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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

  1. Eat a Diverse Diet of Fiber-Rich Plant Foods
  2. Prioritize Prebiotics
  3. Consume Fermented Foods
  4. Limit Ultra-Processed Foods
  5. Reduce Added Sugar and Artificial Sweeteners
  6. Increase Polyphenol Intake
  7. Manage Stress with Mind-Body Techniques
  8. Exercise Regularly
  9. Ensure Adequate Sleep
  10. Avoid Unnecessary Antibiotic Use
  11. Stay Hydrated
  12. Include Resistant Starch
  13. Eat Butyrate-Producing Foods
  14. Consume Omega-3s
  15. Limit Alcohol
  16. Chew Thoroughly and Eat Mindfully
  17. Support Stomach Acid and Digestive Enzymes
  18. Optimize Vitamin D
  19. Use Targeted Probiotics
  20. Test and Treat GI Pathologies
  21. Understand the Gut-Brain Axis
  22. Explore the Gut-Hormone Connection
  23. 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

📍 Order your GI-MAP kit now

📚 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