ACTION PLAN #

The following is list of laboratory companies that I most commonly use in my practice.

• _{BioHealth (BH) – www.biodia.com}

• _{Doctors Data (DD) – www.doctorsdata.com} • _{Great Plains Laboratory (GPL) –}

www.greatplainslaboratory.com

Action plan #2 includes the recommendations from Action #1 plus some basic testing (non-blood).

If you are in a position where you do not have the ability to order blood work (see Action Plan #3), or you would like to start some basic tests that do not require blood work then this is the plan for you. One thing to consider with respect to the development of a comprehensive program is the eventual need to do blood testing. However, this can always come later. I have seen on occasion some kids do so well with basic

supplement support and dietary changes that blood work was never implemented. However, this is rare.

There can be essential information that needs to be assessed via your child’s blood, i.e. mineral levels, kidney and liver function if the eventual goal is to implement heavy metal detoxification therapy, antiviral, or other detoxification

therapies. In my practice, I recommend to parents to do as much testing upfront that they can afford. This way you are armed with more details of your child’s specific issues and immediate needs for therapeutic intervention.

More specifics are given in Chapter 8 about diagnostic testing. However, as I have indicated the need for blood work assessment can always come later after you have started some basic intervention (see Action Plan #1). Also, another thing to consider for many young children is that there is only so much blood that can be taken at one time (based on their weight) – so this can be a limiting factor.

Testing Recommendations for Action Plan #2 (all these tests are non-blood)

• _{Comprehensive Digestive Stool Analysis w/} parasites (DD or GPL)

• _{Amino Acid Analysis (DD or GPL)} • _{Fecal Metals (DD or GPL)}

• _{Hair Analysis (DD or GPL)} • _{Organic Acid Test (GPL)}

• _{Porphyrin Profile (GPL or Laboratoire Philippe}

Auguste in France – www.labbio.net).

• _{Urinary Peptides (GPL)}

ACTION PLAN #3

Action Plan #3 involves both action plans #1 and #2. However, in addition to these is the recommendation for additional blood testing, and implementing methycobalamin (Methyl-B12) therapy.

This is my preferred path to begin. This action plan

incorporates the basic supplements I recommended above, the comprehensive testing that I feel minimally should be done for most children (including the non-blood tests listed in Action Plan #2, as well as blood tests – see below), and the implementation of a highly effective therapy called Methyl-B12. Please see Chapter #10 for an in-depth discussion about Methyl-B12.

Testing Recommendations for Action Plan #3 (all these are blood tests)

NOTE: As previously stated please be aware that there is only so much blood that can be taken from one child at any one time. In my experience the tests listed below can be completed in one blood draw visit for most children. The tests labeled optional can be added on, but often will cause the amount of blood to be drawn to exceed the limit

acceptable for most children. These are normally done at a later time.

• _{*Packed Red Blood Cell Analysis (DD or GPL)} • _{*Plasma Amino Acids (DD or GPL)}

• _{*Comprehensive Food IGG Profile (GPL)} • _{Other Blood Tests (most are available from}

standard labs: LabCorp or Quest Diagnostics:

o _{*Comprehensive Blood Chemistry that}

includes electrolytes, BUN/Creatinine, and Liver Panel

o _{*Total Cholesterol, HDL, LDL, Triglycerides}

Level 3 Recommendations

Action Plan #3

o _{*Complete Blood Count with Differential}

(called a CBC w/Diff)

o _{*TSH, free T3, free T4 (with the addition of} Anti-TPO and Anti-Thyroglobulin antibodies if autoimmune thyroiditis is a concern).

o _{*Serum Iron and Ferritin}

o _{Total Immunoglobulins (IgG, IgM, IgA, IgE) –} Also available from Great Plains Laboratory as the Immune Deficiency Panel.

o _{Rubeola (measles) titer: IgG and IgM} (Rubella levels can be added).

o _{ASO (anti-streptolysin) + Anti-DNAse B (also} available from Great Plains Laboratory as the Streptococcus Panel)

o _{Vitamin D as a 25(OH)D analysis (optional)} o _{ANA, Sed Rate, C-Reactive Protein – these are}

markers for inflammation and autoimmune reactions (optional)

o _{Viral Panel (includes the herpes viruses –} herpes 1 and 2, cytomegalovirus, epstein-barr, herpes virus 6 and varicella) – optional

o _{Natural Killer Cell Analysis and activity} (optional)

• _{Lymes (Borrelia burgdoferi): IgM, IgG Western Blot,} Lyme IFA (can be added if clinical suspicion is high.

(www.IgeneX.com) – optional

• _{Essential Fatty Acid Analysis (GPL) – optional}

NOTE: The labs tests with an asterisk (*) next to them are the ones that most commonly are ordered as an initial

as Natural Killer Cell Activity, Immunoglobulins,

Streptococcus (ASO, anti-DNAseB) and what is called a T & B Lymphocyte Panel are all part of the immune work-up for

Neuroimmune Dysfunction as outlined by a group called Stop Calling It Autism - www.StopCallingItAutism.org.

There are a myriad of other markers that can be tested – the list is endless really, but most of the time not necessary in the beginning stages. I am presenting to you what I often use in my clinic to begin the assessment of an autistic child (or adult). What you are trying to accomplish with this initial series of tests is to establish a baseline with respects to your child’s level of mineral and body chemistry function, digestive function, food sensitivities, etc. I will explain more in Chapter 7 (Diagnostic Testing) about why I recommend these tests and how they can influence your decision making with respects to biomedical intervention.

This comprehensive profile takes into account the non-blood and blood testing that is laying the immediate ground work for future therapies. Some of these therapies include anti- fungals (Nystatin, Diflucan, natural remedies such as capyrilic acid or grape seed extract), antibacterials (prescription antibiotics or natural agents), antivirals

(Acyclovir, Famvir, Valtrex or natural remedies like lauricidin or Larrea Tridentata), and Transfer Factor immune support and other advanced support for heavy metal detoxification. All of these later remedies are based on what is found on the initial series of tests, and will help to determine what priority additional therapy should be implemented.

Action Plan #2 is an extension of Action Plan #1, with the addition of non-blood testing listed above.

Action Plan #3 is the most comprehensive of the three because it incorporates both Action Plans 1 & 2.

Action