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Complement Ther Clin Pract. 2018 May;31:200-209. doi: 10.1016/j.ctcp.2018.02.014. Epub 2018 Feb 26.

Investigation into complementary and integrative medicine practitioners' clinical experience of intestinal permeability: A cross-sectional survey.

Author information

1
Endeavour College of Natural Health, Office of Research, 2/269 Wickham St, Fortitude Valley, QLD, 4006, Australia. Electronic address: bradgleech@gmail.com.
2
Endeavour College of Natural Health, Office of Research, 2/269 Wickham St, Fortitude Valley, QLD, 4006, Australia. Electronic address: janet.schloss@endeavour.edu.au.
3
Endeavour College of Natural Health, Office of Research, 2/269 Wickham St, Fortitude Valley, QLD, 4006, Australia; University of Technology Sydney, Faculty of Health, Australian Research Centre in Complementary and Integrative Medicine, 15 Broadway, Ultimo, NSW, 2007, Australia. Electronic address: amie.steel@endeavour.edu.au.

Abstract

BACKGROUND:

This study aims to explore the conditions complementary and integrative medicine (CIM) practitioners associate with increased intestinal permeability (IP) and the methods they employ to assess IP.

METHODS:

A cross-sectional survey of naturopaths, nutritionists and Western herbal medicine practitioners was undertaken (n = 227) through the Practitioner Research and Collaboration Initiative (PRACI) network.

RESULTS:

CIM practitioners (n = 36, response rate 15.9%) associate IP with gastrointestinal (100.0%), autoimmune (91.7%), skin (91.7%), neurological (80.6%), respiratory (55.6%) and liver-related conditions (44.4%). CIM practitioners frequently treat IP (72.7%); observing a minimum 3 months of treatment is required to resolve IP. Patient's signs and symptoms were the main reasons CIM practitioners suspected IP (94.1%).

CONCLUSION:

CIM practitioners observe a clinical link between IP and a wide range of conditions, including those not yet recognised within the literature. The clinical experience of CIM practitioners holds substantial value to the advancement of research and the clinical management of IP.

KEYWORDS:

Autoimmune disease; Integrative medicine; Intestinal barrier dysfunction; Lactulose mannitol; Leaky gut; Naturopathic medicine

PMID:
29705456
DOI:
10.1016/j.ctcp.2018.02.014
[Indexed for MEDLINE]

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