By Dr. Ryan Kneessi, ND — licensed naturopathic doctor in Maryland · Move Forward Natural Health, Odenton, MD (in-office and telehealth visits) · Last reviewed: October 9, 2026
Quick answer: An unhealthy diet is one of the main contributors to leaky gut. Diets high in processed foods, refined sugar, alcohol and certain additives, and low in fiber, can disturb gut bacteria and increase inflammation. Gluten affects the gut lining in celiac disease and some sensitive people. Plant compounds like lectins and phytates are reduced by traditional preparation.
Why diet matters
Food directly affects the gut barrier, microbiome and inflammation. Background: introduction to leaky gut.
Dietary factors linked to a weaker gut barrier
Processed foods and sugar
Refined sugars, unhealthy fats and additives can fuel inflammation and dysbiosis. High sugar intake also increases advanced glycation end products (AGEs).
Low fiber
Fiber feeds beneficial bacteria that make butyrate, which fuels gut cells.
Fats
Too much omega-6 relative to omega-3 may promote inflammation. Fatty fish, nuts and seeds provide anti-inflammatory omega-3s.
Gluten
Gliadin can increase zonulin and open tight junctions, especially in celiac disease. Get tested before removing gluten. See the elimination diet.
Alcohol
Alcohol increases oxidative stress and inflammation and can disrupt tight junctions.
Anti-nutrients
Phytates, lectins and oxalates can affect absorption in some people. Soaking, sprouting, fermenting and cooking reduce them, and many of these foods are still very nutritious.
Food additives
Some emulsifiers, artificial sweeteners and carrageenan have been linked to microbiome changes in research.
Pesticides and herbicides
Washing produce and choosing organic when practical can reduce exposure.
Food, the gut and healthy aging
A fiber-rich, whole-food diet supports a diverse microbiome and lowers inflammation, both important as we age. Nutrient gaps also matter: see nutrient deficiencies.
Simple swaps
- Choose whole foods over ultra-processed snacks
- Add a variety of vegetables, fruit, legumes and nuts
- Cook with olive oil; eat fatty fish twice a week
- Limit alcohol and added sugar
- Follow the protocol food lists (see foods to consume)
When to see a naturopathic doctor
- Ongoing bloating, gas, diarrhea or constipation
- Food reactions that seem to be multiplying
- Fatigue, skin flares or joint aches alongside gut symptoms
- You want a personalized gut plan instead of guessing
See a medical provider promptly for blood in your stool, black stools, unexplained weight loss, persistent vomiting, severe abdominal pain, fever, or trouble swallowing.
Want help finding the root of your gut symptoms?
A free 15-minute consultation with Dr. Kneessi. No cost, no obligation. In-office in Odenton, MD or by telehealth.
Frequently asked questions
What foods are bad for leaky gut?
Ultra-processed foods, excess sugar and alcohol are common culprits.
Should I avoid gluten?
People with celiac disease must. Others can discuss a trial with their provider after testing.
Are lectins harmful?
Not for most people, especially when foods are cooked or soaked.
What foods support the gut lining?
Fiber-rich plants, fermented foods and omega-3-rich fish.
Sources
This article is for educational purposes only and is not medical advice. It does not replace an individual evaluation. Talk with your healthcare provider before starting supplements or changing medications, especially if you are pregnant, nursing, or managing a health condition.
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