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Common Symptom Guide

Bloating, Food Sensitivities, and Fatigue That Won't Quit? Your Gut Lining May Be Part of the Picture.

A functional medicine evaluation of gut health and intestinal permeability, as one piece of a complete workup — not a stand-alone diagnosis.

Reviewed by Dr. Justin Abbott, D.O. — ABFM Board-Certified Physician
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An Honest Look at Leaky Gut

What “Leaky Gut” Actually Means

“Leaky gut,” or increased intestinal permeability, refers to a weakening of the gut lining that may allow substances to pass into the bloodstream more easily than they should. The underlying physiology — intestinal permeability — is real and actively studied in research. It's worth being direct, though: “leaky gut syndrome” is not a formally recognized stand-alone diagnosis in conventional medicine, and it isn't a catch-all explanation for every symptom.

What we can say confidently is that gut lining health is connected to digestion, food sensitivities, and inflammation — and for patients with unexplained bloating, fatigue, or reactions to multiple foods, it's a reasonable piece of a broader evaluation.

We evaluate gut health as part of a complete workup — alongside food sensitivity testing, inflammatory markers, and a full symptom history — rather than treating “leaky gut” as a diagnosis on its own.

Often Associated With Gut Lining Issues

Bloating or digestive discomfort after eating
Reactions to multiple foods
Fatigue without a clear cause
Joint pain alongside digestive symptoms
Skin issues like eczema or acne
Symptoms that overlap with IBS or autoimmune activity
How We Approach It

One Piece of a Complete Evaluation, Not a Standalone Answer

We look at gut lining health alongside food sensitivities, inflammatory markers, and your broader symptom history. If gut permeability appears to be a contributing factor, it's addressed as part of a full plan — not treated as a diagnosis or sold as a quick fix.

Physician Insight

"I want to be straight with patients about this one: gut lining health is real and worth evaluating, but it's not a magic explanation for every symptom, and I won't sell it as one. We look at it as part of the whole picture, with real testing behind the plan."

Related Conditions

Often evaluated alongside gut lining health: IBS, gut health, inflammation, and autoimmune disease. Browse all conditions we treat →

What Patients Say
Common Questions

Leaky Gut FAQs

What patients ask most before their first appointment.

Increased intestinal permeability is a real, studied physiological phenomenon, but “leaky gut syndrome” is not a formally recognized stand-alone diagnosis in conventional medicine. We evaluate it as one possible contributing factor within a complete workup, not as a catch-all diagnosis.
We look at your full symptom history, food sensitivity patterns, and relevant inflammatory and digestive markers together. There isn't one definitive test that confirms “leaky gut” on its own, which is why context matters.
If it appears to be contributing to your symptoms, we address it as part of a broader plan — diet, gut microbiome support, and treating any underlying drivers like food sensitivities or inflammation — rather than as an isolated fix.
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Get a Straight Answer About What's Going On.

Real testing, honest framing, and a plan built around your whole picture.