NutriiVeda - Four Month (and final) Update

I haven't done a NutriiVeda update in quite some time. Before I give my final thoughts on the supplement, here's some basic information about how we used it. We never used a full two scoops a day, as recommended. The most we ever managed was about 1 1/2 scoops a day. For the first two months or so I was pretty consistent about getting that amount into Ava on a daily basis. After that we used the product fairly sporadically.

When we first started using the product I thought I saw an improvement in Ava's speech. I thought she was talking more often in longer utterances. Looking back, I'd say that the improvement was likely due to a developmental spurt or due to the speech therapy services she was receiving.

When we went on a family visit for about a week and Ava did not take the supplement I noticed no change in her speech and language. When we came home and began taking the supplement again I still noticed no change. After that, our use of NutriiVeda became more sporadic and I didn't put the same effort into getting it into her daily.

Now, Ava also has some suspected sensory issues. We haven't had our OT eval yet. One of the ways this effects her is to make her an extremely picky eater. I like the nutritional profile of the NutriiVeda as a meal replacement. It is high in protein and low in sugar. Several times a week I mix it into some yogurt and I feel good about giving it to her for purely nutritional reasons.

We are still buying the product. The company will let you call and delay the autoship for a month. We do that every other month. So, we're buying the product every other month instead of every month and we're doing that for nutritional reasons rather than because we feel it has had a significant impact on Ava's speech.

After having tried it, with high hopes, this is my final opinion:

If you can afford it, and want to try it, go ahead and try it. Many parents have reported that it works for their child and you can't know if it will help you unless you try it. However, unless the results are dramatic and you are positive that the product helped improve your child's speech, your money would be better spent on additional speech therapy or perhaps some speech therapy products to help you with home practice.

NutriiVeda vs NutriiVeda Achieve Comparison

Our first shipment of NutriiVeda Achieve arrived. As expected the product now comes packaged in a resealable 30-serving foil pouch rather than in two 15-serving canisters. The flavor is now French Vanilla rather than Vanilla. Here is a chart highlighting the main nutritional differences between the old NutriiVeda formula and the new NutriiVeda Achieve formula.

The differences I see as most significant, nutritionally are the reduced sugar, added fiber, and added sodium. Although interesting, the added Omegas are not super significant for me because they come from plant sources rather than fish sources making them less appropriate as a supplement for apraxia. Also the dosage is less than generally recommended as a therapeutic dose.

I tried it myself. I do believe that the new NutriiVeda Achieve formulation results in a creamier "shake" (mixed with skim milk) than the original formula. I also think that the new formulation is a little more subtle than the old one. To be honest, I personally disliked the old one. I'm not in love with the new one, but I dislike it less. I found the old one difficult to mix into milk without ending up with lots of big clumps. The new one has the same problem.

The original NutriiVeda mixed beautifully into yogurt. It almost disappeared in terms of texture. If anything, it seemed to make the yogurt a little bit thinner. The new NutriiVeda Achieve seems to mix into the yogurt and give it a creamier, thicker, fluffier texture a little like a mousse.

When I gave it to the kids (occasionally I feed the mix to both kids - it's just simpler that way) Michael immediately noticed the change. He said, "This is a new yogurt. It tastes different. It tastes salty." Now, yes, the new NutriiVeda Achieve does have sodium while the old one did not, but you're also taking the word of a 3 1/2 year old that it tastes salty. I'm not sure he uses the term accurately. That might just be the only word he knows to describe a change in taste. On the other hand, they added sodium and removed over half the sugar content. It may actually taste saltier to him.

He continued to comment on the change as he consumed the bowl. He ate it, but I'm not sure he liked it. Ava ate hers and did not comment on the difference. We've only had one serving so far. I'll let you know if the difference in taste (or texture?) becomes a problem.

Bottom Line The new NutriiVeda Achieve is significantly different in taste and texture from the old NutriiVeda formula. I like the concept of increased fiber and reduced sugar, but I also need Ava to eat it. We'll see if she continues to eat the new formula. I'm not super fond of the increase in sodium. My opinion of the added Omega 3 and Omega 6 from plant sources is neutral.

Another Perspective (On NutriiVeda) Is Always Valuable

We've been trying NutriiVeda with Ava. I'm frustrated by the lack of anything other than anecdotal evidence of improvements, but given that lots of parents are seeing improvements with their children I had to try it. Tentatively, I feel like we've seen an increase in the amount of speech from Ava, and in the length of her sentences since we started using NutriiVeda about six weeks ago.

However, NutriiVeda is expensive and there is no scientific evidence. I came across a well written post on the blog of another mother with a daughter who has Childhood Apraxia of Speech. She tried NutriiVeda with her daughter for three months and did not feel like she saw significant improvements. She saw no regression when she stopped using the product. Check out her post on NutriiVeda. If you're thinking about trying NutriiVeda, you should read the opinions of people who tried it and didn't like it in addition to the posts of all the parents who love it.

While on the topic of the Apraxia Adventures blog, I really identified with her post on her son learning to kiss as well. I am way too familiar with that bittersweet feeling of being happy and sad (jealous!) at the same time.

Since both of my children have oral apraxia, I feel it when I see another woman's baby look at me and smile - so easily and naturally. I enjoy the smile. I enjoy the sweetness of it. And then I wish I had been able to experience that with my children. I wish it had been natural and easy. Or recently, I watched a video of a toddler Ava's age being interviewed by her mother about things like her favorite toy, food, game, etc. The video was adorable as was the toddler. Her speech was so clear. The sentences were so long. I want that ease for Ava. Will I always see other children through the lens of what I want for Ava?

Bah! Enough of this self-pity and sadness. Overall things are good. Improvements abound. I refuse to dwell overly long on depressing thoughts. I'll just share them briefly and then move on.

NutriiVeda Achieve - Reformulation of NutriiVeda

NutriiVeda has been reformulated. The claim is that it is richer and smoother with better flavor. They are now calling the flavors French Vanilla and Dutch Chocolate instead of Vanilla and Chocolate. They have also changed the packaging. Now it will come in a single 30-serving resealable pouch rather than the two 15-serving canisters.

I cannot find much information on the specifics of the reformulation. So far the company has not released the new nutrition panel. The website looks exactly the same to me except that they have changed the pictures to show the new packaging rather than the old packaging. I should get my first shipment of the new formula by the end of next week. I'll let you know more then.

We have been using the original NutriiVeda for about 5 weeks now. Originally Ava was getting about one scoop a day. We're now using closer to one and a half to two scoops per day. I continue to see improvement in Ava's speech. She is continuing to talk more frequently. She's using longer sentences and trying to string several sentences together to tell a single story. All of that is new. It is possible that she would be making these same improvements without the NutriiVeda, there is no way to tell. It certainly isn't hurting though. As always, I also take comfort in the nutritional boost that the NutriiVeda provides for my picky eater too.

NutriiVeda and Apraxia: Two Week Update

We've been using NutriiVeda for about two weeks now. I'd say, on average, Ava has been getting about one scoop per day rather than the two scoops that are recommended. I find that she won't finish the yogurt if I mix in more than about 1/2 to 2/3 scoop into the four ounces of yogurt and we have yogurt 1-2 times per day. Since Ava is a pretty picky eater, I haven't found many other opportunities on a daily basis to sneak it in.

So, we've been using a NutriiVeda "dosage" of about one scoop per day with our two year old daughter for about two weeks now. My opinion is that I am seeing a difference in her speech. She is talking a lot more. She talks all the time. She's also trying to sing. She's never really done that before. Before, she would sing a single word if I paused while singing a song, but now she is trying to sing herself. She's trying to follow along with all the words. She has even tried to sing a song entirely by herself once or twice. Another thing Ava is doing that is new is self-correcting. As she was talking to herself, I heard the word "water" which she said as "wa wa." A moment later I heard her pause and correct it to "wa ter." I was amazed. She corrected the word entirely on her own showing that she's listening to her own speech more and can tell when she says a word correctly and when she doesn't.

None of this is proof of course. Perhaps she would have made all this progress without the NutriiVeda. However, until someone conducts a rigorous scientific study, we can't know for sure. All we can do is talk to parents who have tried it and ask them if they feel they saw improvement after starting to use NutriiVeda with their children with Childhood Apraxia of Speech. I'm saying that I think I'm seeing improvement. Use that information as you will.

If you found this information useful you might also be interested in the following articles:

NutriiVeda for Childhood Apraxia of Speech: Information and Resources

Omega-3 Fish Oil for Childhood Apraxia of Speech: Information and Resources

NutriiVeda for Childhood Apraxia of Speech: Information and Resources

What is NutriiVeda?

NutriiVeda is a powdered beverage being marketed primarily as a meal replacement shake to aid weight loss. You mix the powder into water, milk, or a smoothie. Nutriiveda has a proprietary blend of 7 Ayurvedic botanicals, 22 vitamins and minerals, high quality protein, soluble fiber, and essential amino acids. Each serving contains 153 calories, 3 grams of fiber, 20 grams of protein, 100% of many vitamins and minerals, and only 5 grams of sugar. It is available in chocolate and vanilla.

What does NutriiVeda have to do with Childhood Apraxia of Speech?

In December of 2009, parents of children with Childhood Apraxia of Speech began to try NutriiVeda with their children. Anecdotal reports began to surface of significant improvements in quantity and quality of speech production. The Cherab Foundation, a non-profit foundation trying to help families cope with their children’s communication impairments, began looking into NutriiVeda. They set up a sister site, Pursuit of Research to investigate the effect of taking NutriiVeda on children with communication impairments.

Here are a few web pages that discuss NutriiVeda and Childhood Apraxia.

• NutriiVeda Pursuit History: This article discusses the history of using NutriiVeda with children with apraxia and gives a detailed testimonial.
• Theories Based in Science to Support Whole Food Therapy for Autism, Apraxia, Traumatic Brain Injury, Seizure Disorders: This article discusses theories about why the ingredients in NutriiVeda may help children with apraxia and other special needs.
• Anecdotal SLP Children NutriiVeda Testimonials: This is essentially a long list of testimonials from parents of children with special needs who have seen improvement using NutriiVeda.

NutriiVeda for Childhood Apraxia: Review of Initial Product Purchase and First Impressions

I purchased a one month supply (at 2 scoops/day) of NutriiVeda from the Pursuit of Research website. I found it to be cheaper there than on other sites where it was being sold as a weight-loss product. When I read my confirmation email I was surprised to learn that when I made my purchase I had actually signed up for a monthly automatic shipment program. That was not clear to me during the checkout process. However, the number to call and cancel was clearly listed in the confirmation email and their customer service was excellent when I called.

The product was well packaged in an attractive box and arrived promptly. The individual containers are attractive and the product appeared to be in good condition. I’m using the product with my two year old daughter who has suspected Childhood Apraxia of Speech. I found that if I mix about half to 2/3 scoop (vanilla flavor) in with 4 ounces of yogurt, my daughter will eat it with no problem. Depending on how often she eats yogurt in a day she’ll get anywhere from half a scoop of NutriiVeda a day to two scoops per day. We’ve been using the product for about a week. At only one week, I cannot claim that I see clear signs of improvement in her speech that I definitely attribute to use of the NutriiVeda product. However, we haven’t been using it very long. I will update in the future. The product has a nice side benefit of adding a nutritional boost to the diet of a very picky two year old, so in that way it is a win either way.

Two-week Update: About two weeks into using NutriiVeda (average of one scoop daily) I feel like I am seeing definite improvement. We are hearing a lot more talking. She's even attempting to sing. She is listening to her own speech and self-correcting which we had never seen her do before. Could it be coincidence? Of course. Until someone completes a double-blind scientific study we won't have hard evidence. For now all we have is parent report. I'm reporting that I feel like I'm seeing improvements that I wasn't seeing before starting to give her NutriiVeda.

Six-week Update: At about six weeks after starting to supplement Ava with NutriiVeda we are giving her about 1.5 scoops a day on average. I believe that she is speaking much more often, her sentences are longer, and she is trying to string several sentences together to tell a single story. She has also learned a new sound (/f/) and some other new sounds are starting to emerge. She is occasionally putting a consonant at the end of some of her words (the /p/ at the end of "up" for example). All of this is new. As before, there is certainly no proof that these improvements are due to the NutriiVeda and wouldn't be happening anyway, but the coincidence is interesting and I'm not complaining. We will be continuing to use NutriiVeda in our household.

Are there other supplements that might help with Childhood Apraxia of Speech?

There is some evidence that supplementation with Omega-3 fatty acids can be helpful for children with Childhood Apraxia of Speech. You can read my Information and Resources page on Omega-3 fish oil supplementation for Childhood Apraxia of Speech here.

Omega-3 Fish Oil for Childhood Apraxia of Speech: Information and Resources

What are Omega-3 fatty acids?

Omega-3 fatty acids are molecules that are necessary for human health but cannot be produced by our bodies. They have to be obtained through our food. They are most commonly found in fish and some nuts. Omega-3 fatty acids are essential to brain function and play an important role in growth and development. There are several types of Omega-3 fatty acids, but most research indicates that EPA and DHA have better established health benefits and these types are found in fish oil rather than in nut oils.

Here are a couple of web pages that discuss the general health benefits of Omega 3 fatty acids.

• Omega-3 fatty acids: This article defines Omega-3 fatty acids, discusses their health benefits, gives some dosing guidelines, and discusses precautions and interactions.
• Omega-3 Fatty Acids: Fact Sheet: This WebMD article discusses the basics, benefits, types, food sources, and supplements.

What does Omega-3 Fish Oil supplementation have to do with Childhood Apraxia of Speech?

Many parents of children with Childhood Apraxia of Speech first encounter the idea of supplementing with Omega-3 fatty acids in The Late Talker book. That book devotes an entire chapter to the topic. Most of the evidence is anecdotal. Some families have seen dramatic improvement after a plateau when adding Omega-3 fish oil supplementation was the only change. Given that there is evidence of general health benefits, few drawbacks, and the possibility of helping a child communicate better, many parents choose to try it.

There is some preliminary scientific evidence that Omega-3 supplementation does help with related disorders like dyspraxia (neurological motor planning disorder of the limbs) and autism.

Here are a few resources that discuss Omega-3 supplementation and Childhood Apraxia (or related conditions).

• Dyslexia, Dyspraxia and ADHD – Can Nutrition Help?: This article is in .pdf form. It nicely summarizes some of the actual research out there on fish oil supplementation and disorders. Note that none of these studies are actually about children with Childhood Apraxia of Speech. These are studies with related disorders including dyspraxia.
• Therapeutic Use of Fish Oil for Apraxia, Autism and Other Communication Impairments: This article is structured like a FAQ covering topics like dosage, brand, and tips for getting your child to take the supplement among other topics.
• Syndrome of Allergy, Apraxia, and Malabsorption: Characterization of a Neurodevelopmental Phenotype that Responds to Omega 3 and Vitamin E Supplementation: This is a research article published in the Journal of Alternative Therapies in 2009 (also a .pdf). This study was conducted with children diagnosed with Childhood Apraxia of Speech. However, this research study did not have a control group, so although as a parent I am encouraged and interested, as an SLP I am still not convinced.
• Scientists Characterizes New Syndrome of Allergy, Apraxia, Malabsorption : This is a science news article about the Journal of Alternative Therapies study. It summarizes and discusses the results of the study.
• The Omega Wave This is a pretty interesting BBC news article on fish oil supplementation and learning disabilities, but it is just a news article, not a research article.

Omega-3 Fish Oil Supplementation for Childhood Apraxia of Speech: Review of Product Purchase and Impressions

After carefully reading the chapter in the The Late Talker book and all of the articles referenced above we decided to purchase the Nordic Naturals Ultimate Omega Liquid. The Nordic Naturals brand has a great reputation for quality and we wanted the product in the most concentrated form possible given that we weren’t sure how well our two year old daughter would take it. This product also has a blend of the different types of Omega-3 fatty acids and we wanted that as well in order to get the closest possible approximation to the therapeutic doses described in the book and articles.

The product is lemon flavored and does not smell or taste fishy at all. I have been very pleased with the quality of the product. I suppose you could try to give it to your child straight off a spoon or medicine dosing cup, but we’ve never tried that. If the product starts to smell or taste fishy, it has spoiled. After doing some research, we decided to store our bottle in the freezer to extend its shelf life.

We mix the Omega-3 supplement in with about two ounces of yogurt. At first we bought lemon yogurt, but when we ran out we tried random flavors and they all seem to work. We’ve also mixed it in with yogurt drinks and that has worked as well. I simply use a medicine dispenser I borrowed from an infant ibuprofen bottle to measure the right dosage and then squirt it into the yogurt. Stir and serve.

Is Omega-3 Supplementation working to help our daughter’s Childhood Apraxia of Speech?

To be honest, I cannot tell if the Omega-3 supplementation is helping for us. We started the supplementation and intensive therapy in the same week so it is impossible to tell if the improvement we have seen is due to the Omega-3 supplement, the therapy, or a combination of both. I can say that I have not really noticed any kind of regression when we miss her nightly dose several nights in a row for some reason. However, given the general health benefits and the possibility that it is helping in a subtle way I am certainly not going to stop using the product.

Are there other supplements that might help with Childhood Apraxia of Speech?

Many parents are anecdotally reporting improvement in their child's speech when using a meal replacement supplement called NutriiVeda. You can read my Information and Resources page on NutriiVeda for Childhood Apraxia of Speech here.

Nutriiveda – First Thoughts and Impressions (and a little extra information)

Ok. First item of business. They are a little sneaky. Not a lot sneaky, but a little. Let me explain. Apparently, when you order your $80.00, 2 can package you are actually approving an autoship program. They do make that very clear in their confirmation email, but a lot of people don’t read those confirmation emails. So, if you do nothing, they will continue to charge your credit card and send you another shipment each month. They include the number to call to change that right in their email though so the issue is easy to fix. I just figured I’d give you fair warning.

Second small issue. The checkout process told me there would be a $7.95 shipping and handling fee. Ok. I was expecting that. It did not warn me that my state was one of the states where they also need to charge tax. So my total was $95.14 instead of the $87.95 I was expecting.

You receive two cans that have 15, 2-scoop servings each. The serving they recommend therapeutically for children is 2 scoops a day, so you’re talking a 30 day supply. That’s essentially an extra $100 dollars a month. This is not an inexpensive experiment by any means.

I did call their number. They answered with no wait and the person I spoke with was polite and helpful. She explained where the extra charge came from (taxes) and told me that if I wanted to postpone a shipment (or cancel the autoship entirely) I just needed to call at least three days before my scheduled ship date. I decided not to postpone just yet. I want to see how things go over the next three weeks or so. If I want to continue, and we’re successful at getting 2 scoops into Ava per day we’d need a monthly supply.

They also have a rewards program. They give you 10% of your product order in “Loyalty Rewards Dollars”. So for each shipment you earn 8 reward dollars. When you have enough to cover an entire order you can redeem them for a “free” product. So, essentially, it’s buy 10 and get the next one free (not counting shipping and tax). You only earn the rewards if you stay enrolled in the autoship program. So, it isn’t exactly an overwhelming deal, but if you do end up deciding you want to try it long term, there’s a bonus coming down the line. Oh, and you have to call to redeem them. They won’t do it automatically.

So, the product is nicely packaged and arrived promptly. I ordered it at 9pm on the 27th and it arrived in the mail on the 31st. They recommend you start with one scoop a day and work your way up to two. I was mixing up Ava’s yogurt/Omega-3 supplement nightly “treat” anyway, so I thought I’d just mix it in. After opening the container and looking at the size of the scoop I actually only added about 1/3 scoop to the yogurt (about half a container of yogurt). It took a couple of minutes of stirring before I felt like it had blended well. It takes some time for the mix to actually dissolve. She ate it just like she normally does. I couldn’t tell that she even noticed it was different. Michael actually had some mixed into his yogurt as well and didn’t seem to notice.

The next morning I mixed in half a scoop with about 4 ounces of yogurt and again, Ava didn’t seem to notice. So getting it into her doesn’t seem like it will be a problem. At least not when mixed in at those ratios. Ava only has yogurt twice a day though and I haven’t tried mixing a whole scoop in yet. I’m not sure that it would still be unnoticeable at that amount. We’ll see.

Now I just have to wait and see if I feel like it’s making a $100/month difference for her. We’ll see.

As an aside, I tried it myself. I mixed two scoops in to about 11 ounces of non-fat milk. This is the recommended amount for an adult meal replacement shake. Now, admittedly, I’m a picky eater. Truly. I am. But I only managed to drink about half of it and poured the rest down the sink. I didn’t like it. I wanted to. I really did. But, at least in milk, I felt it had a really chalky aftertaste. If I can think of something else to mix it with perhaps I’ll try it again. (I don’t like yogurt, so that’s out.) So that was my opinion. Then again, for our purposes, my opinion doesn’t matter. Ava needs to eat it and she will when it is mixed into yogurt.

Bottom Line(s):
Ava ate it without noticing when mixed in with yogurt. She’ll even eat both the Omega-3 supplement and the Nutriiveda supplement mixed in at the same time.

Their shipping is prompt and their customer service is polite and helpful.

Remember to cancel the autoship if you don't want it.

I personally think it tastes awful. (We’re using vanilla.)

Time will tell about whether it seems to help therapeutically for us.

Oh, and as a bonus, I found a more detailed web page testimonial on Nutriiveda for Apraxia.

Nutriiveda for Apraxia?

So I was doing a bit of reading at the CHERAB website. This non-profit organization was founded by Lisa Geng who is one of the authors of The Late Talker book. I came across a page I linked to through their site with glowing anecdotal reviews about a new (to me) nutritional supplement. This site has been collecting testimonials and surveys from parents who have tried Nutriiveda and most have been positive.

I had never heard of it before, so I did a little web searching and discovered that this product is being primarily marketed as a meal replacement / weight loss product. That fact alone initially turned me off. I kept researching though. I came across this testimonial on a personal blog by another mom with a child who has apraxia. I re-read the description of the product and the information on the CHERAB website.

My decision about whether or not to try the product came down to two main points. First, just like with Omega-3 fish oils, there seems to be no downside and the possibility of hope. I hate to not try something that might help. Second, Ava is going through a terrible picky eater stage. She won’t eat any meat other than an occasional chicken nugget or fish stick and any veggie other than a carrot stick with dip. Supplementing her with something that has a great nutritional supplement aspect is appealing. One serving has 3 grams of fiber, 20 grams of protein, 100% of many vitamins and minerals, and only 5 grams of sugar.

So I ordered some. I’ll let you know what I think when I get it, and if and how it works over time.

Fish Oil Supplementation

I first read about Omega 3 fish oil supplementation in The Late Talker book. They devote an entire chapter to the topic. As an SLP I am frustrated that there isn’t more research out there and I would hesitate to recommend something with so little research. As a parent of a child with suspected apraxia I have a completely different opinion. There’s almost no evidence of harm, and the possibility of hope. Why not try anything that might help?

Here are some of the articles I have found on the topic in addition to the Late Talker book. Read them and decide for yourself.

• Dyslexia, Dyspraxia and ADHD – Can Nutrition Help? This article nicely summarizes some of the actual research out there on fish oil supplementation and disorders. Note that in this article the term dyspraxia does NOT refer to apraxia of speech.
• Essential Fatty Acids This is a generic article on fish oil supplementation.
• Long-Chain Polyunsaturated Fatty Acids and Learning Disabilities This article talks about some of the research on fish oil supplementation and learning disabilities.
• Syndrome of Allergy, Apraxia, and Malabsorption: Characterization of a Neurodevelopmental Phenotype that Responds to Omega 3 and Vitamin E Supplementation This is a research article published in the Journal of Alternative Therapies in 2009. However, this research study did not have a control group, so although as a parent I am encouraged and interested, as an SLP I am still not convinced.
• The Omega Wave This is a pretty interesting news article on fish oil supplementation and learning disability, but it is just a news article, not a research article.
• Nordic Naturals Ultimate Omega LiquidThis is the product we eventually decided to use. We are not giving the recommended dosage for an adult. I am not going to tell you what we’re giving, because I’m not comfortable giving dosage advice. Make your own decision after reading the research yourself and consulting with your pediatrician.

You might ask how on earth we get our two year old to swallow a fish oil liquid. The answer is that we don’t. We disguise it as an after dinner “special treat”. Sometimes we mix it in with a couple of tablespoons of lemon flavored yogurt. Sometimes we mix it with raspberry sherbet. Sometimes we mix it in with those yogurt drinks they make with kids. She doesn’t even know it is there. Getting her to eat it is usually no problem at all.

The product is not fishy at all. If it tastes fishy or smells fishy it has spoiled. We store our bottle in the freezer to extend its shelf life.

Is it working? Who knows? Ava’s progress has been amazing. But we started the supplementation at pretty much the exact same time we started therapy. Who knows if it is the therapy or the Omega 3s or both?