01/28/2026
Over the last 3 years, we have had the privilege of being part of the healing journey of over 40 children affected with PANDAS/PANS.
Here is a very general overview of Dr. Adame's holistic "Veggies Over Pills" Approach.
We start with a thorough review of previous records, lab work, diagnostic testing, in-depth intake forms, and treatment goals. Followed by:
1) Diagnostic
- Extensive initial lab work including infectious triggers (NOT just strep), micronutrients, allergy testing, screens for autoimmune, MTHFR, and other conditions. I send the order to the lab of your choice and you can use your insurance.
- Whole Genome Sequencing Genetic Testing through Baylor Genetics
- FRAT testing if indicated or requested by family
2)Treatment
(Holistic/Non-Pharma)
- High-Protein, High-Fiber, Anti-Inflammatory Nourishment (Brain Boosters Book)
- Support with "transition foods" such as Amrita Bars and Elements Truffles Protein Powder
- Restorative Sleep with individualized support
- Mindfulness-Based Stress Reduction with Meditation, Community Yoga, and Group Tapping/EFT
- Reduction of toxins including food dyes and ultra-processed foods
- Physical Activity
- Social Connection
- Non-Pharma Emotional Regulation with Breathing Pacing, Calm Carry, or Truvaga Vagal Nerve Stimulator
- Earthing
(Western/Pharma)
- PANDAS Physician Network Treatment Algorithm
- NSAIDs (short term)
- Antibiotics (tailored to history and lab results, short term)
- Steroids (tailored to history, exposure, previous response)
- IVIG (I order serial monthly infusions for one year, but the ultimate infusion pattern is determined by insurance approval, patient outcome, and family preference)
- Referral to ENT for tonsillectomy
- Low Dose Naltrexone
- Leucovorin
- Magnesium (at high doses to support stress reduction and sleep)
- Algae-based Omega-3 with at least 1000 mg EPA/DHA combo
- Vitamin D
- Probiotics
- Mold Detox/Anti-fungals if indicated by history or labs
- Additional supplements based on lab results
- Additional pharmaceuticals depending on needs, goals, additional diagnoses, and quality of life
Does our practice sound like it might be the right one for you? If so, don't be shy, send us a DM!