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Acknowledgements The authors wish to express their thanks for the excellent editorial support and suggestions provided by John Vahle, Bob Greenhill, John Foster, Chirukandath Gopinath, Rupert Kellner, Beth Mahler, Stuart Levin, Ken Schafer, Gordon Hard, Ian Pyrah, Charlotte Keenan, Maria-Luisa Phan Lung Whu, and Suzy Tirtodikromo

A practical gut plan often includes: Remove Trigger foods (gluten first, then broader triggers if needed) Alcohol excess and ultra-processed foods Chronic NSAID reliance when alternatives exist Repair Support mucosal barrier integrity with targeted strategies Address constipation or chronic diarrhea, since both increase inflammation Consider testing when symptoms persist or history suggests dysbiosis Reinoculate Increase prebiotic fiber gradually if tolerated Consider clinician-directed probiotics when appropriate For deeper gut strategy content, see: Leaky Gut Syndrome: Functional Medicine Solutions and Repair Intestinal Mucosal Integrity