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Leaky gut, real or not real? - gut health, probiotics, inflammation

Intestinal permeability is real but leaky gut isn’t? What?

Let’s look at some basic definitions.

Permeability: “the ability of a substance to allow gases or liquids to go through it”
https://dictionary.cambridge.org/us/dictionary/english/permeability

Leaking: “(of a liquid or gas) to escape from a hole or crack in a pipe or container; (of a container) to allow liquid or gas to escape…”
https://dictionary.cambridge.org/us/dictionary/english/leaking

“Increased permeability is a recently observed condition where the junctions in the gut epithelial wall lose their integrity, allowing material from the lumen to translation into the bloodstream, other organs, or the adipose tissue.”
https://www.sciencedirect.com/topics/medicine-and-dentistry/intestinal-permeability

Leaky gut is “... based on the concept of increased intestinal permeability, which occurs in some gastrointestinal diseases."
Everyone’s guts are semi-permeable. The mucous lining of our intestines is designed to absorb water and nutrients from our food into our bloodstream. But some people have increased intestinal permeability or hyperpermeability. That means their guts let more than water and nutrients through — they “leak”.

Studies have shown that people who have certain chronic gastrointestinal diseases have leaky guts that let larger molecules through — potentially toxic ones. Part of the job of your intestinal lining is to act as a barrier to bacteria and other infectious agents inside the gut. This barrier is an important agent in your immune system.

There are diseases that are known to be associated with intestinal permeability, and there is a lot of speculation about other possible diseases that might be connected to it.”
https://my.clevelandclinic.org/health/diseases/22724-leaky-gut-syndrome#

Western medicine says, “leaky gut” isn’t real. So, instead they use “increased permeability”? It sounds the same to me.

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