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©Julie Matthews/Nourishing Hope • NourishingHope.com

Nutrition & Special Diets for Autism, ADHD and Health Children

Julie Ma)hews Cer$fied Nutri$on Consultant

Julie Matthews is not a physician. She does not diagnose or treat disease. This information and her statements are not intended to replace a one-on-one relationship with a qualified health-care professional, and is not intended to provide medical advice. For medical advice, always seek a physician. This information is intended for educational purposes only, and is solely as a sharing of knowledge and information based upon the experience and research of Julie Matthews/Nourishing Hope.

Nourishing Hope for Children

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I’ll provide you (via e-mail) • PDF of today’s slides • Julie’s Parent’s Guide (5 published ar$cles)

1)  Au$sm Diets Overview 2)  How and Why Diets Work 3)  Essen$als of Implenta$on 4)  Addressing Food Sensi$vies & Allergies 5)  Helping Picky Eaters

• GFCF Success Guide • Newsle^er updates


Today’s Agenda

• Part I – with Julie Ma^hews • Break • Part II – with Julie Ma^hews • Lunch – with Parent stories/experience • Understanding Biomedical Treatments – with Dr. Frank Golik

• Break • Part III – with Julie Ma^hews

Nutrition and Diet Agenda

• Part I – Whole Body Disorders –  Current State of Nutri$on Today –  Foods and Ingredients to Avoid –  Nutrient-‐Dense Foods to Add

• Part II –  Special diets: GFCF, SCD/GAPS, low oxalate and more

• Part III –  Helping picky eaters – Meal planning –  Recipes


Diet and Nutrition are Essential

• Good health • Growth and development • Preven$on of disease • Healing

Healing Diets

Remove: Avoid offending foods and substances – Ar$ficial addi$ves – Gluten, casein, soy, corn, phenols, oxalates, starches

Replenish: Increase healthy foods – Whole and unprocessed foods (sweet potatoes not potato chips) – Organic and locally grown – Fermented foods: rich in probio$cs – Grass-‐fed/pastured meat and eggs – Good fats


Autism and ADHD are neurological conditions – body chemistry influences

brain chemistry.

Diet affects this chemistry (for healing or disease)

Body’s Effect on Brain ADHD • Autism • Asthma • Allergies • Anxiety

IMMUNE

Gut Inflammation Poor pathogen fighting

Food sensitivities

DIGESTION

Leaky gut Dysbiosis

Less nutrient absorption

DETOXIFICATION

Decreased detoxification Food additives

NEUROLOGY

Brain Inflammation Opiates

Microbial toxins Neurotransmitters

Nutrient deficiencies


Biochemistry

Effects of Faulty Biochemistry in Autism


Autism: Canaries in the Coal Mine • Most sensi$ve children • Telling us our world is too toxic and nutrient deficient

• Most other childhood disorders have similar underlying causes and contribu$ng factors

–  Inflamma$on and immune dysfunc$on – Nutrient deficiencies – Poor diges$on – Toxicity and impaired detoxifica$on

• We can all learn a lot and apply these same principles for health and healing

As we improve the body and its systems,

we help support health, learning and behavior.


Gut has constant contact with food •  Immune:

–  Physical barrier of defense against bacteria, viruses, etc. –  Largest part of the immune system (70%) found in the gut

•  Neurotransmi^ers: –  The greatest amount (90%) of the “brain chemical” serotonin is found in the GI tract

–  Amino acids (absorbed from protein diges$on) are precursors for neurotransmi^ers

•  Full body func$on: –  Vitamins/minerals absorbed in the gut are cofactors for enzyme reac$ons, metabolism, conversion of nutrients and fat

Importance of GI Health “All disease begins in the gut”

-‐ Hippocrates, the father of modern medicine

Nutrition is Essential for our Brain, Body,

and even our Genes


Health is most affected by our genetic expression

• Good nutri$on turns our genes towards health • During pregnancy and throughout our lives • Nutrient deficiencies turn our genes toward the direc$on of disease

• Toxins turn our genes toward the direc$on of disease

• DNA methyla$on for gene$c expression: zinc, methionine, betaine, choline, folate, B12

Cooney CA, Dave AA, Wolff GL. Maternal Methyl Supplements in Mice Affect Epigenetic Variation and DNA Methylation of Offspring. The American Society of Nutritional Sciences J Nutr. 132:2393S-2400S, 2002

What’s Wrong with Today’s Modern Diet • Devoid of nutrients • Heavy in sugar • High in refined carbs, par$cularly wheat • Contains ar$ficial ingredients • Missing essen$al good fats • Lacking important probio$cs


SAD State

• Nearly 2/3 of children did not meet the RDA for vitamin E and zinc

• Half did not meet RDA for calcium •  1/3 did not meet RDA for iron and B6 • Only 1% of children between 2 and 19 years of age met all the USDA Food Pyramid recommenda$ons.

• Most pregnant women do not meet the RDA for iodine, calcium, magnesium, iron, zinc, vitamins A, B1, B2, B3, B6, B12, vitamin C, and folate from food sources.

Essential Nutrient Functions •  Zinc – cogni$ve and motor func$on, immune func$on, prenatal need high for organ systems

•  Vitamin E – deficiency causes neurological symptoms, prenatal need for developing nervous system

•  B6 -‐ amino acid, glucose and lipid metabolism neurotransmi^er synthesis

•  Calcium – cellular and brain func$on •  Iron – deficiency can affect growth and may lead to learning and behavioral problems and anemia

•  Iodine – deficiency associated with reduced intelligence and mental retarda$on

•  Folate, B12, and B6 – essen$al for gene expression


On Average, Children Today Do Not Get Enough Nutrients

• To build neurotransmi^ers • For adequate fuel for energy and motor func$on • For strong immune func$on • For gene$c expression -‐ toward health • For proper cellular func$on and energy • For brain func$on and highest cogni$ve poten$al • For growth and repair, including the gut • To mylenate their nerves

How Diet Can Help - Support Digestion & Biochemistry •  Leaky Gut and Gut Inflamma$on

–  Remove foods that inflame gut –  Add foods that reduce inflamma$on and heal the gut –  Add foods that supply beneficial bacteria

•  Nutrient Deficiencies –  Increase the quality of food and diges$bility

•  Yeast Overgrowth –  Remove sugars –  Reduce refined flour products and starches –  Add probio$c-‐rich foods

•  Toxicity and Poor Detoxifica$on –  Avoid food addi$ves –  Avoid toxins in food supply and meal prepara$on

•  Faulty Methyla$on and Sulfa$on –  Remove phenolic foods –  Improve methyla$on and sulfa$on through supplementa$on


• Gastrointes$nal problems relieved • Diarrhea & cons$pa$on lessens •  Improved language skills and learning • Greater focus and a^en$on •  Reduced hyperac$vity •  Eye contact • More appropriate behavior •  Be^er sleeping •  Easier toilet training •  Skin rashes or eczema clear up

ü General Health & Happiness Improved

What Parents Report with Dietary Intervention

Holistic Nutrition Approach

*From Nourishing Hope for Autism


STEP 1



AVOID Top 7 Things to Get Out of the Diet

•  Food addi$ves can cause: Hyperac$vity*, ina^en$veness, aggression, irritability, headaches/pain, trigger asthma, can be addic$ve

*McCann D, Barrett A, Cooper A, Crumpler D, Dalen L, Grimshaw K, Kitchin E, Lok K, Porteous L, Prince E, Sonuga-Barke E, Warner JO, Stevenson J. “Food additives and hyperactive behaviour in 3-year-old and 8/9-year-old children in the community: a randomised, double-blinded, placebo-controlled trial.” Lancet. 2007 Nov 3;370(9598):1560-7

Ingredients to Avoid Sources Food additives: Artificial colors/flavors and preservatives, Nitrite and sulfites

candy, cereal, “kids’ foods Bacon/lunch meat, dried fruit/wine

MSG (hydrolyzed protein, yeast extracts) broth, bullion, soup, meat-flavored foods

Pesticides non-organic produce and meat

Aspartame and other artificial sweeteners Sodas, candy, and other foods

Trans fats partially hydrogenated oil, commercial margarine, mayonnaise, peanut butter

(Added) Sugar Sugary foods, high fructose corn syrup

Food allergens Gluten, dairy, eggs


Pesticides •  2010 study on ADHD, they found a 35 percent increase in the odds of developing ADHD with every 10-‐fold increase in urinary concentra$on of the pes$cide residues. 1 2

•  2007 study on au$sm, Women who lived within 500 meters, or 547 yards, of fields sprayed with organochlorine pes$cides during their first trimester of pregnancy. Eight of them, or 28%, had children with au$sm. Their rate of au$sm was six $mes greater than for mothers who did not live near the fields. 3

1.  Klein, Sarah. Study: ADHD linked to pesticide exposure. CNN. 17 May 2010. 2.  Maugh II, Thomas H. (2010-05-16). "Study links pesticide to ADHD in children". The Los Angeles Times.

http://articles.latimes.com/2010/may/16/science/la-sci-pesticides-20100517. 3.  Central Valley women lived within 500 meters, or 547 yards, of fields sprayed with organochlorine pesticides

during their first trimester of pregnancy. Eight of them, or 28%, had children with autism. Their rate of autism was six times greater than for mothers who did not live near the fields, the study said.

1.  Celery 2.  Peaches 3.  Strawberries 4.  Apples 5.  Blueberries 6.  Nectarines 7.  Bell Peppers 8.  Spinach 9.  Cherries 10.  Kale/Collard Greens 11.  Potatoes 12.  Grapes (Imported)

* Environmental Working Group

ONLY Buy organic!

Dirty Dozen


Clean 15

1.  Onions 2.  Avocados 3.  Sweet corn 4.  Pineapples 5.  Mango 6.  Sweet peas 7.  Asparagus 8.  Kiwi fruit

9.  Cabbage 10. Eggplant 11. Cantaloupe 12. Watermelon 13. Grapefruit 14. Sweet potatoes 15. Sweet onions

Organic Diet

• Pes$cides are neurotoxins

• Organochlorine pes$cides were found to increase risk of au$sm in offspring pregnant

mothers exposed

• DDT is an organochlorine pes$cide


Study on Organic Diet

• An organic diet significantly decreased children's exposure to pes$cides.

• Researchers concluded children were most

likely exposed to pes$cides exclusively through

diet.

Lu C, Toepel K, Irish R, Fenske RA, Barr DB, Bravo R. Organic diets significantly lower children's dietary exposure to organophosphorus pesticides. Environ Health Perspect 2006; 114(2): 260-263.

Sugar

•  Feeds yeast • Depresses the immune system • Contributes to inflamma$on • Blood sugar drops and increase in lactate – contribute to anxiety

• Depletes nutrients needed for brain func$on and mental health

•  Long-‐term contributes to obesity and type 2 diabetes •  Stresses the adrenals and nega$vely affects ability to manage stress


All Forms of Sugar Negatively Affect the Body • Worse forms:

–  Cane sugar: common food sensi$vity and uses chemical processing

–  Agave – processed and high fructose • Be^er forms in small amounts:

–  Natural, less-‐refined sugar (more minerals and less refinement): Raw honey, Maple syrup (grade B), sucanat, fruit, blackstrap molasses

•  4-‐5 grams per serving (1 teaspoon “sugars”) = 2 oz fruit juice, 2 tsp dried fruit, 1 TBSP ketchup



STEP 2


• AVOID chemicals in the food we eat, AND from our home and environment

• Room “freshener,” fragrance and perfume •  Flame retardant in car seats & clothing •  Fabric sovener • Chemical cleaners •  Sunscreens (nano and chemical) •  Toothpaste •  Flea treatments and ant sprays •  Food supply: Ar$ficial addi$ves, cookware and storage containers

Common Household Toxins



STEP 3


Nutrient Deficiencies in Autism

• Magnesium, calcium, zinc, selenium, iron • Vitamin B6, B12, folic acid, B1, B2, B3, bio$n • Vitamin D and A • Vitamin C • Omega 3 fa^y acids • Amino acids: glutathione, cysteine, l-‐carni$ne, taurine, and glycine


Deficiency and Supplement Research on ADHD • Magnesium and B6 deficiency and supplementa$on

• Omega 3/6 deficiency and supplementa$on • Iron deficiency and supplementa$on • Zinc deficiency and supplementa$on

Deficiencies stem from…

•  Poor quality food consump$on from the SAD diet •  Picky and restric$ve ea$ng •  Insufficient diges$on or absorp$on (inborn or acquired) •  Ability for the cell to u$lize nutrient • Not converted to ac$ve form •  Improper enzymes or nutrients needed for biochemical pathways (methyla$on, transulfura$on, and sulfa$on)

•  Increased toxins and inflamma$on -‐ use up needed nutrients

•  Intes$nal dysbiosis and lack of beneficial bacteria • Medica$on induced nutrient deple$on


Food vs. Supplements

• Food is the founda$on for gexng proper nutri$on.

–  Food has phytonutrients, enzymes, probio$cs and other compounds needed for good health

• However, for most children, addi$onal supplementa$on may be required

– A mul$vitamin/mineral formula helps ensure all children meet minimum requirements

–  Special diets may limit intake of certain nutrients (like calcium on a dairy-‐free diet), supplemental nutrients may be needed

–  For gene$c/biochemical reasons, certain ac$ve forms or higher amounts may be necessary

First 9 Supplements to Consider 1.  Diges$ve Enzymes

–  Houston Enzymes 2.  Probio$cs 3.  Calcium (par$cularly important on a casein-‐free diet) 4.  Magnesium 5.  B6 -‐ pyrodoxine or P5P 6.  B12 -‐ methylcobalamin 7.  Folate -‐ Folinic or 5-‐MTHF 8.  Cod liver oil or fish oil

–  SPEAK by Speech Nutrients: See Morris study 9.  Mul$vitamin/mineral formula



STEP 4


The Nourishing Hope Food Pyramid


Animal Protein

Protein •  Protein (essen$al amino acids) building blocks for:

– Muscle and $ssue growth and repair, neurotransmi^ers, immune responses, enzymes, detoxifica$on

• Oven need to focus on gexng more in diet •  Some protein at each meal •  Bio individuality -‐ amounts vary.

–  Some kids need more, some children cannot process protein well: High ammonia, low HCl, low zinc, B6, or iron

•  Animal protein is easier to digest and has more concentrated amounts of protein for children in need of healing


Animal Protein

• Organ Meats

• Bone Broths

• Fish

• Red Meat

• Poultry

• Eggs

• Dairy (op$onal)

Vegetables


Vegetables •  Leafy green •  Red vegetables •  Orange/yellow vegetables •  Purple vegetables •  Green vegetable (green beans, celery, fennel) •  Cruciferous vegetables •  Sulfur-‐Rich/Immune Suppor$ve •  Fermented vegetables •  Starchy tubers (op$onal) •  Some people avoid high salicylate and high oxalate vegetables

Leafy Greens Sources • Kale -‐ Curly green kale, Red Russian kale, lacinato (dino) kale, black kale

• Collard greens • Mustard greens • Watercress • Swiss chard • Spinach • Arugula • Field greens


Leafy Greens

• The darker green the be^er • Rich sources of: Calcium, folate, iron • High oxalate sources that some people may avoid or limit: Swiss chard, spinach

Leafy Greens Cooking Ideas • Add to smoothies •  Sauté with ghee and garlic • Pan-‐fry with ground sausage • Kale chips • Add to soups and stews •  Sauté with other vegetables such as Brussels sprouts or broccoli

See Cooking to Heal for more vegetable and leafy green ideas


Fats / Oils

•  Omega 3s, monounsaturated fat, and saturated fat •  Fat and saturated fat are essen$al for babies and brain development

•  Breast milk is 53% fat & 25% saturated fat •  Hormone balance and mood •  Forma$on/fluidity of cell membrane •  Crea$ng energy in cell and helps burns fat •  Omega 3s (very helpful with depression, hyperac$vity, and inflamma$on)

•  Animal fats are healthy and an important part of the diet

Get 40% (or more) of calories from fat

Fats


Fats / Oils

• Fish oil: Salmon, sardines, fish eggs/salmon roe, cod liver and fish oil supplements

• Plant oils: Olive oil, avocados, nuts/seeds • Plant saturated fats: coconut oil, palm oil, macadamia nuts

• Animal fats: lard and bacon (pork), tallow (beef), chicken fat (Pastured sources)

• Dairy fat: casein-‐free ghee (Grass-‐fed sources) • AVOID Vegetable oil: canola, safflower, corn, soy, and co^onseed oils

Saturated Fat Vital Roles of Saturated Fat •  Brain —Saturated fats important brain development

•  Bones – Saturated fats help body put calcium in bones

•  Liver – Saturated fats protect the liver from poisons

•  Lungs – Can’t func$on without saturated fats —protects against asthma

•  Immune System – Enhanced by saturated fats—fights infec$on

•  Essen$al Fa^y Acids – Work together with saturated fats

Plant and animal saturated fat

Plant Animal Coconut Meat/fat Palm Eggs Macadamia Butter

Coconut Oil •  Contains many

antifungal and antiviral components

•  Anti-inflammatory effects

•  More easily digested and absorbed

•  Used immediately to create energy

•  Enhances absorption of minerals


Animal Fat

• Contains: • Good fats:

–  Saturated fat – Monounsaturated fat –  Essen$al fa^y acids

• Essen$al fat soluble vitamins: A, D, E, and K – Assimila$on of minerals –  Important for immune func$on – An$oxidant status or oxida$ve stress –  Strong bones

• Cholesterol

Uses of Cholesterol

• Brain development and func$on

• Aids diges$on • Builds strong bones and muscles • Repairs damaged $ssue • Building block for hormones • Regulates blood sugar • Protects against infec$ous diseases • Cholesterol is an ac$vator for oxytocin receptors in the brain

Brain cholesterol in cell membrane


The Foundations

Top Nutrition Boosters 4 Foundations from the Pyramid

• Grass-‐fed meat • Broth and stock • Fermenta$ons • Juicing


Grass-‐fed/pastured ConvenEonal • Rich in Vitamin A, D, and K and good fats

• Eggs from pastured hens higher omega 3 /DHA*

• Meat -‐ Higher in CLA and tryptophan

• Cream/bu^er higher in vitamins A & D

• Unhealthy animals-‐poor food • Inflammatory grains-‐create inflammatory food

• Low Vitamins A&D and others • Higher in fats & cholesterol-‐par$cularly bad fats

• Higher in arachidonic acid (inflammatory)

• Low in an$-‐inflammatory fats

-‐-‐Organic is not necessarily grass-‐fed

Good sources near you–check out WestonAPrice.org chapter leaders * Lopez-Bote, C. J., R.Sanz Arias, A.I. Rey, A. Castano, B. Isabel, J. Thos (1998). "Effect of free-range feeding on omega-3 fatty acids and alpha-tocopherol content and oxidative stability of eggs." Animal Feed Science and Technology 72: 33-40.

Grass-fed/Pastured Animal Protein

Eat Grass-Fed and Pastured Animal Foods

• Significantly higher levels of fat-‐soluble vitamins (Vitamins A, D, and K) that are essen$al for immune func$on, protein assimila$on, and mineral absorp$on

• Contains important fa^y acids for brain development and body/cellular func$ons


Vitamin A and D levels in Grass-Fed vs Conventional • Eggs

– 8x the vitamin D – 2x the vitamin A

• Bu^er – 3x the vitamin D – 10-‐13x the vitamin A

• Lard – 12x the vitamin D

* Tested by the Weston A Price Founda@on

Broths

• Provides nutrients in easy to absorb form • Bone Broths • Rich in gela$n, amino acids, and minerals • Vegetable Broths • Adding vegetables to broths increases the vitamin and mineral content of the broth and adds flavor


Homemade Bone and Vegetable Broths • Grass-‐fed/pastured chickens or beef bones • Add 2 Tablespoons of vinegar -‐ increases the calcium and magnesium

• Vegetables, seaweed, greens, ne^les • Nutrient dense, easy to assimilate nutrients •  Trace minerals, amino acids, calcium, magnesium, potassium, iron

Prepare soups, stews, casseroles with stock

Cook grains, soups, and/or pasta in broths -‐ nutrients will absorb into food

Grandma knew best

Preparation tip

Fermented Foods Rich in Probiotics •  Func$ons of good bacteria

–  Regulate peristalsis and bowel movements –  Break down bacterial toxins –  Make vitamins needed and u$lize: B1, B2, B3, B5, B6, B12, A and K

–  Digest protein into amino acids (for use by the body) –  Produce an$bio$cs and an$fungals –  Help breakdown sugars, lactose, and oxalates –  Support immune system and increase number of immune cells –  Balance intes$nal pH –  Protect against environmental toxins: mercury, pes$cides, pollu$on

Raw fermented foods contain billions (even trillions) of bacteria/serving!


Fermented Foods Rich in Probiotics Dairy-‐free: •  Raw sauerkraut/Cultured vegetables •  Nut milk yogurt •  Beverages (contain yeast that kills candida):

• Kombucha • Young coconut kefir • “Sodas” (hibiscus/rosehip tea with kefir starter)

Dairy: Milk-‐based yogurt/kefir

Bacterial ferments (Lactobacillus)

Yeast and Bacteria ferments

• Cultured vegetables • Yogurts

• Kefirs • Kombucha

Juicing

• Stored and pasteurized juices contain significantly less nutrients: zinc, iron, calcium, vitamins B1, B5, and B6

• Fresh and raw vegetable juice contain many $mes more vitamins & phytonutrients than bo^led

• Higher concentra$on of nutrients –  Chlorophyll and phytonutrients

• Get nutrients without needing to eat/chew vegetables

• Children that like liquids, juices and smoothies


The Nourishing Hope Food Pyramid

Nourishing Practices

• Choose grass-‐fed animal protein and organic vegetables

• Include plenty of good fats • Eat fermented foods • Consume homemade broths • Drink fresh pressed vegetable juices and eat some raw foods

• Drink pure water and use mineral-‐rich salt • Soak and sprout grains, beans, and nuts


“Go to” TOP Nourishers

• Eggs/yolks (from pastured hens)

• Organ meats (liver and others)

• Full fat dairy & bu^er – or casein-‐free ghee • Bone broth • Fermented foods

• Vegetable juice or green smoothie

• Cod liver oil, oily fish, or fish eggs

Nourishing Hope - Contents


Part II – Special Healing Diets



STEP 5


Top Diets GFCF (Gluten-‐free and Casein-‐free) No gluten (wheat, rye, barley, spelt, kamut, and oats) or casein (dairy)

Food SensiEvity EliminaEon/RotaEon Elimina$ng all other food sensi$vi$es: Soy, corn, eggs, citrus, peanuts, chocolate, cane sugar

SCD (Specific Carbohydrate Diet)/GAPS Restricts carbohydrates to only fruits, non-‐starchy vegetables, and honey. No grains, starchy vegetables, or mucilaginous fiber

Paleo/Primal Blueprint Meat, fruit, vegetables, fat and nuts. No grains or beans. Oven removes potatoes and dairy too.

Low Oxalate Diet Restricts high oxalate foods (nuts, beans, greens)

Low FODMAPS Diet Low in fermentable, poorly absorbed carbs such as fructose, lactose and FOS.

Body Ecology Diet & other Yeast Diets An$-‐yeast diet combining principles of an$-‐yeast diets including no sugar, acid/alkaline, fermented foods

Feingold/FAILSAFE Diets Restricts high phenolic foods, including all ar$ficial ingredients and high salicylate fruits (and more)

Weston A Price Dietary Principles: Solid nutri$on founda$on for everyone


Gluten-Free/Casein-Free: (GFCF) & Other Food Sensitivities

Food Allergies & Sensitivities

• Food allergies (IgE): immediate/acute – Hives, anaphylac$c shock – Peanuts, eggs*

• Food Sensi$vi$es (IgG): delayed – Diges$ve disturbances, inflamma$on, pain, hyperac$vity, anxiety

– Gluten, casein, soy, corn*

*Any food can be an allergy or a sensi@vity


Gluten and Casein

• Common IgG reac$ons in au$sm • Possible opiate response • Inflammatory response • Autoimmune response • Other possible reac$ons • Trying the diet is the “gold standard” of how a child reacts to gluten and casein = Try the diet

Digestive Enzymes Break Proteins into Amino Acids

When someone is unable to break down gluten or casein proteins into individual amino acids, they remain as protein chains or

opioids


Opioid Peptides can cause…

• Addic$on (foods) • High pain tolerance • Ina^en$on and spacey behavior • Aggression (self and others) • S$mming • Mood changes • Poor eye contact • Anxiety, depression, and irritability

Opiates

Gluten, casein, soy

Insufficient DPPIV enzyme

Leaky gut Opioid ac$vity


Digestive Enzymes • Oven a good way to start preparing for the GFCF diet – begin enzymes 30 days before star$ng the diet

•  Enzymes with DPP-‐IV help break down gluten, casein and soy to prevent opiate produc$on, help digest food for be^er absorp$on of nutrients, and reduce food reac$ons

• Use with or without the GFCF diet –  Can help as you’re gexng ready to

implement the GFCF diet –  Can help break down other sources of opiates

from cross-‐contamina$on and other foods

Our Sponsor Houston Enzymes

Opioid Peptides can cause… •  Addic$on (foods) • High pain tolerance •  Ina^en$on and spacey behavior •  Aggression (self and others) • Mood changes

•  Anxiety • Depression •  Irritability


Gluten/Casein Studies in Autism (Evidence Level: A) •  Research on gluten and casein and Opioids in AUTISM

–  Jinsmaa Y, Yoshikawa M. (1999) Enzyma$c release of neocasomorphin and beta-‐casomorphin from bovine beta-‐casein. Pep$des, 20:957-‐962.

–  Reichelt KL, Knivsberg AM, Lihnd G, Nodland M: Probable e$ology and possible treatment of childhood au$sm. Brain Dysfunc$on 1991; 4: 308-‐319.

–  Kamiński S, Cieslińska A, Kostyra E. (2007) Polymorphism of bovine beta-‐casein and its poten$al effect on human health. The Journal of Applied Gene$cs, 48(3):189-‐198.

–  Sha^ock P, Whiteley P. (2002) Biochemical aspects in au$sm spectrum disorders: upda$ng the opioid-‐excess theory and presen$ng new opportuni$es for biomedical interven$on. Expert Opin Ther Targets. Apr;6(2):175-‐83

Gluten/Casein Studies in Autism (Evidence Level: A) •  DIGESTIVE PROBLEMS WITH GLUTEN & CASEIN in Au$sm

–  Jyonouchi H, Geng L, Ruby A, Reddy C, Zimmerman-‐Bier B. (2005) Evalua$on of an associa$on between gastrointes$nal symptoms and cytokine produc$on against common dietary proteins in children with au$sm spectrum disorders. J Pediatr. May;146(5):582-‐4.

•  REDUCED AUTISTIC SYMPTOMS with GFCF diet –  Knivsberg AM, Reichelt KL, Nodland M. (2001) Reports on dietary interven$on in au$s$c

disorders. Nutri$onal Neuroscience, 4(1):25-‐37. –  Knivsberg AM, Reichelt KL, Hoien T, Nodland M. (2002) A randomised, controlled study

of dietary interven$on in au$s$c syndromes. Nutri$onal Neuroscience, 5(4):251-‐61 –  Whiteley P, Haracopos D, Knivsberg AM, Reichelt KL, Parlar S, Jacobsen J et al. The

ScanBrit randomised, controlled, single-‐blind study of a gluten-‐ and casein-‐free dietary interven$on for children with au$sm spectrum disorders. Nutr Neurosci 2010; 13(2): 87-‐100.


Gluten/Casein on Mood and Children’s Health •  Research on gluten and Depression

–  Pynnönen PA, Erkki T Isometsä ET, Verkasalo MA, Kähkönen SA, Sipilä I, Savilah$ E and Aalberg VA. Gluten-‐free diet may alleviate depressive and behavioural symptoms in adolescents with coeliac disease: a prospec$ve follow-‐up case-‐series study. BMC Pychiatry. 2005, 5:14

•  Research on gluten and Anxiety –  Potocki P, Hozyasz K. Psychiatric symptoms and coeliac disease. Psychiatr Pol. 2002 Jul-‐Aug;36(4):567-‐78.

•  Research on gluten and Schizophrenia –  Kalaydjian AE, Eaton W, Casella N, Fasano A. The gluten connec$on: the associa$on between schizophrenia and celiac disease. Acta Psychiatr Scand. 2006 Feb;113(2):82-‐90.

Gluten/Casein on Mood and Children’s Health •  Research on food sensi$vi$es for ADHD

–  Sinn N. Nutri$onal and dietary influences on a^en$on deficit hyperac$vity disorder. Nutr Rev. 2008 Oct;66(10):558-‐68.

–  Rapp DJ. Diet and hyperac$vity. Pediatrics. 1981 Jun;67(6):937-‐8.

•  Casein opiates and SIDS: –  Wasilewska, J., Sienkiewicz-‐Szłapka, E., Kuźbida, E., Jarmołowska, B., Kaczmarski, M., & Kostyra, E. (2011). The exogenous opioid pep$des and DPPIV serum ac$vity in infants with apnoea expressed as apparent life threatening events (ALTE). Neuropep$des, 45(3), 189-‐195.


Grains Hidden Sources Wheat Rye Barley Spelt Kamut Tri$cale Oats (commercial) Semolina

Hydrolyzed Vegetable Proteins MSG Dextrin Malt Citric acid Ar$ficial flavors & coloring “Spices” Soy sauce (unless wheat-‐free) Potato chips/fries

Gluten Grains & Ingredients to Avoid

Casein-Containing Foods to Avoid

Milk Cheese (all) Yogurt Buêr

Buêrmilk Ice cream

Kefir Cream

Sour cream

Whey Galactose

Casein, Caseinate Lactose, Lactalbumin

Lac$c acid Sherbet

Canned tuna Cool whip

Ar$ficial buêr flavor


Other Food Sensitivities

• Soy

• Corn • Eggs

•  Citrus

•  Peanuts •  Nuts

Avoid Soy •  Not good subs$tute for dairy or protein •  Very difficult to digest •  Irritate the gastrointes$nal tract •  Blocks absorp$on -‐ calcium, magnesium, iron, copper and especially zinc -‐ due to phy$c acid and oxalates

•  Soy compounds block thyroid func$on •  Endocrine disrup$on in the reproduc$ve hormones of both males and females

•  Form opioids 1 Soy sources: tofu, soy protein, miso, tempeh, soy milk, soy cheese or ice cream, soy sauce, tamari, soy oil

Hidden soy: lecithin, vitamin E

•  Ohinata, K., Agui, S., & Yoshikawa, M. (2007). Soymorphins, Novel. MU. Opioid Peptides Derived from Soy. BETA.-Conglycinin. BETA.-Subunit, Have Anxiolytic Activities. Bioscience, biotechnology, and biochemistry, 71(10), 2618-2621.


Reduce/Avoid Corn

• Top 5 allergen • Contains high level of fungus • Herbicide Atrazine delays puberty in boys, affect endocrine func$on, fer$lity and thyroid

• GM corn: environmental experiment, RoundUp Ready. Genes from bacteria toxin added -‐ BT toxin

• Eat ONLY organic, if at all

Beyond GFCF

• Soy-‐free • Corn-‐free • Specific Carbohydrate Diet • Food addi$ves • Feingold Diet • Dysbiosis -‐ Adding probio$c/fermented foods, Body Ecology Diet

• Low Oxalate Diet


Specific Carbohydrate Diet (SCD) & GAPS Diet

SCD Studies Helpful with Digestive Conditions Lack of Carbohydrate Enzymes •  Horvath, Karoly, et al. "Gastrointes$nal abnormali$es in children with au$s$c disorder." The Journal of pediatrics 135.5 (1999): 559-‐563.

•  Williams, Brent L., et al. "Impaired carbohydrate diges$on and transport and mucosal dysbiosis in the intes$nes of children with au$sm and gastrointes$nal disturbances." PloS one 6.9 (2011): e24585.

SCD Studies on Celiac and IBD •  Haas, Sidney (1955). "The treatment of celiac disease with the specific carbohydrate diet; report on 191 addi$onal cases.". Am J Gastroenterol 23 (4): 344–60.

•  Nieves, R; Jackson, RT (2004). "Specific carbohydrate diet in treatment of inflammatory bowel disease.". Journal of the Tennessee Medical Associa$on 97 (9): 407.


Specific Carbohydrate DietTM

• Removes disaccharides and polysaccharides –  (most sugars & starches)

• Allows only monosaccharides –  (honey, fruit, non-‐starchy vegetables)

SCD/GAPS Specifics •Begin as casein-free •Consider the Intro diets

Foods to avoid Foods to eat §  No grains or corn §  No potatoes (white or sweet) §  No soy products §  No sugars except honey §  No cornstarch, arrowroot powder, tapioca, agar-‐agar or carrageenan

§  No pec$n in jams

§  No chocolate or carob §  No baking powder (baking soda OK on SCD)

ü Vegetables (non-‐starchy) ü Fruit ü Fruit juice not from concentrate

ü Honey ü Meat

ü Eggs (if tolerated) ü Nuts/seeds and nut milks (if tolerated)

ü Certain beans ü Ghee


GAPS Diet Differences

• GAPS is a whole program not just a diet: diet, supplementa$on, and detoxifica$on.

•  Same food list as SCD (for the most part) –  Some minor differences: baking soda, cocoa

•  Supplement differences: more supplements allowed on GAPS than SCD such as higher strength probio$cs, CLO

• Also has Intro diet – but different foods • Healthy food staples: bone broths, fermented foods

Phenols & Salicylates Feingold Diet & Failsafe Diet


Effects of Faulty Biochemistry in Autism

Phenols, Salicylates, and Amines Can cause: • Hyperac$vity • Red cheeks/ears •  Itchy skin • Upset stomach • Asthma • Headaches • Bedwexng • Fa$gue • Diarrhea

• Depression •  Irritability • Aggression • Defiant behavior • Sleep issues • Cravings for (and diets high in) salicylates, amines, and/or glutamates.


Phenols/Salicylates on Feingold •  Almonds •  Apples •  Apricots •  Berries, raspberries, cherries •  Chili powder •  Cider and cider vinegar •  Cloves •  Coffee •  Cola drinks •  Cucumbers and pickles •  Curry powder •  Endive •  Grapes, raisins, currants

•  Honey •  Nectarines and peaches •  Oranges and oranges •  Paprika •  Peppers (bell and chili) •  Pineapple •  Plums and prunes •  Radishes •  Tea •  Tomatoes • Wine and wine vinegar •  Oil of wintergreen

Failsafe is based on RPAH Elimina$on Diet and Anne Swain Royal Prince Alfred Hospital in Australia

Failsafe/RPAH Elimination Diet Low Salicylate, Amine, and Glutamate

Salicylates •  Avocado •  Broccoli •  Spinach •  Cantaloupe •  Watermelon • Dates • Watercress • Ar$choke • Herbs and spices • Berries

Failsafe is based on RPAH Elimina$on Diet and Anne Swain Royal Prince Alfred Hospital in Australia

Failsafe founder Sue Dengate: fedup.com.au

Amines •  Banana •  Cheese, yellow •  Aged or blue cheese •  Chocolate/cocoa •  Wine/beer •  Fermented foods: sauerkraut, yogurt, tempeh

•  Soy sauce •  Bone broths •  Meat and aged meat

Glutamates •  MSG •  Autolyzed yeast •  Soy sauce •  Parmesan cheese •  Vegemite/Marmite •  Sauerkraut •  Bone broths •  Gela$n •  Peas •  Corn •  Tomatoes


Yeast Diets

Intestinal Flora for Health

• Good bacteria helps digest food, creates vitamins, breaks down used hormones and environmental toxins

• Yeast/pathogens can cause – Physical problems: inflamma$on/leaky gut, nega$vely affect diges$on, reduce good bacteria balance.

– Mental health: anxiety, depression, OCD, and foggy thinking.

– Special diets, probio$cs and biocidal complexes (such as Biocidin) help address pathogens


Focus on a Caveman Diet for Yeast Overgrowth • Focus on diet consis$ng of mainly meat, eggs,

fish, fats, vegetables, fruit, nuts

• Reduce or avoid starches and grains and added sugar

• Add fermented foods

• Paleo, Primal, SCD/GAPS

Candida Diet - Avoid •  Avoid:

–  All sugars: maple syrup, honey, cane sugar, etc. –  Foods high in mold, or fungus:

•  Cheeses, dried fruits, melons, peanuts, mushrooms, corn and rye –  Bakers yeast including bread and other products such as pretzels

–  Vinegar-‐ferments: •  Vinegar, ketchup, mustard, Worcestershire sauce, pickles

–  Fruit: •  Avoid bo^led fruit juice and dried fruit •  Best to eliminate all fruit for the first 3-‐4 weeks. Fresh fruits in modera$on and ideally sour is OK. Eliminate grapes and plums.

–  Hot dogs, salami, processed lunch meats


Candida Diet - Add

• Add – Lacto-‐fermented foods:

•  Yogurt, kefir, kombucha, raw cultured vegetables,

apple cider vinegar

– Alkalizing vegetables – Coconut oil

– An$fungal spices

Body Ecology Diet

•  Low sugar: Avoids all sugars including fruit. Only sour fruit allowed at the beginning: Lemons, limes, black currants, cranberries. Future: Grapefruit, kiwi, and green apples.

•  Addi$on of fermented foods: Young coconut kefir, raw sauerkraut/cultured vegetables

•  Expansion/Contrac$on-‐ macrobio$c principle of energe$c proper$es of food. Contrac$ng: meat, eggs, salt. Expanding: sugar.

•  Acid/Alkaline-‐ The inten$on is to keep the blood slightly alkaline. This is thought to discourage the growth of systemic candida.

–  20% acid-‐forming foods: meat, grains, eggs, and 80% alkaline-‐forming foods: vegetables, raw apple cider vinegar.

–  Grains: quinoa, amaranth, millet, buckwheat. No rice or other grains. •  Food Combining-‐ Macronutrients need different condi$ons in the stomach, especially for weak diges$on. Doesn’t combine protein and starch at a meal

Low sugar diet Fermented foods

Food combining Acid/alkaline

Expanding/contrac$ng


Low FODMAPS Diet

Low FODMAPS Diet •  Low FODMAPS eliminates the following during the elimina$on phase:

• High fructose, fructan, polyol-‐rich fruits and vegetables –  Apple, pear, mango, fig, tomato paste, apricots, plums, ar$chokes, asparagus, onions and garlic

•  Lactose and Gluten •  Polyols

–  Sorbitol, mannitol, xylitol, and mal$tol • Galactans

–  Legumes, peas, beans •  Low FODMAPS is an elimina$on/provoca$on diet – introductory restric$ons meant to be tested back


Low FODMAPS Scientific Rationale

• Studies have shown it to be helpful with Crohn’s & Coli$s 1, 2

1. Gibson, Peter R., and Susan J. Shepherd. "Evidence‐based dietary management of functional gastrointestinal symptoms: The FODMAP approach." Journal of gastroenterology and hepatology 25.2 (2009): 252-258. 2. Gearry, Richard B., et al. "Reduction of dietary poorly absorbed short-chain carbohydrates (FODMAPs) improves abdominal symptoms in patients with inflammatory bowel disease—a pilot study." Journal of Crohn's and Colitis 3.1 (2009): 8-14.

Low Oxalate Diet


Low Oxalate Reported Improvements: •  Energy •  Sleep •  Skin • Motor skills • Mood • Growth • Chronic pain and inflamma$on • Gut and yeast issues

Thanks to the Autism Oxalate Project for gathering this information

Oxalate is an Anti-Nutrient Inhibits Mineral Absorption •  Availability of calcium in spinach is very poor •  Spinach – oxalate levels are so high they bind the exis$ng calcium in the food making it unavailable, AND bind to the calcium (and other minerals) from the other sources in the diet – rendering them unusable as well.

•  Oxalate Level in Spinach -‐ 100 grams/3 oz equals 1,000 mg oxalate from raw spinach

•  Oxalate reduces the quan$ty and quality of bone forma$on/density.

1.  Speirs, Mary. "The utilization of the calcium in various greens." The Journal of Nutrition 17.6 (1939): 557-564. 2.  Peterson, Catherine A., J. A. Eurell, and J. W. Erdman Jr. "Bone composition and histology of young growing rats fed

diets of varied calcium bioavailability: spinach, nonfat dry milk, or calcium carbonate added to casein." The Journal of nutrition 122.1 (1992): 137.


Prudent to avoid or limit significantly extremely high oxalate foods • Included in the Nourishing Hope Food Pyramid, as good advice for all.

These contain 200-700 mg/serving Spinach Swiss Chard Peanut and cashews Almonds and Almond flour Chia seeds Sesame seeds and tahini Buckwheat Rhubarb Plantain Soy

Oxalate Study “A Poten$al Pathogenic Role of Oxalate in Au$sm” European Journal of Paediatric Neurology, September 2012

3-‐fold greater plasma oxalate (2.5 fold in urine) in children with au$sm

Konstantynowicz, J., Porowski, T., Zoch-Zwierz, W., Wasilewska, J., Kadziela-Olech, H., Kulak, W., Owens S.C., Piotrowska-Jastrzebska J., and Kaczmarski, M. (2012). A potential pathogenic role of oxalate in autism. European Journal of Paediatric Neurology, 16(5), 485-491.


Yeast and Oxalate • Contrary to rumor, yeast/candida does not appear to make oxalate

• However, oxalate can cause yeast problems –  Oxalate impairs the func$on of bio$n dependent enzymes, and person is more suscep$ble to candida overgrowth.

–  Parents report yeast flare ups when their child is having an oxalate dump

•  For people with oxalate problems, the low oxalate diet is a great diet to use to address yeast

Gut Issues and Oxalate

• Leaky gut and low beneficial bacteria (common in au$sm) may add to problems.

• While some$mes necessary, an$bio$cs kill bacteria in our gut that degrades oxalate

• Without certain probio$cs to break oxalate down, not enough minerals to bind the oxalate, and a leaky gut allowing it to absorb – problems with oxalate are more likely

• Fat malabsorp$on problem-‐ the extra fat binds to calcium (normally binding to oxalate) – allowing the oxalate free to get into the blood/cell.


Exogenous or Endogenous • Oxalates may come from food or generated by the body.

•  Exogenous: Certain diets can be very high in oxalate: SCD/GAPS (nut flours) and Body Ecology (buckwheat, quinoa, amaranth)

–  Changing diet or modifying it for oxalate is important for people with oxalate issues

•  Endogenous: Some people create oxalate internally. –  This is even more problema$c because it is made inside the cell and can directly cause havoc.

–  Supplementa$on can be helpful with these unique biochemical needs

–  See: h^p://lowoxalate.info/supplements/supplements_pos.html

Oxalates in Food High oxalates (50-‐300 mg) •  Nuts, especially almonds & peanut •  Beans, most •  Beets •  Figs •  Rhubarb & Swiss chard •  Field greens and spinach •  Amaranth, buckwheat, and quinoa •  Soy •  Sweet potatoes •  Some berries -‐ Goose berries, raspberries and blackberries

•  Chocolate •  Citrus peel •  Kiwi and starfruit •  Tea

Lower oxalate Choices • Avocado • Animal foods except organ meats • White (preferred)/brown rice • Wild rice • Corn -‐ on cob or 1 cup popcorn • Collard greens, kale, mustard greens • Bok choy & cabbage • Broccoli and other cruciferous • Pear, apple, mango, papaya, melons • Black eyed peas, garbanzo, lima, and mung beans

• Len$ls • Pumpkin seeds & sunflower seeds


When oxalates are an issue

• Lower oxalates in the diet (low oxalate diet) • Add supplements to bind oxalates (calcium citrate, etc.), support biochemistry, and help manage “dumping” symptoms

• Addressing oxalate involved more than just “diet”

• The Au$sm Oxalate Project led by Susan Owens: lowoxalate.info and their Yahoo group

Oxalates are Important in Autism

• Oxalates can cause: – Oxida$ve stress –  Inflamma$on – Mitochondrial damage – Seizures – Faulty sulfa$on

As a community, we need to look into the role of oxalates in auEsm!


Keep Exploring Diet

• If you don’t get the benefit you are looking for, don’t abandon diet

• Diet and nutri$on interven$on are always helpful

• Keep improving the nutri$on of the diet • Explore other foods that could be causing reac$ons

Diet Strategy

Nourishing Diet

Food intolerances?

Histamines

Food sensitivities

Feingold/ phenols

glutamates

Your Child’s Diet

Begin GFCF

Yeast/dysbiosis/inflammation?

Low Oxalate BED

SCD/GAPS

Consider & Adjust


Part III - Meal Planning

Possible Causes Picky Eating

•  Addic$ons to opiates (gluten/casein) cause consump$on of primarily wheat and dairy containing foods

•  Addic$ons to chemicals (MSG, ar$ficial addi$ves) cause restric$on to one brand or large preference for processed foods

• Nutrient deficiencies (zinc) makes everything taste bad or bland.

•  Yeast, viral, and microbial overgrowth may cause focus on ea$ng mainly high carb and sugar foods

•  Sensory sensi$vi$es can restrict the consump$on of certain textures -‐ Seek a feeding therapist when needed


Ideas for Picky Eating

• Remove addic$ve foods •  Improve nutrient status with supplementa$on • Get crea$ve with TEXTURE

–  Chicken pancakes and meatballs for protein –  Vegetable Laktes and Carrot/Kale Chips for vegetables

•  Incorporate (“hide”) pureed vegetables in muffins, pancakes, meatballs, pasta sauce

• Visual Presenta$on Ideas and Recipes

for Picky Eaters

In Cooking to Heal

Healthy GFCF

Eat Avoid

Protein at breakfast and throughout day Sugar cereals

Fresh fruit Loads of GFCF cookies and high sugar foods

Get creative with adding vegetables

Just “kids foods” without many nutrients - hotdogs, fries, pizza

Healthy snacks with protein and/or vegetables - chicken pancakes, carrot chips

Processed snacks/reinforcers - chips, pretzels, gummy bears

Fresh made vegetable juice Fruit juice

Fermented foods Food ruts and jags (add new health foods)

©Julie Matthews/Nourishing Hope


Words of Encouragement • Though not always easy at first, the improvements make it all worthwhile

• You WILL get the hang of it -‐ not hard to do • Children improve physically and their au$sm/ADHD symptoms decrease or even go away

• As symptoms decrease, parents have more free $me to do fun things with their child and the gains your child can make are priceless

• There is no downside to improving diet

Visit the NourishingHope BOOTH to sign up…


1.  Get educated on the Gluten-Free and Casein-Free Diet (GFCF), as well as Soy-Free (SF)

2.  Experiment. Discover choices your child likes. Before removing any foods from the diet, identify new GFCF alternatives.

3.  Create a meal plan. Develop a list of diet compliant meals and snacks your child will eat or ideas that you would like to try.

4.  Shop 5.  Begin the GFCF diet! 6.  Keep a diet record.

© J

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Meal Plan Breakfast Lunch/Dinner Snacks

Bacon Eggs

Meat paxes with liver Buêrnut squash fries Apple or pear with nut buêr

Pancakes with pureed vegetables and/or added protein

Sausage pa^y

GF pasta and meatballs Pureed veggie in sauce

Peas Chicken pancakes

French toast or GF toast with nut buêr

Chicken nuggets Dipping sauce

Steamed vegetables Smoothie or fresh vegetable juice

Gluten-‐free porridge Chicken or turkey sausage

Nut-‐free PB&J -‐ Sunflower buêr and jam sandwich

Carrot s$cks

Hummus and raw vegetables or gluten-‐free bread/crackers

Smoothie Meat/sausage pa^y

Bean burgers or Indian len$l pancakes with cooked or shredded

vegetables Veggie latkes

Chicken pancakes and fruit (Add fruit to any breakfast)

Roasted meat Potatoes or Cauliflower mashed

“potatoes” Veggie latkes

Applesauce Carrot chips

Meals: Add fruit, starches, and more vegetables as tolerated.


Healthy Breakfasts q Eggs

q Homemade muffins with pureed vegetables and/or fruit

q Pancakes with pureed vegetables or chicken ü  Make larger batch, cook pancakes, freeze extras, & reheat in toaster or pan.

q GF Oatmeal or other hot cereal

q Breakfast meat such as sausage or bacon

q Smoothie: with fresh fruit, vegetable juice, pureed vegetables, or other nutrient dense foods


Healthy Snacks

•  Fruit kebabs with nut yogurt dipping sauce

•  Nut butters (almond, cashew, sunflower seed) on apple or celery

•  Smoothie or homemade popsicles with pureed vegetables, vegetable juice, fresh fruit, nut yogurt

•  Hummus with vegetables or pita

•  Chicken pancakes –  Blend 1 cup cooked chicken breast with 2 eggs. Pour in pan like

pancake batter and cook.

•  Homemade carrot or butternut squash chips



Healthy Lunch

•  Chicken or other protein with: –  Fruit

–  Raw veggie sticks with dipping sauce (such as hummus or nut butter)

–  Healthy snacks

•  Slice lunch meat roll ups with shredded vegetables •  Sandwich on GF bread with sunflower seed butter (for peanut-

and nut-free schools)

ü Use a thermos for hot food: –  Dinner leftovers

–  Soup, stew, chili

–  GF pasta

–  GF chicken nuggets or burger


Healthy Dinner


•  Protein: –  Meatballs or meatloaf –  Hamburgers or meat patties –  Chicken nuggets (GFCF or SCD) –  Roasted meat –  Beans and bean burgers

•  Vegetables –  Cooked vegetables –  Raw salad vegetables –  Pureed into soups and dishes

•  Starches or mock starches –  Potatoes or SCD “mashed cauliflower potatoes” –  Rice or pasta for GFCF –  Butternut squash fries


•  Correlations not always clear - Keep diet record.

•  Add one food at a time - Take note.

•  Avoid changing foods & supplements simultaneously.

•  Watch for symptoms or regression: –  Sometimes a “regression” is actually a sign of healing, i.e. removal

of gluten/casein may cause opiate withdrawal

–  However, sometimes not, a new food substitution such as (corn) may be problematic and need to be removed

•  See what’s remaining, and consider additional diets/dietary intervention. Changing the diet or layering diets

•  Seek nutrition support from a qualified professional

Chart Progress

• Kid-Friendly vegetables & Nutrient Dense foods

• Healthy animal foods • GF flours and soaking seeds • Nutritious desserts • Fermented foods

Cooking GFCF Healthfully


Cook free of Food Sensitivities

ü All recipes are gluten-free, casein-free, soy-free and corn-free

ü Substitutes are available for egg-free and nut-free for most recipes

ü Many recipes can be made grain-free and SCD compliant


Kid-friendly vegetables and nutrient dense foods

• Meatballs with veggies • Carrot chips


Veggie/Squash Meatballs From Cooking to Heal

•  2 lbs ground raw meat (beef, turkey, chicken, buffalo) •  1 cup cooked and pureed winter squash (butternut or acorn) •  2 eggs •  1 cup gluten-free bread crumbs (dry out a few slices of gluten free bread in oven,

crumble by hand or in blender) •  Salt to taste (approx. 1 teaspoons)

o  Preheat the oven to 350 degrees o  Combine all ingredients. From into balls and place on parchment paper

on baking sheet. o  Bake at 350 degrees for about 30 minutes or until cooked thoroughly.

Variation: Puree any vegetables. Great way to sneak in vegetables. Over time, you can smash cooked vegetables such as broccoli with a fork instead of pureeing smooth.

ü GFCF/SCD ü To make SCD compliant, substitute nut flour in place of bread crumbs. ü Also can be made nut-free and egg-free by simply eliminating them from the recipe.

Carrot Chips From Cooking to Heal

•  Cut carrots into thin discs or curls with a vegetable peeler. •  Deep fry in coconut oil or grapeseed oil until lightly brown around

edge. •  Remove from oil and place on paper towel to absorb excess oil. Salt

chips.

ü They are still a little soggy when they first come out, but they will firm up as they cool.

ü You can use butternut squash, parsnips, or beets, as well as other vegetables (if dietary compliant). Parsnips are not SCD.

ü GFCF/SCD/BED/FG/FS ü EGG-FREE/NUT-FREE



* From Cooking to Heal

• Burgers with liver • Chicken pancakes

• Vegetarian Protein: Bean Burgers

Healthy Animal Foods


Chicken Pancakes From Cooking to Heal

ü GFCF/SCD/LOD/BED 1 chicken breast precooked (season as desired while boiling) 3 eggs § Using a food processor, blend ingredients together until completely

smooth. Mixture will look just like thick pancake batter. § Use 1/4 cup of the mixture and cook in hot greased skillet like a pancake.

Batter may need to be spread out a bit so that it is not too thick. § These cook much faster than nut flour pancakes. Watch them closely. § Makes 4-5 pancakes.




Burgers with Liver From Cooking to Heal

§  1lb ground beef §  ¼-1/3 cup ground liver (put liver in food processor and blend until smooth)

about 2-3 oz. Avoid any liver that is not thoroughly blended §  1-2 teaspoons onion powder §  Rosemary, white pepper, or other herb or spice (white pepper is lower

oxalate) §  Salt, dash §  Mix together and form into patties. Cook as usual.

ü Make it FG without herbs and spices except salt. ü  Liver has a high level of iron, vitamins A & C, zinc, etc.

ü GFCF/SCD/LOD/FG ü EGG-FREE/NUT-FREE




Bean Burgers From Cooking to Heal

•  1 cup black or kidney beans •  1 cup sunflower seeds •  4 eggs •  1/2 cup each (carrots – peeled, grated, kale and onion – finely chopped) •  1 Tablespoon each herb (fresh parsley – finely chopped, rosemary, basil) •  1 1/4 teaspoons salt •  Pepper (optional) •  Grapeseed oil or coconut oil to cook in

Soak beans overnight. Drain and rinse beans. Cook beans 20-25 minutes.

Grind the sunflower seed until the consistency of nut flour. Place beans into a food processor and process. Combine with the sunflower seed meal, carrots, onion, green peppers, herbs, kale, pepper and eggs, and knead with your hands until mixed thoroughly. Form into patties and fry in a skillet.

ü GFCF/SCD - NUT-FREE ü To make SCD compliant, substitute nut flour in place of bread crumbs. ü Also can be made nut-free and egg-free by simply eliminating them from the recipe.




• GF Flour blend • Bread baking

• Nut milk

Grains & Soaking Seeds

GF Flour Blends

Gluten-free Flour Mix This is Bette Hagman’s recipe and is generally a good flour blend for substituting gluten flours in recipes

•  2 parts white rice flour •  2/3 part potato starch flour (not potato flour) •  1/3 part tapioca starch •  1 teaspoon of xanthan gum per cup of flour mix

Carol Fenster also has a gluten-free flour blend.



Bread Baking •  Bread mixes are helpful at the beginning (i.e. Breads from Anna)

•  Room temperature ingredients

•  Proofing yeast

–  Feed yeast with sweetener

–  Temperature critical – too hot kill yeast, to cool yeast will not activate

•  Let it rise

•  Thoroughly bake

•  Leave in pan for 10 minutes

•  Then remove and cool on wire rack




Healthy Desserts •  Add shredded beets or pureed greens to GF

chocolate cake •  Chocolate Pudding made with avocado

–  2 avocados, ½ C carob or cocoa powder, 1 C dates

–  Blend in food processor or blender for 10 minutes.

•  Baked apple

•  Whole fruit dessert such as peach crumble with GF oats

•  Coconut Date balls –  1/2 C coconut butter, 1 1/2 C dates, 1 T hot coconut oil. Blend in food

processor.

–  Form into snack-size balls and roll in coconut flakes.

•  Fruit with chocolate nut butter –  Mix nut butter with unsweetened cocoa powder and raw honey until

sweet. Spread on apple. ©Julie Matthews/Nourishing Hope

Nut milk •  1 C nuts/seeds (any) •  Filtered water for soaking nuts •  3 C filtered water •  Vanilla extract •  A sweetener - a few dates, maple syrup, or honey

ü Soak nuts in water for around 8 hours. Strain water used to soak nuts. ü Combine nuts, fresh water, dates (if used) and blend un$l creamy. ü Strain the milk by pouring the liquid through a vegetable juicer (which strains out the pulp), or with a muslin or other cloth.

ü Sweeten and flavor with vanilla and sweetener to taste. ü Nut milk will keep two to three days in the refrigerator (no longer).



Coconut Date Balls From Cooking to Heal

1.  In a food processor, blend the dates into paste 2.  Add the coconut butter or nut butter and pulse a few times until

the ingredients are mixed. If too difficult/sticky to pulse with nut butter, mix by hand.

3.  Add dried coconut and process for 5 to 10 seconds more. 4.  Melt coconut oil and add to processor. 5.  Roll into balls 6.  Melt additional coconut oil. Coat the ball with oil then roll in

shredded coconut. 7.  Store in a cool place, such as the refrigerator.

1 1/2 cups pitted dates 1/2-3/4 cup coconut butter 1/4 cup finely shredded dried coconut 1 cup finely shredded dried coconut (used for rolling the balls).



• Apple Kraut

Kid-Friendly Fermented Foods

•  Add non-dairy yogurt to a smoothie •  Use a small amount of fruit and yogurt to make a fruit-yogurt

dipping sauce for fruit kebabs. •  Apple Kraut: Shred apple and add 50/50 with raw

sauerkraut to reduce sourness. Serve as shredded fruit salad.

•  Puree raw sauerkraut or other cultured vegetables in food processor with apple sauce (or other fruit sauce)

•  Fermented drinks: Young coconut kefir, non-dairy kefired sodas, kombucha

Kid-Friendly Fermented Foods



Dietary Intervention

• Dietary interven$on is a founda$on of healing for children with au$sm

• Addresses iden$fied nutrient deficiencies • Removes foods/substances problema$c to underlying biochemistry

• Supports effec$veness of therapies and medical interven$ons

• Supported by extensive scien$fic ra$onale

Nourishing Hope - Contents


Monthly Seminar Topics include: • Oxalates and the low oxalate diet • Supplements • Gut Support • The Gaps in GAPS?

Get ongoing support


Nutrition Support By Telephone and Skype with Julie Matthews • Contact our office to arrange an appointment or for a free 15-‐minute exploratory conversa$on

(415) 235-‐2960 [email protected]

Contact Julie at: [email protected] NourishingHope.com

415-‐235-‐2960

Sponsored by:

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