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	<title>PANDAS - Male - Revision history</title>
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	<updated>2026-05-06T09:47:33Z</updated>
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		<title>Kelly.oconnor: Created</title>
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		<updated>2025-05-07T23:51:21Z</updated>

		<summary type="html">&lt;p&gt;Created&lt;/p&gt;
&lt;p&gt;&lt;b&gt;New page&lt;/b&gt;&lt;/p&gt;&lt;div&gt;== What Does It Mean? ==&lt;br /&gt;
Pediatric Autoimmune Neuropsychiatric Disorder Associated with Streptococcal Infections (PANDAS) is an autoimmune condition in which the immune system mistakenly attacks neural tissues following a streptococcal infection. This results in neuropsychiatric symptoms, including obsessive-compulsive behaviors, anxiety, tics, and mood dysregulation. Functional medicine focuses on addressing immune dysfunction, reducing neuroinflammation, and restoring gut-brain balance.&lt;br /&gt;
&lt;br /&gt;
== How Did We Get There? ==&lt;br /&gt;
&lt;br /&gt;
=== Root Causes ===&lt;br /&gt;
&lt;br /&gt;
* Autoimmune Reaction – Molecular mimicry leads to the immune system attacking neural tissues.&lt;br /&gt;
* Chronic Inflammation &amp;amp; Neuroinflammation – Persistent inflammatory responses contribute to behavioral and neurological symptoms.&lt;br /&gt;
* Gut Dysbiosis – Imbalanced gut microbiota can trigger immune dysfunction and affect neurotransmitter production.&lt;br /&gt;
* Blood-Brain Barrier Dysfunction – Increased permeability allows immune complexes to enter the brain, worsening symptoms.&lt;br /&gt;
* Post-Infectious Immune Dysregulation – Unresolved streptococcal infections can keep the immune system in a hyperactive state.&lt;br /&gt;
&lt;br /&gt;
=== Signs &amp;amp; Symptoms ===&lt;br /&gt;
&lt;br /&gt;
* Sudden onset of obsessive-compulsive behaviors and anxiety&lt;br /&gt;
* Motor and vocal tics&lt;br /&gt;
* Emotional instability, irritability, and mood swings&lt;br /&gt;
* Cognitive difficulties, including memory and attention deficits&lt;br /&gt;
* Sleep disturbances and fatigue&lt;br /&gt;
* Urinary frequency or regression in toileting habits&lt;br /&gt;
&lt;br /&gt;
=== Diagnostic Criteria ===&lt;br /&gt;
Diagnosis is based on clinical symptoms.&lt;br /&gt;
&lt;br /&gt;
== How Do We Treat It? ==&lt;br /&gt;
&lt;br /&gt;
=== Functional Medicine Approach ===&lt;br /&gt;
The treatment approach focuses on immune modulation, reducing neuroinflammation, supporting gut health, and restoring neurotransmitter function.&lt;br /&gt;
&lt;br /&gt;
=== Supplement Protocol ===&lt;br /&gt;
{| class=&amp;quot;wikitable&amp;quot;&lt;br /&gt;
|&amp;#039;&amp;#039;&amp;#039;Supplement&amp;#039;&amp;#039;&amp;#039;&lt;br /&gt;
|&amp;#039;&amp;#039;&amp;#039;Function&amp;#039;&amp;#039;&amp;#039;&lt;br /&gt;
|&amp;#039;&amp;#039;&amp;#039;Dosage &amp;amp; Frequency&amp;#039;&amp;#039;&amp;#039;&lt;br /&gt;
|-&lt;br /&gt;
|Advanced Vita-Biotic R&lt;br /&gt;
|Provides probiotic strains to restore gut microbiome balance and enhance immune modulation.&lt;br /&gt;
|1 capsule with food, daily&lt;br /&gt;
|-&lt;br /&gt;
|Endura&lt;br /&gt;
|Supports hydration and electrolyte balance to aid nervous system regulation.&lt;br /&gt;
|1 packet with or without food, three times daily &lt;br /&gt;
|-&lt;br /&gt;
|D-Mannose Powder&lt;br /&gt;
|Prevents bacterial adhesion and supports immune defense against streptococcal infections.&lt;br /&gt;
|1 tsp of powder with food, twice daily&lt;br /&gt;
|-&lt;br /&gt;
|Vita Microbe&lt;br /&gt;
|Enhances microbial balance to reduce gut-derived immune dysfunction.&lt;br /&gt;
|3  capsules with or without food, daily&lt;br /&gt;
|-&lt;br /&gt;
|Vita Buffered C Powder&lt;br /&gt;
|Reduces oxidative stress and supports immune function.&lt;br /&gt;
|¼  scoop of powder with food, twice daily&lt;br /&gt;
|-&lt;br /&gt;
|Vita-Biotic&lt;br /&gt;
|Supports neurological and immune resilience through essential micronutrients.&lt;br /&gt;
|4 capsule without food, daily&lt;br /&gt;
|-&lt;br /&gt;
|Vita-Candid&lt;br /&gt;
|Helps regulate gut microbiota and reduce immune activation from dysbiosis.&lt;br /&gt;
|2 capsules 20-30 minutes prior to food,  twice daily&lt;br /&gt;
|-&lt;br /&gt;
|Vita-Digestyzyme&lt;br /&gt;
|Aids digestion and nutrient absorption to support neurotransmitter function.&lt;br /&gt;
|2 capsule 20-30 minutes prior to food, twice daily&lt;br /&gt;
|-&lt;br /&gt;
|V-Pax&lt;br /&gt;
|Supports mitochondrial energy production and immune resilience.&lt;br /&gt;
|2  capsules with food, twice daily&lt;br /&gt;
|-&lt;br /&gt;
|Vita B Methyl&lt;br /&gt;
|Provides methylated B vitamins for neurotransmitter production and immune modulation.&lt;br /&gt;
|1 capsule without food, daily&lt;br /&gt;
|-&lt;br /&gt;
|Magnesium&lt;br /&gt;
|Supports neuromuscular relaxation and nervous system function.&lt;br /&gt;
|2 capsule with or without food, daily&lt;br /&gt;
|-&lt;br /&gt;
|V-Inflamma&lt;br /&gt;
|Reduces systemic and neuroinflammation to support cognitive and emotional stability.&lt;br /&gt;
|1 capsule without food, daily&lt;br /&gt;
|-&lt;br /&gt;
|Co-Q10 300 mg&lt;br /&gt;
|Mitochondrial &amp;amp; cardiovascular support.&lt;br /&gt;
|2 capsules with food, daily&lt;br /&gt;
|-&lt;br /&gt;
|Vita Defense&lt;br /&gt;
|Strengthens immune function to help manage recurrent streptococcal infections.&lt;br /&gt;
|1 capsule without food, daily&lt;br /&gt;
|-&lt;br /&gt;
|Vita-Glutathione&lt;br /&gt;
|Acts as a master antioxidant to reduce neuroinflammation and oxidative stress.&lt;br /&gt;
|1 capsule with or without food, daily&lt;br /&gt;
|-&lt;br /&gt;
|Vita DIM&lt;br /&gt;
|Supports immune modulation and hormonal balance.&lt;br /&gt;
|2 capsules with or without food,  daily&lt;br /&gt;
|-&lt;br /&gt;
|SBI Powder&lt;br /&gt;
|Strengthens gut barrier function to prevent immune hyperreactivity.&lt;br /&gt;
|1 scoop of powder in cold liquids without food, daily&lt;br /&gt;
|-&lt;br /&gt;
|Gluta Protect&lt;br /&gt;
|Provides antioxidant protection to support immune and nervous system function.&lt;br /&gt;
|1 scoop of powder without food,  daily&lt;br /&gt;
|-&lt;br /&gt;
|V-Collagen&lt;br /&gt;
|Supports gut and brain barrier integrity for improved immune resilience.&lt;br /&gt;
|1 scoop of powder without food, daily&lt;br /&gt;
|-&lt;br /&gt;
|Vita-Flux&lt;br /&gt;
|Enhances circulation and oxygenation to support brain function and recovery.&lt;br /&gt;
|2 capsules 20-30 minutes  prior to food, twice  daily&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
=== Additional Lifestyle Interventions: ===&lt;br /&gt;
&lt;br /&gt;
* Neurological &amp;amp; Cognitive Support – Implement mindfulness techniques, breathwork, and relaxation exercises to regulate stress responses.&lt;br /&gt;
* Anti-Inflammatory Diet – Encourage whole foods rich in antioxidants, omega-3s, and gut-healing nutrients while avoiding gluten, dairy, and processed sugars&lt;br /&gt;
* Hydration &amp;amp; Detox Support – Ensure proper hydration and use gentle detoxifiers like glutathione to assist in immune system regulation.&lt;br /&gt;
* Immune System Monitoring – Track strep exposure, manage infections promptly, and maintain good hygiene to prevent reactivation.&lt;/div&gt;</summary>
		<author><name>Kelly.oconnor</name></author>
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