Notes From the Clinic

Reflections, insights, and gentle guidance drawn from my work with women and children, shared to support you in your own healing journey.

✨ At a Glance

  • Gentle, evidence-informed articles on children's gut, immune and nervous system health, including PANS/PANDAS, tics, neuroinflammation, anxiety, ADHD, eczema and recurrent infections, alongside women's hormonal health through perimenopause and menopause

  • Written by Sydney clinical naturopath Ayelet Center, combining current research with practical insights from her clinic room

  • Explore the articles below for clear explanations, possible contributing factors, testing considerations and gentle, practical support

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Children’s health and wellness, PANS Ayelet Center Children’s health and wellness, PANS Ayelet Center

From Infection to Tics: Understanding the PANS Timeline

When a child develops sudden tics, anxiety or obsessive behaviours, it can feel frightening and confusing. Often, the behaviour is only part of the story. This article explores the PANS timeline, from infection to immune activation to nervous system overwhelm, and explains why understanding the sequence of events is key to supporting your child’s recovery gently and effectively.

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Could Folate Be the Missing Piece in PANS?

A 2024 study found folate receptor antibodies in 63.8% of children with PANS or PANDAS - meaning their brains may be unable to access folate even when blood levels look normal. This article explores what cerebral folate deficiency is, how it connects to symptoms like tics, OCD and anxiety, and what the current evidence says about folinic acid and leucovorin as interventions.

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PANS: Is the Immune System Keeping Your Child’s Brain on High Alert?

Long before the sudden anxiety or tics, there were often quieter signs - allergies, snoring, or chronic congestion. Discover how these "mild" immune struggles can set the stage for PANS and why calming the immune system is the missing link to helping your child’s brain recover.

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Sudden-Onset OCD in Young Children: When to Consider Anxiety, PANS, and the Nervous System

When OCD appears suddenly in a young child, it can feel frightening and confusing for parents. Reassurance seeking, repetitive phrases, and intense fears often signal a nervous system stuck in threat mode rather than a behavioural problem. This article explores anxiety, the nervous system, and when it may be appropriate to consider PANS, offering gentle guidance for families navigating sudden-onset OCD.

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