Acid blockers and food allergy, SPACE with Robyn Isman, and a wild three-year-old
New format this week: one study, one conversation, one listener question. Tell me in the comments if it works.
Sponsor: Novaferrum. Use code NFIG10 for 10% off
Is my baby’s reflux medicine a problem? (01:20)
What acid suppression changes about the gut, and why the gut is where the immune system gets built
The numbers from a 2025 database study: PPIs in the first year linked to roughly five to six times the rate of food allergy diagnosis, with antibiotics showing a dose-dependent pattern
The stepwise approach I run before I write a prescription: feeding position, milk supply, dairy or soy removal, two weeks at a time
When antibiotics are non-negotiable, and when a one-sided ear infection can safely wait
Why isn’t my kid’s anxiety getting better? (09:35)
Therapist Robyn Isman built her practice around SPACE, the Yale protocol that treats child anxiety by working only with parents.
What accommodation actually is
Unilateral parental action: you decide, then you tell your child... you don’t ask how they feel about it first
The announcement, and exactly what it sounds like when you change bedtime
Delaying, disengaging, distancing: three ways to hold the line when your kid escalates
Validation plus confidence, and the wording that keeps it from sliding into reassurance: not “I know you can do it,” but “I know you can do it while you’re scared”
Why reminding an anxious kid of past successes usually backfires
Where school avoidance, permissive parenting, and the phone in your kid’s pocket all collided
Is my wild three-year-old ADHD? (56:20)
A mom asks about her impulsive, intense, transition-hating three-and-a-half-year-old.
Why I don’t diagnose ADHD at this age, and what I look for instead
The sensory-seeking behaviors that get read as defiance: crashing, jumping, oversized hugs, shutting down in noise
Sleep first. Snoring, mouth breathing, restless nights, wired but tired
The short list of labs I’d actually consider, and why I’d call an OT first
Our pediatric practice is open to those in Nebraska, Florida, Texas, Illinois, Kansas, and Iowa. We are now in-network with most insurance plans for these types of visits. If you’re looking for a whole-picture evaluation of your child (we obviously do these virtually if you’re not in our neck of the woods!), learn more and schedule at —> https://clinics.frontierpediatric.care
Sponsor: Novaferrum. Use code NFIG10 for 10% off
The study: Chaaban MR, Tanzo JT, Thatte S, Kabalan M, Kaelber DC. “Association of Acid-Suppressive Medication and Antimicrobial Use in Infancy with Food Allergy and Anaphylaxis.” Journal of Clinical Medicine, 2025. Free full text: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12155881/
Robyn Isman: https://www.theanxiouschild.com
Instagram: https://www.instagram.com/parentingtheanxiouschild/
Do Less Parenting podcast:
SPACE (Supportive Parenting for Anxious Childhood Emotions), developed by Dr. Eli Lebowitz at the Yale Child Study Center:
Sensory processing episode with Dr. Kristen Pfeil, OTD, OTR/L: https://dearparents.substack.com/p/dear-parents-episode-004-sensory
NovaFerrum: iron drops and chewables kids will actually take. Use code NFIG10 for 10% off using this link —> Novaferrum
Have a question for the show? https://drphilboucher.com/ask
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