low glutamate diet epilepsy

Recommended diets include the modified Atkins diet, ketogenic diet, and low glycemic diet. 2012 Aug 6;13:94. . These include mushrooms, ripe tomatoes, broccoli, walnuts and peas. For example, dietary fiber reduces glycemic index. Measurement will happen over the course of At 1 month post treatment. Proc Natl Acad Sci U S A. 44 (2011) 8392. Potentially beneficial dietary interventions include identifying and treating blood glucose dysregulation, identifying and avoiding allergenic foods, and avoiding suspected triggering agents such as alcohol, aspartame, and monosodium glutamate. Basically, anything that has a strong flavour to stimulate our taste buds contains glutamates. Glutamate and GABA synthesis, release, transport and metabolism as targets for seizure control. The ketogenic diet includes a lot of saturated fats, which in excess can contribute to other health problems like high cholesterol and heart disease. Answers Publications, 2018. (Summary) Through ten years of medical and nutritional research, I developed The G.A.R.D. These diets should be carried out with support . Diet drinks and foods Avoid diet drinks and diet foods of any kind that contain any artificial sweeteners such as Nutrasweet, also called Equal or aspartame, aspartate or aspartamine. 2017 Jan 18;18(1). Food products containing these ingredients have a significant quantity of natural glutamate in them and must be avoided if a low glutamate diet is to be followed. Although these studies are based on a strict diet called the ketogenic diet, recent evidence has shown that less restrictive diets may also be helpful. see pages 19 and 20 of Guide Book. If you are not sure, contact the manufacturer directly. The role of glutamate and its receptors in autism and the use of glutamate receptor antagonists in treatment. Ross, Julia. Glutamate is an amino acid that is the most abundant neurotransmitter in the brain. 2018 Jan 29;13(1):e0191794. PLoS One. 2012 Mar;21(3):141-7. Supplements In most cases nutritional supplements are no cause for concern, however for those who are highly sensitive to glutamates and aspartates, it is wise to avoid supplements that contain glutamine (which can convert to glutamate for some), and to avoid aspartates that are found in mineral supplements like magnesium aspartate, potassium aspartate and the like. Database: Standard Release (Common) View. Sweets Chewing gums, mints and binders and fillers in many supplements and prescription medications commonly contain either aspartates, aspartames or glutamates as a sweetener or to make the product taste better. Low Serum Pyridoxine Levels Worsen Seizure Control in Adult Epilepsy Patients MSG: Deadly Menace in Your Food: Article by Russell Blaylock MD, neurosurgeon, Natural plant products and extracts that reduce immunoexcitotoxicity-associated neurodegeneration and promote repair within the central nervous system: Peer-reviewed article by Russell Blaylock MD, neurosurgeon, Unblind My Mind: Dr. Reids website gives extensive explanation about the science, a TED talk by Dr. Reid and video tutorials to help parents discern appropriate foods in a local supermarket, The Autism Epidemic Is Caused by EMFs, Acting via Calcium Channels and Chemicals Acting via NMDA-Rs, Excitotoxins, Neurotoxins & Human Neurological Disease Lecture by Russell Blaylock MD, Unblind My Mind: What Are We Eating? 4. Epilepsy is a brain disorder involving repeated, spontaneous seizures of any type. Poor diet Many seizures take place when blood sugar is low. Save my name, email, and website in this browser for the next time I comment. Exposure to 900 MHz electromagnetic fields activates the mkp-1/ERK pathway and causes blood-brain barrier damage and cognitive impairment in rats. However, if you are unsure about a symptom at any time, check immediately with your medical or health care professional. 2019 Feb;108(2):295-299. This elimination diet was created by John B. Symes, a veterinarian who calls himself Dogtor J. Chicken is quite low while rabbit and turkey are the highest in glutamate. The Potential of a Low Glutamate Diet as a Treatment for Pediatric Epilepsy The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. It regulates the receptors of other important neurotransmitters such as: Dopamine and norepinephrine are part of a group of neurotransmitters called catecholamines which are hormones released into the bloodstream by the adrenals in response to physical or emotional stress. Psychosocial deficits across autism and schizotypal spectra are interactively modulated by excitatory and inhibitory neurotransmission. A typical keto diet consists of 70% . A higher prevalence of the MTHFR 1298C allele was observed in epileptic patients as compared to the controls. Avoid white rice because free glutamates are involved in the processing of it. Truth Publishing, Inc., 2010. Acta Paediatr. 2016 Jul 8;11(7):e0158688. There can be more to autism that this alone of course, but anything that we can do to help is a bonus for those involved. For further information on the diet and recommendations of processed foods that do not contain high amounts of free glutamates, please see Dr. Reids pantry list of recommended foods. Eliminate foods that increase histamines such as fermented foods (soy sauce, sauerkraut and vinegar, for example). Multiplicity of the antibody response to GAD65 in Type I diabetes. 1997;94(25):14060 . No wonder these are so bad for so many. Tang, J., et al. This diet encourages the body to consume fats easily rather than carbohydrates under normal physiological conditions, carbohydrates in food break down into glucose and are transported around the body to supply energy. We are one of the premiere centers in the world for clinical and research expertise on the ketogenic diet, having treated over 1,500 children with this approach. Glutamate is an excitatory neurotransmitter, while GABA is an inhibitory neurotransmitter. 15 Apr. Legumes/beans. Therefore, the combination of low-grade digestive system inflammation and glutamate sensitivity may combine to create any of the above-mentioned symptoms. Limit the amount of vitamin D3 because it increases calcium, especially if not taken with vitamin K2. Avoid supplementing with calcium; use chamomile, lavender, nettles, vegetables and lightly cooked bone broth for calcium intake. Qi, J., et al. Chemical messenger. Sunday. The study is investigating if following the low glutamate diet for 1 month, as compared to care as usual, can improve seizure frequency, severity, and duration; cognitive functioning; and/or quality of life in children with epilepsy. Currently you have JavaScript disabled. Acute glutamate toxicity and its potentiation by serum albumin are determined by the Ca2+ concentration. Cebulia, Brant. Epilepsy may be idiopathic, which means the cause cannot be identified. 45 (5): 58395. A ketogenic diet encourages glutamate to become GABA, rather than aspartate. Supplement with selenium, B vitamins, polyphenols, bioflavonoids, carotenoids, vitamin E and vitamin C because they all have unique properties which are beneficial in protecting the brain. The Truth In Labeling Campaigns list of ingredient names used to hide manufactured free glutamate. Antiepileptic drugs and MTHFR polymorphisms influence hyper-homocysteinemia recurrence in epileptic patients. We also use third-party cookies that help us analyze and understand how you use this website. Glutamate is the major excitatory neurotransmitter in the mammalian brain . Foods that typically have the fifth taste known as umami, which is a savory taste, are typically high in free glutamates. Manev, H., et al. I mention this because you may see this name if you research this topic, and it can get confusing when different names are used. One possibility is that the diet alters brain handling of glutamate, the major excitatory neurotransmitter and a probable factor in evoking and perpetuating a convulsion. . Brain Under Attack: A Resource for Parents and Caregivers of Children with PANS, PANDAS and Autoimmune Encephalitis. This can be a deadly cocktail of chemicals and sugar (not to mention the alcohol itself). Food low in glutamate and asparate: 1) Fruits. Cassels, Carolyn. Epilepsy Res. Proc Natl Acad Sci U S A. Hence, manipulations of discrete glutamate-glutamine cycle components may represent . glutamate and GABA, even at very low intensities. Palmieri, L., et al. These include mushrooms, ripe tomatoes, broccoli, walnuts and peas. A study in 2007 showed 44.5 percent of epilepsy patients 45.3 percent of men and 43.7 percent of women were vitamin D deficient, putting these patients at potential increased risk for a wide variety of conditions, including osteoporosis, autoimmune disease, cancer, cardiovascular disease, and infectious disease, among others. Web. Phenytoin depletes biotin, calcium, folic acid, B1, B12 and vitamins D and K. Primidone depletes biotin and folic acid; valproic acid depletes carnitine. Plausibility of a pathophysiological linkPart I. Autism and EMF? Although more famous for its weight-loss effects, the ketogenic diet was originally proposed as a treatment for epilepsy. 2019 Jun 21;10:440. Low magnesium levels can lead to seizures. Presence of GAD65 autoantibodies in the serum of children with autism or ADHD. Necessary cookies are absolutely essential for the website to function properly. Increase GAD by supplementing with L-taurine, gotu kola and valerian root to help facilitate the conversion into GABA in the brain. Pathophysiology 20.3 (2013): 211-234. Walls, A.B., et al. Nightshades The Nightshades family of fruits and vegetables such as tomatoes, potatoes, capsicum (peppers), eggplant (aubergine) and chillies/paprika are best avoided due to their high glutamate levels. Hence, the epilepsy community would benefit from a dietary option that could reduce/eliminate the drawbacks and side effects of current therapeutic diets, while optimizing micronutrient and antioxidant intake. with Trudy Scott, Release opioids in the brain, triggering feelings of spaciness, Deplete glutathione levels, the master antioxidant in the body that is necessary for detoxification, reducing inflammation and supporting a healthy gut, Increase the survival of unwanted microbes in the microbiome, Contribute to an acidic gut condition causing heartburn and reflux. Breakfast (8:00-8:30AM) 1 cup strawberry smoothie + 1 cup cottage cheese + 5-6 tofu pakora. 2010 Jan;15(1):38-52. Pain transmitter: Higher levels of glutamate are linked to . The Truth About Aspartame, MSG and Excitoxins. Direct and indirect cellular effects of aspartame on the brain. Sleep-wake cycle manager. The Secret Spice: An Undetectable Toxic Cause of Seizure. 1989 Jul;36(1):106-12. The low glutamate diet was previously shown to reduce symptoms in fibromyalgia, and thus, was a candidate for this funding. However, a food that naturally contains glutamate is not required by legislation to state this on the product label, so knowing what food sources contain MSG is key. Having said that, bone broths can be great for gut healing. Biomed Res Int. Also, beware of childrens medicines that are coloured, flavoured and non-sugar sweetened. A diet eliminating gut-damaging foods has shown tremendous success for many of our clients. Mol Pharmacol. Epilepsy in mice deficient in the 65-kDa isoform of glutamic acid decarboxylase. There are also compounds like potassium glutamate, which can be great for some, but not for glutamate sensitive individuals. 2002; 51(3): 237247. 13 May 2011. STIMs (self-stimulatory behaviors) such as: Increases production in the brain of alpha waves, slow brain waves that produce a reflective meditative state, Is needed for speech and language production, comprehension, conversation and the pause and space between words, Maintains healthy levels of IgA (antibodies that protect the gut and other mucous linings from harmful foreign toxic matter) which supports a healthy immune system and prevents a , Is needed for action of the pituitary which regulates sleep and HPA axis which regulates stress response, Too much free glutamate coming from dietary sources (believed to be the primary issue), Chronic infections that have crossed the blood-brain barrier, such as seen in. Gaba and Glutamate Balance While serotonin is the neurotransmitter most commonly associated with depression, research suggests that glutamate may also play a role. Rabbit and turkey are the highest in glutamate, while lamb and eggs are the lowest. 2015 Mar 19;1601:92-101. Br J Pharmacol. National Library of Medicines list These seizures usually begin between ages 5 and 20, but they can happen at any age. Role of metabotropic glutamate receptor 7 in autism spectrum disorders: A pilot study. 200 Foods Lowest in Glutamic acid (Glutamine) Ranked by a Common Serving Size. Citramate binds to aluminum, which is retained by poor gut flora. In rodent models, altering glutamate receptor or glutamate transporter expression by knockout or knockdown procedures can induce or suppress epileptic seizures. High concentrations of glutamate have also been linked to epilepsy . The ketogenic diet, or keto diet, is a medical or therapeutic diet a diet designed to help manage or treat a medical condition. This diet is high in fats and low in carbohydrates and forces the brain to use fat-derived ketone bodies instead of glucose as the major energy source. The highest concentrations are found in long, matured cheeses, such as Parmesan and Roquefort. Diets aren't just for weight loss. Speak with your childs doctor if they are on medications that target GABA receptors because they can deplete the neurotransmitter GABA and affect the ability to maintain and balance GABA. Acta Paediatr. Epilepsia. hypoglycemia (low blood sugar) can trigger the release of glutamate, Choose organic, non-GMO (Genetically Modified Organisms) produce. The vast majority of glutamate is as a result of conversion from glutamine as neurons cannot make glutamate from glucose inside the brain; indeed there are pools of glutamine and glutamate in the brain. If you suspect that you have glutamate sensitivity, eliminate as many artificial and natural glutamates and aspartates as possible from your diet until symptoms subside. Gradually introduce some of the natural sources of glutamate back into your diet. Int J Mol Sci. A keto diet involves consuming foods that are low in carbohydrates and high in fat. Increase gut microbes with a multi strain probiotic such as Kirkman Labs Microbiome Probiotic. Brown R. Effects of yoga on the autonomic nervous system, gamma-aminobutyric-acid, and allostasis in epilepsy, depression, and post-traumatic stress disorder. Hacohen, Y., et al. But it seems that some people are genetically predisposed to being more sensitive to glutamates and can also convert more glutamine to glutamate than is needed by the body, which hyper-excites the brain and the nervous system. Neurochem Int. Foods and Substances to avoid on a Low Glutamate Diet. natural vanilla flavor). Kash, S.F., et al. This may help reduce the risk of seizures for some people with epilepsy. Altered calcium homeostasis in autism-spectrum disorders: evidence from biochemical and genetic studies of the mitochondrial aspartate/glutamate carrier AGC. You get very high glutamate levels in the blood after eating a meal containing MSG. However, it can also be in an unbound or free form, where it is no longer bound to an amino acid, so it is then digested and absorbed faster by the body, creating a spike of glutamate in the blood which can create damage to our nervous system and beyond. The role of glutamate receptors in traumatic brain injury: implications for postsynaptic density in pathophysiology. 2011 Oct; 1(4): 182186. With this low glutamate diet, Dr. Reids daughter rather quickly extinguished all autism-like behaviors and eventually recovered from autism. Khalifa, D., et al. GABA and glutamate balance each other, so if GABA is low, then glutamate is high. This is the first study to examine the low glutamate diet in patients with epilepsy. J Neurosci Res. Robert Sapolsky (2005). Eliminate gluten and casein because they contain glutamates. 2019 Jul 24:1362361319866030. The most damaging, however, is monosodium glutamate, or MSG. Health Press, 1996. Natural plant products and extracts that reduce immunoexcitotoxicity-associated neurodegeneration and promote repair within the central nervous system. By clicking Accept, you consent to the use of. Glutamate is a naturally occurring amino acid found in many different types of food. Napolini, V., et al. Regardless of the primary cause, synaptically released glutamate acting . Later, gradually re-introduce some of the more natural sources of glutamate back into your diet. In addition, EMFs such as that from cell phones, wireless phones, WiFi routers, baby monitors, etc., cause these calcium channels to flood via N-methyl-D-aspartate receptors, which are essentially glutamate receptors. . Examples of these medications are: See a MAPS physician to have your childs GAD levels checked. A low glutamate diet may be required by those who have a particular sensitivity to the substance. Food products containing these ingredients have a significant quantity of natural glutamate in them and must be avoided if a low glutamate diet is to be followed. 2011. Beware, as soy is incorporated into many products as a cheap protein filler. Glutamate is an amino acid from protein that is a natural and essential part of many common foods that we eat. 3. One example would be evidence which shows that when people with epilepsy switch to a low-carb diet they often experience reduced depression along with a reduction in seizures. This trial is evaluating whether Low Glutamate diet will improve 3 primary outcomes and 3 secondary outcomes in patients with Aura. 2014;34(5):876882. ABSTRACT. Sauces and Condiments Sauces and condiments are high risk (especially soy based or tomato based) so it is best to season foods with fresh herbs, spices and salt (avoid chilli/paprika). Excitotoxicity due to glutamate is associated with stroke, amyotrophic lateral sclerosis, lathyrism, autism, some forms of mental retardation, Alzheimers disease and epilepsy. Katie Reids pantry list of recommended foods. The origins of the diet came from child Epilepsy, where . Supplement with N-acetylcysteine (NAC), green tea and omega-3 fatty acids such as cod liver oil to block glutamates. Eliminate all gluten and casein products. Adams, Mike.The Truth About Aspartame, MSG and Excitoxins. Autism and EMF? The Teaching Company. Corn and rice are lower, but some people can be quite reactive to corn. Click here for instructions on how to enable JavaScript in your browser. Penguin Life, 2003. You also have the option to opt-out of these cookies. Front Psychiatry. Perturbations in the brain's glutamate-glutamine cycle, such as increased extracellular levels of glutamate, loss of astroglial glutamine synthetase, and changes in glutaminase and glutamate dehydrogenase, are frequently encountered in patients with epilepsy. To provide a diet that excludes foods naturally high in free glutamate, and food additives containing glutamate. Additionally, glutamate can be turned into GABA or aspartate. Epilepsy in mice deficient in the 65-kDa isoform of glutamic aciddecarboxylase. Some have even seen those diagnosed with autism change for the better on a low glutamate and aspartate diet. Any supplement or drug listed below should be discussed with your childs practitioner. Excitoxins: The Taste That Kills. Excessive glutamate found in the brain convert to GABA automatically through an enzyme called Glutamic Acid Decarboxylase (GAD). Brain Under Attack: A Resource for Parents and Caregivers of Children with PANS, PANDAS and Autoimmune Encephalitis. J Neural Transm (Vienna). Youre stimulating all of the glutamate receptors. A diet avoiding glutamates and aspartates is used to help reduce epileptic seizures and many of the symptoms listed above. Symptoms of glutamate sensitivity can include headaches, tummy upsets, behavioural disturbances, anxiety and even asthma attacks, which can occur immediately, or even after many hours of digesting glutamate containing foods. Gilliam, L.K., et al. Ingestion of Lactobacillus strain regulates emotional behavior and central GABA receptor expression in a mouse via the vagus nerve. Glutamate is one of the principal neurotransmitters in our brains and is important for learning and memory. Excitotoxicity is the destruction of brain cells by glutamates when excessive glutamates are found in the brain because they cause the cell to become extremely excited which can ultimately lead to cell death (apoptosis). PLoS One. I've found information about a clinical trial currently being run for this diet. These cookies will be stored in your browser only with your consent. Visit theEpidemic Answers Provider Directory to find a practitioner near you. Also avoid mushrooms, peas and broccoli initially or only eat small amounts. The industrial producers of glutamate tell us this. 1495 (2013) 5260. DeHavenon, A., et al. If someone has acid reflux, it makes that a lot worse. Rice Bran Oil. Terpstra, M., et al. With this low glutamate diet, Dr. Reid's daughter rather quickly extinguished all "autism-like" behaviors and eventually recovered from autism. Choudhury, P.R., et al. It is intended for general informational purposes only and should not be relied on to make determinations related to treatment of a medical condition. Avoid lunch meats because they contain high levels of free glutamates. Additionally, the low glutamate diet is balanced, nutritious and palatable, with no side effects. Autism and EMF? 4) Lamb and eggs are relatively low. Ou, D., et al. One mom in California, biochemist Katherine Reid PhD, used her science-based knowledge to create a low-glutamate diet that stabilizes protein and eliminates all inflammatory foods that were excitatory for her daughter with autism. 1997;94(25):1406014065. Ripe tomatoes and tomato products (tomato sauce, tomato paste etc), Bone broths and meats cooked for long times, anything hydrolyzed such as hydrolyzed vegetable protein, soy protein (including isolate and concentrate), whey protein (including isolate and concentrate), flavors or flavoring (i.e. Dairy Products All dairy products are high in glutamate and aspartate. Neurochem Int. A host of conditions are associated with a GABA/glutamate imbalance: Excessive glutamates, which come primarily from ones diet, can overstimulate the nervous system and produce adverse neurological symptoms which affect: When the immune system is compromised and not functioning properly, then a GABA/glutamate imbalance becomes more pronounced and problematic. Electromagnetic fields act via activation of voltagegated calcium channels to produce beneficial or adverse effects. Glutamate mediated signaling in the pathophysiology of autism spectrum disorders. Monosodium glutamate (MSG), which is a common ingredient in processed foods, can cause seizures in mice if it is injected into their bodies. Apeland T, Mansoor MA, Pentieva K, McNulty H, Seljeflot I, Strandjord RE. Serotonin is the neurotransmitter that regulates: Glutamate makes the interaction of all these neurotransmitters in the brain function so we can: Glutamate receptors also have a major role in not only long- and short-term memory but also the development of memories from experience. Dev Med Child Neurol. Glutamate is an Excitotoxin. The protein gluten found in wheat, rye and barley is 25% glutamate. Anti-NMDA Receptor Encephalitis. . Magnesium curbs sugar cravings, calms the body, is a natural calcium channel blocker, regulates blood sugar, increases energy naturally, and metabolizes estrogen. except for certain brands recommended by Dr. Reid. A 2021 review notes that animal studies have shown that following a keto diet may help decrease glutamate levels. 2008 Apr;62(4):451-62. The effects of glycemic control on seizures and seizure-induced excitotoxic cell death. 2012 Sep;61(4):546-58. Autism. 2015;2015:643409. Natural plant products and extracts that reduce immunoexcitotoxicity-associated neurodegeneration and promote repair within the central nervous system, Ingestion of Lactobacillus strain regulates emotional behavior and central GABA receptor expression in a mouse via the vagus nerve, Voltage-gated Calcium Channels and Autism Spectrum Disorders, Increased glutamate concentration in the auditory cortex of persons with autism and first-degreer elatives: A(1)H-MR study. 6. Apparently, glutamate and aspartate consumed together can have even more harmful effects on the nervous systems of young children because of the incomplete myelin sheaths of their nervous system. Check the label of any store-bought food. MSG can be disguised by calling it hydrolyzed vegetable protein, textured vegetable protein (TVP), flavour enhancer or soy protein extract. However, glutamate uptake by the brain across the Blood Brain Barrier is very low. 2018 Jun 1;20(3):204-208. Some individuals are completely legume intolerant. It is a diet that should not be started unsupervised. The Antianxiety Food Solution: How the Foods You Eat Can Help You Calm Your Anxious Mind, Improve Your Mood and End Cravings. Beans Beans, such as soy, navy, pinto, black, lima beans and lentils are all high in glutamic acid/glutamine. The glutamate story. Your comments are welcome, however if you wish to contact Sue please click here. Curr Mol Pharmacol. If the brain is damaged or exposed to toxins, these activated microglia cells can become destructive to the brains cells and connections. She is an associate professor in the Department of Health Sciences at American University and is also affiliated with the Center for Behavioral Neuroscience . More work must be done beyond implementing a low glutamate diet to avoid high levels of this potentially troublesome neurotransmitter. GABA System Dysfunction in Autism and Related Disorders: From Synapse to Symptoms. of signs you need emergency medical attention or call 911. Bravo, J.A., et al. My expert guest is Dr. Kathleen Holton . Voltage-gated Calcium Channels and Autism Spectrum Disorders. 2004;138(2):337341. Here are other recommendations to avoid high free glutamate foods: The daily portions of whole foods are broken down as follows to ensure a healthy nutrient balance in a low glutamate diet: Other factors, including supplements, can increase or decrease glutamate. 3) Potatoes. Aspartate is also an excitotoxin in excess, with similar effects as elevated glutamate. This study investigated the low glutamate diet as a candidate. Herbert, M.R, et al. The ketogenic diet for epilepsy was initially formulated to produce biochemical changes that occur during fasting . Supplement with magnesium L-threonate, a form of magnesium that can cross the blood-brain barrier. Speak to your health provider for further clarification. Tzang, R.F., et al. Proc Natl Acad Sci U S A. It mimics an Eskimo diet where there are periods of low food availability and the body is forced to burn fat for . 2) Vegetables. If you have leaky gut syndrome, aka intestinal permeability, from bacterial overgrowth or food intolerances etc, the inflammation in the gut can also make the blood brain barrier leaky or more permeable to let substances in that should not get in. I mentioned aspartate, another excitatory neurochemical. Scott, Trudy. 2014;121(8):891905. Glutamates role in the body is to stimulate our brain cells to deliver messages throughout the body and is particularly important for memory, learning, and general growth and development of the brain, especially for children. Good gut flora is crucial to GABA production and a healthy gut/brain axis. A 2012 study out of Hungarymeasured baseline levels of vitamin D in 13 subjects. 9) Meats: Meats are naturally rich in glutamate and aspartate, but this is offset by other amino acids in the food that balances them, in almost all cases. 1997;94(25) . Glutamate is considered to be an excitatory neurotransmitter or a stimulant and very necessary at timesin the right amounts. It is planned to include 40 participants. [PubMed: 12399074], 9. We do not know the mode of action of the ketogenic diet in controlling epilepsy. Epidemic Answers Provider Directory to find a practitioner near you. (So lamb, eggs and chicken are the best). 1,2. By keeping a detailed diary and looking back on it over time, youll be able to gain some insight as to what particular foods or even situations, such as being at a school with heavy WiFi usage or a mold issue, that exacerbate your childs symptoms.