Dr. Alex Jimenez, El Paso's Chiropractor
I hope you have enjoyed our blog posts on various health, nutritional and injury related topics. Please don't hesitate in calling us or myself if you have questions when the need to seek care arises. Call the office or myself. Office 915-850-0900 - Cell 915-540-8444 Great Regards. Dr. J

The 4Rs Protocol For a Healthy Gut

Since many dietary and lifestyle factors can adversely affect the digestive system and can be the contributor to several health conditions. The main goal of the 4Rs protocol is to minimize the factors that can lead the gut to have an increased intestinal permeability and inflammation, as well as introducing the beneficial factors that can promote gut health and healing.

Do you feel:

  • Like you have been diagnosed with Celiac Disease, Irritable Bowel Syndrome, Diverticulosis/Diverticulitis, or Leaky Gut Syndrome?
  • Excessive belching, burping, or bloating?
  • Abnormal distention after certain probiotics or natural supplements?
  • Suspicion of nutritional malabsorption?
  • Do digestive problems subside with relaxation?

If you are experiencing any of these situations, then you might be experiencing gut problems and might have to try the 4R Protocol.

Food sensitivities, rheumatoid arthritis, and anxiety have one thing in common. These various conditions have all been associated with impaired gastrointestinal health. These conditions can happen from a poor diet to excess stress and many factors that can negatively impact the digestive function. It can potentially be the result of increased intestinal permeability, systemic inflammation, and the development of certain health conditions. The 4R protocol can be utilized to restore optimal digestive health and involves the four steps, which are: remove, replace, reinoculate, and repair.

Intestinal Permeability

The intestinal tract is the body’s primary physical barrier from the outside world. It protects the body from potentially harmful environmental factors that are passing through the digestive tract. It can be either toxin, pathogenic microorganisms, and other antigens that can harm the digestive tract causing problems. The intestinal lining is consisting of a single layer of epithelial cells that are separated by protein complexes known as tight junctions. In a healthy gut, the tight junction regulates the intestinal permeability by selectively allowing the transport of substances like water, electrolytes, and nutrients from the gut lumen, traveling across the intestinal barrier, while also preventing the absorption of harmful substances.

Certain environmental factors can damage the tight junction, and the result is that it can increase the intestinal permeability, which is referred to as intestinal hyperpermeability or leaky gut. Contributing factors to increased intestinal permeability include dietary excesses (saturated fats and alcohol), nutrient deficiencies (vitamin D and fiber), stress, and infections (Helicobacter pylori and bacterial infections.)

With an increased intestinal permeability, it can enable antigens to cross the gut mucosa into the systemic circulation. This is resulting in an immune response and a low-grade inflammation. Intestinal hyperpermeability has been associated with certain gastrointestinal conditions like IBS (irritable bowel syndrome), ulcerative colitis, and Crohn’s disease. It can also trigger certain autoimmune conditions like celiac disease, type 1 diabetes, and rheumatoid arthritis, causing harm to the body.

What are the 4Rs?

The 4Rs is a four-step protocol that healthcare professionals advised individuals to use when they address digestive conditions and to support gut healing.

Step 1: Remove

Food allergies

The first step is to remove pathogens and other inflammatory triggers that are associated with increased intestinal permeability. Triggers like stress and chronic alcohol consumption can do much harm to an individual’s body. So targeting pathogens may involve treatment with pharmaceutical medication, antibiotics, or antimicrobial herbal supplements and removing inflammatory foods from the diet is advised, including:

  • Alcohol
  • Gluten
  • Food additives
  • Refined starches and sugar
  • Saturated and trans-fatty acids
  • Food sensitivities, which may be identified through the elimination diet

Step 2: Replace

The second step is to replace dietary nutrients that can help reduce inflammation and support digestive health. Anti-inflammatory food that is nutritious include:

  • High-fiber foods
  • Omega-3 fatty acids
  • Extra virgin olive oil
  • Mushrooms
  • Anti-inflammatory herbs and spices

strawberry-1176410_960_720

Certain dietary supplements can also be used to support the digestive function by assisting in the digestion and absorption of dietary nutrients. The digestive enzymes assist in the breakdown of fats, proteins, and carbohydrates, while also benefiting individuals with an impaired digestive function, food intolerances, or having celiac disease. Supplements like bile acid supplements can also assist in nutrient absorption by emulsifying lipids. Studies have stated that bile acids have been used to treat the conditions of the liver, gallbladder, and bile duct. Bile acids have been shown to prevent gallstone formation following bariatric surgery.

Step 3: Reinoculate

The third step is to reinoculate the gut microbiota with beneficial bacteria. Studies have been shown that probiotic supplementation has been used to improve the composition of the gut microbiota by restoring the beneficial Bifidobacterium and the Lactobacillus bacteria species. With probiotic supplements, they can help improve the gut by enhancing the secretion of anti-inflammatory substances, supporting the immune system, altering the microbial composition, and reducing the intestinal permeability.

fermented-veggies_1535647626

Probiotics are found in fermented foods like yogurt, fermented vegetables, fermented soy products, and kombucha. Foods that have probiotics in them are considered as transient as they do not persist in the gastrointestinal tract. Surprisingly, they may still have an impact on human health by producing vitamins and anti-microbial compounds by influencing the gut microbiota diversity and function.

Step 4: Repair

cooking-with-herbs

The last step is to repair the gut. This step involves repairing the intestinal lining with specific nutrients and medicinal herbs. These herbs and supplements have been shown to decrease intestinal permeability and inflammation. Some of these herbs and supplements include:

  • Aloe vera
  • Chios mastic gum
  • DGL (Deglycyrrhizinated licorice)
  • Marshmallow root
  • L-glutamine
  • Omega-3 fatty acids
  • Polyphenols
  • Vitamin D
  • Zinc

Conclusion

Since many dietary and lifestyle factors can adversely affect the digestive system and can be the contributor to several health conditions. The main goal of the 4Rs protocol is to minimize the factors that can lead the gut to have an increased intestinal permeability and inflammation, as well as introducing the beneficial factors that can promote gut health and healing. Some products are here to help support the gastrointestinal system by supporting the intestines, improving the sugar metabolism, and targeting the amino acids that are intended to support the intestines.

The scope of our information is limited to chiropractic, musculoskeletal, and nervous health issues as well as functional medicine articles, topics, and discussions. We use functional health protocols to treat injuries or chronic disorders of the musculoskeletal system. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900 .


References:

De Santis, Stefania, et al. “Nutritional Keys for Intestinal Barrier Modulation.” Frontiers in Immunology, Frontiers Media S.A., 7 Dec. 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4670985/.

Ianiro, Gianluca, et al. “Digestive Enzyme Supplementation in Gastrointestinal Diseases.” Current Drug Metabolism, Bentham Science Publishers, 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC4923703/.

Mu, Qinghui, et al. “Leaky Gut As a Danger Signal for Autoimmune Diseases.” Frontiers, Frontiers, 5 May 2017, www.frontiersin.org/articles/10.3389/fimmu.2017.00598/full.

Rezac, Shannon, et al. “Fermented Foods as a Dietary Source of Live Organisms.” Frontiers in Microbiology, Frontiers Media S.A., 24 Aug. 2018, www.ncbi.nlm.nih.gov/pmc/articles/PMC6117398/.

Sander, Guy R., et al. “Rapid Disruption of Intestinal Barrier Function by Gliadin Involves Altered Expression of Apical Junctional Proteins.” FEBS Press, John Wiley & Sons, Ltd, 8 Aug. 2005, febs.onlinelibrary.wiley.com/doi/full/10.1016/j.febslet.2005.07.066.

Sartor, R Balfour. “Therapeutic Manipulation of the Enteric Microflora in Inflammatory Bowel Diseases: Antibiotics, Probiotics, and Prebiotics.” Gastroenterology, U.S. National Library of Medicine, May 2004, www.ncbi.nlm.nih.gov/pubmed/15168372.

Zaremba, Karolina. “The 4Rs: How To Heal The Gut Naturally.” Fullscript, 24 Sept. 2019, fullscript.com/blog/natural-gut-healing.

Trauma Specialist Testimonies and Case Studies

Why Patients Choose Accidents Specialist to Treat Injuries
By Dr. Alexander Jimenez
1/ 42
  1. 1 Chiropractic Care on Whiplash | El Paso, Tx Chiropractic Care on Whiplash | El Paso, Tx 02:15
  2. 2 Car accident Injury Rehabilitation | El Paso, Tx Car accident Injury Rehabilitation | El Paso, Tx 02:19
  3. 3 *CAR ACCIDENTS* Chiropractor | El Paso, Tx (2019) *CAR ACCIDENTS* Chiropractor | El Paso, Tx (2019) 02:35
  4. 4 Recommended El Paso, TX Chiropractor Recommended El Paso, TX Chiropractor 03:43
  5. 5 Severe Back Pain Chiropractic Treatment El Paso, TX Severe Back Pain Chiropractic Treatment El Paso, TX 04:09
  6. 6 *CHRONIC* Pain Chiropractic Care | El Paso, Tx (2019) *CHRONIC* Pain Chiropractic Care | El Paso, Tx (2019) 02:38
  7. 7 *Car Accident Injury* Chiropractic Solution  |  El Paso, TX (2019) *Car Accident Injury* Chiropractic Solution | El Paso, TX (2019) 02:25
  8. 8 Chronic Pain Chiropractor | El Paso, Tx (2019) Chronic Pain Chiropractor | El Paso, Tx (2019) 02:07
  9. 9 Chiropractic Help on Car Accidents | El Paso, Tx Chiropractic Help on Car Accidents | El Paso, Tx 02:27
  10. 10 *Car Accident Injuries* Treatment  |  El Paso, TX (2019) *Car Accident Injuries* Treatment | El Paso, TX (2019) 02:18
  11. 11 Why Chiropractor for Auto Injuries? | El Paso, Tx Why Chiropractor for Auto Injuries? | El Paso, Tx 02:30
  12. 12 *Neck* Pain Chiropractic Care | El Paso, Tx (2019) *Neck* Pain Chiropractic Care | El Paso, Tx (2019) 02:59
  13. 13 Personal Injury Chiropractic Care | El Paso, Tx (2019) Personal Injury Chiropractic Care | El Paso, Tx (2019) 02:16
  14. 14 Most Effective Chiropractor | El Paso, Tx (2019) Most Effective Chiropractor | El Paso, Tx (2019) 03:16
  15. 15 Personal Injury Lawyers & Chiropractors | El Paso, Tx Personal Injury Lawyers & Chiropractors | El Paso, Tx 02:47
  16. 16 Top Chiropractor Near Me | El Paso, Tx (Best) Top Chiropractor Near Me | El Paso, Tx (Best) 02:29
  17. 17 Chronic Body Pain Recovery | El Paso, Tx Chronic Body Pain Recovery | El Paso, Tx 01:57
  18. 18 Chiropractic Pain Relief | El Paso, Tx Chiropractic Pain Relief | El Paso, Tx 01:56
  19. 19 Quiropractico Recomendado | El Paso, Tx Quiropractico Recomendado | El Paso, Tx 02:11
  20. 20 Most Recommended Chiropractor El Paso, Tx Most Recommended Chiropractor El Paso, Tx 02:04
  21. 21 El Paso, TX Shoulder Pain Chiropractic Treatment El Paso, TX Shoulder Pain Chiropractic Treatment 02:52
  22. 22 El Paso, TX Lower Back Pain Chiropractor Treatment El Paso, TX Lower Back Pain Chiropractor Treatment 05:51
  23. 23 El Paso, TX Chiropractic Treatment for Car Accidents El Paso, TX Chiropractic Treatment for Car Accidents 02:37
  24. 24 El Paso, TX 18 Wheeler Accident Chiropractic Treatment El Paso, TX 18 Wheeler Accident Chiropractic Treatment 02:23
  25. 25 Chiropractic Neck Pain Treatment El Paso, TX Chiropractic Neck Pain Treatment El Paso, TX 02:14
  26. 26 El Paso, TX Chiropractor 79936 El Paso, TX Chiropractor 79936 02:00
  27. 27 Sciatica Pain Treatment in El Paso, TX Chiropractic Care Sciatica Pain Treatment in El Paso, TX Chiropractic Care 01:56
  28. 28 El Paso, TX Chiropractic Care For Auto Accidents El Paso, TX Chiropractic Care For Auto Accidents 03:28
  29. 29 El Paso, TX Chiropractic Care Neck Pain Treatment El Paso, TX Chiropractic Care Neck Pain Treatment 04:47
  30. 30 El Paso, TX Chiropractor Auto Accident Injuries El Paso, TX Chiropractor Auto Accident Injuries 07:00
  31. 31 El Paso, TX Chiropractor New Patient Intake Form El Paso, TX Chiropractor New Patient Intake Form 02:05
  32. 32 Whiplash Chiropractic Massage Therapy El Paso, TX Whiplash Chiropractic Massage Therapy El Paso, TX 01:55
  33. 33 El Paso, TX Cervical Pain Treatment Chiropractic Care El Paso, TX Cervical Pain Treatment Chiropractic Care 05:08
  34. 34 18 Wheeler Accident Pain Treatment Chiropractor El Paso, TX 18 Wheeler Accident Pain Treatment Chiropractor El Paso, TX 02:23
  35. 35 Shoulder Pain Treatment El Paso, TX Chiropractor Shoulder Pain Treatment El Paso, TX Chiropractor 02:49
  36. 36 Back Pain Management El Paso, TX Chiropractor Back Pain Management El Paso, TX Chiropractor 05:51
  37. 37 Car Accident Injury Treatment El Paso, TX Chiropractor Car Accident Injury Treatment El Paso, TX Chiropractor 02:36
  38. 38 Auto Accident Injury Treatment El Paso, TX Auto Accident Injury Treatment El Paso, TX 02:15
  39. 39 Neck Pain Treatment El Paso, TX Chiropractor Neck Pain Treatment El Paso, TX Chiropractor 02:15
  40. 40 Slip And Fall Injury Treatment El Paso, TX Chiropractor Slip And Fall Injury Treatment El Paso, TX Chiropractor 01:55
  41. 41 *CHIROPRACTOR* The Most Recommended | El Paso, Tx (2019) *CHIROPRACTOR* The Most Recommended | El Paso, Tx (2019) 02:19
  42. 42 *CHIROPRACTIC CARE* on Car Accident Injuries | El Paso, Tx (2019) *CHIROPRACTIC CARE* on Car Accident Injuries | El Paso, Tx (2019) 01:54

PUSH-as-Rx ®™ Beyond Rehabilitation For All - No Matter The Age

Again,  We Welcome You 👊🏻.

Our Purpose & Passions: I am a Doctor of Chiropractic specializing in progressive, cutting-edge therapies and functional rehabilitation procedures focused on clinical physiology, total health, practical strength training, and complete conditioning. We focus on restoring normal body functions after neck, back, spinal and soft tissue injuries.

We use Specialized Chiropractic Protocols, Wellness Programs, Functional & Integrative Nutrition, Agility & Mobility Fitness Training and Rehabilitation Systems for all ages.

As an extension to effective rehabilitation, we too offer our patients, disabled veterans, athletes, young and elder a diverse portfolio of strength equipment, high-performance exercises and advanced agility treatment options. We have teamed up with the cities premier doctors, therapist and trainers to provide high-level competitive athletes the possibilities to push themselves to their highest abilities within our facilities.

We’ve been blessed to use our methods with thousands of El Pasoans over the last three decades allowing us to restore our patients’ health and fitness while implementing researched non-surgical methods and functional wellness programs.

Our programs are natural and use the body’s ability to achieve specific measured goals, rather than introducing harmful chemicals, controversial hormone replacement, un-wanted surgeries, or addictive drugs. We want you to live a functional life that is fulfilled with more energy, a positive attitude, better sleep, and less pain. Our goal is to ultimately empower our patients to maintain the healthiest way of living.

With a bit of work, we can achieve optimal health together, no matter the age or disability.

Join us in improving your health for you and your family.

It’s all about: LIVING, LOVING & MATTERING! 🍎

Welcome & God Bless

EL PASO LOCATIONS

Central:
6440 Gateway East, Ste B
Phone: 915-850-0900

East Side:
11860 Vista Del Sol, Ste 128
Phone: 915-412-6677

Call (915) 850-0900 Today!

Clinic Location 1

Address: 11860 Vista Del Sol Dr Suite 128
El Paso, TX 79936
Phone
: (915) 412-6677
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Clinic Location 2

Address: 6440 Gateway East, Building B
El Paso, TX 79905
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Address: 1700 N Zaragoza Rd # 117
El Paso, TX 79936
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Push As Rx Crossfit & Rehab

Address: 6440 Gateway East, Building B
El Paso, TX 79905
Phone
: (915) 412-6677
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Address: 1700 E Cliff Dr
El Paso, TX 79902
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