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01/May/2023

More and more families are choosing to adopt a vegan or vegetarian diet. According to a recent study published by the Academy of Nutrition and Dietetics, plant-based diets can meet all nutritional needs for infants and children. However, parents must be mindful about the potential nutritional deficiencies that may arise with these diets. In this blog post, I will discuss the most common nutrient deficiencies that vegan and vegetarian kids might experience and provide tips on how to ensure they get enough nutrients.

1. Vitamin B12

Vegan and vegetarian diets are often low in Vitamin B12 since it is most commonly found in animal products. This nutrient is necessary for healthy brain function, red blood cell production, and DNA synthesis. Fortunately, several vegan sources of B12 are available, including fortified foods such as plant-based milks, cereals, and nutritional yeast. Parents can also give their kids a B12 supplement or buy a vegan B12 supplement spray.
Some common symptoms of B12 deficiency in kids include:
  • Delayed development
  • Weakness and fatigue
  • Pale skin
  • Poor appetite
  • Numbness or tingling in hands and feet
  • Difficulty walking and balancing
  • Behavioral changes
  • Cognitive difficulties
  • Mouth ulcers or sores
  • Anemia (low red blood cell count)

Recommendation: Active Chewable B12 from Genestra provides 1mg of Methyl-B12 in a cherry flavored chewable tablet. It is vegan, gluten, dairy and soy free.

2. Iron

Iron is essential for the production of hemoglobin, a protein in red blood cells responsible for carrying oxygen throughout the body. Iron deficiency is common in vegan and vegetarian kids because plant-based sources of iron (such as beans, lentils, and leafy greens) are not as easily absorbed as animal-derived iron. To increase iron absorption, parents should pair iron-rich foods with vitamin C foods such as citrus fruits. When iron deficiency is present it can be difficult to raise levels sufficiently with diet alone. Iron supplementation can be useful, however, it is important to do so under the care of a family physician or naturopathic doctor. Too much iron can be as problematic as too little.
Some common symptoms of iron deficiency in kids include:
  • Pale skin or lips
  • Fatigue or weakness
  • Irritability or fussiness
  • Poor appetite
  • Decreased growth and development
  • Increased infections
  • Difficulty concentrating
  • Cold hands and feet
  • Brittle nails
  • Headaches

Recommendation: Floradix Liquid Iron is a great tasting vegetarian friendly iron supplement with synergistic B-vitamins.

3. Protein

Many people wonder whether a vegan diet can provide adequate protein for growing kids. The answer is undoubtedly yes! Plants like beans, lentils, tofu, and quinoa pack significant protein. However, it is essential to combine these protein sources with whole grains to create complete protein. It is also okay to offer plant-based protein sources throughout the day and not all at once. Edamame, nut butter, and vegan protein shakes are excellent options. Check out my article on Nutritional Requirements for kids to gain an idea of how much protein your child requires. If a protein deficiency in suspected, using a protein supplement can be an easy way to boost your child’s daily protein consumption.
Some signs and symptoms of protein deficiency in kids include:
  • Edema or swelling in the feet, hands, or belly
  • Slow growth or failure to thrive
  • Loss of muscle mass
  • Delayed wound healing
  • Weak or brittle hair and nails
  • Loss of appetite or difficulty eating
  • Irritability or mood changes
  • Lowered immunity, leading to increased infections

Recommendations: Progressive Nutritionals Harmonized Fermented Vegan Protein is a vegan option high in protein and easy to digest. It is available in vanilla and chocolate.

4. Calcium

Calcium is critical for strong bones, muscles, and teeth. While dairy products are the most common source of calcium, vegan kids can get enough calcium from plant-based sources like fortified non-dairy milk, broccoli, bok choy, and kale. Parents can also offer vegan calcium supplements.
Some common signs and symptoms of calcium deficiency in kids include:
  • Delayed development and growth
  • Weak bones that are prone to fractures
  • Muscle cramps and spasms
  • Numbness and tingling in the fingers, toes, or face
  • Weak and brittle nails
  • Tooth decay and other dental problems
  • Fatigue or lethargy
  • Difficulty sleeping
  • Irritability or mood changes
  • Loss of appetite

Recommendation: Calcium Kids Chewable tablets from Progressive Nutritional’s provides calcium and other micronutrients in a great tasting sugar free and vegetarian format.

5. Zinc

Zinc is essential for growth and development, immune system function, and wound healing. Zinc can be found in nuts, seeds, and legumes, and fortified cereals. Parents could also offer vegan supplements to ensure adequate zinc intake. it is important to note that long term zinc supplementation can cause copper deficiency. Therefore, it is important to supplement under the supervision of a physician, nutritionist or naturopathic doctor.
Some common signs and symptoms of zinc deficiency in kids include:
  • Delayed growth and development
  • Poor appetite and weight loss
  • Delayed wound healing
  • Diarrhea and other digestive issues
  • Increased infections
  • Skin rash or dry skin
  • Weakness and fatigue
  • Hair loss
  • Difficulty concentrating or memory problems
  • Mood changes, such as irritability or depression

Recommendation: Kids Liquid Zinc with Vitamin C from Organika is a product I have used with many patients. It provides 3.5mg of zinc with 200mg of vitamin C in a great tasting easy to use liquid format.

Conclusion:

If done right, a vegan or vegetarian diet can provide all the nutrients necessary for growing kids. However, it is essential to be mindful of potential nutrient deficiencies and incorporate nutrient-rich, plant-based foods into meals. If parents choose to offer supplements, it is best to talk to a healthcare professional first. With the right approach, vegan and vegetarian diets can be healthy and satisfying for kids.

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14/Apr/2023

FPIES (Food Protein-Induced Enterocolitis Syndrome) is a type of food allergy that affects the gastrointestinal system. It typically affects infants and young children and is characterized by severe vomiting, diarrhea, and dehydration.
The exact cause of FPIES (Food Protein-Induced Enterocolitis Syndrome) is not fully understood, but there are several theories behind its etiology. Here are some examples:

1. Immune system response:

FPIES is thought to be caused by an abnormal immune system response to certain food proteins. Specifically, it is believed that the immune system in children with FPIES overreacts to certain food proteins, leading to inflammation and damage to the gastrointestinal tract.

2. Genetics:

There may be a genetic component to FPIES. Studies have shown that children with a family history of food allergies, eczema, or asthma may be at increased risk for developing FPIES.

3. Delayed immune response:

Unlike other food allergies, FPIES does not involve an immediate allergic response. Instead, FPIES is characterized by a delayed immune response, which can make it difficult to diagnose.

4. Gut microbiome:

The gut microbiome, which is the collection of microorganisms that live in the digestive tract, may play a role in the development of FPIES. Some studies have suggested that an imbalance in the gut microbiome may contribute to the development of food allergies, including FPIES.

5. Environmental factors:

Exposure to certain environmental factors, such as pollution or toxins, may increase the risk of developing FPIES. However, more research is needed to fully understand the role of environmental factors in the development of FPIES.
It’s important to note that while these theories provide some insight into the development of FPIES, more research is needed to fully understand the underlying causes of this condition.

Treatment Approaches

There are several non-pharmacological treatments that have been suggested for managing FPIES symptoms. Here are some evidence-based examples:

1. Elimination Diet:

The most effective non-pharmacological treatment for FPIES is an elimination diet. This involves identifying and eliminating the specific food(s) that trigger FPIES symptoms. Foods that are commonly associated with FPIES include cow’s milk, soy, and grains such as rice and oats.

2. Hydrolyzed Formula:

For infants who are unable to tolerate breast milk or traditional formula, a hydrolyzed formula may be recommended. This type of formula is easier to digest and less likely to trigger FPIES symptoms.

3. Probiotics:

Some studies suggest that probiotics may be beneficial for managing FPIES symptoms. Probiotics can help promote healthy gut bacteria and reduce inflammation in the gut.

4. Hypoallergenic Diet:

In some cases, a hypoallergenic diet may be recommended. This involves eliminating all potential food allergens from the diet and gradually reintroducing them one at a time to identify the specific trigger(s) of FPIES symptoms.

5. Nutritional Support:

Infants and young children with FPIES may experience nutritional deficiencies due to vomiting and diarrhea. Nutritional support may include the use of oral rehydration solutions, intravenous fluids and vitamin/mineral supplementation. These help to manage dehydration, maintain electrolyte balance and nutrient deficiencies.

6. Food Sensitivity Testing:

Food sensitivity testing can be useful in identifying potential trigger foods that may be causing symptoms. While there is no specific test for FPIES, food sensitivity testing can help identify foods that your child may be reacting to. The two most common types of food sensitivity tests are IgE and IgG tests. IgE tests measure the body’s immediate immune response to specific foods, while IgG tests measure the body’s delayed immune response to specific foods. While food sensitivity testing is not a definitive diagnostic tool for FPIES, it can help guide an elimination diet and identify potential trigger foods. However, it’s important to note that food sensitivity testing should be interpreted in the context of a complete medical history and physical examination. It’s important to work with a healthcare professional to interpret the results and develop an appropriate treatment plan. Click here for more information on food sensitivity testing.

Conclusion:

It’s important to note that these non-pharmacological treatments should be implemented under the guidance of a healthcare professional. If you suspect that your child has FPIES, it’s important to seek medical attention and receive a proper diagnosis and treatment plan. Click here to book an appointment.

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09/Apr/2023

As parents, our first priority is always to ensure the physical and emotional well-being of our children. However, with the fast-paced and demanding world that we live in, children, too, are often faced with stress and anxiety. Childhood anxiety can present itself in various ways, including excessive worrying, fear of separation, social anxiety, and panic attacks, among others. While medication is often prescribed for children diagnosed with anxiety disorders, more and more parents are seeking natural and holistic ways to manage their child’s anxiety. In this blog post, I will discuss natural solutions for childhood anxiety that parents can consider to ensure that their children thrive, grow, and develop into well-adjusted adults.

1. Exercise

Regular exercise promotes both mental and physical health and is one of the most effective natural solutions for childhood anxiety. Physical activity releases endorphins, also known as “feel-good” hormones, that naturally reduce anxiety and depression. Exercise can also help children distract themselves from stressful situations, providing them with a sense of control and self-esteem. You can encourage your child to participate in activities such as dancing, running, cycling, or team sports. As a parent, lead by example, and make physical exercise a daily family routine.
The American Heart Association and Centers for Disease Control and Prevention recommend that children and adolescents get at least an hour of physical activity per day. Here are some weekly guidelines for exercise for kids and children:
  • Children ages 6-17 should aim for at least 60 minutes of moderate to vigorous physical activity every day.
  • The 60 minutes of activity can be broken up into shorter bouts throughout the day, such as three 20-minute sessions.
  • Activities that strengthen bones, such as running and jumping, should be done at least three days per week.
  • Activities that strengthen muscles, such as push-ups and climbing, should be done at least three days per week.
  • Encourage children to participate in a variety of physical activities, such as team sports, swimming, bike riding, jumping rope, and dancing.
  • Limit screen time to no more than 2 hours per day.
  • Encourage children to be active with friends and family, such as taking walks or playing in the park.
It is important to match the physical activity level to a child’s age and abilities, and to choose activities that the child enjoys. If a child has a medical condition, it is important to consult with a healthcare professional before starting an exercise program.

2. Mindfulness

Mindfulness refers to being present in the moment and not allowing thoughts of the past or future to affect the present. Being mindful teaches children to focus on the moment and deal with their anxious feelings in real-time. These techniques can be easily incorporated into children’s routines and can include deep breathing, meditation, or yoga. You can start by practicing mindfulness techniques together as a family, which can increase your child’s comfort level with these exercises.
Click here to see a list of 50 mindfulness resources for kids and teens.

3. Aromatherapy

Aromatherapy involves using natural plant extracts or essential oils to improve psychological and physical well-being. Aroma oils, such as lavender and chamomile, are known to be calming and relaxing and can help alleviate anxiety symptoms in children. You can introduce aromatherapy to your child by using a diffuser in their room or applying a few drops of essential oils to their pillowcase.
Here are step-by-step instructions on how to use essential oils for anxiety:
  1. Choose an essential oil known to have calming effects, such as lavender, chamomile, ylang-ylang, or bergamot. It is important to choose a high-quality oil that is pure and free of additives.
  2. Decide how you want to use the essential oil. Essential oils can be used in a variety of ways to help reduce anxiety, including inhalation, topical application, and aromatherapy.
  3. Inhalation: Add a few drops of essential oil to a diffuser, or place a few drops onto a tissue or cotton ball and inhale deeply. This method can help reduce anxiety quickly and is great for use before bed.
  4. Topical Application: Dilute the essential oil with a carrier oil, such as coconut or almond oil, before applying it to the skin. Massage the oil into the temples, forehead, or the bottoms of the feet. This method can help reduce anxiety gradually over time.
  5. Aromatherapy: Add a few drops of essential oil to a warm bath, or mix with Epsom salt and sprinkle into a warm bath. This method can provide a relaxing and calming experience.
  6. Repeat as needed. Essential oils should be used as needed or as part of a regular relaxation routine to help manage anxiety symptoms over time.
  7. Pay attention to any adverse reactions. Some people may experience allergic reactions or skin sensitivity to essential oils, so it is important to pay attention to any adverse reactions and stop use if necessary.