Functional medicine uses the 'five R program' to address gut dysfunction: remove irritants, replace deficiencies, repopulate with microbes, and restore the nervous system.

“the first R is to remove remove things that shouldn't be there whether it's foods that are triggering a problem like gluten which affects permeability or dairy grains for some people remove bad bugs so if you have a parasite I mean I just had a patient who had a common parasite she had stomach issues for twenty years she was always waking up feeling like crap I gave her Alinea which is an anti-parasitic medication six days she says she's never felt better so sometimes just need to do that and maybe bacterial overgrowth you have maybe there's yeast overgrowth you need to address that”