Before starting the diet, our 6 yo ADHD son had the 40 foods blood test and it showed wheat to be a 4 which is the highest, so I put him on wheat-free bread. The dietitian I saw about the elimination diet said that the blood test is not a credible way of testing for food intolerances and is reportedly listed on a web list of dodgy allergy tests by the ASCIA (The Australasian Society of Clinical Immunology and Allergy). The blood test only shows up food that is currently in the child's system, which makes sense, and the level of severity as revealed by the blood test is also affected by how much of that food the child has been eating. Intolerance is very strongly related to dose, unlike allergy. So a child could have a major intolerance towards amines for example, but if he has not eaten any recently, it won't show up as a problem on the results. Correspondingly, my son's 4 rating for wheat could be indicative of the fact that he was eating a lot of it rather than his sensitivity towards it. I'm not a food scientist, but this does make sense to me.

According to our dietitian, the only way to conclude if a child is intolerant or not, is to do the elimination diet for a few weeks and then introduce challenges systematically. In short, she suggested our son do a bread challenge with Bakers Delight or Brumby's bread which does not use any vinegar or whey powder. HE PASSED!!! He is able to tolerate a sandwich or a bread roll for lunch, and is better on this than he was on the wheat free bread. He feels more normal , and it's a lot cheaper too. Our son is still free of additives and low in salicylates, amines and glutamates, and we continue to see astounding improvement, which is confirmed by his teachers, extended family and others who work with him. He is calmer, more thoughtful, and you can actually have a 2-way conversation with him now. - by email, SA