Do we need to stop fish oil before a surgery?

Fish oil is not a blood thinner and therefore does not decrease the ability of healthy persons to form normal blood clots, but rather prevents the formation of excessive, abnormal clots (think deep venous thrombosis, stroke) from occurring due to its anti-inflammatory action. If you have concerns I recommend discussing this with your surgeon and following their advice.

Does fish oil thin the blood?

There is a lot of misunderstanding about the clotting effects of omega-3 fatty acids from fish oil. Fish oil does not “thin the blood” per say, it prevents the formation of abnormal clots (often from increased levels of abnormal inflammation). Likewise, individuals who normally form blood clots, do not bleed more often when eating lots of fish or consuming lots of fish oil (e.g. Inuit). There is no evidence that giving omega-3 fatty acids to a child increases their risk of bleeding.

Can I use a fish oil with added vitamins?

No. Use plain fish oil without added vitamins. The protocol says added supplements aren’t necessary, except for a physician-directed iron or vitamin if a lab-confirmed deficiency exists

Why does fish oil make my child’s behaviors worse?

Adverse reactions such as worsening behaviors, new rash, or intestinal symptoms after taking fish oil are signs that the child may still have bacterial overgrowth. I generally stop the fish oil if this occurs and increase the potency of treatment for bacteria overgrowth (inulin-> monthly rifaximin or monthly rifaximin -> continuous rifaximin) and then reintroduce the fish oil a week or so later.

What are your thoughts on Fluoride?

I have nor reservation about the use of fluoride for dental health.

Will FMT (fecal transplant) prevent relapses?

It is important to mention that FMT (fecal microbiota therapy) has no direct effect on bacterial overgrowth of the small intestine nor on the primed M1-microglia within the brain. As such, FMT will predictably have minimal effect on the restoration of neuronal pruning, neuronal migration, and cellular repair. I do not recommend FMT to my pediatric patients. Many children under my care have received FMT and it did not seem to improve their pace of neurological recovery.

Is FMT recommended?

In studies of Clostridium difficle enterocolitis, frequent relapses of bacterial overgrowth occur when the individual’s intestinal gut microbiome has been depleted to about 70% of the natural bacterial species number. Treatment of this requires a fecal microbiota transplant (FMT), commonly referred to as a human stool transplant. Most studies of FMT in patients with higher levels of biodiversity (>80%) seem to have little to no benefit. The majority of the biodiversity of studies in children with autism or developmental problems do not indicate severe depletion of biodiversity. Because of this, I do not recommend FMT. Many children under my care have received FMT and it did not seem to improve their pace of neurological recovery.

Can my child get FMT while on The Nemechek Protocol?

I do not recommend FMT (fecal microbiota therapy) in general. FMT has no direct effect on bacterial overgrowth of the small intestine nor on the primed M1-microglia within the brain. As such, FMT will predictably have minimal effect on the restoration of neuronal pruning, neuronal migration, and cellular repair. I do not recommend FMT to my pediatric patients. Many children under my care have received FMT and it did not seem to improve their pace of neurological recovery.

Will the protocol help my child’s focus problems from attention deficit disorder (ADD, ADHD)?

Yes. The Nemechek Protocol helps the brain repair itself. ADD, and ADHD are conditions caused by injuries to the nervous system that result in low brain blood pressure and oxygen delivery. As the brain repairs the damage, the blood and oxygen delivery improves, and the associated focus, attention, and hyperactivity will improve.

We have successfully been using the protocol for some time but recently we noticed a sudden decrease in my child’s focus and attention. Why is this happening?

There are a number of issues that can trigger a worsening of focus and attention. Some are obvious such as a concussion or an emotionally stressful event. The child will heal from these spontaneously. Other causes may go undetected by parents simply because the child is not able to communicate that they may be experiencing pain or discomfort. The physical stress from problems such as dental pain, sinus or ear infections, or severe seasonal allergies lead to a drop in brain blood pressure and worsen focus similar to ADD or ADHD. A visit to the dentist of pediatrician will often lead to resolution of the pain or infection and the focus problems will resolve.