# Role
You are a Functional Medicine Gastroenterologist who specializes in gut microbiome optimization and digestive healing through personalized nutrition and lifestyle protocols.
# Task
Create a comprehensive gut health restoration program tailored to your specific digestive symptoms, diet history, and health goals.
# Instructions
**Your Digestive Profile:**
**Current Symptoms:**
[RATE_FREQUENCY_AND_SEVERITY_1-10]
- Bloating or gas: [FREQUENCY_SEVERITY]
- Abdominal pain or cramping: [FREQUENCY_SEVERITY_LOCATION]
- Diarrhea: [FREQUENCY]
- Constipation: [FREQUENCY]
- Alternating diarrhea and constipation: [YES_NO]
- Heartburn or acid reflux: [FREQUENCY_SEVERITY]
- Nausea: [FREQUENCY]
- Food sensitivities or reactions: [FOODS_AND_REACTIONS]
- Undigested food in stool: [YES_NO]
- Mucus in stool: [YES_NO]
- Urgent bowel movements: [YES_NO]
**Symptom Patterns:**
- When symptoms are worst: [TIME_OF_DAY_OR_SITUATION]
- Trigger foods: [FOODS]
- Foods that help: [FOODS]
- Stress impact on digestion: [SCALE_1-10]
- Menstrual cycle impact (if applicable): [YES_NO_DESCRIPTION]
**Bowel Movement Profile:**
- Frequency: [TIMES_PER_DAY_OR_WEEK]
- Bristol Stool Scale type: [TYPE_1-7]
- Consistency: [DESCRIPTION]
- Urgency: [YES_NO]
- Feeling of incomplete evacuation: [YES_NO]
**Medical History:**
- Diagnosed digestive conditions: [CONDITIONS_OR_NONE]
- Autoimmune conditions: [CONDITIONS_OR_NONE]
- Antibiotic use history: [RECENT_OR_FREQUENT_USE]
- Other medications: [MEDICATIONS]
- Surgeries: [SURGERIES_OR_NONE]
- Infections (parasites, SIBO, H. pylori): [HISTORY]
**Testing (if available):**
```
[PASTE_ANY_RELEVANT_TEST_RESULTS]
- Stool tests
- Breath tests (SIBO, lactose, fructose)
- Endoscopy or colonoscopy results
- Food sensitivity testing
- Microbiome analysis
```
**Diet History:**
**Current Diet:**
- Typical breakfast: [DESCRIPTION]
- Typical lunch: [DESCRIPTION]
- Typical dinner: [DESCRIPTION]
- Snacks: [DESCRIPTION]
- Beverages: [DESCRIPTION]
- Meal frequency: [NUMBER_PER_DAY]
- Eating speed: [FAST_MODERATE_SLOW]
**Dietary Patterns:**
- Fiber intake: [LOW_MODERATE_HIGH]
- Processed food frequency: [RARELY_SOMETIMES_OFTEN]
- Sugar intake: [LOW_MODERATE_HIGH]
- Alcohol consumption: [FREQUENCY_AND_AMOUNT]
- Caffeine intake: [AMOUNT_AND_TYPE]
- Water intake: [OUNCES_OR_LITERS_PER_DAY]
**Previous Dietary Interventions:**
- Elimination diets tried: [DIETS_AND_RESULTS]
- Probiotics taken: [PRODUCTS_AND_EFFECTS]
- Digestive enzymes: [YES_NO_EFFECTS]
- Other supplements: [SUPPLEMENTS_AND_EFFECTS]
**Lifestyle Factors:**
- Stress level: [SCALE_1-10]
- Sleep quality: [SCALE_1-10]
- Exercise frequency: [FREQUENCY_AND_TYPE]
- Eating environment: [RUSHED_RELAXED_DISTRACTED]
- Chewing habits: [THOROUGH_QUICK]
**Non-Digestive Symptoms:**
[THESE_MAY_INDICATE_GUT_ISSUES]
- Skin problems (acne, eczema, rashes): [YES_NO_DESCRIPTION]
- Brain fog or concentration issues: [YES_NO]
- Mood issues (anxiety, depression): [YES_NO]
- Fatigue: [SCALE_1-10]
- Joint pain or inflammation: [YES_NO]
- Headaches or migraines: [FREQUENCY]
- Allergies or sinus issues: [YES_NO]
**Goals:**
[PRIORITIZE]
- Eliminate digestive symptoms
- Heal gut lining
- Improve microbiome diversity
- Identify food sensitivities
- Increase energy
- Reduce inflammation
- Improve mental clarity
- Support immune function
Based on this information:
1. **Gut Health Assessment:**
- Likely underlying issues (dysbiosis, leaky gut, SIBO, etc.)
- Severity assessment
- Root cause analysis
- Connection to non-digestive symptoms
- Testing recommendations if needed
2. **Elimination Phase (Weeks 1-4):**
**Foods to Remove:**
- Specific foods to eliminate
- Rationale for each
- Duration of elimination
- Expected symptom improvement timeline
**Foods to Emphasize:**
- Gut-healing foods
- Easy-to-digest options
- Anti-inflammatory choices
- Specific preparations
3. **Gut Healing Protocol:**
**Supplement Stack:**
- L-glutamine (dosage and timing)
- Zinc carnosine (if appropriate)
- Aloe vera or DGL licorice
- Collagen or bone broth
- Omega-3 fatty acids
- Other gut-healing compounds
**Probiotic Strategy:**
- Specific strains for your symptoms
- CFU count recommendations
- Timing and duration
- Food-based probiotics to include
- Prebiotic fiber sources
**Digestive Support:**
- Digestive enzymes (if needed, which type)
- Betaine HCl (if low stomach acid suspected)
- Bile support (if needed)
- Timing with meals
4. **Sample Meal Plans:**
**Week 1-2 (Strict Healing Phase):**
- Breakfast options (3-4 choices)
- Lunch options (3-4 choices)
- Dinner options (3-4 choices)
- Snacks (if needed)
- Sample full day
**Week 3-4 (Gradual Expansion):**
- Foods to reintroduce
- Expanded meal options
- Preparation methods
5. **Eating Practices:**
- Meal timing and frequency
- Chewing recommendations
- Eating environment optimization
- Mindful eating techniques
- Portion sizes
- Food combining principles (if relevant)
6. **Lifestyle Modifications:**
**Stress Management:**
- Vagus nerve activation techniques
- Breathing exercises
- Meditation or relaxation practices
- Timing relative to meals
**Sleep Optimization:**
- Impact of sleep on gut health
- Sleep hygiene for digestion
- Optimal sleep timing
**Movement:**
- Exercise recommendations
- Timing relative to meals
- Gut-specific movements or yoga
7. **Reintroduction Phase (Weeks 5-8):**
**Systematic Reintroduction:**
- Order of food reintroduction
- Testing protocol (how long, what to watch)
- Symptom tracking method
- Decision criteria (keep or remove)
**Food Categories to Test:**
- Dairy (different types)
- Gluten
- Legumes
- Nightshades
- High-FODMAP foods
- Other eliminated foods
8. **Long-Term Maintenance:**
**Personalized Diet:**
- Foods to continue avoiding
- Foods to emphasize
- Flexibility guidelines
- 80/20 rule application
**Ongoing Supplement Protocol:**
- Daily supplements
- Periodic supplements
- Cycling recommendations
9. **Symptom Tracking:**
**Daily Tracking:**
- Symptoms to monitor
- Severity scales
- Food and symptom journal template
- Bowel movement tracking
- Energy and mood tracking
**Weekly Assessment:**
- Progress markers
- Adjustment triggers
- When to modify protocol
10. **Troubleshooting Common Issues:**
**Symptoms Not Improving:**
- Possible reasons
- Additional testing to consider
- Protocol modifications
- When to seek medical help
**Negative Reactions:**
- Die-off symptoms (Herxheimer reaction)
- Food reintroduction reactions
- Supplement sensitivities
- How to manage
11. **Microbiome Optimization:**
- Diversity-building strategies
- Fermented food introduction
- Resistant starch protocol
- Polyphenol-rich foods
- Rotating probiotic strains
12. **Special Considerations:**
**If SIBO Suspected:**
- Low-FODMAP modifications
- Specific supplement changes
- Meal spacing recommendations
**If Constipation Dominant:**
- Fiber strategy
- Motility support
- Hydration protocol
- Magnesium dosing
**If Diarrhea Dominant:**
- Binding foods
- Electrolyte replacement
- Specific probiotics
- Trigger avoidance
13. **Progress Milestones:**
**Week 2:**
- Expected improvements
- Possible temporary worsening
**Week 4:**
- Symptom reduction goals
- Energy improvements
**Week 8:**
- Significant healing markers
- Reintroduction progress
**Month 3+:**
- Long-term maintenance
- Sustainable approach
14. **When to Seek Professional Help:**
- Red flag symptoms
- Lack of improvement timeline
- Need for additional testing
- Specialist referrals
Format your response with specific foods, exact supplement dosages, clear meal templates, and step-by-step implementation. Include shopping lists for each phase and troubleshooting guides for common obstacles.