There are three types of omega-3: DHA, EPA, and ALA. All three types of omega-3 are important but The Nemechek Protocol® focuses on the DHA component in particular for its ability to aid in the repair of brain damage from inflammation and injury. I recommend against using the new DHA-only fish oils because they contain little to no EPA. Although little EPA enters the central nervous system, its presence in more common fish oil blends I is important for the proper function of cells outside of the central nervous system.

Rifaximin is used for bacterial overgrowth and has different clinical names. In liver disease, it’s called hepatic encephalopathy, in gastroenterology, it’s called IBS with diarrhea, in the hospital, it’s called Clostridium difficle enterocolitis. Rifaximin can successfully treat all these different forms of bacterial overgrowth. You should make an appeal to your doctor by saying more recent evidence suggests bacterial overgrowth is also responsible for the development of autism, and since it is not absorbed into the bloodstream, it would be very safe to try.

Yes. Continued adherence to The Nemechek Protocol will, over time provide enough neurological recovery to improve intestinal motility and improve constipation.

No. Since bacterial overgrowth tends to cause loose or more frequent stools, the development of constipation is a sign that inulin or rifaximin is controlling the imbalance and therefore you do not want to lower the dose. The presence of constipation tells you that your dose of inulin is effective.

I often recommend a non-fiber, non-digestive enzyme supplement such as magnesium (milk of magnesia, magnesium citrate, Natural Calm), glycerin suppositories or MiraLAX®. If the child is not having daily bowel movements but is comfortable and without pain, I recommend using these products only as needed and not simply create a bowel movement daily.