Milk Addicted Kids - Nutrition Care for Children
Transcription
Milk Addicted Kids - Nutrition Care for Children
Milk Addicted Kids: Your Kid’s Brain On Dairy Go From Cranky, Constipated, and Picky To Happier, Healthier, and Functional ©Judy Converse MPH RD LD TABLE OF CONTENTS 1 Do You Have A Milk Addict? 2 Why Is Being A Milk Addict So Bad For Kids? 3 Why Kids Get Milk-Addicted 4 Do You Notice These Problems? 5 What About Those Commercial Formulas? 6 How To Remove Dairy Successfully (Don’t Make These Mistakes!) 7 Upstream Clean-Up and Support 8 Can My Kid Ever Eat Dairy Again? 9 Buying What You Need and Getting Help Milk Addicted kids CHAPTER ONE Do You Have A Milk Addict? Your Kid’s Brain On Dairy: Better Without It? There’s Nothing Magical About Dairy Food There’s nothing magical about dairy food. Many other foods give calcium, protein, and more. You’re not a bad parent if you think you might need to pull it out of your kid’s diet, or if you suspect it is linked to his behavior problems, allergies, or other problems. It definitely can be. Does your kid seriously love dairy food – to the exclusion of everything else? Here’s how you can tell if it may be more harm than good. Does your child… •Have at least three servings a day of dairy food? That includes any of these items: Cow’s milk (plain, flavored, organic, lactose free, low fat, high fat, or any kind of dairy milk), cheese, mac and cheese, ice cream, frozen yogurt, Greek yogurt, any dairy yogurt product, cheesy pizza, cheese crackers or processed snacks (Goldfish, Cheezits, Doritos, Cheetos), kefir No information contained in this booklet is medical advice. Check with your doctor or licensed health care provider before using new foods or supplements. © Judy Converse 2016 • Drink formulas every day, like Pediasure, Boost, Ensure, Muscle Milk, Nestle’s Quik, Ovaltine, yogurt smoothies, milk shakes, instant hot cocoa mix, hot cereal mixes with powdered milk in them? • Dislike other protein sources, like fresh meats, fish, chicken, eggs, nuts, lentils, seeds, beans, peas, hummus, nut or seed butters? • Refuse mixed dishes or from-scratch foods like casseroles, stews, salads, fresh vegetables cooked/roasted or raw, or anything not “smooth” or processed? • Like fruits and fruit juices, but no vegetables? • Tend to be constipated with firm or hard to pass stools, fewer than one daily or every other day? • Ever need laxatives, suppositories, or medically supervised cleanouts? • Have mixed irritable stools, sometimes firm and dry, sometimes loose, sometimes pebbly? • Have eczema – infrequently or often? • Have illnesses often? Colds, stuffy nose, seasonal allergies every year, or multiple times a year? • Have asthma? • Have difficulty potty training? Still in diapers or pull ups past the age of three? This describes many kids. What they eat may be a big reason why. From plain organic yogurt with fresh fruit to pink yogurt No information contained in this booklet is medical advice. Check with your doctor or licensed health care provider before using new foods or supplements. © Judy Converse 2016 squeezed from a tube, from over-sweet, artificial, milk protein drinks like Pediasure to mozzarella sticks, dairy protein is the only protein that many kids eat. Some even refuse solid food almost completely, in favor of drinking milky calories in formulas, flavored milks, kefir, or yogurt smoothies - well past their first year. If this is your kid, you have a milk addict, and it isn’t healthy. If your child is stuck like this beyond the age of two, it’s time for a healthier diet. You may be amazed at how much healthier and more functional your child can become, with a more varied diet. But how do you get them to eat anything else? That’s what you’ll learn later in this booklet. No information contained in this booklet is medical advice. Check with your doctor or licensed health care provider before using new foods or supplements. © Judy Converse 2016 Milk Addicted kids CHAPTER TWO Why Is Being A Milk Addict So Bad For Kids? When Dairy Stops Doing Good Milk’s Missing Pieces…And Unwanted Parts Being addicted to milk means your child doesn’t get nutrients that are absolutely not negotiable for normal growth, development, learning, and behavior. If it’s milk protein all day every day, and few to none other sources for protein, minerals, fats, or carbs, there is so much missing. Your child will show it too, with jagged behavior, learning problems, frequent illnesses and colds, social difficulties, constipation, bloating, or even problems like asthma, eczema, allergies or worsened autism features. Long short, milk lacks nutrients children need once they get past their first year. Milk protein from breast milk is great for baby’s first year as a primary food. After that, it’s still great, as long as kids are also starting other foods too. After a year, toddlers are growing too fast, moving too much, and getting too busy to stay on a liquid diet of mostly milk, even if it’s mom’s milk. Minerals, vitamins, and various healthy carbs, fats, and oils are missing from milk, infant formulas, and dairy food. Toddlers relying on just dairy food well past their first birthday are at risk for anemia and weak growth or gain. Milk alone No information contained in this booklet is medical advice. Check with your doctor or licensed health care provider before using new foods or supplements. © Judy Converse 2016 (even breast milk) is not enough, once toddlers are walking, scooting, climbing, talking, and getting to their very important work of play, restorative sleep, and exploration. They also need solid food. But milk addicts wont have it, no matter what you do. A common picture in my pediatric nutrition practice is meeting a young child who grows weakly or even has failure-to-thrive (unable to grow above 5th percentiles). Some of these kids are developing at a slow pace too – language delays, stilted social efforts, or gross motor delays. Their parents are worried: Their kids don’t seem very social, especially with peers. They may have fierce behavior swings and epic tantrums, which are worse when hungry (at which point only one thing will do: Something dairy). By epic, we’re talking all-out screaming for forty minutes or even two hours, if left to “cry it out” – and once they’re exhausted from all that, these kids still won’t eat anything but milk, dairy food, Pediasure, cheese, or the like. Reflux and/or constipation are often in the mix too. Maybe it’s already medication-dependent (Miralax, Prevacid, Nexium, or other proton pump inhibitors) – and the medication does not seem to be much help. Some kids I work with come to me in worse shape: They are tube fed, or perhaps have already lost a section of intestine to tissue damage or inflammation. Parents are weary and have been around the block: Specialists in No information contained in this booklet is medical advice. Check with your doctor or licensed health care provider before using new foods or supplements. © Judy Converse 2016 gastrointestinal disorders, developmental pediatrics, feeding therapy, and perhaps a neurologist or speech and language pathologist have all had a look at the child, done many tests, suggested treatments, to no avail. The kids still don’t eat well, still lag for growth and development, still rely on prescription drugs, still get sick often, still need physical therapy, feeding therapy, speech therapy, and so on. Wouldn’t you like to stop paying for all those professionals, all those appointments, and hassling with insurance for it all? This can happen with a nutrition program – I’ve seen it happen hundreds of times. Developmentally, milk addicts (especially those with an autism diagnosis) often show more profound language delays. When they are on the younger end, say age three or four years, they may speak more like a one to two year old, or be non-verbal. If they are school age, say six or so, they may have expressive language praxis issues, meaning that they can talk but not in a typical way. They may use echolalic language (repeating what they hear but not using functional conversation very often), misuse pronouns, refer to themselves in the third person, or misunderstand social context. In fact, language effort is often the first area of functioning that shifts when dairy is withdrawn completely: Your child may begin to use language in a new, more typical way, make eye contact, or comply more typically with your requests. This doesn’t happen overnight, but it can emerge in two or three weeks and continue to improve, with the right strategy. No information contained in this booklet is medical advice. Check with your doctor or licensed health care provider before using new foods or supplements. © Judy Converse 2016 Maybe your child isn’t this bad. Perhaps they just like a lot of dairy food. Even in that case, you might be surprised at how differently your child behaves, grows, sleeps, learns, or socializes, once dairy protein (casein) is no longer their major food. I’ll say it again: There’s absolutely nothing magical about dairy. Many other foods deliver protein, healthy fats and oils, the varied carbohydrates kids need. You can get your child to eat them, and your child is likely to be healthier for it. No information contained in this booklet is medical advice. Check with your doctor or licensed health care provider before using new foods or supplements. © Judy Converse 2016 Milk Addicted kids CHAPTER THREE Why Kids Get Milk-Addicted: Immune Reactions & Opiates It’s Not Your Fault There’s Chemistry Working Against Your Kid Some kids manage dairy just fine. They love it, they eat it… but they also can happily eat all sorts of other foods, like vegetables, nuts, eggs, seeds, meats, and more. When we’re talking milk addicts, we’re talking about kids who will not do that, who freak out if expected to try a new food, who become anxious eating with others because they have to look at vegetables or salmon, or who actually break things or harm themselves when they don’t get their “milky”. Are you a bad Mom? Nope! It’s your kid’s chemistry. Knowing how this happens is the first step to changing it. What’s going on here? Two problems: Immune reactions, and, poor breakdown of the dairy protein that leads to an opiate-like substance in your kid’s brain. Kids truly addicted to dairy food may have immune reactions to it, and for some reason, seem to crave the very foods that are most triggering. Reactions to milk protein can start in infancy. Some kids outgrow this, some don’t. Some kids are told they have outgrown it, when they haven’t. If your child had trouble with milk based formula or even your breast milk (if you ate dairy while breastfeeding) as a baby, chances are higher that there may still be trouble. No information contained in this booklet is medical advice. Check with your doctor or licensed health care provider before using new foods or supplements. © Judy Converse 2016 Besides symptoms mentioned already – bloating, rashes, picky eating, irritable stools, frequent colds and sniffles – milk protein reactions can show up as an allergy (IgE reactions, checked with a skin prick or blood test), or a sensitivity (IgG reactions, checked only with a blood test). If you have checked milk allergy but not milk sensitivity, then you didn’t get the whole picture. Your child may still be reacting to milk, and may still be better off without it. You don’t need blood tests to follow through on breaking milk addiction, but you can do testing if you want. Your MD allergist, gastroenterologist, or pediatrician can do IgE testing for milk allergy. Of course, when this is positive, kids are usually already having dramatic symptoms, like vomiting, stomach pain, or hives soon after eating milk. Kids whose symptoms are more murky are likely to have IgG reaction to milk. However, in-network health care providers don’t usually offer IgG testing. Typically, only integrative health providers do this testing (naturopaths, functional medicine doctors, or functional nutrition dietitians like me). You can also just do an elimination trial. But, this will fail if your child also has other food reactions going on at the same time, from foods s/he keeps eating. You may not notice a clear enough change from removing all dairy protein with an elimination diet, if your child also reacts to gluten or peanut No information contained in this booklet is medical advice. Check with your doctor or licensed health care provider before using new foods or supplements. © Judy Converse 2016 butter and eats those foods daily too. If you remove dairy completely (no cheats!) and don’t see changes, this can mean that other foods are probably triggering trouble too. But there is more to the story. Even if your child has no immune reactions to dairy protein at all, s/he can still have poor digestion of this protein. Dairy protein (casein), when only partly broken down in the gut, can have a powerful impact on behavior and functioning, depending on the condition of your child’s gut wall and the microbes growing in there too. This can be where the really strong addiction kicks in – when milk protein acts like an opiate! Why Kids Get Milk Addicted: Opiate Theory There is another powerful mechanism that creates that potent “addict” behavior you know so well, the behavior that triggers tantrums and meltdowns if your child doesn’t get the milk or cheese or pizza or whatever version of dairy it is he is used to. This mechanism is what can make it truly difficult to get children off milk and dairy, unless you know how. This mechanism is not an allergy, even though allergy or sensitivity may be present at the same time. In this case, a chemistry has evolved in which your kid is literally addicted to milk. You can measure this with a urine test. This is not a standard-of-care test – that is, your pediatrician may never have heard of it, and your insurance isn’t likely to pay for it. But it has been used for over a decade in the functional medicine community to screen No information contained in this booklet is medical advice. Check with your doctor or licensed health care provider before using new foods or supplements. © Judy Converse 2016 children for problems with digesting milk protein (and wheat and soy proteins, which have a similar digestive process in the gut). This is a urine polypeptide test. It checks urine for protein fragments (“peptides”) leftover when dairy protein (casein) is poorly digested. It also screens for peptide fragments from wheat protein (gluten). Why are these peptides a problem? Because these peptides resemble opiates in their chemical structure – and they can be addicting, so much so that your child ends up on a poor diet, refusing other foods, and with behavior problems. When these peptides are formed from foods we eat, they’re called exogenous opiates or dietary opiates. Eating dairy protein every day when your gut can’t properly digest or absorb it means your gut will allow lots of these diet-sourced opiates to form. They reach the brain, where they do no good at all. You’ve probably heard of endorphins. These are our own “feel good” chemicals, which also have a chemical structure somewhat like opiates. The same receptors in our brains that bind with drugs like morphine also bind our own endorphins. We make endorphins with laughter, with sustained exercise (“runner’s high”), when enjoying flavors or aromas of favorite foods, or when meditating. It’s feel-good chemistry! But notice the difference: Endorphins are made by our own chemistry, No information contained in this booklet is medical advice. Check with your doctor or licensed health care provider before using new foods or supplements. © Judy Converse 2016 and can lead us to healthy habits. Exorphins come from external chemical sources, like drugs, and can lead us to unhealthy dependency. This is the case with milk-addicted kids. They are absorbing milk protein as something called casomorphin, an exorphin compound formed from poorly digested milk protein that is addicting. Just like endorphins, exorphins like casomorphin can make you feel good. They can drive food cravings in all of us to some degree. But when it’s gone too far, expressive language and cognition become impaired. Tantrums and behavior problems ensue. And noticing physical pain or being able to appropriately avoid danger can be impaired too. When a parent tells me with pride that their picky eater kid is a toughie who can seriously bonk his head and keep on going without missing a beat, I know that we may be looking at the effects of casomorphin. Normally, these opiate-like peptides are made in only minor amounts from foods. Good digestive function takes apart a dairy meal to near completion. But with weak digestion, an overly permissive gut wall (that is, a gut that lets these peptides pass through to the bloodstream), and the wrong gut bacteria (that worsen rather than lessen the impact of these peptides), these peptides will show up in urine in larger than normal amounts. If they’re in urine, that means they are circulating widely throughout the body – and in your child’s brain. No information contained in this booklet is medical advice. Check with your doctor or licensed health care provider before using new foods or supplements. © Judy Converse 2016 Why is this bad? Because these peptides mimic opiates – so much, that they are named after morphine: Casomorphin acts like opiates in the brain. It binds the same receptors as endorphins, drugs like morphine... and yes, heroin. It is indeed potently addictive. Children who adamantly refuse foods other than just wheat, just dairy, or both may have this addiction active in their brains (because wheat protein, aka gluten, can form an opiate like substance too, when poorly digested). Not only does this deny a child other more nutritious foods needed for their brains and bodies to grow and thrive, it can cause constipation (ever needed a morphine drip or opiatebased painkiller… and get constipated?), and disrupt behavior, learning, social skills, and language development. In my experience, the more diet-sourced opiate measured in urine, the less verbal and more developmentally delayed the child will be. In fact, clinical trials with naltrexone, a drug used to treat opiate addiction, have shown better behavior and verbal ability in children with autism. This demonstrates that persons with autism may live under the effects of opiates in the brain day in and day out. Is it because of food they eat? Possibly. Here are signs of active “opiate” chemistry in a milk-addicted child: •dilated pupils, especially after a meal •disrupted sleep pattern, especially between 1-3 AM •silly, happy or calm affect mostly or only after meals No information contained in this booklet is medical advice. Check with your doctor or licensed health care provider before using new foods or supplements. © Judy Converse 2016 • • • • • • • • • • • hard tantrums when hungry or if preferred food isn’t given firm or constipated bowels (often laxative dependent) extreme refusal of other foods, will go hungry if need be language issues: May have garbled or unclear speech, functional speech or language delays, comprehends and hears but doesn’t have equal ability for expressive language social delays, not age appropriate with peers difficulty potty training, doesn’t sense need to “go” seems unaffected by cold, will go out without warm clothing seems unaffected by bangs/bruises that may make other kids cry poor self regulation: Hyperactivity, rage reactions, may hit or lash out at peers, difficulty calming down, wanders or elopes, impulsivity may eat 40-60 grams daily of casein (dairy protein) as milk , cheese, or other dairy foods, without other protein sources may drink five to eight cups daily of milk, Pediasure, or other dairy protein formulas, past the age of two years No information contained in this booklet is medical advice. Check with your doctor or licensed health care provider before using new foods or supplements. © Judy Converse 2016 Milk Addicted kids CHAPTER FOUR Do You Notice These OTHER PROBLEMS? Milk Addiction Goes With… Problems With Behavior, Learning, and Mood We’ve established that milk addicts are kids who still rely on fluid milk as a major protein and calorie source, well past the age of twelve months, when weaning off breast or formula – as the bulk of daily calories and protein – is typically under way. They are drinking forty to sixty ounces of milk a day (about five to eight cups), and displacing solid calories because of milk intake. Or they’re eating yogurt daily along with fluid milk – and it doesn’t matter if it’s from a goat, a cow, sheep or a camel (yes, some of my patient families have tried that too!) – it still has casein in it, it can still form an opiate like peptide, and it can still create rigid, picky appetites. This lowers intake of other foods that kids need by age two or three. Milk addicts refuse other foods. They are often oral tactile defensive – that is, they hate varied textures in foods, hate to eat or chew, hate seeing others’ food or chewing, and may even hate other food smells. Perhaps they have delayed chewing skills (which is why some stick to the bottle in the first place), or still rely on suckling a bottle, thumb, or pacifier to calm themselves. Oral tactile issues or No information contained in this booklet is medical advice. Check with your doctor or licensed health care provider before using new foods or supplements. © Judy Converse 2016 oral motor delays may keep this child drinking from a bottle beyond age three or four. When they accept foods, it’s often dairy items only – sweet yogurt, cheese, ice cream. A few random solids might be in the diet, but on balance, their diets lack other foods rich in essential minerals, vitamins, and healthy brain fats. There is often pallor, grey shiners under the eyes (which can be caused by anemia, milk protein allergy, or both), white dots on fingernails (too little zinc), and a blank countenance (too many casomorphin opiates!). Inattention, hyperactivity, anxiety, and reactivity are often dogging these kids as well, from a dairy-dependent diet that is void of so many essentials while making too many toxins. Growth failure or a weak growth pattern is common in this scenario too, though some kids grow robustly and may even be downright chunky with this eating habit. Doesn’t mean they’re healthy! No information contained in this booklet is medical advice. Check with your doctor or licensed health care provider before using new foods or supplements. © Judy Converse 2016 Milk Addicted kids CHAPTER FIVE What About Those Commercial Formulas? Healthy Alternatives Needed! What Your Doctor Didn’t Tell You About Pediasure Parents in this predicament are often told by their doctors and feeding therapists to turn to high-calorie, vitamin fortified, milk-based drinks like Pediasure, Peptamen Junior, Carnation Instant Breakfast, or Boost, in hopes of providing a few micronutrients and extra calories. I have seen this fail, fail, and fail for many kids. Pediasure, Boost, Muscle Milk, and Ensure are of course all made with dairy protein. Some also have soy added. They reinforce the addiction to opiates formed from casein and soy. And, these have genetically modified ingredients I don’t like, with added processed sugars and corn syrup. Though a few nutrients are added to these drinks, they still lack the benefits that can only be found in eating whole, real food. If your child really needs to drink calories, you can do better with your own nutritious whole food smoothies! For non-dairy nutrition boosting options, click my blog for ideas and recipes here. Use protein powders like collagen or egg, whole eggs, or nut butters to boost protein in smoothies. Don’t use soy protein. For more on protein powder options to add to smoothies, check out my blog on that topic here. No information contained in this booklet is medical advice. Check with your doctor or licensed health care provider before using new foods or supplements. © Judy Converse 2016 Note: If your child is dangerously underweight and dependent on a formula, get medical supervision to make changes, and contact me for an appointment so we can monitor closely. Be sure to check with your care team about replacing these formulas. I often find that children placed on formulas for growth pattern do better on a dairy (and soy) free regimen – but the transition has to be done with total body nutrition, digestive, and gut support. This process can take a few months for severely addicted kids in growth failure, so get support. Pediasure is possibly the top pick by pediatricians and GI doctors nationwide, when they see an underweight child. And that is downright unfortunate. Why? Because if your child has a reaction to the soy and dairy proteins in Pediasure, it can do more harm than good. Besides weakening growth pattern even more, these reactions can cause diarrhea or constipation, rhinitis, dermatitis, or brochospasm. But, it's routine for pediatricians to suggest Pediasure anyway, without checking if a protein intolerance, allergy, or other reaction is part of the problem. I like to check first with lab tests to find the reactions a child has, or I choose a more hypoallergenic option instead (if for some reason labs aren’t done) – like Elecare or Neocate, for families not ready or unable to make their own foods and formulas. For families who have time to be in the kitchen, there are many ways to boost protein, fats, vitamins, and minerals without dairy or soy drinks like Pediasure! Recipes are offered at my blog, here. No information contained in this booklet is medical advice. Check with your doctor or licensed health care provider before using new foods or supplements. © Judy Converse 2016 Why I Don’t Like Pediasure, Boost, Ensure, or Similar Products! Full disclosure: Another reason why I do not like Pediasure (or Boost, Ensure, or similar products) is because they contain genetically modified organisms (GMOs). The corn (sweetener), soy protein, and milk protein in this formula are GMO. This means that these foods were created from crops altered by inserting genes from bacteria into the plant. These bacteria produce a toxin that kills crop pests, so now the plant is engineered to produce that toxin for itself. The problem is, this bacteria, and its toxin producing ability, end up in our guts too, where it kills the helpful bacteria we depend on to digest and absorb food normally. It may also transfer this toxin producing ability to our own gut flora! This toxin, glyphosate, is linked to food allergy, organ failure, and cancer. Infants are especially vulnerable here. They must develop a healthy profile of normal gut bacteria, and a healthy gut wall, to prevent allergies and asthma later on, to digest food normally, and to avoid susceptibility to infection. GMO foods and formulas have no place in a baby’s diet, in my opinion. Another problem with GMO crops is they need more glyphosate (aka RoundUp) to grow properly, compared to nonGMO crops. This extra glyphosate has been found in foods, No information contained in this booklet is medical advice. Check with your doctor or licensed health care provider before using new foods or supplements. © Judy Converse 2016 including foods marketed specifically to infants and toddlers. The World Health Organization has declared glyphosate a probable carcinogen. While most of the developed world bans GMO crops in the food supply, or at least requires labeling of any GMO product, the US continues to allow them, and refuses to require labeling. Many parents do not wish to expose their children (or themselves) to GMO foods. Buying locally sourced organic foods is the best way to avoid GMOs. For more on why I tell all my patients to avoid GMOs, click here. Look for this label on foods to assure best possible effort to be GMO free: Another unhappy part of the commercial formula story is corn syrup, which may have traces of mercury in every spoonful, due to methods used in manufacturing it. No information contained in this booklet is medical advice. Check with your doctor or licensed health care provider before using new foods or supplements. © Judy Converse 2016 Last but not least, Pediasure, Boost, Elecare, Neocate and even many better (non-GMO, less allergenic) powdered supplemental protein and calorie products for kids have loads of sugar or corn syrup. There are times when these formulas are necessary or useful, but often, there is a better way that will help your child grow, gain, and feel better sooner. Sugar does not help your child grow. Calories like this tend to disrupt so many other layers of metabolism and absorption that they’re not worth relying on day in and day out, for kids who need to gain. A little sweet here or there is of no consequence for a healthy gut, but eating them as major sustenance every day? That’s when they are literally more trouble than they’re worth. So even if your child seems to manage a product like Pediasure, Ensure or Boost well enough… Why would you feed your baby, toddler, or child anything that is a probable carcinogen? Or anything that would disrupt the body’s own crucial balancing efforts, for preventing allergy or asthma? Or something that may have traces of mercury in it – every day? As crazy as this sounds, this is what most pediatricians in the US today are doing, when they tell you to give your child formulas that are made from GMO foods like Pediasure. You can do better and your kids can feel better! No information contained in this booklet is medical advice. Check with your doctor or licensed health care provider before using new foods or supplements. © Judy Converse 2016 Milk Addicted kids CHAPTER SIX How To Remove Dairy successfully Don’t Make These Mistakes Make All Your Effort Pay Off! Kids often seem to crave the very food that is making them sick and less functional. Removing all dairy foods can make for dramatic improvements – IF – and this is a big “if” – all that dairy food your child ate is replaced with an equal or better value food. If you pull dairy food only to replace it with low protein, low fat starchy snacks, your child is likely to feel worse. Your child will also not improve on a dairy free diet if you make these other mistakes: You give another triggering protein to replace the dairy protein. Usually, parents give soy as a substitute – which is often as triggering as dairy protein. It may look like it works for a week or two or a bit longer, but soon after, kids can get stuck on soy and suffer the same trouble as when they ate dairy: Picky eating, bloating, constipation, eczema, and behavior problems. Skip soy milk, soy yogurt, tofu, edamame, soy ice cream substitutes, tempeh, or protein bars or drinks fortified with soy protein. Those are unlikely to help your child progress, if dairy is a problem. No information contained in this booklet is medical advice. Check with your doctor or licensed health care provider before using new foods or supplements. © Judy Converse 2016 You don’t put back the protein and fats you removed, and you give starchy processed filler foods in place of dairy. Your child will feel worse, and growth may suffer! It will take time, but expect your child to broaden his repertoire, so that other nutritious foods come in to the mix. The key to success on this is restoring a healthy gut biome – more on that later. You try it for too short a time. For real success, expect to do this for at least four months. You let your kid cheat a lot with “a little” dairy food, like having pizza every weekend but no dairy the rest of the week. Or, like keeping that Ranch dressing or yogurt your kid loves, but removing fluid milk (you’re still giving your kid milk protein every day in that dressing). Or allowing weekly classroom treats with milk in them (cupcakes, cookies, ice cream). For some kids, this is still enough to cause trouble. You have to be strict, to be sure of your results. You remove dairy, but keep gluten and soy. If dairy causes these opiate-like features, guess what? Gluten and soy can do the same. You may not see full benefit unless soy and gluten are also withdrawn. These two proteins can form opiates similar to casomorphin. I have observed kids who switch one opiate source for another – they stop dairy, but go to town on bread, cereal, pasta, and soy - and remain as picky, crabby, constipated, and undernourished as ever. No information contained in this booklet is medical advice. Check with your doctor or licensed health care provider before using new foods or supplements. © Judy Converse 2016 You trade milk for a milk based formula like Pediasure, Ensure, Boost, or for soy milk (they’re still getting plenty of casein this way). Once trigger foods are replaced with good nutritious food, your child will likely be sick less often, may grow and eat better, will become interested in other foods, and will probably behave better too. Finding out what foods are triggering for a child is something I routinely do in my practice with lab tests. If you remove dairy protein only to replace it with something else that triggers allergy or sensitivity, your child is not going to improve much or feel well. If you need that help, contact me via my website at NutritionCare.net. You don’t have to do this lab work to trial dairy free. You can use elimination trials, but if these become cumbersome and confusing, get the quick answer: Do the lab work, and move on. It does require a blood draw, which kids generally manage better than you might expect, especially if done by an experienced pediatric phlebotomist. Mom Holds All The Cards! In my twenty odd years’ experience, I have weaned many kids in my practice off an unhealthy dairy-dependent diet. Their No information contained in this booklet is medical advice. Check with your doctor or licensed health care provider before using new foods or supplements. © Judy Converse 2016 moms were boots on the ground, doing the hard work. If you are ready, you can use the same tips and strategies that hundreds have paid me to walk them through, one on one. What works best in your house may be different, or need some tweaking - but this strategy is what most often succeeds for families of milk addicts I’ve known. Before you begin, know this: You are the key to the success. You hold all the cards. You are the one with your child day to day, shopping, preparing food, setting limits and boundaries, offering options, and watching them grow and change. No one knows your child better than you. Your commitment to better health and a better life for your child will guide you best. But, if the prospect of a dietary restriction upsets you, your child will be upset by it too. If you need your child to happily receive this change in order for you to be calm and happy, or if you need them respond or react in a certain way in order to soothe your fear or uncertainty, you will fail, because you’ve given away your power to a small child. Keep that power for yourself to fulfill elsewhere. Set the tone, and lead the way. • Listen to your own intuition along the way Follow it. • Don’t let your child dictate the outcome They will whine, protest, throw food, have fits, cry, and generally make you No information contained in this booklet is medical advice. Check with your doctor or licensed health care provider before using new foods or supplements. © Judy Converse 2016 doubt everything you’re doing. Keep calm, carry on. Stay focused, with an upbeat demeanor. Don’t complain, don’t explain why you are doing this (especially to a toddler!) • Don’t need your child to like this, or agree with you. You can answer questions like “where’s my favorite milk/cheese/yogurt” with “they were out of that brand, and don’t have it now. We’ll have this brand instead. Do you want vanilla or strawberry?” Then, walk away if tears ensue, or allow a favorite distraction for your child as a reward for being brave with a food change. End of conflict – don’t engage it. • If your child is very bright and perceptive, s/he may also learn quickly to be very manipulative with you. Good for you! You probably have a future scholar on your hands. Meanwhile, hand him off to a neutral party when it comes to meals, as often as you can. A nanny, a neighbor, a friend, or even dad – anyone whose heart strings are unpluckable, compared to yours. Detach. If that’s not possible, leave the room while your child eats and enjoys that favorite distraction. • Be chill, be firm, be positive Don’t lament or enlarge that your child won’t participate in pizza parties or ice cream socials. This may not always be true. Some kids go on to eat these things will little impact later on. Instead, enliven the “gain” part of the story. There are many new foods and dairy free versions of favorites to enjoy and introduce. No information contained in this booklet is medical advice. Check with your doctor or licensed health care provider before using new foods or supplements. © Judy Converse 2016 • Don’t tell your child that “dairy food is bad for you” or talk about how dairy food affects him or her. Negative messaging is of no value here and will probably backfire, by creating unnecessary anxiety for your little one. And, down the road, your child may do fine on some dairy food; there is no need to instill fear in them about it. • Attitude is everything. Kids pick this up from their parents, and peers pick it up from your kid. One family I worked with was so positive and committed with follow through on new foods, mom called it her “eating clean” campaign. Her daughter proudly announced that at school, and her peers followed suit – by begging to trade out their junk snacks for her good ones! • You do not need permission from your child’s school (or anyone else) to change your child’s diet. If your child attends school, just give the absolutely necessary details. Don’t expect teachers or other school staff to care. Some do, most don’t. This can simply mean you say “Alice doesn’t eat dairy food. Here is her snack and lunch. Here are some snacks to share with her peers if that is helpful. Please don’t give Alice milk, yogurt, or cheese. Please let me know of special events in advance so I can bring treats she can eat and share with her peers (cupcakes, cookies, and yes even pizza that is dairy free).” No information contained in this booklet is medical advice. Check with your doctor or licensed health care provider before using new foods or supplements. © Judy Converse 2016 • Don’t go cold turkey. You can if you want, but it will be harder on your child and harder on you, to abruptly pull out dairy foods your child depends on. Few families succeed this way, in my experience. Your child won’t just start eating new foods because there is nothing else to eat – the opiate addiction part of this puzzle assures that your child will willingly go hungry for days, sometimes weeks, sipping juices or sugary foods. Follow my steps for the right sequence for success. • Do Upstream Cleanup: Implement herb and probiotic gut support first. This will make it easier for your child to accept new foods. Changing your child’s gut biome environment is key to successfully busting picky appetite, so this comes first. See the next section for herbs and probiotics to buy. • Do Upstream Support: Implement multivitamin and mineral support before making major food switches. That Flintstone’s chewable or those Nordic Berries won’t cut it – your child will need stronger mineral support than these typical kids’ products offer. Mineral status is another key to success here. Iron and zinc impact appetite, mood, detoxification, and selfregulation. So, you will want your child to be in good status before they try new foods. Many kids I work with eat new foods just because zinc was restored – with no other measure. So, don’t skip this part. See the next section for more. No information contained in this booklet is medical advice. Check with your doctor or licensed health care provider before using new foods or supplements. © Judy Converse 2016 • Before you start, list all the dairy your kid eats Start with the hidden stuff, since that is easiest to replace and least noticed by kids when it is removed. Look everywhere, from hot dogs, cookies, or pancake mixes to cream dressings, soups, sauces. It’s not just the obvious dairy that has to go, like the yogurt, mac and cheese, milk, or ice cream. It’s all of it. Most processed foods have dairy protein added, including meats – like sausage, hot dogs, ham, soups, candy, and more. Choose which of your child’s dairy sources are easiest to replace. For example, instead of CLIF bars with soy or dairy protein, choose LUNA bars that use pea protein. Meanwhile, build a recipe arsenal for favorites like mac and cheese, creamy dressings, alfredo sauces, pizzas, instant mashed potato, or anything to which you habitually add milk, yogurt, sour cream, or cheese. Dressings, sauces, yogurt, and milk or milk based drinks can be switched out with coconut based yogurt (not soy), almond milk, cashew milk, coconut milk, or hemp milk, as long as you add a protein supplement powder (click here for ideas). Additions of everything from chopped olives or ripe avocado slices instead of cheese, to eggs (whipped into an aioli) or sesame tahini (for a tasty sesame orange dressing), can fill in the blanks left by pulling dairy out. There are options – including gluten, dairy and soy free hot dogs! Surf the web, and see resources at my blog at NutritionCare.net too. No information contained in this booklet is medical advice. Check with your doctor or licensed health care provider before using new foods or supplements. © Judy Converse 2016 • Implement enzyme support with my recommended chewable enzymes when ever your child has dairy. Using any old enzyme won’t work; you need a product that specifically breaks down casein so that it won’t form as many casomorphin opiate molecules. Using enzymes instead of dairy withdrawal can ease constipation in kids who are milk addicted, but relying on those while continuing a steady dairy diet won’t give your child nearly the same benefits as withdrawing it altogether. They can, however, mitigate transgressions, and can especially help with bloating or behavioral reactions (but not allergy reactions). Save enzymes for those must-do school activities or special occasions that include food, when your child will absolutely miss out if eating a substitute. Now that you know the pitfalls to avoid, you’re ready to roll up your sleeves and dive in! No information contained in this booklet is medical advice. Check with your doctor or licensed health care provider before using new foods or supplements. © Judy Converse 2016 Milk Addicted kids CHAPTER SEVEN Up-Stream Clean Up And Support Clear Your Child’s Gut First Follow This Sequence For Success With Dairy Free Going dairy free and restoring good nutrition can help your child in so many ways. Hyperactivity, anxiety, insomnia, meltdowns, tantrums, weak growth pattern, bathroom accidents, communication and socialization – all these have potential to improve. Follow this strategy to make it happen. You will need to purchase some high quality supplements, for the best outcome. Do you have to? You don’t have to do anything. But I can tell you that in my experience, this is how it works best. Week 1 – Upstream Cleanup and Dairy Detective Work You will need strong herbal supplements and a high potency, broad spectrum probiotic to initiate gut biome balancing. This paves the way for better digestion, absorption, appetite, and bowel habits. Expect to see some nasty stool be purged, or not – but it may happen. Some children simply start having more normal, comfortable bowel movements right away with these tools. If your child is uncomfortable, more gassy, complains of stomach pain, or shows any reaction that is intolerable, including hives, then stop. You have hit deeper issues that need guidance. Contact me for an appointment to move forward with professional monitoring. No information contained in this booklet is medical advice. Check with your doctor or licensed health care provider before using new foods or supplements. © Judy Converse 2016 If your child tolerates this without much trouble, you’re good to go. I recommend these products: •BioBotanical Research Biocidin drops, one drop for every 10 lbs body weight. Start with a single drop in water daily and work up to full dose. Your child will use this x one month. •Citricidal Liquid Concentrate (grapefruit seed extract). Start with a single drop in water daily and increase to 10 drops. Twice daily is ideal if tolerated. Your child will use this x one month. •Gaia Herbs Glycerite Goldenseal Tincture. Start with a five drops in a strong tasting drink your child likes, or just place in water (this is a strong bitter herb). Increase to 10 drops daily. Twice daily is ideal if tolerated. Your child will use this x one month. If your child is very sensitive, you may use lower doses or just one of these items at a time. Support detoxification with Epsom salts in the bath nightly, about a cup; allow your child to soak for 20 minutes. If your child can swallow capsules, you can buy capsules of each of these items. Look for Advanced Biocidin Capsule, Grapefruit Seed Extract capsule, or a 400 mg Berberine capsule. Use one at a time to start. All three at once may be too strong. No information contained in this booklet is medical advice. Check with your doctor or licensed health care provider before using new foods or supplements. © Judy Converse 2016 Berberine is derived from goldenseal, and is a stronger antimicrobial. It is my preference over goldenseal, but tinctures for just berberine are difficult to find formulated in glycerite (not alcohol) which is preferable for children. A tincture called Core Berberine is available from a maker called Energetix. I make this available to clients working directly with me. You may also be able to purchase it on Amazon. If your child feels tired, mopey, has malaise, has a strong behavioral reaction, or has uncomfortable messy stools with these herbs, then it’s too much too fast. Slow down. Use one at a time only or use a lower dose. If your child shows patches of reddish rings that are pale in the middle but not raised, then this is possibly a fungal (ringworm) rash. When fungal infections leave they exit through skin, stool, or urine. Show your doctor if you have concerns. If your child has any rashes or concerning symptoms, contact your doctor. Let your doctor know you are using new herbs or supplements. No information contained in this booklet is medical advice. Check with your doctor or licensed health care provider before using new foods or supplements. © Judy Converse 2016 Begin with Biocidin x 3 days. If ok, then add the Citricidal to this water as well. If all continues ok, then add the Core Berberine also. Give this in water daily. These are strong tasting herbs, so they must be diluted in water or diluted juice. Younger children may do well when these are placed in an oral plastic syringe and squirted into mouth. Others may be fine if these are placed in their water bottle for the day, and they simply sip all day. Still others finish a four or six ounce cup of water with herbs before being given preferred activities or foods. Regard this as you would a medicine: It’s not optional. As long as the herbs are taken in, it doesn’t matter how. Do not put any of these directly on your child’s tongue. They are too strong. Next, add a probiotic. For kids who do well with chewables, I recommend Klaire Labs Prodegin – chew one to two daily. For kids who won’t chew this, I recommend Klaire Labs SDC Legal LactoPrime Plus capsules. Open the capsule and mix in any food or drink. Do not microwave or heat this. Use one to two capsules daily this way. Give the probiotics opposite from herbs – that is, a few hours apart. It’s okay to give either of these around food, if easier. No information contained in this booklet is medical advice. Check with your doctor or licensed health care provider before using new foods or supplements. © Judy Converse 2016 For your first week, do some dairy detective diligence. Find all that hidden dairy by checking processed foods. Toss foods with these ingredients, and find their dairy free alternates: Milk, non fat dry milk, milk powder, casein, calcium caseinate, whey, lactose free milk, cheese, Parmesan, lactose, cream, yogurt, low fat yogurt, frozen yogurt, ice cream, buttermilk, sour cream, whipped cream, mozzarella, cheddar Usual suspect foods that you will need replacements for include…. Cream dressings, Ranch dressing, French dressing, chowder, prepared boxed or canned soups including tomato soup, processed frozen pizzas, burritos, or microwaveable meals; mac and cheese, yogurt, ice cream, whipped cream, Alfredo sauce, Bolognese sauce, any sauce that is creamy, cereals, hot dogs, sausages, power or protein bars, protein drinks, Goldfish crackers, cheese puffs, Cheezits, Doritos, or most any cracker, chip, or cookie that is store bought All of these foods have versions right now, available on store shelves, that exclude dairy ingredients. Will they say “dairy free” on the labels? Maybe, maybe not. Dairy free does not mean casein free. It means there is no whole milk, cheese or dairy in that food; but there may still be protein like casein or whey in that food. You just have to read the label for yourself to be sure. No information contained in this booklet is medical advice. Check with your doctor or licensed health care provider before using new foods or supplements. © Judy Converse 2016 Many products don’t say dairy free on the label because the product comes from a factory where there is cross contamination from dairy foods. As long as the item does not have dairy ingredients actually in it, it is okay to use, even if it came from a factory that may have dairy stuff around. You don’t have to go that deep to succeed with busting dairy addiction. In this first week, check your cupboards, and start replacing the hidden dairy items. Have them all cleared out by end of week one. Week 2 – Upstream Support and Dairy Distancing By now your child is on good herbal and probiotic support, and you’ve replaced hidden dairy proteins. You may already see some changes, but don’t worry if you don’t. Keep going with this regimen. Until all the dairy protein is gone, you may see slow shifts. Now it’s time to give good mineral and vitamin replenishment. You’ll need a good multivitamin and mineral supplement. Does your child take a chewable, powder, or liquid? Here are my recommendations: Chewables: Progressive Labs Children’s Chewable Powder: Klaire Labs VitaSpectrum Liquid: Douglas Laboratories Liquid Multivitamin Follow label recommendations for your child’s age and weight. No information contained in this booklet is medical advice. Check with your doctor or licensed health care provider before using new foods or supplements. © Judy Converse 2016 These products vary greatly in their formulations; it is hard to get the same formula across these different formats, but any of these will give your child a better profile than a generic supermarket chewable or gummy vite. If you want to keep using your current multivitamin, you can – but take note of the zinc content. It should be at least 10 mg. Also note if there are other minerals present at all, like selenium, chromium, magnesium, or iron. Meanwhile, continue replacing dairy-laden foods, and continue your herb and probiotic regimen. It will look like this: • Breakfast: Multivitamin and Herbs with morning meal • Evening: Probiotic with dinner or bedtime snack If yogurt is a favorite, bring in dairy free options like coconut yogurt (So Delicious brand), Daiya brand, or Chia Pods. Let your child choose flavors, so they have some control over the change. If you’re ambitious in the kitchen, try making your own cashew or almond milk yogurt –recipes abound on the internet for this. If yogurt is a big daily protein serving, you can add a collagen powder to your child’s dairy free yogurt. It dissolves readily, has no particular taste, and is hypoallergenic. No information contained in this booklet is medical advice. Check with your doctor or licensed health care provider before using new foods or supplements. © Judy Converse 2016 Week 3 – Cut Cheese This is tough, no bones about it. Replacing beloved cheese can be hard. You have to ditch all dairy cheese, from goat to Brie to Parmesan, to the child favorites of mozzarella, cheddar and American. Cheese substitutes often have soy, wheat, or other ingredients in them you may not like, so read labels. But, substitions can be had. Try these options: Daiya “cheese” shreds Non-soy non dairy mac and cheese Homemade dairy free mac and cheese Homemade cashew cheese Chopped black olives Guacamole, ripe avocado slices Jerky sticks instead of cheese sticks Whipped coconut milk instead of whipped cream Cashew or coconut based frozen treats (“ice cream”) Continue herbs, probiotic, and multivitamin. Week 4 – Replace All Fluid Dairy Sources and Add Protein Supplement Pull out fluid milk and give your child an unsweetened replacement. You can use almond milk, coconut milk, hemp milk, or a combination of these. Don’t use a sugary version – No information contained in this booklet is medical advice. Check with your doctor or licensed health care provider before using new foods or supplements. © Judy Converse 2016 Use your milk substitute for drinking, putting on cereal, or for baking or cooking. Week 5 – Hang In There! This week, you can withdraw your child’s herbs, but keep the probiotic and the multivitamin. You can continue the herbs if you notice it just works better, but a month may be enough to restore a more balanced biome that allows for stronger digestion and absorption. Some children need an herb-andprobiotic rotation for many months. If your child feels better, eats better, grows, sleeps well, and feels happy, you’re on the right track – stay on it! Your aim here is total dairy avoidance. That’s because each molecule of casein can elicit over thirty casomorphin opiate molecules. Once attached to endorphin receptors in the brain, they are very tightly bound, and take weeks to leave. And each casein exposure will send your child’s immune system into overdrive to make new antibody to it, if they’re sensitized; those antibodies hang around for months. So have patience. Once all the dairy is gone from the daily routine, you may not see changes for two or three weeks. During that time, your child will likely be jonesing hard for dairy – don't cave! Giving “a little” to get them over a hump of tantrums will give a short reprieve but it will prolong the entire process, keep appetite stuck, and will make true progress elusive. No information contained in this booklet is medical advice. Check with your doctor or licensed health care provider before using new foods or supplements. © Judy Converse 2016 A bonus measure is to put Epsom salts in your child’s bath nightly. Use about a cup and allow your child to stay in the tub for twenty minutes. This will replenish tissues with magnesium and sulfur, which help calming, digestion, and detox pathways. This can help casomorphin exit the body with less behavioral volatility. This measure alone helps many kids settle down and sleep better at night. Double bonus for calming and good sleep: Add a two to five drops of pure organic lavender essential oil to the bath. By now you should have replaced all the dairy your child eats. Brace yourself… Prepare for a lot of whining and crabbiness. If all seems super stuck, then replace all the gluten and soy too. Both can also form those exogenous opiates, and confound your dairy efforts. Luckily, this is a lot easier than removing dairy, because there are so many gluten free breads, pizza crusts, bagels, crackers, cookies, pasta - and just about everything else! Soy is inconsequential and easy to miss. If you add this piece, be kind to yourself, and take whatever time you need to find substitutes and recipes. They are everywhere! You can also contact me for an appointment if you need support. Kids with picky appetites tend to eat mostly processed foods. You may see that when you move away from the dairy and gluten junk they loved, you find they’re eating more junk – it’s just gluten and dairy free. That is okay – as long as the trend moves toward healthier, whole food. This can take several No information contained in this booklet is medical advice. Check with your doctor or licensed health care provider before using new foods or supplements. © Judy Converse 2016 weeks or months. It goes faster when you optimize that gut biome environment with herbs and probiotics, and give back good minerals that help appetite pop. Be patient – these are big changes for you and your child. You are building new tissue every day in your child’s brain and body with these new foods; allow time for it to work. Consider those processed items as a bridge piece, or a halfway house of sorts: First, break the milk protein addiction; then, break the junk addiction. It is much easier once your child accepts other proteins and is no longer dependent on casein. Keep this program going for the next three months. If things seem stuck, here is what may be going wrong, based on my two decades of clinical experience with busting picky dairy eaters: •There is an untreated, latent infection in your child’s gut. Consider stool testing to identify and clear it. Be persistent with this piece! •There is marginal iron or zinc status that needs repair. •There is some soy or gluten confounding everything; remove both. Put in other proteins, as powdered supplements or as whole food: Eggs, meat, fish, chicken, lentils, nuts, hemp hearts, homemade broth, collagen, hemp powder, nut butters, seeds, seed butters. Rice No information contained in this booklet is medical advice. Check with your doctor or licensed health care provider before using new foods or supplements. © Judy Converse 2016 • protein or pea protein powders are available too; make sure they are boosted with lysine to be adequate. • You need a different probiotic, or you may have added Saccharmocyes boulardii probiotic. Don’t. Thought this strain can be helpful in some cases, it can exacerbate fungal infections for others and keep appetites stuck, especially if used for more than 30 days. • There is some hidden dairy somewhere. Look everywhere. Even hydrolyzed dairy, such as is found in formulas like Nutramigen, Compleat, or Alimentum, can throw this effort off. As weeks go by, expect your child to gradually show more interest in other foods. This can be subtle at first – but it won’t really kick in until all the dairy (and possibly all the gluten and soy) are one hundred percent gone. Your child may simply be willing to let you place a new food on his plate, but won’t touch it; or your child may ask about foods he’s never cared about at all, but still won’t eat it. Don’t give up. Keep track of new behaviors, interests, or comments your child makes. If none of this works, then something is missing. That is my experience. Keep looking and you can find what it is. If you’d like my help, I’d be glad to hear from you. There are many more foods, recipes, supplements, and ways to replenish your No information contained in this booklet is medical advice. Check with your doctor or licensed health care provider before using new foods or supplements. © Judy Converse 2016 child when dairy is withdrawn, as well as all sorts of lab tests to consider if your child is stalled in faltering health or lesser functional ability. Use nutrition and food to bring your child’s true potential and personality to the fore, not to change your child. If you are needing more help, visit NutritionCare.net and get in touch! No information contained in this booklet is medical advice. Check with your doctor or licensed health care provider before using new foods or supplements. © Judy Converse 2016 Milk Addicted kids CHAPTER EIGHT Can My Kid EVER EAT DAIRY AGAIN? Dairy No More, Ever? It Depends This varies. Even hard core milk addicts, who get that way in the first place from a leaky gut, can sometimes do fine eating dairy again, in moderation. This usually takes a year or two of avoiding it completely and using an ongoing program of a healthy, plant-strong, real-food diet plus probiotics, supplements, and herb rotations to restore gut tissue. The goal is not to go back to eating a picky diet again, but to perhaps include dairy in a diverse diet, if it’s tolerated! Some kids simply always do better with very little of it or when avoiding it completely. Kids with IgE allergy may simply always need to avoid it. Either way, give your dairy free trial a good long stretch: Four months at a minimum, twelve months is even better. Antibodies to milk protein and casomorphin can take weeks or many months to break down and leave the body, after a single exposure. So, be patient, be committed. If your child is happier, healthier, stronger, and more themselves – that is the goal. No information contained in this booklet is medical advice. Check with your doctor or licensed health care provider before using new foods or supplements. © Judy Converse 2016 When reintroducing dairy, it can be helpful to use an enzyme called di-peptidyl peptidase 4 (DPP-IV), with each dairy serving (capsules or chewables are available). It will help break the casein down and can mitigate its impact. It may not have much impact on antibody reaction, but it can make it easier to digest dairy protein. No information contained in this booklet is medical advice. Check with your doctor or licensed health care provider before using new foods or supplements. © Judy Converse 2016 Milk Addicted kids CHAPTER NINE Buying What You Need AND GETTING HELP Buying What You Need For This Program These Products Will Help You Visit EmersonEcologics.com or call them at 1-800-654-4432 to order any of the supplements suggested in this booklet. To access any product at that site, log in as my client. This gives you a ten percent discount, as well as access to products that only health care providers can normally purchase. Use MyNCFC as the log in, and use 80303 as the password. Or, simply call and tell them you are my client to access these products with discount. If you're ordering probiotics, defer the costly chill pack shipping for a big savings if you like, but store them immediately in the fridge on arrival. Can you hunt for cheaper alternatives? Sure. But, I have no idea if those will work as well as the products mentioned here, which I have used for years in my practice. I do also use many others - there are hundreds if not thousands of other options. If you’d like more help, I routinely customize and simplify supplement protocols for my clients. Contact me via NutritionCare.net for an appointment, if you’d like a No information contained in this booklet is medical advice. Check with your doctor or licensed health care provider before using new foods or supplements. © Judy Converse 2016 customized supplement protocol or need more help. I’ll complete a nutrition assessment for your child in order to recommend supplements specific to his or her case. For new foods, check ThriveMarket.com, or visit your local Trader Joes, Whole Foods, Alfalfa’s, Vitamin Cottage, CostCo, or any retailer of gluten and dairy free foods. Most supermarkets now carry a wide assortment of these foods too. For supplements, cheaper is not always better. Read those labels as carefully as you’ll be reading food labels. Cheaper supplements usually have more fillers, lower potencies, lower purity, or less quality control for toxins or contaminants. The products I’ve suggested here are brands I have worked with for years, and have seen them help children in my practice. Where Will My Kid Get Calcium? I’m always asked this question! Lots of foods have calcium, and in forms that are healthier to digest and absorb than milk. Only about a third of the calcium in milk is well absorbed, compared to about seventy percent from the calcium in leafy greens! Eating too much protein and sugar will also make your body waste and lose calcium, so if your child has been eating 60 or 70 grams a day of milk protein, then their calcium balance and bone density will probably suffer more than benefit. You can also give a daily supplement of calcium citrate, calcium lactate (lactate is not a protein and will not confound a dairy free diet No information contained in this booklet is medical advice. Check with your doctor or licensed health care provider before using new foods or supplements. © Judy Converse 2016 free diet effort), or any form other than calcium carbonate, which will diminish digestion over time (it’s an antacid, like TUMS). Naturally calcium rich foods are.. Sesame seeds, sesame tahini Hummus Chick peas Almonds, almond milk, almond butter Bok choy Broccoli Kale White (canelli) beans Foritifed orange juice or other juices Blackstrap molasses (good in hot cereal or smoothies) Hemp seeds or hemp hearts Chia seeds When Is Professional Support Important? Parents take on nutrition support and dietary changes for their families every day, on their own. Why? Because nutrition intervention is not taught in medical schools. Doctors do not learn much about it. This leaves parents believing they have to do this alone. You don’t. Just removing dairy food from a child who is overly dependent on it can be daunting, complex, and difficult. I often hear parents sigh “we tried that, and it didn’t work” – only to No information contained in this booklet is medical advice. Check with your doctor or licensed health care provider before using new foods or supplements. © Judy Converse 2016 learn that there were missing crucial pieces in the sequence that set them up for failure, after spending a lot of time, money and angst on a doomed-to-flop nutrition project. Get help! Especially if… •Your child’s growth pattern seems to have slowed down. •Your child has a body mass index below the tenth percentile. •Your child isn’t growing out of clothing anymore. •You’ve been told to put your child on psychiatric medication. These don’t fix nutrition problems (which have a big impact on mood, learning, attention, and behavior), so rule those out and repair them first. •You don’t know how or what to prepare for your child to eat. •Your child is determined to eat non-food items, like wood, metal, plastic, fabric, ice, or dirt, past infancy. This is a sign of a serious nutrition deficiency called pica. •Your child can’t attend school anymore due to illnesses, anxiety, or fatigue. •Your child has other conditions that are nutritionally demanding, like asthma, rheumatoid arthritis, Down’s syndrome, autism, growth failure, feeding tube, or severe food allergy. You don’t have to go it alone. Contact me at NutritionCare.net if you’d like one on one help. No information contained in this booklet is medical advice. Check with your doctor or licensed health care provider before using new foods or supplements. © Judy Converse 2016 About The Author Judy Converse MPH RD LD Judy is a pediatric nutrition specialist. She is a licensed registered dietitian with graduate and undergraduate degrees in nutrition and public health from the University of Vermont and University of Hawai’i. Her passion for all things nutrition began early and carried through her many years as a Division I soccer player at collegiate and national levels. Judy completed her graduate work and dietetic rotations across sites in Honolulu and Boston, and later created a television program on the unique foods and culinary herbs thriving in Oahu’s community food gardens. She went on to work in outpatient care for Kaiser Foundation Hospital, as a nutrition educator for a large health insurer, and as a grant writer for a non-profit comprehensive care clinic. Her real calling emerged with the birth of her son in 1996, who experienced deep challenges from birth for feeding, growth, allergy, and more. With little guidance to be had from her pediatric providers, Judy dug into her infant nutrition training and expanded it, to help her son and other children enjoy their full wellness potential through integrative nutrition. Judy became a pioneer among dietitians in introducing functional nutrition for babies and kids to her field. She published the first accredited learning module for dietitians and nurses on nutrition and autism in 2008, has lectured widely for national associations serving families with autism, and has authored five books on using nutrition to help kids thrive. Her client families include those challenged by autism, ADHD, asthma, allergies, feeding and growth concerns, behavior/mood/learning concerns, constipation, and other gastrointestinal symptoms. For families who are ready for a whole food, whole body, functional nutrition approach, Judy is an indispensable asset to pediatric care, for children ages 0-18 years. No information contained in this booklet is medical advice. Check with your doctor or licensed health care provider before using new foods or supplements. © Judy Converse 2016 “ Your child’s birthright is health, wellness, and reaching his or her full potential. Judy Converse MPH RD LD No information contained in this booklet is medical advice. Check with your doctor or licensed health care provider before using new foods or supplements. © Judy Converse 2016 QUESTIONS? Is individualized nutrition care right for your child? Visit NutritionCare.net and find out what integrative nutrition can do. SCHEDULE NOW