What are Omega-3 Fatty Acids?

These nutrients are unsaturated fatty acids and are important for normal metabolism. They are classified as an essential nutrient because humans are unable to synthesize omega-3 fatty acids and require them in their diet in order to remain healthy.

Can another form of omega-3 (EPA or ALA) substitute for the DHA from fish?

No. Other forms of omega-3 fatty acids, such as flax oil (ALA), do not readily penetrate the central nervous system and do not have the same impact on inflammation or microglia function as DHA.

Are the omega-3 fatty acids destroyed if I cook above a certain temperature?

Omega-3, 6, and 9 fatty acids are not destroyed using common cooking temperatures.

Why is the modified protocol no longer recommended?

I now recognize that in rare cases inulin can trigger an extreme response and that what was happening was something I now refer to as Inulin Intolerance. In the event of inulin intolerance it is best to just move on to Rifaximin.

My child has Dysautonomia, and SIBO and likely PANS that is triggered by mold I’m trying to sort out if the protocol is all that’s needed or if mold work is needed as well.

The protocol is very effective for children with a diagnosis of mold toxicity without needing any additional treatment for mold issues.n

If a child is impacted by mold, does the Nemechek Protocol fix this? Or would it need to be treated separately (detoxify from mold)

I do not believe toxicity from mold contributes at all to autism or developmental delay.

Will Molluscum warts cause problems with the protocol?

No, it will not. Follow your physician’s specific advice on treating this.

My child is on monthly rifaximin but their behavior seems to worsen after finishing a course of rifaximin and then improves again after the starting the next course. What is happening?

Your child may be relapsing well in advance of the next round. As such, it would be advisable to move on to continuous rifaximin to better prevent frequent relapses, which will allow neurological recovery to unfold.

My child has gone from monthly rifaximin to continuous rifaximin over several months and we didn’t see much improvement. We added VNS 5 minutes per day and it wasn’t until we added a second 5 mins of VNS that we saw significant gains. Why is this?

It’s difficult to always explain in particular why some children need more inflammation suppression than others. Each of these steps has an additive effect in reducing inflammation more. In this case, it finally took two doses of VNS per day to make a difference. Sometimes I’ve had to add inulin to twice daily rifaximin or change rifaximin to 3 times a day before significant recovery occurs.

My child is on monthly Rifaximin and having loose stools (diarrhea) at the end of each cycle, just before starting Rifaximin again. What does this mean?

This most likely means that their intestinal bacteria overgrowth is relapsing before starting the next course of rifaximin. I often suggest starting the next round a few days early whenever diarrhea recurs in this fashion.