4R Approach to Gut Healing

It's no surprise over 65 Billion American's are suffering from digestive diseases. {1} With the uptake in medications, daily doses of Advil and increased amount of antibiotic prescriptions; our bodies are suffering.  

The 4R approach was introduced to me by Dr. Aviva Romm this past year in my Women's health specialist course.   After being gluten and dairy free for over six years now, my digestion is finally starting to heal by adding these suggested supplements. 

Keep in mind, I am not a doctor.  Please consult your doctor before adding any supplements to your diet. 

So, what is Leaky Gut Syndrome?

Leaky gut or "intestinal hyperpermeability” is when the tight junctions in your intestines open and allow particles like toxins, microbes and  undigested food particles enter into your blood stream. When this happens it causes inflammation throughout your body leading to a variety of auto-immune diseases.

What causes leaky gut syndrome?

  1. Triggering foods like gluten, gluten cross-reactors, corn, millet, coffee & red beans. 
  2. Stress has a physical impact on your gut and can change the microbiome in your gut.  
  3. Medications- Antibiotics, NSAIDS and Protein pump inhibitors (PPI) can all affect your digestion. Try DGL supplement instead!
  4. Environmental toxins- Industrial chemicals, food additives and food coloring can all damage the epithelil linking of the digestive tract. 
  5. Microbiome damage- Internal, complex ecosystem of bacteria. 


Take out what ails you.  The top allergens are wheat, corn, eggs, dairy, peanuts and soybeans.  Add in whole grains (like quinoa and rice), organic vegetables, fruit and healthy fats. Remove all allergens for 4-6 weeks or it may take up to a year with auto-immune diseases.


  • After 2-4 weeks on the Elimination diet, Introduce a good quality digestive enzyme.  This is safe for pregnant and breast feeding women, too. I like Enzymedica. Follow directions on the package and take at the start of your meal.  

  • You can also add bitters, like  Urban Moonshine Bitters to begin the digestion process.  "Bitters trigger the digestive system to produce the body’s endogenous digestive enzymes, secrete bile, and balance HCl levels in the stomach." Take 10-15 minutes before your meal. 

  • If you have a lot of nausea with meals or when you take supplements, you might also need some additional stomach acid in the form of a supplement called Betaine HCl, or try 1 Tbs. of apple cider vinegar in water with your meals. 



  • Wait 2 weeks on the elimination diet or up to 6 weeks.  Adding in a probiotic can give you gas and bloating if you do not remove the allergens first.  
  • Add in a good quality probiotic to restore your gut flora like Klair probiotics. 
  • You want it to have a minimum of 5 billion CFUs in each dose, and a good range of Lactobacillus and Bifidobacter species. 
  • Fermented foods such as miso, sauerkraut and kimchee can also be helpful 3-4x week. Keep in mind, kombucha can be high in sugar. 


Wait 6-weeks to repair.  The following supplements can be taken for up to 6 months to help to heal the intestinal lining:

  • Tumeric, aloe vera, marshmallow root, and DGL licorice (aloe and licorice are not for internal use during pregnancy; these are fine for children) are some of the most effective herbs for healing the gut lining.
  • They are best taken in capsule or extract form, though tumeric can also be added to foods. 
  • DGL licorice is available as chewable lozenges and thus may be the simplest one to give to kids. Planetary Herbals DGL is one company to use. 
  • Zinc.  5-10 mg/day for children 4-7 years, 10-20 mg/day for children to age 12, 25-40 mg/day for older children and adults
  • An antioxidant supplement containing vitamins A and carotenoids, C, E, and selenium. These are often found in a multivitamin. Pregnant women should get these from their prenatal vitamin only.
  • Fish oil: 
  • I prefer Carlson's Lemon fish oil.  My kids like the Nordic Natural berries. 
  •  for kids, and any good quality fish oil for adults. For kids you can put the oil into smoothies. Fish oil is important for general health in pregnancy and breastfeeding, too.
  • L-Glutamine Powder
  • 5-10 gm of powder twice daily for one month. (Much less for kids but talk with your child’s doctor before using and don’t supplement in pregnancy).
4R Approach

10 Signs you have Leaky Gut Syndrome

  1. Digestion problems
  2. Food intolerance
  3. Seasonal allergies
  4. Skin complaints; acne, skin rash etc.
  5. Auto immune disorder
  6. Tired/ poor concentration
  7. Anxiety & depression
  8. Candida overgrowth
  9. Cannot lose weight
  10. Your joints ache

How do I heal?

  1. Remove all triggers: i.e. all allergens and cross reactors
  2. Get get off medications (with Dr.'s approval and replace with natural remedies )
  3. Reduce stress
  4. Heal your gut lining with the 4R approach below. 

Are you interested in a health consultation? Please fill out the information below. 

Warmly~ Tara Gregorio

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{1} https://www.niddk.nih.gov/health-information/health-statistics/Pages/digestive-diseases-statistics-for-the-united-states.aspx