You’ve probably noticed the uptick in terrifying news stories about flu in the last month or so. That’s no mistake – the CDC, FDA, and pharmaceutical trade would like you to be afraid, very afraid, of flu, in hopes that you’ll go get a flu shot.
Too bad the shot is such a fail this year.
This happens. Every year, best guesses are made about which flu strains to include in a vaccine, many months ahead of flu season. The soothsayers don’t always guess right.
And too bad even in good years, flu shots are no slam dunk. Their efficacy is, well, meh. In the 2014-2015 flu season, they were almost 100% ineffective, offering protection only 6% of the time. Over the years, they barely reach a 50% efficacy rate at preventing flu – a coin toss or worse for odds. Some data show they don’t work at all, especially in the elderly,and they may even spread more infection.
Besides not having a stellar performance record, there are problems with this product: It contains mercury or aluminum (which is almost as neurotoxic as mercury, and suspect as an Alzheimer’s trigger), contaminant or rogue viral material, formaldehyde, and so on (why do parents wring hands about which organic Paleo snack is best, then don’t blink about injecting this stuff into their toddlers?). This is all heavy baggage for a product that the government would really, really like you to use, and that is why supermarkets, schools, drug stores, and even McDonalds are trying to give you a flu shot. My neighborhood supermarket plays flu shot shill on its pharmacy phone line, offers a feel-good incentive of a free meal to the homeless if you get one, and hangs placards everywhere about how easy it is to just walk in and get one.
But alas. People still recoil. Still, all is not lost. There are many strategies to build your immune strength so that you either don’t get flu, or if you do, it is a milder bout with shorter course.
Your body uses a tool kit to fight and manage infection. The tools it uses are manufactured by you, from food you eat. Vaccines don’t deliver any of those tools. All they do is deliver a ghost version of the infection, with some irritants to stimulate your immune system. It’s your job as a host-body to respond with protective strategies – things like immunoglobulins, white blood cells, and so on. Those are what protect you, not the vaccine itself. You have to make that stuff.
So prep yourself and your kids with the right stuff. There will be flu. There will be snot. There will be fever. But maybe your kids avoid it, or maybe you don’t get so bad a bout. Here’s how immune systems work best:
- Make sure your child is not underweight. Don’t think s/he is? Read this. Your child should be north of the 10th percentile for body mass index (BMI), or for weight to height ratio. This is when kids’ bodies have robust resources to draw on to fight and manage infection, a task that consumes protein, calories (energy) and the nutrients below, to name a few. Underweight kids get sick more often, stay sick longer, and are at higher risk for complications from infection, due to a well understood phenomenon called cycle of malnutrition and infection. This kicks in even when kids are just a little bit underweight.
- Maintain strong status for vitamin D, heading into winter and all throughout. Though lab ranges generally cut off at 30 ng/mL as too low, in our office we prefer to see patients in the 40-60 ng/mL range.
- Maintain strong status for vitamin A rich foods. Cod liver oil is a good source, but don’t use more than a teaspoon daily for kids under 40 or 50 pounds. Too much vitamin A is not a good thing and will trigger low appetite, bone pains usually in long bones, dry peeling skin, demineralization of bones, or vomiting. If your doctor tests your child, levels should be at least 20 mcg/dL for health; below that warrants supplementation, according to the World Health Organization.
- Eat zinc rich foods or supplement zinc. Zinc is another critical nutrient for immune function and building white blood cells. It has helps prevent viruses from replicating and attaching to your nasal membranes. Since it’s in foods many kids can’t eat (allergy) or don’t like, it’s common to have marginal zinc status. You can safely supplement 15-30 mg/day in children with lozenges, liquids, or pills; more may be needed acutely. As much as 75-150 mg zinc has been clinically trialed in children, safely. Pumpkin seeds, most nuts, lamb, pork, eggs, spinach, flax meal or flax seed, shrimp, chick peas, mushrooms, and cocoa are zinc rich foods. Caveat: Chocolate with cane sugar won’t go far since sugar will drop white blood cell count and drop your body’s defenses. Which leads me to my next recommendation…
- Don’t eat sugar during flu season. See previous bullet. This means eat more vegetables than fruits; skip juices or soda for water, tea, or broth; pass on baked treats, muffins, candy, granola, sugary power bars, starchy pasta with sugary tomato sauce; check your kids’ favorite condiments for sugar (ketchup, dressings, canned or frozen snacks).
- Check your kids’ iron status early in the fall. This is best done with a full iron study, which includes:
- Serum iron
- TIBC (iron binding capacity)
- Hemoglobin (HgB) and hematocrit (Hct)
- Complete blood count (CBC)
This is more blood work than your pediatrician usually would order to check iron. I like that data because it fully describes where and how your child is using iron, a critical immune nutrient, and thus tells me what to do about it all, for nutrition support. It will also yield details about your kids’ red and white blood cells, and where nutrition deficits may be emerging. Since we store iron and since it is a toxin as well as a necessary mineral, the body has eloquent strategies to absorb it from food, store it, use it, or excrete it. Looking at just ferritin, which is what your doctor and your insurance plan may prefer, won’t tell the whole story. If iron status is marginal, shore it up with good diet: Eggs, red meats, dark greens, beans, ample protein, and a supplement if necessary. Don’t supplement iron without supervision – it can be toxic or deadly if misused. Weak iron status can take weeks or months to replenish, so start early in the fall.
- Good old vitamin C: When the government set up minimum daily requirements for nutrients decades ago, we didn’t know much then about nutrition in healthy people, much less in sick people. Eating 60-100 mg of vitamin C daily might keep your gums from bleeding or getting scurvy, but it won’t go far to tool up your immune system. This is a safe nutrient to eat a lot of, barring known concerns for kidney stones; infusions of C of 50,000 mg (fifty grams) are not unusual in functional medicine practice. Vitamin C stimulates production of neutrophils, lymphocytes, and phagocytes – all powerful defenders for you. Eat a lot of it. Too much will cause watery stools, so that is your barometer for how much you can tolerate. Supplementing 500-1000 mg/day and more during illness may do the trick.
- Play outside, and get exercise. Tell your kids to go build a snow man. Do yoga, get upside down, go sledding, take a walk. Sunlight, fresh air and movement will move lymph, which carries much of your seek-and-destroy fighter pilot white blood cells. Lymph’s only pump is your muscle action, and gravity. Blood is pumped by the heart but lymph depends on moving and breathing vigorously to flush itself around, and help you release debris and toxins from infection-fighting.
- Don’t stress. Seriously. Stress is a swift and powerful buzz kill for your immune system. It actually suppresses it. Do what you can to counter it, if you can’t avoid it: Watch funny movies, break some plates, watch kitty videos, say oooommmm three times.
You just may be able to beat colds and flu even when flu shots fail. Tool up your body’s fighters so they have the armour they need to do their job. Food is the building material for all these tasks. Vaccines can influence the assembly line, but you still need the raw lumber to build stuff like immunoglobulin, neutrophils, lymphocytes, phagocytes, T cells, and much more; that stuff is made of protein, fats, good carbs, vitamins and minerals, which you gotta eat. Vaccines aren’t the lumber. They’re just the fire drill. Getting a flu shot without good nutrition already on deck is like throwing the fire alarm without having the fire truck, fire fighters, or hoses ready. Flu is no joke for vulnerable people, and it isn’t always obvious who might be vulnerable – but you can keep your fire crew at the ready at all times with good nutrition.
Is your child underweight? Your doctor would have told you, right?
Maybe not. In fact, I am often the first person to capture this finding in a toddler, child or teen who has seen multiple providers, from the pediatrician to gastroenterologist to allergist and so on. But this is really important for kids. Why? Because once kids slide into growth impairments, it throws a lot of other stuff off kilter for them. One, their immune systems don’t work as well. They can get sick more often, stay sick longer, and have more complications from infections than kids in healthy status. Two, they struggle more to behave, learn, focus, or sleep, and will often experience more anxiety, less self regulation, and more mood swings. This can happen even with mild or moderate growth impairments. In other words, kids don’t have to be severely underweight for this stuff to go wrong. When kids finally hit bottom with that failure to thrive (FTT) status, this will create a leaky gut – something many parents ask me about – because there aren’t enough nutrients and energy from food for the child’s gut wall to maintain its integrity. And, the younger a child is, the more vulnerable they are, when dropping off channel.
Pediatric providers generally won’t intervene on or even mention a lagging growth pattern unless your child is really, really underweight, as in – heading for the very bottom of the growth chart. Why not? There are several reasons why this can be true:
- Your insurance may not pay your doctor to intervene on any growth impairment other than failure to thrive (FTT), a severe and entrenched problem in which a child has fallen to below the fifth percentile for weight for age.
- Your doctor may not know that dropping just fifteen percentile points off expected growth pattern, for either weight or stature, actually means your child is underweight or undernourished.
- Your pediatrician may not know how to calculate your child’s ideal body weight, expected weight, or expected height, or doesn’t have time to do it.
- Your doctor doesn’t have time to scrutinize, integrate and explain all the growth data in that brief fifteen minute visit, including all the things that impact growth, from your kids’ food intakes to energy level to genetics.
- Your doctor isn’t sure how to help you fix the problem, or why it’s happening in the first place, if they notice it.
Because I work with kids with problems like allergy, autism, FPIES, inflammatory bowel conditions including Crohn’s disease, or all sorts of circumstances in which they can’t eat regular diets, it’s common for me to find that a child is indeed underweight. Many parents who contact me have placed their kids on special diets on their own, and don’t realize their kids are underfed and malnourished, even with all the best efforts at feeding well. But it can be a relief to know exactly what and how much food your child needs to grow, feel, and function better.
Usually, parents are downright surprised at what a difference something as simple as the right food intake makes for their kids. This quote is straight out of clinic today from a mom regarding her fifth grader, who had severe attention and focus issues for which he’d used medication, difficulty with independently toileting (constipation, stool accidents), frequent infections, and felt unhappy or frustrated often:
“Looks super healthy, I’ve never seen him this healthy. He seems more like a regular kid. He is thriving. He is growing like a weed. He is happy.”
This boy is off stimulant medication, using the bathroom independently and not having accidents, and has not had any infections for months, for the first time in his life.
What would your pediatrician do for these problems?
He would do what had been done for this child, and failed: Give methylphenidate (stimulants like Focalin, Ritalin, etc) for inattention and hyperactivity; Miralax for the constipation; antibiotics for the infections; and a “he seems fine” shrug for the moderate drop off of expected weight for age.
Nutrition care is not a replacement for medical care – and vice versa: Medical care is not nutrition care. They do different things, and require different skill sets. Strong nutrition in kids makes them healthy; prescription drugs mostly avert acute problems. Neither replaces the other, both are important for kids – but, unfortunately for kids all across the US, nutrition is not a big player in pediatrics nowadays.
Is your child underweight? Is it impacting their health? It’s easy to find out. There are well established criteria for determining things like expected growth pattern for a child, and how to restore it if lost. There are many tools at my disposal too, to sort out what foods would best serve your child, what foods you might really need to avoid, and what foods you really may not have to worry about. If you’re not sure, schedule an appointment and we can just find out!
There has been buzz for years now about camel milk, and its purported benefits for autism, Crohn’s disease, allergies, feeding problems and more.
I’ve been slow to embrace this possibility, because all mammalian milk (including human breast milk) contains milk protein – that is, casein – and casein can become problematic for many reasons. Casein structure varies a bit from species to species or even across breeds of animals in the same species (as described in the A1 versus A2 milk conversation). This is what can make goat milk or sheep’s cheese more tolerable than cow’s milk for some kids. But all these milks – including human breast milk – can make a neuroactive protein fragment called casomorphin.
I’ve needed a good explanation for why this is not a problem with camel milk, and I found it. Here’s the story.
Camel milk truly is different from milks that we make, or cow, goat, or sheep milk too. Here is a detailed comparison of what’s in camel milk versus human breast milk. But one thing all mammalian milks have in them is a protein called casein, which is often allergenic. Even as casein varies across species and can be easier to tolerate depending on the animal it comes from, generally, all casein can turn into a littler protein chunk called casomorphin. This can be a big trouble maker.
Casomorphin is great for babies in their first year. It is correlated with optimal psychomotor skills and muscle tone. But it can wear out its welcome, when a child’s intestine doesn’t acquire the skill to digest it thoroughly, past the age of 12-14 months. I routinely see this in my practice, in milk-addicted kids: Constipation, delayed language or aphasia (non-verbal), extreme picky eating, tantrums, ADD/ADHD, disrupted sleep, and behavior problems can come from a diet that uses mostly casein as a protein source. When those signs are active, kids are usually turning that casein into casomorphin, which is potently addicting, making for an extremely picky appetite, causing constipation and terrible behavior. If this is your kid, buy this e book. You’re welcome. It will save you a lot of time, pain and agony in feeding clinics, GI doctor’s offices, or in surgery avoided for a G-tube.
Casomorphin is easy to measure in urine. I have found it in the urine of older toddlers still breastfeeding, who strictly avoid dairy foods in their diets otherwise, and whose mothers strictly avoid dairy too – proving that the casomorphin indeed can come from weak digestion of the protein in breast milk. In these cases, weaning to non-dairy proteins in food did the trick.
Casomorphin is a “powerful opioid, more powerful than morphine itself“. It blunts sensation, and can delay potty training; it also prevents a process called synaptic or neural pruning, in which the brain adjusts its growth to accommodate new developmental phases. Without pruning, kids’ heads grow disproportionately large, and development – especially for language and social reciprocity – can stall. It’s common for me to see this phenomenon in children with autism who have had diets liberally inclusive of dairy protein, whether it’s from milk, cheese, yogurt, ice cream or whatever – all these dairy products contain casein. Gluten and soy proteins can form morphine-like neuroactive peptides too, in the context of weak digestion. These have been linked to autism features, for many years now. This is why kids with autism may begin to speak, function, behave and sleep better by removing wheat, dairy and soy foods entirely – stop eating opiate like neuropeptides, and their brains begin to work again.
What about camel milk? It turns out that the casein in camel milk is different enough in its structure to not create casomorphin, the opiate-like neuropeptide I’m talking about – while at the same time, its other components are also unusual – making for some extra healing benefits. It doesn’t have the same casein structure that cow’s milk has, and thus can’t create casomorphins that have brain-damaging potential, as is seen in autism. Camel milk lacks the beta-lactoglobulin found in cow milk; that, plus its different casein structure, means that the two most allergenic proteins in cow milk are absent from camel milk. The whey proteins of camel milk are different too, making them less allergenic. And camel milk has higher amounts of the immune protecting proteins lactoferrin and immunoglobulin than cow milk – though some dispute that the difference is enough to explain the medicinal benefits. But because camel immunoglobulin molecules are tinier than those in cow or human milk, and because they appear to be more potent in completely neutralizing an infectious agent, they can more easily target and disable viruses or bacteria in the gut. Traditionally, one of its many uses was for clearing rotavirus – something your child was probably vaccinated for, as rotavirus vaccines have been included in the CDC schedule since 2008 (look for RotaTeq on your child’s vaccine record). Who knew all they may have needed was camel milk?
Little data exist for its healing properties, but the little that is out there is compelling. A controlled clinical trial in fourteen children with autism who drank pasteurized camel milk instead of cow’s milk for eight weeks “revealed a decreased hyperactivity, increased alertness, grasping power and curiosity, better social interaction and many parents commented on the newly expressed effort of their children to listen and obey instructions.” The children also had daily bowel movements instead of being constipated, and got sick less often. Urine samples showed no elevation of beta casomorphin-7, the trouble-maker molecule in question for milk drinkers. In a larger, double blind, randomized trial of 65 kids with autism, profound improvements were once again noted, from just two weeks of camel milk consumption. And yet another blinded and randomized trial in 60 children with autism found that camel milk significantly reduced oxidative stress (a well documented feature of autism that underlies behavior problems, GI symptoms and more) while it gave a boost to the kids’ glutathione levels, which is a healthy body’s top protector against toxins. Glutathione is legendary for being depleted in kids with autism, and has been the target of much investigation, since correcting it may diminish features of autism. Glutathione is also a key to reducing symptoms of Crohns disease; a healthy gut wall is rich in this antioxidant, while a sick one is depleted of it.
Another obscure report lauds camel milk as a wound healer in diabetes; other findings suggest that camel milk has enough insulin-like peptides in it to effectively lower blood sugar. Meanwhile, here’s that nasty casomophin from cow milk again, possibly triggering diabetes. I found no trials specific to food protein induced enterocolitis syndrome (FPIES), but did find one that plainly showed that most kids with milk protein intolerance handle camel milk just fine, and that skin prick testing worked to screen for this option.
While controlled trials are few, anecdotes are plentiful on the web, describing remarkable improvements in children with autism who switched to camel milk. Here is a collection of some research on camel milk nutrition and how it can work for kids with other-milk allergy.
This all sounded good enough for me to spring for $275 worth of frozen camel milk (it doesn’t come cheap). I’m going to try this out. My son has a long history of inflammatory bowel symptoms and struggles to gain weight; I have a long history of autoimmune problems and am dependent on infused human immunoglobulin therapy to, well, pretty much stay alive. If anyone had good reason to give camel milk a try, I do. And there are a few hundred kids in my case load who might benefit. I like to have first hand experience with whatever I recommend to my families.
The only dromedary dairy in my region was cryptic and unfriendly when I reached out; they wouldn’t let me visit or purchase in person, so I passed. Besides, knowing that the entire Front Range of Colorado is under siege from cancer causing fracking contaminants in air and water, I felt it would be better to buy a product from somewhere else. Camel milk isn’t sold in stores near me as far as I could find, so I went with the one outfit that seemed well equipped to produce, sell, and ship milk reliably: Desert Farms. Stay tuned to hear how this goes! Should be interesting. As a recipient of immunoglobulin therapy, I am monitored closely every three weeks for my immune status, so I will be tracking what happens. Let me know how camel milk worked for you, if your family tried it!
Getting your kids’ annual physicals this month? Take this check list with you to your appointment. There are straight forward, nutrition-focused solutions to all of the problems on this list. No drugs, no therapy, no ongoing visits to behavior clinics. Simple measures may resolve these problems without drawn out drug trials or therapies that leave your family frustrated and exhausted. If your pediatrician is stumped about how to use real food and nutrition tools, let’s talk soon!
1 – Diarrhea is not a developmental phase
How often have I heard, “my doctor said it’s ‘toddler diarrhea'” or “Clostridia difficile is common in kids, it doesn’t need treatment” or “it’s okay because my kid is still growing” or “it’s because he has FPIES“. Yes, infants and toddlers have varying stool patterns, but there is usually a reason for it that can be fixed. And it should be, because chronic diarrhea robs your child’s brain and body of critical nutrition. Teething, fevers, and stomach bugs can disrupt potty pattern for sure, but the operative word here is transient. Funky poop should resolve back to a comfortable pattern within a few days or a two weeks at most. Expect a baseline pattern of formed (not hard, not dry) stools every day that are easy to pass. Ongoing loose, explosive, mucousy, irritable, burning, or foul stool is not healthy, normal, or necessary to put up with. It is a sign that something is awry – food intolerances or allergies, background infections, reflux, or weak nutrition status to name a few. It can also make it harder for kids to potty train, when they never know what’s coming!
The other clear sign for good digestion and nutrient absorption in kids is steady growth pattern, with no flattening trend for weight, height, or body mass index. Daily eliminations that are soft formed (or soft gold mush for breast fed babies) are a sign that your child is digesting and absorbing his food well (in ancient Ayurvedic medical traditions, anything less than a soft formed elimination after each meal is considered constipation!).
Kids who have chronic diarrhea also often exhibit what can be misconstrued (and fruitlessly treated) as behavior or psychiatric problems like anxiety, irritability, low motivation (fatigue), bad sleep patterns, or inattention. What I so often find is that once digestion and stool pattern are supported, these problems fade too, as kids absorb nutrients and energy more reliably. Who wouldn’t feel better?
Long short – if you have a cranky little who can’t sleep well and who has a lot of loose messy stools, investigate. Don’t mask symptoms with long term drug dependence – fix the underlying problem. Your child’s gut health can likely improve with non-drug, nutrition-focused measures… even with conditions like FPIES. And if your school aged child is struggling with chronic loose stools, fatigue, and poor energy, expect it to be better. If your pediatrician can’t help, and a gastroenterology referral was a dead end too, schedule an appointment for integrative nutrition with me today.
2 – The most important thing for fighting infections is strong nutrition
Forget the vaccine debate. Nutrition status is the single most critical factor (of the “greatest public health importance“) to influence whether kids get sick, how often, for how long, and whether or not they have complications with illnesses or infections.When kids do get sick with serious bugs like flu or measles, well nourished kids fare far better, with a less complicated, shorter course of illness and full recovery. For over seventy years, data have piled up to show what a huge impact nutrition has on the immune system, from several angles – from your kids’ tissue stores of vitamin A, to total protein intake, growth status, iron or zinc status, inflammatory chemistry, and more! You can help your kids stay well even as they are surrounded by sniffles and coughs at daycare or school, by setting them up with tip top gut health and food. Judicious use of supplements, probiotics, and herbs can work wonders too – just be sure to tailor these to what your child needs, not a one-size-fits-all approach. Music to my ears: When parents whom I’ve worked with tell me, “We didn’t have any colds this whole winter!” It happens.
So what is nutrition status? It isn’t what supplements you’re eating, whether you’re vegan or Paleo, or even what food you give your kids. It’s a number of things that are classically measured in children to assess how healthy they really are. These are not all included in a standard well check or school physical, but some may be added on if you ask your doctor. Strong nutrition status is evident in:
- Solid growth pattern in your child’s expected channels for weight, height, and body mass index. Your child can be expected to proceed at percentiles achieved at birth, unless s/he had a special circumstance that needed support very early, such as low birth weight or premature birth; even this can be expected to improve some as your child grows. Though pediatricians generally won’t address growth regression until children fall way down the chart, drops of more than fifteen percentile points that persist for more than three months warrant investigation for cause.
- Mid range lab findings for serum iron and ferritin (not at high or low edge of the range); normal blood count; normal chemistry panel with serum protein, albumen and other findings in mid lab range.
- Infrequent illnesses with short duration and full recovery.
- Strong clinical signs for healthy hair, skin, teeth, and nails; no or few cavities in the child’s lifetime.
- Ability to play, sleep, learn, and eliminate comfortably.
3 – Your child may need iron when s/he is not anemic
It’s common at annual physicals to check hemoglobin and hematocrit for kids, which is done with a finger stick blood test. These are two tests to check if your child is anemic. The problem with this is that these are low sensitivity tests that don’t pick up pre-anemia. Pre-anemia is a thing! It is a state in which iron stores are depleted, but hemoglobin and hematocrit are still in the normal range. These kids need iron support, and depending on diet, food intake and other factors, the fix may be just the right food, or may require the right iron supplement (there are several) or even an iron prescription. Kids in pre-anemia will have any or all of these features:
- shiners under eyes, pallor
- more frequent infections and colds; may take longer to recover
- irritable; crabby one minute, happy the next
- hyperactivity with fatigue – “crash and burn” pattern
- math may be most difficult subject (iron is related to math learning!)
- difficult sleep pattern, insomnia, can’t settle to sleep or sleep through
- picky or weak appetite; may want to chew non food items
- in girls in puberty, menstrual flow may be heavy, fatiguing, and/or with clots
Since iron is poisonous as well as essential to our bodies, don’t give iron supplements without guidance. Request thorough testing to find out if your child needs iron, vitamin B12, protein, or just the right food to correct anemia. I can help you with this as well, by finding an easy to tolerate iron supplement or B12 protocol, as well as how to work in replenishing foods.
4 – That allergist referral won’t find all your kids’ food reactions
Allergists check one thing: Allergies. They look for reactions by checking IgE (immunoglobulin E) responses to foods or other substances. They may measure histamine and tryptase levels too, among other things that relate to those swift and dangerous reactions that have you grabbing the Epi Pen. But there are many other types of reactions to foods that disrupt stools, skin, behavior, and functioning. If allergy testing was negative for your child, but there are frequent colds or congestion, asthma, eczema, messy irritable stools, weak picky eating, or other nebulous symptoms, assess more deeply. So far, while insurance coverage for food allergy testing is common, it is not common for testing for food sensitivity reactions, or other immune responses to foods. Identifying these can make life a whole lot better for kids struggling with multiple symptoms – but, be prepared to go out of network and possibly pay out of pocket for these tests. Depending on your insurance and your child’s nutrition diagnosis, it may or may not be covered. I guide parents with this testing, can authorize it if your doctor does not know how, and interpret findings to build a nourishing diet for your kids.
5 – Nutrition CAN reduce ADHD symptoms without medication
Big topic. Pediatricians are trained to offer behavior therapy as a first line of intervention for young children with ADHD; if that doesn’t work, their next recommendation is for medication with behavior therapy. But what they don’t learn is how to help children achieve functional focus with nutrition, gut health, and food. So much can be done! Stimulant medications have many drawbacks and side effects. Search my blog posts on nutrition and ADHD – there is ample to mine there. You can also view this free lecture on nutrition and ADHD.
Children as young as three years old can be given stimulant medication, per FDA guidelines. It may seem like an easy quick fix, but there are other options. This is not without costs to your child’s health and well being; suicidality may increase in older kids given these medications. Help your child eat and absorb the nutrients his brain needs to focus. Take out the toxins, inflammation, and noise in the body. You may be amazed at the difference nutrition care can make.
Why doesn’t my doctor practice nutrition?
Pediatricians don’t have a lot of time when they meet with you for a school physical or well check; insurance companies tightly control what topics can be addressed in those visits, how long the visit can take, and how much a doctor is paid for that service. When your pediatrician wanders from the format, he essentially won’t get paid for his time. And, they need to have a high volume practice to make money – meaning even less time to listen to you, educate you on meals and nutrition, or research new topics on their own. Further discouraging nutrition in pediatrics is that drugs are much more profitable. Drug companies now wield heavy influence over pediatric care, from the time a doctor begins medical training to every week in practice, when drug company sales reps visit with samples, glossy brochures, pens, free lunches, treats, or incentives to write prescriptions. It’s irresistible and easy. There is no such format for nutrition intervention for complex problems. Last but not least, pediatricians are not required to complete much training in nutrition. They simply may not know what to do.
In my nutrition practice, I give clients lengthy appointments to integrate all facets of your child’s care into an individualized nutrition care plan, including lab studies, history, growth status, food intake, and aspects of your lifestyle. I write detailed care plans for each encounter. This takes a lot of time that pediatricians don’t have. If you’re stuck, get started today with an appointment. Or go to my home page (scroll down) to download your free Sensory Nutrition Checklist – begin today with some easy tricks to help your kids function better!
I’m now serving my second generation of clients, working with moms who where were not even born when I finalized my credentials as a dietitian/nutritionist. Recently I did a double take noticing that a young mom I was working with was born on my wedding day – Wow!
It has been quite a journey. I’ve watched earlier clients’ kids, and my own son, grow up to be more functional and able, after rocky and uncertain beginnings. But I have some bad news for you young moms: It is a lot worse out there than it used to be. It’s very different for you than it was for my generation. There’s a whole new normal, and it ain’t pretty.
More than half of US children are now chronically sick or disabled – meaning that it is now more common for kids to have chronic conditions or developmental delays, than it is for them to be healthy, growing strong, and developing or learning normally.
During my graduate years in public health nutrition, this was unthinkable. CDC goals we worked with then have not come close to being met. We’ve not only fallen short, we’ve actually violated the very first goal to “prevent morbidity and disability “- ! Both have increased dramatically for US children in the 21st century.
Type 1 diabetes has quadrupled. Children under age 10 are now getting diagnosed with Type 2 diabetes – actually unheard of when I was trained in the late 1980s; this was only diagnosed in overweight, middle-aged people at that time. At least 80,000 kids in the US are diagnosed with Crohn’s disease, a severe and chronic inflammatory bowel disease, and its incidence in children is increasing. I meet kids each month who have similar symptoms but have never been diagnosed, and I just worked with my first toddler diagnosed with Crohn’s disease this spring. During my training, this wasn’t even mentioned as a condition that a young child could have. Even the phrase “toddler diarrhea” didn’t exist (diarrhea is not a developmental phase!). Babies and toddlers were not diagnosed with, or given medications for, GERD (reflux drugs like Nexium came to be so overprescribed, they were called “purple crack“). Asthma, cancer, allergies, and of course – autism – are all increased far past their 1985 levels, with no signs of slowing down. And are you tired of hearing yet that autism has shot up nearly 150-fold since 1975, and that some estimate that half of US children will have it by 2025? How will this country function, populated by sick and disabled adults? How will we pay for their care?
Those are big questions. But here is the question that has had me scratching my head for the last twenty years: What are our pediatricians doing about it?
Are they even thinking about reversing these trends, in any meaningful way?
If they are as young as you are, it’s doubtful they know how miserably we failed at reaching the CDC’s goals from the late 20th century, for population health. Or that they’ve had much of a deep dive into child nutrition and its role in development, learning, behavior, and immune strength. I also do wonder if they know what it’s like to see kids who never need any prescription drugs, because they’re just …healthy.
Being sick repeatedly throughout the year, needing multiple rounds of antibiotics, being developmentally delayed, having an impacted, inflamed, or ulcerated colon, being unable to eat anything but milk, yogurt, or Pediasure, or having only loose, burning, foul stool or impacted hard stool may be common nowadays, but it isn’t normal.
Your kids should be healthy, comfortable, vibrant, eating, eliminating daily, sleeping well, growing, playing, and thriving! If they can’t because of a chronic condition, then they still deserve to reach their fullest potential, enjoy their highest well being, and feel good as often as possible.
From my perch as a pediatric nutritionist/dietitian, I have watched it get harder and harder to restore kids’ health, away from the chronic gastrointestinal, feeding, growth, developmental, and allergy/immune problems they have. Kids bodies seem more compromised, their immune systems more confused, their intestines less functional. The work is more complex than it was in 1998 or 2000. Diagnoses like FPIES (which my own son had in 1996, before there was a name for it), milk protein intolerance, food allergies, intolerance to breast milk, and EoE are not unusual now, but they earned no mention during my training in infant and child nutrition in the late 1980s.
I often wonder how pediatricians of my generation reconcile this. Do they notice, like me, that children are sicker, as government data show?
Moms under 35 have it rough. You are..
- The first generation to grow up with more antibiotics, vaccine doses, psychiatric medicines, and just plain more prescription drugs than any other.
- The first generation to grow up eating GMO foods.
- In the years you were conceived, patent and marketing laws for drugs changed – and dozens of new drugs flooded the market, whether we needed them or not, and regardless of non-drug options that may have worked as well or better.
- The goal posts have moved for what counts as valid published medical “science” – much of it is now ghost written by the pharmaceutical industry.
- Environmental protection laws are either being stripped or unenforced, allowing more toxins into air, water, and food.
- You are now bearing children with more toxic burden than any parents before you in America’s history.
In short: It’s a lot harder to have healthy kids these days. Your bodies were exposed to more toxins, sooner, than people of my age. And now your children are exposed to all of this even before they’re born, in utero.
So now what? It’s simple: Remember that your kids get to be healthy.
That is their birthright, and their normal. Expect them to be healthy, not chronically sick. But you have to do some serious footwork, even before pregnancy, to help them get there. If your kids are already here on the planet, there is a lot you can do to diminish their odds for chronic disease, developmental injury, and psychiatric conditions. If your kids are already affected by these problems, there is still plenty to do with food, nutrition, and good support for immune function and detoxification – you might be surprised to see how well your kids can be.
Here you go:
- Eat organic whenever you can. It matters. I actually did some work on this during my graduate studies (eons ago) and found that yes, organic foods are more nutritious, and have fewer toxins (though not toxin free, thanks to widespread use of pesticides and GMO crops in the US).
- Don’t eat GMO food, period. Minimize it as much as possible. Here’s why.
- Find out if your kids have food sensitivities or allergies; feed them foods that nourish deeply, not foods that chronically inflame.
- If your kids need antibiotics, restore healthy flora – you will know it worked by appearance of a daily, comfortable elimination (no bloat, hiccups, burps, picky eating, straining, watery stuff, mucus, dry pebbles, or foul odor – just formed easy to pass stool and healthy appetite).
- Drink filtered water, not tap water. Put filters on shower heads. Or, consider a whole house reverse osmosis water filter.
- Don’t use plastic containers for food. Avoid plastics, xenoestrogens, and xenobiotics in lotions, shampoos, soaps, or foods.
- Eat more vegetables, more plant foods, and less meat and sugar than you want.
- Eat loads of ancestral, organic fats and oils.
- Don’t have a C section if you can help it. If you can’t, seed your baby’s gut biome with probiotics or your own flora.
- Don’t get vaccinated while pregnant. It can increase your risk of miscarriage, and it delivers toxins like aluminum, mercury, and rogue viral or human DNA into your body. Effects of vaccinating pregnant women on their unborn children for asthma, allergies, or other immune mediated conditions are unstudied.
- If you need antibiotics during pregnancy, delivery, or breastfeeding, take all precautions to restore your baby’s gut flora with probiotics and a healthy diet.
- Read this 2017 study on the health of vaccinated versus unvaccinated kids. Choose soberly what you want to do.
Those are good starts – a big effort, yes; harder perhaps, but the upstream work is well worth it if there is a chance it can prevent burdensome chronic conditions in your kids. If you need more specific guidance for your own child’s situation, contact me for an appointment and we can get started.
Herbs, vitamins, and minerals can support immune response during and before illness. Anyone can buy them – but are they safe? Do they work? How do you use them?
Like any prescription drug from your pediatrician , if you’re using the wrong dose, in the wrong context, at the wrong time, or with substances that don’t mix safely, immune supports can fail, or can trigger strong reactions that make your child feel worse.
New flash: Pediatricians don’t train in the use of non-prescription supports like herbs, foods, nutrients, or supplements. They do train in how to prescribe drugs and when to make specialist referrals. Odds are, if you ask your doctor how to use, say, olive leaf extract, caprylic acid, or the correct form of garlic for anti-viral support, they won’t know what you’re talking about.
Botanicals, herbal compounds, foods, and supplements have diverse actions on our brilliant and complex immune systems. Herbs and nutrients also have direct antimicrobial effects of their own. This means they can be potent allies in your quest to get your family through winter infection-free, by preventing illness, and by pumping up the body’s fight if colds and flu happen.
Here are my top five go-to’s for natural, non-drug ways to help children divert illnesses and infections:
1 – Eat lots, eat well! Data show that underweight kids (body mass index below 10th percentile) and overweight kids (body mass index over 90th percentile) get sick more often and stay sick longer than normal weight peers. Immune supports can’t work as well when the body is already struggling for energy and resources. Emphasize vegetable carbs over grains: Think pumpkin, parsnip, broccoli, cauliflower, sweet potato, spaghetti squash, butternut, beets, Brussel sprouts, and hearty greens like chard, kale, arugula or spinach. These are mineral-rich, phytonutrient powerhouse foods. For grain source carbs, mix it up. Don’t give the same processed simple starchy grain day in and day out. Vary grains to include quinoa (technically not a grain but more closely related to beets), buckwheat, different types of rice (black, brown, jasmine), or others. if your child can tolerate gluten, choose organic (US wheat is one of the most RoundUp-laden crops we grow, with the average rate of RoundUp applied to it having tripled in recent years). If your child is too picky to vary carbs as suggested here, we need to talk. That picky diet is one reason why your child may get sick more often. Work with me on strategies to change it.
Eat fats and oils, organic as often as affordable, and natural (unprocessed). Fats carry critical immune defense nutrients like vitamins A, D, and E into tissues. Grass fed butter like Kerrygold (available at Costco or most supermarkets), or at least organic butter or ghee, are great options, as is coconut oil, olive oil, avocado, eggs, meats, fish and nuts/seeds and their butters. Think in terms of giving the equivalent of 1 quarter cup daily of fats and oils from all foods (this includes fat in foods like eggs, meat, or fish) – that’s about how much a school aged child needs. Teens will need more.
Protein matters all day long for kids. Breakfast cereals and milk are thumbs down in my book – mostly sugar, little fat and weak protein that only comes from the milk. Not an auspicious start to a demanding school day! Homemade chicken broth, egg drop soup or broth, pumpkin pancakes, smoothies with protein powders – check my recipe archive for ideas and my breakfast post too. Give proteins throughout the day. If your kids are hungry, let them eat.
“But my kid eats like a horse, and still gets sick.” Right? So: Eating plenty can have a curve ball – and that is, in kids with rigid, starchy, addictive eating patterns for sugar, wheat, and dairy food. Not healthy. See Milk Addicted Kids for more info on that. Lastly, avoid offering too many tough-to-digest, raw, bulky, or fermented foods. Relax strict Paleo, Yeast Free, GAPS or other tight routines if your child’s body mass index is too low. Check my recipes for some ideas to gain and grow.
2 – Olive oil and olive leaf extract – These have several anti-microbial, antioxidant, and immune supporting components, including hydroxytyrosol, oleuropein, luteolin, and apigenin. Some have anti-inflammatory effects; oleuropein has gained popularity for its broad activity against viruses, bacteria, and fungal (yeast) microbes. Other bitter compounds in olive leaf, caffeic acid and verbascoside, have direct antimicrobial action too, against several bacteria and fungal species (yeasts). Human studies are few, but in vitro, oleuropein kills many bacteria, including Klebsiella pneumonia, Mycoplasma, Staphylococcus aureus, Pseudomonas aueruginosa, and others (but doesn’t harm beneficial stuff in the gut like Lactobacillus). As for viruses, oleuropein blocks viral protein production and interrupts replication – that is, the virus can’t stay alive and can’t reproduce itself in the presence of oleuropein, meaning it can’t easily survive in you or spread to others, when you’re eating oleuropein from olive leaf extract!
Good news: Olive leaf extract and olive oil are safe, with low toxicity. Side effects may include looser stools (a benefit for some) if eating a lot of oil at once. Oleuropein may also lower blood pressure, so this is a caution for kids with low tone, low blood pressure or fatigue. Animal studies on the extract have shown safety and efficacy at 8 mg/kg per day; this would be roughly 200 mg daily for a 55 pound child. For kids who can swallow capsules, I suggest Gaia brand Olive Leaf or Nature’s Way Standardized Olive Leaf extract because these are standardized to contain a minimum percentage of oleuropein and they are alcohol free (alcohol extractions don’t show the same potency as water extracts or oil infusions of olive leaf). For kids who don’t, Barlean’s Olive Leaf Complex is a good choice, as it also standardizes the amount of oleuropein in each serving and even has flavored options. Meanwhile eat at tablespoon or two of olive oil daily at room temperature or slightly warm; over heating it will reduce the power of its immune boosting components.
3 – Berberine – This herbal extract is found in many plants, including goldenseal, philodendron, and barberry. It has a wide range of antimicrobial activities; one of its skills is to make it harder for bacteria to attach to mucus membranes in lung or other tissue. Whole plant extracts that contain berberine have other components that create a synergistic effect, making them effective even against antibiotic resistant MSRA. Berberine’s ability to arrest Staphylococcus, Streptococcus, and Pseudomonas organisms was demonstrated years ago. Berberine has also been shown to increase immunoglobulin A (IgA) levels; IgA is the first line of defense in tissues that line the ear, nose, throat, lungs and gut. Like most herbs, its benefits go beyond immune support – it has been shown to benefit heart function and regulate menstrual pattern too. Tinctures and capsules are widely available. Cautionary note: Berberines are synergistic with several drugs, including Diflucan and ampicillin, so if your child is needing prescription drugs, talk with your care team before mixing these. A school aged child can typically safely use 200-600 mg berberine daily during acute illness, if not mixed with drugs. As always, if you’re not sure, get help from your licensed health care provider.
4 – Real Deal Chicken Broth – Recently my dad had a lingering cold, something that can be quite dangerous for the frail elderly (which he is). I suggested he sip broth daily – but my dad said he didn’t like it. At their house, I saw that my folks were using store bought broth that was indeed not very tasty. I roasted a chicken, and after we enjoyed the meat and pulled it off the bones, I made broth – which is not at all hard to do. In it went fresh bulbs of garlic, sage, thyme, rosemary, fresh ginger root (peeled and sliced), salt, a dash of dry white wine, and an entire lemon cut into quarters. After simmering for a day it was ready and my dad liked it a lot better than the store bought stuff. Good broth has an array of easy to absorb minerals and amino acids like proline, glycine, and glutamine, which are released from the collagen and ligaments in the chicken as it simmers. Its anti-inflammatory effect has even been verified with careful study. Ginger root adds an expectorant action on lung tissue, while lemon rind and pulp lend immune supportive bioflavonoids, minerals, vitamin C and limonene, which has been shown to boost white blood cells. Real chicken broth is so easy to make. Offer it plain or you can add your kids’ favorite noodles (yes, there are even gluten free Ramen noodles), drop in an egg to poach, or stir in a few raw greens (spinach, scallion, arugula, or basil leaves).
5 – Red Root (Ceanothus) – This is a powerful aid to help lymph nodes drain and clear debris created when we kill infections; all those dead microbes have to get out somehow, and after the immune system is done disabling them, it is our lymph system that is the clean up crew. Actually feeling sick is more about this debris clearing out through lymph, liver, spleen and kidney than the offending microbes themselves. Red root can act broadly on the lymph system to help clear this debris. Red root also has some direct anti fungal and antibacterial actions, antioxidant activity, and some evidence shows it can also boost white blood cells and T cells. Use just a couple of drops of tincture to start for a child; this is a potent tool and best used with oversight from your licensed naturopathic doctor.
This is a very short list, and I’ve skipped many obvious favorites – including nutrients like vitamins A, D, C, iron, or herbs like echinacea or elderberry – already widely known as great helps for colds and flu. There are many hundreds of possibilities to support us naturally, when it comes to colds and infections. Unlike antibiotics, herbs are difficult if not impossible for bacteria to gain resistance to, because rather than being single chemicals with a single action (like antibiotics). they are complex living entities with multiple components in their extracts or whole parts; and, they too can adapt in response to a microbe’s assault.
Prescription drugs for colds and infections have their place. Respect and engage them as needed with your doctor’s guidance. If antibiotics and other drugs fail your family, or if you simply wish to avoid them, natural tools can be important adjuncts. If you are just looking for tools to build your kids’ immune wellness, foods and herbs can go further than drugs – make good eating and natural supports a way of life, and your family will benefit!