The 5 steps for healing leaky gut and reducing gut inflammation
Nour Zibdeh, MS RDN CLT, Functional Dietitian
6,690 views • Save 9 min (5 min read) • 1 year ago
Video Summary
Leaky gut, medically known as intestinal permeability, occurs when the gut lining allows substances it shouldn't, leading to inflammation and various symptoms. Reversing leaky gut involves five key steps: cleaning up the diet by removing processed ingredients, sugars, emulsifiers, alcohol, and common allergens while focusing on whole, antioxidant-rich foods and gentle fibers; building a healthy microbiome with probiotics and prebiotics; improving digestion with enzymes and supporting motility; healing the gut lining with nutrients like glutamine, butyrate, zinc, and vitamins A and D, and employing gut-soothing herbs; and finally, eradicating any imbalances like SIBO, Candida, or parasites.
An interesting fact is that butyrate, a short-chain fatty acid crucial for nourishing intestinal cells, is produced by beneficial gut bacteria when they ferment fiber, highlighting the interconnectedness of diet, microbiome health, and gut lining integrity.
Short Highlights
- Leaky gut (intestinal permeability) allows unwanted substances through the gut lining, causing inflammation.
- Key steps to [heal leaky gut](/read/CVFA96t9G2I/
7-foods-to-heal-leaky-gut) include: cleaning up the diet (removing processed foods, sugar, alcohol, allergens; incorporating whole foods, antioxidants, gentle fiber), building a healthy microbiome (probiotics, prebiotics), improving digestion (enzymes, motility support), healing the gut lining (glutamine, butyrate, zinc, vitamins A & D, herbs), and eliminating microbial imbalances (SIBO, Candida, parasites). - Processed ingredients, especially seed and vegetable oils like cottonseed, corn, and soybean oil, should be removed. - Low FODMAP fiber foods are recommended to feed beneficial bacteria without harshness. - Spore-based probiotics, Saccharomyces boulardii, and specific prebiotics like partially hydrolyzed guar gum are suggested for microbiome support. - Digestive enzymes and hydrochloric acid can aid digestion, but caution is advised with gastritis or ulcers. - Nutrients like glutamine and butyrate are vital for nourishing intestinal cells, and zinc carnosine, vitamins A and D also play key roles in gut lining health. - Eliminating pathogenic bacteria, yeast, mold, parasites, H. pylori, SIBO, or SEOFO is crucial for long-term gut healing.
Related Video Summary
Key Details
What is Leaky Gut? [00:36]
- Leaky gut, or intestinal permeability, means the gut lining allows substances to pass through that shouldn't.
- The gut lining is composed of three layers: cells, a mucus layer, and beneficial bacteria, designed to absorb nutrients while blocking toxins and undigested food particles.
- When the gut becomes too permeable, unwanted compounds can enter the bloodstream, leading to widespread inflammation and symptoms.
"so the gut should allow certain things pass to pass through but not everything so the gut becomes leaky or increased intestinal permeability when it happens too much it becomes too leaky the wrong things start to pass through and they create inflammation and symptoms in the body"
Step 1: Clean Up the Diet [02:07]
- Remove processed ingredients, particularly heavily processed seed and vegetable oils (cottonseed, corn, soybean oil), and fried foods.
- Eliminate sugar and artificial sweeteners, as sugar can feed harmful gut microbes.
- Avoid emulsifiers like carrageenan and alcohol, which can trigger gut inflammation.
- Opt for low fermentable or low FODMAP fiber foods to support beneficial bacteria without overwhelming the digestive system.
- Eliminate individual food sensitivities and allergies; consider removing common allergens like gluten, dairy, corn, soy, and peanuts initially.
- Focus on wholesome, recognizable organic foods (produce, grass-fed beef, organic chicken, wild-caught fish) and incorporate antioxidant-rich foods like pomegranate, blueberries, cranberry, green tea, and cabbage to feed good bacteria.
Step 2: Build a Healthy Microbiome [05:45]
- Incorporate probiotics, with spore-based probiotics recommended for their tolerability and effectiveness, though Saccharomyces boulardii and other specific types may also be beneficial.
- Use prebiotic fiber supplements like partially hydrolyzed guar gum or sunfiber if the microbiome is deficient, as they gently feed beneficial bacteria without causing excessive gas or bloating.
- Fermented foods like yogurt, sauerkraut, and kimchi can be beneficial but require caution due to their histamine content.
"The probiotics the live um healthy bacteria they feed on Prebiotic fiber so that's when we come back to the fiber conversation low fermentable low FODMAP prebiotics um such as low such as oats or berries can be tolerated and sometimes depending on the situation"
Step 3: Improve Digestion [08:01]
- Utilize broad-spectrum digestive enzymes that include proteases (for protein), amylases (for starch), lipases (for fats), and brush border enzymes, as well as fiber-digesting enzymes.
- Consider hydrochloric acid or apple cider vinegar to support digestion, but with caution if gastritis, ulcers, or H. pylori are present.
- Support bowel movements to eliminate waste, bacteria, metabolites, and endotoxins, thereby reducing gut inflammation.
Step 4: Heal the Gut Lining [10:01]
- Provide nutrients for intestinal cells, such as glutamine from bone broth or supplements, which is the primary nutrient for small intestine cells.
- Ensure adequate butyrate, a short-chain fatty acid that nourishes cells in the large intestine, which can be supplemented if not produced sufficiently by the microbiome.
- Include other essential nutrients like zinc carnosine for intestinal cell nourishment, vitamin A for tight junctions, and vitamin D for immune function.
- Utilize herbs like aloe vera, DGL (deglycyrrhizinated licorice), slippery elm, marshmallow root, okra extract, and chamomile to support the protective mucous layer, being mindful of potential fiber content that could feed SIBO.
"and eventually the goal is to get their microbiome to do it on its own but sometimes if people are dealing with a lot of inflammation berate can be really helpful"
Step 5: Eliminate Microbial Imbalances [12:22]
- Address and eradicate overgrowths of pathogenic bacteria, yeast (like Candida), mold, parasites, H. pylori, SIBO, or SEOFO, as these create long-term inflammation.
- It's often beneficial to establish a healthier gut environment with sufficient beneficial bacteria and improved digestion before directly tackling these imbalances to prevent severe die-off reactions and support the body's ability to handle the process.
"so we really need to get rid of them for the gut to truly heal so this was the last step that I mentioned and sometimes we need to do that a little bit earlier and sometimes it's later depending or on where that person is"