What is elopement?

Elopement is the physical impulse a child feels if they release large amounts of the ‘fight or flight’ hormone called noradrenaline (norepinephrine). The children are releasing noradrenaline inappropriately because their nervous system is damaged.nAs the word ‘flight’ implies, the impulse tells them to run or flee from danger, and the child will literally feel this impulse and take off running with reason or warning.

What do we do if emotional dysfunction is not improving?

I view the lack of progress in emotional regulation no differently than the lack of progress with other aspects such as language, socialization, or hyperactivity. If since starting the protocol, most issues are improving except emotional regulation, I would recommend the addition of vagus nerve stimulation to lower inflammation even further. nnIf there has been little to any improvement in most of these areas, I would change the approach to balancing the intestinal bacteria by switching from inulin to monthly rifaximin or from monthly rifaximin to continuous rifaximin.nnIf there had been good progress overall, including emotional regulation, but later on, aggression begins to increase. In that case, I look for external triggers such as infections, pain, emotional trauma, and dental issues.

Can a stressful event impact recovery?

Yes it can. Emotional traumas such as moving into a new home, starting a new school, a change in therapist, increased home stress (pandemic, divorce or separation), and bullying are just a few examples of situations that can cause a temporary halt in recovery. Recovery may not be noticed again until the stress-causing scenario has been dealt with or a new routine is established.

Does the protocol have to be given on an empty stomach?

The various components of the protocol (inulin, rifaximin, fish oil, and olive oil) may be given with or without food.

Can the protocol help my child even if they have been diagnosed with Crohn’s, EOE or colitis?

Yes. The Nemechek Protocol will help many childhood issues because they all have similar origins, an overgrowth of intestinal bacteria and multiple mechanisms that fuel inflammation.

What is EPA?

Eicosapentaenoic acid (EPA) is an omega-3 fatty acid. Dietary sources include wild fish, fish oil, and meat from animals that feed on their natural food (e.g., grass-fed beef).

I have a product that says it contains HIGH OLEIC sunflower oil. I know your book mentions to avoid sunflower oil, but it also mentions that oleic acid blocks brain damage. Does that mean that this is an acceptable ingredient?n

High oleic can mean only 30% oleic acid. Until the time comes when there is a regulation about what “high-oleic” actually means, avoid these oils when possible and get a good dose of genuine COOC-certified EVOO in to protect you from the occasions where it is consumed. Olive oil is approximately 70% oleic acid.

Can I use sunflower oil for cooking?

In an effort to reduce Omega 6 oil consumption I recommend that my patients cook and prepare foods with either COOC-certified extra virgin olive oil, canola oil, coconut oil, and palm kernel oil. However, as long as you are consuming the approved EVOO at the recommended daily dose it will protect you from the occasional use of other oils and fats used in cooking.

Can I cook with vegetable shortening?

Vegetable shortening contains an unacceptably high amount of omega-6 fatty acids. In an effort to reduce Omega 6 oil consumption I recommend that my patients cook and prepare foods with either COOC-certified extra virgin olive oil, canola oil, coconut oil, and palm kernel oil.

Can I use vegetable oil for cooking?

No, it contains too high of a concentration of inflammatory omega-6 fatty acids. While on The Nemechek Protocol®, I recommend patients try to avoid omega-6 fatty acids in cooking oils and foods.