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Gut repair may involve several overlapping priorities: Identifying underlying digestive diagnoses when symptoms are persistent or severe Reducing avoidable triggers such as alcohol, ultra-processed foods, or poorly tolerated foods Supporting regular bowel movements and motility Improving nutrient intake, protein, fiber, hydration, and micronutrient status Addressing stress, sleep, and nervous system regulation Reviewing medications that may irritate the gut or affect motility Considering microbiome support when appropriate Managing inflammation through medically appropriate treatment Using peptide therapy only when it fits the patient’s evaluation and goals Peptides may be part of this conversation for select patients, but they should not be the first or only lens

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