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Functional Gut Reset

Updated July 8, 2026

Mark Hyman's Functional Gut Reset is a 5R sequence built to remove irritants and rebuild a damaged, low-diversity gut barrier. It works through five steps: remove trigger foods for 3 to 4 weeks, replace digestive aids, reinoculate with probiotics and fiber, repair the lining, and rebalance stress and sleep, since that barrier damage lets inflammation reach beyond digestion.

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The Doctor's Farmacy
Not endorsed · Based on the published work of Mark Hyman
Daily time
4 to 6 weeks
Steps
11
Difficulty
Beginner
Sources
3
View the steps →
What it is

Hyman treats the gut as the gateway to whole-body health and uses a structured 5R sequence: Remove the triggers, Replace what aids digestion, Reinoculate with good bacteria and the fiber that feeds them, Repair the gut lining, and Rebalance stress and sleep. The removal phase runs about 3 to 4 weeks, then you reintroduce foods one at a time to find your personal triggers. The supplements below form a gut repair stack: follow the whole stack or buy each item on its own.

Why it worksâ–¼
A damaged, low-diversity gut barrier (leaky gut) drives inflammation that Hyman links to issues far beyond digestion. Removing irritants, restoring beneficial bacteria with probiotics, fermented foods and prebiotic fiber, and repairing the lining with targeted nutrients addresses the root cause rather than masking symptoms. References: The Doctor's Farmacy and his functional-medicine writing.
The evidence
Sources
Published work by Mark Hyman, cited straight to the source: long-form episodes, clips, peer-reviewed papers and their own writing. Select any to view it here.
1
The Doctor's Farmacy: 3 Steps To Fix Your Gut Health
Podcast
2
The Dr. Hyman Show: Do You Need To Take Probiotics?
Podcast
3
Hyman: how to heal a leaky gut (the 5R approach)
Article
Source viewer
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The protocol
Clinical strong human trials Mixed some or emerging evidence Commercial weak or unproven, sold widely Equipment / Test not an evidence claim How we grade →
1. Remove (weeks 1 to 4)

Pull out the common gut irritants

For 3 to 4 weeks cut gluten, dairy, soy and eggs, plus sugar, alcohol, caffeine and ultra-processed food; you reintroduce them later one at a time

Removes the foods that most often drive a leaky, inflamed gut.

The Doctor's Farmacy
For this step
No product needed
2. Replace (with meals)

Support digestion

A digestive enzyme blend with meals; if you have low stomach acid, betaine HCl can help (work with a clinician first)

Many people under-digest food, which feeds gut problems downstream.

The Doctor's Farmacy
For this stepMixed
Digestive enzymes
A broad enzyme blend taken with meals
3. Reinoculate (daily)

Take a broad-spectrum probiotic

A multi-strain probiotic with lactobacillus and bifidobacterium daily; start low and build up if you bloat or have SIBO

Crowds out bad bugs and rebuilds a diverse microbiome.

The Dr. Hyman Show
For this stepMixed
Broad-spectrum probiotic
Multi-strain lactobacillus and bifidobacterium
3. Reinoculate (daily food)

Eat fermented foods

A daily serving of sauerkraut, kimchi, unsweetened kefir or yogurt, miso or natto

Food-based probiotics, the cheapest way to reinoculate.

The Doctor's Farmacy
For this step
No product needed
3. Reinoculate (daily)

Feed the good bugs with prebiotic fiber

Aim for 25g+ fiber a day; add prebiotic foods (garlic, onion, leek, asparagus, Jerusalem artichoke, dandelion greens, jicama, green banana, flax) and/or a prebiotic fiber supplement (PHGG, acacia or GOS); start low and go slow

Prebiotics feed your probiotics; fiber is the master lever for the microbiome.

The Doctor's Farmacy
For this stepClinical
Prebiotic fiber (PHGG / acacia)
Gentle prebiotic fiber, start low and build
4. Repair (daily)

L-glutamine for the gut lining

L-glutamine powder daily to fuel and repair the cells of the gut lining

Glutamine is the primary fuel for gut-lining cells and supports barrier repair.

The Doctor's Farmacy
For this stepMixed
L-glutamine powder
A primary fuel source for gut-lining repair
4. Repair (daily)

Zinc carnosine

Zinc-carnosine daily to support the mucosal lining (Hyman uses zinc and zinc-carnosine)

Supports the integrity of the gut barrier.

The Doctor's Farmacy
For this stepMixed
Zinc carnosine
Targeted mucosal-lining support
4. Repair (as needed)

DGL licorice before meals

Deglycyrrhizinated licorice (DGL) before meals to soothe the gut lining

Hyman names DGL as a soothing repair tool for the gut lining.

The Doctor's Farmacy
For this stepMixed
DGL (deglycyrrhizinated licorice)
Soothes the gut lining before meals
4. Repair (daily food)

Bone broth, omega-3 and polyphenols

Grass-fed bone broth, an omega-3 (EPA/DHA), and three-quarters of your plate as polyphenol-rich non-starchy vegetables

Amino acids, anti-inflammatory fats and polyphenols rebuild and calm the lining.

The Doctor's Farmacy
For this stepClinical
Omega-3 fish oil
EPA/DHA to help calm gut inflammation
5. Rebalance (daily)

Manage stress, sleep and movement

Protect sleep, move daily, and keep a stress practice; the gut-brain axis is real

Chronic stress and poor sleep degrade the gut barrier and microbiome.

The Doctor's Farmacy
For this step
No product needed
Reintroduce (week 4+)

Add foods back one at a time and test if needed

After 3 to 4 weeks, reintroduce removed foods one every 2 to 3 days and watch for symptoms; if problems persist, consider a stool/microbiome test

Pinpoints your specific triggers and personalises the plan.

The Doctor's Farmacy
For this stepTest
Gut microbiome test kit
An at-home stool test to personalize the plan
Is this for you?
Good fit if
  • Bloating, IBS, reflux or irregular digestion
  • People with food sensitivities or inflammation
  • Rebuilding the gut after antibiotics
  • Anyone who wants a structured gut reset
Cautions
  • Supplements here are available through Dr. Hyman's own curated store (drhyman.com), and lab testing through Function Health, which he co-founded; he has a commercial interest in these
  • Education based on Hyman's published work and functional-medicine framework, not medical advice; see a clinician for persistent gut symptoms and before using betaine HCl
  • The removal phase is short-term (about 3 to 4 weeks) to find triggers, then you reintroduce foods; it is not a permanent restrictive diet, and if you have any history of disordered eating, do this with professional support
  • If you have SIBO or feel worse on probiotics or prebiotics, stop and get practitioner guidance, and add fiber and probiotics slowly to avoid bloating
  • Supplement forms and doses here are general from his public work; follow label dosing and check interactions
Related protocols
Update history
  • July 3, 2026 Protocol published.
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Not medical advice. This page is for education only and is not a substitute for professional medical care. Consult a qualified clinician before changing your health routine.
Independent curation. YourProtocol.ai is an independent platform. This protocol is based on the publicly available work of Mark Hyman and is not created, reviewed, endorsed by, or affiliated with Mark Hyman or The Doctor's Farmacy.

Functional Gut Reset
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