Introduction
Your gut is more than just a digestive tube — it’s a central hub that communicates with your brain, hormones, immune system, and metabolism. From serotonin production to blood sugar regulation, the gut plays a key role in how you feel and function every day.
At 1st Optimal, we help clients understand and optimize their gut using functional medicine strategies rooted in science: comprehensive lab testing, nutritional support, targeted supplementation, and lifestyle medicine. Our approach is personalized and proactive, tailored to high-performing adults who want more than guesswork.
In this long-form guide, we’ll break down 23 actionable, research-supported ways to build a stronger, more balanced gut. You’ll also find links to expert-level resources, functional testing, and evidence-based therapies offered at 1st Optimal.
Table of Contents
- Eat a Diverse Diet of Fiber-Rich Plant Foods
- Prioritize Prebiotics
- Consume Fermented Foods
- Limit Ultra-Processed Foods
- Reduce Added Sugar and Artificial Sweeteners
- Increase Polyphenol Intake
- Manage Stress with Mind-Body Techniques
- Exercise Regularly
- Ensure Adequate Sleep
- Avoid Unnecessary Antibiotic Use
- Stay Hydrated
- Include Resistant Starch
- Eat Butyrate-Producing Foods
- Consume Omega-3s
- Limit Alcohol
- Chew Thoroughly and Eat Mindfully
- Support Stomach Acid and Digestive Enzymes
- Optimize Vitamin D
- Use Targeted Probiotics
- Test and Treat GI Pathologies
- Understand the Gut-Brain Axis
- Explore the Gut-Hormone Connection
- How GLP-1s and Peptides Influence Gut Health
1. Eat a Diverse Diet of Fiber-Rich Plant Foods
Diversity in your diet encourages diversity in your microbiome. People who eat more than 30 types of plant-based foods per week have significantly higher microbial diversity and gut resilience.
- Rotate vegetables, fruits, legumes, nuts, and seeds
- Try: lentils, kale, quinoa, beets, sweet potatoes, arugula, flaxseeds
- Avoid eating the same “health food” meals every day
📚 Reference: David et al., Nature (2014), PMID: 24336217
2. Prioritize Prebiotics
Prebiotics are specific types of indigestible fiber that feed your good gut bacteria. Unlike probiotics, prebiotics help your existing flora thrive.
- Found in: garlic, onions, leeks, Jerusalem artichokes, asparagus, bananas
- Supplements: inulin, FOS, GOS
📚 Reference: Slavin, J Nutr (2013), PMID: 23674783
3. Consume Fermented Foods
Fermented foods add live cultures that enhance microbiota diversity, support immune function, and improve digestion.
- Eat daily: kimchi, sauerkraut, kefir, miso, kombucha, yogurt
- Choose unpasteurized and low-sugar options
📚 Reference: Wastyk et al., Cell (2021), PMID: 34370997
4. Limit Ultra-Processed Foods
Highly processed foods often contain emulsifiers, additives, and artificial compounds that disrupt the gut lining and microbiota balance.
- Avoid: frozen meals, boxed snacks, “shelf-stable” protein bars
- Cook whole foods when possible
📚 Reference: Chassaing et al., Nature (2015), PMID: 25731162
5. Reduce Added Sugar and Artificial Sweeteners
Excess sugar fuels inflammatory bacteria and yeasts. Artificial sweeteners like sucralose and aspartame can disrupt microbial balance and insulin signaling.
- Swap with: stevia, monk fruit, or better yet — fresh fruit
📚 Reference: Suez et al., Nature (2014), PMID: 25231862
6. Increase Polyphenol Intake
Polyphenols are antioxidant-rich plant compounds that benefit gut flora and support gut lining integrity.
- Eat: berries, green tea, dark chocolate, olives, flax, turmeric
📚 Reference: Cardona et al., Food Funct (2013), PMID: 23612584
7. Manage Stress with Mind-Body Techniques
Stress is one of the fastest ways to harm your gut. It alters gut motility, increases permeability, and disrupts the gut-brain axis.
- Try: meditation, breathwork, walking outdoors, EMDR therapy
📚 Reference: Foster et al., Trends Neurosci (2013), PMID: 23876455
8. Exercise Regularly
Moderate, consistent movement increases gut flora diversity and motility. It also reduces inflammation and stress response.
- 30–45 minutes of daily movement: walking, weightlifting, yoga
📚 Reference: Allen et al., Gut Microbes (2018), PMID: 29053867
9. Ensure Adequate Sleep
Gut function is deeply tied to your circadian rhythm. Poor sleep increases permeability and gut dysbiosis.
- Optimize: aim for 7–9 hours of consistent, uninterrupted sleep
- Use: blue light blockers, magnesium glycinate, early meals
📚 Reference: Voigt et al., Mol Metab (2016), PMID: 27830108
10. Avoid Unnecessary Antibiotic Use
While sometimes necessary, antibiotics damage your microbiome and can have effects that last for months to years.
- Use only when prescribed appropriately
- Rebuild flora with probiotics and prebiotics post-antibiotic
📚 Reference: Jernberg et al., Microbiology (2010), PMID: 20656961
11. Stay Hydrated
Water supports digestion, motility, and the mucosal lining of the intestines. Dehydration slows peristalsis and reduces detox efficiency.
- Goal: Half your body weight (lbs) in ounces daily
📚 Reference: Institute of Medicine (2005)
12. Include Resistant Starch
Resistant starch acts like a prebiotic, feeding beneficial bacteria and increasing the production of short-chain fatty acids.
- Found in: cooked/cooled potatoes, green bananas, lentils, oats
📚 Reference: Topping et al., Physiol Behav (2007), PMID: 17208471
13. Eat Butyrate-Producing Foods
Butyrate is a powerful anti-inflammatory compound created by gut bacteria. It supports immune tolerance and colon health.
- Increase: flaxseed, cooked beans, oats, apples, plantains
📚 Reference: Canani et al., Curr Opin Clin Nutr (2011), PMID: 21415727
14. Consume Omega-3s
Omega-3 fatty acids reduce gut inflammation, increase mucin production, and improve microbial diversity.
- Best sources: wild-caught salmon, sardines, walnuts, flaxseed
📚 Reference: Watson et al., Lipids Health Dis (2018), PMID: 29728092
15. Limit Alcohol
Alcohol increases gut permeability (“leaky gut”) and disrupts microbial diversity.
- If consuming: use moderation and choose dry red wine or clear spirits
- Avoid sugary cocktails or daily alcohol use
📚 Reference: Engen et al., Alcohol Res (2015), PMID: 26539489
16. Chew Thoroughly and Eat Mindfully
Digestion starts in the mouth. Chewing properly releases digestive enzymes and improves nutrient breakdown.
- Slow down: chew 20–30 times per bite
- Avoid: eating distracted or on-the-go
📚 Reference: Sasaki et al., J Nutr Sci Vitaminol (2011), PMID: 22450594
17. Support Stomach Acid and Digestive Enzymes
Low stomach acid can cause bloating, nutrient deficiencies, and bacterial overgrowth.
- Use: lemon water, bitters, apple cider vinegar
- Clinical support: Betaine HCl or enzyme blends (guided by a provider)
📚 Reference: Martinsen et al., J Comp Physiol B (2005), PMID: 15971030
18. Optimize Vitamin D
Vitamin D regulates immunity, gut lining function, and microbiome composition. Low levels are linked to IBS, IBD, and infections.
- Get tested: then supplement to optimal ranges (50–70 ng/mL)
📚 Reference: Cantorna et al., Nat Rev Gastroenterol Hepatol (2011), PMID: 21304473
19. Use Targeted Probiotics
Probiotics can be effective when matched to the right issue. They aid in gut healing, inflammation, motility, and immune modulation.
- Use clinically studied strains like:
- Lactobacillus GG
- Saccharomyces boulardii
- Bifidobacterium lactis
📚 Reference: Ouwehand et al., Clin Microbiol Rev (2002), PMID: 12364369
20. Test and Treat GI Pathologies
If symptoms persist despite dietary changes, advanced testing can identify pathogens like H. pylori, SIBO, Candida, or parasites.
- We recommend: the GI-MAP test
- Helps identify root causes of bloating, fatigue, brain fog, inflammation
📚 Reference: Ghoshal et al., World J Gastroenterol (2021), PMID: 34567095
21. Understand the Gut-Brain Axis
Your gut and brain are connected through a bi-directional pathway known as the gut-brain axis. This network regulates mood, memory, digestion, and immune function.
- 95% of serotonin is produced in the gut
- Dysbiosis linked to anxiety, depression, brain fog
- Support with mindfulness, prebiotics, and quality sleep
📚 Reference: Cryan et al., Nat Rev Neurosci (2019), PMID: 31172087
22. Explore the Gut-Hormone Connection
Hormones and the microbiome are tightly linked. Your gut regulates estrogen recycling, cortisol sensitivity, and insulin balance.
- Estrobolome issues can worsen PMS, fibroids, mood swings
- Dysbiosis increases insulin resistance and thyroid issues
- Improve gut health to balance hormones naturally
📚 Reference: Plottel & Blaser, Nat Rev Endocrinol (2011), PMID: 21844907
23. How GLP-1s and Peptides Influence Gut Health
Medications like GLP-1 agonists (e.g., Ozempic) and therapeutic peptides like BPC-157 impact the gut microbiome and digestive function.
- GLP-1s modulate appetite, delay gastric emptying, and may promote microbial balance
- Peptides like BPC-157 support mucosal healing and reduce gut inflammation
- Always use under medical guidance
📍 Read our GLP-1 guide
📍 Explore our Peptide Therapy Services
📚 Reference: Drucker DJ, Cell Metab (2018), PMID: 29576541
Final Thoughts
Gut health is the foundation of functional medicine. When your gut works, your whole body follows — mood, energy, focus, hormones, metabolism, and more. You don’t need a perfect diet. You need a smart, personalized plan.
Start by implementing 3–5 of the strategies above. Consider testing when symptoms persist. And remember, change starts from the inside out.
🔍 Take our free gut health quiz
🧪 Order your GI-MAP test now
📘 Check our full Gut Optimization Guide