1. By Evelyn DeDominicis, MS, CHC, RYT Functional Medicine Nutritionist
CLEAN GUT
A Workshop based on the functional medicine nutrition approach to gut healing adapted from the book
Clean Gut by Alejandro Junger, MD
By Evelyn DeDominicis, MS, CHC, RYT
Functional Medicine Nutritionist

2. Workshop Objectives Functional Medicine and the GUT 5R Protocol
Conventional Medicine vs. Functional Medicine
Gut Functions and Associated Illnesses
Leaky Gut, Immune/Brain Connections. Microbiome
ACTION WorkSheet
Functional Medicine and the GUT
Remove
Replace
Repopulate
Repair
Reflect
5R Protocol
Reintroduction Process
Food Strategies
Get Support
ACTION Worksheet
PT 2: Transition and Next Steps

3. 3
BODY BARRIERS
SKIN
LUNGS
GUT

4. GUT ILLNESS ASSOCIATIONS
Autoimmmune Disease
Allergies/Sinus
Migraines/Headaches
Back/Joint Pain
Skin Issues
IBS/Diarrhea/Constipation/GERD,etc
Cancer
Bone Health
Anemia
Food/Gluten Sensitivities
Obesity/Overweight
Anxiety
Depression
ADD
Heart Disease
Diabetes
Infertility
Hormonal Issues
Fatigue
Insomnia
Cravings
Etc…

5. Conventional Approach
“ PILL for an ILL”
Functional Medicine Nutrition and Lifestyle
Approach >>>>
Image: Totalapproachhealth.com

6. IMMUNE SYSTEM ACTIVATION ~70% Immune system in the gut
< INFLAMMATION autoimmune response – varied symptoms
Source:

7. 90% Serotonin made in the gut
Images: micronutrients.com, scientificamerican, thesecondbrainbook

8. Microbiome 100 Trillion Cells 10X more than human cells
Image Source: umassmed.edu

9. ACTION: Check in with yourself.
What symptoms are you experiencing or conditions are you treating that could be gut related? (see page 3 for list). Note how you are currently managing these conditions or symptoms and how they effect your life:
Symptoms/Conditions
How I deal with it/ Current Treatment
How this impacts my life

10. 5th R: REFLECT What/How am I eating, feeling, experiencing life?
4R (5R) APPROACH TO GUT HEALTH
Reinoculate the microbiome with good bacteria and yeast
Repair the lining of the gut with supportive foods and nutrients
Replace digestive fire and add nutrients
Remove inflammatory foods and pathogens
REMOVE
REPLACE RE
POPULATE
REPAIR
5th R: REFLECT What/How am I eating, feeling, experiencing life?

11. REMOVE:
Clean Gut recommends these foods be removed for a minimum of 21 days. See page 94 for complete list of foods:
Remove Phase Supplements:
Herbal Antimicrobial (berberine, oregano, garlic)
Biofilm Disruptor (monolaurin)
NOTE: Take these separately from probiotics and yeast supplements used in the reinoculate/repopulate phase.

12. REPLACE
Eat a nutrient dense and nutrient diverse whole foods based diet with high quality protein, fats and non-starchy carbs. Chew slowly, eat mindfully. Replace digestive fire and commonly depleted nutrients with supplementation.
Replace Supplementation includes:
Digestive Enzymes* with each meal (with HCl or ACV)
B-Complex*
Magnesium (250mg)*
Fish Oil (1-3 g/day)
D3 w/ K (check levels)
Multivitamin/Mineral

13. REINOCULATE (REPOPULATE)
Rebalance the microbiome with fermented foods, fiber (prebiotics) and high quality probiotics and yeast.
Reinoculate Supplementation:
Prebiotics: Inulin, Chicory root, fiber rich foods
Probiotics: Multi strain High quality, fermented foods like sauerkraut, kimchi, kefir, kombucha
Saccharomyces boulardii – beneficial yeast shown to rebalance candida albicans overgrowth
REMEMBER: Take separate from antimicrobial herbs

14. REPAIR
As you calm down and nourish the gut, repair is already happening. The lining of the digestive tract replaces itself every 72 hours and will heal, if not continuously challenged with toxins, inflammatory foods and stress. Bone broth is rich in gut healing nutrients. Managing stress and getting good sleep is also critical.
REPAIR SUPPLEMENTATION:
Zinc Carnosine
L-Glutamine
Lactoferrin
Colostrum
Glycine
Collagen
Aloe
Licorice

15. REFLECT
What needs to change in your life?

16. PT 2: REINTRODUCTION (OPTIONAL!)
After 21 days, identify ONE thing you’re REALLY, REALLY missing. Acknowledge how great you feel, but avoid deprivation or restriction.
Reintroduce
1 food at
a time
Note Any Symptoms for 2-4 days
Assess and try another food

17. FOOD STRATEGIES
80/20 – Fill your plate or bowl with 80% non-starchy veggies and 20% protein with healthy fats.
Eat to 80% fullness.
Drink a tall glass of water before eating. Only small sips during meals. Stay hydrated throughout the day.
Experiment with food combining - ^, eating fruit alone, starch with veggies alone (not heavy protein or fat)
Have a nutrient dense protein shake per day to make it easy. Recipes in book and online: Google:CLEAN GUT MEAL PLAN!
Eat at Faith Café! Clean Gut foods available!
Download free Meal Planning workbook!

18. DON’T DO IT ALONE! GET SUPPORT1 2
Schedule 1:1, Couples or Group Nutrition Sessions
with Evelyn (at Front Desk or
Directly with Evelyn.)
The Faith Café will be offering Clean Gut friendly options and can always modify menu items.