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Gabriel treats adult ADHD as neurobiological dysfunction with identifiable root causes, not character flaw or lack of willpower.
Gabriel treats adult ADHD as neurobiological dysfunction with identifiable root causes, not character flaw or lack of willpower. Medication (Adderall, Ritalin) effective but side effects, doesn't address root cause, alternatives exist. Protocol similar to pediatric but adult-specific: 1) Optimize nutrition (omega-3, magnesium, iron if deficient, B vitamins, protein-rich diet), 2) Eliminate food triggers (artificial additives, gluten/dairy trial, blood sugar stabilization), 3) Heal gut (neurotransmitters made in gut—dysbiosis affects focus, mood), 4) Thyroid optimization (if sluggish—affects energy, focus), 5) Mitochondrial support (brain energy—CoQ10, L-carnitine, B vitamins), 6) Lifestyle optimization (sleep, exercise, stress management, reduce distractions, structure), 7) Consider stimulant alternatives (if symptoms severe—but exhaust natural approaches first). Goal: optimize brain function naturally, reduce symptoms, improve executive function without medication if possible. Many adults improve significantly with comprehensive approach—some eliminate meds or use lower doses.
Standard Treatment
Stimulant medications (first-line): Amphetamines (Adderall, Vyvanse, Dexedrine), Methylphenidate (Ritalin, Concerta, Focalin), Non-stimulants: Atomoxetine (Strattera—norepinephrine reuptake inhibitor), Guanfacine (Intuniv), Clonidine (Kapvay), Bupropion (Wellbutrin—off-label, antidepressant, increases dopamine/norepinephrine), Modafinil (Provigil—off-label, wakefulness agent), Behavioral: ADHD coaching, Cognitive Behavioral Therapy (CBT), Skills training (organization, time management), Accommodations (work, school—extra time, reduced distractions)
The Problem
Medications: Stimulants (Adderall, Ritalin) effective (70-80% respond—improve focus, reduce impulsivity, hyperactivity) BUT: Side effects common: Appetite suppression (weight loss), Insomnia (if taken too late in day), Anxiety, irritability (especially as wears off—"crash"), Increased heart rate, blood pressure (cardiovascular monitoring needed), Tolerance (need higher doses over time in some), Abuse potential (Schedule II controlled substances—can be addictive, especially Adderall), Rebound effect (symptoms worse when medication wears off), Personality changes (some feel "flat," less creative), Growth suppression in children (long-term effect in adults unclear), Doesn't address root cause (nutrient deficiencies, gut dysfunction, blood sugar, mitochondrial issues), Must continue indefinitely (symptoms return if stop), Non-stimulants (Strattera, Intuniv): Less effective than stimulants (50-60% response), Side effects: Strattera—nausea, fatigue, dizziness, sexual dysfunction, suicidal ideation (black box warning), Intuniv—sedation, low blood pressure, Conventional approach: Prescribes medication without: Testing for nutrient deficiencies (omega-3, iron, magnesium, zinc, B vitamins—common in ADHD, deficiency impairs neurotransmitter function, supplementing improves outcomes), Optimizing diet (blood sugar stabilization, eliminating additives, food sensitivities—huge impact), Addressing gut health (gut-brain axis—dysbiosis affects neurotransmitters, mood, focus), Testing thyroid (hypothyroidism mimics ADHD—treat thyroid, "ADHD" resolves), Comprehensive lifestyle intervention (exercise, sleep, stress management, structure—as effective as medication for mild-moderate ADHD), Mitochondrial support (brain energy—CoQ10, L-carnitine, B vitamins), Many ADHD adults could improve significantly or eliminate meds with: Omega-3 (2-4g/day—proven effective), Magnesium (most deficient), Iron (if low ferritin), Protein-rich diet (blood sugar stability, amino acids for neurotransmitters), Eliminate artificial additives (food dyes, preservatives), Exercise daily (increases dopamine naturally), Sleep optimization (7-9 hours, consistent schedule), Structure and routines (external systems to compensate for executive dysfunction), Stress management (meditation, therapy), Some need medication (severe ADHD, occupational/relationship impairment)—but integrative approach allows lower doses, fewer side effects, better outcomes (medication + nutrition + lifestyle)
A comprehensive, tiered approach combining supplements, herbs, and advanced therapies
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What's Included
Available through Fullscript
Practitioner-Grade — Not Available on Amazon
What's Included
Whole food supplements by Standard Process
What's Included
Standard Process + Matter peptides
Blood sugar stabilization (CRITICAL—hypoglycemia causes brain fog, inattention): Protein with every meal (0.8-1g/kg body weight daily—provides amino acids for neurotransmitters, stabilizes blood sugar), Healthy fats (brain needs fat—avocado, nuts, olive oil, coconut oil, fatty fish, eggs), Complex carbs only with protein/fat (never alone—quinoa, sweet potato, oats), Avoid: sugar, refined carbs (spike blood sugar then crash—worsens focus, mood, energy), No skipping meals (especially breakfast—brain needs fuel, protein-rich breakfast critical), Frequent small meals or 3 solid meals with protein (prevents blood sugar dips), Omega-3 foods (wild fish 3x/week—salmon, sardines, mackerel; grass-fed meat, pastured eggs—brain structure, neurotransmitter function), Eliminate artificial additives (Feingold Diet—food dyes, preservatives worsen ADHD in susceptible, not all but try elimination): Red 40, Yellow 5, Yellow 6, Blue 1, Blue 2, Green 3, sodium benzoate, BHA, BHT, TBHQ, Eliminate common allergens trial (30 days—assess improvement): Gluten (affects focus, mood in sensitive), Dairy (casein—opioid-like effect, brain fog in some), Soy, Eggs (for some), Increase brain foods: Blueberries (antioxidants, polyphenols—improve memory), Dark chocolate 85%+ (flavonoids, caffeine—focus), Green tea (L-theanine + caffeine—focus), Colorful vegetables (antioxidants), Avocado (healthy fats, B vitamins), Nuts and seeds (if tolerated—magnesium, zinc, healthy fats), Eggs (choline—acetylcholine precursor), Adequate hydration (dehydration worsens focus—8-10 glasses water/day), Avoid excess caffeine (>300mg/day—anxiety, crash, but moderate caffeine helpful for ADHD), Limit alcohol (neurotoxic, depletes B vitamins, affects sleep)
Exercise (CRITICAL—increases dopamine, norepinephrine, BDNF naturally, improves focus, reduces hyperactivity): Daily 30-60 min (aerobic + resistance training), Morning exercise ideal (sets tone for day, improves focus all day), High-intensity interval training (HIIT) especially effective (short bursts—dopamine surge), Outdoor exercise (nature, sunlight—additional benefits), Consistency more important than intensity, Sleep optimization (7-9 hours—ADHD adults often have sleep issues, poor sleep worsens all symptoms): Consistent schedule (same bedtime/wake time—even weekends), No screens 1-2 hours before bed (blue light suppresses melatonin), Dark, cool room (65-68°F, blackout curtains), Magnesium before bed (relaxes, improves sleep), Melatonin 1-5mg if needed (ADHD adults often low melatonin), Address co-existing sleep disorders (sleep apnea, restless legs—common in ADHD, treat to improve symptoms), Morning sunlight (within 30 min of waking—resets circadian rhythm, improves focus, sleep), Stress management (chronic stress depletes dopamine, worsens executive function): Meditation (improves prefrontal cortex function—even 10 min/day helpful), Mindfulness practices, Breathwork, Yoga, Therapy (ADHD coaching, CBT—skills training), Structure and routines (ADHD brains thrive on structure): Daily routines (same morning/evening routine—reduces decision fatigue), Lists and reminders (external memory—phone reminders, to-do lists, calendar), One task at a time (avoid multitasking—ADHD adults terrible at it despite trying), Break large tasks into small steps (reduces overwhelm), Timers (Pomodoro technique—25 min work, 5 min break), Declutter environment (visual distractions worsen ADHD—minimalist workspace), Reduce distractions: Phone on silent or airplane mode during work (notifications kill focus), Close unnecessary browser tabs, email (check 2-3x/day, not constantly), Noise-canceling headphones or white noise (if sound-sensitive), Work in quiet environment, Time-blocking (dedicate specific times to tasks—reduces decision fatigue), Neurofeedback (brain training—teaches self-regulation, improves focus, expensive but some insurance covers, 20-40 sessions typically), Limit screen time (screen addiction worsens ADHD—dopamine depletion from constant stimulation, set limits), Vocational fit (choose work that matches ADHD brain—high-stimulation, variety, urgency, creativity; avoid boring repetitive tasks), Support system (accountability partner, ADHD coach, therapy, support groups), Treat co-existing conditions (anxiety, depression—very common in ADHD, often need treatment), Consider medication if severe (stimulants effective—Adderall, Ritalin, Vyvanse, but side effects, try natural approaches first, some need meds + natural approach)
Mind, Body & Spirit
True healing requires addressing all dimensions of health. These evidence-based practices complement physical treatment protocols.
Daily meditation practice to reduce stress, lower inflammation, and support healing.
Developing healthy coping strategies to reduce cortisol and support immune function.
Conscious breathing techniques to regulate nervous system and reduce symptoms.
Time in nature to reduce stress, improve mood, and support physical healing.
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Standard Process + advanced peptide therapy
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