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?

Poll #1 results

So, 9 people responded to the last poll asking why they visited my blog. 8 of those people were here because they have a child with apraxia. So now I have a new poll up. I'm wondering how old your child with CAS is (or suspected CAS). Answer if you feel comfortable doing so. :-)

A new power put to use

Ava is learning to communicate and she loves it. She feels empowered. She can ask for the specific food she wants to eat. She can request the specific television show she wants to watch. She can ask her mama or daddy to drop what they’re doing and come play. She can tell her brother “no”. So many things are now possibilities that weren’t before. Mostly this is all good. However…

She’s also about to turn two. We’re celebrating her birthday this weekend, in fact. You know what they say about two. It often involves the words “terrible” and “tantrums”. Combine the explosion in her ability to communicate with the natural nature of a two year old and you get a child who has discovered how to protest. Loudly. At great length. Complete with tears and wailing. For example, we came in from a walk. Ava wanted to go back outside and I told her that we couldn’t because it was time to get dinner ready. She sat in front of the door and cried for 15 minutes. Then she finally noticed that I wasn’t paying attention and gave up. This is happening more and more frequently. Now it tends to be at least once a day.

Ava is also developing a mama thing. When she asks for milk she wants me to get it for her. If she needs to potty she wants me to take her. When it’s time to get ready for bed she wants me to read the books. And you should see the performance when I leave her at school two mornings a week. At first we indulged her. It didn’t seem like a big deal to just have me take her to the bathroom instead of her daddy. But then it got worse. The insistence on mama instead of daddy started coming more often and the protests became more dramatic. Now, she will simply refuse to use the bathroom unless it’s me. Even if my husband carries her to the bathroom and places her on the potty, she won’t go. The child certainly knows her own mind. I’ve seen her hold it for more than two hours rather than go for her daddy.

I don’t really know what to do about any of this other than to refuse to indulge her. Surely this is a stage that won’t last forever?