A structured path from diagnosis to lasting health. Five stages. One goal. Find the root cause and fix it in a way that holds.
The Five R Protocol addresses health by targeting the root causes of dysfunction, not just symptoms, through a personalized and systems-based approach to healing. Each stage builds on the last. Your care team guides you through every phase, adjusting as your body responds.
Identify and remove the triggers.
The Reset phase focuses on reducing the burden placed on the digestive and immune systems by eliminating factors that drive inflammation, irritation, and dysfunction. That means processed foods, excess sugar, gluten, dairy, alcohol, and inflammatory oils. It also means identifying gut infections like candida, parasites, H. pylori, and SIBO. We use functional testing to find the specific triggers, then build an elimination or anti-inflammatory nutrition plan around what your labs actually show.
An elimination or anti-inflammatory nutrition plan, hydration and blood sugar stabilization, stress management practices, initial detoxification support, and functional testing to identify root causes. Most patients notice reduced bloating, improved energy, and better mental clarity within the first few weeks.
Rebuild digestive function and nutrient absorption.
This phase restores your body's foundational digestive capacity so nutrients can be properly broken down, absorbed, and utilized. We focus on stomach acid balance, pancreatic enzyme support, gallbladder and liver function, and micronutrient replenishment. If your body can't break down and absorb what you eat, no amount of clean eating will fix the problem.
Digestive enzymes, betaine HCl or bitters when appropriate, targeted vitamin and mineral support, protein optimization, and fiber and hydration guidance. Patients typically notice better digestion, less bloating, and improved energy as nutrient absorption improves.
Heal the gut lining and reduce inflammation.
The Repair phase focuses on strengthening the intestinal barrier and supporting tissue healing to reduce chronic inflammation and immune dysregulation. A compromised gut lining lets particles through that trigger immune responses throughout the body. We use targeted nutrients including L-glutamine, zinc carnosine, omega-3 fatty acids, collagen, amino acids, and antioxidant compounds to rebuild mucosal integrity and support cellular recovery.
Gut-healing nutrition protocols, anti-inflammatory supplementation, IV nutrient support when indicated, and lifestyle strategies to reduce inflammatory load. Food sensitivities typically decrease, immune resilience improves, and patients often see better skin, mood, and digestion.
Optimize hormones, immunity, and metabolism.
This phase restores balance across interconnected body systems to improve long-term resilience and overall health. We address thyroid function, adrenal stress response, blood sugar and insulin balance, sex hormone optimization, and sleep and circadian rhythm. The interventions expand beyond nutrition into exercise and resistance training, hormone optimization and BHRT, stress reduction, sleep support, and where appropriate, peptide and longevity therapies.
Personalized nutrition plans, exercise programming, hormone optimization or BHRT, stress reduction and sleep support, and advanced therapies like peptides or mitochondrial support. Patients typically see improved metabolism and body composition, better mood, sleep, and focus, and increased vitality.
Sustain long-term health and prevention.
Renew focuses on maintaining progress through sustainable habits, ongoing monitoring, and proactive wellness strategies. This is where short-term healing becomes a long-term lifestyle. We build personalized wellness plans, continue nutritional optimization, run preventive lab monitoring at regular intervals, and support fitness and recovery. For patients interested in longevity, this phase also includes regenerative therapies and advanced aging interventions.
A long-term maintenance plan, ongoing nutritional optimization, preventive lab monitoring, fitness and recovery support, and access to longevity and regenerative therapies. The goal is long-term symptom control, improved quality of life, and enhanced healthy aging and performance.

The protocol adapts to your body. Here's what stays consistent.
The protocol adapts to your body. Phases overlap. Timelines flex. Your plan is yours, and it changes as you respond.
A GI physician and registered dietitian guide every stage. Every decision is backed by your lab data.
We track labs, symptoms, and milestones throughout. You'll see the data shift as your body heals.

Book a consultation with our team. We'll evaluate where you are, run the right tests, and build your Five R plan from day one.
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