My child sustained a concussion today. Will the protocol help them recover?

Yes. The Nemechek Protocol was originally designed to help adults to recover from brain injuries such as concussions. By lowering inflammation, the protocol helps the brain’s natural repair mechanisms to work more efficiently. If there are any concussion symptoms you are concerned about, always seek the opinion of a physician.

Does the protocol help in children with Congenital CMV who’ve had brain damage?

I have treated several children whose neurological problems stemmed from central nervous system infections (encephalitis, meningitis, meningoencephalitis). The majority required therapy with continuous rifaximin as well as vagus nerve stimulation before any significant level of recovery was observed.

I wanted to ask is it possible to give extra fiber to overcome constipation? My daughter has been taking Rifaxamine continuously for a year and a half and still suffers from constipation. She does not respond well to magnesium or miralax.

Even if inulin failure has occurred in the past, adding inulin back into the protocol can help with constipation even while they still are taking rifaximin.

What is the best solution for constipation that won’t change gut bacteria?

None of the standard therapies for constipation (magnesium products, fiber supplementation, motility agents) will negatively impact the intestinal microbiome nor the balance of bacteria within the small and large intestines.

Is it possible to get an awakening just from the fish oil and olive oil?

I don’t think so. As I described in my book, the awakening refers to the drop in propionic acid that occurs after reversing bacterial overgrowth. This typically occurs within the first 1-2 weeks. There is no evidence that fish oil and olive oil can do that specifically. Improvements from inflammation reduction by fish oil and olive oil might be noted 4-8 weeks later, and I can see someone referring to this as an awakening. However, this would be just from improvements in brain function and not the elimination of the sedating effects of propionic acid.

We just switched to rifaximin and on day two of administering it, my child’s behavior has gotten worse. Can you experience awakening so fast on rifaximin?

Yes, the awakening can occur within 1-2 days in some cases.

When might my child first respond to treatment?

Depending on the severity of a child’s underlying developmental delay, children may start making eye contact, becoming more aware of their surroundings, allowing more physical contact, or otherwise communicating and speaking more within a few days to weeks of starting the protocol.

My child has been having difficultly sleeping since starting the protocol. Is that normal?

Increased insomnia sometimes is part of the awakening and often resolves with 1-2 months.

Is it possible to see Awakening immediately after starting?

Yes in some cases parents report a difference in their child’s awareness within a few days; in other children, the difference might be noted in a few weeks. Children who were heavily sedated by propionic acid may see an immediate improvement upon starting inulin as it rebalances the intestinal tract and significantly lowers the toxicity of excessive propionic acid.

Do all children experience an awakening when using The Nemechek Protocol?

Many do, but not all. The awakening is an increase in awareness, eye contact, and social behavior within 1-2 weeks of starting the protocol. While most young children experience an awakening, not all do. Likewise, the older the child, the awakening is less intense and less noticeable and may not occur at all sometimes.nnIf you do not see an awakening, I advise staying with your initial protocol for at least 3-4 months before deciding if a change is necessary.