Even in this day of such modern miracles as the eradication of polio and the virtual disappearance of measles, doctors still possess little knowledge of nutrition. "The biochemistry of nutrition is rarely taught in medicine and most doctors consider it inconsequential." This powerful quote is from Dr. Sherry Rogers who became a specialist in nutritional biochemistry to save herself.

As a worldwide lecturer and writer of seven books and 14 scientific publications, Dr. Rogers addresses the confusion about vitamins today. Many studies have been performed on nutrients that represent very faulty science. By taking a vitamin only and not balancing it with other nutrients, it can produce a net negative effect as if you had taken nothing beneficial. The useful effects of nutrients depend upon them working in conjunction with one another. Nutrient deficiencies today are the norm, not the exception due to the poor processing of foods and poor self-selection. This generation must detoxify more environmental chemicals than ever before, using up crucial nutrients.

When medical professionals voice concern over the long term effects of nutrient supplementation, are they using scientific integrity and accuracy in the consideration of a population already deficient in necessary vitamin and mineral nutrients? Government studies show the average American does not even get half the magnesium he/she needs in a day.

This decade finds the medical community recognizing the synergism of nutriments as families look for preventive answers to good health.

Metabolism is defined as the sum total of all the chemical reactions that go on in living cells. Energy metabolism includes all the ways the body obtains and uses energy from food. Nutrients are necessary for energy, organ function, food utilization and cell growth. The body simplifies nutrients in order to utilize them. Materials are split by enzymatic action into smaller and simpler chemical fragments, which can then be absorbed. Amino acids are not, strictly speaking, primarily energy nutrients, but they can flow into energy pathways if needed.

In the late 1960's, the electron microscope was developed. Doctors learned that the human body was comprised of 46 chromosomes rather than the 48 previously taught. For the very first time, medical professionals were able to observe the extra piece of the twenty-first chromosome, now known as Trisomy 21 and Down Syndrome.

For over 25 years the metabolic defect in Down Syndrome has been validated through research.

Investigative research has detected a marked reduction in the enzyme catalase. Without the proper amount of catalase, the conversion of super oxide dismutase (SOD) will not transfer into the next oxidative state. This deficiency results in an accumulation of SOD in each body cell of a patient with Down Syndrome. The lack of catalase has created a metabolic aggravation of free radicals in each cell.

Free radicals are defined as molecules which have an unpaired or odd number of electrons in their outer orbit. These free radicals are missing an important electron and literally "run wild" trying to pick up that elusive electron in order to restore stability. They attract an electron from a nearby cell. That depleted cell steals from an adjoining cell thus setting up a continual chain reaction until the body's immune system becomes defective.

Formulated as a nutritional supplement, HAP CAPS (High Achievement Potential capsules) aid cellular defenses with the use of free radical antagonists, more commonly referred to as antioxidants. The HAP CAPS contain L-Glutamine, Vitamin A, Vitamin C, and Vitamin B complex. Included in the formula are: zinc, copper, manganese, and selenium. A 1996 addition to the original HAP CAP formulary is the new, fortified antioxidant Co-Q-10. These antioxidants quench the free radicals, scavengers with missing electrons that create havoc while searching for replacement electrons to become effective ions.

HAP CAPS were developed in 1986 by Dr. Warner after he researched the known data regarding metabolic deficiencies. The foundation of his formula is based on the findings of Doctors Turkel, Harrell, Case, Smith, Bland and Davis.

Dr. Warner's Recommendations in Support of Trisomy 21

Thyroid Monitoring: Every 6 months for children up to 4 years of age. Yearly monitoring for 5 years of age and older. T4 level should be at least 8.5 up to the normal limit. If low, an appropriate dose of thyroid supplement should be given daily.

Flaxseed Oil: under 1 year of age = ¾ teaspoon/day; 1 – 2 yrs = 1 teaspoon/day;
2 – 3 yrs = 2 teaspoons/day; 3+ yrs = 1 tablespoon/day. Must be refrigerated.
Purpose: aids in absorption, healthy skin, relieves asthma and improves allergy control.

DMG (Dimethylglycine): 30 mg twice a day up to 125 mg depending upon weight.
Purpose: speech, alertness, activity level, appetite. DMG is a food found in small amounts in rice hulls.

Medications and chemicals to avoid: Sulfa, Prednisone, Bactrim, Septra and Pediazole. They suppress the thyroid gland. Use only if absolutely needed.

Do not use Amoxicillan, instead request Augmentin, Ceftrim, Biaxin or Zithromax (Z-Pack).
Never use the anesthetic Atropine for any surgery, eye exams or dental surgery.

Avoid spirulina due to its SOD content.

Cervical Spine X-ray: up to 5 mm in children of anterior subluxation of the C1 ring with respect to the dens with the flexion maneuver. X-rays should be taken at ages 4, 8 & 12 years.

Annual Eye Examination and Evaluation: recommended for all people with Down syndrome for any eye and/or vision abnormalities. Tests should include snellen dark field adaptation, convergence/divergence and proper tracking. Of primary concern is determining that people who are already fitted and wearing lenses have the proper plus power indicated for a person with Down syndrome.

Physical Therapy: regular physical therapy is recommended to increase muscle strength and coordination. Examination of the feet for ankle pronation should be made and orthotics for foot support provided, if necessary.

Oral Motor Skills: in addition to speech therapy, age-appropriate oral motor skills training and exercises should be taught. Suggestions may include oral motor function, tooth grinding and strengthening of the tongue.