What is Leaky Gut?
Understanding Leaky Gut: A Comprehensive Guide to Gut Health
A clear, evidence-based overview of increased intestinal permeability (commonly called “leaky gut”), its possible causes, symptoms, and practical approaches to support gut healing.
What Is Leaky Gut Syndrome?
Leaky gut syndrome, also known as increased intestinal permeability, refers to a condition where the tight junctions in the lining of the gut become looser than usual. As a result, substances such as toxins, microbes, and partially digested food particles can pass into the bloodstream. While the concept remains debated in some medical circles, growing research suggests it may play a role in many chronic conditions. Clinically, improving gut integrity often yields noticeable improvements in overall health.
Common Symptoms of Leaky Gut
Symptoms linked to increased intestinal permeability can be varied and often resemble other problems. Common signs include:
- Digestive discomfort (bloating, gas, diarrhea, or constipation)
- Food sensitivities
- Chronic fatigue
- Brain fog or difficulty concentrating
- Skin conditions such as eczema or acne
- Joint pain or inflammation
- Mood disorders, including anxiety and depression
What Causes Leaky Gut?
Several factors can compromise the intestinal lining. Common contributors include:
- Poor Diet
Highly processed foods, excess sugar and additives, alcohol overuse, and low fibre intake can disrupt gut flora and damage the intestinal barrier. - Chronic Stress
Long-term stress raises inflammation and cortisol levels, which may weaken the gut lining and suppress immune function. - Medications
Certain medications—particularly non-steroidal anti-inflammatory drugs (NSAIDs), antibiotics, and proton pump inhibitors (PPIs)—can affect the gut lining over time. - Microbial Imbalance
Dysbiosis (when harmful bacteria outnumber beneficial microbes) can increase permeability and drive inflammation. - Environmental Toxins
Exposure to pesticides, heavy metals, and household chemicals can increase the body’s toxic load and disrupt gut function.
An Evidence-Based Approach to Healing Leaky Gut
In practice, a structured, stepwise plan helps restore gut integrity. One commonly used framework follows four steps: Remove, Replace, Reinoculate, and Repair.
1. Remove Triggers
Identify and eliminate irritants such as inflammatory foods (for example, gluten, dairy, and refined sugars), potential infections, and environmental toxins.
2. Replace with Digestive Support
Support digestion with measures like digestive enzymes, addressing low stomach acid if appropriate, and adopting mindful eating habits to improve nutrient breakdown and absorption.
3. Reinoculate with Beneficial Microbes
Probiotics, prebiotics, and fermented foods can help repopulate the gut with beneficial bacteria. Targeted approaches are often more effective than one-size-fits-all solutions.
4. Repair the Gut Lining
Use nutrient-dense foods and supplements that support tissue repair—examples include L-glutamine, zinc, omega-3 fatty acids, and collagen—to strengthen the intestinal barrier over time.
Dietary Foundations for Gut Healing
A balanced, anti-inflammatory diet is central to gut recovery. Key elements include:
- Plenty of colourful vegetables (rich in polyphenols and antioxidants)
- Quality protein to support tissue repair
- Healthy fats such as olive oil, avocado, and oily fish
- Fermented foods like sauerkraut, kefir, or kimchi
- Bone broth, which contains amino acids that can nourish the intestinal lining
Supplements That Support Gut Health
Disclaimer: Always consult a qualified healthcare professional before starting any supplement regimen. The following are commonly used to support gut healing:
- L-Glutamine — an amino acid that supports regeneration of intestinal cells.
- Zinc carnosine — may help repair the gut lining and reduce inflammation.
- Probiotics — help replenish beneficial bacteria and support immune function.
- Digestive enzymes — assist with breaking down food and reducing irritation.
- Slippery elm and marshmallow root — soothing botanicals that support the mucosal lining.
How Long Does It Take to Heal?
Healing time varies widely. Some people notice improvements within weeks, while others may need several months. An individualized plan—tailored to diet, lifestyle, and underlying causes—typically gives the best results.
Signs of Improvement
Common markers that the gut is healing include:
- Better digestion and bowel regularity
- Reduced food intolerances
- Increased energy and clearer thinking
- Improved skin condition
- Stronger immune responses
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Milena Kaler is a is a qualified London Nutritionist, sports nutrition, stubborn weight loss, digestive health, and skin health nutrition specialist. She is trained in the principles of Functional Medicine and practices from her clinic in Central London, Harley Street, as well as providing online consultations.
Milena has helped thousands of people to lose weight and keep it off. Scientific and holistic in approach Milena looks at all aspects of a client’s health. She embraces a systems-oriented approach aiming to get to the root cause of health and weight issues instead of simply focusing on the symptoms.
Milena’s expertise has been sought by royalty, celebrities, and she has been featured as a nutrition expert in reputable magazines including Women’s Health, Elle, Harper’s Bazaar, GQ, Cosmopolitan, Glamour, Women’s Fitness, Peak Brain Training, and Metro.
As a full member of the British Association for Applied Nutrition and Nutritional Therapy (BANT), and the Complementary and Natural Healthcare Council (CNHC), the only register for Nutritional Therapy recognised by the government and NHS, Milena is committed to upholding their strict Code of Ethics.
Additionally, Milena is a member of The Royal Society of Medicine and The Primary Care Society for Gastroenterology (PCSG).
Milena sees patients with chronic health conditions, as well as clients looking for support to optimise their health. Some of the areas Milena can help with include: weight loss, digestive, hormonal, autoimmune disease, menopause, and skin health.
Milena sees every person as an individual with different problems and different goals. She takes time to listen to her clients’ specific concerns to develop customised nutrition and lifestyle plans, based on laboratory test results. Having overcome her own chronic health and weight loss issues, Milena really understands how it is to feel overwhelmed by poor health and can relate to her clients when they first come to see her.
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