If you’ve got digestive issues, you know how quickly a meal can leave you feeling miserable.
Fortunately, that misery is often due to damage that can be quickly repaired since the tissue that lines the gut—the intestinal epithelium—replaces itself in less than a week.
Understanding Gut Barrier Damage
Although your gut lining (intestinal epithelium) may seem beyond the reach of the outside world since it’s deep inside your body, anything you eat comes in direct and relatively quick contact with it. And in our era of processed foods, not everything we eat is actually food. Some of it is stabilizers, emulsifiers, and artificial flavors and colors. And even the actual food ingredients are often processed far beyond their natural constitution.The consequence is that some of the “food” you eat isn’t so much fuel for your body’s functions as it is an inflammatory assault. Inflammation is your body’s response to injuries and invaders such as bacteria and viruses. And when the body encounters some of these unnatural food-like substances, it treats them as potentially dangerous.
Even otherwise healthy foods can create problems if your gut lining has structural issues or has developed holes. The intestinal epithelium’s job is to act as a barrier that protects your body from bacteria and unwanted substances from entering the bloodstream, but it also has small openings to allow nutrients and water to enter the body and sustain us. However, large holes or tears allow bacteria and undigested food particles—from even nutritious foods—to escape to places they don’t belong, which can ignite an autoimmune response in the body.
Common symptoms that your gut lining is eroded include abdominal pain, bloating, indigestion, and food sensitivities, although there are other possible explanations for these symptoms. A compromised gut barrier has been associated with obesity, diabetes, arthritis, chronic fatigue syndrome, asthma, fibromyalgia, and liver disease.
Make Simple Swaps
Addressing gut symptoms can begin with an honest assessment of whether the foods you’re eating could be doing harm. One way to conduct that assessment is to change the way you eat. Dr. Brownstein suggests two dietary strategies that can improve your nutrition and help repair the gut lining.“That’s been a disaster,” Dr. Brownstein said. “Americans are not dumb, but we were given the wrong advice for the majority of my lifespan. We need fats and oils. We can’t live without them. We did eat a lot of carbohydrates, and most of the carbohydrates in our country are made by refined food sources ... these are devitalized foods. They fatten up our body, and they make us nutrient deficient and sick.”
That leads to his second strategy: Eat only unrefined sources of sugar, flour, salt, and oils. Unrefined food is food that’s minimally processed and most closely resembles its natural state.
Although refined foods may be satiating, Dr. Brownstein said they aren’t giving the body the fuel and building blocks it needs, including molecules necessary to keep the gut lining from degrading.
Taking Back Control Through Diet
There’s broad agreement that toxic food ingredients are damaging the gut. Artificial sweeteners, glyphosate—an herbicide broadly applied to crops—and emulsifiers all appear to poke holes in the gut lining. Emulsifiers, usually of a more damaging synthetic nature, are used in processed foods to keep ingredients such as oil and water from separating on store shelves.In spite of growing evidence of their harms, processed foods occupy the bulk of shelf space in supermarkets. They have excellent shelf life, are made from cheap ingredients, and offer tasty convenience that can be hard to resist.
Although they might cost less, Dr. Brownstein said these cheap foods will undoubtedly increase the expense of American health care.
Stop Throwing Gasoline on the Fire
If you look online, there can be a seemingly limitless list of things that can help heal the gut lining. There are precise diets, supplements, and other lifestyle adjustments that are commonly used. Still, Mr. O’Bryan said eliminating those top five culprits can help most people stop throwing gasoline on the fire of gut inflammation.1. Gluten
A protein found in wheat, gluten is in a great deal of products. But it’s an indigestible protein; our body can’t completely break down gluten. Undigested gluten makes its way to the small intestine, where it can cause damage and a range of symptoms, including bloating, diarrhea, headaches, and skin rashes.2. Dairy
Some people are unable to absorb lactose, molecules found in dairy, which can lead to uncomfortable digestive symptoms. The pasteurization process—used to kill microbes that can spoil milk—may be destroying important enzymes.3. Refined Sugar
A 2020 study in Cells found that mice fed a high-sugar diet had disrupted gut barriers and immune responses. A newer University of Pittsburgh study published in June discovered that mice with inflammatory bowel disease fed a high-sugar diet died within nine days.Some sugars added to foods are corn syrup, fructose, lactose, maltose, sucrose, dextrose, high fructose corn syrup, honey, maple syrup, molasses, raw sugar, and table sugar.
4. Stress
Excessive psychological stress has been shown to disrupt the epithelial mucosal layer of the colon. Since some stress is normal, this is a complicated area of research. But evidence suggests that stress can change the makeup of the gut microbiome, which is the community of bacteria, viruses, and fungi that aid the body in digestion and other functions. Certain microbes work to protect gut lining integrity.The organization pointed out that not all stress is bad or has bad consequences. It can help people become more resilient. One of the best tools to deal with stress is to find someone to talk to.
5. Lipopolysaccharides (LPS)
Produced by bacteria, LPS has been associated with inflammation since the early 20th century. Large spikes of LPS can cause septic shock and endotoxemia—both potentially fatal diseases that strike fast when the immune system unleashes proinflammatory cytokines.“The first step and where people start noticing change pretty quickly is when they stop throwing gasoline on the fire,“ Mr. O'Bryan said. ”You can feel better pretty quickly, because all disease starts in the gut.”
He noted that the gut will go back to feeling miserable anytime you “go back to an inflammatory lifestyle.”