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The 5 R’s of Gut Healing: A Functional Medicine Approach to Restoring Digestive Health

  • Writer: Amanda Alviz, FNP
    Amanda Alviz, FNP
  • Nov 11, 2025
  • 2 min read

Your gut is at the core of your overall well-being — it influences your energy, hormones, immune system, mood, and even skin health. But when gut balance is disrupted, symptoms can show up anywhere in the body: bloating, fatigue, food sensitivities, brain fog, or stubborn weight changes.

In functional medicine, we use a framework called the 5 R’s of gut healing to uncover and correct the root causes of digestive dysfunction. It’s a structured, step-by-step approach to restoring balance and helping your body heal from within.


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1. Remove – Clearing Out the Triggers

The first step is about identifying and removing what’s harming your gut.This may include:

  • Inflammatory foods (like gluten, dairy, refined sugar, or processed oils)

  • Pathogens such as yeast overgrowth, parasites, or bacteria

  • Environmental toxins or chronic stress that inflame the gut lining

Through personalized testing (like a GI-MAP or food sensitivity panel), we can pinpoint what needs to go — not just guess. Once these triggers are removed, your gut has space to begin healing.


2. Replace – Supporting Digestion Properly

If you’re not breaking down your food well, you’re not truly absorbing nutrients.We “replace” what’s missing:

  • Digestive enzymes to help with protein, fat, and carb breakdown

  • Stomach acid support (like betaine HCl) if low acid is an issue

  • Bile support to improve fat digestion and detoxification

This step ensures that your body can extract the nourishment it needs from the foods you eat.


3. Reinoculate – Restoring Beneficial Bacteria

Next, we focus on rebuilding a healthy microbiome — the community of bacteria that keeps your gut ecosystem balanced.This includes:

  • Probiotic-rich foods such as sauerkraut, kefir, or kimchi

  • Targeted probiotic supplements (based on your specific gut needs)

  • Prebiotics like fiber, garlic, and green bananas to feed those good bacteria

Think of this as replanting your inner garden after we’ve pulled the weeds.


4. Repair – Healing the Gut Lining

Once balance is being restored, we support the gut lining so it can properly protect and absorb again.This often involves nutrients and compounds like:

  • L-glutamine, zinc carnosine, and aloe vera to repair tissue

  • Collagen peptides or bone broth to soothe the intestinal lining

  • Anti-inflammatory nutrients like omega-3s and antioxidants

A healthy gut lining keeps out what doesn’t belong — and helps prevent “leaky gut,” where inflammation spreads beyond digestion.


5. Rebalance – Nourishing the Whole System

The gut doesn’t exist in isolation — it’s influenced by stress, sleep, movement, and mindset.The final “R” is about rebalancing your lifestyle:

  • Prioritize daily stress management (meditation, journaling, or gentle walks)

  • Support quality sleep for repair and hormone balance

  • Incorporate whole, nutrient-dense foods regularly

  • Foster mind-body connection — because your gut and brain are in constant communication



At Abundant Integrative Medicine

We don’t just suppress symptoms — we look for root causes. Using advanced testing, evidence-based protocols, and a personalized plan, we guide you through each phase of gut restoration so you can reclaim energy, reduce inflammation, and feel your best from the inside out.

Ready to start your gut healing journey?Click the link in bio or book your discovery call to see if a functional gut healing plan is right for you.

 
 
 

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