The American Academy of Pediatrics has pulled a complete about-face this month, releasing a 200-page special supplement on medical treatment for autism in the November issue of
Pediatrics.
Only the first part is available online so far:
Quote:
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Despite the magnitude of these issues, potential GI problems are not routinely considered in ASD evaluations. This likely reflects several factors, including variability in reported rates of GI disorders, controversies regarding the relationship between GI symptoms and the putative causes of autism, the limited verbal capacity of many ASD patients, and the lack of recognition by clinicians that certain behavioral manifestations in children with ASDs are indicators of GI problems (eg, pain, discomfort, or nausea).4–10
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Biomedical doctors who have access to the entire article have posted other potent excerpts online:
Quote:
“Gut-brain connection, immune function, and genome-microbiome interaction.”
“Increasingly, evidence supports a combination of changes in gut microflora, intestinal permeability, inappropriate immune response, activation of specific metabolic pathways, and behavioral changes.”
“Endoscopic analyses of children with ASD and GI symptoms have revealed the presence of a subtle, diffuse inflammation of the intestinal tract.”
“Autoimmune responses in children with ASDs and a familial history of autoimmunity have been reported.”
“Autoantibodies could indicate the presence of inflammatory processes and/or an autoimmune component that could affect the integrity of the mucosal barrier and contribute to decreased mucosal barrier integrity.”
“Leaky gut.” [You guys don't understand, the AA-fucking-P actually used the phrase "leaky gut," in a sentence that didn't also involve the word charlatan. This is huge. Insane.]
“Nutritional status and nutrient intake are inextricably related in children with autism.”
A table on “Biomarkers as potential outcome measures” includes testing for: intestinal permeability to assess leaky gut, calprotectin for intestinal inflammation, celiac disease serology tests to assess gluten sensitivity, food allergy panels, organic acid testing for B12 or folate deficiency, and analysis of gut microbiota.
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The messageboards and blogs have been lighting up like a Christmas tree one by one, as news of this has spread.