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All that chronic irritation can lead to and, eventually, to a lot of little pinprick-style leaks in the very thin and delicate lining of your intestinal wall. And even a tiny leak can cause surprisingly big problems. A healthy gut is very selective about what gets passed into your body. But a leaky gut can release undigested food particles, bacteria, and toxins into your bloodstream, leading to a potentially outsized immune response. If the damage to the lining of your gut is bad enough that such substances regularly leak through, it can wreak havoc on your health. The long list of conditions associated with leaky gut syndrome a. The long list of conditions associated with leaky gut syndrome a. Lipski and other experts say the top culprits include nonsteroidal anti-inflammatory drugs NSAIDs like ibuprofen, as well as sugar, alcohol, , and any foods that trigger an allergic response. Other irritants include chronic stress, toxins, and microbiome imbalances. But now, more of mainstream medicine is acknowledging it, too. Our understanding of the , for one thing. The discovery that human health and behavior are profoundly influenced by a huge population of microorganisms living predominantly in our guts shook up a lot of docs, says Leo Galland, MD, a conventionally trained internist in New York City who now serves as director of the Foundation for Integrative Medicine. If the leakage is minor, symptoms will generally be confined to the gastrointestinal GI tract, explains Tom Sult, MD, a Minnesota-based physician and author of Just Be Well. Bloating, gas, or cramps. More significant leaks are more likely to produce bodywide symptoms, he says, including , joint pain, rashes, respiratory issues, asthma, and autoimmune responses — including psoriasis. More significant leaks are more likely to produce bodywide symptoms, he says, including fatigue, joint pain, rashes, respiratory issues, asthma, and autoimmune responses — including psoriasis. As the condition of the gut degrades, notes Sult, the health impacts can be dramatic. The good news, says Galland, is that the cells of the intestinal lining replace themselves every three to six days. This means that, given the proper support, your gut can repair itself quickly. Remove With leaky gut, the first step is to identify and remove the source of gut-lining irritation, rather than attempting to suppress its symptoms with drugs. Start an elimination diet. Removing common irritants like sugar, dairy, gluten, , and the chemical additives found in many processed foods can provide surprisingly quick relief, says Galland, who notes that sugar alone is enough to cause gut problems for many. A properly conducted elimination diet can help you pinpoint which foods are causing trouble: Eliminate a food for two weeks, then reintroduce the food, and keep notes on its effects. Begin a food journal. Write down what you eat and how it affects you. If you feel bloated, fatigued, or gassy, add that food to your elimination list. You just need to listen. Alcohol taxes the liver and steals nutrients from the gut. If you are dependent on NSAIDs for pain management, work to reduce your total load as much as possible, advises Sult. Replace The second step is to give your body what it needs to rebuild the gut lining. Lipski likens the inside of the small intestine to a towel covered with millions of little loops called villi , which in turn are covered with millions of little fibers called microvilli. If the gut is leaky, those fibers get matted, hampering regrowth and the absorption of nutrients from food. Eat plenty of whole foods. The body needs the components in real, fresh food to repair damage and rebuild healthy new tissue. Whole foods are full of vitamins, minerals, and phytonutrients, plus enzymes the small intestine needs to heal. Prioritize nonstarchy vegetables and lean proteins. And eat plenty of good, whole-food fats — they help strengthen cellular membranes. As your body heals, it will get rid of toxins and byproducts through your large intestine. The best high-fiber foods are colorful vegetables, , legumes, nuts, seeds, and whole-kernel grains. Aim for 30 grams of fiber a day. Lipski suggests supplementing with 1 to 2 tablespoons of psyllium seeds, flaxseeds, chia seeds, or oat bran. If you have gluten sensitivities or are doing an elimination diet, stick with flaxseeds also a good source of omega-3s or psyllium seeds, which you can sprinkle in smoothies, or on hot cereal or granola. Many of our experts also suggest supplementing with a good multivitamin, since nutrient deficiencies commonly accompany leaky gut conditions, even in those eating a healthy, whole-food diet. The villi and microvilli projections are covered with digestive enzymes that your body needs to break food into component parts: carbs, fats, and proteins. In a leaky gut, enzyme support is crucial to healing and rebuilding villi, says Sult. Taking supplemental before you eat gives the GI tract a jump-start on digestion, making food easier to break down and nutrients easier to assimilate. Take one or two capsules with meals three times a day or as needed. In most cases, the villi rebound over the course of a few weeks, but it may take well over a month, notes Sult. Only a small percentage of people will require lifetime enzymatic support Supplement with glutamine. The most plentiful free amino acid in the body, glutamine supports immunity and digestion by fueling the cells that line the small intestine. She recommends taking 10 to 20 grams daily. Get more omega-3 fatty acids. The gut uses them to calm inflammation and rebuild healthy cell walls. In addition to recommending several helpings of omega-3-rich foods, including coldwater fish, nuts, seeds, avocado, and purslane, Sult advises many of his patients to take a daily concentrated fish-oil supplement, preferably one with at least 3,000 milligrams of EPA and DHA. Look for a fresh, high-quality refrigerated oil that is tested for heavy metals and other impurities. Reinoculate Once your body has patched up the leaks in the gut, you need to help it grow a healthy layer of good bacteria — flora that help protect the GI tract and assist with digestion. These beneficial bacteria strengthen your immune system, improve metabolism, help your body make vitamins, and aid in the absorption of minerals. The two most important groups are lactobacilli and bifidobacteria. Once your body has patched up the leaks in the gut, you need to help it grow a healthy layer of good bacteria — flora that help protect the GI tract and assist with digestion. High-intensity probiotic support rejuvenates and replenishes a microbiome damaged by antibiotics or a poor diet. Sult recommends a high-potency of at least 50 billion active cultures twice daily. Other perks of fermented foods include lowered inflammation, increased blood-sugar control, and improved antioxidant status. Sliding back into the habits that caused your leaky gut will only invite the return of health problems you want to avoid. Here are two key strategies for supporting ongoing gut health: Before taking your first bite, look at your food and take in its aroma. This will trigger the cephalic phase of digestion, an initial release of enzymes that help break down your food. This will trigger the cephalic phase of digestion, an initial release of enzymes that help break down your food. Avoid multitasking or rushing while you eat. Take pauses and breaths between bites, allowing your digestive system to keep pace. Calm your central nervous system. Recalibrate by cultivating a calmer, more centered state. Consider a daily meditation or yoga practice. Or on a stressful day, swap heavy weightlifting for a tai-chi class. The information here is compiled from Jacob Teitelbaum, MD, coauthor of Real Cause, Real Cure, and Liz Lipski, PhD, CCN, author of Digestive Wellness. Mouth: Not chewing food thoroughly can be a setup for digestive troubles. It also mixes in digestive enzymes that begin dissolving , carbs, and fats even before you swallow. Stomach: Your stomach digests food with enzymes and acids, distilling it into a slurry that moves into the small intestine. If digestion is incomplete, food particles enter the small intestine. And if the there is irritated, those particles can pass into the bloodstream, setting the stage for inflammation and food sensitivities. Incomplete digestion can negatively affect your assimilation of nutrients and encourage the overgrowth of bad bacteria and yeasts. They are an important player in your immune system — about two-thirds of which is located in the gut. Add undigested food particles to the mix, and the immune system can become overtaxed. Large Intestine: As your large intestine continues to break down food, the colon extracts water from the slurry for use elsewhere in the body. A solid stool of waste forms and is sent to the rectum. In the absence of adequate , however, elements of slow-moving waste can reenter the system, creating a variety of inflammatory and toxicity problems throughout the body. Small Intestine: Your small intestine is like a 25-foot-long conveyor belt. Only tiny, digested molecules of fats, proteins, and starches are absorbed through the intestine walls into the bloodstream. But if you have leaky gut syndrome, the filter is defunct and large molecules leach into the bloodstream, where the immune system attacks them. Gut Lining: The lining, or mucosa, is just one-cell thick thinner than tissue paper and has the total surface area of a tennis court. That chronic inflammation can eventually lead to leaky gut syndrome. Tight Junctions: Your gut lining is made of millions of single cells; tight junctions form the seals between them. When these get irritated and inflamed, they loosen up, allowing undigested food particles to slip through into the bloodstream, triggering food allergies and stressing the immune system. The Food-Allergy Connection When you have a leaky gut, your gut lining allows larger-than-normal molecules of food to pass into your bloodstream. If a particle of undigested corn, for example, leaks through, your body may treat it like a foreign invader, attacking it just to get rid of it. And so a food allergy is born. The Autoimmune Connection Every autoimmune disease has three components, explains Alessio Fasano, MD: a genetic predisposition, an environmental trigger, and a leaky gut. The presence of undigested food particles and other noxious substances can play a big role in putting your immune system into overdrive and turning against the body itself — the classic onset of an autoimmune disorder. During these times, the only thing that would help me was eating a lot of seaweed soup and kimchi for a few days. Thankfully my GP sent me to a Naturopath doctor who did a blood test and got the results quickly. Thank you for your article, it has helped me understand the whole thing and that I will get better too! And your tips give additional insights on how to heal my leaky gut. Axe says that bone broth is the best food supplement to heal leaky gut. Are there any option aside from powdered supplement? Thank you for your time. If you have particular concerns about getting certain nutrients, working with a certified nutritionist could help with options and alternatives. You may be interested in exploring meat stock as well as bone broth, which has a different amino-acid profile learn more about the differences. Brackett, which was featured in our May 2015 issue. One day, while preparing to leave work, my right limb and leg went numb. I was rushed to the hospital via ambulance as a possible stroke victim. I was 47 years old. The doctors found no stroke, no MS, nor pinched nerve. After I left the hospital the numbness was accompanied by a deep burning pain, extreme coldness, and horrible fatigue. He also prescribed a medication, 3500mg of Gambapentin per day. This also didnt help to the extent I needed. Tired, sick, and at the end of my rope, I implemented a Paleo autoimmune diet basically an elimination diet and have had my pain decrease to almost no pain on a good day. I will see an integrative M. I would like to thank the writer of this article and the professionals who offered up their advice and knowledge. The protocol offered in the article is important in which foods you eliminate and then later introduce. We like the elimination diet offered by the Institute for Functional Medicine, which you can download. Best of luck in your health and healing! I pray that my journey with repairing my gut puts me in remission. Thank you for your knowledge, it will be a huge tool in my long, tough journey to better health. Pharmaceutical industry has to much power over our health care system and how our doctors are being taught! We know better now. I think in the main this article provides an very good summary of how to heal leaky gut. I just wanted to point out an issue mentioned about the elimination diet which I think may be misleading. The IFM Elimination diet recommends avoiding all allergenic foods for 3 weeks and then using a re-introduction programme of adding a food or food group in for 3 days at a time after the three weeks are up. This is a much more effective way of pin pointing troublesome foods than avoiding 1 food for 2 weeks then trying another, as there may be more than one culprit and also does not allow time for the gut to heal in the absence of allergenic foods.