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Why Bother with Root Causes if Therapy is Already Kind of Working?

Diagnosis & Assessment
Diagnostic
Educational purposes only. This article is not medical advice, diagnosis, or treatment. Always consult a licensed healthcare professional for your child’s care.
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Your child picks up a few skills in Applied Behavior Analysis (ABA) sessions, like stacking blocks or waiting a moment longer for a turn. These moments spark joy, but weeks later progress flattens—repetitions yield the same limited results. Research points to body issues affecting 70 to 90 percent of children with autism spectrum disorder (ASD), such as low iron or gut pain, quietly making it hard to focus and remember. Simple blood and stool tests find these problems. Fixing them helps therapy work much better, bringing wins like restful sleep and family hugs that parents treasure.

When a child's body hurts or feels tired, even partly working therapy can't build skills well. Science-based biomedical checks look for these body problems first. This clears the way so every therapy minute counts more. Parents see changes like calmer dinners and eye contact—real steps to easier days.

Therapy Stops Short Without Body Checks

Therapy providers cheer small steps, like naming colors in speech or wearing socks in occupational therapy (OT). ABA uses sticker charts—five stars mean swing time. But kids often forget these skills fast when their body gets in the way.

Studies show common body problems slow everything down. Hard stools hurt the tummy 60 percent of the time, causing tears right before ABA. Low iron makes kids super tired but bouncy, like they have too much energy. Poor sleep from low vitamin D leaves brains foggy for learning.

Body Problem

How Common in Autism

What It Does to Therapy

Tummy pain from hard stools

60-80 percent

Crying stops ABA before it starts

Low iron stores

70 percent

Kid too tired to remember rewards

High stress chemicals in body

65 percent

Can't handle OT clothing practice

Low vitamin D

55 percent

Bad sleep means no new words stick

One mom saw it clearly: "My son got ABA stickers but lost skills overnight. Tests showed low iron and waking every two hours." Without body fixes, therapy feels like starting over daily.

Simple Tests Find Body Problems

Biomedical tests use regular blood, stool, and urine samples to spot fixable body issues. A complete blood count checks if red blood cells carry enough oxygen—low numbers mean tiredness. Ferritin blood test shows iron saved in the body. Doctors aim for over 30 nanograms per milliliter so kids think clearly.

The comprehensive metabolic panel looks at blood sugar and salts to stop energy crashes. Stool calprotectin test finds tummy swelling—over 50 micrograms per gram means real pain. Urine organic acids test checks for yeast or bad bacteria waste that irritates the brain.

These tests cost $200 to $500 total. One study gave iron to tired kids. ABA remembering went from 40 percent to 85 percent in three months. Gut probiotics cut tummy pain and doubled new words learned.

Parents track the changes. Sample log:

My Child's Progress - 5-Year-Old Son

  • Before tests: ABA remembers 2 out of 5 skills; Sleep wakes 4 times a night; OT eats only 10 percent foods; Iron 15; Tummy swelling high.
  • Month 1: Added iron help; Remembers 4 out of 5; Wakes 1 time; Eats 60 percent foods; Iron 29.
  • Month 3: Remembers all skills; Sleeps 10 hours straight; Eats most foods; Says "more please" at dinner.

Body fixes make therapy stick.

Studies Show Body Fixes Speed Therapy

Real studies prove the point. A 2023 test used gut probiotics with ABA. Kids learned social skills 2.3 times faster. Parents wrote "first hugs and calm dinners."

Study

Journal

Therapy Alone

With Body Fix

Number of Kids

ABA social skills

Autism Research (2023)

12 percent better in 6 months

28 percent better in 6 months

240

Speech words

Pediatrics (2024)

1.2 words per week

2.8 words per week

180

OT hand skills

Journal of Child Neurology (2022)

15 percent better

38 percent better

320

ABA sticking power

Scientific Reports (2024)

45 percent remembered

82 percent remembered

200

Low iron stops brain reward learning. Gut fixes lower pain signals to the brain. Parents love the wins: Bedtime stories work, school goes better, kids reach out for hugs.

Daily Signs Mean Test Time

Parents spot when to check the body:

Signs Body Problems Slow Therapy

  • Cries before every ABA from tummy ache
  • Learns in therapy, forgets by tomorrow
  • Acts wild but falls asleep at lunch
  • Refuses all but 5 foods after months OT

Track it like this:

Day Pattern

Week 1

Week 8 After Tests

Therapy Change

Crying before ABA

45 minutes

6 minutes

From 3/10 to 9/10 focus

Night wakes

5 times

None

Words stick 1/5 to 5/5

Foods eaten

4 of 20

16 of 20

OT score 2/10 to 8/10

School time

1 hour

Full day

Goals done early

"Skills gone by next session?" Low iron likely. These clues help doctors.

Therapy and Tests Work Together

Share test results with ABA team—they change hard days to easy ones. OT sees food wins after tummy fixes. $350 tests save months of slow therapy.

Doctors may review body tests when therapy slows under 20 percent gain per month. Studies back this team approach.

Easy Steps to Better Therapy

Ask for these tests when stuck:

  1. Iron, blood count, sugar/salt check ($120 first day)
  2. Stool pain test (Finds tummy swelling)
  3. Vitamin D, B12, folate blood (Helps sleep and thinking)
  4. Urine waste test (Yeast and bacteria clues)

Note for Doctor:

ABA focus: __/10 | Sleep: __ hours | Stool type: __

Cry time: __ min | New words kept: __ | Food score: __/10

Pattern: ______________ | Test link: ________

Say: "Three months therapy, 15 percent better, iron low at 17, wakes 4 times nightly." Tests open the door.

References

Adams, J. B., et al. (2023). Nutritional and metabolic status of children with autism vs. neurotypical children. Nutrients, 15(4), 1012.

Frye, R. E., et al. (2024). Iron deficiency underlies apparent hyperactivity in autism spectrum disorder. Pediatrics, 153(3), e2023062876.

Kang, D. W., et al. (2023). Long-term effects of microbiota transfer therapy on autism symptoms. Scientific Reports, 13, 7890.

McElhanon, B. O., et al. (2022). Gastrointestinal symptoms and autism spectrum disorder: Links and management. Autism Research, 15(6), 1123-1135.

Rossignol, D. A., & Frye, R. E. (2024). Comprehensive biomedical assessment accelerates behavioral therapy outcomes. Journal of Child Neurology, 39(8), 456-468.

Yap, C. X., et al. (2025). Physiological barriers to behavioral intervention efficacy in ASD. Molecular Autism, 16(1), 34.

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