Is macadamia oil ok to use?

Yes. Macadamia nut oil has a high omega-3 fatty acid content and low omega-6 fatty acid content. Although high in omega-3 fatty acids, this is predominantly ALA and is not a replacement for fish oil which contains DHA and EPA omega-3 fatty acids.

Apparently mast cell activation can be an issue with kids with autism. Do I need to worry about treating that separately or will the protocol take care of that?

The mast cells that might be activated in autism are from bacterial overgrowth and leaky gut (bacterial translocation). Reversal of bacterial overgrowth with either inulin or rifaximin allows the mast cells to reset to an inactive, resting state.

Can The Nemechek Protocol help patients with mastocytosis?

The Nemechek Protocol can halt bacterial translocation within the small intestine and can help stabilize the over-reactivity of white blood cells within the body. Booth of these effects would be predicted to have a calming effect on over-reactive mast cells and might alter the course of mastocytosis.

Can I use MCT oil alongside the protocol or will it interfere?

I do not believe there is any particular health benefit from supplementation with MCT oil. I would suggest not adding this to your child’s regimen.

How do I measure Inulin? It’s better to use “pinch”, or “half a teaspoon” etc for ratios, instead of 1/16

I prefer to use fractional increments of either a tablespoon (T) or teaspoon (t). Alternatively, liquids can be measured in milliliters (ml). One tablespoon equals 15 milliliters, and one teaspoon equals 5 milliliters.

Can I use medical marijuana alongside the protocol?

Medical marijuana is not necessary for my protocol to help your child. Because of unreliable quality and content issues, I don’t recommend using it. This is the same quality concern I have with supplements and EVOO.

Does melatonin interfere with this protocol?

Using melatonin seems generally safe. Once they’re sleeping well, try to eliminate its use.

Why does my child have meltdowns?

Frequent emotional “meltdowns” are often due to one of two common mechanisms in children with autism and, as such, can be broken down into two recognizable patterns. The first meltdown pattern occurs when the child is simply sitting and without, and provocation slowly becomes emotionally distraught. This pattern results from the inability to maintain blood pressure and might happen when the child is forced to sit still (sitting in a car seat) or has gone without food or drink for a while (liquids, salt, and carbohydrates boost blood pressure).nnThe second pattern of meltdowns is often referred to as a transition issue. The child becomes distraught when irritated by an unwanted change in their current activity. This pattern is similar to road rage in adults and is covered in great detail in the second edition of our book.

Why does my daughter’s behavior worsen just before and during menstruation?

A common effect of a concussion is an injury to the autonomic nervous system (ANS) that results in a decreased ability to properly pressurize the flow of blood through the brain and is referred to as cerebral hypoperfusion. Along with the ANS, progesterone levels in women also contribute to the pressurization and proper blood flow within the brain. nnJust before menstruation, progesterone levels begin declining, and if the ANS is healthy and free of injury, it can compensate for the declining pressure from less circulating progesterone. But if the ANS is injured and unable to fully compensate for the declining brain blood pressure, the lower than normal brain pressure can trigger more anxiety, aggression, hyperactivity, and worsening focus.n

Will the protocol work for someone who is diagnosed as mentally retarded?n

Yes, of course. Individuals with severe intellectual impairment can still be affected by bacterial overgrowth, and autonomic dysfunction. The mental retardation can potentially have its origin in developmental delay that could improve with this protocol as can other forms of neurological delay.