Digestion Protocol
Your Gut Is the Control Center of Your Immune System. When It Fails, Everything Fails With It.
Health Atlas MD is an immunity and longevity medicine practice in Lakeway, Texas, led by Dr. Amin Mery, MD, who also leads Hill Country Allergy, Asthma and Immunology. The Digestion Protocol is built for patients dealing with IBS, IBD, SIBO, leaky gut, chronic bloating, food sensitivities, or reflux that has not resolved through standard approaches. At Health Atlas MD, gut dysfunction is treated as a systemic problem with systemic consequences, not a local one.

What Is Chronic Digestive Dysfunction?
Digestive disorders including IBS, IBD, SIBO, and leaky gut almost always involve three overlapping problems: structural compromise of the intestinal epithelial barrier, microbiome dysbiosis shifting toward inflammatory bacterial populations, and downstream systemic effects on immune function, neurotransmitter production, and inflammatory tone throughout the body. Addressing symptoms without repairing the barrier and restoring microbiome diversity is why so many patients manage digestive problems indefinitely without resolving them.
The intestinal epithelium is a single-cell-thick barrier separating the gut lumen from the bloodstream. When tight junctions loosen, from NSAIDs, alcohol, chronic stress, or dysbiosis, bacterial fragments called LPS translocate into the bloodstream and activate TLR4, producing systemic inflammation. This mechanism directly connects gut dysfunction to fatigue, brain fog, skin problems, immune dysregulation, and mood disorders in ways that are measurable and addressable.
The gut also produces 95% of the body's serotonin through enterochromaffin cells, under the influence of microbiome composition. When the microbiome shifts toward inflammatory species, serotonin production falls, motility dysregulates, and the systemic immune education that a healthy microbiome provides throughout life is impaired.
Who the Digestion Protocol Is For
This protocol is built for patients who are dealing with one or more of the following:
- IBS, IBD, chronic bloating, or irregular motility that has not responded to dietary elimination or medication
- Food sensitivities that have expanded over time, suggesting a gut barrier problem rather than specific intolerances
- Leaky gut, SIBO, or H. pylori with a need for a structured repair approach, not just symptom management
- Systemic symptoms (fatigue, brain fog, skin issues, immune reactivity) alongside digestive dysfunction that may share a gut origin
How the Digestion Protocol Works
The baseline panel for this protocol includes gut permeability markers (zonulin, LPS), inflammatory markers, Vitamin D, and where indicated a microbiome assessment and stool analysis. The protocol moves through three stages focused on barrier repair, microbial restoration, and systemic anti-inflammatory support.
What the Protocol May Include: L-glutamine at therapeutic dose as the primary fuel for intestinal epithelial cells and tight junction repair; multi-strain probiotics for Lactobacillus and Bifidobacterium restoration; zinc carnosine, which has published evidence specific to intestinal permeability reduction; omega-3 fatty acids for barrier-supporting prostaglandin reduction; and Vitamin D for tight junction protein regulation. As the protocol advances, injectable vitamins at the clinic deliver glutamine, B12 (bypassing the compromised terminal ileum absorption that gut dysfunction impairs), glutathione, and CoQ10 for the mitochondrial energy demands of rapidly dividing epithelial cells. Stage 3 adds peptide therapy including BPC-157, the most evidence-backed peptide for gut repair, with direct published evidence for intestinal healing and angiogenesis in the mucosa; KPV for intestinal cytokine reduction; and, where indicated, exosome IV for complex IBD or Crohn's presentations.
Stage 1 (Pathway) focuses on the two most foundational interventions: barrier repair and microbiome restoration. Stage 2 (Roadmap) adds injectable delivery at the clinic to achieve therapeutic levels that bypass the compromised gut absorption driving this protocol in the first place. Stage 3 (Atlas) is the complete protocol for complex inflammatory bowel conditions or long-standing dysfunction.
Common Questions About
Digestion Protocol
Is leaky gut a real medical condition?
Yes. The formal term is increased intestinal permeability. It is measurable through lactulose/mannitol ratio testing, serum LPS levels, and zonulin levels. It has a clear mechanism (tight junction dysfunction between intestinal epithelial cells) and documented downstream effects on systemic inflammation and immune function. The debate in conventional medicine is not about whether it exists but about its clinical significance. This practice takes the position that it is a primary driver of systemic inflammatory disease.
Why include probiotics if I already eat fermented foods?
Fermented foods provide living bacteria at concentrations and strains that vary considerably by product and preparation. Multi-strain therapeutic probiotic formulations provide specific clinically studied species at guaranteed colony-forming unit counts with published evidence for defined outcomes. Fermented foods are complementary and valuable, but they do not replace therapeutic probiotics in the context of significant dysbiosis or active gut barrier repair.
How long until my gut is healed?
The gut lining turns over completely every three to five days, which means structural repair capacity is rapid. Most patients notice symptom improvement within two to four weeks of Stage 1 establishment. Full microbiome restoration takes three to six months. The timeline depends on the underlying cause: SIBO resolves faster than IBD, and antibiotic-related dysbiosis resolves faster than decades of dysfunction.
Take the First Step
Request Your Inflammation and Immunity Assessment
If your digestive symptoms have not responded to elimination diets, medication, or standard testing, the systemic biology driving them may not have been fully assessed. Dr. Mery reviews each patient's full picture before any protocol begins.

Disclaimer
This page is for educational purposes only. It does not diagnose, treat, cure, or prevent any disease. All treatment is individualized and supervised by Dr. Amin Mery, MD. Peptide therapies are investigational and have not been FDA-evaluated for all indications described.
Entity Statement
Health Atlas MD is an immunity and longevity medicine practice led by Dr. Amin Mery, MD, who also leads Hill Country Allergy, Asthma and Immunology.