The 4R Protocol for Gut Healing
A renowned, trusted, time honoured, and clinically effective pathway, this 4R protocol is used to address microbial imbalances, heal leaky gut and bring order to a chaotic gut.
As discussed in this article, leaky gut and microbiome imbalance can be implicated in many different health conditions, from eczema to allergies to weight gain. So, as naturopaths, we use this protocol often.
Stool microbiome testing is commonly recommended beforehand so we know exactly what we’re dealing with and have a marker of measurement for re-test if needed. Working with a practitioner is highly advised so they can tailor the program specifically to you and your needs and help prevent die off side effects.
Remove
Removing aggravating factors reduces irritation, damage, inflammation and symptoms and paves the way for healing to occur.
Avoid food and drinks which aggravate: coffee, alcohol, processed foods, refined carbohydrates and sugars, gluten, and any known food intolerances.
Eradicate overgrowth of problematic organisms like bacterial, fungal or parasitic infections. Stool microbiome testing is important here to identify any organisms that need addressing. Powerful herbs are used to target these overgrowths.
Replace
Ensure your gut has what it needs for adequate function and breakdown of food. These necessities may have been depleted by inflammation, diet, medications like antacids, or stress.
Consider taking a digestive enzyme supplement before meals to assist breakdown of carbohydrates, proteins and fats. They can also help ease digestive symptoms like bloating.
Consume bitter foods which stimulate saliva and stomach acid production - rocket, radicchio, kale, artichoke, lemon, dandelion greens, chicory, apple cider vinegar.
Correct any known nutrient deficiencies including protein, fibre, and good fats.
Repair
This is where the gut lining gets some love. We use specific supplements here to reduce inflammation, soothe the gastrointestinal tract, support the mucosal layer and directly repair the damaged gut.
Nutrients: Vitamin A, Zinc, L-Glutamine, Vitamin D, immunoglobulins, and amino acids like L-proline, L-cysteine, L-serine and L-threonine.
Herbs: Slippery Elm, Licorice root, Turmeric, Marshmallow root, Aloe Vera
Reinoculate
Introduce more good bugs and feed them well. This helps rebalance the gut microbiome to prevent leaky gut recurring.
Probiotics provide good bacteria and include fermented foods like natural yoghurt, kefir, sauerkraut, kimchi, tempeh, miso, and kombucha.
Prebiotics feed the good bacteria and are found in asparagus, garlic, onion, leeks, Jerusalem artichoke, legumes, bananas, and oats.
And one more: Relax!
Chronic stress reduces production of stomach acid and enzymes required for adequate breakdown of food and reduces blood flow to the gut for healing.
Introduce mindful eating: take your time to slow down and focus on your meal, chew slowly and avoid eating whilst distracted, upset, or looking at a screen!
Regular mindfulness exercises like deep breathing, yoga, and nature time are also helpful.
If you get the gut feeling you would benefit from this protocol, reach out for a 15 minute discovery call to see how I can help – hello@leiladiquinzio.com.
Originally written by Leila DiQuinzio for I Quit Sugar