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Over five million children ages four to 17 have been diagnosed with attention deficit hyperactivity disorder (ADHD) in the United States and close to 3 million of those children take medication for their symptoms, according to the Centers for Disease Control. But a new study reported in The Lancet last month found that with a restricted diet alone, many children experienced a significant reduction in symptoms. The study’s lead author, Dr. Lidy Pelsser of the ADHD Research Centre in the Netherlands, said in an interview with NPR, “The teachers thought it was so strange that the diet would change the behavior of the child as thoroughly as they saw it. It was a miracle, the teachers said.”

Dr. Pessler’s study is the first to conclusively say that diet is implicated in ADHD. In the NPR interview, Dr. Pessler did not mince words, “Food is the main cause of ADHD,” she said adding, “After the diet, they were just normal children with normal behavior. They were no longer more easily distracted, they were no more forgetful, there were no more temper-tantrums.” The study found that in 64 percent of children with ADHD, the symptoms were caused by food. “It’s a hypersensitivity reaction to food,” Pessler said.