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thundermonkey

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  1. Hi, I concur with suggesting you check out Dr. Roger's book. There are a lot of triggers for tics discussed there. An easy and inexpensive step to identify any food sensitivities would be to try an elimination diet for two weeks - these are covered in the book. Best wishes
  2. Thanks for the reply, Chemar. If Jim did subsequently post about his physicians, I'm afraid my google-fu is not strong enough to find it. Syracuse does seem too far, especially since my understanding is that multiple follow-up visits are typically needed when you work with an environmental doc. I will cross-post in the ADHD board, thanks for the suggestion. Regarding my DS's tics, I will add a few more details regarding his stimulant meds. His baseline tic is an infrequent yelping sound, not very noticeable. Amusingly (?), I realized last year that his uncle has had the exact same tic his whole life, but I had never consciously noticed it as such! Anyway, during the recent holiday season, the tics became very much more frequent, and began to be accompanied by a hand gesture. A possible med trigger for this is that about this time we switched him from brand Ritalin LA to generic methylphenidate ER. However, other candidate triggers are holiday food indiscretions, holiday excitement, and winter weather. We switched back to the brand med, and the food indiscretions and excitement have subsided. (Winter weather has persisted.) In the two months since the onset, his tics have become less frequent, but are still significantly higher than his old baseline. I would be interested in hearing if anyone has noticed tic triggers from generic ritalin versus the brand med.
  3. I am sorry to see this post hasn't had an answer, since I basically have the same question. Jim, have you worked with any docs since you posted four months ago? Dr. Magaziner is close to us (southern NJ), and is a member of the AAEM (American Academy of Environmental Medicine). I like his approach as laid out in his website - www.drmagaziner.com. Does anyone have any experience with him? I am in SE Pennsylvania, and my DS5 with manageable ADHD symptoms had an onset of moderate tics two months ago. His mother and I find his ADHD symptoms are reduced when he avoids problem foods (gluten, dairy, corn, plus the Feingold things). We have had him on a restricted diet for about two years now. His meds (guanfacine, ritalin), which he started a year ago, also help. We are wondering, after having read the Rogers book, whether it is time to consult with an environmental doc. Can anyone with a child with a similar profile to mine opine on whether environmental docs were able to help them? If so, what were they able to accomplish, and how expensive and time-consuming was the process? Thanks in advance!
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