Clinical Immunology

Moderate Evidence

Gut-Immune Axis

The microbiome-immune connection and mucosal immunity.

26 articles · 207 min total
01

Probiotics for Allergic Disease: From Adjunct Supplement to Immune-Modifying Strategy

How specific probiotic strains shift Th2-dominant immune responses in allergic rhinitis, eczema, food allergy, and asthma — a clinical guide to strain selection and protocol design.

Probiotics for Allergic Disease: From Adjunct Supplement to Immune-Modifying Strategy
02

Lactoferrin: Clinical Evidence, Dosing, and Immune Benefits

A physician's guide to lactoferrin—how this iron-binding glycoprotein modulates immunity, supports gut barrier integrity, and may benefit chronic illness patients.

Lactoferrin: Clinical Evidence, Dosing, and Immune Benefits
03

Urolithin A Dosage: Physician's Guide to Timing, Protocol, and the Clinical Evidence

Physician-reviewed urolithin A dosage guide: optimal dose from 500mg to 2g, timing, cycling, and stacking protocols backed by clinical evidence.

Urolithin A Dosage: Physician's Guide to Timing, Protocol, and the Clinical Evidence
04

Collagen Peptides: A Physician's Guide to Types, Benefits, and Evidence

Dr. Douwes reviews the clinical evidence on collagen peptides—types I, II, and III, joint cartilage data, gut healing, skin aging, and how to dose effectively.

Collagen Peptides: A Physician's Guide to Types, Benefits, and Evidence
05

Hashimoto's Thyroiditis: A Functional Medicine Approach to Root-Cause Treatment

Discover how functional medicine addresses Hashimoto's thyroiditis beyond TSH levels—root causes, advanced testing, and evidence-based protocols to reduce antibodies and symptoms.

Hashimoto's Thyroiditis: A Functional Medicine Approach to Root-Cause Treatment
06

Butyrate Supplement Guide: Gut Permeability, Immunity, and SCFA Therapy

A physician's clinical guide to butyrate supplements: mechanisms, evidence for gut permeability and immunity, dosage protocols, and which patients benefit most.

Butyrate Supplement Guide: Gut Permeability, Immunity, and SCFA Therapy
07

L-Glutamine for Gut Health: Leaky Gut, Mucosal Repair, and Clinical Dosing

L-glutamine is the intestinal lining's primary fuel source. Explore the clinical evidence for leaky gut, Lyme dysbiosis, post-COVID recovery, and optimal dosing protocols.

L-Glutamine for Gut Health: Leaky Gut, Mucosal Repair, and Clinical Dosing
08

Bovine Colostrum: Clinical Evidence for Immune Modulation and Gut Healing

A physician's review of bovine colostrum supplements — immune IgA, growth factors, leaky gut, and how to use it clinically. Evidence-graded and protocol-ready.

Bovine Colostrum: Clinical Evidence for Immune Modulation and Gut Healing
09

Akkermansia muciniphila: The Gut Barrier Strain Your Longevity Protocol Is Missing

Akkermansia muciniphila strengthens gut barrier integrity, improves metabolic markers, and predicts immunotherapy response. A clinical review of supplementation evidence.

Akkermansia muciniphila: The Gut Barrier Strain Your Longevity Protocol Is Missing
10

SIBO Treatment Protocol: A Functional Medicine Approach to Small Intestinal Bacterial Overgrowth

Clinical guide to diagnosing and treating SIBO with functional medicine — breath testing, rifaximin vs herbal antimicrobials, diet, and relapse prevention.

SIBO Treatment Protocol: A Functional Medicine Approach to Small Intestinal Bacterial Overgrowth
11

BPC-157 Oral vs Injection: Which Route Delivers Better Results?

Physician comparison of BPC-157 oral capsules versus subcutaneous injection — covering bioavailability, onset, dosing, and clinical use cases for each route.

BPC-157 Oral vs Injection: Which Route Delivers Better Results?
12

Best Probiotic Strains by Condition: IBS, Bloating, Immunity, and Mood

Physician guide to evidence-based probiotic strain selection. Which specific strains work for IBS, bloating, immunity, mood, and vaginal health, with dosing and evidence grades.

Best Probiotic Strains by Condition: IBS, Bloating, Immunity, and Mood
13

How to Choose a Probiotic: CFU Count, Strains, and What Actually Matters

Physician guide to choosing a probiotic supplement. CFU count myths, strain identification, delivery mechanisms, third-party testing, and what the label should tell you.

How to Choose a Probiotic: CFU Count, Strains, and What Actually Matters
14

KPV for Gut Inflammation: IBD, Colitis, and Clinical Evidence

How the KPV tripeptide reduces gut inflammation. NF-kB inhibition, PepT1 uptake, IBD and colitis evidence, oral dosing, and clinical observations.

KPV for Gut Inflammation: IBD, Colitis, and Clinical Evidence
15

Probiotics vs. Prebiotics vs. Postbiotics: What the Difference Means for Your Gut

Physician guide to probiotics, prebiotics, postbiotics, and synbiotics. Definitions, mechanisms, when to use each, and how they work together for gut health.

Probiotics vs. Prebiotics vs. Postbiotics: What the Difference Means for Your Gut
16

GI-MAP vs Standard Stool Culture: Which Test to Choose

Comparing GI-MAP qPCR stool testing with standard stool culture. Detection rates, pathogen coverage, clinical utility, and when each test is the right choice.

GI-MAP vs Standard Stool Culture: Which Test to Choose
17

Lyme Disease, Gut Dysbiosis, and Leaky Gut

How Lyme disease disrupts the gut microbiome. Antibiotic-driven dysbiosis, Borrelia's effect on intestinal permeability, the Hopkins microbiome findings, and recovery strategies.

Lyme Disease, Gut Dysbiosis, and Leaky Gut
18

How to Read Your Microbiome Test Results

Practical guide to interpreting gut microbiome test results. Dysbiosis markers, keystone species, diversity metrics, and what your results actually mean for treatment.

How to Read Your Microbiome Test Results
19

Microbiome and Immunity: A Clinical Guide

How gut microbial diversity shapes immune function, and what testing and restoration strategies the evidence supports. By Dr. Julian Douwes.

Microbiome and Immunity: A Clinical Guide
20

Histamine Intolerance: Beyond Allergies

Why histamine intolerance is a systemic condition, not just allergies. Mechanisms, diagnostic pitfalls, gut-immune connections, and treatment strategies from clinical experience.

Histamine Intolerance: Beyond Allergies
21

Microbiome Testing: Stool Analysis Interpreted

What microbiome stool tests measure, how to interpret results, and which tests provide actionable clinical information. By Dr. Julian Douwes.

Microbiome Testing: Stool Analysis Interpreted
22

The Gut-Immune Axis: Where Immunity Begins

Why 70% of your immune tissue lives in the gut, and what this means for health, autoimmunity, and treatment. By Dr. Julian Douwes.

The Gut-Immune Axis: Where Immunity Begins
23

Probiotics: Matching the Right Strain to the Right Condition

Evidence-based guide to probiotic strain selection. Which strains work for which conditions, when to avoid probiotics, CFU counts, spore-based vs traditional, and what I use in clinical practice.

Probiotics: Matching the Right Strain to the Right Condition
24

30-Day Gut Reset Protocol

A structured four-phase protocol for gut restoration -- remove, repair, reinoculate, maintain. Evidence-based by Dr. Julian Douwes.

30-Day Gut Reset Protocol
25

Peptide Therapy for Gut Healing

How BPC-157, KPV, and LL-37 support gastrointestinal repair. Dr. Julian Douwes explains peptide protocols for IBD, leaky gut, and gut barrier dysfunction.

Peptide Therapy for Gut Healing
26

Gut-Brain Axis: How Healing Your Gut Can Transform Brain and Mood Health

The bidirectional gut-brain axis governs mood, cognition, and immune balance. Dr. Julian Douwes explains the science and integrative protocols for restoring this critical communication pathway.

Gut-Brain Axis: How Healing Your Gut Can Transform Brain and Mood Health
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