Dr. Anju Usman gave a detailed overview of many issues important to children on the spectrum including malabsorption, oxidative stress, mitochondrial dysfunction, impaired detoxification/methylation, GI issues, immune system and inflammatory issues. Children with apraxia (even absent an ASD diagnosis) often present with these issues as well and can benefit from many of the treatments used for ASD. She suggested getting oxidative stress under control before doing HBOT. She recommended certain tests for children with apraxia and, based on results, foundational nutrients such as antioxidants (incl. fat-soluble), fat soluble vitamins like A, D, E, K, good fats, phospholipids, l-carnitine, methyl B12, glutathione to help with apraxia. Dr. Usman cautioned to monitor fat-soluble vitamin levels carefully.
For apraxia, she also recommended lymphatic drainage with craniosacral therapy or other modalities.