Gut Healing Protocol
Repair intestinal barrier integrity, reduce gut inflammation, and restore mucosal health in leaky gut, IBD, and post-antibiotic dysbiosis
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This protocol is an educational example only. It does not apply to your specific health situation. Medical supervision is required. Peptide therapy is not approved by regulatory bodies for many of the described indications.
Protocol Stack
BPC-157
PrimaryDose
250 mcg
Frequency
Twice daily oral (dissolved in water)
Timing
30 min before meals β morning and evening
Duration
8 weeks
KPV (Lys-Pro-Val)
SupportingDose
500 mcg
Frequency
Daily oral
Timing
With BPC-157 morning dose
Duration
8 weeks
Larazotide Acetate
SupportingDose
1.0 mg
Frequency
Three times daily oral
Timing
30 min before each meal
Duration
8 weeks
Monitoring Parameters
- βStool calprotectin β baseline and week 8 (intestinal inflammation marker)
- βZonulin (serum or stool) β baseline and week 8 (intestinal permeability marker)
- βGI symptom composite score (IBS-SSS or CDAI for Crohn's) β weekly
- βStool microbiome analysis β optional, baseline and week 8
- βNutritional markers: ferritin, B12, folate, D3 (often deficient with gut pathology)
- βBody weight (monitor for unintended loss)
Expected Outcomes
Days 3β7: Bloating and cramping often reduce quickly
Weeks 2β4: Stool consistency normalizing, frequency stabilizing
Weeks 4β6: Energy improving as nutrient absorption improves
Week 8: Calprotectin and zonulin reassessment β typically 40β70% reduction
Post-protocol: Maintenance with 1x daily BPC-157 for 4 weeks; then dietary review
Contraindications
- βActive GI bleeding β do not use BPC-157 until hemostasis confirmed
- βMalignancy of the GI tract
- βSevere active Crohn's disease (CDAI > 300) β requires gastroenterology co-management
- βOral peptide absorption may be limited if intestinal damage is severe β consider SC route for BPC-157
Clinical Notes
Oral BPC-157 is preferred for gut pathology as it delivers the peptide directly to intestinal tissue. KPV is the active fragment of alpha-MSH with potent local anti-inflammatory and mucosal healing properties β specifically studied in colitis models. Larazotide blocks zonulin-mediated tight junction opening, directly addressing the core mechanism of leaky gut.
Case Study
Clinical Practice Example
Female, 36, post-antibiotic ulcerative colitis flare (fecal calprotectin 820 ΞΌg/g, zonulin 42 ng/mL, IBS-SSS 340). Started triple oral protocol. By week 2: abdominal pain reduced 50%. Week 8: calprotectin 198 ΞΌg/g, zonulin 19 ng/mL, IBS-SSS 90. Reported eating previously avoided foods without symptoms. Continued on maintenance BPC-157.