A 12 year
old boy presented with the typical symptoms of Tourette's
Syndrome (TS). As I sat in my office, I could hear his very
loud vocal almost continuous utterances as he and his mother
walked into the waiting room for the first time. When I went
to investigate the cause of the noises, I observed the severe
motor tics of nose twitching, grimaces, neck stretching, and
total body twisting. He was in fact the worst case of TS I
had ever seen.
This paper essentially
describes the course of therapy which resulted in complete
cessation of symptoms.
The first symptoms
began when this boy was 2 ½ years old. Symptoms progressed
and increased as he got older until symptoms got so bad requiring
his removal from school about 2 ½ months previously.
He was presently home-schooled.
He had been examined
by numerous physicians including a psychiatrist, all of whom
confirmed the diagnosis of TS. The psychiatrist placed the
boy on medication. Eventually, by the time I saw him, he was
taking 3 medications:
(citalopram hydrobromide) ( Forest ), 30 mg daily since age
2. Ritalin LA (methylphenidate
hydrochloride) (Novartis), 30 mg daily since age 6 1/2, and
3. Focalin (dexmethylphenidate
hydrochloride) (Novartis) ,5 mg daily for several months because
he was not sleeping well..
He performed some usual
exercise activities: swimming, biking, and baseball.
He had all the usual
childhood immunizations at the required times. He was never
He had no major accidents
or illnesses except at age one and one half and again at three
he had ear tubes inserted bilaterally because of repeated
recurrent otitis media.
In response to a Food
Allergy and Chemical Allergy Questionnaire the following questions
were answered in the affirmative:
or any family members have hay fever, asthma, hives, or chronic
eat snacks frequently between meals: fruit, vegies, carbs.
ever have itching of the skin?
dislike or react to disinfectants, insecticides, sprays, ammonia,
or moth balls?
Do you feel that you
perform or feel better in natural lighting compared to fluorescent
has hypertension, allergies and hay fever, and psoriasis.
has sinus problems but was never allergy tested.
both have hypertension, father has diabetes, prostate
cancer, hypercholesterolemia, psoriasis, and a myocardial
both had high blood pressure and hypercholesterolemia,
and father had MS.
The boy was of normal
stature and weight for his age. His physical examination was
normal except for the symptoms of TS, all of which were described
Additionally, the boy
verbalized how upset he was with his condition. He missed
the companionship of other children and playing baseball because
his mother had to remove him from school. He was a young adult
experiencing the psychological ramifications of his disease.
His most recent hematology
was within normal limits and a Vitamin B12 level was slightly
higher than the upper limit of normal by only 4 pg/ml,
I will not detail the
therapy here on the website because each patient will have
to be individualized depending upon his particular circumstances
and the medications he is taking. I will, however, describe
his response in the following PROGRESS reports.
The mother called me saying that the boy was
about the same during the day but appeared to sleep better
(one week later: From my office, I heard the
mother come into the waiting room, but I did not hear the
vocalizations I heard the time they came into the office.
At first, I thought that the mother left her son home not
bringing him to the office. But when I went into the waiting
room, there was the boy smiling not uttering a sound. Over
the next 20 minutes he exhibited very mild utterances characteristic
of TS. Additionally, his motor tics were also considerably
diminished to the point that they were difficult to discern.
The difference between now and the first visit one week earlier
was literally like night and day .
(one week later): On his third visit one week
later the boy was even better. During the 45 minutes while
he was in he office, I observed a single grimace and one small
almost imperceptible peep. It would have been a well trained
individual to have observed that this boy was suffering from
(one week later): When this young boy arrived
at the office on the fourth week, he was even better. During
the 45 minutes in the interview he did not make a single sound
and the a very rare, but mild, facial movement which went
who was a nurse, stated that he experience mild symptoms when
given vinegar ( a fermented product) at one meal. She started
feeding him fresh corn which he tolerated without symptoms.
(three weeks later): At the time of this writing,
the fifth visit had not occurred.
This is a story of
a young man who suffered from Tourette's Disease for almost
ten years from age 2 ½ till the time I examined him
at age 12 years His problem got so bad that it required his
removal from school 2 ½ months previously.
Being in early adolescence,
he was beginning to feel the usual anxieties resulting from
being isolated from his friends. On his second visit, one
week after he came to the office for the first time, he told
me: “Doctor, I want to thank you for what you have done for
me.” This is quite a comment coming from a 12 year old child.
As he continued to
improve, he appeared happier and he smiled more. His mother
who was a nurse was well versed in the form of therapy we
were giving the boy for she sought me out because of our approach.
The mother was very
concerned about the fact that the boy was not improving and
that he was on three medications, namely, Celexa, Ritalin,
and Focalin (a quicker acting Ritalin-related drug). Most
amazing is the fact that even though the child was getting
worse on these drugs, little thought was being given to considering
stopping such medications.
I know well that an
objective scientific paper of this kind should be free of
recriminations of others who insist upon staying the conventional
course by giving such drugs even though they do little good
and in fact can do more harm. The fact that this boy was worsening
while on the drugs appeared not to awaken those who prescribed
The theory we are considering
can best be described in the answer to a question: Did the
Good Lord Creator intend for some who apparently appear normal
in most other respects to have impaired brain chemistry or
why are some individuals abnormal in these manifestations
while others are normal? I fully well realize that invoking
the word Lord Creator brings in a non-scientific Theological
Approach, but in essence the reader should know what we mean.
What is impaired in
an individual's brain chemistry which makes him prone to Tourette's
Disease, or ADHD, or Autism, or such other abnormal manifestations
of the brain and mind? Is it dietary? Is it a reaction to
toxic elements in our environment? It is difficult for us
to believe that it is the outward manifestation of impaired
genetics. Genetics could explain why some are affected while
others are not in so far as some may resist the aberrational
effect of an impaired diet or toxins. Looked at in another
way, everything that happens in our human body is related
to genetics. But to explain the cause to genetics begs the
question: given a normal clean environment including a proper
diet and the lack of toxins, would we express such abnormal
Although we have the
enzymes to rid our bodies of some toxins, such as limited
amounts of arsenic and mercury, do we have the enzymes capable
of eliminating those man-made chemicals which over the many
years of evolution, adaptation, and mutation did not exist
within the environment for us to develop those enzymes necessary
for their detoxification?
Our theory begins with
DIET. We believe that given the proper nutrients which may
or may not include vitamins, minerals, trace minerals, and
other supplements, the body should be equipped to act and
react normally to the environment. This theory would have
little merit were it not for the fact that approaching treatment
in this manner achieves results.
Placing an individual
on a very strict elimination diet is the first step. It allows
the body to eliminate what it has already taken in, and it
begins a process by which no additional dietary insults are
introduced. We consume too much of the same foods every day.
Have you ever considered how many foods contain corn or a
corn product, such as corn sweetener, corn starch, etc.? How
about milk and milk products, such as whey and milk solids?
These are in very many processed foods.
Years ago, there were
some clinics both in the United States and Europe who advocated
placing individuals on a water (distilled) only diet for two
plus weeks before doing anything else. People responded. Some
rare private clinics still do. These clinics still have their
advocates and followers.
In our opinion, allergy
testing, especially for foods, has little merit. It is in
the process of elimination followed by food rotation and observing
the response in the patient himself where the true and correct
We fully realize that
our young man with Tourette's Disease is a single patient.
But the undeniable fact that his symptoms COMPLETELY disappeared
on an elimination diet and complete cessation of his medications
must prove something. It will take some persons other than
we to convince this boy that his response did not really happen!
OF THE TOTAL LOAD
have for some time proposed the Concept Of The
Total Load . At the outset of this discussion,
it would be prudent to define two terms: the allergic
reactions. The allergic reaction would refer to a more specific
set of circumstances where the body's reaction results from
a series of biologic events initiated by a specific antigen/antibody
reaction. A sensitivity reaction would result from a series
of events not necessarily the result of an antibody reacting
to a specific antigen. It could be a reaction to any number
of toxic substances, such as irritants like cigarette smoke,
perfumes and colognes, etc. As an overall term, sensitivity
could encompass the allergic reaction, but not necessarily
vice versa. An allergic reaction could be a sensitivity, but
a sensitivity would not always be an allergic reaction. For
the sake of our argument here, I will refer to the more general
and less specific term “sensitivity.”
A person could be sub-minimally
sensitive to one substance so that no clinical symptoms occur.
A person can be sub-minimally sensitive to a second substance
again to the point that no symptoms are experienced. But the
combination of exposure to both substances are additive to
the point where symptoms now occur. Therefore, the total load
resulting from both exposures increased the insult above the
body's capacity to control symptoms. It is in this situation
that skin testing may not truly represent what is happening
within the body.
In a form of allergy
testing, an antigen is introduced and the patient's reactions
to the antigen are observed. Rarely are two antigens tested
simultaneously. If what we wish to determine is the total
load concept, this form of allergy testing falls short of
the mark. A more prudent approach is to eliminate the suspected
culprit foods or antigens, watch for the symptoms to disappear,
then introduce the foods one by one. It may well be that,
if rotation of foods were on the agenda, one may never know
which combination of foods is causing which symptoms. But
then, is this really important if what we wish to achieve
is the curing of the patient?
In the concept of food
rotation, it is generally accepted that a person can eat a
food to which he is sensitive if he were to eat it no more
than once every three or four days. It is important to note
that this may hold true with most foods, but not to chance
it with allergies to the legume peanuts, regular nuts or shellfish.
With these complete elimination from the diet is essential.
Of The Total Load would hold true to combinations
of sensitivity reactions, such as foods, pollens, other inhalants,
and other exposures. Interesting may be the response of addicted
individuals to an elimination. We had a patient who we wished
to cure of her serious addiction to Paxil. During the course
of a diet elimination program, she was able to slowly tapir
Paxil where she was unable to do so before.
We are reporting the
cessation of severe vocal and motor symptoms in a 12 year
old boy suffering from Tourette's Disease for ten years on
an elimination diet. During the treatment period of four weeks,
we were able to completely discontinue the three medications
he was taking for his condition. It would appear that others
should try this rather harmless, but effective, approach to
the therapy of Tourette's Disease.
nicola michael c. Tauraso,
7051 Poole Jones Road
Frederick , Maryland