Using Labs to Manage Using Labs to Manage Your Child’s Your Child’s Biomedical Program Biomedical Program and Interpret the and Interpret the Results Results Tracy Ziemann PA-C Tracy Ziemann PA-C Sonja Hintz RN Sonja Hintz RN True Health Medical True Health Medical Center Center Naperville, IL Naperville, IL
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Using Labs to Manage Your Child’s Biomedical Program and Interpret the Results
Using Labs to Manage Your Child’s Biomedical Program and Interpret the Results. Tracy Ziemann PA-C Sonja Hintz RN True Health Medical Center Naperville, IL. Goals for this Presentation. Basic Laboratory Tests your general practitioner can order - PowerPoint PPT Presentation
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Using Labs to Manage Using Labs to Manage Your Child’s Biomedical Your Child’s Biomedical Program and Interpret Program and Interpret
the Resultsthe Results
Tracy Ziemann PA-CTracy Ziemann PA-C
Sonja Hintz RNSonja Hintz RNTrue Health Medical CenterTrue Health Medical Center
Naperville, IL Naperville, IL
Goals for this PresentationGoals for this Presentation
Basic Laboratory Tests your general Basic Laboratory Tests your general practitioner can orderpractitioner can order
How do the lab findings present in my How do the lab findings present in my child’s behaviorchild’s behavior
Potential treatment options available for Potential treatment options available for abnormal results abnormal results
Build your foundationBuild your foundation Create your own History and Physical: Create your own History and Physical:
some- times a time line is helpful some- times a time line is helpful Review your:Review your:
Environment: Home, School and other Environment: Home, School and other places, what triggers are thereplaces, what triggers are there
Diet: texture, food choices, when your Diet: texture, food choices, when your child eatschild eats
Elimination: Are your Childs stool Elimination: Are your Childs stool frequent, or infrequent, what color and frequent, or infrequent, what color and odor do they have?odor do they have?
Gathering informationGathering information
When a doctor sees an autistic child there When a doctor sees an autistic child there is a need for the parent to relay the child's is a need for the parent to relay the child's physical conditionphysical condition
In the biomedical treatment of autism we In the biomedical treatment of autism we look at behaviors and the physical look at behaviors and the physical condition of the child to place them in condition of the child to place them in categorycategory
Basic initial testingBasic initial testing
BloodBlood CBC, CMPCBC, CMP TSH, Free T4TSH, Free T4 Iron, FerritinIron, Ferritin Lead, bloodLead, blood Copper (serum), Zinc (plasma)Copper (serum), Zinc (plasma) Ammonia, blood (Has to be sent Frozen)Ammonia, blood (Has to be sent Frozen) Immune system evaluation: IgG total and 4 Immune system evaluation: IgG total and 4
subclasses, IgA and 2 subclasses, total IgE and IgMsubclasses, IgA and 2 subclasses, total IgE and IgM
Urine organic acid test (OAT)Urine organic acid test (OAT) Great Plains lab- OATGreat Plains lab- OAT Metabolic Analysis Profile (MAP) Genova Metabolic Analysis Profile (MAP) Genova
diagnosticsdiagnostics
Yeast symptomsYeast symptoms
Giggly, inappropriate laughingGiggly, inappropriate laughing Foggy, spacey Foggy, spacey Change in bowel movements (foul/yeasty Change in bowel movements (foul/yeasty
smelling stools), gas, and bloated bellysmelling stools), gas, and bloated belly Yeasty rash/diaper rash, white coating on Yeasty rash/diaper rash, white coating on
tongue, red ring around the anus, ringworm, tongue, red ring around the anus, ringworm, cradle capcradle cap
Bedwetting or accidentsBedwetting or accidents Sleep disturbance or Night wakingSleep disturbance or Night waking Hyperactivity, hand flapping, toe walkingHyperactivity, hand flapping, toe walking Sugar cravingSugar craving
Treatment Treatment
Start a potent ProbioticStart a potent Probiotic Digestive EnzymesDigestive Enzymes Clean up the dietClean up the diet
Support the gut and reduce inflammationSupport the gut and reduce inflammationVitamins/supplements, herbs, medicationsVitamins/supplements, herbs, medications
More Treatment options…More Treatment options… AntifungalsAntifungals
What may What may keep you keep you and your and your child up child up at nightat night
Signs and Symptoms of ParasitesSigns and Symptoms of Parasites
Discomfort and bloating of stomachDiscomfort and bloating of stomach Itchy buttocks, night waking, fecal smearingItchy buttocks, night waking, fecal smearing Diarrhea and constipationDiarrhea and constipation Teeth grindingTeeth grinding Mal absorption of nutrients, pica, insatiable appetiteMal absorption of nutrients, pica, insatiable appetite AllergiesAllergies Behavior changes and/or aggression, worse at full moonBehavior changes and/or aggression, worse at full moon
Possible CausesPossible Causes Side effect of supplement or allergy to drugSide effect of supplement or allergy to drug Yeast or Bacterial Flare-up (Balancing act)Yeast or Bacterial Flare-up (Balancing act) Detox ReactionDetox Reaction = Too rapid of an effect leading to vitamin or = Too rapid of an effect leading to vitamin or
mineral deficiency, oxidative stress, liver or kidney stressmineral deficiency, oxidative stress, liver or kidney stress Die offDie off = Rapid death of gut bugs, leading to excess release of = Rapid death of gut bugs, leading to excess release of
toxins and subsequent liver or kidney stresstoxins and subsequent liver or kidney stress
Treatment ApproachTreatment Approach
Rate severity, if severe stop supplement, notify Rate severity, if severe stop supplement, notify physicianphysician
Treat with Activated charcoal/Bentonite clay and/or Treat with Activated charcoal/Bentonite clay and/or Alka Seltzer Gold, homeopathic remedy, if helpful Alka Seltzer Gold, homeopathic remedy, if helpful probably die off probably die off
Rule out dysbiosis, treat accordingly Rule out dysbiosis, treat accordingly Check ammonia levelCheck ammonia level Add Liver Support Add Liver Support
• Milk thistle, artichoke extract, dandelion rootMilk thistle, artichoke extract, dandelion root• Give at bedtimeGive at bedtime
Clostridia produce Clostridia produce toxins and toxins and enzymes that enzymes that create severe create severe gut inflammation gut inflammation and produce and produce watery diarrheawatery diarrhea
Clostridia issuesClostridia issues
SymptomsSymptoms AggressiveAggressive TemperTemper AgitationAgitation IrritableIrritable Very foul stoolsVery foul stools Mucus in stoolsMucus in stools Severe diarrhea Severe diarrhea
following antibiotic following antibiotic useuse
TreatmentTreatment Probiotics, High Probiotics, High
Potency single strainPotency single strain Sacchyromyces Sacchyromyces
Evaluation of Heavy Metal ToxicityEvaluation of Heavy Metal Toxicity Provocative TestingProvocative Testing is often unconvincing in ASD due to is often unconvincing in ASD due to
impaired detoxification. impaired detoxification. Urine Toxics, Fecal ToxicsUrine Toxics, Fecal Toxics, and , and Hair AnalysisHair Analysis show show
excretion of toxic metals. We have no way to determine excretion of toxic metals. We have no way to determine total body burden.total body burden.
RBC Blood testingRBC Blood testing is a poor measure of chronic heavy is a poor measure of chronic heavy metal burden. However, blood may show acute metal burden. However, blood may show acute exposure.exposure.
There are no standards for diagnosing chronic toxicity.There are no standards for diagnosing chronic toxicity. There are no tests to determine body burden of metals. There are no tests to determine body burden of metals. Lead is a bone seeker and can only be measured in Lead is a bone seeker and can only be measured in
blood 12 hrs after exposure, therefore blood Pb is not an blood 12 hrs after exposure, therefore blood Pb is not an adequate indicator of low level chronic toxicity.adequate indicator of low level chronic toxicity.
Mercury has an affinity for fatty tissue and a developing Mercury has an affinity for fatty tissue and a developing brain, and is very rarely seen in blood.brain, and is very rarely seen in blood.
Better sleepBetter sleep Cognitive gainsCognitive gains Better speech and languageBetter speech and language Improved eye contactImproved eye contact Fine and gross motor improvementFine and gross motor improvement Better focus, attention, awarenessBetter focus, attention, awareness
IMPORTANT to continue to IMPORTANT to continue to monitor symptoms.monitor symptoms.
Labs can only help point us Labs can only help point us in the right direction. in the right direction.
Have Have courage courage
and follow and follow your own your own
path.path.
Thank You and Thank You and Good Luck on your JourneyGood Luck on your Journey