinlmnihgovpubmed22232312
Pediatrics 2012 Feb129(2)330-7 doi 101542peds2011-
2199 Epub 2012 Jan 9 The diet factor in attention-
deficithyperactivity disorder Millichap JG1 Yee MM
5 httpwwwncbinlmnihgovpubmed20034331Acta
Med Croatica 2009 Oct63(4)307-13
6 httpwwwncbinlmnihgovpubmed14687872Prog
Neuropsychopharmacol Biol Psychiatry 2004
Jan28(1)181-90
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
httpwwwncbinlmnihgovpubmed26137496
Biomed Res Int 20152015962857 doi 1011552015962857
httpwwwncbinlmnihgovpubmed26207130
Psychiatry Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26188640
Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
httpwwwncbinlmnihgovpubmed26664441
Iran J Child Neurol 2015 Fall9(4)48-53
httpwwwncbinlmnihgovpubmed24610453
Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5
wwwHealthTakesGutscom
References
lsquohttpwwwncbinlmnihgovpubmed16846100
Magnes Res 2006 Mar19(1)46-52
httpwwwncbinlmnihgovpubmed25373528
Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432
httpwwwncbinlmnihgovpubmed26682999
J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105
httpwwwncbinlmnihgovpubmed26573368
Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
Reduced appetite Side effect of
medications
Reduced appetite
Reward for trying something new (vs pressure or punishment)
Meds after meals
Nutrient dense snacksfood
Make them count
Let them eat when they are hungry (off schedule)
Let them be off the meds as much as possible
Supplements
Protein
Vitamins
wwwHealthTakesGutscom
Food Sensitivities
40-60 have food sensitivities
Gluten dairy corn soy eggs peanuts tree nuts
Testing
IgG
MRT
Elimination Diets
2-6 weeks
Diet references 1 2 3 4 5 6
wwwHealthTakesGutscom
Feingold Additives
24 types of food additives in processed foods
Preservatives
BHA
BHT
TBHQ
Artificial Colors
Artificial Sweeteners
Artificial Flavors
wwwHealthTakesGutscom
Feingold Salicylates
Natural chemical found in foods
Almonds apples apricots berries cherries cucumbers
grapes green peppers nectarines oranges peaches
plums tangerines tea tomatoes
Eliminate for 4-6 weeks reintroduce 1 at a time
httpfeingoldorg
wwwHealthTakesGutscom
Failsafe Diet
Free of Additives Low in Salicylates and Amines Flavor
Enhancers
Salicylates histamines Benzoates Glutamic Acid Sulfites
Very restrictive but effective
Eliminate all plant AND artificial chemicals
Failsafedietcom
Fedupcomaufactsheetsoverview
wwwHealthTakesGutscom
Gut Health
Gut is as important to psychiatry as anything Gut references 1 2 3
Intestinal Permeability
Potential dysbiosis
Candida
5R protocol
Probiotics
wwwHealthTakesGutscom
Multivitamin
To cover all bases
Eliminations of foods
Reduced appetites
Give body what it needs so it doesnrsquot take from brain
Evidence that it is a helpful addition to treatment
httpwwwncbinlmnihgovpubmed26682999 J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105
httpwwwncbinlmnihgovpubmed26573366Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17
wwwHealthTakesGutscom
Individual Nutrients
Omega 3 fatty acids
Essential to eat (can not make)
Crucial for brain function
ADHD have lower levels in the blood vs lsquonormalrsquo kids
Deficiencies of O-3 cause
Decreased attention
Increased hyperactivity
Increased impulsivity
Supplementation STRONG evidence
300mg-2000mg a day
wwwHealthTakesGutscom
Individual Nutrients Iron
Ferratin
ADHD kids have half what they should
Measure first never supplement blindly
Zinc
Low zinc is correlated with ADHD
Studies show ADHD improved with supplemental zinc
Essential fatty acid conversion
Brain development
Neurotransmitter conversion
Deficiency symptom inattentiveness httpwwwncbinlmnihgovpubmed20034331Acta Med Croatica 2009
Oct63(4)307-13
httpwwwncbinlmnihgovpubmed14687872Prog Neuropsychopharmacol Biol Psychiatry 2004 Jan28(1)181-90
wwwHealthTakesGutscom
Individual Nutrients Magnesium
Low levels have been documented in ADHD
Deficiency symptoms distractibility hyperactivity
Supplementation = improvement
Especially if in conjunction with Zinc and O-3
80-200mgday
Glycinate
lsquohttpwwwncbinlmnihgovpubmed16846100 Magnes Res 2006 Mar19(1)46-52
httpwwwncbinlmnihgovpubmed25373528Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432
Vitamin D
Common deficiency httpwwwncbinlmnihgovpubmed26664441 Iran J Child Neurol 2015
Fall9(4)48-53
httpwwwncbinlmnihgovpubmed24610453Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5
wwwHealthTakesGutscom
Individual Nutrients
Folate
Methylfolate
MTHFR
B6
P-5-P
Choline
Precursor to acetylcholine-NT for focus and processing
speed
Carnitine
Reduces hyperactivity
wwwHealthTakesGutscom
Individual nutrients
Phosphatidylserine
Good evidence
Improves ADHD symptoms and ST memory
Increases dopamine and acetylcholine levels
Decreases stress
With O-3 reduces ADHD symptoms (hyperactive) httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
Individual Nutrients
Anti-oxidants
Oxidative stress
Detox
Glutathione
Vitamins C E A Selenium httpwwwncbinlmnihgovpubmed26207130 Psychiatry
Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
httpwwwncbinlmnihgovpubmed26188640Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
wwwHealthTakesGutscom
Individual Supplements
Gingko Biloba
Helps with focus and attention
httpwwwncbinlmnihgovpubmed25925875
Tyrosine
Precursor to dopamine
5HTP
Precursor to serotonin
wwwHealthTakesGutscom
Supplements of note
Calming
Glutamine
Precursor to GABA
GABA
Valerian
Lemon balm
L-theanine
Inositol
wwwHealthTakesGutscom
Supplements of note
Huperzine
Increases acetylcholine in brain
Bacopa monnierei
Focus and attention
wwwHealthTakesGutscom
Toxins
Heavy metals
Mercury
Lead
Chemicals
Food
Pesticides additives
Cleaning
Air
smoke
Toys plastic PCBs
wwwHealthTakesGutscom
Testing
Micronutrient (Spectracell)
Genetic SNP testing (23andme Genomics Solutions Now
Neuroscience Nutrigenomix)
Heavy Metal Testing (urine or hair)
Neurotransmitter (urine) Neurotransmitters excreted in the urine as biomarkers of nervous system activity Validity and
clinical applicabilityDavid T Marclowast Joseph W Ailts Danielle C Ailts Campeau Michael J Bull Kelly
L OlsonNeuroScience Inc 373 280th Street Osceola WI 54020 United States
Food sensitivity
Organic Acids Test (urine)
For Candida dysbiosis
wwwHealthTakesGutscom
Lifestyle factors
Exercise
STRONG evidence Exercise References 1 2 3 4 5 6 7 8 9
Improves ADHD
Sleep
7-8 hours a night httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
Limit screens
30min-1 hrday
wwwHealthTakesGutscom
Lifestyle Factors
Meditation and mindfulness and yoga httpwwwncbinlmnihgovpubmed26137496Biomed Res Int
20152015962857 doi 1011552015962857
Martial Arts
Biofeedback neurofeedback
Nature
Fresh air
Time in nature calms brain
wwwHealthTakesGutscom
Putting it all together
Whole foods diet
Processed food free-eliminates many problems
Get rid of additives
Possible elimination of gluten dairy salicylates
Plenty of water
Make sure high protein breakfast
Supplements Multivitamin
O-3s
Probiotic
Consider folate Mg Zn other specfic nutrients
Others as needed based on individual case
wwwHealthTakesGutscom
Putting it all together
Testing
Determined if needed based on individual case
Exercise
Sleep
Limit screens
Nature
Be aware of the nutritional implications of meds
wwwHealthTakesGutscom
Questions
Dianne Rishikof MS RDN LDN
wwwDianneRishikofcom
wwwHealthTakesGutscom
DianneRishikofgmailcom
wwwHealthTakesGutscom
Resources and References
httpwwwadditudemagcom
httpfeingoldorg
diannerishikofcomnutritional-supplements
The kid-friendly ADHD and Autism Cookbook
Amen Daniel Healing ADD New York Berkeley Publishing 2013
ADHD without drugs Sandford Newmark Tucson AZ Nurtured Heart Publications c2010
wwwHealthTakesGutscom
References
Shaken E Lakhan and Karen F Vieira Nutrition therapies
for mental disorders Nutrition Journal 2008 72
Neurotransmitters excreted in the urine as biomarkers of
nervous system activity Validity and clinical applicability David T Marclowast Joseph W Ailts Danielle C Ailts
Campeau Michael J Bull Kelly L Olson NeuroScience Inc 373 280th Street Osceola WI 54020 United States
httpwwwncbinlmnihgovpubmed25925875
Complement Ther Clin Pract 2015 May21(2)61-7 doi 101016jctcp201504001 Epub 2015 Apr 18
wwwHealthTakesGutscom
Gut Health references
1 Forsyth P Voices from within gut microbes and the CNS Cell Mol Life Science 2013 7055-69
2 Koloski NA Jones M Kalantar J Weltman M Zaguirre J Talley NJ The brain-gut pathway in functional gastrointestinal disorders is bidirectional a 12-year prospective population-based study Gut 2012611284-1290
3 Marilia Carabottia Annunziata Sciroccoa Maria Antonietta Masellib Carola Severia The gut-brain axis interactions between enteric microbiota central and enteric nervous systems Annals of Gastroenterology (2015) 28 203-209
wwwHealthTakesGutscom
Exercise references
1 httpwwwncbinlmnihgovpubmed26504324 Phys Ther Sci 2015 Sep27(9)2915-9 doi 101589jpts272915 Epub 2015 Sep 30
2 httpwwwncbinlmnihgovpubmed25988743Child Care Health Dev 2015 May 18 doi 101111cch12255 The main cumulative evidence indicates that short-term aerobic exercise based on several aerobic intervention formats seems to be effective for mitigating symptoms such as attention hyperactivity impulsivity anxiety executive function and social disorders in children with ADHD
3 httpwwwncbinlmnihgovpubmed25671205J Exerc Nutrition Biochem 2014 Dec18(4)379-84 doi 105717jenb2014184379 Epub 2014 Dec 31We thus showed that exercise effectivelyalleviates ADHD-induced symptoms through enhancing dopamine D2 expression in the brain
wwwHealthTakesGutscom
Exercise references
4 httpwwwncbinlmnihgovpubmed25646023 J Atten Disord 2015 Feb 2 pii 1087054715569282 A 12-week table tennis exercise mayhave clinical relevance in motor skills and executive functions of children with ADHD
5 httpwwwncbinlmnihgovpubmed25561359 Res Dev Disabil 2015 Mar38181-91 doi 101016jridd201412005 These findings support the hypothesis that long-term PA has a positive effect on executive functions of children with ADHD regardless of the specificity of the PA The outcomes indicated that regular PA can be used as a complementary or alternative non-pharmacologic treatment for ADHD
6 httpwwwncbinlmnihgovpubmed25220093Child Adolesc Psychiatr Clin N Am 2014 Oct23(4)899-936 doi 101016jchc201405005these data provide a strong rationale for whya program of structured physical exercise might serve as an effectiveintervention for children with ADHD
wwwHealthTakesGutscom
Exercise references
7
httpwwwtheatlanticcomhealtharchive201409exe
rcise-seems-to-be-beneficial-to-children380844
8
httpwwwncbinlmnihgovpmcarticlesPMC3556380
9
httpwwwncbinlmnihgovpmcarticlesPMC3556380
wwwHealthTakesGutscom
Diet references
1 httpwwwncbinlmnihgovpubmed24934907 Nord
J Psychiatry 2015 Jan69(1)1-18 doi
103109080394882014921933
2 httpwwwncbinlmnihgovpubmed18826452 Nutr Rev 2008 Oct66(10)558-68
3 Child Adolesc Psychiatr Clin N Am 2014 October
23(4) 937ndash953 doi101016jchc201405010
wwwHealthTakesGutscom
Diet references
4 httpwwwncbinlmnihgovpubmed22232312
Pediatrics 2012 Feb129(2)330-7 doi 101542peds2011-
2199 Epub 2012 Jan 9 The diet factor in attention-
deficithyperactivity disorder Millichap JG1 Yee MM
5 httpwwwncbinlmnihgovpubmed20034331Acta
Med Croatica 2009 Oct63(4)307-13
6 httpwwwncbinlmnihgovpubmed14687872Prog
Neuropsychopharmacol Biol Psychiatry 2004
Jan28(1)181-90
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
httpwwwncbinlmnihgovpubmed26137496
Biomed Res Int 20152015962857 doi 1011552015962857
httpwwwncbinlmnihgovpubmed26207130
Psychiatry Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26188640
Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
httpwwwncbinlmnihgovpubmed26664441
Iran J Child Neurol 2015 Fall9(4)48-53
httpwwwncbinlmnihgovpubmed24610453
Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5
wwwHealthTakesGutscom
References
lsquohttpwwwncbinlmnihgovpubmed16846100
Magnes Res 2006 Mar19(1)46-52
httpwwwncbinlmnihgovpubmed25373528
Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432
httpwwwncbinlmnihgovpubmed26682999
J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105
httpwwwncbinlmnihgovpubmed26573368
Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
Food Sensitivities
40-60 have food sensitivities
Gluten dairy corn soy eggs peanuts tree nuts
Testing
IgG
MRT
Elimination Diets
2-6 weeks
Diet references 1 2 3 4 5 6
wwwHealthTakesGutscom
Feingold Additives
24 types of food additives in processed foods
Preservatives
BHA
BHT
TBHQ
Artificial Colors
Artificial Sweeteners
Artificial Flavors
wwwHealthTakesGutscom
Feingold Salicylates
Natural chemical found in foods
Almonds apples apricots berries cherries cucumbers
grapes green peppers nectarines oranges peaches
plums tangerines tea tomatoes
Eliminate for 4-6 weeks reintroduce 1 at a time
httpfeingoldorg
wwwHealthTakesGutscom
Failsafe Diet
Free of Additives Low in Salicylates and Amines Flavor
Enhancers
Salicylates histamines Benzoates Glutamic Acid Sulfites
Very restrictive but effective
Eliminate all plant AND artificial chemicals
Failsafedietcom
Fedupcomaufactsheetsoverview
wwwHealthTakesGutscom
Gut Health
Gut is as important to psychiatry as anything Gut references 1 2 3
Intestinal Permeability
Potential dysbiosis
Candida
5R protocol
Probiotics
wwwHealthTakesGutscom
Multivitamin
To cover all bases
Eliminations of foods
Reduced appetites
Give body what it needs so it doesnrsquot take from brain
Evidence that it is a helpful addition to treatment
httpwwwncbinlmnihgovpubmed26682999 J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105
httpwwwncbinlmnihgovpubmed26573366Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17
wwwHealthTakesGutscom
Individual Nutrients
Omega 3 fatty acids
Essential to eat (can not make)
Crucial for brain function
ADHD have lower levels in the blood vs lsquonormalrsquo kids
Deficiencies of O-3 cause
Decreased attention
Increased hyperactivity
Increased impulsivity
Supplementation STRONG evidence
300mg-2000mg a day
wwwHealthTakesGutscom
Individual Nutrients Iron
Ferratin
ADHD kids have half what they should
Measure first never supplement blindly
Zinc
Low zinc is correlated with ADHD
Studies show ADHD improved with supplemental zinc
Essential fatty acid conversion
Brain development
Neurotransmitter conversion
Deficiency symptom inattentiveness httpwwwncbinlmnihgovpubmed20034331Acta Med Croatica 2009
Oct63(4)307-13
httpwwwncbinlmnihgovpubmed14687872Prog Neuropsychopharmacol Biol Psychiatry 2004 Jan28(1)181-90
wwwHealthTakesGutscom
Individual Nutrients Magnesium
Low levels have been documented in ADHD
Deficiency symptoms distractibility hyperactivity
Supplementation = improvement
Especially if in conjunction with Zinc and O-3
80-200mgday
Glycinate
lsquohttpwwwncbinlmnihgovpubmed16846100 Magnes Res 2006 Mar19(1)46-52
httpwwwncbinlmnihgovpubmed25373528Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432
Vitamin D
Common deficiency httpwwwncbinlmnihgovpubmed26664441 Iran J Child Neurol 2015
Fall9(4)48-53
httpwwwncbinlmnihgovpubmed24610453Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5
wwwHealthTakesGutscom
Individual Nutrients
Folate
Methylfolate
MTHFR
B6
P-5-P
Choline
Precursor to acetylcholine-NT for focus and processing
speed
Carnitine
Reduces hyperactivity
wwwHealthTakesGutscom
Individual nutrients
Phosphatidylserine
Good evidence
Improves ADHD symptoms and ST memory
Increases dopamine and acetylcholine levels
Decreases stress
With O-3 reduces ADHD symptoms (hyperactive) httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
Individual Nutrients
Anti-oxidants
Oxidative stress
Detox
Glutathione
Vitamins C E A Selenium httpwwwncbinlmnihgovpubmed26207130 Psychiatry
Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
httpwwwncbinlmnihgovpubmed26188640Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
wwwHealthTakesGutscom
Individual Supplements
Gingko Biloba
Helps with focus and attention
httpwwwncbinlmnihgovpubmed25925875
Tyrosine
Precursor to dopamine
5HTP
Precursor to serotonin
wwwHealthTakesGutscom
Supplements of note
Calming
Glutamine
Precursor to GABA
GABA
Valerian
Lemon balm
L-theanine
Inositol
wwwHealthTakesGutscom
Supplements of note
Huperzine
Increases acetylcholine in brain
Bacopa monnierei
Focus and attention
wwwHealthTakesGutscom
Toxins
Heavy metals
Mercury
Lead
Chemicals
Food
Pesticides additives
Cleaning
Air
smoke
Toys plastic PCBs
wwwHealthTakesGutscom
Testing
Micronutrient (Spectracell)
Genetic SNP testing (23andme Genomics Solutions Now
Neuroscience Nutrigenomix)
Heavy Metal Testing (urine or hair)
Neurotransmitter (urine) Neurotransmitters excreted in the urine as biomarkers of nervous system activity Validity and
clinical applicabilityDavid T Marclowast Joseph W Ailts Danielle C Ailts Campeau Michael J Bull Kelly
L OlsonNeuroScience Inc 373 280th Street Osceola WI 54020 United States
Food sensitivity
Organic Acids Test (urine)
For Candida dysbiosis
wwwHealthTakesGutscom
Lifestyle factors
Exercise
STRONG evidence Exercise References 1 2 3 4 5 6 7 8 9
Improves ADHD
Sleep
7-8 hours a night httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
Limit screens
30min-1 hrday
wwwHealthTakesGutscom
Lifestyle Factors
Meditation and mindfulness and yoga httpwwwncbinlmnihgovpubmed26137496Biomed Res Int
20152015962857 doi 1011552015962857
Martial Arts
Biofeedback neurofeedback
Nature
Fresh air
Time in nature calms brain
wwwHealthTakesGutscom
Putting it all together
Whole foods diet
Processed food free-eliminates many problems
Get rid of additives
Possible elimination of gluten dairy salicylates
Plenty of water
Make sure high protein breakfast
Supplements Multivitamin
O-3s
Probiotic
Consider folate Mg Zn other specfic nutrients
Others as needed based on individual case
wwwHealthTakesGutscom
Putting it all together
Testing
Determined if needed based on individual case
Exercise
Sleep
Limit screens
Nature
Be aware of the nutritional implications of meds
wwwHealthTakesGutscom
Questions
Dianne Rishikof MS RDN LDN
wwwDianneRishikofcom
wwwHealthTakesGutscom
DianneRishikofgmailcom
wwwHealthTakesGutscom
Resources and References
httpwwwadditudemagcom
httpfeingoldorg
diannerishikofcomnutritional-supplements
The kid-friendly ADHD and Autism Cookbook
Amen Daniel Healing ADD New York Berkeley Publishing 2013
ADHD without drugs Sandford Newmark Tucson AZ Nurtured Heart Publications c2010
wwwHealthTakesGutscom
References
Shaken E Lakhan and Karen F Vieira Nutrition therapies
for mental disorders Nutrition Journal 2008 72
Neurotransmitters excreted in the urine as biomarkers of
nervous system activity Validity and clinical applicability David T Marclowast Joseph W Ailts Danielle C Ailts
Campeau Michael J Bull Kelly L Olson NeuroScience Inc 373 280th Street Osceola WI 54020 United States
httpwwwncbinlmnihgovpubmed25925875
Complement Ther Clin Pract 2015 May21(2)61-7 doi 101016jctcp201504001 Epub 2015 Apr 18
wwwHealthTakesGutscom
Gut Health references
1 Forsyth P Voices from within gut microbes and the CNS Cell Mol Life Science 2013 7055-69
2 Koloski NA Jones M Kalantar J Weltman M Zaguirre J Talley NJ The brain-gut pathway in functional gastrointestinal disorders is bidirectional a 12-year prospective population-based study Gut 2012611284-1290
3 Marilia Carabottia Annunziata Sciroccoa Maria Antonietta Masellib Carola Severia The gut-brain axis interactions between enteric microbiota central and enteric nervous systems Annals of Gastroenterology (2015) 28 203-209
wwwHealthTakesGutscom
Exercise references
1 httpwwwncbinlmnihgovpubmed26504324 Phys Ther Sci 2015 Sep27(9)2915-9 doi 101589jpts272915 Epub 2015 Sep 30
2 httpwwwncbinlmnihgovpubmed25988743Child Care Health Dev 2015 May 18 doi 101111cch12255 The main cumulative evidence indicates that short-term aerobic exercise based on several aerobic intervention formats seems to be effective for mitigating symptoms such as attention hyperactivity impulsivity anxiety executive function and social disorders in children with ADHD
3 httpwwwncbinlmnihgovpubmed25671205J Exerc Nutrition Biochem 2014 Dec18(4)379-84 doi 105717jenb2014184379 Epub 2014 Dec 31We thus showed that exercise effectivelyalleviates ADHD-induced symptoms through enhancing dopamine D2 expression in the brain
wwwHealthTakesGutscom
Exercise references
4 httpwwwncbinlmnihgovpubmed25646023 J Atten Disord 2015 Feb 2 pii 1087054715569282 A 12-week table tennis exercise mayhave clinical relevance in motor skills and executive functions of children with ADHD
5 httpwwwncbinlmnihgovpubmed25561359 Res Dev Disabil 2015 Mar38181-91 doi 101016jridd201412005 These findings support the hypothesis that long-term PA has a positive effect on executive functions of children with ADHD regardless of the specificity of the PA The outcomes indicated that regular PA can be used as a complementary or alternative non-pharmacologic treatment for ADHD
6 httpwwwncbinlmnihgovpubmed25220093Child Adolesc Psychiatr Clin N Am 2014 Oct23(4)899-936 doi 101016jchc201405005these data provide a strong rationale for whya program of structured physical exercise might serve as an effectiveintervention for children with ADHD
wwwHealthTakesGutscom
Exercise references
7
httpwwwtheatlanticcomhealtharchive201409exe
rcise-seems-to-be-beneficial-to-children380844
8
httpwwwncbinlmnihgovpmcarticlesPMC3556380
9
httpwwwncbinlmnihgovpmcarticlesPMC3556380
wwwHealthTakesGutscom
Diet references
1 httpwwwncbinlmnihgovpubmed24934907 Nord
J Psychiatry 2015 Jan69(1)1-18 doi
103109080394882014921933
2 httpwwwncbinlmnihgovpubmed18826452 Nutr Rev 2008 Oct66(10)558-68
3 Child Adolesc Psychiatr Clin N Am 2014 October
23(4) 937ndash953 doi101016jchc201405010
wwwHealthTakesGutscom
Diet references
4 httpwwwncbinlmnihgovpubmed22232312
Pediatrics 2012 Feb129(2)330-7 doi 101542peds2011-
2199 Epub 2012 Jan 9 The diet factor in attention-
deficithyperactivity disorder Millichap JG1 Yee MM
5 httpwwwncbinlmnihgovpubmed20034331Acta
Med Croatica 2009 Oct63(4)307-13
6 httpwwwncbinlmnihgovpubmed14687872Prog
Neuropsychopharmacol Biol Psychiatry 2004
Jan28(1)181-90
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
httpwwwncbinlmnihgovpubmed26137496
Biomed Res Int 20152015962857 doi 1011552015962857
httpwwwncbinlmnihgovpubmed26207130
Psychiatry Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26188640
Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
httpwwwncbinlmnihgovpubmed26664441
Iran J Child Neurol 2015 Fall9(4)48-53
httpwwwncbinlmnihgovpubmed24610453
Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5
wwwHealthTakesGutscom
References
lsquohttpwwwncbinlmnihgovpubmed16846100
Magnes Res 2006 Mar19(1)46-52
httpwwwncbinlmnihgovpubmed25373528
Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432
httpwwwncbinlmnihgovpubmed26682999
J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105
httpwwwncbinlmnihgovpubmed26573368
Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
Feingold Additives
24 types of food additives in processed foods
Preservatives
BHA
BHT
TBHQ
Artificial Colors
Artificial Sweeteners
Artificial Flavors
wwwHealthTakesGutscom
Feingold Salicylates
Natural chemical found in foods
Almonds apples apricots berries cherries cucumbers
grapes green peppers nectarines oranges peaches
plums tangerines tea tomatoes
Eliminate for 4-6 weeks reintroduce 1 at a time
httpfeingoldorg
wwwHealthTakesGutscom
Failsafe Diet
Free of Additives Low in Salicylates and Amines Flavor
Enhancers
Salicylates histamines Benzoates Glutamic Acid Sulfites
Very restrictive but effective
Eliminate all plant AND artificial chemicals
Failsafedietcom
Fedupcomaufactsheetsoverview
wwwHealthTakesGutscom
Gut Health
Gut is as important to psychiatry as anything Gut references 1 2 3
Intestinal Permeability
Potential dysbiosis
Candida
5R protocol
Probiotics
wwwHealthTakesGutscom
Multivitamin
To cover all bases
Eliminations of foods
Reduced appetites
Give body what it needs so it doesnrsquot take from brain
Evidence that it is a helpful addition to treatment
httpwwwncbinlmnihgovpubmed26682999 J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105
httpwwwncbinlmnihgovpubmed26573366Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17
wwwHealthTakesGutscom
Individual Nutrients
Omega 3 fatty acids
Essential to eat (can not make)
Crucial for brain function
ADHD have lower levels in the blood vs lsquonormalrsquo kids
Deficiencies of O-3 cause
Decreased attention
Increased hyperactivity
Increased impulsivity
Supplementation STRONG evidence
300mg-2000mg a day
wwwHealthTakesGutscom
Individual Nutrients Iron
Ferratin
ADHD kids have half what they should
Measure first never supplement blindly
Zinc
Low zinc is correlated with ADHD
Studies show ADHD improved with supplemental zinc
Essential fatty acid conversion
Brain development
Neurotransmitter conversion
Deficiency symptom inattentiveness httpwwwncbinlmnihgovpubmed20034331Acta Med Croatica 2009
Oct63(4)307-13
httpwwwncbinlmnihgovpubmed14687872Prog Neuropsychopharmacol Biol Psychiatry 2004 Jan28(1)181-90
wwwHealthTakesGutscom
Individual Nutrients Magnesium
Low levels have been documented in ADHD
Deficiency symptoms distractibility hyperactivity
Supplementation = improvement
Especially if in conjunction with Zinc and O-3
80-200mgday
Glycinate
lsquohttpwwwncbinlmnihgovpubmed16846100 Magnes Res 2006 Mar19(1)46-52
httpwwwncbinlmnihgovpubmed25373528Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432
Vitamin D
Common deficiency httpwwwncbinlmnihgovpubmed26664441 Iran J Child Neurol 2015
Fall9(4)48-53
httpwwwncbinlmnihgovpubmed24610453Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5
wwwHealthTakesGutscom
Individual Nutrients
Folate
Methylfolate
MTHFR
B6
P-5-P
Choline
Precursor to acetylcholine-NT for focus and processing
speed
Carnitine
Reduces hyperactivity
wwwHealthTakesGutscom
Individual nutrients
Phosphatidylserine
Good evidence
Improves ADHD symptoms and ST memory
Increases dopamine and acetylcholine levels
Decreases stress
With O-3 reduces ADHD symptoms (hyperactive) httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
Individual Nutrients
Anti-oxidants
Oxidative stress
Detox
Glutathione
Vitamins C E A Selenium httpwwwncbinlmnihgovpubmed26207130 Psychiatry
Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
httpwwwncbinlmnihgovpubmed26188640Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
wwwHealthTakesGutscom
Individual Supplements
Gingko Biloba
Helps with focus and attention
httpwwwncbinlmnihgovpubmed25925875
Tyrosine
Precursor to dopamine
5HTP
Precursor to serotonin
wwwHealthTakesGutscom
Supplements of note
Calming
Glutamine
Precursor to GABA
GABA
Valerian
Lemon balm
L-theanine
Inositol
wwwHealthTakesGutscom
Supplements of note
Huperzine
Increases acetylcholine in brain
Bacopa monnierei
Focus and attention
wwwHealthTakesGutscom
Toxins
Heavy metals
Mercury
Lead
Chemicals
Food
Pesticides additives
Cleaning
Air
smoke
Toys plastic PCBs
wwwHealthTakesGutscom
Testing
Micronutrient (Spectracell)
Genetic SNP testing (23andme Genomics Solutions Now
Neuroscience Nutrigenomix)
Heavy Metal Testing (urine or hair)
Neurotransmitter (urine) Neurotransmitters excreted in the urine as biomarkers of nervous system activity Validity and
clinical applicabilityDavid T Marclowast Joseph W Ailts Danielle C Ailts Campeau Michael J Bull Kelly
L OlsonNeuroScience Inc 373 280th Street Osceola WI 54020 United States
Food sensitivity
Organic Acids Test (urine)
For Candida dysbiosis
wwwHealthTakesGutscom
Lifestyle factors
Exercise
STRONG evidence Exercise References 1 2 3 4 5 6 7 8 9
Improves ADHD
Sleep
7-8 hours a night httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
Limit screens
30min-1 hrday
wwwHealthTakesGutscom
Lifestyle Factors
Meditation and mindfulness and yoga httpwwwncbinlmnihgovpubmed26137496Biomed Res Int
20152015962857 doi 1011552015962857
Martial Arts
Biofeedback neurofeedback
Nature
Fresh air
Time in nature calms brain
wwwHealthTakesGutscom
Putting it all together
Whole foods diet
Processed food free-eliminates many problems
Get rid of additives
Possible elimination of gluten dairy salicylates
Plenty of water
Make sure high protein breakfast
Supplements Multivitamin
O-3s
Probiotic
Consider folate Mg Zn other specfic nutrients
Others as needed based on individual case
wwwHealthTakesGutscom
Putting it all together
Testing
Determined if needed based on individual case
Exercise
Sleep
Limit screens
Nature
Be aware of the nutritional implications of meds
wwwHealthTakesGutscom
Questions
Dianne Rishikof MS RDN LDN
wwwDianneRishikofcom
wwwHealthTakesGutscom
DianneRishikofgmailcom
wwwHealthTakesGutscom
Resources and References
httpwwwadditudemagcom
httpfeingoldorg
diannerishikofcomnutritional-supplements
The kid-friendly ADHD and Autism Cookbook
Amen Daniel Healing ADD New York Berkeley Publishing 2013
ADHD without drugs Sandford Newmark Tucson AZ Nurtured Heart Publications c2010
wwwHealthTakesGutscom
References
Shaken E Lakhan and Karen F Vieira Nutrition therapies
for mental disorders Nutrition Journal 2008 72
Neurotransmitters excreted in the urine as biomarkers of
nervous system activity Validity and clinical applicability David T Marclowast Joseph W Ailts Danielle C Ailts
Campeau Michael J Bull Kelly L Olson NeuroScience Inc 373 280th Street Osceola WI 54020 United States
httpwwwncbinlmnihgovpubmed25925875
Complement Ther Clin Pract 2015 May21(2)61-7 doi 101016jctcp201504001 Epub 2015 Apr 18
wwwHealthTakesGutscom
Gut Health references
1 Forsyth P Voices from within gut microbes and the CNS Cell Mol Life Science 2013 7055-69
2 Koloski NA Jones M Kalantar J Weltman M Zaguirre J Talley NJ The brain-gut pathway in functional gastrointestinal disorders is bidirectional a 12-year prospective population-based study Gut 2012611284-1290
3 Marilia Carabottia Annunziata Sciroccoa Maria Antonietta Masellib Carola Severia The gut-brain axis interactions between enteric microbiota central and enteric nervous systems Annals of Gastroenterology (2015) 28 203-209
wwwHealthTakesGutscom
Exercise references
1 httpwwwncbinlmnihgovpubmed26504324 Phys Ther Sci 2015 Sep27(9)2915-9 doi 101589jpts272915 Epub 2015 Sep 30
2 httpwwwncbinlmnihgovpubmed25988743Child Care Health Dev 2015 May 18 doi 101111cch12255 The main cumulative evidence indicates that short-term aerobic exercise based on several aerobic intervention formats seems to be effective for mitigating symptoms such as attention hyperactivity impulsivity anxiety executive function and social disorders in children with ADHD
3 httpwwwncbinlmnihgovpubmed25671205J Exerc Nutrition Biochem 2014 Dec18(4)379-84 doi 105717jenb2014184379 Epub 2014 Dec 31We thus showed that exercise effectivelyalleviates ADHD-induced symptoms through enhancing dopamine D2 expression in the brain
wwwHealthTakesGutscom
Exercise references
4 httpwwwncbinlmnihgovpubmed25646023 J Atten Disord 2015 Feb 2 pii 1087054715569282 A 12-week table tennis exercise mayhave clinical relevance in motor skills and executive functions of children with ADHD
5 httpwwwncbinlmnihgovpubmed25561359 Res Dev Disabil 2015 Mar38181-91 doi 101016jridd201412005 These findings support the hypothesis that long-term PA has a positive effect on executive functions of children with ADHD regardless of the specificity of the PA The outcomes indicated that regular PA can be used as a complementary or alternative non-pharmacologic treatment for ADHD
6 httpwwwncbinlmnihgovpubmed25220093Child Adolesc Psychiatr Clin N Am 2014 Oct23(4)899-936 doi 101016jchc201405005these data provide a strong rationale for whya program of structured physical exercise might serve as an effectiveintervention for children with ADHD
wwwHealthTakesGutscom
Exercise references
7
httpwwwtheatlanticcomhealtharchive201409exe
rcise-seems-to-be-beneficial-to-children380844
8
httpwwwncbinlmnihgovpmcarticlesPMC3556380
9
httpwwwncbinlmnihgovpmcarticlesPMC3556380
wwwHealthTakesGutscom
Diet references
1 httpwwwncbinlmnihgovpubmed24934907 Nord
J Psychiatry 2015 Jan69(1)1-18 doi
103109080394882014921933
2 httpwwwncbinlmnihgovpubmed18826452 Nutr Rev 2008 Oct66(10)558-68
3 Child Adolesc Psychiatr Clin N Am 2014 October
23(4) 937ndash953 doi101016jchc201405010
wwwHealthTakesGutscom
Diet references
4 httpwwwncbinlmnihgovpubmed22232312
Pediatrics 2012 Feb129(2)330-7 doi 101542peds2011-
2199 Epub 2012 Jan 9 The diet factor in attention-
deficithyperactivity disorder Millichap JG1 Yee MM
5 httpwwwncbinlmnihgovpubmed20034331Acta
Med Croatica 2009 Oct63(4)307-13
6 httpwwwncbinlmnihgovpubmed14687872Prog
Neuropsychopharmacol Biol Psychiatry 2004
Jan28(1)181-90
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
httpwwwncbinlmnihgovpubmed26137496
Biomed Res Int 20152015962857 doi 1011552015962857
httpwwwncbinlmnihgovpubmed26207130
Psychiatry Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26188640
Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
httpwwwncbinlmnihgovpubmed26664441
Iran J Child Neurol 2015 Fall9(4)48-53
httpwwwncbinlmnihgovpubmed24610453
Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5
wwwHealthTakesGutscom
References
lsquohttpwwwncbinlmnihgovpubmed16846100
Magnes Res 2006 Mar19(1)46-52
httpwwwncbinlmnihgovpubmed25373528
Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432
httpwwwncbinlmnihgovpubmed26682999
J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105
httpwwwncbinlmnihgovpubmed26573368
Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
Feingold Salicylates
Natural chemical found in foods
Almonds apples apricots berries cherries cucumbers
grapes green peppers nectarines oranges peaches
plums tangerines tea tomatoes
Eliminate for 4-6 weeks reintroduce 1 at a time
httpfeingoldorg
wwwHealthTakesGutscom
Failsafe Diet
Free of Additives Low in Salicylates and Amines Flavor
Enhancers
Salicylates histamines Benzoates Glutamic Acid Sulfites
Very restrictive but effective
Eliminate all plant AND artificial chemicals
Failsafedietcom
Fedupcomaufactsheetsoverview
wwwHealthTakesGutscom
Gut Health
Gut is as important to psychiatry as anything Gut references 1 2 3
Intestinal Permeability
Potential dysbiosis
Candida
5R protocol
Probiotics
wwwHealthTakesGutscom
Multivitamin
To cover all bases
Eliminations of foods
Reduced appetites
Give body what it needs so it doesnrsquot take from brain
Evidence that it is a helpful addition to treatment
httpwwwncbinlmnihgovpubmed26682999 J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105
httpwwwncbinlmnihgovpubmed26573366Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17
wwwHealthTakesGutscom
Individual Nutrients
Omega 3 fatty acids
Essential to eat (can not make)
Crucial for brain function
ADHD have lower levels in the blood vs lsquonormalrsquo kids
Deficiencies of O-3 cause
Decreased attention
Increased hyperactivity
Increased impulsivity
Supplementation STRONG evidence
300mg-2000mg a day
wwwHealthTakesGutscom
Individual Nutrients Iron
Ferratin
ADHD kids have half what they should
Measure first never supplement blindly
Zinc
Low zinc is correlated with ADHD
Studies show ADHD improved with supplemental zinc
Essential fatty acid conversion
Brain development
Neurotransmitter conversion
Deficiency symptom inattentiveness httpwwwncbinlmnihgovpubmed20034331Acta Med Croatica 2009
Oct63(4)307-13
httpwwwncbinlmnihgovpubmed14687872Prog Neuropsychopharmacol Biol Psychiatry 2004 Jan28(1)181-90
wwwHealthTakesGutscom
Individual Nutrients Magnesium
Low levels have been documented in ADHD
Deficiency symptoms distractibility hyperactivity
Supplementation = improvement
Especially if in conjunction with Zinc and O-3
80-200mgday
Glycinate
lsquohttpwwwncbinlmnihgovpubmed16846100 Magnes Res 2006 Mar19(1)46-52
httpwwwncbinlmnihgovpubmed25373528Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432
Vitamin D
Common deficiency httpwwwncbinlmnihgovpubmed26664441 Iran J Child Neurol 2015
Fall9(4)48-53
httpwwwncbinlmnihgovpubmed24610453Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5
wwwHealthTakesGutscom
Individual Nutrients
Folate
Methylfolate
MTHFR
B6
P-5-P
Choline
Precursor to acetylcholine-NT for focus and processing
speed
Carnitine
Reduces hyperactivity
wwwHealthTakesGutscom
Individual nutrients
Phosphatidylserine
Good evidence
Improves ADHD symptoms and ST memory
Increases dopamine and acetylcholine levels
Decreases stress
With O-3 reduces ADHD symptoms (hyperactive) httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
Individual Nutrients
Anti-oxidants
Oxidative stress
Detox
Glutathione
Vitamins C E A Selenium httpwwwncbinlmnihgovpubmed26207130 Psychiatry
Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
httpwwwncbinlmnihgovpubmed26188640Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
wwwHealthTakesGutscom
Individual Supplements
Gingko Biloba
Helps with focus and attention
httpwwwncbinlmnihgovpubmed25925875
Tyrosine
Precursor to dopamine
5HTP
Precursor to serotonin
wwwHealthTakesGutscom
Supplements of note
Calming
Glutamine
Precursor to GABA
GABA
Valerian
Lemon balm
L-theanine
Inositol
wwwHealthTakesGutscom
Supplements of note
Huperzine
Increases acetylcholine in brain
Bacopa monnierei
Focus and attention
wwwHealthTakesGutscom
Toxins
Heavy metals
Mercury
Lead
Chemicals
Food
Pesticides additives
Cleaning
Air
smoke
Toys plastic PCBs
wwwHealthTakesGutscom
Testing
Micronutrient (Spectracell)
Genetic SNP testing (23andme Genomics Solutions Now
Neuroscience Nutrigenomix)
Heavy Metal Testing (urine or hair)
Neurotransmitter (urine) Neurotransmitters excreted in the urine as biomarkers of nervous system activity Validity and
clinical applicabilityDavid T Marclowast Joseph W Ailts Danielle C Ailts Campeau Michael J Bull Kelly
L OlsonNeuroScience Inc 373 280th Street Osceola WI 54020 United States
Food sensitivity
Organic Acids Test (urine)
For Candida dysbiosis
wwwHealthTakesGutscom
Lifestyle factors
Exercise
STRONG evidence Exercise References 1 2 3 4 5 6 7 8 9
Improves ADHD
Sleep
7-8 hours a night httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
Limit screens
30min-1 hrday
wwwHealthTakesGutscom
Lifestyle Factors
Meditation and mindfulness and yoga httpwwwncbinlmnihgovpubmed26137496Biomed Res Int
20152015962857 doi 1011552015962857
Martial Arts
Biofeedback neurofeedback
Nature
Fresh air
Time in nature calms brain
wwwHealthTakesGutscom
Putting it all together
Whole foods diet
Processed food free-eliminates many problems
Get rid of additives
Possible elimination of gluten dairy salicylates
Plenty of water
Make sure high protein breakfast
Supplements Multivitamin
O-3s
Probiotic
Consider folate Mg Zn other specfic nutrients
Others as needed based on individual case
wwwHealthTakesGutscom
Putting it all together
Testing
Determined if needed based on individual case
Exercise
Sleep
Limit screens
Nature
Be aware of the nutritional implications of meds
wwwHealthTakesGutscom
Questions
Dianne Rishikof MS RDN LDN
wwwDianneRishikofcom
wwwHealthTakesGutscom
DianneRishikofgmailcom
wwwHealthTakesGutscom
Resources and References
httpwwwadditudemagcom
httpfeingoldorg
diannerishikofcomnutritional-supplements
The kid-friendly ADHD and Autism Cookbook
Amen Daniel Healing ADD New York Berkeley Publishing 2013
ADHD without drugs Sandford Newmark Tucson AZ Nurtured Heart Publications c2010
wwwHealthTakesGutscom
References
Shaken E Lakhan and Karen F Vieira Nutrition therapies
for mental disorders Nutrition Journal 2008 72
Neurotransmitters excreted in the urine as biomarkers of
nervous system activity Validity and clinical applicability David T Marclowast Joseph W Ailts Danielle C Ailts
Campeau Michael J Bull Kelly L Olson NeuroScience Inc 373 280th Street Osceola WI 54020 United States
httpwwwncbinlmnihgovpubmed25925875
Complement Ther Clin Pract 2015 May21(2)61-7 doi 101016jctcp201504001 Epub 2015 Apr 18
wwwHealthTakesGutscom
Gut Health references
1 Forsyth P Voices from within gut microbes and the CNS Cell Mol Life Science 2013 7055-69
2 Koloski NA Jones M Kalantar J Weltman M Zaguirre J Talley NJ The brain-gut pathway in functional gastrointestinal disorders is bidirectional a 12-year prospective population-based study Gut 2012611284-1290
3 Marilia Carabottia Annunziata Sciroccoa Maria Antonietta Masellib Carola Severia The gut-brain axis interactions between enteric microbiota central and enteric nervous systems Annals of Gastroenterology (2015) 28 203-209
wwwHealthTakesGutscom
Exercise references
1 httpwwwncbinlmnihgovpubmed26504324 Phys Ther Sci 2015 Sep27(9)2915-9 doi 101589jpts272915 Epub 2015 Sep 30
2 httpwwwncbinlmnihgovpubmed25988743Child Care Health Dev 2015 May 18 doi 101111cch12255 The main cumulative evidence indicates that short-term aerobic exercise based on several aerobic intervention formats seems to be effective for mitigating symptoms such as attention hyperactivity impulsivity anxiety executive function and social disorders in children with ADHD
3 httpwwwncbinlmnihgovpubmed25671205J Exerc Nutrition Biochem 2014 Dec18(4)379-84 doi 105717jenb2014184379 Epub 2014 Dec 31We thus showed that exercise effectivelyalleviates ADHD-induced symptoms through enhancing dopamine D2 expression in the brain
wwwHealthTakesGutscom
Exercise references
4 httpwwwncbinlmnihgovpubmed25646023 J Atten Disord 2015 Feb 2 pii 1087054715569282 A 12-week table tennis exercise mayhave clinical relevance in motor skills and executive functions of children with ADHD
5 httpwwwncbinlmnihgovpubmed25561359 Res Dev Disabil 2015 Mar38181-91 doi 101016jridd201412005 These findings support the hypothesis that long-term PA has a positive effect on executive functions of children with ADHD regardless of the specificity of the PA The outcomes indicated that regular PA can be used as a complementary or alternative non-pharmacologic treatment for ADHD
6 httpwwwncbinlmnihgovpubmed25220093Child Adolesc Psychiatr Clin N Am 2014 Oct23(4)899-936 doi 101016jchc201405005these data provide a strong rationale for whya program of structured physical exercise might serve as an effectiveintervention for children with ADHD
wwwHealthTakesGutscom
Exercise references
7
httpwwwtheatlanticcomhealtharchive201409exe
rcise-seems-to-be-beneficial-to-children380844
8
httpwwwncbinlmnihgovpmcarticlesPMC3556380
9
httpwwwncbinlmnihgovpmcarticlesPMC3556380
wwwHealthTakesGutscom
Diet references
1 httpwwwncbinlmnihgovpubmed24934907 Nord
J Psychiatry 2015 Jan69(1)1-18 doi
103109080394882014921933
2 httpwwwncbinlmnihgovpubmed18826452 Nutr Rev 2008 Oct66(10)558-68
3 Child Adolesc Psychiatr Clin N Am 2014 October
23(4) 937ndash953 doi101016jchc201405010
wwwHealthTakesGutscom
Diet references
4 httpwwwncbinlmnihgovpubmed22232312
Pediatrics 2012 Feb129(2)330-7 doi 101542peds2011-
2199 Epub 2012 Jan 9 The diet factor in attention-
deficithyperactivity disorder Millichap JG1 Yee MM
5 httpwwwncbinlmnihgovpubmed20034331Acta
Med Croatica 2009 Oct63(4)307-13
6 httpwwwncbinlmnihgovpubmed14687872Prog
Neuropsychopharmacol Biol Psychiatry 2004
Jan28(1)181-90
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
httpwwwncbinlmnihgovpubmed26137496
Biomed Res Int 20152015962857 doi 1011552015962857
httpwwwncbinlmnihgovpubmed26207130
Psychiatry Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26188640
Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
httpwwwncbinlmnihgovpubmed26664441
Iran J Child Neurol 2015 Fall9(4)48-53
httpwwwncbinlmnihgovpubmed24610453
Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5
wwwHealthTakesGutscom
References
lsquohttpwwwncbinlmnihgovpubmed16846100
Magnes Res 2006 Mar19(1)46-52
httpwwwncbinlmnihgovpubmed25373528
Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432
httpwwwncbinlmnihgovpubmed26682999
J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105
httpwwwncbinlmnihgovpubmed26573368
Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
Failsafe Diet
Free of Additives Low in Salicylates and Amines Flavor
Enhancers
Salicylates histamines Benzoates Glutamic Acid Sulfites
Very restrictive but effective
Eliminate all plant AND artificial chemicals
Failsafedietcom
Fedupcomaufactsheetsoverview
wwwHealthTakesGutscom
Gut Health
Gut is as important to psychiatry as anything Gut references 1 2 3
Intestinal Permeability
Potential dysbiosis
Candida
5R protocol
Probiotics
wwwHealthTakesGutscom
Multivitamin
To cover all bases
Eliminations of foods
Reduced appetites
Give body what it needs so it doesnrsquot take from brain
Evidence that it is a helpful addition to treatment
httpwwwncbinlmnihgovpubmed26682999 J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105
httpwwwncbinlmnihgovpubmed26573366Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17
wwwHealthTakesGutscom
Individual Nutrients
Omega 3 fatty acids
Essential to eat (can not make)
Crucial for brain function
ADHD have lower levels in the blood vs lsquonormalrsquo kids
Deficiencies of O-3 cause
Decreased attention
Increased hyperactivity
Increased impulsivity
Supplementation STRONG evidence
300mg-2000mg a day
wwwHealthTakesGutscom
Individual Nutrients Iron
Ferratin
ADHD kids have half what they should
Measure first never supplement blindly
Zinc
Low zinc is correlated with ADHD
Studies show ADHD improved with supplemental zinc
Essential fatty acid conversion
Brain development
Neurotransmitter conversion
Deficiency symptom inattentiveness httpwwwncbinlmnihgovpubmed20034331Acta Med Croatica 2009
Oct63(4)307-13
httpwwwncbinlmnihgovpubmed14687872Prog Neuropsychopharmacol Biol Psychiatry 2004 Jan28(1)181-90
wwwHealthTakesGutscom
Individual Nutrients Magnesium
Low levels have been documented in ADHD
Deficiency symptoms distractibility hyperactivity
Supplementation = improvement
Especially if in conjunction with Zinc and O-3
80-200mgday
Glycinate
lsquohttpwwwncbinlmnihgovpubmed16846100 Magnes Res 2006 Mar19(1)46-52
httpwwwncbinlmnihgovpubmed25373528Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432
Vitamin D
Common deficiency httpwwwncbinlmnihgovpubmed26664441 Iran J Child Neurol 2015
Fall9(4)48-53
httpwwwncbinlmnihgovpubmed24610453Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5
wwwHealthTakesGutscom
Individual Nutrients
Folate
Methylfolate
MTHFR
B6
P-5-P
Choline
Precursor to acetylcholine-NT for focus and processing
speed
Carnitine
Reduces hyperactivity
wwwHealthTakesGutscom
Individual nutrients
Phosphatidylserine
Good evidence
Improves ADHD symptoms and ST memory
Increases dopamine and acetylcholine levels
Decreases stress
With O-3 reduces ADHD symptoms (hyperactive) httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
Individual Nutrients
Anti-oxidants
Oxidative stress
Detox
Glutathione
Vitamins C E A Selenium httpwwwncbinlmnihgovpubmed26207130 Psychiatry
Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
httpwwwncbinlmnihgovpubmed26188640Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
wwwHealthTakesGutscom
Individual Supplements
Gingko Biloba
Helps with focus and attention
httpwwwncbinlmnihgovpubmed25925875
Tyrosine
Precursor to dopamine
5HTP
Precursor to serotonin
wwwHealthTakesGutscom
Supplements of note
Calming
Glutamine
Precursor to GABA
GABA
Valerian
Lemon balm
L-theanine
Inositol
wwwHealthTakesGutscom
Supplements of note
Huperzine
Increases acetylcholine in brain
Bacopa monnierei
Focus and attention
wwwHealthTakesGutscom
Toxins
Heavy metals
Mercury
Lead
Chemicals
Food
Pesticides additives
Cleaning
Air
smoke
Toys plastic PCBs
wwwHealthTakesGutscom
Testing
Micronutrient (Spectracell)
Genetic SNP testing (23andme Genomics Solutions Now
Neuroscience Nutrigenomix)
Heavy Metal Testing (urine or hair)
Neurotransmitter (urine) Neurotransmitters excreted in the urine as biomarkers of nervous system activity Validity and
clinical applicabilityDavid T Marclowast Joseph W Ailts Danielle C Ailts Campeau Michael J Bull Kelly
L OlsonNeuroScience Inc 373 280th Street Osceola WI 54020 United States
Food sensitivity
Organic Acids Test (urine)
For Candida dysbiosis
wwwHealthTakesGutscom
Lifestyle factors
Exercise
STRONG evidence Exercise References 1 2 3 4 5 6 7 8 9
Improves ADHD
Sleep
7-8 hours a night httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
Limit screens
30min-1 hrday
wwwHealthTakesGutscom
Lifestyle Factors
Meditation and mindfulness and yoga httpwwwncbinlmnihgovpubmed26137496Biomed Res Int
20152015962857 doi 1011552015962857
Martial Arts
Biofeedback neurofeedback
Nature
Fresh air
Time in nature calms brain
wwwHealthTakesGutscom
Putting it all together
Whole foods diet
Processed food free-eliminates many problems
Get rid of additives
Possible elimination of gluten dairy salicylates
Plenty of water
Make sure high protein breakfast
Supplements Multivitamin
O-3s
Probiotic
Consider folate Mg Zn other specfic nutrients
Others as needed based on individual case
wwwHealthTakesGutscom
Putting it all together
Testing
Determined if needed based on individual case
Exercise
Sleep
Limit screens
Nature
Be aware of the nutritional implications of meds
wwwHealthTakesGutscom
Questions
Dianne Rishikof MS RDN LDN
wwwDianneRishikofcom
wwwHealthTakesGutscom
DianneRishikofgmailcom
wwwHealthTakesGutscom
Resources and References
httpwwwadditudemagcom
httpfeingoldorg
diannerishikofcomnutritional-supplements
The kid-friendly ADHD and Autism Cookbook
Amen Daniel Healing ADD New York Berkeley Publishing 2013
ADHD without drugs Sandford Newmark Tucson AZ Nurtured Heart Publications c2010
wwwHealthTakesGutscom
References
Shaken E Lakhan and Karen F Vieira Nutrition therapies
for mental disorders Nutrition Journal 2008 72
Neurotransmitters excreted in the urine as biomarkers of
nervous system activity Validity and clinical applicability David T Marclowast Joseph W Ailts Danielle C Ailts
Campeau Michael J Bull Kelly L Olson NeuroScience Inc 373 280th Street Osceola WI 54020 United States
httpwwwncbinlmnihgovpubmed25925875
Complement Ther Clin Pract 2015 May21(2)61-7 doi 101016jctcp201504001 Epub 2015 Apr 18
wwwHealthTakesGutscom
Gut Health references
1 Forsyth P Voices from within gut microbes and the CNS Cell Mol Life Science 2013 7055-69
2 Koloski NA Jones M Kalantar J Weltman M Zaguirre J Talley NJ The brain-gut pathway in functional gastrointestinal disorders is bidirectional a 12-year prospective population-based study Gut 2012611284-1290
3 Marilia Carabottia Annunziata Sciroccoa Maria Antonietta Masellib Carola Severia The gut-brain axis interactions between enteric microbiota central and enteric nervous systems Annals of Gastroenterology (2015) 28 203-209
wwwHealthTakesGutscom
Exercise references
1 httpwwwncbinlmnihgovpubmed26504324 Phys Ther Sci 2015 Sep27(9)2915-9 doi 101589jpts272915 Epub 2015 Sep 30
2 httpwwwncbinlmnihgovpubmed25988743Child Care Health Dev 2015 May 18 doi 101111cch12255 The main cumulative evidence indicates that short-term aerobic exercise based on several aerobic intervention formats seems to be effective for mitigating symptoms such as attention hyperactivity impulsivity anxiety executive function and social disorders in children with ADHD
3 httpwwwncbinlmnihgovpubmed25671205J Exerc Nutrition Biochem 2014 Dec18(4)379-84 doi 105717jenb2014184379 Epub 2014 Dec 31We thus showed that exercise effectivelyalleviates ADHD-induced symptoms through enhancing dopamine D2 expression in the brain
wwwHealthTakesGutscom
Exercise references
4 httpwwwncbinlmnihgovpubmed25646023 J Atten Disord 2015 Feb 2 pii 1087054715569282 A 12-week table tennis exercise mayhave clinical relevance in motor skills and executive functions of children with ADHD
5 httpwwwncbinlmnihgovpubmed25561359 Res Dev Disabil 2015 Mar38181-91 doi 101016jridd201412005 These findings support the hypothesis that long-term PA has a positive effect on executive functions of children with ADHD regardless of the specificity of the PA The outcomes indicated that regular PA can be used as a complementary or alternative non-pharmacologic treatment for ADHD
6 httpwwwncbinlmnihgovpubmed25220093Child Adolesc Psychiatr Clin N Am 2014 Oct23(4)899-936 doi 101016jchc201405005these data provide a strong rationale for whya program of structured physical exercise might serve as an effectiveintervention for children with ADHD
wwwHealthTakesGutscom
Exercise references
7
httpwwwtheatlanticcomhealtharchive201409exe
rcise-seems-to-be-beneficial-to-children380844
8
httpwwwncbinlmnihgovpmcarticlesPMC3556380
9
httpwwwncbinlmnihgovpmcarticlesPMC3556380
wwwHealthTakesGutscom
Diet references
1 httpwwwncbinlmnihgovpubmed24934907 Nord
J Psychiatry 2015 Jan69(1)1-18 doi
103109080394882014921933
2 httpwwwncbinlmnihgovpubmed18826452 Nutr Rev 2008 Oct66(10)558-68
3 Child Adolesc Psychiatr Clin N Am 2014 October
23(4) 937ndash953 doi101016jchc201405010
wwwHealthTakesGutscom
Diet references
4 httpwwwncbinlmnihgovpubmed22232312
Pediatrics 2012 Feb129(2)330-7 doi 101542peds2011-
2199 Epub 2012 Jan 9 The diet factor in attention-
deficithyperactivity disorder Millichap JG1 Yee MM
5 httpwwwncbinlmnihgovpubmed20034331Acta
Med Croatica 2009 Oct63(4)307-13
6 httpwwwncbinlmnihgovpubmed14687872Prog
Neuropsychopharmacol Biol Psychiatry 2004
Jan28(1)181-90
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
httpwwwncbinlmnihgovpubmed26137496
Biomed Res Int 20152015962857 doi 1011552015962857
httpwwwncbinlmnihgovpubmed26207130
Psychiatry Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26188640
Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
httpwwwncbinlmnihgovpubmed26664441
Iran J Child Neurol 2015 Fall9(4)48-53
httpwwwncbinlmnihgovpubmed24610453
Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5
wwwHealthTakesGutscom
References
lsquohttpwwwncbinlmnihgovpubmed16846100
Magnes Res 2006 Mar19(1)46-52
httpwwwncbinlmnihgovpubmed25373528
Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432
httpwwwncbinlmnihgovpubmed26682999
J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105
httpwwwncbinlmnihgovpubmed26573368
Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
Gut Health
Gut is as important to psychiatry as anything Gut references 1 2 3
Intestinal Permeability
Potential dysbiosis
Candida
5R protocol
Probiotics
wwwHealthTakesGutscom
Multivitamin
To cover all bases
Eliminations of foods
Reduced appetites
Give body what it needs so it doesnrsquot take from brain
Evidence that it is a helpful addition to treatment
httpwwwncbinlmnihgovpubmed26682999 J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105
httpwwwncbinlmnihgovpubmed26573366Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17
wwwHealthTakesGutscom
Individual Nutrients
Omega 3 fatty acids
Essential to eat (can not make)
Crucial for brain function
ADHD have lower levels in the blood vs lsquonormalrsquo kids
Deficiencies of O-3 cause
Decreased attention
Increased hyperactivity
Increased impulsivity
Supplementation STRONG evidence
300mg-2000mg a day
wwwHealthTakesGutscom
Individual Nutrients Iron
Ferratin
ADHD kids have half what they should
Measure first never supplement blindly
Zinc
Low zinc is correlated with ADHD
Studies show ADHD improved with supplemental zinc
Essential fatty acid conversion
Brain development
Neurotransmitter conversion
Deficiency symptom inattentiveness httpwwwncbinlmnihgovpubmed20034331Acta Med Croatica 2009
Oct63(4)307-13
httpwwwncbinlmnihgovpubmed14687872Prog Neuropsychopharmacol Biol Psychiatry 2004 Jan28(1)181-90
wwwHealthTakesGutscom
Individual Nutrients Magnesium
Low levels have been documented in ADHD
Deficiency symptoms distractibility hyperactivity
Supplementation = improvement
Especially if in conjunction with Zinc and O-3
80-200mgday
Glycinate
lsquohttpwwwncbinlmnihgovpubmed16846100 Magnes Res 2006 Mar19(1)46-52
httpwwwncbinlmnihgovpubmed25373528Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432
Vitamin D
Common deficiency httpwwwncbinlmnihgovpubmed26664441 Iran J Child Neurol 2015
Fall9(4)48-53
httpwwwncbinlmnihgovpubmed24610453Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5
wwwHealthTakesGutscom
Individual Nutrients
Folate
Methylfolate
MTHFR
B6
P-5-P
Choline
Precursor to acetylcholine-NT for focus and processing
speed
Carnitine
Reduces hyperactivity
wwwHealthTakesGutscom
Individual nutrients
Phosphatidylserine
Good evidence
Improves ADHD symptoms and ST memory
Increases dopamine and acetylcholine levels
Decreases stress
With O-3 reduces ADHD symptoms (hyperactive) httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
Individual Nutrients
Anti-oxidants
Oxidative stress
Detox
Glutathione
Vitamins C E A Selenium httpwwwncbinlmnihgovpubmed26207130 Psychiatry
Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
httpwwwncbinlmnihgovpubmed26188640Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
wwwHealthTakesGutscom
Individual Supplements
Gingko Biloba
Helps with focus and attention
httpwwwncbinlmnihgovpubmed25925875
Tyrosine
Precursor to dopamine
5HTP
Precursor to serotonin
wwwHealthTakesGutscom
Supplements of note
Calming
Glutamine
Precursor to GABA
GABA
Valerian
Lemon balm
L-theanine
Inositol
wwwHealthTakesGutscom
Supplements of note
Huperzine
Increases acetylcholine in brain
Bacopa monnierei
Focus and attention
wwwHealthTakesGutscom
Toxins
Heavy metals
Mercury
Lead
Chemicals
Food
Pesticides additives
Cleaning
Air
smoke
Toys plastic PCBs
wwwHealthTakesGutscom
Testing
Micronutrient (Spectracell)
Genetic SNP testing (23andme Genomics Solutions Now
Neuroscience Nutrigenomix)
Heavy Metal Testing (urine or hair)
Neurotransmitter (urine) Neurotransmitters excreted in the urine as biomarkers of nervous system activity Validity and
clinical applicabilityDavid T Marclowast Joseph W Ailts Danielle C Ailts Campeau Michael J Bull Kelly
L OlsonNeuroScience Inc 373 280th Street Osceola WI 54020 United States
Food sensitivity
Organic Acids Test (urine)
For Candida dysbiosis
wwwHealthTakesGutscom
Lifestyle factors
Exercise
STRONG evidence Exercise References 1 2 3 4 5 6 7 8 9
Improves ADHD
Sleep
7-8 hours a night httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
Limit screens
30min-1 hrday
wwwHealthTakesGutscom
Lifestyle Factors
Meditation and mindfulness and yoga httpwwwncbinlmnihgovpubmed26137496Biomed Res Int
20152015962857 doi 1011552015962857
Martial Arts
Biofeedback neurofeedback
Nature
Fresh air
Time in nature calms brain
wwwHealthTakesGutscom
Putting it all together
Whole foods diet
Processed food free-eliminates many problems
Get rid of additives
Possible elimination of gluten dairy salicylates
Plenty of water
Make sure high protein breakfast
Supplements Multivitamin
O-3s
Probiotic
Consider folate Mg Zn other specfic nutrients
Others as needed based on individual case
wwwHealthTakesGutscom
Putting it all together
Testing
Determined if needed based on individual case
Exercise
Sleep
Limit screens
Nature
Be aware of the nutritional implications of meds
wwwHealthTakesGutscom
Questions
Dianne Rishikof MS RDN LDN
wwwDianneRishikofcom
wwwHealthTakesGutscom
DianneRishikofgmailcom
wwwHealthTakesGutscom
Resources and References
httpwwwadditudemagcom
httpfeingoldorg
diannerishikofcomnutritional-supplements
The kid-friendly ADHD and Autism Cookbook
Amen Daniel Healing ADD New York Berkeley Publishing 2013
ADHD without drugs Sandford Newmark Tucson AZ Nurtured Heart Publications c2010
wwwHealthTakesGutscom
References
Shaken E Lakhan and Karen F Vieira Nutrition therapies
for mental disorders Nutrition Journal 2008 72
Neurotransmitters excreted in the urine as biomarkers of
nervous system activity Validity and clinical applicability David T Marclowast Joseph W Ailts Danielle C Ailts
Campeau Michael J Bull Kelly L Olson NeuroScience Inc 373 280th Street Osceola WI 54020 United States
httpwwwncbinlmnihgovpubmed25925875
Complement Ther Clin Pract 2015 May21(2)61-7 doi 101016jctcp201504001 Epub 2015 Apr 18
wwwHealthTakesGutscom
Gut Health references
1 Forsyth P Voices from within gut microbes and the CNS Cell Mol Life Science 2013 7055-69
2 Koloski NA Jones M Kalantar J Weltman M Zaguirre J Talley NJ The brain-gut pathway in functional gastrointestinal disorders is bidirectional a 12-year prospective population-based study Gut 2012611284-1290
3 Marilia Carabottia Annunziata Sciroccoa Maria Antonietta Masellib Carola Severia The gut-brain axis interactions between enteric microbiota central and enteric nervous systems Annals of Gastroenterology (2015) 28 203-209
wwwHealthTakesGutscom
Exercise references
1 httpwwwncbinlmnihgovpubmed26504324 Phys Ther Sci 2015 Sep27(9)2915-9 doi 101589jpts272915 Epub 2015 Sep 30
2 httpwwwncbinlmnihgovpubmed25988743Child Care Health Dev 2015 May 18 doi 101111cch12255 The main cumulative evidence indicates that short-term aerobic exercise based on several aerobic intervention formats seems to be effective for mitigating symptoms such as attention hyperactivity impulsivity anxiety executive function and social disorders in children with ADHD
3 httpwwwncbinlmnihgovpubmed25671205J Exerc Nutrition Biochem 2014 Dec18(4)379-84 doi 105717jenb2014184379 Epub 2014 Dec 31We thus showed that exercise effectivelyalleviates ADHD-induced symptoms through enhancing dopamine D2 expression in the brain
wwwHealthTakesGutscom
Exercise references
4 httpwwwncbinlmnihgovpubmed25646023 J Atten Disord 2015 Feb 2 pii 1087054715569282 A 12-week table tennis exercise mayhave clinical relevance in motor skills and executive functions of children with ADHD
5 httpwwwncbinlmnihgovpubmed25561359 Res Dev Disabil 2015 Mar38181-91 doi 101016jridd201412005 These findings support the hypothesis that long-term PA has a positive effect on executive functions of children with ADHD regardless of the specificity of the PA The outcomes indicated that regular PA can be used as a complementary or alternative non-pharmacologic treatment for ADHD
6 httpwwwncbinlmnihgovpubmed25220093Child Adolesc Psychiatr Clin N Am 2014 Oct23(4)899-936 doi 101016jchc201405005these data provide a strong rationale for whya program of structured physical exercise might serve as an effectiveintervention for children with ADHD
wwwHealthTakesGutscom
Exercise references
7
httpwwwtheatlanticcomhealtharchive201409exe
rcise-seems-to-be-beneficial-to-children380844
8
httpwwwncbinlmnihgovpmcarticlesPMC3556380
9
httpwwwncbinlmnihgovpmcarticlesPMC3556380
wwwHealthTakesGutscom
Diet references
1 httpwwwncbinlmnihgovpubmed24934907 Nord
J Psychiatry 2015 Jan69(1)1-18 doi
103109080394882014921933
2 httpwwwncbinlmnihgovpubmed18826452 Nutr Rev 2008 Oct66(10)558-68
3 Child Adolesc Psychiatr Clin N Am 2014 October
23(4) 937ndash953 doi101016jchc201405010
wwwHealthTakesGutscom
Diet references
4 httpwwwncbinlmnihgovpubmed22232312
Pediatrics 2012 Feb129(2)330-7 doi 101542peds2011-
2199 Epub 2012 Jan 9 The diet factor in attention-
deficithyperactivity disorder Millichap JG1 Yee MM
5 httpwwwncbinlmnihgovpubmed20034331Acta
Med Croatica 2009 Oct63(4)307-13
6 httpwwwncbinlmnihgovpubmed14687872Prog
Neuropsychopharmacol Biol Psychiatry 2004
Jan28(1)181-90
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
httpwwwncbinlmnihgovpubmed26137496
Biomed Res Int 20152015962857 doi 1011552015962857
httpwwwncbinlmnihgovpubmed26207130
Psychiatry Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26188640
Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
httpwwwncbinlmnihgovpubmed26664441
Iran J Child Neurol 2015 Fall9(4)48-53
httpwwwncbinlmnihgovpubmed24610453
Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5
wwwHealthTakesGutscom
References
lsquohttpwwwncbinlmnihgovpubmed16846100
Magnes Res 2006 Mar19(1)46-52
httpwwwncbinlmnihgovpubmed25373528
Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432
httpwwwncbinlmnihgovpubmed26682999
J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105
httpwwwncbinlmnihgovpubmed26573368
Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
Multivitamin
To cover all bases
Eliminations of foods
Reduced appetites
Give body what it needs so it doesnrsquot take from brain
Evidence that it is a helpful addition to treatment
httpwwwncbinlmnihgovpubmed26682999 J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105
httpwwwncbinlmnihgovpubmed26573366Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17
wwwHealthTakesGutscom
Individual Nutrients
Omega 3 fatty acids
Essential to eat (can not make)
Crucial for brain function
ADHD have lower levels in the blood vs lsquonormalrsquo kids
Deficiencies of O-3 cause
Decreased attention
Increased hyperactivity
Increased impulsivity
Supplementation STRONG evidence
300mg-2000mg a day
wwwHealthTakesGutscom
Individual Nutrients Iron
Ferratin
ADHD kids have half what they should
Measure first never supplement blindly
Zinc
Low zinc is correlated with ADHD
Studies show ADHD improved with supplemental zinc
Essential fatty acid conversion
Brain development
Neurotransmitter conversion
Deficiency symptom inattentiveness httpwwwncbinlmnihgovpubmed20034331Acta Med Croatica 2009
Oct63(4)307-13
httpwwwncbinlmnihgovpubmed14687872Prog Neuropsychopharmacol Biol Psychiatry 2004 Jan28(1)181-90
wwwHealthTakesGutscom
Individual Nutrients Magnesium
Low levels have been documented in ADHD
Deficiency symptoms distractibility hyperactivity
Supplementation = improvement
Especially if in conjunction with Zinc and O-3
80-200mgday
Glycinate
lsquohttpwwwncbinlmnihgovpubmed16846100 Magnes Res 2006 Mar19(1)46-52
httpwwwncbinlmnihgovpubmed25373528Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432
Vitamin D
Common deficiency httpwwwncbinlmnihgovpubmed26664441 Iran J Child Neurol 2015
Fall9(4)48-53
httpwwwncbinlmnihgovpubmed24610453Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5
wwwHealthTakesGutscom
Individual Nutrients
Folate
Methylfolate
MTHFR
B6
P-5-P
Choline
Precursor to acetylcholine-NT for focus and processing
speed
Carnitine
Reduces hyperactivity
wwwHealthTakesGutscom
Individual nutrients
Phosphatidylserine
Good evidence
Improves ADHD symptoms and ST memory
Increases dopamine and acetylcholine levels
Decreases stress
With O-3 reduces ADHD symptoms (hyperactive) httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
Individual Nutrients
Anti-oxidants
Oxidative stress
Detox
Glutathione
Vitamins C E A Selenium httpwwwncbinlmnihgovpubmed26207130 Psychiatry
Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
httpwwwncbinlmnihgovpubmed26188640Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
wwwHealthTakesGutscom
Individual Supplements
Gingko Biloba
Helps with focus and attention
httpwwwncbinlmnihgovpubmed25925875
Tyrosine
Precursor to dopamine
5HTP
Precursor to serotonin
wwwHealthTakesGutscom
Supplements of note
Calming
Glutamine
Precursor to GABA
GABA
Valerian
Lemon balm
L-theanine
Inositol
wwwHealthTakesGutscom
Supplements of note
Huperzine
Increases acetylcholine in brain
Bacopa monnierei
Focus and attention
wwwHealthTakesGutscom
Toxins
Heavy metals
Mercury
Lead
Chemicals
Food
Pesticides additives
Cleaning
Air
smoke
Toys plastic PCBs
wwwHealthTakesGutscom
Testing
Micronutrient (Spectracell)
Genetic SNP testing (23andme Genomics Solutions Now
Neuroscience Nutrigenomix)
Heavy Metal Testing (urine or hair)
Neurotransmitter (urine) Neurotransmitters excreted in the urine as biomarkers of nervous system activity Validity and
clinical applicabilityDavid T Marclowast Joseph W Ailts Danielle C Ailts Campeau Michael J Bull Kelly
L OlsonNeuroScience Inc 373 280th Street Osceola WI 54020 United States
Food sensitivity
Organic Acids Test (urine)
For Candida dysbiosis
wwwHealthTakesGutscom
Lifestyle factors
Exercise
STRONG evidence Exercise References 1 2 3 4 5 6 7 8 9
Improves ADHD
Sleep
7-8 hours a night httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
Limit screens
30min-1 hrday
wwwHealthTakesGutscom
Lifestyle Factors
Meditation and mindfulness and yoga httpwwwncbinlmnihgovpubmed26137496Biomed Res Int
20152015962857 doi 1011552015962857
Martial Arts
Biofeedback neurofeedback
Nature
Fresh air
Time in nature calms brain
wwwHealthTakesGutscom
Putting it all together
Whole foods diet
Processed food free-eliminates many problems
Get rid of additives
Possible elimination of gluten dairy salicylates
Plenty of water
Make sure high protein breakfast
Supplements Multivitamin
O-3s
Probiotic
Consider folate Mg Zn other specfic nutrients
Others as needed based on individual case
wwwHealthTakesGutscom
Putting it all together
Testing
Determined if needed based on individual case
Exercise
Sleep
Limit screens
Nature
Be aware of the nutritional implications of meds
wwwHealthTakesGutscom
Questions
Dianne Rishikof MS RDN LDN
wwwDianneRishikofcom
wwwHealthTakesGutscom
DianneRishikofgmailcom
wwwHealthTakesGutscom
Resources and References
httpwwwadditudemagcom
httpfeingoldorg
diannerishikofcomnutritional-supplements
The kid-friendly ADHD and Autism Cookbook
Amen Daniel Healing ADD New York Berkeley Publishing 2013
ADHD without drugs Sandford Newmark Tucson AZ Nurtured Heart Publications c2010
wwwHealthTakesGutscom
References
Shaken E Lakhan and Karen F Vieira Nutrition therapies
for mental disorders Nutrition Journal 2008 72
Neurotransmitters excreted in the urine as biomarkers of
nervous system activity Validity and clinical applicability David T Marclowast Joseph W Ailts Danielle C Ailts
Campeau Michael J Bull Kelly L Olson NeuroScience Inc 373 280th Street Osceola WI 54020 United States
httpwwwncbinlmnihgovpubmed25925875
Complement Ther Clin Pract 2015 May21(2)61-7 doi 101016jctcp201504001 Epub 2015 Apr 18
wwwHealthTakesGutscom
Gut Health references
1 Forsyth P Voices from within gut microbes and the CNS Cell Mol Life Science 2013 7055-69
2 Koloski NA Jones M Kalantar J Weltman M Zaguirre J Talley NJ The brain-gut pathway in functional gastrointestinal disorders is bidirectional a 12-year prospective population-based study Gut 2012611284-1290
3 Marilia Carabottia Annunziata Sciroccoa Maria Antonietta Masellib Carola Severia The gut-brain axis interactions between enteric microbiota central and enteric nervous systems Annals of Gastroenterology (2015) 28 203-209
wwwHealthTakesGutscom
Exercise references
1 httpwwwncbinlmnihgovpubmed26504324 Phys Ther Sci 2015 Sep27(9)2915-9 doi 101589jpts272915 Epub 2015 Sep 30
2 httpwwwncbinlmnihgovpubmed25988743Child Care Health Dev 2015 May 18 doi 101111cch12255 The main cumulative evidence indicates that short-term aerobic exercise based on several aerobic intervention formats seems to be effective for mitigating symptoms such as attention hyperactivity impulsivity anxiety executive function and social disorders in children with ADHD
3 httpwwwncbinlmnihgovpubmed25671205J Exerc Nutrition Biochem 2014 Dec18(4)379-84 doi 105717jenb2014184379 Epub 2014 Dec 31We thus showed that exercise effectivelyalleviates ADHD-induced symptoms through enhancing dopamine D2 expression in the brain
wwwHealthTakesGutscom
Exercise references
4 httpwwwncbinlmnihgovpubmed25646023 J Atten Disord 2015 Feb 2 pii 1087054715569282 A 12-week table tennis exercise mayhave clinical relevance in motor skills and executive functions of children with ADHD
5 httpwwwncbinlmnihgovpubmed25561359 Res Dev Disabil 2015 Mar38181-91 doi 101016jridd201412005 These findings support the hypothesis that long-term PA has a positive effect on executive functions of children with ADHD regardless of the specificity of the PA The outcomes indicated that regular PA can be used as a complementary or alternative non-pharmacologic treatment for ADHD
6 httpwwwncbinlmnihgovpubmed25220093Child Adolesc Psychiatr Clin N Am 2014 Oct23(4)899-936 doi 101016jchc201405005these data provide a strong rationale for whya program of structured physical exercise might serve as an effectiveintervention for children with ADHD
wwwHealthTakesGutscom
Exercise references
7
httpwwwtheatlanticcomhealtharchive201409exe
rcise-seems-to-be-beneficial-to-children380844
8
httpwwwncbinlmnihgovpmcarticlesPMC3556380
9
httpwwwncbinlmnihgovpmcarticlesPMC3556380
wwwHealthTakesGutscom
Diet references
1 httpwwwncbinlmnihgovpubmed24934907 Nord
J Psychiatry 2015 Jan69(1)1-18 doi
103109080394882014921933
2 httpwwwncbinlmnihgovpubmed18826452 Nutr Rev 2008 Oct66(10)558-68
3 Child Adolesc Psychiatr Clin N Am 2014 October
23(4) 937ndash953 doi101016jchc201405010
wwwHealthTakesGutscom
Diet references
4 httpwwwncbinlmnihgovpubmed22232312
Pediatrics 2012 Feb129(2)330-7 doi 101542peds2011-
2199 Epub 2012 Jan 9 The diet factor in attention-
deficithyperactivity disorder Millichap JG1 Yee MM
5 httpwwwncbinlmnihgovpubmed20034331Acta
Med Croatica 2009 Oct63(4)307-13
6 httpwwwncbinlmnihgovpubmed14687872Prog
Neuropsychopharmacol Biol Psychiatry 2004
Jan28(1)181-90
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
httpwwwncbinlmnihgovpubmed26137496
Biomed Res Int 20152015962857 doi 1011552015962857
httpwwwncbinlmnihgovpubmed26207130
Psychiatry Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26188640
Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
httpwwwncbinlmnihgovpubmed26664441
Iran J Child Neurol 2015 Fall9(4)48-53
httpwwwncbinlmnihgovpubmed24610453
Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5
wwwHealthTakesGutscom
References
lsquohttpwwwncbinlmnihgovpubmed16846100
Magnes Res 2006 Mar19(1)46-52
httpwwwncbinlmnihgovpubmed25373528
Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432
httpwwwncbinlmnihgovpubmed26682999
J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105
httpwwwncbinlmnihgovpubmed26573368
Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
Individual Nutrients
Omega 3 fatty acids
Essential to eat (can not make)
Crucial for brain function
ADHD have lower levels in the blood vs lsquonormalrsquo kids
Deficiencies of O-3 cause
Decreased attention
Increased hyperactivity
Increased impulsivity
Supplementation STRONG evidence
300mg-2000mg a day
wwwHealthTakesGutscom
Individual Nutrients Iron
Ferratin
ADHD kids have half what they should
Measure first never supplement blindly
Zinc
Low zinc is correlated with ADHD
Studies show ADHD improved with supplemental zinc
Essential fatty acid conversion
Brain development
Neurotransmitter conversion
Deficiency symptom inattentiveness httpwwwncbinlmnihgovpubmed20034331Acta Med Croatica 2009
Oct63(4)307-13
httpwwwncbinlmnihgovpubmed14687872Prog Neuropsychopharmacol Biol Psychiatry 2004 Jan28(1)181-90
wwwHealthTakesGutscom
Individual Nutrients Magnesium
Low levels have been documented in ADHD
Deficiency symptoms distractibility hyperactivity
Supplementation = improvement
Especially if in conjunction with Zinc and O-3
80-200mgday
Glycinate
lsquohttpwwwncbinlmnihgovpubmed16846100 Magnes Res 2006 Mar19(1)46-52
httpwwwncbinlmnihgovpubmed25373528Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432
Vitamin D
Common deficiency httpwwwncbinlmnihgovpubmed26664441 Iran J Child Neurol 2015
Fall9(4)48-53
httpwwwncbinlmnihgovpubmed24610453Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5
wwwHealthTakesGutscom
Individual Nutrients
Folate
Methylfolate
MTHFR
B6
P-5-P
Choline
Precursor to acetylcholine-NT for focus and processing
speed
Carnitine
Reduces hyperactivity
wwwHealthTakesGutscom
Individual nutrients
Phosphatidylserine
Good evidence
Improves ADHD symptoms and ST memory
Increases dopamine and acetylcholine levels
Decreases stress
With O-3 reduces ADHD symptoms (hyperactive) httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
Individual Nutrients
Anti-oxidants
Oxidative stress
Detox
Glutathione
Vitamins C E A Selenium httpwwwncbinlmnihgovpubmed26207130 Psychiatry
Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
httpwwwncbinlmnihgovpubmed26188640Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
wwwHealthTakesGutscom
Individual Supplements
Gingko Biloba
Helps with focus and attention
httpwwwncbinlmnihgovpubmed25925875
Tyrosine
Precursor to dopamine
5HTP
Precursor to serotonin
wwwHealthTakesGutscom
Supplements of note
Calming
Glutamine
Precursor to GABA
GABA
Valerian
Lemon balm
L-theanine
Inositol
wwwHealthTakesGutscom
Supplements of note
Huperzine
Increases acetylcholine in brain
Bacopa monnierei
Focus and attention
wwwHealthTakesGutscom
Toxins
Heavy metals
Mercury
Lead
Chemicals
Food
Pesticides additives
Cleaning
Air
smoke
Toys plastic PCBs
wwwHealthTakesGutscom
Testing
Micronutrient (Spectracell)
Genetic SNP testing (23andme Genomics Solutions Now
Neuroscience Nutrigenomix)
Heavy Metal Testing (urine or hair)
Neurotransmitter (urine) Neurotransmitters excreted in the urine as biomarkers of nervous system activity Validity and
clinical applicabilityDavid T Marclowast Joseph W Ailts Danielle C Ailts Campeau Michael J Bull Kelly
L OlsonNeuroScience Inc 373 280th Street Osceola WI 54020 United States
Food sensitivity
Organic Acids Test (urine)
For Candida dysbiosis
wwwHealthTakesGutscom
Lifestyle factors
Exercise
STRONG evidence Exercise References 1 2 3 4 5 6 7 8 9
Improves ADHD
Sleep
7-8 hours a night httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
Limit screens
30min-1 hrday
wwwHealthTakesGutscom
Lifestyle Factors
Meditation and mindfulness and yoga httpwwwncbinlmnihgovpubmed26137496Biomed Res Int
20152015962857 doi 1011552015962857
Martial Arts
Biofeedback neurofeedback
Nature
Fresh air
Time in nature calms brain
wwwHealthTakesGutscom
Putting it all together
Whole foods diet
Processed food free-eliminates many problems
Get rid of additives
Possible elimination of gluten dairy salicylates
Plenty of water
Make sure high protein breakfast
Supplements Multivitamin
O-3s
Probiotic
Consider folate Mg Zn other specfic nutrients
Others as needed based on individual case
wwwHealthTakesGutscom
Putting it all together
Testing
Determined if needed based on individual case
Exercise
Sleep
Limit screens
Nature
Be aware of the nutritional implications of meds
wwwHealthTakesGutscom
Questions
Dianne Rishikof MS RDN LDN
wwwDianneRishikofcom
wwwHealthTakesGutscom
DianneRishikofgmailcom
wwwHealthTakesGutscom
Resources and References
httpwwwadditudemagcom
httpfeingoldorg
diannerishikofcomnutritional-supplements
The kid-friendly ADHD and Autism Cookbook
Amen Daniel Healing ADD New York Berkeley Publishing 2013
ADHD without drugs Sandford Newmark Tucson AZ Nurtured Heart Publications c2010
wwwHealthTakesGutscom
References
Shaken E Lakhan and Karen F Vieira Nutrition therapies
for mental disorders Nutrition Journal 2008 72
Neurotransmitters excreted in the urine as biomarkers of
nervous system activity Validity and clinical applicability David T Marclowast Joseph W Ailts Danielle C Ailts
Campeau Michael J Bull Kelly L Olson NeuroScience Inc 373 280th Street Osceola WI 54020 United States
httpwwwncbinlmnihgovpubmed25925875
Complement Ther Clin Pract 2015 May21(2)61-7 doi 101016jctcp201504001 Epub 2015 Apr 18
wwwHealthTakesGutscom
Gut Health references
1 Forsyth P Voices from within gut microbes and the CNS Cell Mol Life Science 2013 7055-69
2 Koloski NA Jones M Kalantar J Weltman M Zaguirre J Talley NJ The brain-gut pathway in functional gastrointestinal disorders is bidirectional a 12-year prospective population-based study Gut 2012611284-1290
3 Marilia Carabottia Annunziata Sciroccoa Maria Antonietta Masellib Carola Severia The gut-brain axis interactions between enteric microbiota central and enteric nervous systems Annals of Gastroenterology (2015) 28 203-209
wwwHealthTakesGutscom
Exercise references
1 httpwwwncbinlmnihgovpubmed26504324 Phys Ther Sci 2015 Sep27(9)2915-9 doi 101589jpts272915 Epub 2015 Sep 30
2 httpwwwncbinlmnihgovpubmed25988743Child Care Health Dev 2015 May 18 doi 101111cch12255 The main cumulative evidence indicates that short-term aerobic exercise based on several aerobic intervention formats seems to be effective for mitigating symptoms such as attention hyperactivity impulsivity anxiety executive function and social disorders in children with ADHD
3 httpwwwncbinlmnihgovpubmed25671205J Exerc Nutrition Biochem 2014 Dec18(4)379-84 doi 105717jenb2014184379 Epub 2014 Dec 31We thus showed that exercise effectivelyalleviates ADHD-induced symptoms through enhancing dopamine D2 expression in the brain
wwwHealthTakesGutscom
Exercise references
4 httpwwwncbinlmnihgovpubmed25646023 J Atten Disord 2015 Feb 2 pii 1087054715569282 A 12-week table tennis exercise mayhave clinical relevance in motor skills and executive functions of children with ADHD
5 httpwwwncbinlmnihgovpubmed25561359 Res Dev Disabil 2015 Mar38181-91 doi 101016jridd201412005 These findings support the hypothesis that long-term PA has a positive effect on executive functions of children with ADHD regardless of the specificity of the PA The outcomes indicated that regular PA can be used as a complementary or alternative non-pharmacologic treatment for ADHD
6 httpwwwncbinlmnihgovpubmed25220093Child Adolesc Psychiatr Clin N Am 2014 Oct23(4)899-936 doi 101016jchc201405005these data provide a strong rationale for whya program of structured physical exercise might serve as an effectiveintervention for children with ADHD
wwwHealthTakesGutscom
Exercise references
7
httpwwwtheatlanticcomhealtharchive201409exe
rcise-seems-to-be-beneficial-to-children380844
8
httpwwwncbinlmnihgovpmcarticlesPMC3556380
9
httpwwwncbinlmnihgovpmcarticlesPMC3556380
wwwHealthTakesGutscom
Diet references
1 httpwwwncbinlmnihgovpubmed24934907 Nord
J Psychiatry 2015 Jan69(1)1-18 doi
103109080394882014921933
2 httpwwwncbinlmnihgovpubmed18826452 Nutr Rev 2008 Oct66(10)558-68
3 Child Adolesc Psychiatr Clin N Am 2014 October
23(4) 937ndash953 doi101016jchc201405010
wwwHealthTakesGutscom
Diet references
4 httpwwwncbinlmnihgovpubmed22232312
Pediatrics 2012 Feb129(2)330-7 doi 101542peds2011-
2199 Epub 2012 Jan 9 The diet factor in attention-
deficithyperactivity disorder Millichap JG1 Yee MM
5 httpwwwncbinlmnihgovpubmed20034331Acta
Med Croatica 2009 Oct63(4)307-13
6 httpwwwncbinlmnihgovpubmed14687872Prog
Neuropsychopharmacol Biol Psychiatry 2004
Jan28(1)181-90
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
httpwwwncbinlmnihgovpubmed26137496
Biomed Res Int 20152015962857 doi 1011552015962857
httpwwwncbinlmnihgovpubmed26207130
Psychiatry Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26188640
Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
httpwwwncbinlmnihgovpubmed26664441
Iran J Child Neurol 2015 Fall9(4)48-53
httpwwwncbinlmnihgovpubmed24610453
Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5
wwwHealthTakesGutscom
References
lsquohttpwwwncbinlmnihgovpubmed16846100
Magnes Res 2006 Mar19(1)46-52
httpwwwncbinlmnihgovpubmed25373528
Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432
httpwwwncbinlmnihgovpubmed26682999
J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105
httpwwwncbinlmnihgovpubmed26573368
Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
Individual Nutrients Iron
Ferratin
ADHD kids have half what they should
Measure first never supplement blindly
Zinc
Low zinc is correlated with ADHD
Studies show ADHD improved with supplemental zinc
Essential fatty acid conversion
Brain development
Neurotransmitter conversion
Deficiency symptom inattentiveness httpwwwncbinlmnihgovpubmed20034331Acta Med Croatica 2009
Oct63(4)307-13
httpwwwncbinlmnihgovpubmed14687872Prog Neuropsychopharmacol Biol Psychiatry 2004 Jan28(1)181-90
wwwHealthTakesGutscom
Individual Nutrients Magnesium
Low levels have been documented in ADHD
Deficiency symptoms distractibility hyperactivity
Supplementation = improvement
Especially if in conjunction with Zinc and O-3
80-200mgday
Glycinate
lsquohttpwwwncbinlmnihgovpubmed16846100 Magnes Res 2006 Mar19(1)46-52
httpwwwncbinlmnihgovpubmed25373528Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432
Vitamin D
Common deficiency httpwwwncbinlmnihgovpubmed26664441 Iran J Child Neurol 2015
Fall9(4)48-53
httpwwwncbinlmnihgovpubmed24610453Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5
wwwHealthTakesGutscom
Individual Nutrients
Folate
Methylfolate
MTHFR
B6
P-5-P
Choline
Precursor to acetylcholine-NT for focus and processing
speed
Carnitine
Reduces hyperactivity
wwwHealthTakesGutscom
Individual nutrients
Phosphatidylserine
Good evidence
Improves ADHD symptoms and ST memory
Increases dopamine and acetylcholine levels
Decreases stress
With O-3 reduces ADHD symptoms (hyperactive) httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
Individual Nutrients
Anti-oxidants
Oxidative stress
Detox
Glutathione
Vitamins C E A Selenium httpwwwncbinlmnihgovpubmed26207130 Psychiatry
Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
httpwwwncbinlmnihgovpubmed26188640Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
wwwHealthTakesGutscom
Individual Supplements
Gingko Biloba
Helps with focus and attention
httpwwwncbinlmnihgovpubmed25925875
Tyrosine
Precursor to dopamine
5HTP
Precursor to serotonin
wwwHealthTakesGutscom
Supplements of note
Calming
Glutamine
Precursor to GABA
GABA
Valerian
Lemon balm
L-theanine
Inositol
wwwHealthTakesGutscom
Supplements of note
Huperzine
Increases acetylcholine in brain
Bacopa monnierei
Focus and attention
wwwHealthTakesGutscom
Toxins
Heavy metals
Mercury
Lead
Chemicals
Food
Pesticides additives
Cleaning
Air
smoke
Toys plastic PCBs
wwwHealthTakesGutscom
Testing
Micronutrient (Spectracell)
Genetic SNP testing (23andme Genomics Solutions Now
Neuroscience Nutrigenomix)
Heavy Metal Testing (urine or hair)
Neurotransmitter (urine) Neurotransmitters excreted in the urine as biomarkers of nervous system activity Validity and
clinical applicabilityDavid T Marclowast Joseph W Ailts Danielle C Ailts Campeau Michael J Bull Kelly
L OlsonNeuroScience Inc 373 280th Street Osceola WI 54020 United States
Food sensitivity
Organic Acids Test (urine)
For Candida dysbiosis
wwwHealthTakesGutscom
Lifestyle factors
Exercise
STRONG evidence Exercise References 1 2 3 4 5 6 7 8 9
Improves ADHD
Sleep
7-8 hours a night httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
Limit screens
30min-1 hrday
wwwHealthTakesGutscom
Lifestyle Factors
Meditation and mindfulness and yoga httpwwwncbinlmnihgovpubmed26137496Biomed Res Int
20152015962857 doi 1011552015962857
Martial Arts
Biofeedback neurofeedback
Nature
Fresh air
Time in nature calms brain
wwwHealthTakesGutscom
Putting it all together
Whole foods diet
Processed food free-eliminates many problems
Get rid of additives
Possible elimination of gluten dairy salicylates
Plenty of water
Make sure high protein breakfast
Supplements Multivitamin
O-3s
Probiotic
Consider folate Mg Zn other specfic nutrients
Others as needed based on individual case
wwwHealthTakesGutscom
Putting it all together
Testing
Determined if needed based on individual case
Exercise
Sleep
Limit screens
Nature
Be aware of the nutritional implications of meds
wwwHealthTakesGutscom
Questions
Dianne Rishikof MS RDN LDN
wwwDianneRishikofcom
wwwHealthTakesGutscom
DianneRishikofgmailcom
wwwHealthTakesGutscom
Resources and References
httpwwwadditudemagcom
httpfeingoldorg
diannerishikofcomnutritional-supplements
The kid-friendly ADHD and Autism Cookbook
Amen Daniel Healing ADD New York Berkeley Publishing 2013
ADHD without drugs Sandford Newmark Tucson AZ Nurtured Heart Publications c2010
wwwHealthTakesGutscom
References
Shaken E Lakhan and Karen F Vieira Nutrition therapies
for mental disorders Nutrition Journal 2008 72
Neurotransmitters excreted in the urine as biomarkers of
nervous system activity Validity and clinical applicability David T Marclowast Joseph W Ailts Danielle C Ailts
Campeau Michael J Bull Kelly L Olson NeuroScience Inc 373 280th Street Osceola WI 54020 United States
httpwwwncbinlmnihgovpubmed25925875
Complement Ther Clin Pract 2015 May21(2)61-7 doi 101016jctcp201504001 Epub 2015 Apr 18
wwwHealthTakesGutscom
Gut Health references
1 Forsyth P Voices from within gut microbes and the CNS Cell Mol Life Science 2013 7055-69
2 Koloski NA Jones M Kalantar J Weltman M Zaguirre J Talley NJ The brain-gut pathway in functional gastrointestinal disorders is bidirectional a 12-year prospective population-based study Gut 2012611284-1290
3 Marilia Carabottia Annunziata Sciroccoa Maria Antonietta Masellib Carola Severia The gut-brain axis interactions between enteric microbiota central and enteric nervous systems Annals of Gastroenterology (2015) 28 203-209
wwwHealthTakesGutscom
Exercise references
1 httpwwwncbinlmnihgovpubmed26504324 Phys Ther Sci 2015 Sep27(9)2915-9 doi 101589jpts272915 Epub 2015 Sep 30
2 httpwwwncbinlmnihgovpubmed25988743Child Care Health Dev 2015 May 18 doi 101111cch12255 The main cumulative evidence indicates that short-term aerobic exercise based on several aerobic intervention formats seems to be effective for mitigating symptoms such as attention hyperactivity impulsivity anxiety executive function and social disorders in children with ADHD
3 httpwwwncbinlmnihgovpubmed25671205J Exerc Nutrition Biochem 2014 Dec18(4)379-84 doi 105717jenb2014184379 Epub 2014 Dec 31We thus showed that exercise effectivelyalleviates ADHD-induced symptoms through enhancing dopamine D2 expression in the brain
wwwHealthTakesGutscom
Exercise references
4 httpwwwncbinlmnihgovpubmed25646023 J Atten Disord 2015 Feb 2 pii 1087054715569282 A 12-week table tennis exercise mayhave clinical relevance in motor skills and executive functions of children with ADHD
5 httpwwwncbinlmnihgovpubmed25561359 Res Dev Disabil 2015 Mar38181-91 doi 101016jridd201412005 These findings support the hypothesis that long-term PA has a positive effect on executive functions of children with ADHD regardless of the specificity of the PA The outcomes indicated that regular PA can be used as a complementary or alternative non-pharmacologic treatment for ADHD
6 httpwwwncbinlmnihgovpubmed25220093Child Adolesc Psychiatr Clin N Am 2014 Oct23(4)899-936 doi 101016jchc201405005these data provide a strong rationale for whya program of structured physical exercise might serve as an effectiveintervention for children with ADHD
wwwHealthTakesGutscom
Exercise references
7
httpwwwtheatlanticcomhealtharchive201409exe
rcise-seems-to-be-beneficial-to-children380844
8
httpwwwncbinlmnihgovpmcarticlesPMC3556380
9
httpwwwncbinlmnihgovpmcarticlesPMC3556380
wwwHealthTakesGutscom
Diet references
1 httpwwwncbinlmnihgovpubmed24934907 Nord
J Psychiatry 2015 Jan69(1)1-18 doi
103109080394882014921933
2 httpwwwncbinlmnihgovpubmed18826452 Nutr Rev 2008 Oct66(10)558-68
3 Child Adolesc Psychiatr Clin N Am 2014 October
23(4) 937ndash953 doi101016jchc201405010
wwwHealthTakesGutscom
Diet references
4 httpwwwncbinlmnihgovpubmed22232312
Pediatrics 2012 Feb129(2)330-7 doi 101542peds2011-
2199 Epub 2012 Jan 9 The diet factor in attention-
deficithyperactivity disorder Millichap JG1 Yee MM
5 httpwwwncbinlmnihgovpubmed20034331Acta
Med Croatica 2009 Oct63(4)307-13
6 httpwwwncbinlmnihgovpubmed14687872Prog
Neuropsychopharmacol Biol Psychiatry 2004
Jan28(1)181-90
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
httpwwwncbinlmnihgovpubmed26137496
Biomed Res Int 20152015962857 doi 1011552015962857
httpwwwncbinlmnihgovpubmed26207130
Psychiatry Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26188640
Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
httpwwwncbinlmnihgovpubmed26664441
Iran J Child Neurol 2015 Fall9(4)48-53
httpwwwncbinlmnihgovpubmed24610453
Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5
wwwHealthTakesGutscom
References
lsquohttpwwwncbinlmnihgovpubmed16846100
Magnes Res 2006 Mar19(1)46-52
httpwwwncbinlmnihgovpubmed25373528
Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432
httpwwwncbinlmnihgovpubmed26682999
J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105
httpwwwncbinlmnihgovpubmed26573368
Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
Individual Nutrients Magnesium
Low levels have been documented in ADHD
Deficiency symptoms distractibility hyperactivity
Supplementation = improvement
Especially if in conjunction with Zinc and O-3
80-200mgday
Glycinate
lsquohttpwwwncbinlmnihgovpubmed16846100 Magnes Res 2006 Mar19(1)46-52
httpwwwncbinlmnihgovpubmed25373528Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432
Vitamin D
Common deficiency httpwwwncbinlmnihgovpubmed26664441 Iran J Child Neurol 2015
Fall9(4)48-53
httpwwwncbinlmnihgovpubmed24610453Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5
wwwHealthTakesGutscom
Individual Nutrients
Folate
Methylfolate
MTHFR
B6
P-5-P
Choline
Precursor to acetylcholine-NT for focus and processing
speed
Carnitine
Reduces hyperactivity
wwwHealthTakesGutscom
Individual nutrients
Phosphatidylserine
Good evidence
Improves ADHD symptoms and ST memory
Increases dopamine and acetylcholine levels
Decreases stress
With O-3 reduces ADHD symptoms (hyperactive) httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
Individual Nutrients
Anti-oxidants
Oxidative stress
Detox
Glutathione
Vitamins C E A Selenium httpwwwncbinlmnihgovpubmed26207130 Psychiatry
Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
httpwwwncbinlmnihgovpubmed26188640Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
wwwHealthTakesGutscom
Individual Supplements
Gingko Biloba
Helps with focus and attention
httpwwwncbinlmnihgovpubmed25925875
Tyrosine
Precursor to dopamine
5HTP
Precursor to serotonin
wwwHealthTakesGutscom
Supplements of note
Calming
Glutamine
Precursor to GABA
GABA
Valerian
Lemon balm
L-theanine
Inositol
wwwHealthTakesGutscom
Supplements of note
Huperzine
Increases acetylcholine in brain
Bacopa monnierei
Focus and attention
wwwHealthTakesGutscom
Toxins
Heavy metals
Mercury
Lead
Chemicals
Food
Pesticides additives
Cleaning
Air
smoke
Toys plastic PCBs
wwwHealthTakesGutscom
Testing
Micronutrient (Spectracell)
Genetic SNP testing (23andme Genomics Solutions Now
Neuroscience Nutrigenomix)
Heavy Metal Testing (urine or hair)
Neurotransmitter (urine) Neurotransmitters excreted in the urine as biomarkers of nervous system activity Validity and
clinical applicabilityDavid T Marclowast Joseph W Ailts Danielle C Ailts Campeau Michael J Bull Kelly
L OlsonNeuroScience Inc 373 280th Street Osceola WI 54020 United States
Food sensitivity
Organic Acids Test (urine)
For Candida dysbiosis
wwwHealthTakesGutscom
Lifestyle factors
Exercise
STRONG evidence Exercise References 1 2 3 4 5 6 7 8 9
Improves ADHD
Sleep
7-8 hours a night httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
Limit screens
30min-1 hrday
wwwHealthTakesGutscom
Lifestyle Factors
Meditation and mindfulness and yoga httpwwwncbinlmnihgovpubmed26137496Biomed Res Int
20152015962857 doi 1011552015962857
Martial Arts
Biofeedback neurofeedback
Nature
Fresh air
Time in nature calms brain
wwwHealthTakesGutscom
Putting it all together
Whole foods diet
Processed food free-eliminates many problems
Get rid of additives
Possible elimination of gluten dairy salicylates
Plenty of water
Make sure high protein breakfast
Supplements Multivitamin
O-3s
Probiotic
Consider folate Mg Zn other specfic nutrients
Others as needed based on individual case
wwwHealthTakesGutscom
Putting it all together
Testing
Determined if needed based on individual case
Exercise
Sleep
Limit screens
Nature
Be aware of the nutritional implications of meds
wwwHealthTakesGutscom
Questions
Dianne Rishikof MS RDN LDN
wwwDianneRishikofcom
wwwHealthTakesGutscom
DianneRishikofgmailcom
wwwHealthTakesGutscom
Resources and References
httpwwwadditudemagcom
httpfeingoldorg
diannerishikofcomnutritional-supplements
The kid-friendly ADHD and Autism Cookbook
Amen Daniel Healing ADD New York Berkeley Publishing 2013
ADHD without drugs Sandford Newmark Tucson AZ Nurtured Heart Publications c2010
wwwHealthTakesGutscom
References
Shaken E Lakhan and Karen F Vieira Nutrition therapies
for mental disorders Nutrition Journal 2008 72
Neurotransmitters excreted in the urine as biomarkers of
nervous system activity Validity and clinical applicability David T Marclowast Joseph W Ailts Danielle C Ailts
Campeau Michael J Bull Kelly L Olson NeuroScience Inc 373 280th Street Osceola WI 54020 United States
httpwwwncbinlmnihgovpubmed25925875
Complement Ther Clin Pract 2015 May21(2)61-7 doi 101016jctcp201504001 Epub 2015 Apr 18
wwwHealthTakesGutscom
Gut Health references
1 Forsyth P Voices from within gut microbes and the CNS Cell Mol Life Science 2013 7055-69
2 Koloski NA Jones M Kalantar J Weltman M Zaguirre J Talley NJ The brain-gut pathway in functional gastrointestinal disorders is bidirectional a 12-year prospective population-based study Gut 2012611284-1290
3 Marilia Carabottia Annunziata Sciroccoa Maria Antonietta Masellib Carola Severia The gut-brain axis interactions between enteric microbiota central and enteric nervous systems Annals of Gastroenterology (2015) 28 203-209
wwwHealthTakesGutscom
Exercise references
1 httpwwwncbinlmnihgovpubmed26504324 Phys Ther Sci 2015 Sep27(9)2915-9 doi 101589jpts272915 Epub 2015 Sep 30
2 httpwwwncbinlmnihgovpubmed25988743Child Care Health Dev 2015 May 18 doi 101111cch12255 The main cumulative evidence indicates that short-term aerobic exercise based on several aerobic intervention formats seems to be effective for mitigating symptoms such as attention hyperactivity impulsivity anxiety executive function and social disorders in children with ADHD
3 httpwwwncbinlmnihgovpubmed25671205J Exerc Nutrition Biochem 2014 Dec18(4)379-84 doi 105717jenb2014184379 Epub 2014 Dec 31We thus showed that exercise effectivelyalleviates ADHD-induced symptoms through enhancing dopamine D2 expression in the brain
wwwHealthTakesGutscom
Exercise references
4 httpwwwncbinlmnihgovpubmed25646023 J Atten Disord 2015 Feb 2 pii 1087054715569282 A 12-week table tennis exercise mayhave clinical relevance in motor skills and executive functions of children with ADHD
5 httpwwwncbinlmnihgovpubmed25561359 Res Dev Disabil 2015 Mar38181-91 doi 101016jridd201412005 These findings support the hypothesis that long-term PA has a positive effect on executive functions of children with ADHD regardless of the specificity of the PA The outcomes indicated that regular PA can be used as a complementary or alternative non-pharmacologic treatment for ADHD
6 httpwwwncbinlmnihgovpubmed25220093Child Adolesc Psychiatr Clin N Am 2014 Oct23(4)899-936 doi 101016jchc201405005these data provide a strong rationale for whya program of structured physical exercise might serve as an effectiveintervention for children with ADHD
wwwHealthTakesGutscom
Exercise references
7
httpwwwtheatlanticcomhealtharchive201409exe
rcise-seems-to-be-beneficial-to-children380844
8
httpwwwncbinlmnihgovpmcarticlesPMC3556380
9
httpwwwncbinlmnihgovpmcarticlesPMC3556380
wwwHealthTakesGutscom
Diet references
1 httpwwwncbinlmnihgovpubmed24934907 Nord
J Psychiatry 2015 Jan69(1)1-18 doi
103109080394882014921933
2 httpwwwncbinlmnihgovpubmed18826452 Nutr Rev 2008 Oct66(10)558-68
3 Child Adolesc Psychiatr Clin N Am 2014 October
23(4) 937ndash953 doi101016jchc201405010
wwwHealthTakesGutscom
Diet references
4 httpwwwncbinlmnihgovpubmed22232312
Pediatrics 2012 Feb129(2)330-7 doi 101542peds2011-
2199 Epub 2012 Jan 9 The diet factor in attention-
deficithyperactivity disorder Millichap JG1 Yee MM
5 httpwwwncbinlmnihgovpubmed20034331Acta
Med Croatica 2009 Oct63(4)307-13
6 httpwwwncbinlmnihgovpubmed14687872Prog
Neuropsychopharmacol Biol Psychiatry 2004
Jan28(1)181-90
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
httpwwwncbinlmnihgovpubmed26137496
Biomed Res Int 20152015962857 doi 1011552015962857
httpwwwncbinlmnihgovpubmed26207130
Psychiatry Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26188640
Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
httpwwwncbinlmnihgovpubmed26664441
Iran J Child Neurol 2015 Fall9(4)48-53
httpwwwncbinlmnihgovpubmed24610453
Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5
wwwHealthTakesGutscom
References
lsquohttpwwwncbinlmnihgovpubmed16846100
Magnes Res 2006 Mar19(1)46-52
httpwwwncbinlmnihgovpubmed25373528
Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432
httpwwwncbinlmnihgovpubmed26682999
J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105
httpwwwncbinlmnihgovpubmed26573368
Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
Individual Nutrients
Folate
Methylfolate
MTHFR
B6
P-5-P
Choline
Precursor to acetylcholine-NT for focus and processing
speed
Carnitine
Reduces hyperactivity
wwwHealthTakesGutscom
Individual nutrients
Phosphatidylserine
Good evidence
Improves ADHD symptoms and ST memory
Increases dopamine and acetylcholine levels
Decreases stress
With O-3 reduces ADHD symptoms (hyperactive) httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
Individual Nutrients
Anti-oxidants
Oxidative stress
Detox
Glutathione
Vitamins C E A Selenium httpwwwncbinlmnihgovpubmed26207130 Psychiatry
Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
httpwwwncbinlmnihgovpubmed26188640Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
wwwHealthTakesGutscom
Individual Supplements
Gingko Biloba
Helps with focus and attention
httpwwwncbinlmnihgovpubmed25925875
Tyrosine
Precursor to dopamine
5HTP
Precursor to serotonin
wwwHealthTakesGutscom
Supplements of note
Calming
Glutamine
Precursor to GABA
GABA
Valerian
Lemon balm
L-theanine
Inositol
wwwHealthTakesGutscom
Supplements of note
Huperzine
Increases acetylcholine in brain
Bacopa monnierei
Focus and attention
wwwHealthTakesGutscom
Toxins
Heavy metals
Mercury
Lead
Chemicals
Food
Pesticides additives
Cleaning
Air
smoke
Toys plastic PCBs
wwwHealthTakesGutscom
Testing
Micronutrient (Spectracell)
Genetic SNP testing (23andme Genomics Solutions Now
Neuroscience Nutrigenomix)
Heavy Metal Testing (urine or hair)
Neurotransmitter (urine) Neurotransmitters excreted in the urine as biomarkers of nervous system activity Validity and
clinical applicabilityDavid T Marclowast Joseph W Ailts Danielle C Ailts Campeau Michael J Bull Kelly
L OlsonNeuroScience Inc 373 280th Street Osceola WI 54020 United States
Food sensitivity
Organic Acids Test (urine)
For Candida dysbiosis
wwwHealthTakesGutscom
Lifestyle factors
Exercise
STRONG evidence Exercise References 1 2 3 4 5 6 7 8 9
Improves ADHD
Sleep
7-8 hours a night httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
Limit screens
30min-1 hrday
wwwHealthTakesGutscom
Lifestyle Factors
Meditation and mindfulness and yoga httpwwwncbinlmnihgovpubmed26137496Biomed Res Int
20152015962857 doi 1011552015962857
Martial Arts
Biofeedback neurofeedback
Nature
Fresh air
Time in nature calms brain
wwwHealthTakesGutscom
Putting it all together
Whole foods diet
Processed food free-eliminates many problems
Get rid of additives
Possible elimination of gluten dairy salicylates
Plenty of water
Make sure high protein breakfast
Supplements Multivitamin
O-3s
Probiotic
Consider folate Mg Zn other specfic nutrients
Others as needed based on individual case
wwwHealthTakesGutscom
Putting it all together
Testing
Determined if needed based on individual case
Exercise
Sleep
Limit screens
Nature
Be aware of the nutritional implications of meds
wwwHealthTakesGutscom
Questions
Dianne Rishikof MS RDN LDN
wwwDianneRishikofcom
wwwHealthTakesGutscom
DianneRishikofgmailcom
wwwHealthTakesGutscom
Resources and References
httpwwwadditudemagcom
httpfeingoldorg
diannerishikofcomnutritional-supplements
The kid-friendly ADHD and Autism Cookbook
Amen Daniel Healing ADD New York Berkeley Publishing 2013
ADHD without drugs Sandford Newmark Tucson AZ Nurtured Heart Publications c2010
wwwHealthTakesGutscom
References
Shaken E Lakhan and Karen F Vieira Nutrition therapies
for mental disorders Nutrition Journal 2008 72
Neurotransmitters excreted in the urine as biomarkers of
nervous system activity Validity and clinical applicability David T Marclowast Joseph W Ailts Danielle C Ailts
Campeau Michael J Bull Kelly L Olson NeuroScience Inc 373 280th Street Osceola WI 54020 United States
httpwwwncbinlmnihgovpubmed25925875
Complement Ther Clin Pract 2015 May21(2)61-7 doi 101016jctcp201504001 Epub 2015 Apr 18
wwwHealthTakesGutscom
Gut Health references
1 Forsyth P Voices from within gut microbes and the CNS Cell Mol Life Science 2013 7055-69
2 Koloski NA Jones M Kalantar J Weltman M Zaguirre J Talley NJ The brain-gut pathway in functional gastrointestinal disorders is bidirectional a 12-year prospective population-based study Gut 2012611284-1290
3 Marilia Carabottia Annunziata Sciroccoa Maria Antonietta Masellib Carola Severia The gut-brain axis interactions between enteric microbiota central and enteric nervous systems Annals of Gastroenterology (2015) 28 203-209
wwwHealthTakesGutscom
Exercise references
1 httpwwwncbinlmnihgovpubmed26504324 Phys Ther Sci 2015 Sep27(9)2915-9 doi 101589jpts272915 Epub 2015 Sep 30
2 httpwwwncbinlmnihgovpubmed25988743Child Care Health Dev 2015 May 18 doi 101111cch12255 The main cumulative evidence indicates that short-term aerobic exercise based on several aerobic intervention formats seems to be effective for mitigating symptoms such as attention hyperactivity impulsivity anxiety executive function and social disorders in children with ADHD
3 httpwwwncbinlmnihgovpubmed25671205J Exerc Nutrition Biochem 2014 Dec18(4)379-84 doi 105717jenb2014184379 Epub 2014 Dec 31We thus showed that exercise effectivelyalleviates ADHD-induced symptoms through enhancing dopamine D2 expression in the brain
wwwHealthTakesGutscom
Exercise references
4 httpwwwncbinlmnihgovpubmed25646023 J Atten Disord 2015 Feb 2 pii 1087054715569282 A 12-week table tennis exercise mayhave clinical relevance in motor skills and executive functions of children with ADHD
5 httpwwwncbinlmnihgovpubmed25561359 Res Dev Disabil 2015 Mar38181-91 doi 101016jridd201412005 These findings support the hypothesis that long-term PA has a positive effect on executive functions of children with ADHD regardless of the specificity of the PA The outcomes indicated that regular PA can be used as a complementary or alternative non-pharmacologic treatment for ADHD
6 httpwwwncbinlmnihgovpubmed25220093Child Adolesc Psychiatr Clin N Am 2014 Oct23(4)899-936 doi 101016jchc201405005these data provide a strong rationale for whya program of structured physical exercise might serve as an effectiveintervention for children with ADHD
wwwHealthTakesGutscom
Exercise references
7
httpwwwtheatlanticcomhealtharchive201409exe
rcise-seems-to-be-beneficial-to-children380844
8
httpwwwncbinlmnihgovpmcarticlesPMC3556380
9
httpwwwncbinlmnihgovpmcarticlesPMC3556380
wwwHealthTakesGutscom
Diet references
1 httpwwwncbinlmnihgovpubmed24934907 Nord
J Psychiatry 2015 Jan69(1)1-18 doi
103109080394882014921933
2 httpwwwncbinlmnihgovpubmed18826452 Nutr Rev 2008 Oct66(10)558-68
3 Child Adolesc Psychiatr Clin N Am 2014 October
23(4) 937ndash953 doi101016jchc201405010
wwwHealthTakesGutscom
Diet references
4 httpwwwncbinlmnihgovpubmed22232312
Pediatrics 2012 Feb129(2)330-7 doi 101542peds2011-
2199 Epub 2012 Jan 9 The diet factor in attention-
deficithyperactivity disorder Millichap JG1 Yee MM
5 httpwwwncbinlmnihgovpubmed20034331Acta
Med Croatica 2009 Oct63(4)307-13
6 httpwwwncbinlmnihgovpubmed14687872Prog
Neuropsychopharmacol Biol Psychiatry 2004
Jan28(1)181-90
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
httpwwwncbinlmnihgovpubmed26137496
Biomed Res Int 20152015962857 doi 1011552015962857
httpwwwncbinlmnihgovpubmed26207130
Psychiatry Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26188640
Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
httpwwwncbinlmnihgovpubmed26664441
Iran J Child Neurol 2015 Fall9(4)48-53
httpwwwncbinlmnihgovpubmed24610453
Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5
wwwHealthTakesGutscom
References
lsquohttpwwwncbinlmnihgovpubmed16846100
Magnes Res 2006 Mar19(1)46-52
httpwwwncbinlmnihgovpubmed25373528
Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432
httpwwwncbinlmnihgovpubmed26682999
J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105
httpwwwncbinlmnihgovpubmed26573368
Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
Individual nutrients
Phosphatidylserine
Good evidence
Improves ADHD symptoms and ST memory
Increases dopamine and acetylcholine levels
Decreases stress
With O-3 reduces ADHD symptoms (hyperactive) httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
Individual Nutrients
Anti-oxidants
Oxidative stress
Detox
Glutathione
Vitamins C E A Selenium httpwwwncbinlmnihgovpubmed26207130 Psychiatry
Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
httpwwwncbinlmnihgovpubmed26188640Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
wwwHealthTakesGutscom
Individual Supplements
Gingko Biloba
Helps with focus and attention
httpwwwncbinlmnihgovpubmed25925875
Tyrosine
Precursor to dopamine
5HTP
Precursor to serotonin
wwwHealthTakesGutscom
Supplements of note
Calming
Glutamine
Precursor to GABA
GABA
Valerian
Lemon balm
L-theanine
Inositol
wwwHealthTakesGutscom
Supplements of note
Huperzine
Increases acetylcholine in brain
Bacopa monnierei
Focus and attention
wwwHealthTakesGutscom
Toxins
Heavy metals
Mercury
Lead
Chemicals
Food
Pesticides additives
Cleaning
Air
smoke
Toys plastic PCBs
wwwHealthTakesGutscom
Testing
Micronutrient (Spectracell)
Genetic SNP testing (23andme Genomics Solutions Now
Neuroscience Nutrigenomix)
Heavy Metal Testing (urine or hair)
Neurotransmitter (urine) Neurotransmitters excreted in the urine as biomarkers of nervous system activity Validity and
clinical applicabilityDavid T Marclowast Joseph W Ailts Danielle C Ailts Campeau Michael J Bull Kelly
L OlsonNeuroScience Inc 373 280th Street Osceola WI 54020 United States
Food sensitivity
Organic Acids Test (urine)
For Candida dysbiosis
wwwHealthTakesGutscom
Lifestyle factors
Exercise
STRONG evidence Exercise References 1 2 3 4 5 6 7 8 9
Improves ADHD
Sleep
7-8 hours a night httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
Limit screens
30min-1 hrday
wwwHealthTakesGutscom
Lifestyle Factors
Meditation and mindfulness and yoga httpwwwncbinlmnihgovpubmed26137496Biomed Res Int
20152015962857 doi 1011552015962857
Martial Arts
Biofeedback neurofeedback
Nature
Fresh air
Time in nature calms brain
wwwHealthTakesGutscom
Putting it all together
Whole foods diet
Processed food free-eliminates many problems
Get rid of additives
Possible elimination of gluten dairy salicylates
Plenty of water
Make sure high protein breakfast
Supplements Multivitamin
O-3s
Probiotic
Consider folate Mg Zn other specfic nutrients
Others as needed based on individual case
wwwHealthTakesGutscom
Putting it all together
Testing
Determined if needed based on individual case
Exercise
Sleep
Limit screens
Nature
Be aware of the nutritional implications of meds
wwwHealthTakesGutscom
Questions
Dianne Rishikof MS RDN LDN
wwwDianneRishikofcom
wwwHealthTakesGutscom
DianneRishikofgmailcom
wwwHealthTakesGutscom
Resources and References
httpwwwadditudemagcom
httpfeingoldorg
diannerishikofcomnutritional-supplements
The kid-friendly ADHD and Autism Cookbook
Amen Daniel Healing ADD New York Berkeley Publishing 2013
ADHD without drugs Sandford Newmark Tucson AZ Nurtured Heart Publications c2010
wwwHealthTakesGutscom
References
Shaken E Lakhan and Karen F Vieira Nutrition therapies
for mental disorders Nutrition Journal 2008 72
Neurotransmitters excreted in the urine as biomarkers of
nervous system activity Validity and clinical applicability David T Marclowast Joseph W Ailts Danielle C Ailts
Campeau Michael J Bull Kelly L Olson NeuroScience Inc 373 280th Street Osceola WI 54020 United States
httpwwwncbinlmnihgovpubmed25925875
Complement Ther Clin Pract 2015 May21(2)61-7 doi 101016jctcp201504001 Epub 2015 Apr 18
wwwHealthTakesGutscom
Gut Health references
1 Forsyth P Voices from within gut microbes and the CNS Cell Mol Life Science 2013 7055-69
2 Koloski NA Jones M Kalantar J Weltman M Zaguirre J Talley NJ The brain-gut pathway in functional gastrointestinal disorders is bidirectional a 12-year prospective population-based study Gut 2012611284-1290
3 Marilia Carabottia Annunziata Sciroccoa Maria Antonietta Masellib Carola Severia The gut-brain axis interactions between enteric microbiota central and enteric nervous systems Annals of Gastroenterology (2015) 28 203-209
wwwHealthTakesGutscom
Exercise references
1 httpwwwncbinlmnihgovpubmed26504324 Phys Ther Sci 2015 Sep27(9)2915-9 doi 101589jpts272915 Epub 2015 Sep 30
2 httpwwwncbinlmnihgovpubmed25988743Child Care Health Dev 2015 May 18 doi 101111cch12255 The main cumulative evidence indicates that short-term aerobic exercise based on several aerobic intervention formats seems to be effective for mitigating symptoms such as attention hyperactivity impulsivity anxiety executive function and social disorders in children with ADHD
3 httpwwwncbinlmnihgovpubmed25671205J Exerc Nutrition Biochem 2014 Dec18(4)379-84 doi 105717jenb2014184379 Epub 2014 Dec 31We thus showed that exercise effectivelyalleviates ADHD-induced symptoms through enhancing dopamine D2 expression in the brain
wwwHealthTakesGutscom
Exercise references
4 httpwwwncbinlmnihgovpubmed25646023 J Atten Disord 2015 Feb 2 pii 1087054715569282 A 12-week table tennis exercise mayhave clinical relevance in motor skills and executive functions of children with ADHD
5 httpwwwncbinlmnihgovpubmed25561359 Res Dev Disabil 2015 Mar38181-91 doi 101016jridd201412005 These findings support the hypothesis that long-term PA has a positive effect on executive functions of children with ADHD regardless of the specificity of the PA The outcomes indicated that regular PA can be used as a complementary or alternative non-pharmacologic treatment for ADHD
6 httpwwwncbinlmnihgovpubmed25220093Child Adolesc Psychiatr Clin N Am 2014 Oct23(4)899-936 doi 101016jchc201405005these data provide a strong rationale for whya program of structured physical exercise might serve as an effectiveintervention for children with ADHD
wwwHealthTakesGutscom
Exercise references
7
httpwwwtheatlanticcomhealtharchive201409exe
rcise-seems-to-be-beneficial-to-children380844
8
httpwwwncbinlmnihgovpmcarticlesPMC3556380
9
httpwwwncbinlmnihgovpmcarticlesPMC3556380
wwwHealthTakesGutscom
Diet references
1 httpwwwncbinlmnihgovpubmed24934907 Nord
J Psychiatry 2015 Jan69(1)1-18 doi
103109080394882014921933
2 httpwwwncbinlmnihgovpubmed18826452 Nutr Rev 2008 Oct66(10)558-68
3 Child Adolesc Psychiatr Clin N Am 2014 October
23(4) 937ndash953 doi101016jchc201405010
wwwHealthTakesGutscom
Diet references
4 httpwwwncbinlmnihgovpubmed22232312
Pediatrics 2012 Feb129(2)330-7 doi 101542peds2011-
2199 Epub 2012 Jan 9 The diet factor in attention-
deficithyperactivity disorder Millichap JG1 Yee MM
5 httpwwwncbinlmnihgovpubmed20034331Acta
Med Croatica 2009 Oct63(4)307-13
6 httpwwwncbinlmnihgovpubmed14687872Prog
Neuropsychopharmacol Biol Psychiatry 2004
Jan28(1)181-90
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
httpwwwncbinlmnihgovpubmed26137496
Biomed Res Int 20152015962857 doi 1011552015962857
httpwwwncbinlmnihgovpubmed26207130
Psychiatry Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26188640
Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
httpwwwncbinlmnihgovpubmed26664441
Iran J Child Neurol 2015 Fall9(4)48-53
httpwwwncbinlmnihgovpubmed24610453
Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5
wwwHealthTakesGutscom
References
lsquohttpwwwncbinlmnihgovpubmed16846100
Magnes Res 2006 Mar19(1)46-52
httpwwwncbinlmnihgovpubmed25373528
Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432
httpwwwncbinlmnihgovpubmed26682999
J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105
httpwwwncbinlmnihgovpubmed26573368
Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
Individual Nutrients
Anti-oxidants
Oxidative stress
Detox
Glutathione
Vitamins C E A Selenium httpwwwncbinlmnihgovpubmed26207130 Psychiatry
Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
httpwwwncbinlmnihgovpubmed26188640Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
wwwHealthTakesGutscom
Individual Supplements
Gingko Biloba
Helps with focus and attention
httpwwwncbinlmnihgovpubmed25925875
Tyrosine
Precursor to dopamine
5HTP
Precursor to serotonin
wwwHealthTakesGutscom
Supplements of note
Calming
Glutamine
Precursor to GABA
GABA
Valerian
Lemon balm
L-theanine
Inositol
wwwHealthTakesGutscom
Supplements of note
Huperzine
Increases acetylcholine in brain
Bacopa monnierei
Focus and attention
wwwHealthTakesGutscom
Toxins
Heavy metals
Mercury
Lead
Chemicals
Food
Pesticides additives
Cleaning
Air
smoke
Toys plastic PCBs
wwwHealthTakesGutscom
Testing
Micronutrient (Spectracell)
Genetic SNP testing (23andme Genomics Solutions Now
Neuroscience Nutrigenomix)
Heavy Metal Testing (urine or hair)
Neurotransmitter (urine) Neurotransmitters excreted in the urine as biomarkers of nervous system activity Validity and
clinical applicabilityDavid T Marclowast Joseph W Ailts Danielle C Ailts Campeau Michael J Bull Kelly
L OlsonNeuroScience Inc 373 280th Street Osceola WI 54020 United States
Food sensitivity
Organic Acids Test (urine)
For Candida dysbiosis
wwwHealthTakesGutscom
Lifestyle factors
Exercise
STRONG evidence Exercise References 1 2 3 4 5 6 7 8 9
Improves ADHD
Sleep
7-8 hours a night httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
Limit screens
30min-1 hrday
wwwHealthTakesGutscom
Lifestyle Factors
Meditation and mindfulness and yoga httpwwwncbinlmnihgovpubmed26137496Biomed Res Int
20152015962857 doi 1011552015962857
Martial Arts
Biofeedback neurofeedback
Nature
Fresh air
Time in nature calms brain
wwwHealthTakesGutscom
Putting it all together
Whole foods diet
Processed food free-eliminates many problems
Get rid of additives
Possible elimination of gluten dairy salicylates
Plenty of water
Make sure high protein breakfast
Supplements Multivitamin
O-3s
Probiotic
Consider folate Mg Zn other specfic nutrients
Others as needed based on individual case
wwwHealthTakesGutscom
Putting it all together
Testing
Determined if needed based on individual case
Exercise
Sleep
Limit screens
Nature
Be aware of the nutritional implications of meds
wwwHealthTakesGutscom
Questions
Dianne Rishikof MS RDN LDN
wwwDianneRishikofcom
wwwHealthTakesGutscom
DianneRishikofgmailcom
wwwHealthTakesGutscom
Resources and References
httpwwwadditudemagcom
httpfeingoldorg
diannerishikofcomnutritional-supplements
The kid-friendly ADHD and Autism Cookbook
Amen Daniel Healing ADD New York Berkeley Publishing 2013
ADHD without drugs Sandford Newmark Tucson AZ Nurtured Heart Publications c2010
wwwHealthTakesGutscom
References
Shaken E Lakhan and Karen F Vieira Nutrition therapies
for mental disorders Nutrition Journal 2008 72
Neurotransmitters excreted in the urine as biomarkers of
nervous system activity Validity and clinical applicability David T Marclowast Joseph W Ailts Danielle C Ailts
Campeau Michael J Bull Kelly L Olson NeuroScience Inc 373 280th Street Osceola WI 54020 United States
httpwwwncbinlmnihgovpubmed25925875
Complement Ther Clin Pract 2015 May21(2)61-7 doi 101016jctcp201504001 Epub 2015 Apr 18
wwwHealthTakesGutscom
Gut Health references
1 Forsyth P Voices from within gut microbes and the CNS Cell Mol Life Science 2013 7055-69
2 Koloski NA Jones M Kalantar J Weltman M Zaguirre J Talley NJ The brain-gut pathway in functional gastrointestinal disorders is bidirectional a 12-year prospective population-based study Gut 2012611284-1290
3 Marilia Carabottia Annunziata Sciroccoa Maria Antonietta Masellib Carola Severia The gut-brain axis interactions between enteric microbiota central and enteric nervous systems Annals of Gastroenterology (2015) 28 203-209
wwwHealthTakesGutscom
Exercise references
1 httpwwwncbinlmnihgovpubmed26504324 Phys Ther Sci 2015 Sep27(9)2915-9 doi 101589jpts272915 Epub 2015 Sep 30
2 httpwwwncbinlmnihgovpubmed25988743Child Care Health Dev 2015 May 18 doi 101111cch12255 The main cumulative evidence indicates that short-term aerobic exercise based on several aerobic intervention formats seems to be effective for mitigating symptoms such as attention hyperactivity impulsivity anxiety executive function and social disorders in children with ADHD
3 httpwwwncbinlmnihgovpubmed25671205J Exerc Nutrition Biochem 2014 Dec18(4)379-84 doi 105717jenb2014184379 Epub 2014 Dec 31We thus showed that exercise effectivelyalleviates ADHD-induced symptoms through enhancing dopamine D2 expression in the brain
wwwHealthTakesGutscom
Exercise references
4 httpwwwncbinlmnihgovpubmed25646023 J Atten Disord 2015 Feb 2 pii 1087054715569282 A 12-week table tennis exercise mayhave clinical relevance in motor skills and executive functions of children with ADHD
5 httpwwwncbinlmnihgovpubmed25561359 Res Dev Disabil 2015 Mar38181-91 doi 101016jridd201412005 These findings support the hypothesis that long-term PA has a positive effect on executive functions of children with ADHD regardless of the specificity of the PA The outcomes indicated that regular PA can be used as a complementary or alternative non-pharmacologic treatment for ADHD
6 httpwwwncbinlmnihgovpubmed25220093Child Adolesc Psychiatr Clin N Am 2014 Oct23(4)899-936 doi 101016jchc201405005these data provide a strong rationale for whya program of structured physical exercise might serve as an effectiveintervention for children with ADHD
wwwHealthTakesGutscom
Exercise references
7
httpwwwtheatlanticcomhealtharchive201409exe
rcise-seems-to-be-beneficial-to-children380844
8
httpwwwncbinlmnihgovpmcarticlesPMC3556380
9
httpwwwncbinlmnihgovpmcarticlesPMC3556380
wwwHealthTakesGutscom
Diet references
1 httpwwwncbinlmnihgovpubmed24934907 Nord
J Psychiatry 2015 Jan69(1)1-18 doi
103109080394882014921933
2 httpwwwncbinlmnihgovpubmed18826452 Nutr Rev 2008 Oct66(10)558-68
3 Child Adolesc Psychiatr Clin N Am 2014 October
23(4) 937ndash953 doi101016jchc201405010
wwwHealthTakesGutscom
Diet references
4 httpwwwncbinlmnihgovpubmed22232312
Pediatrics 2012 Feb129(2)330-7 doi 101542peds2011-
2199 Epub 2012 Jan 9 The diet factor in attention-
deficithyperactivity disorder Millichap JG1 Yee MM
5 httpwwwncbinlmnihgovpubmed20034331Acta
Med Croatica 2009 Oct63(4)307-13
6 httpwwwncbinlmnihgovpubmed14687872Prog
Neuropsychopharmacol Biol Psychiatry 2004
Jan28(1)181-90
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
httpwwwncbinlmnihgovpubmed26137496
Biomed Res Int 20152015962857 doi 1011552015962857
httpwwwncbinlmnihgovpubmed26207130
Psychiatry Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26188640
Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
httpwwwncbinlmnihgovpubmed26664441
Iran J Child Neurol 2015 Fall9(4)48-53
httpwwwncbinlmnihgovpubmed24610453
Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5
wwwHealthTakesGutscom
References
lsquohttpwwwncbinlmnihgovpubmed16846100
Magnes Res 2006 Mar19(1)46-52
httpwwwncbinlmnihgovpubmed25373528
Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432
httpwwwncbinlmnihgovpubmed26682999
J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105
httpwwwncbinlmnihgovpubmed26573368
Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
Individual Supplements
Gingko Biloba
Helps with focus and attention
httpwwwncbinlmnihgovpubmed25925875
Tyrosine
Precursor to dopamine
5HTP
Precursor to serotonin
wwwHealthTakesGutscom
Supplements of note
Calming
Glutamine
Precursor to GABA
GABA
Valerian
Lemon balm
L-theanine
Inositol
wwwHealthTakesGutscom
Supplements of note
Huperzine
Increases acetylcholine in brain
Bacopa monnierei
Focus and attention
wwwHealthTakesGutscom
Toxins
Heavy metals
Mercury
Lead
Chemicals
Food
Pesticides additives
Cleaning
Air
smoke
Toys plastic PCBs
wwwHealthTakesGutscom
Testing
Micronutrient (Spectracell)
Genetic SNP testing (23andme Genomics Solutions Now
Neuroscience Nutrigenomix)
Heavy Metal Testing (urine or hair)
Neurotransmitter (urine) Neurotransmitters excreted in the urine as biomarkers of nervous system activity Validity and
clinical applicabilityDavid T Marclowast Joseph W Ailts Danielle C Ailts Campeau Michael J Bull Kelly
L OlsonNeuroScience Inc 373 280th Street Osceola WI 54020 United States
Food sensitivity
Organic Acids Test (urine)
For Candida dysbiosis
wwwHealthTakesGutscom
Lifestyle factors
Exercise
STRONG evidence Exercise References 1 2 3 4 5 6 7 8 9
Improves ADHD
Sleep
7-8 hours a night httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
Limit screens
30min-1 hrday
wwwHealthTakesGutscom
Lifestyle Factors
Meditation and mindfulness and yoga httpwwwncbinlmnihgovpubmed26137496Biomed Res Int
20152015962857 doi 1011552015962857
Martial Arts
Biofeedback neurofeedback
Nature
Fresh air
Time in nature calms brain
wwwHealthTakesGutscom
Putting it all together
Whole foods diet
Processed food free-eliminates many problems
Get rid of additives
Possible elimination of gluten dairy salicylates
Plenty of water
Make sure high protein breakfast
Supplements Multivitamin
O-3s
Probiotic
Consider folate Mg Zn other specfic nutrients
Others as needed based on individual case
wwwHealthTakesGutscom
Putting it all together
Testing
Determined if needed based on individual case
Exercise
Sleep
Limit screens
Nature
Be aware of the nutritional implications of meds
wwwHealthTakesGutscom
Questions
Dianne Rishikof MS RDN LDN
wwwDianneRishikofcom
wwwHealthTakesGutscom
DianneRishikofgmailcom
wwwHealthTakesGutscom
Resources and References
httpwwwadditudemagcom
httpfeingoldorg
diannerishikofcomnutritional-supplements
The kid-friendly ADHD and Autism Cookbook
Amen Daniel Healing ADD New York Berkeley Publishing 2013
ADHD without drugs Sandford Newmark Tucson AZ Nurtured Heart Publications c2010
wwwHealthTakesGutscom
References
Shaken E Lakhan and Karen F Vieira Nutrition therapies
for mental disorders Nutrition Journal 2008 72
Neurotransmitters excreted in the urine as biomarkers of
nervous system activity Validity and clinical applicability David T Marclowast Joseph W Ailts Danielle C Ailts
Campeau Michael J Bull Kelly L Olson NeuroScience Inc 373 280th Street Osceola WI 54020 United States
httpwwwncbinlmnihgovpubmed25925875
Complement Ther Clin Pract 2015 May21(2)61-7 doi 101016jctcp201504001 Epub 2015 Apr 18
wwwHealthTakesGutscom
Gut Health references
1 Forsyth P Voices from within gut microbes and the CNS Cell Mol Life Science 2013 7055-69
2 Koloski NA Jones M Kalantar J Weltman M Zaguirre J Talley NJ The brain-gut pathway in functional gastrointestinal disorders is bidirectional a 12-year prospective population-based study Gut 2012611284-1290
3 Marilia Carabottia Annunziata Sciroccoa Maria Antonietta Masellib Carola Severia The gut-brain axis interactions between enteric microbiota central and enteric nervous systems Annals of Gastroenterology (2015) 28 203-209
wwwHealthTakesGutscom
Exercise references
1 httpwwwncbinlmnihgovpubmed26504324 Phys Ther Sci 2015 Sep27(9)2915-9 doi 101589jpts272915 Epub 2015 Sep 30
2 httpwwwncbinlmnihgovpubmed25988743Child Care Health Dev 2015 May 18 doi 101111cch12255 The main cumulative evidence indicates that short-term aerobic exercise based on several aerobic intervention formats seems to be effective for mitigating symptoms such as attention hyperactivity impulsivity anxiety executive function and social disorders in children with ADHD
3 httpwwwncbinlmnihgovpubmed25671205J Exerc Nutrition Biochem 2014 Dec18(4)379-84 doi 105717jenb2014184379 Epub 2014 Dec 31We thus showed that exercise effectivelyalleviates ADHD-induced symptoms through enhancing dopamine D2 expression in the brain
wwwHealthTakesGutscom
Exercise references
4 httpwwwncbinlmnihgovpubmed25646023 J Atten Disord 2015 Feb 2 pii 1087054715569282 A 12-week table tennis exercise mayhave clinical relevance in motor skills and executive functions of children with ADHD
5 httpwwwncbinlmnihgovpubmed25561359 Res Dev Disabil 2015 Mar38181-91 doi 101016jridd201412005 These findings support the hypothesis that long-term PA has a positive effect on executive functions of children with ADHD regardless of the specificity of the PA The outcomes indicated that regular PA can be used as a complementary or alternative non-pharmacologic treatment for ADHD
6 httpwwwncbinlmnihgovpubmed25220093Child Adolesc Psychiatr Clin N Am 2014 Oct23(4)899-936 doi 101016jchc201405005these data provide a strong rationale for whya program of structured physical exercise might serve as an effectiveintervention for children with ADHD
wwwHealthTakesGutscom
Exercise references
7
httpwwwtheatlanticcomhealtharchive201409exe
rcise-seems-to-be-beneficial-to-children380844
8
httpwwwncbinlmnihgovpmcarticlesPMC3556380
9
httpwwwncbinlmnihgovpmcarticlesPMC3556380
wwwHealthTakesGutscom
Diet references
1 httpwwwncbinlmnihgovpubmed24934907 Nord
J Psychiatry 2015 Jan69(1)1-18 doi
103109080394882014921933
2 httpwwwncbinlmnihgovpubmed18826452 Nutr Rev 2008 Oct66(10)558-68
3 Child Adolesc Psychiatr Clin N Am 2014 October
23(4) 937ndash953 doi101016jchc201405010
wwwHealthTakesGutscom
Diet references
4 httpwwwncbinlmnihgovpubmed22232312
Pediatrics 2012 Feb129(2)330-7 doi 101542peds2011-
2199 Epub 2012 Jan 9 The diet factor in attention-
deficithyperactivity disorder Millichap JG1 Yee MM
5 httpwwwncbinlmnihgovpubmed20034331Acta
Med Croatica 2009 Oct63(4)307-13
6 httpwwwncbinlmnihgovpubmed14687872Prog
Neuropsychopharmacol Biol Psychiatry 2004
Jan28(1)181-90
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
httpwwwncbinlmnihgovpubmed26137496
Biomed Res Int 20152015962857 doi 1011552015962857
httpwwwncbinlmnihgovpubmed26207130
Psychiatry Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26188640
Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
httpwwwncbinlmnihgovpubmed26664441
Iran J Child Neurol 2015 Fall9(4)48-53
httpwwwncbinlmnihgovpubmed24610453
Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5
wwwHealthTakesGutscom
References
lsquohttpwwwncbinlmnihgovpubmed16846100
Magnes Res 2006 Mar19(1)46-52
httpwwwncbinlmnihgovpubmed25373528
Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432
httpwwwncbinlmnihgovpubmed26682999
J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105
httpwwwncbinlmnihgovpubmed26573368
Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
Supplements of note
Calming
Glutamine
Precursor to GABA
GABA
Valerian
Lemon balm
L-theanine
Inositol
wwwHealthTakesGutscom
Supplements of note
Huperzine
Increases acetylcholine in brain
Bacopa monnierei
Focus and attention
wwwHealthTakesGutscom
Toxins
Heavy metals
Mercury
Lead
Chemicals
Food
Pesticides additives
Cleaning
Air
smoke
Toys plastic PCBs
wwwHealthTakesGutscom
Testing
Micronutrient (Spectracell)
Genetic SNP testing (23andme Genomics Solutions Now
Neuroscience Nutrigenomix)
Heavy Metal Testing (urine or hair)
Neurotransmitter (urine) Neurotransmitters excreted in the urine as biomarkers of nervous system activity Validity and
clinical applicabilityDavid T Marclowast Joseph W Ailts Danielle C Ailts Campeau Michael J Bull Kelly
L OlsonNeuroScience Inc 373 280th Street Osceola WI 54020 United States
Food sensitivity
Organic Acids Test (urine)
For Candida dysbiosis
wwwHealthTakesGutscom
Lifestyle factors
Exercise
STRONG evidence Exercise References 1 2 3 4 5 6 7 8 9
Improves ADHD
Sleep
7-8 hours a night httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
Limit screens
30min-1 hrday
wwwHealthTakesGutscom
Lifestyle Factors
Meditation and mindfulness and yoga httpwwwncbinlmnihgovpubmed26137496Biomed Res Int
20152015962857 doi 1011552015962857
Martial Arts
Biofeedback neurofeedback
Nature
Fresh air
Time in nature calms brain
wwwHealthTakesGutscom
Putting it all together
Whole foods diet
Processed food free-eliminates many problems
Get rid of additives
Possible elimination of gluten dairy salicylates
Plenty of water
Make sure high protein breakfast
Supplements Multivitamin
O-3s
Probiotic
Consider folate Mg Zn other specfic nutrients
Others as needed based on individual case
wwwHealthTakesGutscom
Putting it all together
Testing
Determined if needed based on individual case
Exercise
Sleep
Limit screens
Nature
Be aware of the nutritional implications of meds
wwwHealthTakesGutscom
Questions
Dianne Rishikof MS RDN LDN
wwwDianneRishikofcom
wwwHealthTakesGutscom
DianneRishikofgmailcom
wwwHealthTakesGutscom
Resources and References
httpwwwadditudemagcom
httpfeingoldorg
diannerishikofcomnutritional-supplements
The kid-friendly ADHD and Autism Cookbook
Amen Daniel Healing ADD New York Berkeley Publishing 2013
ADHD without drugs Sandford Newmark Tucson AZ Nurtured Heart Publications c2010
wwwHealthTakesGutscom
References
Shaken E Lakhan and Karen F Vieira Nutrition therapies
for mental disorders Nutrition Journal 2008 72
Neurotransmitters excreted in the urine as biomarkers of
nervous system activity Validity and clinical applicability David T Marclowast Joseph W Ailts Danielle C Ailts
Campeau Michael J Bull Kelly L Olson NeuroScience Inc 373 280th Street Osceola WI 54020 United States
httpwwwncbinlmnihgovpubmed25925875
Complement Ther Clin Pract 2015 May21(2)61-7 doi 101016jctcp201504001 Epub 2015 Apr 18
wwwHealthTakesGutscom
Gut Health references
1 Forsyth P Voices from within gut microbes and the CNS Cell Mol Life Science 2013 7055-69
2 Koloski NA Jones M Kalantar J Weltman M Zaguirre J Talley NJ The brain-gut pathway in functional gastrointestinal disorders is bidirectional a 12-year prospective population-based study Gut 2012611284-1290
3 Marilia Carabottia Annunziata Sciroccoa Maria Antonietta Masellib Carola Severia The gut-brain axis interactions between enteric microbiota central and enteric nervous systems Annals of Gastroenterology (2015) 28 203-209
wwwHealthTakesGutscom
Exercise references
1 httpwwwncbinlmnihgovpubmed26504324 Phys Ther Sci 2015 Sep27(9)2915-9 doi 101589jpts272915 Epub 2015 Sep 30
2 httpwwwncbinlmnihgovpubmed25988743Child Care Health Dev 2015 May 18 doi 101111cch12255 The main cumulative evidence indicates that short-term aerobic exercise based on several aerobic intervention formats seems to be effective for mitigating symptoms such as attention hyperactivity impulsivity anxiety executive function and social disorders in children with ADHD
3 httpwwwncbinlmnihgovpubmed25671205J Exerc Nutrition Biochem 2014 Dec18(4)379-84 doi 105717jenb2014184379 Epub 2014 Dec 31We thus showed that exercise effectivelyalleviates ADHD-induced symptoms through enhancing dopamine D2 expression in the brain
wwwHealthTakesGutscom
Exercise references
4 httpwwwncbinlmnihgovpubmed25646023 J Atten Disord 2015 Feb 2 pii 1087054715569282 A 12-week table tennis exercise mayhave clinical relevance in motor skills and executive functions of children with ADHD
5 httpwwwncbinlmnihgovpubmed25561359 Res Dev Disabil 2015 Mar38181-91 doi 101016jridd201412005 These findings support the hypothesis that long-term PA has a positive effect on executive functions of children with ADHD regardless of the specificity of the PA The outcomes indicated that regular PA can be used as a complementary or alternative non-pharmacologic treatment for ADHD
6 httpwwwncbinlmnihgovpubmed25220093Child Adolesc Psychiatr Clin N Am 2014 Oct23(4)899-936 doi 101016jchc201405005these data provide a strong rationale for whya program of structured physical exercise might serve as an effectiveintervention for children with ADHD
wwwHealthTakesGutscom
Exercise references
7
httpwwwtheatlanticcomhealtharchive201409exe
rcise-seems-to-be-beneficial-to-children380844
8
httpwwwncbinlmnihgovpmcarticlesPMC3556380
9
httpwwwncbinlmnihgovpmcarticlesPMC3556380
wwwHealthTakesGutscom
Diet references
1 httpwwwncbinlmnihgovpubmed24934907 Nord
J Psychiatry 2015 Jan69(1)1-18 doi
103109080394882014921933
2 httpwwwncbinlmnihgovpubmed18826452 Nutr Rev 2008 Oct66(10)558-68
3 Child Adolesc Psychiatr Clin N Am 2014 October
23(4) 937ndash953 doi101016jchc201405010
wwwHealthTakesGutscom
Diet references
4 httpwwwncbinlmnihgovpubmed22232312
Pediatrics 2012 Feb129(2)330-7 doi 101542peds2011-
2199 Epub 2012 Jan 9 The diet factor in attention-
deficithyperactivity disorder Millichap JG1 Yee MM
5 httpwwwncbinlmnihgovpubmed20034331Acta
Med Croatica 2009 Oct63(4)307-13
6 httpwwwncbinlmnihgovpubmed14687872Prog
Neuropsychopharmacol Biol Psychiatry 2004
Jan28(1)181-90
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
httpwwwncbinlmnihgovpubmed26137496
Biomed Res Int 20152015962857 doi 1011552015962857
httpwwwncbinlmnihgovpubmed26207130
Psychiatry Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26188640
Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
httpwwwncbinlmnihgovpubmed26664441
Iran J Child Neurol 2015 Fall9(4)48-53
httpwwwncbinlmnihgovpubmed24610453
Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5
wwwHealthTakesGutscom
References
lsquohttpwwwncbinlmnihgovpubmed16846100
Magnes Res 2006 Mar19(1)46-52
httpwwwncbinlmnihgovpubmed25373528
Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432
httpwwwncbinlmnihgovpubmed26682999
J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105
httpwwwncbinlmnihgovpubmed26573368
Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
Supplements of note
Huperzine
Increases acetylcholine in brain
Bacopa monnierei
Focus and attention
wwwHealthTakesGutscom
Toxins
Heavy metals
Mercury
Lead
Chemicals
Food
Pesticides additives
Cleaning
Air
smoke
Toys plastic PCBs
wwwHealthTakesGutscom
Testing
Micronutrient (Spectracell)
Genetic SNP testing (23andme Genomics Solutions Now
Neuroscience Nutrigenomix)
Heavy Metal Testing (urine or hair)
Neurotransmitter (urine) Neurotransmitters excreted in the urine as biomarkers of nervous system activity Validity and
clinical applicabilityDavid T Marclowast Joseph W Ailts Danielle C Ailts Campeau Michael J Bull Kelly
L OlsonNeuroScience Inc 373 280th Street Osceola WI 54020 United States
Food sensitivity
Organic Acids Test (urine)
For Candida dysbiosis
wwwHealthTakesGutscom
Lifestyle factors
Exercise
STRONG evidence Exercise References 1 2 3 4 5 6 7 8 9
Improves ADHD
Sleep
7-8 hours a night httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
Limit screens
30min-1 hrday
wwwHealthTakesGutscom
Lifestyle Factors
Meditation and mindfulness and yoga httpwwwncbinlmnihgovpubmed26137496Biomed Res Int
20152015962857 doi 1011552015962857
Martial Arts
Biofeedback neurofeedback
Nature
Fresh air
Time in nature calms brain
wwwHealthTakesGutscom
Putting it all together
Whole foods diet
Processed food free-eliminates many problems
Get rid of additives
Possible elimination of gluten dairy salicylates
Plenty of water
Make sure high protein breakfast
Supplements Multivitamin
O-3s
Probiotic
Consider folate Mg Zn other specfic nutrients
Others as needed based on individual case
wwwHealthTakesGutscom
Putting it all together
Testing
Determined if needed based on individual case
Exercise
Sleep
Limit screens
Nature
Be aware of the nutritional implications of meds
wwwHealthTakesGutscom
Questions
Dianne Rishikof MS RDN LDN
wwwDianneRishikofcom
wwwHealthTakesGutscom
DianneRishikofgmailcom
wwwHealthTakesGutscom
Resources and References
httpwwwadditudemagcom
httpfeingoldorg
diannerishikofcomnutritional-supplements
The kid-friendly ADHD and Autism Cookbook
Amen Daniel Healing ADD New York Berkeley Publishing 2013
ADHD without drugs Sandford Newmark Tucson AZ Nurtured Heart Publications c2010
wwwHealthTakesGutscom
References
Shaken E Lakhan and Karen F Vieira Nutrition therapies
for mental disorders Nutrition Journal 2008 72
Neurotransmitters excreted in the urine as biomarkers of
nervous system activity Validity and clinical applicability David T Marclowast Joseph W Ailts Danielle C Ailts
Campeau Michael J Bull Kelly L Olson NeuroScience Inc 373 280th Street Osceola WI 54020 United States
httpwwwncbinlmnihgovpubmed25925875
Complement Ther Clin Pract 2015 May21(2)61-7 doi 101016jctcp201504001 Epub 2015 Apr 18
wwwHealthTakesGutscom
Gut Health references
1 Forsyth P Voices from within gut microbes and the CNS Cell Mol Life Science 2013 7055-69
2 Koloski NA Jones M Kalantar J Weltman M Zaguirre J Talley NJ The brain-gut pathway in functional gastrointestinal disorders is bidirectional a 12-year prospective population-based study Gut 2012611284-1290
3 Marilia Carabottia Annunziata Sciroccoa Maria Antonietta Masellib Carola Severia The gut-brain axis interactions between enteric microbiota central and enteric nervous systems Annals of Gastroenterology (2015) 28 203-209
wwwHealthTakesGutscom
Exercise references
1 httpwwwncbinlmnihgovpubmed26504324 Phys Ther Sci 2015 Sep27(9)2915-9 doi 101589jpts272915 Epub 2015 Sep 30
2 httpwwwncbinlmnihgovpubmed25988743Child Care Health Dev 2015 May 18 doi 101111cch12255 The main cumulative evidence indicates that short-term aerobic exercise based on several aerobic intervention formats seems to be effective for mitigating symptoms such as attention hyperactivity impulsivity anxiety executive function and social disorders in children with ADHD
3 httpwwwncbinlmnihgovpubmed25671205J Exerc Nutrition Biochem 2014 Dec18(4)379-84 doi 105717jenb2014184379 Epub 2014 Dec 31We thus showed that exercise effectivelyalleviates ADHD-induced symptoms through enhancing dopamine D2 expression in the brain
wwwHealthTakesGutscom
Exercise references
4 httpwwwncbinlmnihgovpubmed25646023 J Atten Disord 2015 Feb 2 pii 1087054715569282 A 12-week table tennis exercise mayhave clinical relevance in motor skills and executive functions of children with ADHD
5 httpwwwncbinlmnihgovpubmed25561359 Res Dev Disabil 2015 Mar38181-91 doi 101016jridd201412005 These findings support the hypothesis that long-term PA has a positive effect on executive functions of children with ADHD regardless of the specificity of the PA The outcomes indicated that regular PA can be used as a complementary or alternative non-pharmacologic treatment for ADHD
6 httpwwwncbinlmnihgovpubmed25220093Child Adolesc Psychiatr Clin N Am 2014 Oct23(4)899-936 doi 101016jchc201405005these data provide a strong rationale for whya program of structured physical exercise might serve as an effectiveintervention for children with ADHD
wwwHealthTakesGutscom
Exercise references
7
httpwwwtheatlanticcomhealtharchive201409exe
rcise-seems-to-be-beneficial-to-children380844
8
httpwwwncbinlmnihgovpmcarticlesPMC3556380
9
httpwwwncbinlmnihgovpmcarticlesPMC3556380
wwwHealthTakesGutscom
Diet references
1 httpwwwncbinlmnihgovpubmed24934907 Nord
J Psychiatry 2015 Jan69(1)1-18 doi
103109080394882014921933
2 httpwwwncbinlmnihgovpubmed18826452 Nutr Rev 2008 Oct66(10)558-68
3 Child Adolesc Psychiatr Clin N Am 2014 October
23(4) 937ndash953 doi101016jchc201405010
wwwHealthTakesGutscom
Diet references
4 httpwwwncbinlmnihgovpubmed22232312
Pediatrics 2012 Feb129(2)330-7 doi 101542peds2011-
2199 Epub 2012 Jan 9 The diet factor in attention-
deficithyperactivity disorder Millichap JG1 Yee MM
5 httpwwwncbinlmnihgovpubmed20034331Acta
Med Croatica 2009 Oct63(4)307-13
6 httpwwwncbinlmnihgovpubmed14687872Prog
Neuropsychopharmacol Biol Psychiatry 2004
Jan28(1)181-90
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
httpwwwncbinlmnihgovpubmed26137496
Biomed Res Int 20152015962857 doi 1011552015962857
httpwwwncbinlmnihgovpubmed26207130
Psychiatry Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26188640
Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
httpwwwncbinlmnihgovpubmed26664441
Iran J Child Neurol 2015 Fall9(4)48-53
httpwwwncbinlmnihgovpubmed24610453
Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5
wwwHealthTakesGutscom
References
lsquohttpwwwncbinlmnihgovpubmed16846100
Magnes Res 2006 Mar19(1)46-52
httpwwwncbinlmnihgovpubmed25373528
Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432
httpwwwncbinlmnihgovpubmed26682999
J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105
httpwwwncbinlmnihgovpubmed26573368
Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
Toxins
Heavy metals
Mercury
Lead
Chemicals
Food
Pesticides additives
Cleaning
Air
smoke
Toys plastic PCBs
wwwHealthTakesGutscom
Testing
Micronutrient (Spectracell)
Genetic SNP testing (23andme Genomics Solutions Now
Neuroscience Nutrigenomix)
Heavy Metal Testing (urine or hair)
Neurotransmitter (urine) Neurotransmitters excreted in the urine as biomarkers of nervous system activity Validity and
clinical applicabilityDavid T Marclowast Joseph W Ailts Danielle C Ailts Campeau Michael J Bull Kelly
L OlsonNeuroScience Inc 373 280th Street Osceola WI 54020 United States
Food sensitivity
Organic Acids Test (urine)
For Candida dysbiosis
wwwHealthTakesGutscom
Lifestyle factors
Exercise
STRONG evidence Exercise References 1 2 3 4 5 6 7 8 9
Improves ADHD
Sleep
7-8 hours a night httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
Limit screens
30min-1 hrday
wwwHealthTakesGutscom
Lifestyle Factors
Meditation and mindfulness and yoga httpwwwncbinlmnihgovpubmed26137496Biomed Res Int
20152015962857 doi 1011552015962857
Martial Arts
Biofeedback neurofeedback
Nature
Fresh air
Time in nature calms brain
wwwHealthTakesGutscom
Putting it all together
Whole foods diet
Processed food free-eliminates many problems
Get rid of additives
Possible elimination of gluten dairy salicylates
Plenty of water
Make sure high protein breakfast
Supplements Multivitamin
O-3s
Probiotic
Consider folate Mg Zn other specfic nutrients
Others as needed based on individual case
wwwHealthTakesGutscom
Putting it all together
Testing
Determined if needed based on individual case
Exercise
Sleep
Limit screens
Nature
Be aware of the nutritional implications of meds
wwwHealthTakesGutscom
Questions
Dianne Rishikof MS RDN LDN
wwwDianneRishikofcom
wwwHealthTakesGutscom
DianneRishikofgmailcom
wwwHealthTakesGutscom
Resources and References
httpwwwadditudemagcom
httpfeingoldorg
diannerishikofcomnutritional-supplements
The kid-friendly ADHD and Autism Cookbook
Amen Daniel Healing ADD New York Berkeley Publishing 2013
ADHD without drugs Sandford Newmark Tucson AZ Nurtured Heart Publications c2010
wwwHealthTakesGutscom
References
Shaken E Lakhan and Karen F Vieira Nutrition therapies
for mental disorders Nutrition Journal 2008 72
Neurotransmitters excreted in the urine as biomarkers of
nervous system activity Validity and clinical applicability David T Marclowast Joseph W Ailts Danielle C Ailts
Campeau Michael J Bull Kelly L Olson NeuroScience Inc 373 280th Street Osceola WI 54020 United States
httpwwwncbinlmnihgovpubmed25925875
Complement Ther Clin Pract 2015 May21(2)61-7 doi 101016jctcp201504001 Epub 2015 Apr 18
wwwHealthTakesGutscom
Gut Health references
1 Forsyth P Voices from within gut microbes and the CNS Cell Mol Life Science 2013 7055-69
2 Koloski NA Jones M Kalantar J Weltman M Zaguirre J Talley NJ The brain-gut pathway in functional gastrointestinal disorders is bidirectional a 12-year prospective population-based study Gut 2012611284-1290
3 Marilia Carabottia Annunziata Sciroccoa Maria Antonietta Masellib Carola Severia The gut-brain axis interactions between enteric microbiota central and enteric nervous systems Annals of Gastroenterology (2015) 28 203-209
wwwHealthTakesGutscom
Exercise references
1 httpwwwncbinlmnihgovpubmed26504324 Phys Ther Sci 2015 Sep27(9)2915-9 doi 101589jpts272915 Epub 2015 Sep 30
2 httpwwwncbinlmnihgovpubmed25988743Child Care Health Dev 2015 May 18 doi 101111cch12255 The main cumulative evidence indicates that short-term aerobic exercise based on several aerobic intervention formats seems to be effective for mitigating symptoms such as attention hyperactivity impulsivity anxiety executive function and social disorders in children with ADHD
3 httpwwwncbinlmnihgovpubmed25671205J Exerc Nutrition Biochem 2014 Dec18(4)379-84 doi 105717jenb2014184379 Epub 2014 Dec 31We thus showed that exercise effectivelyalleviates ADHD-induced symptoms through enhancing dopamine D2 expression in the brain
wwwHealthTakesGutscom
Exercise references
4 httpwwwncbinlmnihgovpubmed25646023 J Atten Disord 2015 Feb 2 pii 1087054715569282 A 12-week table tennis exercise mayhave clinical relevance in motor skills and executive functions of children with ADHD
5 httpwwwncbinlmnihgovpubmed25561359 Res Dev Disabil 2015 Mar38181-91 doi 101016jridd201412005 These findings support the hypothesis that long-term PA has a positive effect on executive functions of children with ADHD regardless of the specificity of the PA The outcomes indicated that regular PA can be used as a complementary or alternative non-pharmacologic treatment for ADHD
6 httpwwwncbinlmnihgovpubmed25220093Child Adolesc Psychiatr Clin N Am 2014 Oct23(4)899-936 doi 101016jchc201405005these data provide a strong rationale for whya program of structured physical exercise might serve as an effectiveintervention for children with ADHD
wwwHealthTakesGutscom
Exercise references
7
httpwwwtheatlanticcomhealtharchive201409exe
rcise-seems-to-be-beneficial-to-children380844
8
httpwwwncbinlmnihgovpmcarticlesPMC3556380
9
httpwwwncbinlmnihgovpmcarticlesPMC3556380
wwwHealthTakesGutscom
Diet references
1 httpwwwncbinlmnihgovpubmed24934907 Nord
J Psychiatry 2015 Jan69(1)1-18 doi
103109080394882014921933
2 httpwwwncbinlmnihgovpubmed18826452 Nutr Rev 2008 Oct66(10)558-68
3 Child Adolesc Psychiatr Clin N Am 2014 October
23(4) 937ndash953 doi101016jchc201405010
wwwHealthTakesGutscom
Diet references
4 httpwwwncbinlmnihgovpubmed22232312
Pediatrics 2012 Feb129(2)330-7 doi 101542peds2011-
2199 Epub 2012 Jan 9 The diet factor in attention-
deficithyperactivity disorder Millichap JG1 Yee MM
5 httpwwwncbinlmnihgovpubmed20034331Acta
Med Croatica 2009 Oct63(4)307-13
6 httpwwwncbinlmnihgovpubmed14687872Prog
Neuropsychopharmacol Biol Psychiatry 2004
Jan28(1)181-90
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
httpwwwncbinlmnihgovpubmed26137496
Biomed Res Int 20152015962857 doi 1011552015962857
httpwwwncbinlmnihgovpubmed26207130
Psychiatry Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26188640
Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
httpwwwncbinlmnihgovpubmed26664441
Iran J Child Neurol 2015 Fall9(4)48-53
httpwwwncbinlmnihgovpubmed24610453
Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5
wwwHealthTakesGutscom
References
lsquohttpwwwncbinlmnihgovpubmed16846100
Magnes Res 2006 Mar19(1)46-52
httpwwwncbinlmnihgovpubmed25373528
Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432
httpwwwncbinlmnihgovpubmed26682999
J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105
httpwwwncbinlmnihgovpubmed26573368
Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
Testing
Micronutrient (Spectracell)
Genetic SNP testing (23andme Genomics Solutions Now
Neuroscience Nutrigenomix)
Heavy Metal Testing (urine or hair)
Neurotransmitter (urine) Neurotransmitters excreted in the urine as biomarkers of nervous system activity Validity and
clinical applicabilityDavid T Marclowast Joseph W Ailts Danielle C Ailts Campeau Michael J Bull Kelly
L OlsonNeuroScience Inc 373 280th Street Osceola WI 54020 United States
Food sensitivity
Organic Acids Test (urine)
For Candida dysbiosis
wwwHealthTakesGutscom
Lifestyle factors
Exercise
STRONG evidence Exercise References 1 2 3 4 5 6 7 8 9
Improves ADHD
Sleep
7-8 hours a night httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
Limit screens
30min-1 hrday
wwwHealthTakesGutscom
Lifestyle Factors
Meditation and mindfulness and yoga httpwwwncbinlmnihgovpubmed26137496Biomed Res Int
20152015962857 doi 1011552015962857
Martial Arts
Biofeedback neurofeedback
Nature
Fresh air
Time in nature calms brain
wwwHealthTakesGutscom
Putting it all together
Whole foods diet
Processed food free-eliminates many problems
Get rid of additives
Possible elimination of gluten dairy salicylates
Plenty of water
Make sure high protein breakfast
Supplements Multivitamin
O-3s
Probiotic
Consider folate Mg Zn other specfic nutrients
Others as needed based on individual case
wwwHealthTakesGutscom
Putting it all together
Testing
Determined if needed based on individual case
Exercise
Sleep
Limit screens
Nature
Be aware of the nutritional implications of meds
wwwHealthTakesGutscom
Questions
Dianne Rishikof MS RDN LDN
wwwDianneRishikofcom
wwwHealthTakesGutscom
DianneRishikofgmailcom
wwwHealthTakesGutscom
Resources and References
httpwwwadditudemagcom
httpfeingoldorg
diannerishikofcomnutritional-supplements
The kid-friendly ADHD and Autism Cookbook
Amen Daniel Healing ADD New York Berkeley Publishing 2013
ADHD without drugs Sandford Newmark Tucson AZ Nurtured Heart Publications c2010
wwwHealthTakesGutscom
References
Shaken E Lakhan and Karen F Vieira Nutrition therapies
for mental disorders Nutrition Journal 2008 72
Neurotransmitters excreted in the urine as biomarkers of
nervous system activity Validity and clinical applicability David T Marclowast Joseph W Ailts Danielle C Ailts
Campeau Michael J Bull Kelly L Olson NeuroScience Inc 373 280th Street Osceola WI 54020 United States
httpwwwncbinlmnihgovpubmed25925875
Complement Ther Clin Pract 2015 May21(2)61-7 doi 101016jctcp201504001 Epub 2015 Apr 18
wwwHealthTakesGutscom
Gut Health references
1 Forsyth P Voices from within gut microbes and the CNS Cell Mol Life Science 2013 7055-69
2 Koloski NA Jones M Kalantar J Weltman M Zaguirre J Talley NJ The brain-gut pathway in functional gastrointestinal disorders is bidirectional a 12-year prospective population-based study Gut 2012611284-1290
3 Marilia Carabottia Annunziata Sciroccoa Maria Antonietta Masellib Carola Severia The gut-brain axis interactions between enteric microbiota central and enteric nervous systems Annals of Gastroenterology (2015) 28 203-209
wwwHealthTakesGutscom
Exercise references
1 httpwwwncbinlmnihgovpubmed26504324 Phys Ther Sci 2015 Sep27(9)2915-9 doi 101589jpts272915 Epub 2015 Sep 30
2 httpwwwncbinlmnihgovpubmed25988743Child Care Health Dev 2015 May 18 doi 101111cch12255 The main cumulative evidence indicates that short-term aerobic exercise based on several aerobic intervention formats seems to be effective for mitigating symptoms such as attention hyperactivity impulsivity anxiety executive function and social disorders in children with ADHD
3 httpwwwncbinlmnihgovpubmed25671205J Exerc Nutrition Biochem 2014 Dec18(4)379-84 doi 105717jenb2014184379 Epub 2014 Dec 31We thus showed that exercise effectivelyalleviates ADHD-induced symptoms through enhancing dopamine D2 expression in the brain
wwwHealthTakesGutscom
Exercise references
4 httpwwwncbinlmnihgovpubmed25646023 J Atten Disord 2015 Feb 2 pii 1087054715569282 A 12-week table tennis exercise mayhave clinical relevance in motor skills and executive functions of children with ADHD
5 httpwwwncbinlmnihgovpubmed25561359 Res Dev Disabil 2015 Mar38181-91 doi 101016jridd201412005 These findings support the hypothesis that long-term PA has a positive effect on executive functions of children with ADHD regardless of the specificity of the PA The outcomes indicated that regular PA can be used as a complementary or alternative non-pharmacologic treatment for ADHD
6 httpwwwncbinlmnihgovpubmed25220093Child Adolesc Psychiatr Clin N Am 2014 Oct23(4)899-936 doi 101016jchc201405005these data provide a strong rationale for whya program of structured physical exercise might serve as an effectiveintervention for children with ADHD
wwwHealthTakesGutscom
Exercise references
7
httpwwwtheatlanticcomhealtharchive201409exe
rcise-seems-to-be-beneficial-to-children380844
8
httpwwwncbinlmnihgovpmcarticlesPMC3556380
9
httpwwwncbinlmnihgovpmcarticlesPMC3556380
wwwHealthTakesGutscom
Diet references
1 httpwwwncbinlmnihgovpubmed24934907 Nord
J Psychiatry 2015 Jan69(1)1-18 doi
103109080394882014921933
2 httpwwwncbinlmnihgovpubmed18826452 Nutr Rev 2008 Oct66(10)558-68
3 Child Adolesc Psychiatr Clin N Am 2014 October
23(4) 937ndash953 doi101016jchc201405010
wwwHealthTakesGutscom
Diet references
4 httpwwwncbinlmnihgovpubmed22232312
Pediatrics 2012 Feb129(2)330-7 doi 101542peds2011-
2199 Epub 2012 Jan 9 The diet factor in attention-
deficithyperactivity disorder Millichap JG1 Yee MM
5 httpwwwncbinlmnihgovpubmed20034331Acta
Med Croatica 2009 Oct63(4)307-13
6 httpwwwncbinlmnihgovpubmed14687872Prog
Neuropsychopharmacol Biol Psychiatry 2004
Jan28(1)181-90
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
httpwwwncbinlmnihgovpubmed26137496
Biomed Res Int 20152015962857 doi 1011552015962857
httpwwwncbinlmnihgovpubmed26207130
Psychiatry Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26188640
Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
httpwwwncbinlmnihgovpubmed26664441
Iran J Child Neurol 2015 Fall9(4)48-53
httpwwwncbinlmnihgovpubmed24610453
Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5
wwwHealthTakesGutscom
References
lsquohttpwwwncbinlmnihgovpubmed16846100
Magnes Res 2006 Mar19(1)46-52
httpwwwncbinlmnihgovpubmed25373528
Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432
httpwwwncbinlmnihgovpubmed26682999
J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105
httpwwwncbinlmnihgovpubmed26573368
Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
Lifestyle factors
Exercise
STRONG evidence Exercise References 1 2 3 4 5 6 7 8 9
Improves ADHD
Sleep
7-8 hours a night httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
Limit screens
30min-1 hrday
wwwHealthTakesGutscom
Lifestyle Factors
Meditation and mindfulness and yoga httpwwwncbinlmnihgovpubmed26137496Biomed Res Int
20152015962857 doi 1011552015962857
Martial Arts
Biofeedback neurofeedback
Nature
Fresh air
Time in nature calms brain
wwwHealthTakesGutscom
Putting it all together
Whole foods diet
Processed food free-eliminates many problems
Get rid of additives
Possible elimination of gluten dairy salicylates
Plenty of water
Make sure high protein breakfast
Supplements Multivitamin
O-3s
Probiotic
Consider folate Mg Zn other specfic nutrients
Others as needed based on individual case
wwwHealthTakesGutscom
Putting it all together
Testing
Determined if needed based on individual case
Exercise
Sleep
Limit screens
Nature
Be aware of the nutritional implications of meds
wwwHealthTakesGutscom
Questions
Dianne Rishikof MS RDN LDN
wwwDianneRishikofcom
wwwHealthTakesGutscom
DianneRishikofgmailcom
wwwHealthTakesGutscom
Resources and References
httpwwwadditudemagcom
httpfeingoldorg
diannerishikofcomnutritional-supplements
The kid-friendly ADHD and Autism Cookbook
Amen Daniel Healing ADD New York Berkeley Publishing 2013
ADHD without drugs Sandford Newmark Tucson AZ Nurtured Heart Publications c2010
wwwHealthTakesGutscom
References
Shaken E Lakhan and Karen F Vieira Nutrition therapies
for mental disorders Nutrition Journal 2008 72
Neurotransmitters excreted in the urine as biomarkers of
nervous system activity Validity and clinical applicability David T Marclowast Joseph W Ailts Danielle C Ailts
Campeau Michael J Bull Kelly L Olson NeuroScience Inc 373 280th Street Osceola WI 54020 United States
httpwwwncbinlmnihgovpubmed25925875
Complement Ther Clin Pract 2015 May21(2)61-7 doi 101016jctcp201504001 Epub 2015 Apr 18
wwwHealthTakesGutscom
Gut Health references
1 Forsyth P Voices from within gut microbes and the CNS Cell Mol Life Science 2013 7055-69
2 Koloski NA Jones M Kalantar J Weltman M Zaguirre J Talley NJ The brain-gut pathway in functional gastrointestinal disorders is bidirectional a 12-year prospective population-based study Gut 2012611284-1290
3 Marilia Carabottia Annunziata Sciroccoa Maria Antonietta Masellib Carola Severia The gut-brain axis interactions between enteric microbiota central and enteric nervous systems Annals of Gastroenterology (2015) 28 203-209
wwwHealthTakesGutscom
Exercise references
1 httpwwwncbinlmnihgovpubmed26504324 Phys Ther Sci 2015 Sep27(9)2915-9 doi 101589jpts272915 Epub 2015 Sep 30
2 httpwwwncbinlmnihgovpubmed25988743Child Care Health Dev 2015 May 18 doi 101111cch12255 The main cumulative evidence indicates that short-term aerobic exercise based on several aerobic intervention formats seems to be effective for mitigating symptoms such as attention hyperactivity impulsivity anxiety executive function and social disorders in children with ADHD
3 httpwwwncbinlmnihgovpubmed25671205J Exerc Nutrition Biochem 2014 Dec18(4)379-84 doi 105717jenb2014184379 Epub 2014 Dec 31We thus showed that exercise effectivelyalleviates ADHD-induced symptoms through enhancing dopamine D2 expression in the brain
wwwHealthTakesGutscom
Exercise references
4 httpwwwncbinlmnihgovpubmed25646023 J Atten Disord 2015 Feb 2 pii 1087054715569282 A 12-week table tennis exercise mayhave clinical relevance in motor skills and executive functions of children with ADHD
5 httpwwwncbinlmnihgovpubmed25561359 Res Dev Disabil 2015 Mar38181-91 doi 101016jridd201412005 These findings support the hypothesis that long-term PA has a positive effect on executive functions of children with ADHD regardless of the specificity of the PA The outcomes indicated that regular PA can be used as a complementary or alternative non-pharmacologic treatment for ADHD
6 httpwwwncbinlmnihgovpubmed25220093Child Adolesc Psychiatr Clin N Am 2014 Oct23(4)899-936 doi 101016jchc201405005these data provide a strong rationale for whya program of structured physical exercise might serve as an effectiveintervention for children with ADHD
wwwHealthTakesGutscom
Exercise references
7
httpwwwtheatlanticcomhealtharchive201409exe
rcise-seems-to-be-beneficial-to-children380844
8
httpwwwncbinlmnihgovpmcarticlesPMC3556380
9
httpwwwncbinlmnihgovpmcarticlesPMC3556380
wwwHealthTakesGutscom
Diet references
1 httpwwwncbinlmnihgovpubmed24934907 Nord
J Psychiatry 2015 Jan69(1)1-18 doi
103109080394882014921933
2 httpwwwncbinlmnihgovpubmed18826452 Nutr Rev 2008 Oct66(10)558-68
3 Child Adolesc Psychiatr Clin N Am 2014 October
23(4) 937ndash953 doi101016jchc201405010
wwwHealthTakesGutscom
Diet references
4 httpwwwncbinlmnihgovpubmed22232312
Pediatrics 2012 Feb129(2)330-7 doi 101542peds2011-
2199 Epub 2012 Jan 9 The diet factor in attention-
deficithyperactivity disorder Millichap JG1 Yee MM
5 httpwwwncbinlmnihgovpubmed20034331Acta
Med Croatica 2009 Oct63(4)307-13
6 httpwwwncbinlmnihgovpubmed14687872Prog
Neuropsychopharmacol Biol Psychiatry 2004
Jan28(1)181-90
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
httpwwwncbinlmnihgovpubmed26137496
Biomed Res Int 20152015962857 doi 1011552015962857
httpwwwncbinlmnihgovpubmed26207130
Psychiatry Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26188640
Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
httpwwwncbinlmnihgovpubmed26664441
Iran J Child Neurol 2015 Fall9(4)48-53
httpwwwncbinlmnihgovpubmed24610453
Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5
wwwHealthTakesGutscom
References
lsquohttpwwwncbinlmnihgovpubmed16846100
Magnes Res 2006 Mar19(1)46-52
httpwwwncbinlmnihgovpubmed25373528
Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432
httpwwwncbinlmnihgovpubmed26682999
J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105
httpwwwncbinlmnihgovpubmed26573368
Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
Lifestyle Factors
Meditation and mindfulness and yoga httpwwwncbinlmnihgovpubmed26137496Biomed Res Int
20152015962857 doi 1011552015962857
Martial Arts
Biofeedback neurofeedback
Nature
Fresh air
Time in nature calms brain
wwwHealthTakesGutscom
Putting it all together
Whole foods diet
Processed food free-eliminates many problems
Get rid of additives
Possible elimination of gluten dairy salicylates
Plenty of water
Make sure high protein breakfast
Supplements Multivitamin
O-3s
Probiotic
Consider folate Mg Zn other specfic nutrients
Others as needed based on individual case
wwwHealthTakesGutscom
Putting it all together
Testing
Determined if needed based on individual case
Exercise
Sleep
Limit screens
Nature
Be aware of the nutritional implications of meds
wwwHealthTakesGutscom
Questions
Dianne Rishikof MS RDN LDN
wwwDianneRishikofcom
wwwHealthTakesGutscom
DianneRishikofgmailcom
wwwHealthTakesGutscom
Resources and References
httpwwwadditudemagcom
httpfeingoldorg
diannerishikofcomnutritional-supplements
The kid-friendly ADHD and Autism Cookbook
Amen Daniel Healing ADD New York Berkeley Publishing 2013
ADHD without drugs Sandford Newmark Tucson AZ Nurtured Heart Publications c2010
wwwHealthTakesGutscom
References
Shaken E Lakhan and Karen F Vieira Nutrition therapies
for mental disorders Nutrition Journal 2008 72
Neurotransmitters excreted in the urine as biomarkers of
nervous system activity Validity and clinical applicability David T Marclowast Joseph W Ailts Danielle C Ailts
Campeau Michael J Bull Kelly L Olson NeuroScience Inc 373 280th Street Osceola WI 54020 United States
httpwwwncbinlmnihgovpubmed25925875
Complement Ther Clin Pract 2015 May21(2)61-7 doi 101016jctcp201504001 Epub 2015 Apr 18
wwwHealthTakesGutscom
Gut Health references
1 Forsyth P Voices from within gut microbes and the CNS Cell Mol Life Science 2013 7055-69
2 Koloski NA Jones M Kalantar J Weltman M Zaguirre J Talley NJ The brain-gut pathway in functional gastrointestinal disorders is bidirectional a 12-year prospective population-based study Gut 2012611284-1290
3 Marilia Carabottia Annunziata Sciroccoa Maria Antonietta Masellib Carola Severia The gut-brain axis interactions between enteric microbiota central and enteric nervous systems Annals of Gastroenterology (2015) 28 203-209
wwwHealthTakesGutscom
Exercise references
1 httpwwwncbinlmnihgovpubmed26504324 Phys Ther Sci 2015 Sep27(9)2915-9 doi 101589jpts272915 Epub 2015 Sep 30
2 httpwwwncbinlmnihgovpubmed25988743Child Care Health Dev 2015 May 18 doi 101111cch12255 The main cumulative evidence indicates that short-term aerobic exercise based on several aerobic intervention formats seems to be effective for mitigating symptoms such as attention hyperactivity impulsivity anxiety executive function and social disorders in children with ADHD
3 httpwwwncbinlmnihgovpubmed25671205J Exerc Nutrition Biochem 2014 Dec18(4)379-84 doi 105717jenb2014184379 Epub 2014 Dec 31We thus showed that exercise effectivelyalleviates ADHD-induced symptoms through enhancing dopamine D2 expression in the brain
wwwHealthTakesGutscom
Exercise references
4 httpwwwncbinlmnihgovpubmed25646023 J Atten Disord 2015 Feb 2 pii 1087054715569282 A 12-week table tennis exercise mayhave clinical relevance in motor skills and executive functions of children with ADHD
5 httpwwwncbinlmnihgovpubmed25561359 Res Dev Disabil 2015 Mar38181-91 doi 101016jridd201412005 These findings support the hypothesis that long-term PA has a positive effect on executive functions of children with ADHD regardless of the specificity of the PA The outcomes indicated that regular PA can be used as a complementary or alternative non-pharmacologic treatment for ADHD
6 httpwwwncbinlmnihgovpubmed25220093Child Adolesc Psychiatr Clin N Am 2014 Oct23(4)899-936 doi 101016jchc201405005these data provide a strong rationale for whya program of structured physical exercise might serve as an effectiveintervention for children with ADHD
wwwHealthTakesGutscom
Exercise references
7
httpwwwtheatlanticcomhealtharchive201409exe
rcise-seems-to-be-beneficial-to-children380844
8
httpwwwncbinlmnihgovpmcarticlesPMC3556380
9
httpwwwncbinlmnihgovpmcarticlesPMC3556380
wwwHealthTakesGutscom
Diet references
1 httpwwwncbinlmnihgovpubmed24934907 Nord
J Psychiatry 2015 Jan69(1)1-18 doi
103109080394882014921933
2 httpwwwncbinlmnihgovpubmed18826452 Nutr Rev 2008 Oct66(10)558-68
3 Child Adolesc Psychiatr Clin N Am 2014 October
23(4) 937ndash953 doi101016jchc201405010
wwwHealthTakesGutscom
Diet references
4 httpwwwncbinlmnihgovpubmed22232312
Pediatrics 2012 Feb129(2)330-7 doi 101542peds2011-
2199 Epub 2012 Jan 9 The diet factor in attention-
deficithyperactivity disorder Millichap JG1 Yee MM
5 httpwwwncbinlmnihgovpubmed20034331Acta
Med Croatica 2009 Oct63(4)307-13
6 httpwwwncbinlmnihgovpubmed14687872Prog
Neuropsychopharmacol Biol Psychiatry 2004
Jan28(1)181-90
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
httpwwwncbinlmnihgovpubmed26137496
Biomed Res Int 20152015962857 doi 1011552015962857
httpwwwncbinlmnihgovpubmed26207130
Psychiatry Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26188640
Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
httpwwwncbinlmnihgovpubmed26664441
Iran J Child Neurol 2015 Fall9(4)48-53
httpwwwncbinlmnihgovpubmed24610453
Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5
wwwHealthTakesGutscom
References
lsquohttpwwwncbinlmnihgovpubmed16846100
Magnes Res 2006 Mar19(1)46-52
httpwwwncbinlmnihgovpubmed25373528
Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432
httpwwwncbinlmnihgovpubmed26682999
J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105
httpwwwncbinlmnihgovpubmed26573368
Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
Putting it all together
Whole foods diet
Processed food free-eliminates many problems
Get rid of additives
Possible elimination of gluten dairy salicylates
Plenty of water
Make sure high protein breakfast
Supplements Multivitamin
O-3s
Probiotic
Consider folate Mg Zn other specfic nutrients
Others as needed based on individual case
wwwHealthTakesGutscom
Putting it all together
Testing
Determined if needed based on individual case
Exercise
Sleep
Limit screens
Nature
Be aware of the nutritional implications of meds
wwwHealthTakesGutscom
Questions
Dianne Rishikof MS RDN LDN
wwwDianneRishikofcom
wwwHealthTakesGutscom
DianneRishikofgmailcom
wwwHealthTakesGutscom
Resources and References
httpwwwadditudemagcom
httpfeingoldorg
diannerishikofcomnutritional-supplements
The kid-friendly ADHD and Autism Cookbook
Amen Daniel Healing ADD New York Berkeley Publishing 2013
ADHD without drugs Sandford Newmark Tucson AZ Nurtured Heart Publications c2010
wwwHealthTakesGutscom
References
Shaken E Lakhan and Karen F Vieira Nutrition therapies
for mental disorders Nutrition Journal 2008 72
Neurotransmitters excreted in the urine as biomarkers of
nervous system activity Validity and clinical applicability David T Marclowast Joseph W Ailts Danielle C Ailts
Campeau Michael J Bull Kelly L Olson NeuroScience Inc 373 280th Street Osceola WI 54020 United States
httpwwwncbinlmnihgovpubmed25925875
Complement Ther Clin Pract 2015 May21(2)61-7 doi 101016jctcp201504001 Epub 2015 Apr 18
wwwHealthTakesGutscom
Gut Health references
1 Forsyth P Voices from within gut microbes and the CNS Cell Mol Life Science 2013 7055-69
2 Koloski NA Jones M Kalantar J Weltman M Zaguirre J Talley NJ The brain-gut pathway in functional gastrointestinal disorders is bidirectional a 12-year prospective population-based study Gut 2012611284-1290
3 Marilia Carabottia Annunziata Sciroccoa Maria Antonietta Masellib Carola Severia The gut-brain axis interactions between enteric microbiota central and enteric nervous systems Annals of Gastroenterology (2015) 28 203-209
wwwHealthTakesGutscom
Exercise references
1 httpwwwncbinlmnihgovpubmed26504324 Phys Ther Sci 2015 Sep27(9)2915-9 doi 101589jpts272915 Epub 2015 Sep 30
2 httpwwwncbinlmnihgovpubmed25988743Child Care Health Dev 2015 May 18 doi 101111cch12255 The main cumulative evidence indicates that short-term aerobic exercise based on several aerobic intervention formats seems to be effective for mitigating symptoms such as attention hyperactivity impulsivity anxiety executive function and social disorders in children with ADHD
3 httpwwwncbinlmnihgovpubmed25671205J Exerc Nutrition Biochem 2014 Dec18(4)379-84 doi 105717jenb2014184379 Epub 2014 Dec 31We thus showed that exercise effectivelyalleviates ADHD-induced symptoms through enhancing dopamine D2 expression in the brain
wwwHealthTakesGutscom
Exercise references
4 httpwwwncbinlmnihgovpubmed25646023 J Atten Disord 2015 Feb 2 pii 1087054715569282 A 12-week table tennis exercise mayhave clinical relevance in motor skills and executive functions of children with ADHD
5 httpwwwncbinlmnihgovpubmed25561359 Res Dev Disabil 2015 Mar38181-91 doi 101016jridd201412005 These findings support the hypothesis that long-term PA has a positive effect on executive functions of children with ADHD regardless of the specificity of the PA The outcomes indicated that regular PA can be used as a complementary or alternative non-pharmacologic treatment for ADHD
6 httpwwwncbinlmnihgovpubmed25220093Child Adolesc Psychiatr Clin N Am 2014 Oct23(4)899-936 doi 101016jchc201405005these data provide a strong rationale for whya program of structured physical exercise might serve as an effectiveintervention for children with ADHD
wwwHealthTakesGutscom
Exercise references
7
httpwwwtheatlanticcomhealtharchive201409exe
rcise-seems-to-be-beneficial-to-children380844
8
httpwwwncbinlmnihgovpmcarticlesPMC3556380
9
httpwwwncbinlmnihgovpmcarticlesPMC3556380
wwwHealthTakesGutscom
Diet references
1 httpwwwncbinlmnihgovpubmed24934907 Nord
J Psychiatry 2015 Jan69(1)1-18 doi
103109080394882014921933
2 httpwwwncbinlmnihgovpubmed18826452 Nutr Rev 2008 Oct66(10)558-68
3 Child Adolesc Psychiatr Clin N Am 2014 October
23(4) 937ndash953 doi101016jchc201405010
wwwHealthTakesGutscom
Diet references
4 httpwwwncbinlmnihgovpubmed22232312
Pediatrics 2012 Feb129(2)330-7 doi 101542peds2011-
2199 Epub 2012 Jan 9 The diet factor in attention-
deficithyperactivity disorder Millichap JG1 Yee MM
5 httpwwwncbinlmnihgovpubmed20034331Acta
Med Croatica 2009 Oct63(4)307-13
6 httpwwwncbinlmnihgovpubmed14687872Prog
Neuropsychopharmacol Biol Psychiatry 2004
Jan28(1)181-90
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
httpwwwncbinlmnihgovpubmed26137496
Biomed Res Int 20152015962857 doi 1011552015962857
httpwwwncbinlmnihgovpubmed26207130
Psychiatry Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26188640
Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
httpwwwncbinlmnihgovpubmed26664441
Iran J Child Neurol 2015 Fall9(4)48-53
httpwwwncbinlmnihgovpubmed24610453
Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5
wwwHealthTakesGutscom
References
lsquohttpwwwncbinlmnihgovpubmed16846100
Magnes Res 2006 Mar19(1)46-52
httpwwwncbinlmnihgovpubmed25373528
Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432
httpwwwncbinlmnihgovpubmed26682999
J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105
httpwwwncbinlmnihgovpubmed26573368
Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
Putting it all together
Testing
Determined if needed based on individual case
Exercise
Sleep
Limit screens
Nature
Be aware of the nutritional implications of meds
wwwHealthTakesGutscom
Questions
Dianne Rishikof MS RDN LDN
wwwDianneRishikofcom
wwwHealthTakesGutscom
DianneRishikofgmailcom
wwwHealthTakesGutscom
Resources and References
httpwwwadditudemagcom
httpfeingoldorg
diannerishikofcomnutritional-supplements
The kid-friendly ADHD and Autism Cookbook
Amen Daniel Healing ADD New York Berkeley Publishing 2013
ADHD without drugs Sandford Newmark Tucson AZ Nurtured Heart Publications c2010
wwwHealthTakesGutscom
References
Shaken E Lakhan and Karen F Vieira Nutrition therapies
for mental disorders Nutrition Journal 2008 72
Neurotransmitters excreted in the urine as biomarkers of
nervous system activity Validity and clinical applicability David T Marclowast Joseph W Ailts Danielle C Ailts
Campeau Michael J Bull Kelly L Olson NeuroScience Inc 373 280th Street Osceola WI 54020 United States
httpwwwncbinlmnihgovpubmed25925875
Complement Ther Clin Pract 2015 May21(2)61-7 doi 101016jctcp201504001 Epub 2015 Apr 18
wwwHealthTakesGutscom
Gut Health references
1 Forsyth P Voices from within gut microbes and the CNS Cell Mol Life Science 2013 7055-69
2 Koloski NA Jones M Kalantar J Weltman M Zaguirre J Talley NJ The brain-gut pathway in functional gastrointestinal disorders is bidirectional a 12-year prospective population-based study Gut 2012611284-1290
3 Marilia Carabottia Annunziata Sciroccoa Maria Antonietta Masellib Carola Severia The gut-brain axis interactions between enteric microbiota central and enteric nervous systems Annals of Gastroenterology (2015) 28 203-209
wwwHealthTakesGutscom
Exercise references
1 httpwwwncbinlmnihgovpubmed26504324 Phys Ther Sci 2015 Sep27(9)2915-9 doi 101589jpts272915 Epub 2015 Sep 30
2 httpwwwncbinlmnihgovpubmed25988743Child Care Health Dev 2015 May 18 doi 101111cch12255 The main cumulative evidence indicates that short-term aerobic exercise based on several aerobic intervention formats seems to be effective for mitigating symptoms such as attention hyperactivity impulsivity anxiety executive function and social disorders in children with ADHD
3 httpwwwncbinlmnihgovpubmed25671205J Exerc Nutrition Biochem 2014 Dec18(4)379-84 doi 105717jenb2014184379 Epub 2014 Dec 31We thus showed that exercise effectivelyalleviates ADHD-induced symptoms through enhancing dopamine D2 expression in the brain
wwwHealthTakesGutscom
Exercise references
4 httpwwwncbinlmnihgovpubmed25646023 J Atten Disord 2015 Feb 2 pii 1087054715569282 A 12-week table tennis exercise mayhave clinical relevance in motor skills and executive functions of children with ADHD
5 httpwwwncbinlmnihgovpubmed25561359 Res Dev Disabil 2015 Mar38181-91 doi 101016jridd201412005 These findings support the hypothesis that long-term PA has a positive effect on executive functions of children with ADHD regardless of the specificity of the PA The outcomes indicated that regular PA can be used as a complementary or alternative non-pharmacologic treatment for ADHD
6 httpwwwncbinlmnihgovpubmed25220093Child Adolesc Psychiatr Clin N Am 2014 Oct23(4)899-936 doi 101016jchc201405005these data provide a strong rationale for whya program of structured physical exercise might serve as an effectiveintervention for children with ADHD
wwwHealthTakesGutscom
Exercise references
7
httpwwwtheatlanticcomhealtharchive201409exe
rcise-seems-to-be-beneficial-to-children380844
8
httpwwwncbinlmnihgovpmcarticlesPMC3556380
9
httpwwwncbinlmnihgovpmcarticlesPMC3556380
wwwHealthTakesGutscom
Diet references
1 httpwwwncbinlmnihgovpubmed24934907 Nord
J Psychiatry 2015 Jan69(1)1-18 doi
103109080394882014921933
2 httpwwwncbinlmnihgovpubmed18826452 Nutr Rev 2008 Oct66(10)558-68
3 Child Adolesc Psychiatr Clin N Am 2014 October
23(4) 937ndash953 doi101016jchc201405010
wwwHealthTakesGutscom
Diet references
4 httpwwwncbinlmnihgovpubmed22232312
Pediatrics 2012 Feb129(2)330-7 doi 101542peds2011-
2199 Epub 2012 Jan 9 The diet factor in attention-
deficithyperactivity disorder Millichap JG1 Yee MM
5 httpwwwncbinlmnihgovpubmed20034331Acta
Med Croatica 2009 Oct63(4)307-13
6 httpwwwncbinlmnihgovpubmed14687872Prog
Neuropsychopharmacol Biol Psychiatry 2004
Jan28(1)181-90
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
httpwwwncbinlmnihgovpubmed26137496
Biomed Res Int 20152015962857 doi 1011552015962857
httpwwwncbinlmnihgovpubmed26207130
Psychiatry Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26188640
Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
httpwwwncbinlmnihgovpubmed26664441
Iran J Child Neurol 2015 Fall9(4)48-53
httpwwwncbinlmnihgovpubmed24610453
Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5
wwwHealthTakesGutscom
References
lsquohttpwwwncbinlmnihgovpubmed16846100
Magnes Res 2006 Mar19(1)46-52
httpwwwncbinlmnihgovpubmed25373528
Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432
httpwwwncbinlmnihgovpubmed26682999
J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105
httpwwwncbinlmnihgovpubmed26573368
Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
Questions
Dianne Rishikof MS RDN LDN
wwwDianneRishikofcom
wwwHealthTakesGutscom
DianneRishikofgmailcom
wwwHealthTakesGutscom
Resources and References
httpwwwadditudemagcom
httpfeingoldorg
diannerishikofcomnutritional-supplements
The kid-friendly ADHD and Autism Cookbook
Amen Daniel Healing ADD New York Berkeley Publishing 2013
ADHD without drugs Sandford Newmark Tucson AZ Nurtured Heart Publications c2010
wwwHealthTakesGutscom
References
Shaken E Lakhan and Karen F Vieira Nutrition therapies
for mental disorders Nutrition Journal 2008 72
Neurotransmitters excreted in the urine as biomarkers of
nervous system activity Validity and clinical applicability David T Marclowast Joseph W Ailts Danielle C Ailts
Campeau Michael J Bull Kelly L Olson NeuroScience Inc 373 280th Street Osceola WI 54020 United States
httpwwwncbinlmnihgovpubmed25925875
Complement Ther Clin Pract 2015 May21(2)61-7 doi 101016jctcp201504001 Epub 2015 Apr 18
wwwHealthTakesGutscom
Gut Health references
1 Forsyth P Voices from within gut microbes and the CNS Cell Mol Life Science 2013 7055-69
2 Koloski NA Jones M Kalantar J Weltman M Zaguirre J Talley NJ The brain-gut pathway in functional gastrointestinal disorders is bidirectional a 12-year prospective population-based study Gut 2012611284-1290
3 Marilia Carabottia Annunziata Sciroccoa Maria Antonietta Masellib Carola Severia The gut-brain axis interactions between enteric microbiota central and enteric nervous systems Annals of Gastroenterology (2015) 28 203-209
wwwHealthTakesGutscom
Exercise references
1 httpwwwncbinlmnihgovpubmed26504324 Phys Ther Sci 2015 Sep27(9)2915-9 doi 101589jpts272915 Epub 2015 Sep 30
2 httpwwwncbinlmnihgovpubmed25988743Child Care Health Dev 2015 May 18 doi 101111cch12255 The main cumulative evidence indicates that short-term aerobic exercise based on several aerobic intervention formats seems to be effective for mitigating symptoms such as attention hyperactivity impulsivity anxiety executive function and social disorders in children with ADHD
3 httpwwwncbinlmnihgovpubmed25671205J Exerc Nutrition Biochem 2014 Dec18(4)379-84 doi 105717jenb2014184379 Epub 2014 Dec 31We thus showed that exercise effectivelyalleviates ADHD-induced symptoms through enhancing dopamine D2 expression in the brain
wwwHealthTakesGutscom
Exercise references
4 httpwwwncbinlmnihgovpubmed25646023 J Atten Disord 2015 Feb 2 pii 1087054715569282 A 12-week table tennis exercise mayhave clinical relevance in motor skills and executive functions of children with ADHD
5 httpwwwncbinlmnihgovpubmed25561359 Res Dev Disabil 2015 Mar38181-91 doi 101016jridd201412005 These findings support the hypothesis that long-term PA has a positive effect on executive functions of children with ADHD regardless of the specificity of the PA The outcomes indicated that regular PA can be used as a complementary or alternative non-pharmacologic treatment for ADHD
6 httpwwwncbinlmnihgovpubmed25220093Child Adolesc Psychiatr Clin N Am 2014 Oct23(4)899-936 doi 101016jchc201405005these data provide a strong rationale for whya program of structured physical exercise might serve as an effectiveintervention for children with ADHD
wwwHealthTakesGutscom
Exercise references
7
httpwwwtheatlanticcomhealtharchive201409exe
rcise-seems-to-be-beneficial-to-children380844
8
httpwwwncbinlmnihgovpmcarticlesPMC3556380
9
httpwwwncbinlmnihgovpmcarticlesPMC3556380
wwwHealthTakesGutscom
Diet references
1 httpwwwncbinlmnihgovpubmed24934907 Nord
J Psychiatry 2015 Jan69(1)1-18 doi
103109080394882014921933
2 httpwwwncbinlmnihgovpubmed18826452 Nutr Rev 2008 Oct66(10)558-68
3 Child Adolesc Psychiatr Clin N Am 2014 October
23(4) 937ndash953 doi101016jchc201405010
wwwHealthTakesGutscom
Diet references
4 httpwwwncbinlmnihgovpubmed22232312
Pediatrics 2012 Feb129(2)330-7 doi 101542peds2011-
2199 Epub 2012 Jan 9 The diet factor in attention-
deficithyperactivity disorder Millichap JG1 Yee MM
5 httpwwwncbinlmnihgovpubmed20034331Acta
Med Croatica 2009 Oct63(4)307-13
6 httpwwwncbinlmnihgovpubmed14687872Prog
Neuropsychopharmacol Biol Psychiatry 2004
Jan28(1)181-90
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
httpwwwncbinlmnihgovpubmed26137496
Biomed Res Int 20152015962857 doi 1011552015962857
httpwwwncbinlmnihgovpubmed26207130
Psychiatry Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26188640
Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
httpwwwncbinlmnihgovpubmed26664441
Iran J Child Neurol 2015 Fall9(4)48-53
httpwwwncbinlmnihgovpubmed24610453
Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5
wwwHealthTakesGutscom
References
lsquohttpwwwncbinlmnihgovpubmed16846100
Magnes Res 2006 Mar19(1)46-52
httpwwwncbinlmnihgovpubmed25373528
Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432
httpwwwncbinlmnihgovpubmed26682999
J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105
httpwwwncbinlmnihgovpubmed26573368
Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
Resources and References
httpwwwadditudemagcom
httpfeingoldorg
diannerishikofcomnutritional-supplements
The kid-friendly ADHD and Autism Cookbook
Amen Daniel Healing ADD New York Berkeley Publishing 2013
ADHD without drugs Sandford Newmark Tucson AZ Nurtured Heart Publications c2010
wwwHealthTakesGutscom
References
Shaken E Lakhan and Karen F Vieira Nutrition therapies
for mental disorders Nutrition Journal 2008 72
Neurotransmitters excreted in the urine as biomarkers of
nervous system activity Validity and clinical applicability David T Marclowast Joseph W Ailts Danielle C Ailts
Campeau Michael J Bull Kelly L Olson NeuroScience Inc 373 280th Street Osceola WI 54020 United States
httpwwwncbinlmnihgovpubmed25925875
Complement Ther Clin Pract 2015 May21(2)61-7 doi 101016jctcp201504001 Epub 2015 Apr 18
wwwHealthTakesGutscom
Gut Health references
1 Forsyth P Voices from within gut microbes and the CNS Cell Mol Life Science 2013 7055-69
2 Koloski NA Jones M Kalantar J Weltman M Zaguirre J Talley NJ The brain-gut pathway in functional gastrointestinal disorders is bidirectional a 12-year prospective population-based study Gut 2012611284-1290
3 Marilia Carabottia Annunziata Sciroccoa Maria Antonietta Masellib Carola Severia The gut-brain axis interactions between enteric microbiota central and enteric nervous systems Annals of Gastroenterology (2015) 28 203-209
wwwHealthTakesGutscom
Exercise references
1 httpwwwncbinlmnihgovpubmed26504324 Phys Ther Sci 2015 Sep27(9)2915-9 doi 101589jpts272915 Epub 2015 Sep 30
2 httpwwwncbinlmnihgovpubmed25988743Child Care Health Dev 2015 May 18 doi 101111cch12255 The main cumulative evidence indicates that short-term aerobic exercise based on several aerobic intervention formats seems to be effective for mitigating symptoms such as attention hyperactivity impulsivity anxiety executive function and social disorders in children with ADHD
3 httpwwwncbinlmnihgovpubmed25671205J Exerc Nutrition Biochem 2014 Dec18(4)379-84 doi 105717jenb2014184379 Epub 2014 Dec 31We thus showed that exercise effectivelyalleviates ADHD-induced symptoms through enhancing dopamine D2 expression in the brain
wwwHealthTakesGutscom
Exercise references
4 httpwwwncbinlmnihgovpubmed25646023 J Atten Disord 2015 Feb 2 pii 1087054715569282 A 12-week table tennis exercise mayhave clinical relevance in motor skills and executive functions of children with ADHD
5 httpwwwncbinlmnihgovpubmed25561359 Res Dev Disabil 2015 Mar38181-91 doi 101016jridd201412005 These findings support the hypothesis that long-term PA has a positive effect on executive functions of children with ADHD regardless of the specificity of the PA The outcomes indicated that regular PA can be used as a complementary or alternative non-pharmacologic treatment for ADHD
6 httpwwwncbinlmnihgovpubmed25220093Child Adolesc Psychiatr Clin N Am 2014 Oct23(4)899-936 doi 101016jchc201405005these data provide a strong rationale for whya program of structured physical exercise might serve as an effectiveintervention for children with ADHD
wwwHealthTakesGutscom
Exercise references
7
httpwwwtheatlanticcomhealtharchive201409exe
rcise-seems-to-be-beneficial-to-children380844
8
httpwwwncbinlmnihgovpmcarticlesPMC3556380
9
httpwwwncbinlmnihgovpmcarticlesPMC3556380
wwwHealthTakesGutscom
Diet references
1 httpwwwncbinlmnihgovpubmed24934907 Nord
J Psychiatry 2015 Jan69(1)1-18 doi
103109080394882014921933
2 httpwwwncbinlmnihgovpubmed18826452 Nutr Rev 2008 Oct66(10)558-68
3 Child Adolesc Psychiatr Clin N Am 2014 October
23(4) 937ndash953 doi101016jchc201405010
wwwHealthTakesGutscom
Diet references
4 httpwwwncbinlmnihgovpubmed22232312
Pediatrics 2012 Feb129(2)330-7 doi 101542peds2011-
2199 Epub 2012 Jan 9 The diet factor in attention-
deficithyperactivity disorder Millichap JG1 Yee MM
5 httpwwwncbinlmnihgovpubmed20034331Acta
Med Croatica 2009 Oct63(4)307-13
6 httpwwwncbinlmnihgovpubmed14687872Prog
Neuropsychopharmacol Biol Psychiatry 2004
Jan28(1)181-90
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
httpwwwncbinlmnihgovpubmed26137496
Biomed Res Int 20152015962857 doi 1011552015962857
httpwwwncbinlmnihgovpubmed26207130
Psychiatry Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26188640
Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
httpwwwncbinlmnihgovpubmed26664441
Iran J Child Neurol 2015 Fall9(4)48-53
httpwwwncbinlmnihgovpubmed24610453
Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5
wwwHealthTakesGutscom
References
lsquohttpwwwncbinlmnihgovpubmed16846100
Magnes Res 2006 Mar19(1)46-52
httpwwwncbinlmnihgovpubmed25373528
Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432
httpwwwncbinlmnihgovpubmed26682999
J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105
httpwwwncbinlmnihgovpubmed26573368
Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
References
Shaken E Lakhan and Karen F Vieira Nutrition therapies
for mental disorders Nutrition Journal 2008 72
Neurotransmitters excreted in the urine as biomarkers of
nervous system activity Validity and clinical applicability David T Marclowast Joseph W Ailts Danielle C Ailts
Campeau Michael J Bull Kelly L Olson NeuroScience Inc 373 280th Street Osceola WI 54020 United States
httpwwwncbinlmnihgovpubmed25925875
Complement Ther Clin Pract 2015 May21(2)61-7 doi 101016jctcp201504001 Epub 2015 Apr 18
wwwHealthTakesGutscom
Gut Health references
1 Forsyth P Voices from within gut microbes and the CNS Cell Mol Life Science 2013 7055-69
2 Koloski NA Jones M Kalantar J Weltman M Zaguirre J Talley NJ The brain-gut pathway in functional gastrointestinal disorders is bidirectional a 12-year prospective population-based study Gut 2012611284-1290
3 Marilia Carabottia Annunziata Sciroccoa Maria Antonietta Masellib Carola Severia The gut-brain axis interactions between enteric microbiota central and enteric nervous systems Annals of Gastroenterology (2015) 28 203-209
wwwHealthTakesGutscom
Exercise references
1 httpwwwncbinlmnihgovpubmed26504324 Phys Ther Sci 2015 Sep27(9)2915-9 doi 101589jpts272915 Epub 2015 Sep 30
2 httpwwwncbinlmnihgovpubmed25988743Child Care Health Dev 2015 May 18 doi 101111cch12255 The main cumulative evidence indicates that short-term aerobic exercise based on several aerobic intervention formats seems to be effective for mitigating symptoms such as attention hyperactivity impulsivity anxiety executive function and social disorders in children with ADHD
3 httpwwwncbinlmnihgovpubmed25671205J Exerc Nutrition Biochem 2014 Dec18(4)379-84 doi 105717jenb2014184379 Epub 2014 Dec 31We thus showed that exercise effectivelyalleviates ADHD-induced symptoms through enhancing dopamine D2 expression in the brain
wwwHealthTakesGutscom
Exercise references
4 httpwwwncbinlmnihgovpubmed25646023 J Atten Disord 2015 Feb 2 pii 1087054715569282 A 12-week table tennis exercise mayhave clinical relevance in motor skills and executive functions of children with ADHD
5 httpwwwncbinlmnihgovpubmed25561359 Res Dev Disabil 2015 Mar38181-91 doi 101016jridd201412005 These findings support the hypothesis that long-term PA has a positive effect on executive functions of children with ADHD regardless of the specificity of the PA The outcomes indicated that regular PA can be used as a complementary or alternative non-pharmacologic treatment for ADHD
6 httpwwwncbinlmnihgovpubmed25220093Child Adolesc Psychiatr Clin N Am 2014 Oct23(4)899-936 doi 101016jchc201405005these data provide a strong rationale for whya program of structured physical exercise might serve as an effectiveintervention for children with ADHD
wwwHealthTakesGutscom
Exercise references
7
httpwwwtheatlanticcomhealtharchive201409exe
rcise-seems-to-be-beneficial-to-children380844
8
httpwwwncbinlmnihgovpmcarticlesPMC3556380
9
httpwwwncbinlmnihgovpmcarticlesPMC3556380
wwwHealthTakesGutscom
Diet references
1 httpwwwncbinlmnihgovpubmed24934907 Nord
J Psychiatry 2015 Jan69(1)1-18 doi
103109080394882014921933
2 httpwwwncbinlmnihgovpubmed18826452 Nutr Rev 2008 Oct66(10)558-68
3 Child Adolesc Psychiatr Clin N Am 2014 October
23(4) 937ndash953 doi101016jchc201405010
wwwHealthTakesGutscom
Diet references
4 httpwwwncbinlmnihgovpubmed22232312
Pediatrics 2012 Feb129(2)330-7 doi 101542peds2011-
2199 Epub 2012 Jan 9 The diet factor in attention-
deficithyperactivity disorder Millichap JG1 Yee MM
5 httpwwwncbinlmnihgovpubmed20034331Acta
Med Croatica 2009 Oct63(4)307-13
6 httpwwwncbinlmnihgovpubmed14687872Prog
Neuropsychopharmacol Biol Psychiatry 2004
Jan28(1)181-90
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
httpwwwncbinlmnihgovpubmed26137496
Biomed Res Int 20152015962857 doi 1011552015962857
httpwwwncbinlmnihgovpubmed26207130
Psychiatry Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26188640
Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
httpwwwncbinlmnihgovpubmed26664441
Iran J Child Neurol 2015 Fall9(4)48-53
httpwwwncbinlmnihgovpubmed24610453
Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5
wwwHealthTakesGutscom
References
lsquohttpwwwncbinlmnihgovpubmed16846100
Magnes Res 2006 Mar19(1)46-52
httpwwwncbinlmnihgovpubmed25373528
Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432
httpwwwncbinlmnihgovpubmed26682999
J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105
httpwwwncbinlmnihgovpubmed26573368
Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
Gut Health references
1 Forsyth P Voices from within gut microbes and the CNS Cell Mol Life Science 2013 7055-69
2 Koloski NA Jones M Kalantar J Weltman M Zaguirre J Talley NJ The brain-gut pathway in functional gastrointestinal disorders is bidirectional a 12-year prospective population-based study Gut 2012611284-1290
3 Marilia Carabottia Annunziata Sciroccoa Maria Antonietta Masellib Carola Severia The gut-brain axis interactions between enteric microbiota central and enteric nervous systems Annals of Gastroenterology (2015) 28 203-209
wwwHealthTakesGutscom
Exercise references
1 httpwwwncbinlmnihgovpubmed26504324 Phys Ther Sci 2015 Sep27(9)2915-9 doi 101589jpts272915 Epub 2015 Sep 30
2 httpwwwncbinlmnihgovpubmed25988743Child Care Health Dev 2015 May 18 doi 101111cch12255 The main cumulative evidence indicates that short-term aerobic exercise based on several aerobic intervention formats seems to be effective for mitigating symptoms such as attention hyperactivity impulsivity anxiety executive function and social disorders in children with ADHD
3 httpwwwncbinlmnihgovpubmed25671205J Exerc Nutrition Biochem 2014 Dec18(4)379-84 doi 105717jenb2014184379 Epub 2014 Dec 31We thus showed that exercise effectivelyalleviates ADHD-induced symptoms through enhancing dopamine D2 expression in the brain
wwwHealthTakesGutscom
Exercise references
4 httpwwwncbinlmnihgovpubmed25646023 J Atten Disord 2015 Feb 2 pii 1087054715569282 A 12-week table tennis exercise mayhave clinical relevance in motor skills and executive functions of children with ADHD
5 httpwwwncbinlmnihgovpubmed25561359 Res Dev Disabil 2015 Mar38181-91 doi 101016jridd201412005 These findings support the hypothesis that long-term PA has a positive effect on executive functions of children with ADHD regardless of the specificity of the PA The outcomes indicated that regular PA can be used as a complementary or alternative non-pharmacologic treatment for ADHD
6 httpwwwncbinlmnihgovpubmed25220093Child Adolesc Psychiatr Clin N Am 2014 Oct23(4)899-936 doi 101016jchc201405005these data provide a strong rationale for whya program of structured physical exercise might serve as an effectiveintervention for children with ADHD
wwwHealthTakesGutscom
Exercise references
7
httpwwwtheatlanticcomhealtharchive201409exe
rcise-seems-to-be-beneficial-to-children380844
8
httpwwwncbinlmnihgovpmcarticlesPMC3556380
9
httpwwwncbinlmnihgovpmcarticlesPMC3556380
wwwHealthTakesGutscom
Diet references
1 httpwwwncbinlmnihgovpubmed24934907 Nord
J Psychiatry 2015 Jan69(1)1-18 doi
103109080394882014921933
2 httpwwwncbinlmnihgovpubmed18826452 Nutr Rev 2008 Oct66(10)558-68
3 Child Adolesc Psychiatr Clin N Am 2014 October
23(4) 937ndash953 doi101016jchc201405010
wwwHealthTakesGutscom
Diet references
4 httpwwwncbinlmnihgovpubmed22232312
Pediatrics 2012 Feb129(2)330-7 doi 101542peds2011-
2199 Epub 2012 Jan 9 The diet factor in attention-
deficithyperactivity disorder Millichap JG1 Yee MM
5 httpwwwncbinlmnihgovpubmed20034331Acta
Med Croatica 2009 Oct63(4)307-13
6 httpwwwncbinlmnihgovpubmed14687872Prog
Neuropsychopharmacol Biol Psychiatry 2004
Jan28(1)181-90
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
httpwwwncbinlmnihgovpubmed26137496
Biomed Res Int 20152015962857 doi 1011552015962857
httpwwwncbinlmnihgovpubmed26207130
Psychiatry Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26188640
Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
httpwwwncbinlmnihgovpubmed26664441
Iran J Child Neurol 2015 Fall9(4)48-53
httpwwwncbinlmnihgovpubmed24610453
Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5
wwwHealthTakesGutscom
References
lsquohttpwwwncbinlmnihgovpubmed16846100
Magnes Res 2006 Mar19(1)46-52
httpwwwncbinlmnihgovpubmed25373528
Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432
httpwwwncbinlmnihgovpubmed26682999
J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105
httpwwwncbinlmnihgovpubmed26573368
Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
Exercise references
1 httpwwwncbinlmnihgovpubmed26504324 Phys Ther Sci 2015 Sep27(9)2915-9 doi 101589jpts272915 Epub 2015 Sep 30
2 httpwwwncbinlmnihgovpubmed25988743Child Care Health Dev 2015 May 18 doi 101111cch12255 The main cumulative evidence indicates that short-term aerobic exercise based on several aerobic intervention formats seems to be effective for mitigating symptoms such as attention hyperactivity impulsivity anxiety executive function and social disorders in children with ADHD
3 httpwwwncbinlmnihgovpubmed25671205J Exerc Nutrition Biochem 2014 Dec18(4)379-84 doi 105717jenb2014184379 Epub 2014 Dec 31We thus showed that exercise effectivelyalleviates ADHD-induced symptoms through enhancing dopamine D2 expression in the brain
wwwHealthTakesGutscom
Exercise references
4 httpwwwncbinlmnihgovpubmed25646023 J Atten Disord 2015 Feb 2 pii 1087054715569282 A 12-week table tennis exercise mayhave clinical relevance in motor skills and executive functions of children with ADHD
5 httpwwwncbinlmnihgovpubmed25561359 Res Dev Disabil 2015 Mar38181-91 doi 101016jridd201412005 These findings support the hypothesis that long-term PA has a positive effect on executive functions of children with ADHD regardless of the specificity of the PA The outcomes indicated that regular PA can be used as a complementary or alternative non-pharmacologic treatment for ADHD
6 httpwwwncbinlmnihgovpubmed25220093Child Adolesc Psychiatr Clin N Am 2014 Oct23(4)899-936 doi 101016jchc201405005these data provide a strong rationale for whya program of structured physical exercise might serve as an effectiveintervention for children with ADHD
wwwHealthTakesGutscom
Exercise references
7
httpwwwtheatlanticcomhealtharchive201409exe
rcise-seems-to-be-beneficial-to-children380844
8
httpwwwncbinlmnihgovpmcarticlesPMC3556380
9
httpwwwncbinlmnihgovpmcarticlesPMC3556380
wwwHealthTakesGutscom
Diet references
1 httpwwwncbinlmnihgovpubmed24934907 Nord
J Psychiatry 2015 Jan69(1)1-18 doi
103109080394882014921933
2 httpwwwncbinlmnihgovpubmed18826452 Nutr Rev 2008 Oct66(10)558-68
3 Child Adolesc Psychiatr Clin N Am 2014 October
23(4) 937ndash953 doi101016jchc201405010
wwwHealthTakesGutscom
Diet references
4 httpwwwncbinlmnihgovpubmed22232312
Pediatrics 2012 Feb129(2)330-7 doi 101542peds2011-
2199 Epub 2012 Jan 9 The diet factor in attention-
deficithyperactivity disorder Millichap JG1 Yee MM
5 httpwwwncbinlmnihgovpubmed20034331Acta
Med Croatica 2009 Oct63(4)307-13
6 httpwwwncbinlmnihgovpubmed14687872Prog
Neuropsychopharmacol Biol Psychiatry 2004
Jan28(1)181-90
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
httpwwwncbinlmnihgovpubmed26137496
Biomed Res Int 20152015962857 doi 1011552015962857
httpwwwncbinlmnihgovpubmed26207130
Psychiatry Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26188640
Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
httpwwwncbinlmnihgovpubmed26664441
Iran J Child Neurol 2015 Fall9(4)48-53
httpwwwncbinlmnihgovpubmed24610453
Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5
wwwHealthTakesGutscom
References
lsquohttpwwwncbinlmnihgovpubmed16846100
Magnes Res 2006 Mar19(1)46-52
httpwwwncbinlmnihgovpubmed25373528
Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432
httpwwwncbinlmnihgovpubmed26682999
J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105
httpwwwncbinlmnihgovpubmed26573368
Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
Exercise references
4 httpwwwncbinlmnihgovpubmed25646023 J Atten Disord 2015 Feb 2 pii 1087054715569282 A 12-week table tennis exercise mayhave clinical relevance in motor skills and executive functions of children with ADHD
5 httpwwwncbinlmnihgovpubmed25561359 Res Dev Disabil 2015 Mar38181-91 doi 101016jridd201412005 These findings support the hypothesis that long-term PA has a positive effect on executive functions of children with ADHD regardless of the specificity of the PA The outcomes indicated that regular PA can be used as a complementary or alternative non-pharmacologic treatment for ADHD
6 httpwwwncbinlmnihgovpubmed25220093Child Adolesc Psychiatr Clin N Am 2014 Oct23(4)899-936 doi 101016jchc201405005these data provide a strong rationale for whya program of structured physical exercise might serve as an effectiveintervention for children with ADHD
wwwHealthTakesGutscom
Exercise references
7
httpwwwtheatlanticcomhealtharchive201409exe
rcise-seems-to-be-beneficial-to-children380844
8
httpwwwncbinlmnihgovpmcarticlesPMC3556380
9
httpwwwncbinlmnihgovpmcarticlesPMC3556380
wwwHealthTakesGutscom
Diet references
1 httpwwwncbinlmnihgovpubmed24934907 Nord
J Psychiatry 2015 Jan69(1)1-18 doi
103109080394882014921933
2 httpwwwncbinlmnihgovpubmed18826452 Nutr Rev 2008 Oct66(10)558-68
3 Child Adolesc Psychiatr Clin N Am 2014 October
23(4) 937ndash953 doi101016jchc201405010
wwwHealthTakesGutscom
Diet references
4 httpwwwncbinlmnihgovpubmed22232312
Pediatrics 2012 Feb129(2)330-7 doi 101542peds2011-
2199 Epub 2012 Jan 9 The diet factor in attention-
deficithyperactivity disorder Millichap JG1 Yee MM
5 httpwwwncbinlmnihgovpubmed20034331Acta
Med Croatica 2009 Oct63(4)307-13
6 httpwwwncbinlmnihgovpubmed14687872Prog
Neuropsychopharmacol Biol Psychiatry 2004
Jan28(1)181-90
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
httpwwwncbinlmnihgovpubmed26137496
Biomed Res Int 20152015962857 doi 1011552015962857
httpwwwncbinlmnihgovpubmed26207130
Psychiatry Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26188640
Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
httpwwwncbinlmnihgovpubmed26664441
Iran J Child Neurol 2015 Fall9(4)48-53
httpwwwncbinlmnihgovpubmed24610453
Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5
wwwHealthTakesGutscom
References
lsquohttpwwwncbinlmnihgovpubmed16846100
Magnes Res 2006 Mar19(1)46-52
httpwwwncbinlmnihgovpubmed25373528
Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432
httpwwwncbinlmnihgovpubmed26682999
J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105
httpwwwncbinlmnihgovpubmed26573368
Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
Exercise references
7
httpwwwtheatlanticcomhealtharchive201409exe
rcise-seems-to-be-beneficial-to-children380844
8
httpwwwncbinlmnihgovpmcarticlesPMC3556380
9
httpwwwncbinlmnihgovpmcarticlesPMC3556380
wwwHealthTakesGutscom
Diet references
1 httpwwwncbinlmnihgovpubmed24934907 Nord
J Psychiatry 2015 Jan69(1)1-18 doi
103109080394882014921933
2 httpwwwncbinlmnihgovpubmed18826452 Nutr Rev 2008 Oct66(10)558-68
3 Child Adolesc Psychiatr Clin N Am 2014 October
23(4) 937ndash953 doi101016jchc201405010
wwwHealthTakesGutscom
Diet references
4 httpwwwncbinlmnihgovpubmed22232312
Pediatrics 2012 Feb129(2)330-7 doi 101542peds2011-
2199 Epub 2012 Jan 9 The diet factor in attention-
deficithyperactivity disorder Millichap JG1 Yee MM
5 httpwwwncbinlmnihgovpubmed20034331Acta
Med Croatica 2009 Oct63(4)307-13
6 httpwwwncbinlmnihgovpubmed14687872Prog
Neuropsychopharmacol Biol Psychiatry 2004
Jan28(1)181-90
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
httpwwwncbinlmnihgovpubmed26137496
Biomed Res Int 20152015962857 doi 1011552015962857
httpwwwncbinlmnihgovpubmed26207130
Psychiatry Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26188640
Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
httpwwwncbinlmnihgovpubmed26664441
Iran J Child Neurol 2015 Fall9(4)48-53
httpwwwncbinlmnihgovpubmed24610453
Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5
wwwHealthTakesGutscom
References
lsquohttpwwwncbinlmnihgovpubmed16846100
Magnes Res 2006 Mar19(1)46-52
httpwwwncbinlmnihgovpubmed25373528
Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432
httpwwwncbinlmnihgovpubmed26682999
J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105
httpwwwncbinlmnihgovpubmed26573368
Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
Diet references
1 httpwwwncbinlmnihgovpubmed24934907 Nord
J Psychiatry 2015 Jan69(1)1-18 doi
103109080394882014921933
2 httpwwwncbinlmnihgovpubmed18826452 Nutr Rev 2008 Oct66(10)558-68
3 Child Adolesc Psychiatr Clin N Am 2014 October
23(4) 937ndash953 doi101016jchc201405010
wwwHealthTakesGutscom
Diet references
4 httpwwwncbinlmnihgovpubmed22232312
Pediatrics 2012 Feb129(2)330-7 doi 101542peds2011-
2199 Epub 2012 Jan 9 The diet factor in attention-
deficithyperactivity disorder Millichap JG1 Yee MM
5 httpwwwncbinlmnihgovpubmed20034331Acta
Med Croatica 2009 Oct63(4)307-13
6 httpwwwncbinlmnihgovpubmed14687872Prog
Neuropsychopharmacol Biol Psychiatry 2004
Jan28(1)181-90
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
httpwwwncbinlmnihgovpubmed26137496
Biomed Res Int 20152015962857 doi 1011552015962857
httpwwwncbinlmnihgovpubmed26207130
Psychiatry Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26188640
Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
httpwwwncbinlmnihgovpubmed26664441
Iran J Child Neurol 2015 Fall9(4)48-53
httpwwwncbinlmnihgovpubmed24610453
Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5
wwwHealthTakesGutscom
References
lsquohttpwwwncbinlmnihgovpubmed16846100
Magnes Res 2006 Mar19(1)46-52
httpwwwncbinlmnihgovpubmed25373528
Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432
httpwwwncbinlmnihgovpubmed26682999
J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105
httpwwwncbinlmnihgovpubmed26573368
Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
Diet references
4 httpwwwncbinlmnihgovpubmed22232312
Pediatrics 2012 Feb129(2)330-7 doi 101542peds2011-
2199 Epub 2012 Jan 9 The diet factor in attention-
deficithyperactivity disorder Millichap JG1 Yee MM
5 httpwwwncbinlmnihgovpubmed20034331Acta
Med Croatica 2009 Oct63(4)307-13
6 httpwwwncbinlmnihgovpubmed14687872Prog
Neuropsychopharmacol Biol Psychiatry 2004
Jan28(1)181-90
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
httpwwwncbinlmnihgovpubmed26137496
Biomed Res Int 20152015962857 doi 1011552015962857
httpwwwncbinlmnihgovpubmed26207130
Psychiatry Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26188640
Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
httpwwwncbinlmnihgovpubmed26664441
Iran J Child Neurol 2015 Fall9(4)48-53
httpwwwncbinlmnihgovpubmed24610453
Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5
wwwHealthTakesGutscom
References
lsquohttpwwwncbinlmnihgovpubmed16846100
Magnes Res 2006 Mar19(1)46-52
httpwwwncbinlmnihgovpubmed25373528
Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432
httpwwwncbinlmnihgovpubmed26682999
J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105
httpwwwncbinlmnihgovpubmed26573368
Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26503122
httpwwwncbinlmnihgovpubmed20839894
httpwwwncbinlmnihgovpubmed16624231
httpwwwncbinlmnihgovpubmed26137496
Biomed Res Int 20152015962857 doi 1011552015962857
httpwwwncbinlmnihgovpubmed26207130
Psychiatry Investig 2015 Jul12(3)361-6 doi 104306pi2015123361
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26188640
Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
httpwwwncbinlmnihgovpubmed26664441
Iran J Child Neurol 2015 Fall9(4)48-53
httpwwwncbinlmnihgovpubmed24610453
Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5
wwwHealthTakesGutscom
References
lsquohttpwwwncbinlmnihgovpubmed16846100
Magnes Res 2006 Mar19(1)46-52
httpwwwncbinlmnihgovpubmed25373528
Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432
httpwwwncbinlmnihgovpubmed26682999
J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105
httpwwwncbinlmnihgovpubmed26573368
Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed26188640
Psychiatry Res 2015 Sep 30229(1-2)310-7 doi 101016jpsychres201507003
httpwwwncbinlmnihgovpubmed26664441
Iran J Child Neurol 2015 Fall9(4)48-53
httpwwwncbinlmnihgovpubmed24610453
Atten Defic Hyperact Disord 2014 Jun6(2)73-8 doi 101007s12402-014-0130-5
wwwHealthTakesGutscom
References
lsquohttpwwwncbinlmnihgovpubmed16846100
Magnes Res 2006 Mar19(1)46-52
httpwwwncbinlmnihgovpubmed25373528
Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432
httpwwwncbinlmnihgovpubmed26682999
J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105
httpwwwncbinlmnihgovpubmed26573368
Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
References
lsquohttpwwwncbinlmnihgovpubmed16846100
Magnes Res 2006 Mar19(1)46-52
httpwwwncbinlmnihgovpubmed25373528
Public Health Nutr 2015 Jul18(10)1824-30 doi 101017S1368980014002432
httpwwwncbinlmnihgovpubmed26682999
J Child Adolesc Psychopharmacol 2015 Dec25(10)783-98 doi 101089cap20150105
httpwwwncbinlmnihgovpubmed26573368
Br J Nutr 2016 Jan115(2)361-73 doi 101017S0007114515004390 Epub 2015 Nov 17
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom
References
httpwwwncbinlmnihgovpubmed23495677
httpwwwncbinlmnihgovpubmed23312676
httpwwwncbinlmnihgovpubmed21807480
wwwHealthTakesGutscom