patient outline for leaky gut protocol · this is probably your biggest snack food but they are...

So...you have a Leaky Gut. If you want to skip to the printable parts, print page 1 for food outline, and pages 68 for supplement dosage recommendations.

First of all, I want to say that I am very proud of you to decide to take this on. This is a big challenge for multiple reasons. You’ll have to address dietary restrictions, take more supplements, and stay committed for a period of time. It’s not an easy task, trust me! In this outline, I’ll break down my recommendations based on clinical experience, and I’ll also give you some resources for you to look into and be inspired by. You have been requested to do this program because of one or more of the following reasons:

a. You have taken Cyrex Lab’s Array 2 test and tested positive for Intestinal Permeability b. We strongly suspect you have leaky gut, or you have been told you’ve had it in the

past and are still symptomatic c. You have food allergies or sensitivities d. You have an autoimmune or neurological condition

INTRODUCTION TO INTESTINAL PERMEABILITY AKA LEAKY GUT Leaky gut is the common term used for a breakdown in the intestinal mucosal barrier. In this syndrome, the lining of your intestines, which is thinner than tissue paper, has suffered damage. The tight junctions that keep it sealed have been come loosened and therefore allow particles, such as undigested food proteins to cross through the barrier outside of your digestive tract. This, understandably, is an alarming situation for your immune system. It sends out red flags marking the food protein as a bad guy, and creating a food allergy. The damage to your gut can come about a few different ways: stress hormones, bacterial infection or imbalance, antibiotic and steroid use, food additives and toxins, artificial sweeteners, and more. If you have or suspect an autoimmune condition, healing your gut is very important. A major part of your immune system regulation is rooted in your gut. It is important to understand that healing your gut is always a multipronged approach. Some people only do an elimination diet, others are prescribed random supplements here and there, others just do acupuncture, and it is all very scattered. This program is an opportunity for you to take charge and address the multiple issues necessary for you to heal your gut.

Patient Outline for Leaky Gut Protocol

2015 Akemi Korahais, DOM Copyright Reserved of 7

In the following sections, I’ll address what you need to know in order to successfully complete this program. I know food can be a source of stress, and that if you’re doing this protocol you have already most likely restricted your diet to some degree for a period of time. However, I want to explain why this part is so important. If you have leaky gut, you are leaking undigested particles, and probably toxins into your body. Most people react to certain categories of foods, and so we recommend that you eliminate the offenders most likely to irritate the gut lining for the majority of humans. Because you are investing money, time and energy into this program, it is important for you not to waste your time starting it if you don’t have a system in place. If you eliminate foods for 3 weeks and then say “screw it! I’m drinking coffee!” you are undoing your hard work and risking a huge flareup of inflammation or whatever your unique symptom picture is. It is critical for you to a) avoid the offenders and b) give your body the time it needs to heal the lining and regulate the immune response. How long is the program? The program that I originally began using for patients is from Apex, and it is called the Repairvite program. They recommend 12 weeks. Other programs are 30 days, and there are some as long as 10 months. I am asking you to do a minimum of 12 total weeks, including reintroduction of foods. The great news is that it typically takes 5 days for intestinal epithelial cells to turnover. So why can't you do this in a week? Part of the goal is to give your body a chance to seal the lining, get rid of the yucky stuff in your gut, repopulate your gut with good bacteria, and really help your digestive system work the way it’s designed to. When you take the time to reintroduce foods as you should, you will know what foods your unique body still reacts to, and we will then have the precious opportunity, with doing NET or NAET to help your body heal. In my practice, I have seen much better clinical results with doing NET or NAET once the gut is healed. Remember: the goal is not to do this for the rest of your life. The goal is to heal your gut, help your immune system, and move on with your life.



PART 1: DIETARY RESTRICTIONS (AKA: The Hardest Part) Take a deep breath, because if you’re a foodie like me, this is the part that is going to suck. I’ll go ahead and be Bad News Bear, because some of the worst offenders that your immune system probably has red flags about are your very favorites (there are sciency reasons for this, but I’ll restrain myself).

● No Coffee (I know. I know. I love my espresso macchiatos) ● No Chocolate (there is nothing I can say to make this better) ● No Alcohol (I know. No more delicious wine to unwind, or lovely shots of tasty rum) ● No Eggs (I know! What are you going to eat for breakfast!?!)

○ There is a substance in eggs that can bind to proteins and swoop them right out of your leaking gut. This is why we avoid this otherwise perfectly perfect food

● No Dairy ○ This one truly sucks for this reason: no butter OR ghee as well as other milk

products, but coconut oil works super well, as does bacon fat and olive oil. ● No Grains or Legumes

○ This includes glutenfree grains, peas, and peanuts ● No Nightshades

○ Sorry, ketchup fans. This one’s for you. ○ Avoid white potatoes, tomatoes, eggplants, all peppers (look at your

supplements and make sure you don’t have cayenne pepper in the ingredients) ● No Nuts

○ I know! This is probably your biggest snack food but they are some of the most allergenic substances on the planet, and aside from that fact, they cause inflammation in the amounts you’re probably eating them.

● No seeds (seed spices like cumin, mustard, chai tea, sesame or chia seeds and more) ○ There is some slight room for interpretation in this one, because the literature is

not conclusive about needing to eliminate this. However, we have seen patients react to things that most people don’t, and you won’t know what you react to until you eliminate the substance long enough to be able to tell the difference.

○ Black pepper is a maybe food research shows that it can actually be beneficial for the gut, but we know of a couple of patients who selfreport black pepper reactions. This is why we use the chinese medical concept of going by your unique picture, as opposed to what all of science says. You may have been a case that was allergic to something like b vitamins, and we had to do NAET or NET on it.



● Limit your sugar intake and highsugar fruits I know some of you are having palpitations right now. I understand. However, do I have a treat for you! You will be able to eat well with a little bit of planning. You may have a little bit of a rough time in the beginning, but it's worth it! RESOURCES If you've been coming to the office for a good period of time, you've probably met Amanda, who helped me out at the front desk for a while. Amanda is a Paleo blogger and guthealing expert, as she's gone through this protocol herself and fixed herself. She's published many leakygut friendly recipes (they are tagged AIP, for autoimmune paleo), and she also just published a handy Survival Guide in her blog. I strongly recommend that you sign up for her newsletter, and give her blog post a peek: http://thecuriouscoconut.com/blog/aiprepairvitesurvivalguide Or just got to TheCuriousCoconut.com and click around she has recipes from dinner rolls, to pizza crust and a nomato sauce, to AIP friendly desserts I love the apple crisp! I strongly encourage to build your week around meals that you look forward to and enjoy. There are also good replacement for starches from the local latin market Amanda talks about using Malanga, frozen yuca, tapioca flour and sweet potatoes. We've had a lot of malanga puree as a mashed potato replacement. The most critical piece of the puzzle is to plan ahead! Trust me, you can start off fine breakfast and lunch, but if you don't have dinner prepped and your blood sugar crashed it's easy to fall off the wagon and have to start over. Make sure you eat:

● Bone broths these have strong healing superpowers, they are full of collagen and minerals and other nutrients that give your gut what it needs to heal. Plus you can use it to cook meats and tasty greens

● Sauerkraut, kombucha they help you replenish your stores of good bacteria and good yeast

● Enough good fats We probably eat 1 1/2 avocados per person per day, not counting the fat from the Coleman brand bacon we eat.



● Some treats! Make yourself some nice tasty dessert or a delicious meal. This is not torture, and if it is, you're not doing it right.

PART 2: SUPPLEMENTATION SUPPORT DISCLAIMER: By law the FDA reserves the use of the terms "treat", "cure" and "prevent" exclusively for use in the context of drugs/medications and states that these terms may not be used in the context of "nutritional medicine". By law the only claims that may be made in the use of natural compounds amount to "supportive or adjunctive care" and are for the "promotion of health" and not the "treatment of disease". You'll be taking some supplements that are going to target specific areas of concern when one has intestinal permeability. You'll need supplements to help your body get rid of nasty bacteria or yeast that may be living in there, some to nourish the lining and help the cells heal, some to replace the good stuff and maybe some enzymes to help fix your digestion. The majority of the supplements below were formulated by Apex, the company that has been working with this protocol the longest time. On dosages: I am a big believer in individual dosages.I will give you a range below. I don't want you to feel awful, but I also don't want you to be too wimpy. You can expect to feel bloated and have some stinky gas as the bad guys die off. Sometimes the bowels are looser, sometimes you'll feel a little tired or have stinky breath. It's par for the course. If you're not symptomatic, you're not taking enough. Tell your spouse it's my fault! Remove the Yucky Stuff: (Apex) GI Synergy: 13 packs a day with meals It has over a dozen natural herbs that research has shown help remove yucky yeast and bacteria from the digestive system. Help the gut seal and heal: (Apex) Repairvite: I recommend 1 scoop twice daily mixed with water or your beverage of choice. Bring the Good Guys Back: RenewLife Probiotics or a good brand probiotic of your choice, such as (Apex) Strengtia or Biokult. The goal is to get between 80100 billion units per day. Here's an affiliate link to get the RenewLife Probiotics on Amazon: http://amzn.to/1LWlcvQ This is for the 80 billion unit probiotic. If you're not an online shopper, we can purchase it from amazon for you and reimburse us for the cost. Just let us know.



If you tend to be sensitive to probiotics or already have a lot of digestive system, you can start taking a 1/3 of a capsule a day and work your way up to 1 capsule a day The 3 above supplements: GISynergy, Repairvite and Probiotics are your foundation. However, if you want and need additional support because of your symptoms, here are my recommendations: Reflux, tummy aches, burning pain in the gut, or diarrhea/constipation: Ultimate Aloe Juice (nutrametrix), it comes in Cranberry Apple and Pomegranate flavors. A highly concentrated dose of aloe that can help soothe the lining of the gut and is very nutrient dense and is also good for hydrating as well as supporting your immune system. I like to combine a couple of ounces with some sparkling water and it's a very tasty dinner beverage. Difficulty breaking down food: GlutenFlam (Apex) or 88888888 (Houston), are powerful digestive enzymes. The research has shown that the ingredients can help reduce inflammation in your gut and your brain. If Stress is part of your leaky gut pathway either because the Cyrex test came back positive for it, or you know that your stress levels are too high, I recommend you add adaptogenic herbs like Apex's AdrenaCalm and use 2 pumps twice daily for support. You can also make sure to take the NET Spray: ER911 3x a day for support. PART 3: Adding Foods Back (Yay!) I would say that after about 5 weeks of having strongly eliminated the offending foods, you can begin introducing foods slowly. There is a methodology for doing this, and it is important to stick to it so that we can tell what your body may be reacting to, and to give us an opportunity to give you some supportive treatment. If you go nuts (ha.) after 45 weeks and just eat all the delicious things, you may actually damage your gut right away. Remember that insulting your body with lots of alcohol, sugar, etc, causes damage to the lining. While you are doing this, you will still be taking your supplements depending on your situation, we may lower the doses of GISynergy, but the majority of patients need to stay on this for 3 months.



I recommend that you read Amanda's post on food reintroduction: http://thecuriouscoconut.com/blog/howtoreintroducefoodsontheaippluschocolatepuddingreintroductionrecipe Or just google: Curious Coconut Food Reintroduction Once you get closer to reintroduction, we will discuss this more thoroughly, but I wanted you to have an idea of what will be happening. PEP TALK This is doable, even though it seems overwhelming. And it will be worth it, because the goal is for you to be able to eat the foods you love while helping your immune system be regulated, reduce inflammation and protect your brain. We have lots of people doing this program at the clinic, so chances are, one of your friends is already on this! Amanda and I currently have a support group on Facebook, so you can look me up and I will happily add you to our group (www.facebook.com/akemiborjas).



patient outline for leaky gut protocol · this is probably your biggest snack food but they are...

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