Patient Resources

The Rimland Center

Promoting Healthy Sleep Habits

Please see these excellent suggestions about how to promote good sleep from Dr. Mumper's colleague and mentor, Sid Baker.

Vitamin D: An Absolute Requirement for Healthy Living

Many of us regularly assess laboratory values of vitamin D. Interpretation of the lab’s reference range can be a challenge to explain to your patient. What is the difference between “normal” and “optimal” and why is their reference range different from what you are recommending? Dr. Michael Stone created this handout a couple of years ago to answer those questions. It has become a very useful explanation that I often give to patients after I’ve done a brief overview of the importance of vitamin D and why I may be suggesting supplementation. We have added references to this document so that the more curious patients can have some evidence behind your suggestions. Additionally, they can take it to their other providers who may have some questions about those recommendations as well.

Everyone should have his or her vitamin D level checked at least once a year (infants through the elderly).

Below are conditions that have been associated with vitamin D levels:
< 10 ng/mL Severely deficient
< 15 ng/mL Risk of rickets[i]
< 20 ng/mL 75% greater risk of colon cancer[ii]
< 30 ng/mL Deficient
Increased calcium loss from bones, osteoporosis[iii]
Poor wound healing[iv]
Increased muscle pain[v]
Increased joint and back pain[vi]
Greater risk of depression[vii]
Increased diabetes[viii]
Increased schizophrenia[ix]
Increased migraines [x]
Increased autoimmune disease (lupus, scleroderma)[xi]
Increased allergies
Increased preeclampsia[xii]
Increased inflammation
30–50 ng/mL Suboptimal levels
< 34 ng/mL Twice the risk of heart attack[xiii]
< 36 ng/mL Increased incidence of high blood pressure[xiv]
< 40 ng/mL Three times the risk of multiple sclerosis[xv]
> 50 ng/Ml 50% reduction in breast cancer, decreased risk of all solid cancers[xvi]
80–100 ng/mL Slowing of cancer growth in patients with cancer[xvii]
> 100 ng/mL Increased risk of toxic symptoms (hypercalcemia)[xviii]

Natural Production of Vitamin D
Your skin makes vitamin D when it is exposed to a pinking dose of sunlight. How much vitamin D you make depends on your age, how much skin is uncovered, and your skin tone. Without sunblock and with arms and legs exposed, your skin will make 10,000 to 15,000 units of vitamin D in one pinking sun exposure, on average. Sunblock with an SPF of more than 15 blocks 100% of vitamin D production in the skin.

Depending on the latitude at which you live, you may only get enough radiation from the sun for vitamin D production between May and October. Also, the darker your skin, the more sun you need to make enough vitamin D.

Vitamin D Supplementation Doses
Normal dosing of vitamin D depends on your blood levels. Some practitioners recommend treatment doses for blood level ranges as high as:
<10 ng/mL 10,000 units per day
10–20 ng/mL 10,000 units per day
20–30 ng/mL 8,000 units per day
30–40 ng/mL 5,000 units per day
40–50 ng/mL 2,000 units per day

If you are taking a vitamin D supplement, adequate calcium and magnesium intake are also required.

It is very difficult to get too much vitamin D. People can take up to 10,000 units per day for 6 months and not have any adverse effects. However, people with sarcoidosis, tuberculosis, Lyme disease, lymphoma, or kidney disease have to be supplemented carefully because of an increased risk of their blood calcium level becoming too high.

Rechecking Your Vitamin D Level
It is recommended that you have your vitamin D level rechecked within 2 weeks to 2 months after starting supplementation, depending on your medical and health condition. Other lab tests for calcium, ionized calcium, magnesium, and parathyroid hormone levels (PTH) may also be done during the recheck.

*From the Institute of Functional Medicine

Free, Weekly Seminars on Autism Diet and Nutrition

Each week Julie Matthews, Certified Nutrition Consultant and Autism Diet Specialist, will conduct FREE educational webinars for parents and caregivers to learn and become more effective with their dietary strategies. Topics will range from beginner GFCF implementation to advanced diet discussions focused on other special autism diets, as well as entire Q&A sessions dedicated to having your questions answered. Julie is a leading specialist in "nutrition intervention" for ASDs which comprises deep understanding of biochemistry and the role of food, nutrition, and supplementation in the restoration of health and well being. She understands, applies, and customizes the varied dietary strategies - as there is no "one size fits all" approach, nor one particular "autism diet." Take just one hour each week for nutrition learning, guidance, advice and at-home support.
Register for a Free Webinar

Gluten/Casein Free Grocery Shopping Guide

"Frustrated in trying to find Gluten-Free Casein-Free (GFCF) Products in your grocery stores? Tired of calling food manufacturers and guessing on nutrition labels? Well, help is here! Introducing Cecelia’s Marketplace Gluten/Casein Free Grocery Shopping Guide!"

When to Call the Doctor

Wondering whether your child's symptoms are serious? Should you call the doctor, treat your child at home, or go to the emergency room? HealthyChildren.org now has an exciting new interactive tool to help parents evaluate their child's symptoms.

Try the HealthChildren.org KidsDoc Symptom Checker...

What Can Be Done to Prevent Autism Now?

By Maureen H. McDonnell, RN
Although the entire mystery of what has caused the autism epidemic has not yet been solved, based on emerging science and parents reporting what specific treatment have improved (or in some cases recovered) their children...

Read more...

New MB12 Report Form

Tera Walker revised our MB12 questionnaire to be more user-friendly. This is yet another example of the contributions of parents to the work of helping children with autism.

Online Resources from the National Institutes for Health

Toxicology

Lead
Mercury
Pesticides
Toxicology Map
Tox Town

General Environmental Information

Portal to many resources on environmental health
Poisoning, Toxicology, Environmental Health
Household Products
Indoor Air Pollution
Home Page
Activities for Kids

Genes + Environment

NIH Initiatives
New Technology For Detecting Biological Responses to Environmental Factors
The Environmental Genome Project
The National Center for Toxicogenomics

Child Safety

NIH Child Safety Resources
Child Sexual Abuse
NIH: Wait-and-See Approach Works for Children's Ear Infections
News by Health Topic

Getting Children to Take Supplements

View this informative article with advice on getting your children to take supplements

Ten Things Every Child With Autism Wish You Knew - by Ellen Notbohm

Download these great articles

Ten Things Every Child With Autism Wish You Knew
Ten Things Your Student With Autism Wishes You Knew

Books by Ellen Notbohm

Ten Things Every Child with Autism Wishes You Knew
Winner of iParenting Media’s Greatest Products of 2005 Award
Buy from Amazon

1001 Great Ideas for Teaching and Raising Children With Autism Spectrum Disorders
Winner of Learning Magazine’s 2006 Teacher’s Choice Award
Buy from Amazon

Columns

Postcards From the Road Less Traveled, Autism/Asperger's Digest
Exceptional Children: Navigating Special Education, Children’s Voice

For further reading

Ten Things Every Child with Autism Wishes You Knew
Ten Things Your Student With Autism Wishes You Knew

Resources for Ensuring a Healthy Environment for Your Child

Indoor Air Quality

Indoor Environmental Quality Report

Household Drinking Water

Water Filtration Technology
From Countertop to Shower Filters to Whole House Systems

General Information on Household Toxins and Alternative Products

General Information on Household Toxins and Alternative Products
www.healthy-homes.com
US EPA Healthy Buildings, Healthy People
Trained Master Home Environmentalists (MHE) volunteers use a Home Environmental Assessment List (HEAL) to help you identify hazards in your home
Natural Home and Garden
Formaldehyde Free Hardwood Plywood: uses soy based adhesives which perform better than and is just as cost effective as its urea-formaldehyde counterpart
Organic and Chemical Free Furniture
Natural lawn, garden and ornament fertilizers
Wooden Toys, Games, Books, & Music to Inspire Creativity in Children and Parents

Environmental Toxins

Children's Health and Environmental Coalition
Environmental Heath Strategy Center
An information system on environmental health hazards human reproduction and development