ConditionsDigestive / Autoimmune

Digestive / Autoimmune⚡ High Priority

Crohn's Disease / Ulcerative Colitis (IBD)

Gabriel treats IBD as complex interaction of gut dysbiosis, autoimmunity, and gut barrier dysfunction.

Root Causes

9 identified

Supplements

14 recommended

Lab Markers

14 to test

Treatments

6 modalities

Gabriel's Approach

Gabriel treats IBD as complex interaction of gut dysbiosis, autoimmunity, and gut barrier dysfunction. Protocol: 1) Identify and address specific pathogens (comprehensive stool testing—MAP bacteria, adherent E. coli, others), 2) Heal intestinal lining, 3) Restore healthy microbiome (challenging—often severely disrupted), 4) Eliminate food triggers (highly individual), 5) Reduce inflammation, 6) Modulate immune system, 7) Address nutritional deficiencies (common in IBD), 8) Specific Carbohydrate Diet (SCD) or GAPS diet (many achieve remission). Early intervention critical—prevent irreversible bowel damage.

Root Causes

Autoimmune dysfunction (immune system attacks GI tract)

Gut dysbiosis (specific pathogenic bacteria: Mycobacterium avium paratuberculosis potentially causal in Crohn's, adherent-invasive E. coli)

Leaky gut and intestinal permeability

Genetic predisposition (NOD2, ATG16L1, IL23R genes)

Environmental triggers

Chronic infections

Food sensitivities

Stress

NSAIDs and antibiotics (damage gut lining)

Why Conventional Fails

Standard Treatment

5-ASA drugs (mesalamine, sulfasalazine), Corticosteroids (prednisone, budesonide—acute flares), Immunomodulators (azathioprine, 6-MP, methotrexate), Biologics (TNF inhibitors: Remicade, Humira; integrin inhibitors: Entyvio; IL-12/23 inhibitors: Stelara), JAK inhibitors (Xeljanz), Antibiotics (Cipro, Flagyl), Surgery (bowel resection, colectomy for severe UC), Nutritional support (TPN, enteral feeding).

The Problem

Medications suppress inflammation and immune response but don't address root causes (dysbiosis, specific pathogens, gut barrier dysfunction, food triggers), immunosuppressants increase infection/cancer risk, biologics extremely expensive ($20,000-60,000+/year), side effects common, surgery doesn't cure (disease can recur), Crohn's often recurs after resection, colectomy for UC curative but drastic (permanent ostomy or j-pouch with complications), conventional approach doesn't investigate specific pathogens comprehensively (MAP bacteria, adherent E. coli), minimal dietary guidance beyond 'low-residue during flares,' doesn't address gut microbiome restoration, SCD/GAPS diets dismissed despite patient success stories.

Your Complete Protocol

A comprehensive, tiered approach combining supplements, herbs, and advanced therapies

Functional MedicineChinese Herbal MedicineWhole Food Nutrition

Your Protocol for Crohn's Disease / Ulcerative Colitis (IBD)

Choose the level that's right for your healing journey

Essential Protocol

Start Here

$75/mo

What's Included

Curcumin 3-4g/day (as effective as mesalamine in some studies; rare liver injury; stop if dark urine or yellow eyes; not with gallstones or liver disease)
Omega-3 2-4 g/day (talk to your doctor if on blood thinners or if you have AFib)
Vitamin D3 1,000-4,000 IU/day (test first and retest in 8-12 weeks; Gabriel target 50-75 ng/mL)
L-Glutamine 10-30g/day (heal gut lining)
Turmeric (Jiang Huang): Reduces intestinal inflammation and calms autoimmune flares
Slippery Elm: Soothes and protects inflamed intestinal lining

Get Essential Protocol

Available through Gabriel

Practitioner-Grade Protocol

Recommended Supplements

Curcumin 3-4g/day (as effective as mesalamine in some studies; rare liver injury; stop if dark urine or yellow eyes; not with gallstones or liver disease)

Omega-3 2-4 g/day (talk to your doctor if on blood thinners or if you have AFib)

Vitamin D3 1,000-4,000 IU/day (test first and retest in 8-12 weeks; Gabriel target 50-75 ng/mL)

L-Glutamine 10-30g/day (heal gut lining)

Zinc Carnosine 75mg 2x/day (about 34 mg of zinc a day, under the 40 mg upper limit)

Boswellia 1000mg 3x/day

Aloe Vera (inner leaf gel) 100mL 2x/day

Probiotics: VSL#3 or other high-potency (after acute phase)

Saccharomyces boulardii 10B CFU

Butyrate 1-2g/day

Vitamin B12 (often deficient)

Iron (often anemic—IV if severe)

Folate

Vitamin K

Key Lab Markers

Comprehensive stool test (pathogens, inflammation—calprotectin, lactoferrin)

Calprotectin (fecal—monitors inflammation)

CBC (anemia common)

CRP, ESR (systemic inflammation)

Comprehensive metabolic panel

Vitamin D

B12

Folate

Iron studies (ferritin, TIBC)

Zinc

Albumin (low if malabsorption)

Colonoscopy with biopsy (diagnosis, monitor)

Imaging (CT or MRI enterography for Crohn's)

Genetic testing (NOD2, others)

Dietary Guidance

Specific Carbohydrate Diet (SCD—Elaine Gottschall 'Breaking the Vicious Cycle'—many achieve remission): eliminates all complex carbs, grains, starches, lactose, sucrose; allows simple sugars (monosaccharides only—honey, fruit), meat, fish, eggs, most vegetables, nuts, SCD yogurt (24-hour fermented); OR GAPS diet (Gut and Psychology Syndrome—Dr. Natasha Campbell-McBride); Low-FODMAP if food sensitivities; Eliminate gluten, dairy, sugar; Bone broth critical; During flares: low-residue diet, elemental diet (sometimes induces remission); Highly individual—food journal essential.

Lifestyle Factors

Stress management CRITICAL (stress major trigger for flares), adequate sleep, gentle exercise (walking, yoga), avoid NSAIDs (worsen IBD), quit smoking (worsens Crohn's, but oddly may improve UC—still don't smoke), address infections, nutritional support (often malnourished), pelvic floor therapy if complications, social support, address psychological impact, work with IBD-specialist dietitian.