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Yet another reason to identify early and treat your child’s ADHD. A new study published in the International Journal of Obesity out of Duke University establishes a link between childhood ADHD and adult obesity as well as hypertension. The study does not answer the question as to why but supports the ADHD/obesity link and will hopefully lead to more research. Perhaps follow up studies could be performed assessing the degree of difficulty with impulse control and obesity as oppose to hyperactivity or focus. Obesity increases your chances of developing conditions such as heart disease, diabetes, stroke, cancer, arthritis, gall bladder disease and depression. If you are classified as obese as an adult, do you recall having issues associated with ADHD such as fidgeting and excessive talking, difficulty staying focused and easily distracted as a child? If you have children, try to recognize the signs of ADHD early in order to begin treatment as soon as possible. Signs of ADHD include difficulty staying on task, trouble finishing homework, inability to focus on things that one doesn’t like and carelessness. All children have these issues to varying degrees depending on their age, however, if the above begins to interfere with academic and social situations you may want to consult a professional. Our experience had shown Hemispheric Integration Therapy to be an effective drug free alternative to traditional treatment with medication.
Int J Obes (Lond). 2010 Oct 26. [Epub ahead of print]
Association between attention-deficit/hyperactivity disorder symptoms and obesity and hypertension in early adulthood: a population-based study.
Fuemmeler BF, Ostbye T, Yang C, McClernon FJ, Kollins SH.
Community and Family Medicine, Duke University Medical Center, Durham, NC, USA.
Abstract
Objective:To examine the associations between attention-deficit/hyperactivity disorder (ADHD) symptoms, obesity and hypertension in young adults in a large population-based cohort.Design, Setting and Participants:The study population consisted of 15 197 respondents from the National Longitudinal Study of Adolescent Health, a nationally representative sample of adolescents followed from 1995 to 2009 in the United States. Multinomial logistic and logistic models examined the odds of overweight, obesity and hypertension in adulthood in relation to retrospectively reported ADHD symptoms. Latent curve modeling was used to assess the association between symptoms and naturally occurring changes in body mass index (BMI) from adolescence to adulthood.Results:Linear association was identified between the number of inattentive (IN) and hyperactive/impulsive (HI) symptoms and waist circumference, BMI, diastolic blood pressure and systolic blood pressure (all P-values for trend <0.05). Controlling for demographic variables, physical activity, alcohol use, smoking and depressive symptoms, those with three or more HI or IN symptoms had the highest odds of obesity (HI 3+, odds ratio (OR)=1.50, 95% confidence interval (CI)=1.22-2.83; IN 3+, OR=1.21, 95% CI=1.02-1.44) compared with those with no HI or IN symptoms. HI symptoms at the 3+ level were significantly associated with a higher OR of hypertension (HI 3+, OR=1.24, 95% CI=1.01-1.51; HI continuous, OR=1.04, 95% CI=1.00-1.09), but associations were nonsignificant when models were adjusted for BMI. Latent growth modeling results indicated that compared with those reporting no HI or IN symptoms, those reporting 3 or more symptoms had higher initial levels of BMI during adolescence. Only HI symptoms were associated with change in BMI.Conclusion:Self-reported ADHD symptoms were associated with adult BMI and change in BMI from adolescence to adulthood, providing further evidence of a link between ADHD symptoms and obesity.International Journal of Obesity advance online publication, 26 October 2010; doi:10.1038/ijo.2010.214.
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A new study suggest out of the University of California San Francisco suggest that children exposed to second hand smoke are more likely to have ADHD and to stutter. According to the CDC your risk of coronary heart disease and stroke increases by 2 to 4 times. your risk of developing lung cancer increase by 23 and 13times respectively for males and females. Your risk of developing COPD increases by 12 to 13 times. If you don’t care about yourself, why not quit for the kids. This study found the rates of ADHD and stuttering were nearly doubled for children ages 4 to 15 exposed to second hand smoke . Other risk factors such as being male or a familial history can not being avoided but this risk factor certainly can. Attempts to quit smoking can be extremely difficult but there is help available for those who are motivated. Perhaps this will serve as motivation for parents to get help. You may not be able to quit or even may not want to quit but if you have children especially boys please make the effort to not expose them to second hand smoke. Changing habits to include not smoking in the car with children present and stepping outside to smoke may help prevent your child from risk factors associated with ADHD such as difficulty in school, higher substance abuse rate and higher incarceration rates.
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Thus the take home for parents is to know your risk factors and if they start to add up be on the look out for early signs. Early detection leads to early treatment which is always best.
Neonatal jaundice: a risk factor for infantile autism?
Maimburg RD, Vaeth M, Schendel DE, Bech BH, Olsen J, Thorsen P.
Department of Epidemiology, Institute of Public Health, University of Aarhus, Aarhus, Denmark. rmai@soci.au.dk
Abstract
In a previous study, we found that infants transferred to a neonatal ward after delivery had an almost twofold increased risk of being diagnosed with infantile autism later in childhood in spite of extensive controlling of obstetric risk factors. We therefore decided to investigate other reasons for transfer to a neonatal ward, in particular hyperbilirubinaemia and neurological abnormalities. We conducted a population-based matched case-control study of 473 children with autism and 473 matched controls born from 1990 to 1999 in Denmark. Cases were children reported with a diagnosis of infantile autism in the Danish Psychiatric Central Register. Conditional logistic regression was used to calculate odds ratios (OR) and 95% confidence intervals [CI] and likelihood ratio tests were used to test for effect modification. We found an almost fourfold risk for infantile autism in infants who had hyperbilirubinaemia after birth (OR 3.7 [95% CI 1.3, 10.5]). In stratified analysis, the association appeared limited to term infants (>or=37 weeks gestation). A strong association was also observed between abnormal neurological signs after birth and infantile autism, especially hypertonicity (OR 6.7 [95% CI 1.5, 29.7]). No associations were found between infantile autism and low Apgar scores, acidosis or hypoglycaemia. Our findings suggest that hyperbilirubinaemia and neurological abnormalities in the neonatal period are important factors to consider when studying causes of infantile autism.
PMID: 19000294 [PubMed - indexed for MEDLINE]
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September is literacy month in Florida and I thought I would briefly discuss the connection between functional neurology with regard to reading difficulties. This article will deal more with getting the information into the brain rather than what areas of the brain process different types of information. In order to read properly, there must be coordinated eye movement at a near distance. This means that the right eye must be talking to the left eye with regard to movement. The pupils must also be active, responsive and working together. In addition, there are different areas of the brain that initiate and stop eye movement. This relates to moving from one word to another as well as moving down to the next sentence. For proper reading to take place all these activities must function in synchrony. For example, if one eye does not move in conjunction with the other, the reader will experience double vision or one eye will shut down in order not to confuse the brain. This is all important from a reading standpoint, but realize that the functional neurologist is using this information as a way to assess brain function. It is by addressing deficient or desynchronized brain function that we make the difference to the reader. This means that, not only will the reader be given specific eye exercises in order to facilitate proper eye function and coordination but that other parts of the body may be brought into the treatment in order to smooth and coordinate brain function and thereby help with eye movements when reading. In my office, we have a simple 15 minute test which evaluates eye movements during reading which provides us with considerable information regarding brain function. This is a painless task which requires no preparation and is very much appropriate for children.
The ability to read is important in order for children to succeed in school as well as in life. In school a child who is frustrated with an inability to read may begin to have behavioral issues as his peers start to label him as “dumb.” In addition, if he cannot read and do the work then he may become bored and inattentive. This may lead to a miss diagnosis of ADHD and even perhaps a child being placed on medication that is unnecessary. As these children become older and progress through life their rates of juvenile delinquency may increase. One study revealed that 90% of the juvenile delinquents participating could not read. Thus, simple but many times undetected functional reading problems may come at great cost to you and your child but also a greater cost to society. Thus, before you place your child on ADHD medication please be sure to discuss the issue of near point coordinated eye movement with your doctor.
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Many times I often hear the phrase “80% of your immune system is in your gut.” What does that mean to us on a daily basis and how can we apply that practically. Can we reduce the use of antibiotics in our children over the long haul? Many in the healthcare field feel that antibiotics tend to be overprescribed especially in children. Many times antibiotics are prescribed for children when they in fact have a viral infection and not a bacterial infection. I have heard parents tell me that they took the child to the pediatrician because he had a cold and were upset that the child did not receive antibiotics. They seem to feel that if they did not receive a prescription for antibiotics that the office visit was wasted. In fact, it is currently believed that if we overprescribed antibiotics, the bugs we are trying to eliminate will adapt to our current armamentarium of an antibiotic therapy and therefore the antibiotics we have will not be effective when we truly need them. In addition, when antibiotics are prescribed they tend to wipe out not only the bad bugs but also the good bacteria, that are beneficial to our bodies. This can lead to dysbiosis or overgrowth of bad bacteria in our gastrointestinal tract as well as yeast infections. In addition, parents with children on the autism spectrum are very concerned with introducing any type of foreign substance into their children’s bodies in particular in the form of vaccines such as a flu shot. Below is a study from the American Academy of Pediatrics which documents the reduction of of antibiotics in children ages 3 to 5 years old by 80% with the use of two particular probiotics. Probiotics are live microorganisms which can give health benefits to the host. Probiotics are considered to be the beneficial bacteria or the good bugs found in our gastrointestinal tract. The most common probiotic is Lactobacillus which currently is being made famous by the yogurt brand Activia. The probiotics in the study also helped with symptoms such as runny nose and cough. The moral of the story is to find a qualified healthcare practitioner familiar with probiotics, prebiotic and other ways to influence your immune system in a positive fashion. These inexpensive yet effective methods may save you unnecessary downtime and reduce your need for antibiotics in the short run which in the long run will benefit your immune system.
PROBIOTICS REDUCE INCIDENCE AND DURATION OF RESPIRATORY TRACT
INFECTION SYMPTOMS IN 3- TO 5-YEAR-OLD CHILDREN
Submitted by Arthur Ouwehand
Arthur Ouwehand, Greg Leyer, Didier Carcano
Danisco Cultures, Kantvik, Finland
INTRODUCTION: Probiotics are live microorganisms that have a beneficial effect on the host.
OBJECTIVE: Our aim was to investigate whether consumption of probiotics would be able to reduce symptoms of respiratory tract infections during the winter season.
METHODS: Children aged 3 to 5 years were recruited and randomly assigned to 1 of 3 groups to receive placebo (n _ 92), Lactobacillus acidophilus NCFM (NCFM) (n _ 77),
or a combination of L acidophilus NCFM and Bifidobacteriumlactis Bi-07 (NCFM_Bi-07) (n _ 79). Probiotics were consumed daily at a dose of 1010 colony-forming units for 6
months from November to April. The study was performed in Shanghai, China, and approved by the local authorities.
RESULTS: The incidence of fever was reduced by 63% in the NCFM_Bi-07 group and by 48% in the NCFM group. Cough was reduced by 54% in the NCFM_Bi-07
group and by 42% in the NCFM group. Runny nose was reduced by 44% in the NCFM_Bi-07 group and by 9% in the NCFM group; the latter result was not significant.
Antibiotic use was reduced by 80% in the NCFM_Bi-07 group and by 68% in the NCFM group. Children in the placebo group had, on average, 6.5 days with symptoms,
those in the NCFM group had 4.5 days with symptoms, and those in the NCFM_Bi-07 group had 3.4 days with symptoms.
CONCLUSIONS: Daily consumption of NCFM and Bi-07 and of NCFM alone significantly reduced the incidence and duration of respiratory tract infection symptoms in children.
The combination of the 2 probiotics tended to perform better than the NCFM alone.
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It is well established that early intervention for children on the autism spectrum can be very beneficial. From a functional neurology standpoint, we know that the brain is more plastic or changeable at younger ages and less changeable at older ages. It is important to note that the old adage that a child would no longer progress after his sixth birthday is no longer accurate. The brain can change from birth to death. It is true however that younger brains are easier to work with than older brains. For this reason any factor that can help identify a child at risk sooner than later is a positive contribution to the autism community and one that should be publicized to the general public. In this case we have a bedside type marker that may aid in the identification of a child at early stages so that he or she may get the appropriate intervention sooner rather than later. The beauty of this factor is that it does not require any expensive testing or access. Thus whether you are the wealthiest of parents in a major metropolitan area or the poorest of parent in a rural or medically under served area this information will benefit you. As always, if you meet some of the known risk factors for having a child on the autism spectrum such as older age or family history it would be a good idea to scrutinize this factor more diligently. It seems that picky eating (choosy), difficulty moving to solids may be a factor in predicting those that may fall into the autism spectrum. The study released in the Journal of pediatrics is shown below. This is a beautiful tool for parents who are concerned that their children may be suspicious for falling on the autism spectrum. Most mothers are very in tune with their child’s feeding and eating habits. This is a study that should get a lot of attention as using this as a method is readily available and accessible to all. This of course is only one part of a clinical picture that needs to be put together and should not be considered a diagnosis on its own. But it may be a major clue to help parents get help for their children as soon as possible.
Pediatrics.2010 Aug;126(2):e337-42. Epub 2010 Jul 19.
Feeding symptoms, dietary patterns, and growth in young children with autism spectrum disorders.
Emond A, Emmett P, Steer C, Golding J.
Centre for Child and Adolescent Health, Barley House, Oakfield Grove, Bristol, UK.
Abstract
OBJECTIVE: To investigate the feeding, diet and growth of young children with autism spectrum disorders (ASD).
METHOD: Data on feeding and food frequency were collected by questionnaires completed at 6, 15, 24, 38 and 54 months by participants in the Avon Longitudinal Study of Parents and Children. A food variety score was created, and the content of the diet was calculated at 38 m. The feeding and dietary patterns of 79 children with ASD were compared with 12 901 controls.
RESULTS: The median ages of ASD children were 28 months at referral and 45 months at diagnosis. ASD infants showed late introduction of solids after 6 months (p = .004) and were described as “slow feeders” at 6 months (p = .04). From 15-54 months ASD children were consistently reported to be “difficult to feed” (p < .001) and “very choosy” (p < .001). From 15 months, the ASD group had a less varied diet than controls, were more likely to have different meals from their mother from 24 months, and by 54 months 8% of ASD children were taking a special diet for “allergy.” ASD children consumed less vegetables, salad and fresh fruit, but also less sweets and fizzy drinks. At 38 months intakes of energy, total fat, carbohydrate and protein were similar, but the ASD group consumed less vitamins C (p = .02) and D (p = .003). There were no differences in weight, height or BMI at 18 months and 7 years, or in hemoglobin concentrations at 7 years.
CONCLUSIONS: ASD children showed feeding symptoms from infancy and had a less varied diet from 15 months, but energy intake and growth were not impaired.
PMID: 20643716 [PubMed - indexed for MEDLINE]
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Tampa, Aug 23,2010
Improvements as much as 2 to 4 grade levels upon pre-and post-WIAT (Wechsler Individual Acheivement Test) with regard to reading, comprehension, written and oral expression and math reasoning were observed after a 12 week program of Hemispheric Integration Therapy. The program consisted of procedures such as aerobic and strength conditioning exercises, motor training including rhythm and timing exercises, sensory stimulation as well as academic training. A WIAT is a common test used by psychologist and the school systems to assess children with ADD and ADHD as well as other learning disorders. The WIAT includes subtest such as word reading, reading comprehension, math reasoning, spelling, written expression, listening comprehension and oral expression. The Brown Scale an ADHD assessment tool also showed improvements. The study was conducted by the F.R. Carrick Institute for Clinical Ergonomics, Rehabilitation and Applied Neuroscience, University of Haifa, DeMontfort University, and the Carrick Institute for Graduate Studies.
Tampa Dr. Nelson Mane D.C., is a pioneer in the use of functional neurology and Hemispheric Integration Therapy for the treatment of ADHD, learning disabilities and autism spectrum disorders said “ This is definitely a great day for functional neurologist applying the concepts of hemispheric integration to neurobehavioral disorders!” This type of treatment is growing in popularity due to the improvements that parents are seeing their children make. There is a great amount of research behind the concepts of Hemispheric Integration Therapy, last year the concept of functional disconnection syndrome was presented in the scientific literature and now the first outcome study was published in the “International Journal of Adolescent Medicine and Health.” I have personally seen many children go from worst to first in their class and have standardized testing scores improved. Parents are most impressed with how quickly their children can make gains. In the world of ADHD and learning disabilities to see such significant improvement in a 12 week period amazes many parents and teachers alike. I am a clinician and am grateful to the researchers providing outcome studies which will advance these procedures into the mainstream for the one in ten children with ADHD and the one in six children with a learning disability. As this is a drug-free approach, funding from the large pharmaceutical companies is not available and so it will probably take many years for Hemispheric Integration Therapy to become a standard practice. This is a great first step.
Dr Nelson Mane a Board Certified Chiropractic Neurologist has been interviewed by Spectrum Magazine, and the Tampa ABC, CBS, NBC affiliates as well as Bay News 9 for his work applying Hemispheric Integration Therapy and functional neurology for children and adults with ADHD, learning disabilities and autism spectrum disorders. He was featured in the Autism documentary “Walking in the Dark: Finding the Light in Autism.”
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Diet related chronic diseases such as heart disease, high blood pressure and diabetes represent a large portion of the morbidity (disease ) and mortality (death) rates the United States and other westernized cultures. The dictionary defines the Western diet as one high in saturated fats, red meats, ‘empty’ carbohydrates–junk food, and low in fresh fruits and vegetables, whole grains, seafoods, poultry. Attention deficit hyperactive disorder has also been found to be associated with overeating, obesity and the Western diet. Many times as we evaluate both children and adults for conditions such as ADHD, the question as to whether diet and supplements can help with these conditions always seem to come up. Our experience has been that lifestyle changes such as reducing glycemic load, normalizing the acid/base balance, increasing fiber, evaluating vitamins and minerals as well as addressing fatty acids and supporting adrenal function can be beneficial for these patients. This of course presupposes that the appropriate testing has been done to identify if any of the above factors are an issue for the ADHD patient. When I find information supporting these associations and these types of treatments, I feel compelled to get the word out. Therefore if you are eating a lot of junk food, please make efforts to clean up your diet and that of your children. If the heart disease and diabetes didn’t motivate you I hope that the ADHD will. Below please find to recent articles associating obesity and the Western diet with ADHD.
J Atten Disord.2010 Jul 14. [Epub ahead of print]
ADHD Is Associated With a ‘Western’ Dietary Pattern in Adolescents.
Howard AL, Robinson M, Smith GJ, Ambrosini GL, Piek JP, Oddy WH.
Telethon Institute for Child Health Research.
Abstract
Objective: To examine the relationship between dietary patterns and ADHD in a population-based cohort of adolescents. Method: The Raine Study is a prospective study following 2,868 live births. At the 14-year follow-up, the authors collected detailed adolescent dietary data, allowing for the determination of major dietary patterns using factor analysis. ADHD diagnoses were recorded according to International Classification of Deiseases, 9th Revision coding conventions. Logistic regression was used to assess the relationship between scores for major dietary pattern and ADHD diagnoses. Results: Data were available for 1,799 adolescents, and a total of 115 adolescents had an ADHD diagnosis. Two major dietary patterns were identified: “Western” and “Healthy.” A higher score for the Western dietary pattern was associated with ADHD diagnosis (odds ratio = 2.21, 95% confidence interval = 1.18, 4.13) after adjusting for known confounding factors from pregnancy to 14 years. ADHD diagnosis was not associated with the “Healthy” dietary pattern. Conclusion: A Western-style diet may be associated with ADHD. (J. of Att. Dis. 2010; XX(X) 1-XX).
PMID: 20631199 [PubMed - as supplied by publisher]
Curr Psychiatry Rep.2010 Jul 15. [Epub ahead of print]
Attention-deficit/Hyperactivity Disorder: Associations with Overeating and Obesity.
Davis C.
York University, 343 Bethune College, 4700 Keele Street, Toronto, Ontario, M3J 1P3, Canada, cdavis@yorku.ca.
Abstract
In the past decade, we have become increasingly aware of strong associations between overweight/obesity and symptoms of attention-deficit/hyperactivity disorder (ADHD) in children, adolescents, and adults. This review addresses the prevalence of the comorbidity and discusses some of the mechanisms that could account for their relationship. It is suggested that the inattentive and impulsive behaviors that characterize ADHD could contribute to overeating in our current food environment, with its emphasis on fast food consumption and its many food temptations. It is also proposed-based on the compelling evidence that foods high in fat, sugar, and salt are as addictive as some drugs of abuse-that excessive food consumption could be a form of self-medication. This view conforms with the well-established evidence that drug use and abuse are substantially higher among those with ADHD than among the general population.
PMID: 20632134 [PubMed – as supplied by publisher
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It has often been said that the best way to deal with a problem is to not have it in the first place. A ounce of prevention is worth a pound of cure. In the case of autism, we are always looking for risk factors. Things that someone who is concerned about the possibility of having a child with autism should consider. As the risk factors add up then one becomes mores concerned with an undesired outcome. Previous risk factors such as the maternal or paternal age of the parents have been studied. We know that a boy is more likely to have autism that a girl. Having a familial history of Autism such as another child or relation to the parents increases the probability of Autism. And now, as you will see below, mothers with less knowledge regarding toxic exposure are more likely to have a child with Autism than those that are aware and conscious of potential toxic exposure.That is, mothers who showed a greater possibility to exposure to toxins were more likely than the mother with less exposure to have a child with Autism. Many in the autism community are already taking into account heavy metal exposure however things such as canned foods and plastics were also included in this study. The take home message is be aware of toxic exposure if you are pregnant. Be more aware if you are having a boy, are older and have a history of Autism in the family.
Psychiatry Investig.2010 Jun;7(2):122-7. Epub 2010 May 12.
Exposure to environmental toxins in mothers of children with autism spectrum disorder.
Kim SM, Han DH, Lyoo HS, Min KJ, Kim KH, Renshaw P.
Department of Psychiatry, Chung Ang University College of Medicine, Seoul, Korea.
Abstract
OBJECTIVE: Environmental pollutants, especially environmental toxins (ET), may have the potential to disrupt neurodevelopmental pathways during early brain development. This study was designed to test our hypothesis that mothers with autism spectrum disorder (ASD) children would have less knowledge about ET and more chance to be exposed to ET than mothers with healthy children (MHC). METHODS: One hundred and six biologic mothers with ASD children (MASD) and three hundred twenty four biologic mothers with healthy children MHC were assessed using two questionnaires asking about ET. RESULTS: The total score in response to questions related to knowledge about ET in MHC was higher than that in MASD. The possibility of exposure to ET was higher in MASD than MHC. MASD showed higher sub-scale scores in terms of exposures to canned food, plastics, waste incinerators, old electronics, microwavable food, and textiles. CONCLUSION: The current results show that reduced knowledge about ET and greater exposure to ET may be associated with autism spectrum disorder.
PMID: 20577621 [PubMed - in process]
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Approximately 1/100 children are affected by Autism. The Gluten Free/Casein Free Diet, which is considered a major alternative treatment for Autism, was studied by Dr. Susan Hyman; a researcher from the University of Rochester Medical Center. The study is to be presented at the International Meeting for Autism Research in Philadelphia. Dr. Hyman “did not find an effect on behavior in response to challenges with gluten and casein in children with autism but not GI disease.” The study was 18 weeks long and introduced a challenge after 4 weeks. Behavior issues such as language, social, sleep and gastrointestinal that are commonly associated with autism were addressed. Observers were asked to look for changes although they did not know if the children were given a true challenge or a placebo.
Dr. Nelson Mane D.C., who treats patients on the autism spectrum with Hemispheric Integration Therapy as well as Functional Medicine/Biomedical treatments said, “Looking at the study critically it was too small as only 14 children were involved. The challenge or reintroduction of gluten or casein was termed a snack and may have not been adequate as a challenge. The time period of 18 weeks may not have been long enough as many proponents say the effects of gluten can last up to 6 months. We test for an IgG or immune response to Gluten and Casein and have found a good response when these test are positive otherwise we may not recommend this particular diet. In the end, critics of the diet need to realize that although the diet can be hard to implement and at times expensive it does no harm. Physicians first do no harm. We have seen many parents report considerable progress on the GFCF diet especially if their child tested positive for an IgG reaction which makes this treatment option more specific. In the end Autism is multifactorial and you have to find what is going on with each individual child and it is different form child to child.”
Dr Nelson Mane is a chiropractic physician certified in both chiropractic orthopedics and neurology. He has sub specialty training in childhood neurobehavioral disorders as well as vestibular disorders and electro diagnostics. He was one of 11 doctors out of 60,000 chosen by the American Chiropractic Association to start the first Chiropractic neurology board back in 1989.Dr Mane is a D.A.N (Defeat Autism Now) doctor. He is considered a pioneer in the use of Hemispheric Integration Therapy for the treatment of Autism Spectrum Disorders. For more information regarding Dr. Nelson Mane and his unique approach combining functional medicine with Hemispheric Integration Therapy go to www.Hitautism.com.
For more information about Dr. Nelson Mane, D.C. and his treatment approach for ASD go to http://www.manecenter.com/ADHD.htm.
Dr. Nelson Mañé, D.C., D.A.B.C.O., D.A.C.N.B., F.A.C.F.N., F.A.C.O.
Mañé Center
1602 West Sligh Avenue Suite 500
Tampa, FL 33604
Tel. 813.935.4744
Fax. 813.931.1427
Email: DrMane@manecenter.com
Website: www.manecenter.com
