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: Because leaky gut has many contributing factors, a multi-mechanism approach works better than any single supplement. The Leaky Gut Protocol uses four phases: remove triggers (Avoid and Annihilate), restore digestion (Digestive Revival), rebalance gut bacteria (Flora Fix) and support the gut lining (Cellular Rebuilding).
Why a multi-mechanism approach?
Leaky gut is complex, with many underlying factors. Addressing several mechanisms at once gives the gut the best chance to recover. Increased intestinal permeability (“leaky gut”) is an active area of research. It is not a formal diagnosis in conventional medicine, and much of the evidence comes from lab and early human studies.
Phase 1: Avoid and Annihilate
Identify and remove factors that may be inflaming or damaging the gut, such as food sensitivities, excess alcohol and other triggers. Details: Phase 1.
Phase 2: Digestive Revival
Support digestion so food is broken down and nutrients are absorbed, which may include digestive support when appropriate. Details: Phase 2.
Phase 3: Flora Fix
Restore a healthy balance of gut bacteria with fiber, fermented foods and probiotics when appropriate. Details: Phase 3.
Phase 4: Cellular Rebuilding
Provide nutrients that help the gut lining renew itself. Details: Phase 4.
Putting it into practice
- Start with food and lifestyle foundations
- Choose the basic or advanced track (see tailoring your protocol)
- Track symptoms so you can see what helps
- Work with a provider before adding several supplements, especially if you take medications
Gut health and healthy aging
The gut lining renews itself every few days, relying on healthy stem cells, good nutrition and a balanced microbiome. Supporting that renewal helps keep inflammation in check as we age.
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
How long does the Leaky Gut Protocol take?
It varies by person. Many people follow it for several weeks to a few months with guidance.
Do I need supplements?
Not always. Food and lifestyle come first; supplements are personalized.
Can I do all phases at once?
Phases often overlap, but starting by removing triggers is a common first step.
Is this protocol right for everyone?
No. People with diagnosed digestive diseases should follow their medical team’s plan.
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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