Link for CME Credit Coming Soon! In this episode of Pediatrics Now with Host Holly Wayment, Dr. Cynthia Blanco discusses the recent FDA approval of goat milk–based infant formula in the U.S., how it compares to cow’s milk formula, and what pediatricians should know about nutrient composition, allergy management, and clinical scenarios. She reviews evidence on tolerability, digestibility, and common misconceptions, emphasizes the importance of breastfeeding, and offers practical counseling strategies for families considering goat milk formula.

Link for CME Credit Coming Soon!

Dr. Sheldon Gross explains how evaluation and management of tics and Tourette's syndrome, when to refer to neurology or psychiatry, and practical steps for families and schools. He emphasizes the power of a thorough history, behavioral therapies like CBIT, thoughtful medication use, and lifestyle factors such as sleep and stress. We also delve into when psychiatry and neurology in general overlap.

The episode also covers related conditions—PANDAS/PANS, autoimmune encephalitis, functional neurological disorders, and seizures—highlighting collaboration between specialties and offering reassurance about prognosis for most children.

Holly Wayment talks with Dr. Sheldon Gross about how to tell tics from twitches, common causes and triggers (stress, stimulants, sleep), and simple first steps families and pediatricians can take to reduce symptoms without medication.

They review Tourette’s criteria, behavioral approaches like CBIT, medication options (guanfacine, clonidine, antipsychotics, topiramate), red flags for seizures or other neurological causes, and the overlap between neurological and psychiatric conditions.