Will the hyperactivity and focus problems of ADHD is dealing with worsen during the first few months of the protocol?

Reversing bacterial overgrowth will lessen the sedating effects of propionic acid and inflammation and can sometimes cause a temporary (1-2 month) increase in hyperactivity. Generally, awareness, cognition, and focus tend to improve within a week or 2 of starting the protocol.

Is increased hyperactivity with increased inulin an indication of being too much? Or might it just take time to adjust to a higher dose?

It really depends on what prompted the increase in inulin.nnIf you increased inulin because you have just started the protocol and the recommended starting dose did not kickstart recovery, it is likely that the increase has now triggered awakening. Which means you should remain at this dose.nnIf you increased inulin after you experienced an awakening because you felt it was no longer working, then it is likely that you are seeing the impact of a dose that is too high. In the event that inulin stops working the recommendation is to move on to Rifaximin.

What can help decrease hyperactivity? My son has been in the protocol for several months and I have not seen a decrease in his hyperactivity.

Suppose a child is improving on the protocol, but a single aspect of their behaviors is not improving like other behaviors. In that case, I recommend adding 5 minutes of vagus nerve stimulation per day to lower inflammation a little bit more. Doing so will help any remaining issues to start improving as well.

My son has been on the protocol for several months, and he recently seems to be more hyperactive and anxious. Why is this?

If hyperactivity, anxiety, aggression, or agitation seem to start to increase inexplicably, there are a few thoughts one needs to entertain. If all aspects of recovery have stopped or are worsening, it suggests the protocol is not working, and attention should be directed at balancing the intestinal track more effectively. But other aspects of recovery are stable or continuing to improve. The increase in these negative behaviors is either from a recent trauma (physical, emotional, inflammatory), from an infection (sinus or dental issues?), or pain (teeth, abdominal cramping). An evaluation of these issues will lead you to the problem which needs resolving.

Why does hyperactivity increase after months on the protocol at stable doses?

Many issues can trigger a worsening of behaviors, such as hyperactivity, that will need to be addressed to get recovery back on track. Often these issues go undetected by parents simply because the child cannot communicate that they may be experiencing pain or discomfort. Things like dental, sinus, bladder, ear infections, or severe allergies can derail the recovery and significantly impact behaviors. nnThe increase in hyperactivity is not related to a relapse or a regression. When this occurs, it is often due to a drop in blood pressure to the child’s head from either pain (teeth?), emotional stress, or an infection (sinuses or middle ear). Please see the included checklist for common triggers.

Are hyperbaric oxygen treatments (HBOT) useful for neurological recovery in children?

Although HBOT has a potential place in treating adults with brain injuries and combat PTSD, I discourage its use in my pediatric patients for a few reasons. First, the primary four components of The Nemechek Protocol (balance intestine bacteria + fish oil + olive oil + vagus nerve stimulation) are usually all that is needed to help children recover. Secondly, it can be expensive, requires a significant time commitment every day, is not portable, and without it, subjects usually will begin to relapse. And finally, I’ve had many parents report their child seemed to do well during the first few weeks of HBOT, only to be followed by severe deterioration in their child’s behavior over the second and third months.

Does hyperflexibilty (EDS) affect the recovery?

No, it does not.

Can regular ibruprofen help further bring down inflammation in the brain?

Using anti-inflammatory medications such as ibuprofen is not a safe nor effective treatment for inflammation within the brain.

Will the protocol help prevent colds and illness?

While the protocol cannot prevent you from contacting germs and viruses, there is some evidence that SIBO can suppress immune function. Therefore, being on the protocol can improve your immune response when you come into contact with seasonal germs and viruses.

I want to start the protocol but my child is currently sick. Should I wait until he is better to begin?

Yes, you might wait for them to recover from their illness before starting the protocol. This way you’ll be better able to fairly judge its effectiveness.