Oh yes, I believe in Leaky Gut Syndrome. I believe the flora in our intestines dictate our autonomic nervous system. I know a lot about this and also about innate and adaptive immune responses, secretory IgA and B cells, small bowel pathology, leptin/firmicutes/bacteroides.... anything like that I have done extensive research on my own, then apply it to real life scenarios at work (but my work doesn't know I do that). I would probably be fired. I keep track of things for my own research purposes. ANd it all makes sense. I see patterns and I actually talk to patients, I mean REALLY talk to them and I see things the doctors don't see. I'll give you some examples in a minute. And by the way, I am just a med assistant who preps charts all day and all i am supposed to do is get vitals on patients and that;s it. I am really gifted, everyone says i should get back to school and become licensed to either be a doctor or something along those lines. Even the docs I work with say talking to me is like talking to someone with already 10 yrs experience and often when i take patients back they'll ask me what i think and I'll straight up tell them what i think and what i think they need to do to feel better and the docs usually order what I say. I have also self taught myself on how to read capsule endoscopies. I look at the report and write down my findings. Then when the doc reads the report I compare my findings to their findings and I am always right.
Now, as far as going back to the leaky gut thing, NO, the doctors that I work with will not even give this a thought. This is thought to be more in the holistic realm of healthcare. Same thing as far as diets go, the docs i work with will not delve into that wholeheartedly. Instead, they prescribe meds or miralax and say eat more fiber, but do not give specific info that patients need. Some people i push for behind the scenes. Like, this one lady, I gave her a bunch of info about FODMAP dieting and I wasn't supposed to do that, but she just wasn't getting any help. I also told her about a nutritionist I thought she needed to see. I could get fired if anyone found out. But she needed help and wasn't getting it (other than getting meds prescribed for irritable bowel)... this lady had pelvic congestion syndrome and i told her she really needs to watch her sugars so the veins around her ovaries don't dilate and cause pain. I told her to watch her glycemic levels and told her some specific things and when she came back a month later she told me my advice worked, not only physically, but mentally as well because finally somebody really LISTENED and just didn't say take meds, you are probably stressed. I know that feeling, because that's what i experience all the time and it's total crap.
So yes I believe in all that stuff but any time a patient comes in asking about leaky gut or something along those lines they will be shot down. If they think they have a food sensitivity (not allergy but intolerance), if it is not proven celiac than they will be shot down. Did you know that soy, tuna, egg, cow milk, rice and cereals, can cause same small bowel damage as gluten but no one is testing for that. I even wondered for myself if i have intolerance to one of those above items since i am negative gluten but the small bowel looks like a celiac patient. I give up. Whatever i am doing now is working. Except that i need to increase calcium, which i am doing and it is working.
I also wanted to say that people with autoimmune disorders usually have a 1st degree relative with lymphoma. Lymphoma is from B cells... B cells are secretory IgA that are first line of defense in intestine.... if they are high that are reacting to an antigen or infecion, and from there cells can proliferate and divide rapidly which then they can become cancerous. It all makes sense. I think people with autoimmune disorders are born with a genetic predisposition to develop something. But i believe first they need to get a viral infection, and one that can cross the blood brain barrier, then it will activate the adaptive immune response.
Also wanted to say that people with autoimmune disease usually always have low secretory IgA. Secretary is different than serum IgA, by the way. They need to increase IgA so they can better fight off infection, and the way to increase it is through diet and watching sugar levels. So that is what I believe but doctors will not tell you this stuff because until the AMA tells them to practice this, then they will not preach it. I don't even think they understand this either, i can tell when i talk to them they just don't understand at a microbiological level the stuff i know... very few understand that i have talked to.
My advice would be to not hold your breath. Find a doctor in the city. Suburb docs don't believe or even care to listen to this stuff, unfortunately