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Repairing a Leaky Gut _Final

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>> Hello again, welcome back. Now that you understand how leaky gut operates in the body, let's talk about what your clients really want to know. How do they know if they have leaky gut and what can they do about it. Remember, it's never appropriate to diagnose as a Health Coach, but you can be on the lookout for clues and then point your clients to their primary doctors for formal diagnosing and treatment. You can also make general recommendations for natural ways to improve their gut health. With that said, let's go over a few key signs that you or your client may be suffering from a leaky gut. The major signs are an increase in food allergies and intolerances, GI disturbances, autoimmune issues, brain fog, excessive fatigue, headaches, mood swings, and vitamin and mineral deficiencies. A powerful indicator of leaky gut is when a client seems to develop a lot of food sensitivity seemingly out of nowhere. It's as if they are becoming intolerant to more and more things. This typically occurs with the foods they eat most often. So it's likely that they don't even realize it's their favorite foods that are bothering them. Most clients just feel confused and frustrated because they're experiencing bloating, gas, and other digestive discomforts. But they don't understand why because they haven't made any changes to their diet. Have you ever had a client like this before? GI issues that result from leaky gut can range from IBS to gut-related autoimmune issues. When the immune system is overloaded with substances that shouldn't make it through the barrier, it responds with inflammation. A leaky gut is similar to dysbiosis in the microbiome and that it can lead to allergies, asthma, autoimmune disease, psoriasis, eczema, inflammatory bowel disease, rheumatoid arthritis, and diabetes. Repairing a leaky gut is an important part of any program where this might be a play. When the gut is leaky, the immune system has less energy to deal with other problems or disturbances due to the onslaught of needs coming from the gut. The immune system can become so preoccupied that it can't focus on protecting the body against other threats that could potentially cause illness. As a result, the body is taking energy away from what it would normally use to make hormones and neurotransmitters which can affect mood and hormone balance. Also the microvilli along the small intestine become damaged resulting in poor nutrient absorption. The brush border enzymes that help break down food are the first to go when the microvilli are damaged. This leads to inflammation which can also make it harder for nutrients to pass through. Now that absorption is compromised, this can lead to nutritional deficiencies even if the person is eating a healthy diet. To complicate matters, leaky gut isn't easily diagnosed because the symptoms are so common that they can be tied to a host of other conditions. It's often explored by doctors as a last resort after a long process of elimination that leaves patients still frustrated and searching. However, having a healthy gut lining is an important part of the health maintenance protocol. So what can your clients do? If you have a client who has some kind of unresolved GI issue and they've been bouncing from doctor to doctor looking for solutions without success, ask them if they've ever been tested for leaky gut. There are three types of tests that doctors can order, a zonulin test, a lactulose/mannitol test, or an IgE test. A zonulin test is a blood test that measures a person's level of zonulin. Since zonulin controls the opening and closing of the tight junctions, an increase in zonulin is a good indicator for a leaky gut. These levels must be corrected for the repairing process to occur. Clients can ask their doctor to check their zonulin levels with an ELISA test. A lactulose/mannitol test assesses the intestinal permeability by measuring the ability of these two sugars to cross the gut lining. The ratio between these sugars in the urine provides insight into whether a gut is leaky. An IgE test is a blood test that identifies whether the body is producing antigens for certain foods and is therefore become intolerant to them. Again, a client who is intolerant to a variety of foods or the ones that eats most often is likely experiencing an issue of digestion, and a leaky gut could be at the root of the problem. Okay, so now that you know what your clients can do to find out if they have leaky gut, as a Health Coach, how can you support them through this process? There's a great process in functional medicine that we can borrow from as a framework. In functional medicine, practitioners are taught a four-pillar approach to improving the gut lining and maintaining a healthy gut in microbiome. The four R's of functional medicine are Remove, Replace, Re-inoculate, and Repair. Let's take a look at what each of these is about. One, remove, this involves removing dietary stressors and inflammatory foods. This includes any known allergens and intolerances, and it also refers to any overgrowth of bacteria or yeast that may not be beneficial. The idea is that you must first take away triggers and then rebuild the lining. It makes sense, right? When trying to improve a leaky gut, one of the best things you can do is take away the trigger. During the removal stage, you can best support your clients by educating them about elimination diets. If the client's leaky gut is a result of bacterial overgrowth like candida or SIBO, recommend that they cut out any grains and sugar except for honey and fruit during this stage. They should also avoid dairy during this time. Once the gut is repaired, grains and sugars can be reintroduced in moderation. If the client isn't sure what the culprit is, they may just also want to try eliminating other common offenders such as eggs, soy, and meat. During this stage, clients may want to explore supplementing with herbal antimicrobials such as berberine and oregano oil. As always, encourage them to consult their primary doctor first. Your clients may experience some detox symptoms during an elimination diet, especially if they are supporting this diet with antimicrobials. Detox symptoms can range from flu-like symptoms to fatigue or headaches. And you can assure them that this is a normal part of the process while their body rids itself of toxins. If a client has numerous intolerances while their gut is trying to repair itself, it may be more practical for them to try rotation diet. A rotation diet limits the exposure to certain food for 24-hour cycles. Here's an example, let's say you have guacamole with raw veggies for lunch and then chicken and veggies for dinner, you can eat those meals as leftovers for the next 24 hours until it's dinnertime again. Then you would avoid these foods completely for the next three to four days. This gives the irritated gut a rest that the immune system isn't constantly being triggered and therefore can't build up a large amount of antibodies. When a trigger is removed over time and the gut is no longer leaky, a client may be able to reintroduce an offending food without it causing a problem. Their body may not necessarily have a problem with that particular food itself but rather its interaction between the environment and an overactive immune system is what's causing the problem. Okay, this is great news to reinforce to your clients because you're not suggesting that they give up their favorite foods forever, just that they take a break from them. Knowing they can eat what they enjoy once they are in better health without feeling ill can make this process feel much more bearable. Step two, replace. Because a leaky gut can impair digestion and nutrient absorption, it can be helpful for clients to supplement with stomach acid and digestive enzymes or replacing the nutrients that aren't being absorbed. Some practitioners suggest taking digestive enzymes while others believe this inhibits the body's natural enzyme production. To play it safe, we suggest using digestive bitters right before meal. Bitters are meant to naturally stimulate the body's production of enzymes. Hydrochloric acid or HCL can also be naturally supplemented by taking apple cider vinegar before meals, three times a day, every day. There are also HCL supplements available, these should be taken with a protein and discontinue it if they cause a burning sensation. Clients should consult their physicians before supplementing with HCL and do so under their guidance. Okay, step three, re-inoculate. This means rebuilding a healthy ecosystem full of beneficial gut bacteria. This can be done by adding backend good bacteria in the form of probiotics and feeding those bacteria with prebiotics and fermented foods. Probiotics can also help absorb extra toxins and support the immune system. Helping your clients rebalance their microbes can prevent further damage and also protect against toxins. When the gut is full of healthy bacteria, they create short-chain fatty acids, which nourish the cells in the gut lining. Certain probiotic strains have been shown to support barrier function. Lactobacillus acidophilus, bifidobacterium bifidum, and lactobacillus plantarum in particular have been shown to enhance the stability of tight junctions and improve barrier function. Overall, probiotics can help neutralize and absorb toxins. It's important to note though that if a client also has SIBO, they should address that first, as probiotics and fermented foods can aggravate that condition. We talk about probiotics in great detail elsewhere in this course, so consult the module on probiotics and prebiotics for more on that. So step four, repair. The final step is to help your clients repair their mucosal lining. One way to do this is by simply following this protocol, removing all irritants and allowing the body to naturally support itself. As Joshua likes to say, "Given half the chance, the body will repair itself naturally." Clients can support the repair process by consuming gut supporting nutrients and foods such as bone broth and collagen. Foods that are great to experiment with include bone broth which is full of collagen, a protein that helps the gut lining. Collagen can also be taken in supplement form as a powder. Filtered water, lots of it to help flush out these toxins and avoid adding new ones. Protein, which helps build cells and can support the body to rebuild its lining. Honey as a substitute for sugar, and it's antimicrobial, so it doesn't feed the overgrowth. Fermented and cultured foods, now these are full of great bacteria which produce organic acids such as short-chain fatty acids. And healthy fats, omega-3 and omega-6 fats can help reduce inflammation. It's always good to add in some healthy fats, especially fish oil. Coconut oil is antimicrobial, which can help with controlling the overgrowth of unwanted bacteria. So lastly, to help with this stage, clients may benefit from supplementing with L-glutamine. This is an amino acid that has been successfully used by many practitioners to support the gut lining. Supplements can also help in supporting the gut, extra help is a good thing because then the gut doesn't work so hard all the time to digest food or absorb nutrients. Remember, your job is not to prescribe supplements, but as a Health Coach, you can educate your clients about what's out there and offer your experience or recount successes and challenges you've seen in other clients. Leave the diagnosing and dosing to a client's physician or a practitioner. So now, with that said, there's several other supplements that have been shown to be helpful in the process of repairing leaky gut which your clients may want to investigate. Let's take a look at the top seven supplements for a leaky gut. Zinc carnosine, zinc can help with wounds and carnosine is an amino acid that can also aid in oxidative stress, so zinc is critical for maintaining a strong gut lining, zinc deficiency can contribute to leaky gut. Aloe vera, in both juice and gel forms, aloe can sue the intestinal lining and reduce inflammation. Marshmallow root, this has a high mucilage content, meaning it's gooey and it can coat the lining of the intestine. Slippery elm bark also has a high mucilage content, and it's good for coating the intestinal lining as well. So clients can experiment and see which one works better for them. Curcumin is a form of turmeric that can help with inflammation and oxidative stress that's linked to tight junction loosening. Vitamin A can be obtained naturally through diet by eating spinach, kale, broccoli, sweet potatoes, butter, eggs, carrots, and apricots. When it comes to vitamin A, high quality is very important. So vitamin D is another important vitamin to be sure clients are getting adequate amounts of. Fermented cod liver is a great source of vitamin D that has fatty acids and is anti-inflammatory. You can also get vitamin D through diet and foods such as eggs, cheese, beef liver, and fatty fish like salmon, and mackerel. Remember, these supplements should be introduced during the repair stage and should be introduced one at a time, beyond the fact that you'll overwhelm your clients if you throw a list of supplements at them. It's important to pay attention to the bio-individuality to see what works for them and what doesn't. Also, introducing too much detoxification at once can overwhelm the body. If clients report feeling sick upon introducing supplements, they may be detoxing too much and should scale it back or layoff the supplements all together. To recap, the four R's are Remove, Replace, Re-inoculate, and Repair. These are areas that functional medicine practitioners will likely address with clients who have leaky gut. You can help them enforce this and support this protocol from within the scope of your practice as a Health Coach. While we're here in the topic of leaky gut, a diet that has helped many with this condition is the GAPS diet. This diet was created by Dr. Natasha Campbell-McBride through clinical experience, and it's a gut diet derived from the Specific Carbohydrate Diet. The GAPS diet restricts all grains, dairy, and starchy vegetables. Natural fats are to be included with all meals, and the GAPS diet advocates probiotics, fermented foods, essential fatty acids from cod liver oil and animal fat. Fruits are to be eaten only between meals for easier digestion. This diet as you can probably tell is pretty restrictive. It's not meant to be a permanent diet. Dr. Campbell-McBride suggests following the GAPS diet for 18 to 24 months. The GAPS diet has a lot of rules. So if you're interested in learning more, we suggest that you check out Dr. Campbell-McBride's book, Gut and Psychology Syndrome, which is listed under the optional recommended reading section of your Homework page in your Learning Center. For now, here are the main guidelines of what's to be avoided on the GAPS diet. Gluten, since it activates zonulin which aggravates leaky gut. Seeds, grains, and legumes which contain antinutrients such as like lectins and phytates which can bind to minerals and slow absorption. Emulsifiers, which are additives in foods that prevent separation, emulsifiers can create or widen holes in the gut lining. Refined sugar and carbohydrates, these feed unwanted overgrowth of bacteria and yeast like candida which can weaken the gut lining. Dairy, the casein in dairy can harm the gut lining. Starchy vegetables such as corn and potatoes and processed foods. Before we wrap up this lecture, we'd like to share a few words about lifestyle. When trying to improve a leaky gut, the goal is to help the body detoxify as much as possible so that it can repair itself from an onslaught of toxins. In addition to doing this with food, it can also be supported through lifestyle practices such as salt baths, saunas, massage, and exercise. So remember, the body can detox through its pores in addition to the bowels. Leaky gut is another example where all symptoms lead back to the root, a compromised digestive system. The gut is where we process food and where key nutrients, vitamins, and minerals enter the body. These are the building blocks for life. And when we're not able to do this properly, it'll show up in other areas of the body because it will ultimately compromise the whole system. You can work hand-in-hand to help walk your clients through this process. It may take some trial and error to understand which foods are causing inflammation and irritation. So remind them that this a long-term process for a long-term solution. A leaky gut doesn't occur overnight and it can't be repaired overnight either. The hardest part will be the time and investment needed to be repaired. By explaining this four-step process to your clients and taking them through one step at a time, you can help them understand why supporting the gut is an individualized path. Similar to building muscle and endurance, gut health takes time and focus. Have you ever worked with a client who had a leaky gut? Did you use the four-R approach or the GAPS diet? If you haven't, would try these? Share your thoughts and experiences in the Facebook group, we'd love to hear from you. Thanks for joining me, see you soon.

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Duration: 16 minutes and 51 seconds
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Language: English
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Posted by: ninaz on Mar 23, 2018

Repairing a Leaky Gut _Final

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