Heal Your Gut, Heal Yourself

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The 4R program and what it means for you

Do you suffer from seasonal allergies, weight gain, hormonal imbalances, mood imbalances or an autoimmune disorder?

The National Institute of Health estimates that nearly a quarter of us (about 70 million) suffer from digestive issues: gas, bloating, heartburn, diarrhea, constipation and nausea. In functional medicine we believe that these symptoms may be displayed in your gut yet their effects are systemic and can affect the whole body. We believe that the gut is the core of our health and that it is essential to have a healthy gut in order to have a healthy body.

A properly functioning digestive system (gut) is critical to good health. In fact, 60-80 percent of our immune system is located in our gut and 90 percent of our neurotransmitters (chemicals responsible for regulating mood) such as serotonin are made in our gut. Problems in our gastrointestinal (GI) tract can cause more than just stomach pain, gas, bloating or diarrhea—they can be the root cause of many chronic health problems. Gut imbalances have been linked to hormonal imbalances, autoimmune diseases such as rheumatoid ar- thritis and hashimotos thyroiditis, diabetes, chronic fatigue, fibromyalgia, anxiety, depression, eczema and rosacea, just to name a few.

In functional medicine we use a simple approach that we call the 4R program—remove, replace, reinoculate, and repair.

1. REMOVE
Remove the bad. The goal is to get rid of things that negatively affect the environment of the GI tract, such as inflammatory foods, infections, and gastric irritants like alcohol, caffeine or drugs. Inflammatory foods such as gluten, dairy, corn, soy, eggs and sugar can lead to food sensitivities. I recommend an Elimination Diet and IgG food sensitivity testing to determine if any foods are a problem for you. Infections can be from parasites, yeast or bacteria. A comprehensive stool analysis is

key to determining the levels of good bacteria as well as any infections that may be present. Removing the infections may require treatment with herbs, antiparasite medication, anti- fungal medication or even antibiotics.

2. REPLACE
Replace the good. Adding back in the essential ingredients for proper digestion and absorption is key. This includes things like digestive enzymes, hydrochloric acid and bile acids that are required for proper digestion and that may have been depleted by diet, drugs (such as acid-blocking drugs), diseases or aging.

3. REINOCULATE Restoring beneficial bacteria to reestablish a healthy balance of good bacteria is critical. This may be accomplished by taking probiotic supplements that contain beneficial bacteria such as bifidobacteria and lactobacillus species. I recommend any- where from 25-100 billion units a day. Also, taking a prebiotic (food for the good bacteria) supplement or consuming foods high in soluble fiber is important.

4. REPAIR
Providing the nutrients necessary to help the gut repair itself is essential. One of my favorite supplements is L-glutamine, an amino acid that helps to rejuvenate the gut wall lining. Other key nutrients include zinc, omega 3 fish oils, vitamins A, C, and E as well as herbs such as slippery elm and aloe vera.

No matter what your health issue is, the 4R program is sure to help you and your gut heal. I have witnessed dramatic reversal of chronic and inflammatory illnesses in a very short period of time by utilizing this simple approach. For one example of a case study involving Alisa Weldon and Lynn Yeldell, flip to L Know on page 17.

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