Ray D. Strand, M.D. Specialist in Nutritional Medicine
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Attention Deficit Disorder (ADD)
or Attention Deficit Hyperactivity Disorder (ADHD)

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It appears, at least on the surface, that ADD and ADHD has become epidemic. Attention deficit disorder is just like the name implies—the patient or child has a very short attention span. In other words, they are able to concentrate or focus on any particular subject or project for only a very short period of time. ADHD is associated with a child who is very active and can rarely sit still. Obviously, these children are not able to focus on anything very long.

When it comes to schoolwork, this disorder leads to poor performance and class disruption. This is especially true if the child has the hyperactive form, which means the child is continually in motion—literally. When these children come into my office, I leave the exam room exhausted after the child has all but disassembled it. I have certainly gained great respect for the parents and teachers who have to deal with this day in and day out.

However, I also realize that many children are being improperly diagnosed as having ADD/ADHD, since it is almost a “fad” diagnosis today. This makes it imperative that physicians and parents follow strict protocols in the making of this diagnosis by making sure there are no physical disorders and then following a battery of neruopsychiatric testing. This testing should be done with a clinician that has experience in this disorder.

Traditional therapy for ADD/ADHD involves the use of psychostimulant drugs like Ritalin, Cylert, and Adderall. Although these drugs have been shown to have a significant clinical effect in these children, they have their own set of side effects and have even been found to lose their effect over a couple of years. This is why many clinicians dealing with this disorder like to give their patients a “drug holiday,” especially in the summer. I also find many parents showing up in my office sharing with me that they would like to try and get their child off the medication permanently because of the terrible side effects, saying they want their child back. Parents will often state, “My child’s attention is better but his or her personality has totally changed on the medication.”

I encourage parents to make the lifestyle changes I recommend below and hopefully over time their child will be able to come off the medication and still do well socially and educationally. If a child can be started on this program in the winter or early spring, I suggest giving him or her a “drug holiday” (only with doctor’s approval) during the summer. Then in the fall, I advise the parents to “drag their feet” in starting the medication again. Many are pleasantly surprised to see their child doing well in school, having increased attention span, and relating better to their classmates while not taking any medication.

Nutritional Supplement Recommendations

I recommend that all my patients take the basic nutritional support I refer to as cellular nutrition. This foundational regime provides all the necessary micronutrients to the cell at ideal levels (not RDA levels) for significant health benefits as documented in the medical literature. When the cell is given maximum support, it can then determine what it does and does not need. Over a six-month period each cell is able to not only overcome nutritional deficiencies but also to optimize ALL the nutrients, which are needed to combat oxidative stress.

The synergistic affect of providing all the nutrients needed by one’s body at the most advantageous levels results in optimizing and rebuilding the body’s natural immune system, antioxidant, and repair systems back to their fullest fighting potential against disease.

Minimal support for Cellular Nutrition:

My minimal recommendation for creating cellular nutrition is to simply take Usana’s Mega Antioxidant and Chelated Minerals, called "The Essentials" at their recommended doses (3 of each daily). The Essentials offers the cell ALL of the antioxidants, B-cofactors, and antioxidant minerals needed by the cell at ideal levels. In order to achieve the best results, I recommend taking 1 Mega Antioxidant and 1 Chelated Mineral with each meal. Nutritionals should always be taken with food because of better absorption and better tolerance. However, as a physician, I realize that compliance with taking supplements three times a day is a major issue. Therefore, if you tend to frequently forget the lunchtime dose, I suggest taking the supplements twice daily: taking 2 Mega Antioxidants and 1 Chelated Mineral in the morning with breakfast and 1 Mega Antioxidant and 2 Chelated Minerals in the evening with the evening meal.

Optimal support for Cellular Nutrition:

For the most favorable results for basic cellular nutrition, I also recommend adding to the Usana Essentials either OptOmega (2 tsps daily) or BiOmega-3 (4 capsules daily), which provides the essential fats and Fibergy, which assures the individual is receiving the additional fiber his or her body needs. I also recommend adding Active Calcium (4 tablets daily) to provide additional calcium, magnesium, and vitamin D that our bodies need. These recommendations provide all the nutrients at their ideal levels creating the cellular nutrition I recommend in my book, What Your Doctor Doesn’t Know About Nutritional Medicine May Be Killing You.

Optimizers

It is critical that you know the necessity of adding optimizers to your foundational cellular nutrition for optimal results. Patients who are suffering from a chronic degenerative disease or illness are under more oxidative stress than the average healthy individual. Therefore, adding potent Optimizers to the basic cellular nutrition offers you the best chance to bring this oxidative stress back under control. The synergy and increased potency created by this approach to nutritional medicine is why I’m able to get such consistent results in my patients.

However, to suit each individual’s unique needs, I always offer both an optimal and a minimal plan for cellular nutrition and for adding Optimizers. Obviously, one’s improvement will be quicker and more consistent with the optimal recommendations; however, a minimal regime can still produce significant clinical results.

Recommended Optimizers:

Optimal:

  • Proflavanol 90*--2 tablets daily

Minimal:

  • Proflavanol 90*--1 tablet daily

*Proflavanol 90 is equal to 3 Proflavanol C

Optimal Recommendations

Nutritional Supplement Breakfast Lunch Dinner
Mega Antioxidant (Mega AO)
Chelated Mineral (Multi Mineral)
Active Calcium
Proflavanol 90  
Optomega 2 tsps.     
Biomega-3 (an option instead of Optomega)
Coquinone 30 (dosage by weight -- see below)      
Poly C (dosage by weight -- see below)      
Procosa II (dosage by weight -- see below)      
*Adding at least one serving of Fibergy daily will enhance these recommendations.

Minimal Recommendation

Nutritional Supplement Breakfast Lunch Dinner
Mega Antioxidant (Mega AO)
Chelated Mineral (Multi Mineral)
Proflavanol 90    

If you are frequently going to miss taking your lunchtime dose, it is better to simply take your nutritionals twice daily. I recommend taking 2 Mega Antioxidants, 1 Chelated Mineral in the morning with breakfast and then taking 1 Mega Antioxidant, 2 Chelated Minerals in the evening. You should try to divide up your Active Calcium, essential fats, and Optimizers equally as possible between the AM and PM dose.

Diet

Many researchers do not believe diet is important with children who have ADD/ ADHD. However, I feel it is one of the most important aspects of treating this disorder. Please refer to my section on the healthy diet that I also recommend for my patients with ADD/ADHD. Our brain works on blood sugar and it is critical that these children learn to eat in such a way as they do not spike their blood sugar. Once it spikes, the release of insulin is stimulated which quickly drives the blood sugar down to very low levels. This volatility in the blood sugar leads to erratic behavior and difficulty in concentrating even on the simplest task.

If you are in doubt, give your child a large coke and observe his or her behavior over the next 2 to 3 hours. What most parents don’t realize is the fact that when children eat white bread, white flour, pasta, rice, and potatoes their blood sugar will spike faster than if they were spooning table sugar right out of the sugar bowl. Parents, become familiar with the glycemic index and feed your children meals and snacks that will NOT spike their blood sugar.

Exercise

Children with ADD/ADHD need to be involved in some sort of exercise program. I prefer an exercise program that is consistent and involves a lot of aerobic exertion, ie. soccer, basketball, swimming, gymnastics, etc. An exercise program needs to be fun and something your child looks forward to doing.

When you combine diet, exercise, and the nutritional supplementation as I have recommended together, the majority of children with ADD/ADHD will show significant improvement. Most of these children will also be able to come off their medication over time.

Nutritional Recommendations for Children

Usana Health Sciences has the best nutritional support for all ages. I will detail my recommendations for cellular nutrition and for each Optimizer according to age and weight.

Cellular Nutrition for Children:

Children ages 1 to 4 years of age:

I recommend giving these children 1 Usanimal daily. This may mean crushing the tablet and putting in a drink or sprinkling it on some. It is important to also consider giving these children 1 tsp pf OptOmega daily.

Children ages 5 to 8 years of age:

I recommend giving these children 1 Usanimal twice daily. I also recommend that they be taking 1 tsp of OptOmega and 1 Active Calcium tablet (or Active Calcium Chewable) daily.

Children ages 9 to 12:

I recommend giving these children 1 to 2 Body Rox daily depending on the weight of the child. If they are over 75 pounds, I generally recommend that they should be taking 2 Body Rox daily. In this age group, I also recommend that they take 2 tsps of OptOmega and 2 Active Calcium tablets or Chewable tablets daily.

Children ages 13 to 18:

I recommend that these children take 3 Body Rox daily along with 3 to 4 Active Calcium tablets or Chewable Active Calcium tablets. They should also be taking 2 tsps of OptOmega or 3 to 4 Biomega-3. Any adolescent in this age group who is suffering from a serious illness or weighs more than 120 pounds should also consider taking the Usana Essentials.

Optimizers:

Proflavanol:

I recommend giving children 1 to 2 mg of Proflavanol per pound per day (this is 3 to 5 mg per kilogram) in at least two divided doses. The smaller Proflavanol tablet has 30 mg of Proflavanol in each tablet (the Proflavanol 90 has 90mg in each tablet). I have no hesitation in using Proflavanol in children who over 2 years of age. These tablets may be crushed and placed in a drink or food with no loss of potency.

Coquinone 30:

I recommend giving children 1 to 2 mg of Coquinone per pound per day (this is 3 to 5 mg per kilogram) in divided doses. Each Coquinone 30 has 30 mg of Coquinone. This capsule may be punctured and the contents squirted out into a drink or food with no loss of potency.

Poly C:

There is a very safe range of using Poly C in children. However, I would only use 1 daily in children under 6 years of age and 2 to 4 daily in children over 7 years of age depending on the severity of their illness and their weight.

Procosamine II (Procosa II):

I would recommend using 2 tablets daily for children who weigh between 60 and 100 pounds. I would recommend using 3 to 4 tablets daily for children who weigh over 100 pounds.

Consider a Power Shake

USANA has a fantastic line of nutritionally balanced drinks that many of my patients consume as a meal substitute. In fact, I personally start every morning with 2 scoops of Fibergy, 2 scoops of Soyomax, and 2 teaspoonfuls of OptOmega. This provides me with a perfect, balanced, unpolluted meal to start my day. It allows me the opportunity to supplement my diet with soy protein; extra needed fiber, and essential fat. This meal is also a low-glycemic meal, which will not spike my blood sugar. Likewise, many USANA associates are using their imaginations to create exceptionally tasting meals with Fibergy and OptOmega. By blending in frozen, whole fruit for added flavor they are creating a variety of great tasting drinks.

Isn’t it remarkable that by simply taking USANA Essentials, Active Calcium and a power drink (remember, to consider this part of your food budget, since it is replacing an entire meal), the body is supplied with complete, and balanced cellular nutrition for every cell in the body? The synergy that is created, especially when adding needed Optimizers is phenomenal. Remember, the underlying problem is oxidative stress NOT a nutritional deficiency.

Why I recommend USANA Products

USANA strictly follows pharmaceutical-grade Good Manufacturing Practices (GMP). This means they not only purchase pharmaceutical-grade raw products, but also manufacture the products according to tough pharmaceutical-quality guidelines. In addition, USANA Health Sciences follows USP guidelines for potency, uniformity, and dissolution of the tablet. In a nutshell, USANA manufactures their products to the strict standards of over-the-counter drugs even though not required to do so—assuring all of their customers and associates that what is on the label is actually in the tablet.

Usana's essentials are complete and balanced and provides the cellular nutrition that I strongly recommend in my book, What Your Doctor Doesn't Know About Nutritional Medicine May Be Killing You. This improves compliance and makes taking these advanced levels of nutritional supplements easier.

Starting Your USANA Nutritional Program

Over eighty percent of my patients are able to start the USANA Nutritional Program with absolutely no set backs while beginning to experience the health benefits of high-quality nutritional supplements immediately. Please keep in mind these supplements are extremely potent and optimal levels of nutrients are being provided that the body has never had before. The body is therefore able to finally rid itself of toxins, which have been accumulating for years (called detoxification). This is especially true in those who are suffering from a serious illness and are taking a significant amount of medication. It is important to understand the possible signs and symptoms of detoxification so that you can deal with them confidently and properly.

Detoxification:

The most common detoxification reaction is muscle aches and/or mild headache. These symptoms will usually pass within a few weeks. If the discomfort is not unbearable, I simply have my patients continue their program as I have prescribed. However, occasionally there is a more severe reaction. The patient is not in danger, rather, the amounts of nutrients are just too much too fast. In this case, I have my patients quit their supplements for a few days until the reaction subsides. I will then have them start back on their program but initially at lower doses (approximately one third of the recommended dose). Once they are tolerating this amount of supplementation, I suggest slowly building up to the recommended doses.

Some of my patients actually develop a "detox" skin rash somewhere on their body. As you know, the skin is an important route for ridding the body’s toxins. This rash is a dry, red rash that looks almost like a mild sunburn. Some people confuse this with an allergic reaction to the supplements. This is not typically so. I have never seen an allergic reaction to the USANA Essentials and can only recall a couple of patients who reacted to Proflavanol because they were actually allergic to grapes.

Patients may also experience some aspect of loose stools or even diarrhea. This again is a common "detox" reaction because the GI tract is another prime route for eliminating toxins from the body. This symptom will usually diminish within a couple of weeks. It is an important part of the detoxification and healing process. Therefore, I usually encourage my patients to continue the supplements as recommended unless their bottom gets too sore. I will then again recommend lower doses of the supplements until they feel better and then begin adding the supplements back more slowly until the recommended doses are reached. Diarrhea can be the result of the magnesium in the Active Calcium or by the Proflavanol. Again, this is usually a mild reaction and will improve over the first week or two. However, some of my patients need to discontinue the Active Calcium and/or the Proflavanol until this settles down. I then have them slowly add back the Proflavanol and eventually the Active Calcium.

Increasing dietary fiber may also increase the amount of intestinal gas and the frequency of bowel movements. This will improve with time as the body adjusts to the higher intake of fiber, but is an important aspect of getting rid of the toxins, which have accumulated in the body.

Natural Relaxation Response:

A small percentage of patients develop a natural relaxation response when minerals are absorbed into their body. This is of great concern to those patients who have just been told that nutritional supplementation will help improve their energy level. They take the supplements as recommended only to find themselves more fatigued and dragging themselves through their day. If you experience this response, I recommend that you take all of your minerals (including the Active Calcium) with a light bedtime snack. This allows you to take advantage of your body’s response while getting a good night’s sleep.

Stomach Upset:

A small percentage of patients have difficulty tolerating vitamin C. It can cause an upset stomach that will usually become evident a couple days after starting their nutritional program. With USANA’s specially combined vitamin C into Poly C, I have seen many of people who could not previously tolerate any nutritional supplements do very well with USANA’s Mega Antioxidant. However, if nausea is experienced, I suggest taking one Mega Antioxidant with the largest meal. Once this level of supplementation is better tolerated, I suggest slowly adding another Mega Antioxidant to the next largest meal. I anticipate building them up to the recommended level of supplementation, but sometimes this is just not possible. For those extremely sensitive, I advise using Body Rox (the teenage dose of Antioxidants and Minerals) as the best alternative option.

Taking Your Supplements with Your Medication

I am often asked, "Can I take my nutritionals with my medication?" To this I respond with this question, "Can you eat?" I hope my point is made gently but clearly—nutritional supplements simply contain nutrients we should be getting from our foods, but at levels we can no longer obtain from our foods. If you can eat anything, you can also take nutritional supplements. The only exception to this is for those taking the medication, Coumadin (Warfarin), which blocks vitamin K in the body as a way of thinning the blood. If a patient is on Coumadin, I recommend he or she take the Canadian Essentials and Canadian Active Calcium because they contain no vitamin K. Also, patients who are on thyroid medication should take their medication on an empty stomach at least 1 hour prior to meals or prior to taking supplements. Thyroid medication should not be taken with food or with supplements because calcium can block the absorption of the medication.


Disclaimer

Every effort has been made to make this web site as accurate as possible. The purpose of this site is to educate and inform. As such it is based on scientific evidence and my clinical training and experience. No individual should at any time use the information found on this web site for self-diagnosis, treatment, or justification in accepting or declining any medical therapy for any health problems or diseases. Any application of the advice herein is at the reader’s own discretion and risk. Therefore, any individual who has a specific health problem or is taking medications must first seek advice from his or her personal physician or healthcare provider before starting a nutritional supplement program. Dr. Strand shall have neither liability nor responsibility to any person or entity with respect to loss, damage, or injury caused or alleged to be caused directly or indirectly by the information contained in this web site. We assume no responsibility for errors, inaccuracies, omissions, or any inconsistency herein. Any slights of people, places, or organizations are unintentional.

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