ADD and Naturopathic Medicine

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ADD and Naturopathic Medicine

  1. 1. ADD and Naturopathic MedicineADD and Naturopathic Medicine ©Dr. Kevin Passero 2004©Dr. Kevin Passero 2004 Dr. Kevin Passero, N.DDr. Kevin Passero, N.D 203 Ridgely Ave203 Ridgely Ave Annapolis, Md 21401Annapolis, Md 21401 443-433-5540443-433-5540
  2. 2. Naturopathic MedicineNaturopathic Medicine What is it?What is it?  Naturopathic Medicine blends centuries-oldNaturopathic Medicine blends centuries-old natural, non-toxic therapies with currentnatural, non-toxic therapies with current advances in the study of health and humanadvances in the study of health and human systems.systems.
  3. 3. The Six PrinciplesThe Six Principles  1) The Healing Power of Nature.1) The Healing Power of Nature. Naturopathic Doctors believe that the naturalNaturopathic Doctors believe that the natural state of the body is to be healthy. Our jobs arestate of the body is to be healthy. Our jobs are to help the patient identify and remove obstaclesto help the patient identify and remove obstacles to healing and allow the body to heal itself.to healing and allow the body to heal itself.
  4. 4. The Six PrinciplesThe Six Principles  2) Identify and Treat the Causes.2) Identify and Treat the Causes. TheThe Naturopath seeks to identify and removeNaturopath seeks to identify and remove underlying causes of illness, rather than tounderlying causes of illness, rather than to merely eliminate or suppress symptoms.merely eliminate or suppress symptoms.
  5. 5. Symptoms as messengersSymptoms as messengers  Naturopathic Medicine attempts to find theNaturopathic Medicine attempts to find the underlying cause of the patient’s condition.underlying cause of the patient’s condition.  Much of modern medicine, conventional andMuch of modern medicine, conventional and alternative is focused on symptom management.alternative is focused on symptom management. Often this means neglecting the possibility of anOften this means neglecting the possibility of an underlying cause.underlying cause.  Symptoms are messengers, and what happensSymptoms are messengers, and what happens when we shoot the messenger? We don’t knowwhen we shoot the messenger? We don’t know from where the message came.from where the message came.
  6. 6. The Six PrinciplesThe Six Principles  3) First Do No Harm.3) First Do No Harm.  The Naturopathic Doctor implements this thirdThe Naturopathic Doctor implements this third rule with the following preceptsrule with the following precepts  Utilize methods and medical substances which minimize the riskUtilize methods and medical substances which minimize the risk of harmful side effects.of harmful side effects.  Avoid when possible the harmful suppression of symptoms.Avoid when possible the harmful suppression of symptoms.  Acknowledge, respect and work with the individual’s self-healingAcknowledge, respect and work with the individual’s self-healing process.process.
  7. 7. The Six PrinciplesThe Six Principles  4) Doctor As Teacher.4) Doctor As Teacher.  As Doctor’s we not only believe it is our job to helpAs Doctor’s we not only believe it is our job to help people improve their health, it is also our job topeople improve their health, it is also our job to educate them so they can be responsible for theireducate them so they can be responsible for their own health as well.own health as well.  Encouraging self-responsibility for one’s health is aEncouraging self-responsibility for one’s health is a major goal for the Naturopathic Doctor.major goal for the Naturopathic Doctor.
  8. 8. The Six PrinciplesThe Six Principles  5) Treat the Whole Person5) Treat the Whole Person  This is achieved by taking into account individual physical,This is achieved by taking into account individual physical, mental, emotional, genetic, environmental, social andmental, emotional, genetic, environmental, social and spiritual factors.spiritual factors.
  9. 9. The Six PrinciplesThe Six Principles  6) Prevention6) Prevention  Prevention involves assessing individual risk factors,Prevention involves assessing individual risk factors, heredity and susceptibility to disease and makingheredity and susceptibility to disease and making appropriate interventions in partnership with the patientsappropriate interventions in partnership with the patients to prevent illness.to prevent illness.
  10. 10. How are ND’s trained?How are ND’s trained?  Naturopathic Medical colleges are four-year,Naturopathic Medical colleges are four-year, graduate level medical schools with admissiongraduate level medical schools with admission requirements comparable to those of otherrequirements comparable to those of other medical schools. The Doctor of Naturopathicmedical schools. The Doctor of Naturopathic Medicine degree (ND) is awarded afterMedicine degree (ND) is awarded after classroom, clinic and practical study.classroom, clinic and practical study.
  11. 11. ND’s are trained in medical sciencesND’s are trained in medical sciences includingincluding  AnatomyAnatomy  NeurologyNeurology  PathologyPathology  ObstetricsObstetrics  PharmacologyPharmacology  Lab diagnosisLab diagnosis  CardiologyCardiology  BiochemistryBiochemistry  Minor surgeryMinor surgery  ImmunologyImmunology  PediatricsPediatrics  Clinical and physicalClinical and physical diagnosisdiagnosis  PhysiologyPhysiology  RadiologyRadiology  MicrobiologyMicrobiology  GynecologyGynecology  DermatologyDermatology
  12. 12. What NDs doWhat NDs do  Clinical NutritionClinical Nutrition  This refers to both the practice of using food to healThis refers to both the practice of using food to heal people and using food to maintain optimal health.people and using food to maintain optimal health.  Nutritional supplements are often employed to furtherNutritional supplements are often employed to further help people optimize nutritional intake for their particularhelp people optimize nutritional intake for their particular needs.needs.
  13. 13. What NDs DoWhat NDs Do  HomeopathyHomeopathy  Homeopathy is a form of medicine that usesHomeopathy is a form of medicine that uses extremely diluted preparations of substances to cureextremely diluted preparations of substances to cure illness.illness.  As a medicine, it is unparalleled in its ability to effectAs a medicine, it is unparalleled in its ability to effect people on a physical, mental and emotional levelpeople on a physical, mental and emotional level while at the same time having virtually no sidewhile at the same time having virtually no side effects or drug interactions.effects or drug interactions.
  14. 14. What NDs DoWhat NDs Do  Botanical MedicineBotanical Medicine  Plant substances are safe and powerful toolsPlant substances are safe and powerful tools in the treatment of many illnesses.in the treatment of many illnesses.  Most modern pharmaceuticals are originallyMost modern pharmaceuticals are originally derived from plant compounds.derived from plant compounds.
  15. 15. The Egg of HealthThe Egg of Health
  16. 16. ADD/ADHDADD/ADHD And Naturopathic PhilosophyAnd Naturopathic Philosophy
  17. 17. ADD/ADHD- What is it?ADD/ADHD- What is it?  ADD/ADHD is classified by the Diagnostic andADD/ADHD is classified by the Diagnostic and Statistical Manual of Mental Disorders – FourthStatistical Manual of Mental Disorders – Fourth Edition as a mental disorder primarily characterized byEdition as a mental disorder primarily characterized by a “persistent pattern of inattention and/or hyperactivitya “persistent pattern of inattention and/or hyperactivity – impulsivity that is more frequent and severe than is– impulsivity that is more frequent and severe than is typically observed in individuals at a comparable leveltypically observed in individuals at a comparable level of development.”of development.”  ADD/ADHD can be considered as a broad collectionADD/ADHD can be considered as a broad collection of processing errors and disorders in the nervousof processing errors and disorders in the nervous system.system.  The part of the brain controlling focus andThe part of the brain controlling focus and concentration is slowed down or dysfunctional.concentration is slowed down or dysfunctional.
  18. 18. ADD/ADHDADD/ADHD  1 in 5 U.S. boys takes a controlled stimulant1 in 5 U.S. boys takes a controlled stimulant medication for the management ofmedication for the management of ADD/ADHD symptomsADD/ADHD symptoms  Between 9 and 12 million children currently areBetween 9 and 12 million children currently are diagnosed with ADD or ADHDdiagnosed with ADD or ADHD  Over 350 million doses of Ritalin are distributedOver 350 million doses of Ritalin are distributed each day in the United Stateseach day in the United States
  19. 19. Why Boys?Why Boys?  It is speculated that boys are more susceptible toIt is speculated that boys are more susceptible to conditions like ADD/ADHD and Autismconditions like ADD/ADHD and Autism because of the interaction between testosteronebecause of the interaction between testosterone and mercuryand mercury
  20. 20. Why Boys?Why Boys?  The main routes of exposure to mercury are viaThe main routes of exposure to mercury are via thimerisol containing vaccines and mercury found inthimerisol containing vaccines and mercury found in food.food.  The CDC recently released data showing a 2.4%The CDC recently released data showing a 2.4% increase in the risk of Autism if you have receivedincrease in the risk of Autism if you have received thimerisol containing vaccines.thimerisol containing vaccines.  The government considers anything that results in a 2%The government considers anything that results in a 2% increase in the chance of getting a condition to beincrease in the chance of getting a condition to be causal.causal.
  21. 21. Central Issues in ADD/ADHDCentral Issues in ADD/ADHD  The Adrenal Glands and Cortisol RegulationThe Adrenal Glands and Cortisol Regulation  Blood Sugar RegulationBlood Sugar Regulation  Gastrointestinal Health and FunctionGastrointestinal Health and Function  Proper Elimination and DetoxificationProper Elimination and Detoxification
  22. 22. The Adrenal GlandsThe Adrenal Glands and Cortisoland Cortisol
  23. 23. Cortisol, What is it?Cortisol, What is it?  A steroid hormone released from the adrenal glands toA steroid hormone released from the adrenal glands to increase energy in response to stress.increase energy in response to stress.  Under times of stress the body needs more energy.Under times of stress the body needs more energy. Cortisol is released in an effort to provide this energy.Cortisol is released in an effort to provide this energy.  The energy derived from cortisol is a result of its abilityThe energy derived from cortisol is a result of its ability to stimulate the body to release glucose into the blood.to stimulate the body to release glucose into the blood.
  24. 24. Cortisol and Daily RhythmsCortisol and Daily Rhythms
  25. 25. What does Stress MeanWhat does Stress Mean  A stress related rise in cortisol can be triggeredA stress related rise in cortisol can be triggered by physical stress (strenuous exercise, surgeriesby physical stress (strenuous exercise, surgeries and physical trauma), mental stress (school,and physical trauma), mental stress (school, work, money), and emotional stresswork, money), and emotional stress (relationships, family etc.)(relationships, family etc.)  Large fluctuations in blood sugar also elicit aLarge fluctuations in blood sugar also elicit a cortisol responsecortisol response
  26. 26. Cortisol and ADDCortisol and ADD  Is it high or is it low?Is it high or is it low?
  27. 27. Cortisol and ADDCortisol and ADD  Many children with ADD already have aMany children with ADD already have a significant physiologic stress that predisposessignificant physiologic stress that predisposes them to the condition. Coupled with daily stressthem to the condition. Coupled with daily stress of family life and school these kids are usually inof family life and school these kids are usually in a state of cortisol imbalance.a state of cortisol imbalance.  Overall Adrenal function is not optimal due toOverall Adrenal function is not optimal due to overexertion. The situation can be likened tooverexertion. The situation can be likened to burning a candle at both ends.burning a candle at both ends.
  28. 28. The Adrenal GlandThe Adrenal Gland
  29. 29. The Adrenal ConnectionThe Adrenal Connection  Cortisol is essential for normal functioning of humanCortisol is essential for normal functioning of human physiology. Without proper cortisol regulation energyphysiology. Without proper cortisol regulation energy levels, sleep cycles, immune function and mentallevels, sleep cycles, immune function and mental capabilities will all be compromised.capabilities will all be compromised.  Secondly, as chronic stress persists the portion of theSecondly, as chronic stress persists the portion of the adrenal gland responsible for cortisol production canadrenal gland responsible for cortisol production can hypertrophy in an effort to keep up production. This inhypertrophy in an effort to keep up production. This in turn compromises the ability of other areas of theturn compromises the ability of other areas of the adrenal gland to function at optimal levels.adrenal gland to function at optimal levels.
  30. 30. The Adrenal ConnectionThe Adrenal Connection  It is hypothesized that Ritalin’s therapeutic effectIt is hypothesized that Ritalin’s therapeutic effect results from it’s ability to increase availability ofresults from it’s ability to increase availability of dopamine levels.dopamine levels.  Dopamine is a precursor to importantDopamine is a precursor to important neurotransmitters like epinephrine andneurotransmitters like epinephrine and norepinephrine.norepinephrine.  A major producer of epinephrine andA major producer of epinephrine and norepinephrine is the inner medulla of thenorepinephrine is the inner medulla of the adrenal gland.adrenal gland.
  31. 31. The Adrenal ConnectionThe Adrenal Connection
  32. 32. Cortisol and ADDCortisol and ADD  Many people wonder why a stimulantMany people wonder why a stimulant medication like Ritalin helps calm an alreadymedication like Ritalin helps calm an already hyperactive personhyperactive person  It is because there adrenal function is low toIt is because there adrenal function is low to begin with and their natural physiologic stimulusbegin with and their natural physiologic stimulus is already lowis already low  The hyperactive behavior observed is aThe hyperactive behavior observed is a compensatory mechanism in an effort to reach acompensatory mechanism in an effort to reach a normal functioning statenormal functioning state
  33. 33. Blood Sugar andBlood Sugar and ADD/ADHDADD/ADHD
  34. 34. Simple Carbs and Simple SugarsSimple Carbs and Simple Sugars  BreadsBreads  PotatoesPotatoes  PastaPasta  Processed GrainsProcessed Grains  Some FruitsSome Fruits  Refined SugarRefined Sugar  JuiceJuice  CandyCandy  Junk FoodsJunk Foods  SodaSoda
  35. 35. Simple CarbsSimple Carbs  Simple carbohydrates are almost immediatelySimple carbohydrates are almost immediately broken down by the body into simple sugarsbroken down by the body into simple sugars  This results in a rapid influx of sugar into theThis results in a rapid influx of sugar into the blood streamblood stream
  36. 36. The PhysiologyThe Physiology  The sudden increase in blood sugar triggers aThe sudden increase in blood sugar triggers a sharp increase in insulin secretion, which in turnsharp increase in insulin secretion, which in turn rapidly lowers the sugar level in the bloodrapidly lowers the sugar level in the blood
  37. 37. Blood Sugar and InsulinBlood Sugar and Insulin
  38. 38. Blood Sugar and ADDBlood Sugar and ADD  High sugar levels can itself be activating and canHigh sugar levels can itself be activating and can trigger hyperactive behavior.trigger hyperactive behavior.  Secondly, the quick release of insulin that leadsSecondly, the quick release of insulin that leads to low sugar levels worsens low brain arousalto low sugar levels worsens low brain arousal levels of ADD subjects and aggravateslevels of ADD subjects and aggravates behavioral problems.behavioral problems.
  39. 39. Take Home MessageTake Home Message  EAT MORE PROTIEN, BENEFICIAL FATSEAT MORE PROTIEN, BENEFICIAL FATS AND FRESH VEGEATABLESAND FRESH VEGEATABLES
  40. 40. Optimal Blood Sugar CurveOptimal Blood Sugar Curve
  41. 41. Back to CortisolBack to Cortisol  We know cortisol is the key hormone thatWe know cortisol is the key hormone that triggers the body to increase blood sugar levels.triggers the body to increase blood sugar levels.  So this pattern of hypoglycemia serves as aSo this pattern of hypoglycemia serves as a further stress on the adrenal glands.further stress on the adrenal glands.
  42. 42. The GastrointestinalThe Gastrointestinal SystemSystem
  43. 43. What does our GI system have to doWhat does our GI system have to do with our brains?with our brains?
  44. 44. Our GI SystemOur GI System  Our GI system is our barrier to the outsideOur GI system is our barrier to the outside worldworld  It’s job is to act as a selective filterIt’s job is to act as a selective filter  Something does not truly enter our body until itSomething does not truly enter our body until it passes the cells of the intestinal wallspasses the cells of the intestinal walls
  45. 45. Our GI SystemOur GI System
  46. 46. DigestionDigestion  Incomplete digestion of proteins can result inIncomplete digestion of proteins can result in the production of large molecular by-products.the production of large molecular by-products.
  47. 47. Incomplete vs. CompleteIncomplete vs. Complete
  48. 48. DigestionDigestion  Some of these more complex structures are not easilySome of these more complex structures are not easily utilized by the body and have a difficult time passingutilized by the body and have a difficult time passing through the cell membrane.through the cell membrane.  This means less absorption of nutrients.This means less absorption of nutrients.
  49. 49. DysbiosisDysbiosis  Our GI tract is normally inhabited by more than 500Our GI tract is normally inhabited by more than 500 species of micro-organisms.species of micro-organisms.  These micro-organisms play a large role in the defenseThese micro-organisms play a large role in the defense of our GI system and in the breakdown of foodof our GI system and in the breakdown of food products.products.  They also metabolize food products into vitamins andThey also metabolize food products into vitamins and amino acids that feed the cells of the intestine.amino acids that feed the cells of the intestine.
  50. 50. DysbiosisDysbiosis  Incompletely digested structures, like the one inIncompletely digested structures, like the one in my diagram, can not be easily utilized by ourmy diagram, can not be easily utilized by our beneficial gut bacteria.beneficial gut bacteria.  However, bad bacteria have special uraseHowever, bad bacteria have special urase enzymes that can break these structures down.enzymes that can break these structures down.
  51. 51. The ProblemThe Problem  The break down of these structures by urase enzymesThe break down of these structures by urase enzymes cause ammonia by-products to be produced.cause ammonia by-products to be produced.  Elevated ammonia blood levels have been measured inElevated ammonia blood levels have been measured in children with Autism, ADD and ADHD.children with Autism, ADD and ADHD.  Ammonia is a neurotoxin and further impairsAmmonia is a neurotoxin and further impairs neurological function.neurological function.
  52. 52. DysbiosisDysbiosis  Supplementation with beneficial gut flora andSupplementation with beneficial gut flora and the use of digestive enzymes help to optimizethe use of digestive enzymes help to optimize gastrointestinal function.gastrointestinal function.
  53. 53. Diet and Food SensitivitiesDiet and Food Sensitivities  A large body of medical literature has indicated thatA large body of medical literature has indicated that hidden food allergy is a frequent cause of a wide rangehidden food allergy is a frequent cause of a wide range of physical and mental conditions.of physical and mental conditions.  Furthermore, although the concept of hidden foodFurthermore, although the concept of hidden food allergy remains controversial, the evidence stronglyallergy remains controversial, the evidence strongly suggests that identification and avoidance of allergenicsuggests that identification and avoidance of allergenic foods can relieve a number of common and difficult tofoods can relieve a number of common and difficult to treat medical problems.treat medical problems.
  54. 54. Common AllergensCommon Allergens  Common foods that cause reactions are dairyCommon foods that cause reactions are dairy products, sweeteners, corn, wheat, yeast, orange,products, sweeteners, corn, wheat, yeast, orange, soy, peanut, beef and chicken.soy, peanut, beef and chicken.
  55. 55. Wheat and CaseinWheat and Casein  Some incomplete digestion by-products, like the onesSome incomplete digestion by-products, like the ones from wheat and casein, have molecular structures thatfrom wheat and casein, have molecular structures that mimic opiod like molecules in the body. These opiodmimic opiod like molecules in the body. These opiod like structures can exert effects on the neurologicallike structures can exert effects on the neurological system and aggravate symptoms of ADD/ADHDsystem and aggravate symptoms of ADD/ADHD  Some trials show as much as an 80% improvement inSome trials show as much as an 80% improvement in ADD/ADHD symptoms with just the elimination ofADD/ADHD symptoms with just the elimination of wheat and casein from the diet.wheat and casein from the diet.
  56. 56. Inflammation and Food SensitivitiesInflammation and Food Sensitivities  Low level allergic reactions to food serve as aLow level allergic reactions to food serve as a constant source of inflammation in the GI tract.constant source of inflammation in the GI tract.  Inflammation of the GI tract causes aInflammation of the GI tract causes a compromise in the tight junctions of cells. Thiscompromise in the tight junctions of cells. This allows for the easy passage of large moleculesallows for the easy passage of large molecules directly into the circulatory system.directly into the circulatory system.
  57. 57. Our GI SystemOur GI System
  58. 58. ConsequenceConsequence  This constitutes a compromise of our selectiveThis constitutes a compromise of our selective filter and barrier.filter and barrier.  We now have environmental toxins, mercury,We now have environmental toxins, mercury, digestive waste and large proteins passingdigestive waste and large proteins passing directly into the circulatory system.directly into the circulatory system.
  59. 59. Food SensitivitiesFood Sensitivities  The elimination of irritants is essential in theThe elimination of irritants is essential in the restoration of tight junctions and GI integrity.restoration of tight junctions and GI integrity.
  60. 60. RecapRecap  Eliminate food allergies and inflammation to restoreEliminate food allergies and inflammation to restore integrity of filterintegrity of filter  Improve digestion to enhance nutrient absorption andImprove digestion to enhance nutrient absorption and eliminate incompletely digested protein by-productseliminate incompletely digested protein by-products  Establish strong colonization of beneficial micro-Establish strong colonization of beneficial micro- organisms like acidophilus and bifidus speciesorganisms like acidophilus and bifidus species
  61. 61. Essential Fatty AcidsEssential Fatty Acids
  62. 62. Omega 3 and Omega 6Omega 3 and Omega 6  Essential Fatty Acids are compounds in ourEssential Fatty Acids are compounds in our body essential for proper functioning.body essential for proper functioning.  They can not be synthesized by the body so theyThey can not be synthesized by the body so they must be obtained via the dietmust be obtained via the diet
  63. 63. Essential Fatty AcidsEssential Fatty Acids  All cells in our body are enveloped byAll cells in our body are enveloped by membranes primarily composed of essentialmembranes primarily composed of essential fatty acids.fatty acids.  Proper functioning of this membrane isProper functioning of this membrane is necessary for the health of our cells.necessary for the health of our cells.
  64. 64. The American DietThe American Diet  The average American Diet provides a ratio ofThe average American Diet provides a ratio of about 300:1 Omega 6 to Omega 3 fatty acids.about 300:1 Omega 6 to Omega 3 fatty acids.  The ideal ratio for our bodies in about 5:1.The ideal ratio for our bodies in about 5:1.  Omega 3 acids are severely lacking in an averageOmega 3 acids are severely lacking in an average diet.diet.
  65. 65. Omega 3Omega 3  Some of the highest concentrations of Omega 3Some of the highest concentrations of Omega 3 fatty acids are found in the brain and nervousfatty acids are found in the brain and nervous system.system.  There has been encouraging research revealingThere has been encouraging research revealing improvement of ADD/ADHD symptoms withimprovement of ADD/ADHD symptoms with proper Omega 3 supplementation.proper Omega 3 supplementation.
  66. 66. Where are the good fats found?Where are the good fats found?  Cold water fish is the best source of Omega 3Cold water fish is the best source of Omega 3 fatty acids.fatty acids.  Beneficial fats are also found in freshly shelledBeneficial fats are also found in freshly shelled nuts, flax seeds, and avocadoes.nuts, flax seeds, and avocadoes.  Ample sources of these fats should be a part ofAmple sources of these fats should be a part of every diet.every diet.
  67. 67. A Case StudyA Case Study
  68. 68.  14 year old male presenting to the clinic with a14 year old male presenting to the clinic with a pervious diagnosis of ADDpervious diagnosis of ADD  Mom reports problems at home with fightingMom reports problems at home with fighting with siblings, not staying on task and lots ofwith siblings, not staying on task and lots of mouthing offmouthing off  School reports slipping grades, not stayingSchool reports slipping grades, not staying focused during class and problems with teachersfocused during class and problems with teachers
  69. 69. Initial Treatment PlanInitial Treatment Plan  Modify diet to eliminate all dairy products andModify diet to eliminate all dairy products and sources of refined sugar. This meant no juice,sources of refined sugar. This meant no juice, soda pop or candy.soda pop or candy.  Coached mom about cooking with more wholeCoached mom about cooking with more whole foods like fresh organic vegetables, whole grainsfoods like fresh organic vegetables, whole grains and quality meatsand quality meats  Also discussed importance of a good breakfastAlso discussed importance of a good breakfast
  70. 70. Initial Treatment PlanInitial Treatment Plan  Support Adrenal GlandsSupport Adrenal Glands. This was done with. This was done with a multiple B-vitamin complex and a regime ofa multiple B-vitamin complex and a regime of going to bed at the same time every night andgoing to bed at the same time every night and waking up at same time every morning.waking up at same time every morning.  Further support for cortisol rhythms wasFurther support for cortisol rhythms was achieved with an essential fatty acid supplementachieved with an essential fatty acid supplement that help modulate the growththat help modulate the growth hormone/cortisol interaction.hormone/cortisol interaction.
  71. 71. Treatment Plan Cont..Treatment Plan Cont..  150 mg of magnesium once a day.150 mg of magnesium once a day.  Daily supplementation with beneficial GI micro-Daily supplementation with beneficial GI micro- organisms.organisms.  Homeopathic Remedies to aid the body in theHomeopathic Remedies to aid the body in the breakdown and elimination of toxins.breakdown and elimination of toxins.  We also advised mom to discontinue topical cortisoneWe also advised mom to discontinue topical cortisone cream for a small patch of eczema on his leg.cream for a small patch of eczema on his leg.
  72. 72. 1 month follow-up1 month follow-up  Little change in overall behavior. Things still seem toLittle change in overall behavior. Things still seem to be getting worsebe getting worse  The child was very good about taking the supplementsThe child was very good about taking the supplements and adjusting to the new diet without much complaintand adjusting to the new diet without much complaint  Patch of eczema getting slightly worsePatch of eczema getting slightly worse  Homeopathic remedies changed and patient advised toHomeopathic remedies changed and patient advised to continue protocol for 1 more monthcontinue protocol for 1 more month
  73. 73. 2 month follow up2 month follow up  Behavior starting to improve. Mom noticesBehavior starting to improve. Mom notices better ability to stay on task at home and lessbetter ability to stay on task at home and less talking backtalking back  Child comments that he feels he can now thinkChild comments that he feels he can now think before he speaks or acts.before he speaks or acts.  Treatment protocol continued for 1 moreTreatment protocol continued for 1 more monthmonth
  74. 74. 3 month follow up3 month follow up  Mom can not believe it is the same child. HomeMom can not believe it is the same child. Home life dramatically better, school life greatlylife dramatically better, school life greatly improved.improved.  Child feels it is easier to concentrate and doesChild feels it is easier to concentrate and does not feel as agitated as he used to. Overall feelsnot feel as agitated as he used to. Overall feels calmer and in more control.calmer and in more control.
  75. 75. Dr. Kevin Passero, N.DDr. Kevin Passero, N.D 203 Ridgely Ave203 Ridgely Ave Annapolis Md 21401Annapolis Md 21401 443-433-5540443-433-5540

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