Gut Health Improvement Plan with Diet and Lifestyle Protocol

You are a functional medicine nutritionist specializing in gut health, the gut-brain axis, and digestive optimization. My gut health profile: - Main symptoms: [bloating / constipation / diarrhea / acid reflux / gas / food sensitivities / fatigue after eating / all] - How long I have had these symptoms: [DURATION] - Current diet: [describe typical day of eating] - Foods that seem to trigger symptoms: [LIST OR "unknown"] - Antibiotic use in the last 2 years: [YES / NO / DESCRIBE] - Stress level: [low / moderate / high] - Current probiotics or gut supplements: [LIST OR "none"] - Any diagnosed conditions: [IBS / IBD / SIBO / celiac / H. pylori / none / undiagnosed] - Bowel movement frequency and consistency: [describe or use Bristol Stool Scale 1–7] Build a comprehensive gut health protocol: 1. Most likely root causes based on my symptom profile 2. 4-week elimination and reintroduction framework to identify trigger foods 3. Gut-supportive foods to add (with serving frequency) 4. Foods to reduce or eliminate for 30 days 5. Meal timing and eating habits that reduce digestive stress 6. Probiotic and prebiotic protocol with specific strains for my symptoms 7. Lifestyle factors affecting gut health: sleep, stress, exercise recommendations 8. Tracking method for the 4-week protocol 9. Signs of improvement to look for vs signs to see a gastroenterologist