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Reversing Autism with The Nemechek Protocol – Update 2017

Reversing Autism with The Nemechek Protocol – Update 2017
March 20, 2017 Dr. Patrick Nemechek and Jean Nemechek

Nemechek Autonomic Medicine Autism 2017There is growing scientific evidence that an imbalance of intestinal bacteria called SIBO (Small Intestinal Bacterial Overgrowth) along with excessive inflammation within the brain are responsible for the features associated with Autism as well as ADD/ADHD, mood disorders, and developmental delay in children.

Bacterial overgrowth occurs when large numbers of bacterial that predominantly live in the colon migrate upwards, and increase the number of bacteria within the small intestine by 10,000 to 100,000-fold. This added bacterial load in the small intestine has two consequences that contribute to Autism.

First, the bacteria often tend to be of a clostridium species which can produce propionic acid in massive amounts. Propionic acid is a short chain fatty acid that is normally produced in small amounts within the intestine but the higher concentrations are being linked to some of the behavioral aspects of autism.

In animal studies, high propionic acid leads to the development of antisocial behaviors, increased sensitivity to sound, light, and touch, as well as gait abnormalities. In human studies, children with autism have very high concentrations of propionic acid within their tissues.

Secondly, the increased concentration of bacteria within the small intestine causes leakage of pieces of bacteria into the large concentration of immune cells that surround the small intestine and triggers the inflammatory reaction referred to as leaky gut.


Hello! Just wanted to share that I started my Autistic/Apraxic 3 year old son on your protocol almost a month ago. He had about 10 words before this, averaging 1 new word a month prior. He has since, in that short time had an explosion of speech. He has been saying now about 1 new word a day, said 3 new words just yesterday, and has even spoken a few 3 word sentences. I felt hopeless before trying your protocol and cannot believe the large gains we are seeing so quickly! Thank you thank you thank you!!!!!!!   –   A Mom on Facebook

Leaky gut causes an increase in peripheral pro-inflammatory cytokine levels and allows for the inflammatory priming of a specialized form of white blood cell known as microglia within the central nervous system.

The combined production of inflammatory cytokines and activated microglia are primarily responsible for the developmental issues, seizures, sensory issues, mood and attention disorders commonly associated with autism.

A child is born with approximately 100 billion neurons and over the ensuing 18 years, needs to prune these neurons down to 50 billion in a process referred to a synaptic pruning. Excess inflammation from leaky gut, microglia priming and omega 3:6 imbalances prevents otherwise healthy microglia from pruning fast enough, and results in developmental delay.

The priming effect from the bacterial overgrowth causes many microglia to shift into the M1-phenotype, and results in the brain being less able to fully repair itself from commonplace physical (falls and bumps to the head), emotional (fear, abuse, neglect) and inflammatory (surgery, infections, vaccines) brain injuries.

A small residual amount of damage will remain after each injury, and each new injury leaves residual damage upon the prior injury in a process referred to as cumulative brain injury. The abnormal neurological functioning from cumulative brain injury can occur slowly over time and or rapidly depending on the intensity of the brain injury. Damage to different portions of the brain will result in different outward symptoms such as ADHD, chronic anxiety or gait abnormalities.

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The elevated inflammatory cytokines are also able to turn on certain genes that are linked with autism and may be responsible for certain features or more severe forms of Autism.

And finally, the excessive inflammatory environment in the brain reduces the seizure threshold and make seizures more likely to occur. The drop in the seizure threshold from inflammation is seen when young children without Autism develop febrile seizures with the fever and inflammatory reaction that occurs with simple upper respiratory viral infections or middle ear infections.

My understanding of the bacterial and inflammatory features in Autism have opened the door for me to provide groundbreaking treatment. The bacterial overgrowth increases propionic acid levels that cause kid’s brains to function differently, almost like a chemical impairment or slight intoxication, and at the same time the inflammation prevents normal neuron pruning and development as well as inhibits normal brain injury repair.

My approach to reverse the key components in Autism is straightforward. To provide the brain with a healthy, non-inflammatory environment to function more normally and to allow microglia to correctly prune and repair the brain, we need to reverse bacterial overgrowth and suppress the production of inflammation cytokines that are produced from a variety of sources.

By applying a logical understanding of science, I have developed a simple approach referred to as the Nemechek Protocol for Autism, and I have reversed the key features of Autism in many children.

The Nemechek Protocol for Autism uses a prebiotic fiber called inulin to reverse and control bacterial overgrowth, and high doses of omega-3 fatty acids to normalize microglial function and normalize the inflammatory state within the brain.

Cooking with domestic extra virgin olive oil also helps reduce brain inflammation resulting from linoleic acid, an omega-6 fatty acid found in in high concentration in cooking oils and processed foods.  Inulin is a natural fiber found in onions, garlic, artichokes, agave, chicory root and many other plants.

When buying powdered inulin, I avoid ones that also contain probiotics or digestive enzymes as these ingredients can makes some aspects of Autism worse.  (See my post on probiotics for more info on this topic.)

I find that 2-4 inulin gummies or 1/2 to 1 teaspoon of powdered inulin daily can reverse bacterial overgrowth enough to allow an autistic child (2-8 years of age) to become much more aware and interactive with their environment within a few weeks. And depending on the amount of underlying developmental delay, children will often start speaking within a few weeks to a few months.

Remember this is a simple plant fiber found in foods we eat every day, and is safe in children. If children get a little gassy or bloated, I recommend cutting back on the dose. Inulin is heat-tolerant and can be mixed or sprinkled over any form of liquid or food.

To help reduce the inflammation within the brain and normalize the behavior of microglia, my autistic patients are placed on omega-3 fatty acids (EPA and DHA) from fish. A recommended starting dose for small childrens is about 600 mg of omega-3 (the total of EPA plus DHA) per day.  DHA is particularly important as it is the main omega-3 in the brain.  (Read this post for more information on DHA as brain food.) Omega-3 fatty acids may be given in the forms of simple fish oil mixed in their food or drinks.

I don’t recommend fermented fish oil.  And when dosing I tend to increase the dose of omega-3 is the children are older (specific dose for varying ages of children can be found in The Nemechek Protocol for Autism and Developmental Disorders)  When in doubt, I favor a high dose.

If children have difficulty with diarrhea or prior problems with fish oil causing diarrhea, I have the kids start inulin fiber alone for 2-3 weeks in order to let the gut bacteria balance out, and then slowly increase the dose of fish oil and usually the tolerance is much better.

Whether the parents use Nordic Fishies or or another brand of liquid fish oil, I recommend they buy a high-quality brand as there is a very high level of fraud in the supplement industry.

All families are asked to cook their foods in domestic extra virgin olive oil (EVOO).  EVOO contains 70% oleic acid, and oleic acid reverses the underlying inflammation coming from excessive linoleic acid toxicity.  (Watch my screencast for more information on the benefit of olive oil.)

Linoleic acid is most commonly found in the unnatural vegetable oils added to the foods we purchased.  (See my other post about omega-3/omega-6 rebalancing for more information on this topic.)

The bigger, older children with autism require more effort and higher doses of inulin.  To gain better control of SIBO in older children I often treat with a 10-day course of Rifaximin (Xifaxan in U.S.).  Rifaximin is a non-absorbable antibiotic that is only used for other bacterial overgrowth conditions (hepatic encephalopathy and IBS with diarrhea).

Follow-up use of inulin after Rifaximin is sometimes used if intestinal symptoms are still present.  If inulin does not make any significant difference as a follow-up therapy, I stop it.  I never add probiotics after resetting with Rifaximin because probiotics can easily make things worse even if they helped prior to the use of Rifaximin.

The reversal of bacterial overgrowth with inulin results in a drop of propionic acid and can result in a sudden improvement in function within a few weeks.  But many children do not fully return to normal because they still have underlying developmental delay (some quite severe) as well as ADD, ADHD, sensory issues, seizures, as well as chronic depression, anxiety or aggressive behaviors. ( Watch my screencast about how leakage of LPS from bacterial overgrowth prevents the brain from fully recovering from injuries.)

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These remaining conditions take longer but week by week things can slowly improve.  If there is no significant improvement within 2 months, I generally increase the dosage of omega-3 fatty acids. If things still do not improve or seem to plateau after a couple months, I now add bioelectric Vagus Nerve stimulation to the Nemechek Protocol with good results.  (See my screencast about vagus nerve stimulation.)

The brains of older kids that have experienced prolonged bacterial overgrowth and inflammation as well as more brain injuries that occur over time, generally take longer to show improvement but I have seen significant progress in older kids as well.

I care for 2 teenage non-verbal autistic boys (14 and 16 years of age), and although they showed signs of continual improvement, they took about 4-5 months to begin speaking.

More recent is a remarkable case of a 23-year-old non-verbal autistic girl with frequent seizures. Within 8 months her seizures had reduced from 5-7 per day to 2-3 per week, and she can now write her name and converse in both Spanish and English (she lives in a dual language family).

For autistic children, the Nemechek Protocol will need to be daily and possibly forever but the benefits are life changing. Inulin fiber, omega-3 fatty acids and olive oil are from natural sources, are commonly consumed by most of us every day, and are available without prescription.

I am a classically trained internal medicine physician (D.O.) from UCLA and my Internal Medicine and Autonomic practice is in the Phoenix area. My research background has been focused on the Autonomic Nervous System, brain metabolism, and metabolic inflammation.

I use all available scientific and medical tools to induce the nervous system and organs to repair themselves by normalizing inflammation control mechanisms, inducing natural stem cell production, and re-activating innate restorative mechanisms.

March 23, 2017 –  An Addendum on Recovery

My Experience with Autism Recovery:

Uniformly all the kids under my care (50-60 to date) seem to be improving in significant ways.

In terms of speech, some younger kids start speaking within a few weeks while kids in the teens might take 4-6 months.  Our 23-year-old patient didn’t start speaking until after 8-9 months of treatment.

Importantly, even the most severe cases have a noticeable improvement in their awareness of their surroundings within a week or 2.  I interpret this as a decline in the toxic effect of the propionic acids on their brains.  Parents report more eye contact, awareness or acknowledgement others have entered the room.  They also seem more tolerant of being touched or held, or are more willing to approach someone and be physically close to them.

After the first few weeks, recovery rates are highly variable, and I believe this is due to the degree of developmental delay underlying the toxic state.  If the inflammatory cytokine process has been going on since birth, there can be so much developmental delay as to be labeled mentally retarded.  But if the developmental delay is simply mild, kids may seem very functional quickly.

The important point to remember is that your child’s brain and an enormous capacity to continue the path of development once the inflammation is controlled.  Neuronal/synaptic pruning will re-initiate, and according to the developmental delay literature, they can catch-up about 2-3 months of development for every 1 calendar month.  In my estimation, it seems to advance this fast if not faster.

The underlying wild card is what gene has been activated by the inflammation and what might it do to the neurological impairment of your child’s brain.  The inflammatory environment that prevents normal synaptic pruning and recovery from brain injury also triggers the litany of genes being found in autism.

Inflammatory cytokines abnormally produced by the mother are affecting the child’s nervous system within the womb, and then the imbalance of intestinal bacteria of the child as well as high omega-6 food sources continue to fuel the inflammatory process within the child after birth.

These inflammatory cytokines are the primary process through which the genes within the DNA that had been dormant for 1,000’s of years in the child’s ancestors are finally activated, begin altering how cells function, and contribute to the overall variety of neurological, behavioral characteristics that manifest in autism.

Here’s the potential for recovery in the autistic brain. A 23-year old non-verbal autistic female (Lennox-Gastaut Syndrome), was having 6-8 seizures per day and had never held her parents gaze for her entire life.  She did not like to be held, could not color or write, and sat curled up in a chair most of the day rocking.

Within 2 months’ of starting our protocol (rifaximin, high dose omega-3 fatty acids, and mother cooking with California olive oil), her seizures had dropped to 1-2 a day, she would sit upright in a chair and she slept through the night.

At month 4 she started looking her parents in the eyes and holding their gaze, and was more able to be touched and hugged.

At her month 6 office visit, she started smile at me, her seizures had reduced to 1-2 per week, she could now write her name (although she had never been shown previously) and could draw objects that were recognizable.

At 8 months, she began speaking rudimentary Spanish and English (dual language household) but emotionally is behaving as if she is 3 years old.

At 18 months, she speaks very clearly in full sentences, her seizures have declined to 1-2 per month (despite discontinuation of 2 seizure medications), and her emotional maturity has risen to about that of a 4-5-year-old.

But don’t despair. No matter how badly the developmental delay has slowed brain maturation, the potential for an unbelievable recovery is present.  We are beginning to understand that once human genes are turned on by inflammation, they can ultimately be shut back off again once the inflammatory environment within the body is significantly reduced.

Do your best to be patient and give this approach a chance.  Because the path to recovery over all things medical is 3 steps forward, and 1-2 back, compare today’s behavior to last month’s, not yesterday’s. The neurons within the human brain, like your hair, can only grow and change only so fast.

Every month, your child’s brain has the ability to “catch-up” 2-3 months in development.  That means every calendar year, they may catch-up 2-3 years.  I believe once the inflammation is suppressed, all that is required for recovery is a good solid inflammation suppressing regimen and patience.

May 26, 2017 – Addendum on The Misconception of Feeding Bad Bacteria and Yeast

The conclusion that increased stemming, less sleeping or increased anxiety is from inulin feeding “bad” bacteria such as Klebsiella has been a concern of several commenters.

I’m not saying this is impossible but I do not believe that to be the case, and have never seen such a reaction in the many children I’ve worked with. There are several reasons for this.

First, inulin’s main effect is within the lumen of the small intestine where bacteria digest inulin through a process referred to as fermentation. The primary effect is the production of the healthy short chain fatty acid known as butyric acid. Only small amounts pass through to the colon.

Secondly, a significant increase in pathogenic bacteria, or overgrowth bacteria would almost certainly cause an increase in diarrhea, stool frequency, abdominal cramping, reflux and eczema. We do not see this, and in fact there in general a reversal of these symptoms with the use of symptoms with the use of inulin.  If the intestinal ( not neurological or behavioral) symptoms were to worsen on inulin, I would suggest the inulin be discontinued and would suggest using Rifaximin.

The development of constipation with the use of inulin is a sign of underlying autonomic dysfunction from developmental and cumulative injury that eventually reverse after a few months of fish oil.

Thirdly, propionic acid has a sedating effect on children, almost as if the children had been taking Valium or Xanax. Therefore, once inulin reverses the bacterial overgrowth and the propionic acid levels decline, the children will come out of their stupor. There behavior at this point is predicated but their pre-existing developmental abnormalities and cumulative brain injuries and not some toxic effect of inulin.

A fourth point is that the detection of pathogenic bacteria such as Klebsiella in the stool by no means suggests these bacteria are present within the small intestine where inulin has it’s main effect. Detection of pathogenic bacteria such as <em>Klebsiella pneuomiae</em> or <em>Clostridium difficle</em> are commonly in asymptomatic patients and are essentially harmless. Their growth is kept in check by a healthy balance of other bacteria which is further bolstered with inulin.

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And finally, some parents are worried about overgrowth of candida. I agree that candida and other yeasts/fungi inhabit the intestinal tract but more detailed studies demonstrate yeast/fungal overgrowth does not occur in autism. And while the observations of clinical improvement about reduction of sugars and etc. are correct (think GF/CF, FODMAPS, GAPS), they were misattributed to yeast instead of the bacterial overgrowth for which we have mounting evidence.

Because of this, I believe the use of potent anti-fungal drugs is unwarranted in the specific treatment of autism.

Hope this helps.

© 2017. Dr. Patrick M. Nemechek and Jean R. Nemechek. All Rights Reserved. Patent Pending.


  1. Patrick Nemechek, D.O. 9 hours ago

    Generally yes.

  2. LisaJ 11 hours ago

    Hello Dr Nemechek, I have been following your protocol for my autisticnon verbal 3 year old son with suspected apraxia since middle of Feb 2018. All recommended brands, slightly higher dose of omega (Nordic Naturals Ultimate Omega). I would consider him mildly autistic but the fact that he’s non verbal means he has a moderately autistic score. I’ve seen in Nemechek forums online where parents anecdotally mention questions you’ve answered for them during visits, and in one you advised it would take about 18 months for an autistic 4 year old to recover. Is this also the case for a child the same age with apraxia? Thanks in advance.

  3. Patrick Nemechek, D.O. 14 hours ago


  4. Anonymous 16 hours ago

    Hello Doctor
    This protocol can address problems of anxiety, depression, obsession and fear in men and women as do antidepressants

  5. Patrick Nemechek, D.O. 17 hours ago

    At day 34, I recommend just waiting another 4-6 weeks and you’ll begin to see these behaviors calm down and dissipate.

  6. Patrick Nemechek, D.O. 17 hours ago

    Flax seeds are fine

  7. Patrick Nemechek, D.O. 17 hours ago

    Because of the high frequency of fraud in the supplement industry, I prefer real food as the best way to obtain one’s nutrition.

  8. Sskl 23 hours ago

    Good Day Dr,
    I am in Day 34 into your protocol. My daughter is 5 y.o , ASD, ( a bit on the higher function site).
    So i didnt expect for the awakening as i thought she has quite ok eye contact .
    However , i was wrong , she started to have amazing eye contact. She used to sit and tap on ball .. Now she is kicking the ball , throws and catches the ball with fast reflex without dropping the ball. Her motor apraxia is improving . She is attempting to verbalize more.
    She is on 1/4 tsp inulin Day + 1/4 tsp inulin Night, 15ml EVOO, 4ml FO NN Omega 3 ( 1200mg).
    But her old behaviours are returning, all those which she did at 2 years old – spinning with eyes at side and enjoys the sensation, giggling, running around, scripting with echolalia , very clingy , wants us by her side until she sleeps off.
    i read your book , that after there is initial shift in behaviour, to up the dose of FO and watch the hair grow ( so i up the FO from 2ml ( 600mg) to 4mg ( 1200mg) ), waiting for the awakening period to over .
    Is this her emotional age as what you mentioned?
    But i keep having the thought, should i up the inulin? Is the inulin enough ..
    Can i give her alkaline water ? will it interfere with the micromes in the small intestine?
    Thank you Dr Nemecheck .

  9. Ayesha 23 hours ago

    Dr. you have mentioned in the book that “An omega-3 fatty acid commonly supplemented in the form of nuts, flax, or chia” so its meaning that we cannot use flex seed?are they considering in supplements?

  10. Renee 1 day ago

    Hi Dr. Nemechek, what are your thoughts on protein powder, in conjunction with your protocol? Thanks

  11. Patrick Nemechek, D.O. 1 day ago

    No, l-glutamine will not help if the primary cause of the inflammation, bacterial overgrowth, resolves. After then, the gut heals itself in 2-3 weeks without exogenous glutamine.

    Whatever glutamine needed by the glut (its the primary source pf energy for the cells that line the intestinal tract) is obtained through endogenous production.

  12. Patrick Nemechek, D.O. 1 day ago

    I generally am not supportive of additional supplements.

  13. Joe J. 1 day ago

    Hello, Dr. Nemecheck, we’ve just ordered your book, watched many of your videos, and are about to start our 4 year old autistic son on the Protocol. Currently our son drinks a chocolate flavored exogenous ketone supplement every day as it makes it easy for us to mix in other supplements we’ve been giving him. Plus, we feel like the ketones have helped him with things like focusing. Would it still be okay to give him the ketones to mix in the protocol supplements?

  14. Roxane 1 day ago

    My 15 year old son with ASD was tested positive for SIBO from his integrated medical doctor. She also did a fecal analysis which show his gut inflammation to be 4 times the normal. As many integrated medical doctors do, she wants to treat the inflammation, in this case with L-Glutamine- amoungst many other things. She also wants to treat the SIBO with Flagyl in addition to Rifaximin. I’m considering skipping the Flagyl. So, we are waiting to get the Rifaximin from overseas. Would it seem reasonable to treat the gut inflammation with the L-Glutamine while we wait for the Rifaximin to arrive- at least 2 weeks? Thank you

  15. Patrick Nemechek, D.O. 1 day ago

    ACV is completely different than inulin but trying this would be harmless and won’t interfere with the protocol.

  16. Patrick Nemechek, D.O. 1 day ago

    His increased behaviors are from the awakening and commonly begin to subside in 6-8 weeks.

    The increased stools are mainly from oil intolerance. Stop the oils then slowly increase with FO first over 2 weeks followed by EVOO over a few weeks.

  17. Patrick Nemechek, D.O. 1 day ago

    The balance of DHA/EPA in a young child does not matter.

    It only seems to matter oin older teens and adults.

  18. Patrick Nemechek, D.O. 1 day ago

    I think the increase in yelling is from some other issue worsening the inflammatory stress in the brain.

    Please read my chapters on relapses.

  19. Patrick Nemechek, D.O. 1 day ago

    I often disagree with the diagnosis of persistent CMV and HHV-6 diagnoses. I would get a second opinion on this.

    My chapter on prevention outlines my thoughts regarding your younger child.

  20. Patrick Nemechek, D.O. 1 day ago

    The Vitamin C will not help buffer the inflammatory stress from the vaccinations.

    Overall, my thoughts on vaccinations are outlined in the chapter on prevention.

  21. Patrick Nemechek, D.O. 1 day ago

    The strawberry flavor might cause a problem.

    Try the NN lemon flavored.

  22. Alina 2 days ago

    Hello Dr. Nemechek,
    Thanks for your ground breaking Nemechek protocol. I have put my 11 month old on nemechek protocol. I started him on this protocol on May 17th. I currently give him
    1/2 capsule of NN Ultimate Omega = 300mg.
    1 teaspoon of olive oil in his food
    1/8 teaspoon of Now Inulin.

    His 12 month shots are coming up soon. I am wondering should I delay the shots (or space them )or should I give him high doses of now vitamin C ( 1000 mg – powder form) 5 days before and after the shots. Also. should I increase his Fish Oil, Olive Oil and Inulin intake before the shots. Please advice.

  23. Patrick Nemechek, D.O. 2 days ago

    2-3 months is usually enough time to see a change but improvements can be harder to notice in older kids and those with higher functional capacity.

  24. Patrick Nemechek, D.O. 2 days ago

    I would recommend my protocol – fish oil, olive oil, inulin and avoidance of supplements and probiotics.

    All very safe, natural ingredients.

    I too would also tell my patients not to worry about an elevated B12 level.

  25. Patrick Nemechek, D.O. 2 days ago

    I think a consult in Arizona might be helpful for your 10-year old.

  26. Patrick Nemechek, D.O. 2 days ago

    The inulin and fish oil can be dosed separately and chewing will not alter the effectiveness of any of the ingredients.

  27. Patrick Nemechek, D.O. 2 days ago

    I think a consultation with me in AZ might be of use for you.

  28. Patrick Nemechek, D.O. 2 days ago

    Great news.

    Yes, I’ve seen a variety of cranial nerve palsies recover.

  29. Patrick Nemechek, D.O. 2 days ago

    I would continue them as long as they seem to help her. I do not think they will prevent the protocol from being effective.

  30. Patrick Nemechek, D.O. 2 days ago

    Its difficult to say precisely but the main issue is we have had some parents describe a relapse when switching to the strawberry flavoring. This flavoring contains about 15 different chemicals and one of them may inhibit neurogenesis. The children then regained prior function by switching back to lemon flavored.

    This is not a scientific approach per say as much as it is a process to control the multiple variables that might inhibit a child’s recovery.

    The same goes for the olive oil. Stick with the brand that is working worldwide.

  31. Patrick Nemechek, D.O. 2 days ago

    You may want to make an appt with me before giving up.

  32. Patrick Nemechek, D.O. 2 days ago

    More eye contact and awareness are a good indicator that the inulin dose is working.

  33. Patrick Nemechek, D.O. 2 days ago

    Many studies show inulin to be safe when given to infants and I generally disagree with the recommendations of using probiotics in any circumstance.

  34. Patrick Nemechek, D.O. 2 days ago

    Non-hydrogenated palm oil is generally OK.

  35. Patrick Nemechek, D.O. 2 days ago

    You already know my feelings about this.

    I recommend stopping all supplements to my patients.

  36. Esther 2 days ago

    Dear Dr. Nemechek,

    Thanks to you and your wife for writing the book, it has given us a lot of hope. I started my daughter on your protocol on April 1st of this year, she is 10 and will be 11 in October. She has autism and is highly verbal but her social skills aren’t very good. She is good in academics but she doesn’t know how to talk to other kids her age. She is very anxious, doesn’t focus, talks to herself, she lacks flexibility, etc. She is now taking 2 tsp of inulin, 3 fish oil capsules (NOW DHA-500) and 1 tbsp California oil (plus cooking with it). We haven’t seen any big gains, is it too early to tell or is it that the inulin isn’t working and she needs rifaximin? Thanks

  37. Olivia 3 days ago

    Hello, I make your protocol since February, I read your book I know you say no to supliments, but I’m doing chelation at the same time giving fulvic acid what do you think? thank you

  38. ALI 4 days ago

    Hello Doctor
    I am a pharmacist from the UK and i have a 3 year old daughter who is in the process of being diagnosed with autism. She has many traits of autism and only says a few one worded words. She has had blood tests which indicate high levels of Vitamin B12 and when we asked the doctor he said it was nothing to worry about. My daughter has social and communication delays and i was wondering what you would recommend in regards to moving forward.

  39. Gerard Espiritu 4 days ago

    Should I avoid palm oil totally? It is one oil prevalent in most foods and my 3 year old son might just eat some foods with it. But I do give him olive oil, inulin, and the prescribed dose of fish oil.

  40. Anonymous 4 days ago

    I’ve been doing the Nemechek protocol for about 1 year with my 3 kids. Amazing results for two of them but my middle child (10 years old) has regressed for the most part. I was seeing good things In the beginning but then after about 3 months I seem he start to become very irritable and it mostly coincided with his meals like it was a blood sugar issue. I finally took Him to his Pediatrian and she said he had an irregular heartbeat and low blood pressure. After much research, I realized too much oils (even good oils) will cause these issues. I stopped the protocol including the fish oil and he seems to be slowly getting better. Do you think some kids can’t handle the oils? I’d ask on the FB forum but I don’t want to scare newbies away from it since it has done amazing things for my other kids. I put him back on inulin (he did 2 rounds of Rifaxamin) just to ensure the SIBO doesn’t come back now due to him not taking the oils. I’m wondering if I give him fat digesting enzymes along with the protocol maybe that would help. I do realize this would be opposed to the protocol. Here’s something I read:

    Fat in the bloodstream (even healthy fats) can build up inside the muscle cells, creating toxic fatty breakdown products and free radicals that block the insulin signaling process. No matter how much insulin we have in our blood, it’s not able to sufficiently open the glucose gates, and blood sugar levels build up in the blood. And this can happen within three hours. One hit of fat can start causing insulin resistance, inhibiting blood sugar uptake after just 160 minutes.

    This mechanism by which fat induces insulin resistance wasn’t known until fancy MRI techniques were developed to see what was happening inside people’s muscles as fat was infused into their bloodstream. That’s how we found that elevation of fat levels in the blood causes insulin resistance by inhibition of glucose transport into the muscles.

    Anyhow any advice would be great.

  41. Gaurav 4 days ago

    Hello Dr.Nemechek,
    I have two questions
    1. My 3.5 year old daughter has yet not learned how to chew the food . She swallows the food after softening inside her mouth with saliva. We give her all the food in pureed / blended form. I read not chewing can cause bacterial overgrowth and digestion issues. We started last week on your protocol with 1/8 tsp inulin and recommended dosage. I was wondering if her not chewing would need any adjustment on her dosage for inulin ? Also can I give her EVOO separately since her diet is very limited?
    2. Do you have any idea about erucic acid found in Mustard Oil? We have started cooking in EVOO for our daughter (also we use Ghee for some of her dishes) but for ourselves , we mostly cook using Mustard Oil which has high content of erucic acid
    Thanks and have a good day !

  42. Anonymous 6 days ago

    Hi Dr. Nemecheck,

    Thank you so much for your protocol. My almost 3year old son on ASD is on your protocol for 8weeks and it has already changed his life for the better! I am seeing him gaining awareness, getting interactive and taking interest in his environment. However, he still has the issue of loose stools with undigested foods. I know we are early in the protocol, and healing takes time. I was thinking if I could add Apple Cider Vinegar to his diet on a regular basis to help him with digestion. My question is if it is a good idea to give my son Apple Cider Vinegar while he’s on the protocol. Is Apple Cider Vinegar compatible with inulin?
    Thank you!

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