Supplements

L-Glutamine & Zinc Carnosine: The Gut Repair Power Duo

11 min readUpdated Jan 7, 2025

Gut lining repair requires specific nutrients. This evidence-based guide covers the most effective supplements for intestinal healing, with proper dosing protocols.

The Foundation: L-Glutamine

What it is: Glutamine is the most abundant amino acid in the body and the primary fuel source for intestinal cells (enterocytes).

How It Heals

  • Fuels rapid turnover of intestinal cells (every 2-7 days)
  • Strengthens tight junctions between cells
  • Reduces intestinal permeability
  • Supports immune function in the gut
  • Decreases inflammation

Evidence-Based Dosing

  • Dosage: 5-20g daily, divided into 2-3 doses
  • Timing: Empty stomach or between meals for best absorption
  • Duration: 3-6 months minimum for gut lining repair
  • Form: Powder is most cost-effective; mix in water

Pro Tip

Start with 5g daily and increase gradually. Some people with severe leaky gut need 15-20g during acute healing phase, then reduce to 5-10g for maintenance.

The Protector: Zinc Carnosine

What it is: A chelated compound combining zinc and L-carnosine that specifically targets gut healing.

How It Heals

  • Adheres to ulcerated or damaged areas of gut lining
  • Protects against NSAID-induced damage
  • Stabilizes cell membranes
  • Promotes tissue repair and regeneration
  • Antioxidant and anti-inflammatory properties

Evidence-Based Dosing

  • Dosage: 75-150mg daily (37.5-75mg elemental zinc)
  • Timing: With or without food
  • Duration: 8-12 weeks for ulcers/gastritis; 3-6 months for leaky gut
  • Best for: Ulcers, gastritis, leaky gut, NSAID damage

The Builder: Collagen & Bone Broth

Collagen provides specific amino acids critical for tissue repair: glycine, proline, and hydroxyproline.

Benefits

  • Provides building blocks for connective tissue
  • Supports tight junction integrity
  • Contains natural glutamine
  • Anti-inflammatory effects
  • Supports stomach lining

Dosing

  • Collagen powder: 10-20g daily
  • Bone broth: 1-2 cups daily (homemade ideal)
  • Gelatin: 1-2 tablespoons daily

The Short-Chain Fatty Acid: Butyrate

Butyrate is the primary fuel for colonocytes (large intestine cells). Normally produced by beneficial bacteria fermenting fiber, supplementation helps when production is low.

Benefits

  • Fuels colonocytes specifically
  • Reduces inflammation in colon
  • Strengthens intestinal barrier
  • Regulates immune function
  • May improve insulin sensitivity

Dosing

  • Dosage: 300-600mg daily
  • Forms: Sodium butyrate or tributyrin (time-released)
  • Best for: Colitis, IBS, leaky gut in colon

The Soothers: Herbal Mucilages

DGL (Deglycyrrhizinated Licorice)

  • Benefit: Increases mucus production, protects stomach lining
  • Dosage: 380-1,140mg before meals
  • Note: Glycyrrhizin removed (safe for blood pressure)

Marshmallow Root

  • Benefit: Creates protective coating, soothes inflammation
  • Dosage: 2-5g daily or as tea

Slippery Elm

  • Benefit: Demulcent properties, coats digestive tract
  • Dosage: 400-500mg capsules or powder

Aloe Vera

  • Benefit: Anti-inflammatory, promotes healing
  • Dosage: 50-200mg inner leaf
  • Caution: Can be laxative; start low

Complete Gut Repair Stack

Comprehensive Protocol

  • Morning (empty stomach): 5-10g L-glutamine
  • With breakfast: Zinc carnosine 75mg, Omega-3s 2g, Vitamin D 2000-5000 IU
  • Midday: Collagen powder 10-20g in smoothie or water
  • Before lunch: DGL 380-500mg
  • Afternoon: 5g L-glutamine, Butyrate 300mg
  • Before dinner: DGL 380-500mg
  • Evening: Aloe vera 100mg, Slippery elm tea
  • Before bed: 5g L-glutamine, Magnesium glycinate 400mg

Supporting Nutrients

Vitamin A

  • Essential for mucosal integrity
  • Dosage: 10,000-25,000 IU (from liver or cod liver oil)

Vitamin D

  • Supports tight junctions and immune function
  • Dosage: 2,000-5,000 IU daily (test levels)

Omega-3 Fatty Acids

  • Anti-inflammatory, supports cell membranes
  • Dosage: 2-4g EPA/DHA daily

What to Expect

Week 1-2

  • Initial symptom reduction may begin
  • Some may experience mild detox symptoms

Week 3-4

  • Noticeable improvements in bloating, pain
  • Energy may increase
  • Bowel movements may normalize

Month 2-3

  • Significant healing occurring
  • Food tolerances expanding
  • Systemic symptoms (skin, mood) improving

Month 4-6

  • Gut lining substantially repaired
  • Can begin reducing supplement doses
  • Maintaining with lower doses or diet alone

Quality Matters

  • Third-party testing: Look for NSF, USP, ConsumerLab certifications
  • Form matters: Active forms, proper chelation
  • Avoid fillers: Magnesium stearate, artificial colors
  • Storage: Cool, dry place; check expiration dates

When Supplements Aren't Enough

If you're taking these supplements but not seeing improvement after 8-12 weeks:

  • Address underlying infections (H. pylori, parasites, SIBO)
  • Remove inflammatory triggers (foods, stress, medications)
  • Check for nutrient deficiencies blocking healing
  • Ensure adequate stomach acid and digestive enzymes
  • Consider autoimmune factors

Important

Supplements support healing but don't replace addressing root causes. Combine with anti-inflammatory diet, stress management, and treatment of underlying conditions for best results.