Can I use canola oil for cooking?

Yes. In addition to COOC-certified extra virgin olive oil, you may use Canola, Coconut or Palm Kernel oil for cooking as they have a neutral impact on the body.

Can I cook with butter?

Yes, it is OK to cook with butter.

What is the Cookie Test?

The Cookie Test is a way of determining if your child is not making eye contact because they are unaware that they are being addressed by someone, or if it is because they are choosing not to acknowledge the person for reasons such as shyness, defiance or anxiety. nnTo test this simply offer your child a desirable item such as a cookie or an ice cream. If the child looks at you and gives you their attention when you offer them the item, then they are aware and not lost in the fog of Autism. You can be reassured that on the occasions where your child is not acknowledging you it is not due to a overgrowth of intestinal bacteria and the sedating effects of propionic acid.

Is it safe to cook with Olive Oil?

Absolutely. Common cooking temperatures will not damage olive oil nor make it unsafe to consume.  Adding olive oil directly to your food is the best way to maintain its full health benefit. High cooking temperatures will cause some phenol loss.n

My child is on the full protocol (continuous Rifaximin, fish oil, olive oil) and added daily VNS for 5 minutes a month ago. We haven’t seen any improvement in that at all? What should we do?

If there is little to no improvement with continuous rifaximin, the small intestine is overgrown with bacteria not sensitive to rifaximin. These organisms can be archaebacteria from the colon or bacteria from the oropharynx.nnAdding daily inulin (1/4 tsp per day) to the rifaximin can improve the response and trigger improvement.nnThe use of additional or different antibiotics would otherwise need to be guided by a gastroenterologist.

My child is progressing nicely on continuous Rifaximin. When should I stop?

After twelve months of continuous therapy, I recommend reducing rifaximin therapy to the monthly cycles of ten-day courses. If recovery stops again because of relapsing bacteria, I restart continuous therapy for the patient for another 6 months and then try to reduce to monthly cycles again. With more time, my hope is the monthly cycles of rifaximin might also be discontinued, with rifaximin only needing to be used occasionally.

My child is on continuous rifaximin but does not tolerate the addition of either inulin or PHGG (guar gum). What should I do?

If a child does not tolerate even tiny doses of inulin or PHGG, there is no option but to discontinue it.

How should I proceed with protocol if i see no tangible recovery after one year on continuous rifaxamin?

I have a video that discusses the recent options I am using in this scenario. You can find it in the video library entitled “Rifaximin Failure: July 2022 Update.

We just started inulin and now my child is constipated which I understand is because SIBO is resolved. My question is how long until the constipation is fixed?

The worsening of constipation does indicate that bacterial overgrowth has been resolved and that the true extent of the ANS dysfunction has been revealed. Continued adherence to the protocol will slowly begin to improve autonomic function and constipation should resolve over the next few months. Until then I recommend using any over the counter constipation remedies on an as-needed basis)

Why does constipation worsen behavior?

A common mechanism for worsening behaviors in a child with autism is a decline in brain blood pressure. Many children with autism have dysfunction of their autonomic nervous system, making it difficult for the nervous system to maintain proper blood pressure and oxygen delivery to the brain. The nervous system responds by releasing noradrenaline to boost pressure and normalize oxygen delivery. Noradrenaline is best known as the “fight or flight” hormone and can cause aggressive, anxious, irritable behavior in children.nnThere are a variety of triggers that can strain the nervous system and result in a temporary drop in blood pressure further. Pain (dental issues, abdominal cramping), infections (middle ear or sinus infections), and intestinal cramping or straining to pass stool (vasovagal reflex) are capable of dropping the blood pressure further and triggering negative behaviors.