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Tuesday 17 October 2023

Takeaways from Thinking Autism 2023


I did present at the Thinking Autism 2023 conference in London recently.  I was last there in 2019 and there were many familiar faces.

Emotions were very much on show - joy, desperation, bewilderment, hope, fear, frustration and more.

The United Kingdom is amongst the worst countries in the world if you want to treat autism.  Even the idea of treating autism can get you into trouble. For severe autism it is much better to say treating ID (intellectual disability) – what sane person could object to that?

My takeaways are very specific to me, but here they are anyway.

 

So many doctors!

This year I was approached by many doctors who have children with ASD.  Among them were GPs, pediatricians, a neurologist, and a psychiatrist.

When you understand the basis of autism it is not surprising that so many doctors have kids with autism, particularly doctors married to a doctor.

 

Fertility treatment increasing the risk of autism

I did mention in my book the link between difficulty conceiving and having children with autism. Mothers who have had miscarriages are at risk of having a child with autism and children produced via IVF therapy have an elevated chance of autism.

One of the speakers at the conference, who uses diet as a therapy, told us that 30-40% of her patients where conceived by IVF therapy.  Wow – I thought. They are mainly children with milder autism, only 10% of her patients have severe autism.

 

From struggling to get on IVIG to how to come off it

Many parents struggle to get onto IVIG therapy for their child.  It is very expensive and, being an intravenous therapy, it is not so easy to administer to a child with severe autism.

Having finally got on IVIG therapy and responded well to it, how do ever wean the child off it, without losing all those gains?

This was a side issue arising from the conference and is an issue to some other readers of this blog.

What is very interesting is the potential to give IVIG therapy just once to very young children who developed normally but then suffer a regression into “autism.”  It seems to work for some. You might get it in Russia, but don’t bother asking in the UK.

 

My son is 14, I have tried everything else now I am ready for pills

Some people do respond well enough to dietary modification and OTC supplements, but more severe autism likely needs pharmaceuticals. For one mother at the conference she had come to this conclusion.  It is never too late to start to treat severe autism. Good luck to her!

 

Never give up

Never give up was the last point on my talk.

One mother at the conference was a very good example. She had finally had her twins examined at the UK’s top children’s hospital, Great Ormond Street Hospital (GOSH).  They have had MRIs, lumbar punctures to get spinal fluid samples and they have had genetic testing.  That is a triumph in the UK health system.

As she told us, she had to play the cancer card. She told her doctors “why do you go to such great lengths to save my life from cancer and yet do nothing for my twin boys with severe autism?”

Now one has a diagnosis of cerebral folate deficiency and one has a mutation is DISC1, a schizophrenia gene already covered, with therapy ideas, in my blog.  High dopamine in spinal fluid was only to be expected - it is a feature of schizophrenia. Light is at the end of the tunnel.  This mother was also very helpful to other mothers present.

 

School reporting on parent treating autism

I was disappointed to hear that a school had reported one mother for treating her child’s autism.

 

Ketones really do benefit some!

I did write a lot about the multiple possible benefits of ketones/BHB in autism.

The week before the conference one mother wrote to tell me that both she and her child with autism respond well to HVMN Ketone-IQ.

I knew our doctor reader Agnieska was a big fan of the BHB ester product Ketoforce, which seems to have disappeared during Covid.

At the conference a Spanish psychiatrist was listing the therapies in my blog that have helped his son and they included NAC, Bumetanide and BHB.

There are several new ketone products based on diol ketone esters, like HVMN Ketone-IQ.

Our reader Daniel mentioned very recently that he is using a product called DeltaG, a proprietary blend of diol ketone esters. HVMN Ketone-IQ is a pure diol ketone ester, while DeltaG is a proprietary blend of diol ketone esters.

The active ingredient in Ketone-IQ is R-1,3 Butanediol, also referred to as R-1,3-Butylene glycol, which maintains FDA GRAS status as a flavor molecule.

 

https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfcfr/CFRSearch.cfm?fr=173.220

 

1,3-Butylene glycol (1,3-butanediol) may be safely used in food in accordance with the following prescribed conditions:

(a) The substance meets the following specifications:

(1) 1,3-Butylene glycol content: Not less than 99 percent.

(2) Specific gravity at 20/20 deg.C: 1.004 to 1.006.

(3) Distillation range: 200deg.-215 deg.C.

(b) It is used in the minimum amount required to perform its intended effect.

(c) It is used as a solvent for natural and synthetic flavoring substances except where standards of identity issued under section 401 of the act preclude such use.

 

This raw ingredient is very cheap.

Once it is packaged up as a supplement, it becomes very expensive.

As Agnieszka mentioned on the conference sidelines, you do have to look at the ingredients. In HVMN Ketone-IQ there is potassium benzoate as the preservative.  Potassium benzoate is a DAO inhibitor. DAO, or diamine oxidase, is an enzyme that breaks down histamine, a compound that can cause a variety of symptoms in histamine-sensitive people, such as headache, flushing, hives, and diarrhea.

 

“If my son can take the bus aged 20, I’d be happy”

One doctor mother showed me a video of her untreated young son with severe autism.  I told her how I have treated my son since 2012 and what the result has been. He passed his high school exams (GCSEs) in maths, science, geography, and English.  Now he has learnt how to travel independently from home by bus.  Time for those pills.






31 comments:

  1. Interesting article on viral infections and decreased serotonin production. Maybe helps explain why SSRI help some.

    https://www.cell.com/cell/fulltext/S0092-8674(23)01034-6?_returnURL=https%3A%2F%2Flinkinghub.elsevier.com%2Fretrieve%2Fpii%2FS0092867423010346%3Fshowall%3Dtrue

    Stephen

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    Replies
    1. Sodium benzoate might effect serotonin levels. Interesting hypothesis article on how it might work.

      https://www.sciencedirect.com/science/article/abs/pii/S0306987723001160

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  2. Hi Peter,

    It was lovely meeting you and hearing your presentation at the conference. My question is since my child has only got a diagnosis of Autism how do you figure out whether it’s severe or a mild form of Autism I’ve asked his peadetrician but he’s not get helpful and just says it’s Autism.

    Thanks

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    Replies
    1. There are rating scales like CARS (Childhood autism rating scale) that are designed to measure the level of autism. People diagnosing autism really should use these tools, but in the UK they do not. Here is a description.

      https://g.co/bard/share/4881a11d68c4

      In the US almost 40% of kids diagnosed at or before 3 years old with autism no longer meet the criteria at the age of 6.

      https://www.cbsnews.com/boston/news/outgrowing-autism-by-age-6-study-boston-childrens-hospital/

      The UK it is following the US model of very freely handing out an autism diagnosis. In previous decades you had to be disabled to get a diagnosis.

      If your child can talk, play appropriately with a ball and other toys, and can play with other kids, then he/she is not severely autistic. People with mild autism and normal IQ are better considered as having Asperger's - they do have their struggles.

      Autism is not a medical diagnosis, it is simply an observational diagnosis that has lost its meaning, due to over use.

      Delete
  3. Will this be available to watch on YouTube at all?

    ReplyDelete
    Replies
    1. It was not recorded.

      If you want to see some great videos from a conference that Tatjana was very involved with, follow the link below:

      https://www.youtube.com/@seecathesoutheasteuropeanc6497/videos

      Delete
    2. Peter, would you be willing to share your slides since it wasn’t recorded? It won’t be the same but I’m should would provide a wonderful guideline of what you presented.

      Delete
  4. about disc1. i search your blog and see you just recommend only roflumlast and curcumin for that?

    ReplyDelete
  5. In your article 'Game Changer or Fine Tuning?': Is your list of 'reducing autistic behaviors fine tuning'- drugs still current?

    I take NAC, tried atorvastatin, trying bumetanide. Could you please tell me, which others do you recommend most for autism/asperger? Here are my symptoms before NAC: Not connected to humans, can't communicate verbally or non-verbally, can't say a word except answering questions – even saying hello was hard – but was able to speak to parents, 2 grandparents and a few friends but i wasn't myself, i was most myself with my mum. I don't think i had a personality, i was only play-acting. I couldn't smile for social reasons, only when something was funny. When i was with people that didn't belong to the ones i could talk to, i didn't even know what to do or how to move or whatever. When i was around 8 or 9, i couldn't say a word to my friends anymore. As an adult didn't know what to say anymore to mum and grandparents. As an adult all life seems to have left me. What could be the main part of my personality is being super social and enjoying being outgoing. I always knew who i am. Autism took it all. Autism was suffering, but what was worse, i also had torturing social phobia (fear and embarrassment when in contact with humans) since i was 1 and a few months, maybe even before. I also have a big back of head.
    What i want from medication is: No social phobia, being very connected, talking very much and being very outgoing, i want to have a personality and be able to use it.
    My idea to try was calcium folinate. Baclofen?
    Thank you very much!

    ReplyDelete
    Replies
    1. The reality is that all kinds of interventions help in some cases. The issues for Aspies can be very different from those in profound autism. But similarities do keep presenting themselves.

      I suggest you try oxytocin. The simple way is to use the children's probiotic Biogaia Protectis. Take 5x the regular dose for gut health. This results in a signal via the gut-brain axis that causes oxytocin release in the brain. Try it for a couple of days, or until you run out of the probiotic. If this makes you feel better, then you have identified something useful.

      You can also use serotonin to improve mood. You you see if a drug like Prozac helps you. An alternative strategy which seems to work via serotonin is to take broccoli sprout powder. It tastes terrible but add a heaped teaspoon to a glass of water stir and swallow. Squeeze your nose with 2 fingers and the taste is just about OK. Most people are trying to make sulforaphane from broccoli. The effect on mode seems to be unrelated to this. In some people, like my son and others, there is a profound mood change in about 20 minutes.

      I doubt baclofen and calcium folinate will help you, but anything seems to be possible.

      Delete
  6. I took serotonin, also prozac, they did nothing for my autism. Thank you very much for oxytocin! I once took a probiotic that also contained l. reuteri. It made me go to my grandparents instead of sitting at my computer, but it was less and less fun, because i still didn't connect to my grandparents and couldn't for example talk to them. NAC helped big, maybe Biogaia will help now. Maybe my probiotic didn't have enough l.reuteri. I once bred broccoli sprouts, they didn't really do anything, so i guess i shouldn't try the powder? Calcium folinate seems so promising, it makes some speak more, why not me? I would love that!
    I can't afford biogaia. Can i just take L.reuteri?
    How many million l.reuteri or gram l.Reuteri do i need per day? This one has 5 billion per pill: https://www.amazon.de/Lactobacillus-Reuteri-Probiotika-Kapseln-L-Reuteri-Nahrungserg%C3%A4nzungsmittel/dp/B0BL83P9Z5/ref=sr_1_5?keywords=lactobacillus+reuteri&qid=1697916147&sr=8-5

    ReplyDelete
    Replies
    1. There are many L. Reuteri strains of bacteria, all slightly different.
      Biogaia Protectis is about Eur14 and many people make yogurt out of it, to grow it for "free". Look on YouTube.
      Try calcium folinate, it costs more, you never know for sure what will help.

      Delete
    2. I'm sorry, i didn't understand. Can i take l.reuteri instead of biogaia? I don't know what Eur14 is. One biogaia said 100 million per dose, so i need at least 500 million, right? Thank you for your help.

      Delete
    3. Stefan, which country are you in?

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    4. Stefan, I assume you are in Germany.

      In Germany Biogaia Protectis is called BiGaia Kautabletten.
      https://www.paedia.de/produkte/bigaia-kautabletten/

      Each sub-strain of probiotic bacteria has different effects, so different L. reuteri bacteria have different good effects and indeed bad effects.

      We know with certainty that Lactobacillus reuteri DSM 17938 can produce oxytocin release. This may, or may not, happen with a different strain of L.reuteri.

      In Germany you can buy BiGaia Kautabletten for a price of about 14 euros.

      So for 14 euros you will know if oxytocin is helpful for you.

      If it was helpful you could then try and get a doctor to prescribe you Syntocinon nasal spray, which is an oxytocin nasal spray.

      Delete
    5. Thank you. Did i stop atorvastatin too soon? I took it 21 days and it had no effect that i could point to with certainty.

      Delete
  7. Hi Peter, My son is 5 years old. I am thinking to try NAC in the hope that it may help. Do you know how to get it in US? - Jack

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    Replies
    1. Found it on amazon. Is there a research paper that talks about dosage? Amazon has a now brand that is 600 mg capsules.

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    2. Yes, just use Google. The Stanford clinical trial was by Hardan. You likely need 600mg four times a day. NAC has an effect that lasts 3 to 4 hours.

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    3. Oxidiced NAC is less potent. Does it still last 3-4 hours though?

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    4. Thanks! Its really helpful. Do you know how early people have reported seeing any benefits with NAC ? (like weeks or months).

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    5. Some effects, like on stimming, can be from the first pill. Other effects take longer. Give it a month and then decide if you want to keep using it.

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    6. NAC shows effect for 3 to 4 hours. NAC degrades into chemicals like cysteine which help the body produce its own antioxidant called GSH. You can get the same effect from eating whey protein. NAC is both an antioxidant and a precursor for GSH. NAC is very beneficial for many conditions.

      Delete
  8. Hi Peter, my son is 4 years old. In general Michael is hyperactive and often when excited he is rocking and hand flapping. He responds very well on LP299v and NAC, but they do not fix entirely his behavior. Often he is just running around the house while he is mumbling or teeth grinding. He is toe walking. He is speaking and he is telling for general needs (pot, water, food, play etc)often with sentence. He have mutation in tryptophan channel and have too much dopamine and serotonin and he is with bad detox. Also his microbiom is bad (we are working with dietitian for fixing it). I will appreciate any advice.

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    Replies
    1. Lactobacillus plantarum 299v is an immunomodulatory bacteria found beneficial for many types of condition, including those with GI problems.

      NAC is a potent antioxidant.

      One therapy often used with Lactobacillus plantarum 299v is sodium butyrate. This has many effects including immunomodulatory and improving the gut barrier (intestinal mucosal barrier). This is an OTC supplement.

      Some children with milder autism respond very well to dietary intervention, so continue with that.

      Some children end up with harmful bacteria in their gut, or bacteria growing in the "wrong" place as in SIBO and may respond well to rifaximin or vancomycin.

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    2. Do you think potasium bromide or baclofen can be beneficial in our case ?

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    3. Nobody can really answer that. What is his level of autism?
      Children with level 3 autism with ID are very different to level 1 with normal IQ.

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    4. Hey Peter, you are familiar with Oxymatrine? Looks like a pretty interesting substance that might help with ASD

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  9. In the US there's Goodbelly brand Lactobacillus plantarum 299v as a probiotic juice cocktail drink at most grocery stores.

    https://goodbelly.com/good-drinks/

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