AHA SonyaDoherty Part1

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    Why is your child autistic? Can your child be treated? When does the DAN! approach work? Why is autism a biomedical problem? Why is it so difficult to treat? How do you treat autism?

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    25% of developmental and neurologicalproblems in children could be caused byenvironmental pollution combined with

    genetic predisposition

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    Genetics = pre-existing weakness

    Environmental stressors

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    Environment Heavy Metals, Chemical

    Toxicity, Vaccines, Xenobiotics Nutrient Deficiencies or conversion issues

    Viruses or viral overload CMV, measles,paramyxoviruses, mumps, streptokinase|

    Bacterial Clostridia, Strep

    Endocrine thyroid function and adrenals

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    exponentially since 1990.

    World figures as high as 90 per 10,000.

    4:1 male to female ratio

    The current prevalence in Canada = 1 in 110

    1980 1 in 2500 children were dx with autism

    1 in 6 children dx with DEVELOPMENTAL DISORDERS(ADD/ADHD, Tourettes, OCD, learning disabilities )

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    1:50 - Brick Township, NJ Toxiclandfill

    1000% increase in California in 20years

    Increase 100% in last 15 20 years

    Why is ASD prevalence increasing?

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    Risk 50 times with sibling

    375 times with identical twin

    Chromosomal abnormalities can be inherited oraltered in utero - Jan. 17th in the American Journal of Human Genetics

    The big question: What alters chromosomes?

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    LDs

    OCD

    TS

    AD/HD

    ASD

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    Serotonin Dopamine

    Learning Brain Function

    Sleep Processing of info

    Memory Sensitivity

    Behaviour Perception of change

    Noise Sensitivity Relaying info

    Appetite Emotional Responses

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    FDA and AAP mercury amount given to infants fromvaccines EXCEEDS SAFETY LEVELS (237 mcg)

    Children can be exposed in utero to heavy metals chromosomal damage, receptor and NT damage, shutsdown enzymes

    250 chemicals in body fat of EVERY PERSON IN THEWORLD

    Pesticides found in blood of newborn babies

    EPA - 1.16 million women of childbearing age eatenough mercury contaminated fish to do damage afetus

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    FDA and AAP mercury amount given to infants fromvaccines EXCEEDS SAFETY LEVELS (237 mcg)

    Children can be exposed in utero to heavy metals chromosomal damage, receptor and NT damage, shutsdown enzymes

    250 chemicals in body fat of EVERY PERSON IN THEWORLD

    Pesticides found in blood of newborn babies

    EPA - 1.16 million women of childbearing age eatenough mercury contaminated fish to do damage afetus

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    Neuropsychobiology 1996 Geneticsusceptibility in immune system infection atcritical time triggers autism

    CDC confidential report on study linking autismand vaccines resulted in lawsuit filed by 5000families

    Infants exposed to more that 62.5 mcg of mercury in first 3 months of life were 2.48

    times more likely to develop autism

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    All Reporting Facilities, All Chemicals TRI-(1987-2002) Map shows 3,683 of 48,205 facilities reportingnationwide Total toxicity

    Autism rates

    Chemicals-TRI(Toxic Release

    Inventory)

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    Digestion Sleep melatonin, sedative botanicals

    Eczema - EFAs Headaches food allergies

    Anxiety methylation! Depression methylation!

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    Evidence based medicine? Studying one thing at a time doesnt work forcomplex disorders

    Flood analogy: cause vs. damage caused In 1960 we knew folic acid prevented birth

    defects 2009 dose = 3-5 mg B12 needed to optimize folic acid still have notlearned from known biochemistry 5-MTHF

    Research has limitations but is important WE KNOW HOW TO HELP CHILDREN NOW!

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    Oxidative stress

    Toxins and infectious agents Dysfunctional detox capacity Altered insulin response need sugar to digest Serotonin and dopamine dysregulation GABA and glutamate imbalance Immune dysregulation

    Essential fatty acid deficiency Zinc / copper imbalances Amino acid deficiencies Altered enzyme function MTR and CBS Persistent inflammation = brain allergy (TNF,

    IL-6, IL-1) GSH oxidative stress, inflammation and detox

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    Dr. Jill James, PhD methylation, glutathione

    Hannah Poling Mitochondrial defects

    Dr. Judy Van de Water antibodies against fetalbrain cells, monkey study

    Dr. McFabe clostridia

    Dr. Martha Herbert brain is swollen, oxidativestress

    Dr. Vargas persistent brain inflammation

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    Dr. Singh autoimmune hypothesis

    "In 1993 Dr. Singh, PhD found antibodies tomyelin basic protein in 50 to 60% ASD kids

    Another study of 27 found nearly 50% correlationbetween MMR antibodies and antibodies to myelin

    basic protein in serum

    Auto-antibodies to neuron-axon filament protein(anti-NAFP) and glial fibrillary acidic protein (anti-GFAP) were significantly higher [anti-NAFP (P = .004)] and [anti-GFAP (P = .002)] in autisticsubjects, but not in MR subjects

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    Dr. Needleman lead

    Dr. Shaw yeast

    Texas Studies environmental toxicity

    Dr. Wakefield and Dr. Krigsman inflammatory bowel

    Dr. Richard Deth methyl and cognition

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    Top two risk factors are pre-natal viralinfection and a parent with anxiety and/ordepression (methylation!)

    Family history of autoimmune disorders,genetic dysfunction in detoxification and/or gene-related vitamin, antioxidant andother deficiencies

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    In case-control analysis, a significant increase inthe reduced folate carrier (RFC1) G allelefrequency was found among case mothers, butnot among fathers or affected children

    Maternal G allele was associated with significantincrease in risk of autism whereas the inheritedgenotype of the child was not Further, maternalDNA from the autism mothers was found to besignificantly hypomethylated relative to referencecontrol DNA

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    Obstetrical complications associated with highrisk of developmental disorder

    Prematurity (before 36 weeks)

    Low birth weight (less than 2500 grams)

    Respiratory Distress Syndrome

    Rhesus Incompatibility (Rhogam)

    C-sectionResuscitation

    Severe fetal / neonatal infection

    Hemolytic anemia / transfusion for anemia

    Severe birth trauma

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    Maternal risk factors for low birth weight

    infantPreeclampsia (homocysteine elevation risk factor methylation!)

    Nutrient deficiencies

    Iron deficiency

    Nausea / Vomiting B6 deficiency?

    Thyroid dysfunction subclinical hypothyroidism

    Folate handling

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    European and North American populations, have shownthat omega-3 fatty acids, whether from dietary sources orother supplementation, cause a significant increase in theduration of pregnancy

    Most significant predictor of infant health is age at birth Essential fatty acid deficiency is a risk factor for preterm

    labour, prolonged labour and labour complications

    EFA deficiency is also a risk factor for developmentaldisorders

    Preterm Labour is a risk factor for autism and otherdevelopmental disorders

    Essential fatty acids decreases risk of preterm labour

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    Would you be interested in a drug for ASD that?

    Regulate immunity protect againstautoimmunity

    Protect against infection Clostridia, Yeast andStrep

    Detoxify metals and harmful chemicals Absorb and synthesize nutrients including

    essential fatty acids and zinc Decrease inflammation Increase energy Increase serotonin by 95% Increase neurotransmitter production dopamine

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    Serotonin Dopamine

    95% gut Lipid peroxidation and oxidativestress inhibits breakdown

    Gut: DPPIV enzyme deficiency,yeast, clostridia, strep = impaired protein breakdown

    Gut absorption of co-factors thatmake dopmaine

    Methylation Defects Methylation Defects

    Transulfation Impairment Transulfation Impairment

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    Glutamate is converted to GABA B6

    Gut issues impair conversion causing hyperexcitability YEAST BINDS B6

    Self stimulating behaviour Hyperactivity Difficulty learning, processing and focusing Impulsivity Impaired development

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    The National Institute of Health has begun to

    sequence the microbial environment of the gut

    Postnatal development Integral part of human genetic landscape and evolution Production of essential vitamins and xenobiotic metabolism Provide and balance energy balances Microbes manipulate host genes resulting in alterations in

    the deposition of energy into different sites Gut epithelial renewal rates The composition of the gut microbiome is affected by or

    affects obesity

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    40 85% of children with ASD suffer from

    chronic digestive issues including: Constipation Diarrhea Bloating

    Pain Mucous and undigested food

    *Up to 95% of serotonin is located in the gut*

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    Vaginal Birth there is a reason we are bornface down in poop (transfer of MICROBIOME)

    Breastfeeding

    Early weaning of piglets reduced the level

    and performance of enzymes (includingalkaline phosphatase) in the gut, which leadsto decreased growth development andillness

    ~Dale Lackeyram, a PhD

    University of Guelph

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    Alkaline phosphatase has two major

    implications:1. Making phosphorus available for bone growth and

    development2. Alkaline phosphatase is part of the bodys natural

    defence system

    This enzyme is capable of acting on the toxiccomponents of bacterial cells such as E. coli

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    Formula fed piglets have stunted villi

    Breastfed children have lower rates of ASD, ADHD and learning disabilities

    Why isnt there more support for BF? Why do we know more about piglets than

    we do about our children?

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    Yeast Clostridia Streptococcus Genes and Environmental Stressors Environmental Toxicity Methylation and Inflammation Inflammation in the brain Physical Issues Gut is the strongest leverage point Imbalanced microbiome and leaky gut Mitochondrial defects Detoxification impairment Immune dysfunction

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