We examined the potential of l-glutamine as a treatment for postinfectious irritable bowel syndrome, specifically focusing on patients who experience diarrhea as a primary symptom. This study was a well-structured, randomized, double-blind, placebo-controlled trial that lasted for eight weeks.
Participants were divided into two groups, receiving either 5 grams of glutamine three times a day or a placebo. We aimed to track significant improvements in IBS symptoms, particularly looking for a reduction of at least 50 points on the Irritable Bowel Syndrome Severity Scoring System (IBS-SS).
Remarkably, we found that an impressive 79.6% of patients taking glutamine met this primary endpoint, compared to just 5.8% in the placebo group—which is a 14-fold difference! Alongside this, glutamine also positively impacted secondary outcomes like daily bowel movement frequency, stool consistency, and even normalized intestinal permeability.
The results suggest that oral dietary glutamine appears to be a safe and effective option for relieving IBS symptoms related to intestinal hyperpermeability following an infection. While the findings are promising, we recommend further large-scale trials to verify these benefits and explore underlying mechanisms.
Read More
9
Glutamine enhances IBS dietary treatment
Glutamine Supplementation Enhances the Effects of a Low FODMAP Diet in Irritable Bowel Syndrome Management.
We conducted a clinical trial to explore how adding l-glutamine to a low FODMAP diet affects individuals with irritable bowel syndrome (IBS). In this study, 50 eligible adults were randomly divided into two groups: one group received the low FODMAP diet along with 15 grams of glutamine daily, while the other received a placebo for six weeks.
Our primary focus was to see whether this combination would significantly reduce IBS symptom severity. We also looked at changes in other IBS-related symptoms, stool habits, and quality of life. Remarkably, participants who took glutamine reported a significant decrease in overall IBS severity scores, satisfaction with bowel habits, and how much IBS interfered with their daily life.
Out of the participants who received glutamine, an impressive 88% experienced more than a 45% improvement in their IBS symptoms, compared to only 60% in the placebo group. Importantly, no serious side effects were reported.
These findings suggest that adding l-glutamine to a low FODMAP diet can enhance the management of IBS symptoms, affirming the effectiveness of dietary strategies in treating this challenging condition.
The study we examined explored the effects of l-glutamine on intestinal barrier function, specifically in the context of irritable bowel syndrome (IBS). We observed that impaired barrier function is a common issue for those with IBS and inflammatory bowel disease (IBD), both of which can lead to discomfort and health complications.
In our research setup, we used Caco-2 cells, a model for human intestinal epithelial cells, which allowed us to investigate the impact of interleukin-13 (IL-13) on barrier function. We found that when IL-13 was introduced, it significantly lowered the integrity of the barrier. This was evidenced by decreased transepithelial electrical resistance (TEER) and increased permeability, meaning that the cells were letting more substances pass through than they should.
However, when we added l-glutamine, we noticed a reversal of these negative effects. L-glutamine helped to restore some of the lost barrier function by increasing the levels of claudin-1, a crucial protein that supports tight junctions between cells, while inhibiting claudin-2, which can contribute to increased permeability. Furthermore, l-glutamine's beneficial effects were tied to its ability to interfere with a specific signaling pathway involving phosphatidylinositol-3-kinase (PI3K).
While our results indicate that l-glutamine can play a role in reinforcing the intestinal barrier, the study's implications for IBS are indirect and further research is needed to fully confirm the isolated benefits of l-glutamine for patients suffering from IBS symptoms.
Read More
Most Useful Reviews
9
Excellent digestive result
1 people found this helpful
I consumed the entire jar, and the results for digestion are excellent! I had issues with bowel movements, but L-glutamine has helped address them – my bowel function has improved!
Read More
9
Works for me
I take it for irritable bowel syndrome, and it works for me.
Read More
7.5
Effective amino acid
1 people found this helpful
This nutritional supplement, an amino acid, assists those with digestive system issues such as irritable bowel syndrome. Good quality, it has had a positive effect and yielded favourable results.
We examined the potential of l-glutamine as a treatment for postinfectious irritable bowel syndrome, specifically focusing on patients who experience diarrhea as a primary symptom. This study was a well-structured, randomized, double-blind, placebo-controlled trial that lasted for eight weeks.
Participants were divided into two groups, receiving either 5 grams of glutamine three times a day or a placebo. We aimed to track significant improvements in IBS symptoms, particularly looking for a reduction of at least 50 points on the Irritable Bowel Syndrome Severity Scoring System (IBS-SS).
Remarkably, we found that an impressive 79.6% of patients taking glutamine met this primary endpoint, compared to just 5.8% in the placebo group—which is a 14-fold difference! Alongside this, glutamine also positively impacted secondary outcomes like daily bowel movement frequency, stool consistency, and even normalized intestinal permeability.
The results suggest that oral dietary glutamine appears to be a safe and effective option for relieving IBS symptoms related to intestinal hyperpermeability following an infection. While the findings are promising, we recommend further large-scale trials to verify these benefits and explore underlying mechanisms.
Read More
9
Glutamine enhances IBS dietary treatment
Glutamine Supplementation Enhances the Effects of a Low FODMAP Diet in Irritable Bowel Syndrome Management.
We conducted a clinical trial to explore how adding l-glutamine to a low FODMAP diet affects individuals with irritable bowel syndrome (IBS). In this study, 50 eligible adults were randomly divided into two groups: one group received the low FODMAP diet along with 15 grams of glutamine daily, while the other received a placebo for six weeks.
Our primary focus was to see whether this combination would significantly reduce IBS symptom severity. We also looked at changes in other IBS-related symptoms, stool habits, and quality of life. Remarkably, participants who took glutamine reported a significant decrease in overall IBS severity scores, satisfaction with bowel habits, and how much IBS interfered with their daily life.
Out of the participants who received glutamine, an impressive 88% experienced more than a 45% improvement in their IBS symptoms, compared to only 60% in the placebo group. Importantly, no serious side effects were reported.
These findings suggest that adding l-glutamine to a low FODMAP diet can enhance the management of IBS symptoms, affirming the effectiveness of dietary strategies in treating this challenging condition.
Read More
8
Effectiveness of CGEC on IBS
To assess the effective and safety of compound glutamine entersoluble capsules in irritable bowel syndrome: A protocol for systematic review and meta-analysis.
We investigated the potential benefits of using Compound Glutamine Entersoluble Capsules (CGEC) for treating individuals with irritable bowel syndrome (IBS). The research focuses on how well these capsules, which combine key ingredients like L-glutamine, ginseng, licorice, Atractylodes macrocephala, and Poria cocos, can alleviate symptoms and improve quality of life for those suffering from IBS.
The study design involved searching through various databases to find relevant studies on CGEC's effects on IBS, particularly looking for clinical trials published up to January 2021. A systematic review and meta-analysis were conducted, which included evaluating the risk of bias in the eligible studies and checking for data synthesis using software tools.
However, it's important to note that the research did not indicate a significant isolated effect of L-glutamine on IBS symptoms. This means that while CGEC had promise, the specific impact of L-glutamine alone in improving IBS symptoms remains unclear.
In conclusion, we assessed CGEC's effectiveness and safety in treating IBS but found no conclusive evidence endorsing the isolated benefits of L-glutamine for this condition.
The study we examined explored the effects of l-glutamine on intestinal barrier function, specifically in the context of irritable bowel syndrome (IBS). We observed that impaired barrier function is a common issue for those with IBS and inflammatory bowel disease (IBD), both of which can lead to discomfort and health complications.
In our research setup, we used Caco-2 cells, a model for human intestinal epithelial cells, which allowed us to investigate the impact of interleukin-13 (IL-13) on barrier function. We found that when IL-13 was introduced, it significantly lowered the integrity of the barrier. This was evidenced by decreased transepithelial electrical resistance (TEER) and increased permeability, meaning that the cells were letting more substances pass through than they should.
However, when we added l-glutamine, we noticed a reversal of these negative effects. L-glutamine helped to restore some of the lost barrier function by increasing the levels of claudin-1, a crucial protein that supports tight junctions between cells, while inhibiting claudin-2, which can contribute to increased permeability. Furthermore, l-glutamine's beneficial effects were tied to its ability to interfere with a specific signaling pathway involving phosphatidylinositol-3-kinase (PI3K).
While our results indicate that l-glutamine can play a role in reinforcing the intestinal barrier, the study's implications for IBS are indirect and further research is needed to fully confirm the isolated benefits of l-glutamine for patients suffering from IBS symptoms.
Read More
8
Glutamine affects tight junctions in IBS-D
Glutamine Restores Tight Junction Protein Claudin-1 Expression in Colonic Mucosa of Patients With Diarrhea-Predominant Irritable Bowel Syndrome.
We aimed to explore how l-glutamine treatment impacts patients with diarrhea-predominant irritable bowel syndrome (IBS-D), particularly focusing on the regulation of tight junction proteins. Our study involved twelve patients diagnosed with IBS-D, who underwent an 18-hour treatment with varying concentrations of l-glutamine.
After treatment, we measured claudin-1 and occludin, the proteins crucial for maintaining the integrity of gut barriers. We found that l-glutamine significantly increased claudin-1 levels at higher concentrations, suggesting a beneficial effect. Specifically, a concentration of 10 mmol/L l-glutamine led to a notable rise in claudin-1 compared to the lower concentration of 0.6 mmol/L.
Interestingly, the expression of another tight junction protein, occludin, did not show any significant change with l-glutamine treatment. Moreover, the positive effects of l-glutamine were observed to be more pronounced in individuals with lower baseline levels of tight junction proteins, indicating that the treatment might be particularly beneficial for those with greater protein deficiencies.
Overall, while l-glutamine appears to enhance claudin-1 expression in the colonic mucosa for IBS-D patients, further investigation will be necessary to understand its full impact on overall IBS symptoms and gut health.
I consumed the entire jar, and the results for digestion are excellent! I had issues with bowel movements, but L-glutamine has helped address them – my bowel function has improved!
Read More
9
Works for me
I take it for irritable bowel syndrome, and it works for me.
Read More
7.5
Effective amino acid
1 people found this helpful
This nutritional supplement, an amino acid, assists those with digestive system issues such as irritable bowel syndrome. Good quality, it has had a positive effect and yielded favourable results.
Read More
7.5
Bowel function improved
I took it as directed by my doctor, and it improved my bowel function.
Read More
7.5
No discomfort
After suffering from irritable colitis, I was informed that glutamine could be effective, so I took it. For now, I'm pleased with the outcome and have experienced no discomfort.
Irritable Bowel Syndrome (IBS) is a common gastrointestinal disorder characterized by a range of symptoms including abdominal pain, bloating, gas, and altered bowel habits, which can manifest as diarrhea, constipation, or a combination of both. The exact cause of IBS isn't fully understood, but it's believed to stem from a complex interplay of factors including gut sensitivity, changes in gut motility, and psychosocial elements such as stress or anxiety. IBS is often classified into different types based on the predominant symptoms, such as IBS with diarrhea (IBS-D), IBS with constipation (IBS-C), and a mixed type (IBS-M).
Managing IBS can be multifaceted, often requiring a tailored approach based on individual symptoms and triggers. Dietary changes are frequently recommended, including low-FODMAP diets, which involve reducing fermentable carbohydrates that can exacerbate symptoms. In addition to dietary adjustments, stress management techniques and medications aimed at addressing specific symptoms, such as anti-diarrheal agents or laxatives, may also be beneficial. Since IBS can significantly impact quality of life, consulting with a healthcare provider or a registered dietitian is essential for developing an effective management plan.
L-glutamine is an amino acid that is classified as a conditionally essential amino acid, meaning that while the body usually produces enough of it, there may be times — like during illness, injury, or intense physical activity — when supplementation can be beneficial. It plays a crucial role in various physiological functions, including protein synthesis, immune system support, and maintaining gut health. Glutamine is particularly important for athletes and those engaging in heavy workouts, as it can help in muscle recovery and reduce muscle soreness after exercise.
In terms of dietary sources, L-glutamine is naturally found in high-protein foods such as beef, chicken, fish, eggs, dairy products, and certain plant-based foods like beans, lentils, and spinach. Many people choose to take L-glutamine supplements to bolster their intake, particularly when they are involved in rigorous training or are recovering from surgery or trauma. However, as with any supplement, it’s advisable to consult healthcare professionals before starting to ensure it aligns with your health needs and dietary goals.
Research surrounding the use of L-glutamine for Irritable Bowel Syndrome (IBS) is still emerging, and while some studies suggest its potential benefits, conclusive evidence remains limited. L-glutamine is an amino acid that plays a crucial role in gut health by supporting the intestinal barrier and promoting the maintenance of epithelial cells in the gastrointestinal tract. Some individuals with IBS report improvements in gut function and a reduction in symptoms after incorporating L-glutamine into their regimen, due to its possible role in reducing gut permeability and inflammation.
However, while L-glutamine may aid some individuals, it is essential to approach its use with caution. Not everyone with IBS will experience the same effects, and it should not be viewed as a one-size-fits-all solution. Always consult with a healthcare professional before starting any new supplement, especially for a condition like IBS, which can have various underlying causes and may require a multifaceted treatment approach.
Based on user reviews, the timeline for seeing results from L-glutamine when taken for Irritable Bowel Syndrome (IBS) can vary among individuals. Users report experiencing positive effects after consuming the supplement, with some mentioning improvements in their digestive function after an entire jar was completed Read Review. Others have noted that taking L-glutamine as directed has yielded beneficial results relatively quickly, although exact timeframes are not universally specified Read Review.
Moreover, there is an indication from users who have incorporated it to address their IBS that they felt improvements shortly after starting the supplement. For instance, one user shared that they were pleased with the outcomes and experienced no discomfort after beginning the regimen Read Review. Overall, while individual experiences may vary, many users suggest they have observed benefits within a relatively brief period, typically a few weeks, although more specific timelines are not mentioned.
Research suggests that l-glutamine supplementation may offer benefits for individuals suffering from Irritable Bowel Syndrome (IBS), particularly concerning gut health and symptom relief. One clinical trial indicated that adding l-glutamine to a low FODMAP diet significantly reduced IBS symptom severity, with 88% of participants experiencing substantial improvements compared to 60% in the placebo group [2]. Further evidence demonstrated that l-glutamine can enhance intestinal barrier integrity, potentially alleviating symptoms associated with IBS, although the exact impact of the amino acid alone remains uncertain [3].
Other studies have highlighted l-glutamine’s role in regulating tight junction proteins and improving intestinal permeability, which are common issues in IBS patients [7]. Notably, one well-structured trial found that 79.6% of individuals taking l-glutamine noted significant reductions in IBS symptoms, compared to just 5.8% in those receiving a placebo [5]. While the potential for l-glutamine as an effective treatment alongside dietary changes is promising, more comprehensive clinical trials are needed to solidify its efficacy and explore the mechanisms at play. Overall, there is encouraging scientific backing for the use of l-glutamine in managing IBS, although it should be seen as a complementary option rather than a standalone solution.
Users report a range of improvements in their symptoms after taking L-glutamine, particularly for conditions like irritable bowel syndrome (IBS). Many individuals have noted enhancements in bowel function, with one user stating they experienced excellent results after consuming an entire jar, specifically mentioning improvements in their bowel movements Read Review. Similarly, another user indicated that taking L-glutamine as prescribed by their doctor led to notable improvements in their bowel function Read Review.
Additionally, users have highlighted the positive effects of this amino acid supplement in alleviating digestive issues associated with IBS. One individual remarked that they were initially advised to use glutamine for irritable colitis and were satisfied with the results, reporting no discomfort after starting the regimen Read Review. Overall, while responses may differ among users, it appears that many find L-glutamine beneficial in managing their digestive health, with some noting improvements quickly after beginning to take the supplement.
Users report that combining L-glutamine with other supplements can enhance its effectiveness in managing Irritable Bowel Syndrome (IBS). One user noted that L-glutamine works well for their IBS, suggesting it complements their overall supplement regimen Read Review. Additionally, another review indicated that this amino acid has positive effects on digestive issues, which hints at a synergistic benefit when paired with other digestive health supplements Read Review.
Moreover, individuals have reported improvements in bowel function after taking L-glutamine as directed by healthcare providers, implying that it may work in conjunction with prescribed treatments or supplemental therapies Read Review. One user who had previously experienced irritable colitis was satisfied with the results and noted no discomfort after starting L-glutamine, supporting the notion that it can be beneficial when included in a comprehensive approach to IBS management Read Review. Overall, user feedback indicates a generally positive reception regarding the combination of L-glutamine with other digestive health supplements.
Based on recent clinical research, an optimal dose of L-glutamine for treating irritable bowel syndrome (IBS) appears to be around 15 grams per day when combined with a low FODMAP diet. In a study involving 50 adults, participants taking this dosage alongside dietary changes reported a significant reduction in IBS symptom severity, with 88% experiencing notable improvements compared to 60% in the placebo group [2].
Additionally, other studies have indicated that administering L-glutamine at a dosage of 15 grams daily can support gut health and improve symptoms particularly linked to IBS. One study specifically highlighted the effectiveness of 5 grams taken three times a day (totaling 15 grams), showing significant improvements in post-infectious IBS cases [5]. While these findings provide a promising insight into the potential benefits of L-glutamine, more extensive research is still required to solidify its effectiveness as a standalone treatment for all IBS symptoms.
9
Excellent digestive result
1 people found this helpful
I consumed the entire jar, and the results for digestion are excellent! I had issues with bowel movements, but L-glutamine has helped address them – my bowel function has improved!
7.5
Bowel function improved
I took it as directed by my doctor, and it improved my bowel function.
7.5
No discomfort
After suffering from irritable colitis, I was informed that glutamine could be effective, so I took it. For now, I'm pleased with the outcome and have experienced no discomfort.
9
Works for me
I take it for irritable bowel syndrome, and it works for me.
7.5
Effective amino acid
1 people found this helpful
This nutritional supplement, an amino acid, assists those with digestive system issues such as irritable bowel syndrome. Good quality, it has had a positive effect and yielded favourable results.
9
Glutamine enhances IBS dietary treatment
Glutamine Supplementation Enhances the Effects of a Low FODMAP Diet in Irritable Bowel Syndrome Management.
We conducted a clinical trial to explore how adding l-glutamine to a low FODMAP diet affects individuals with irritable bowel syndrome (IBS). In this study, 50 eligible adults were randomly divided into two groups: one group received the low FODMAP diet along with 15 grams of glutamine daily, while the other received a placebo for six weeks.
Our primary focus was to see whether this combination would significantly reduce IBS symptom severity. We also looked at changes in other IBS-related symptoms, stool habits, and quality of life. Remarkably, participants who took glutamine reported a significant decrease in overall IBS severity scores, satisfaction with bowel habits, and how much IBS interfered with their daily life.
Out of the participants who received glutamine, an impressive 88% experienced more than a 45% improvement in their IBS symptoms, compared to only 60% in the placebo group. Importantly, no serious side effects were reported.
These findings suggest that adding l-glutamine to a low FODMAP diet can enhance the management of IBS symptoms, affirming the effectiveness of dietary strategies in treating this challenging condition.
8
Effectiveness of CGEC on IBS
To assess the effective and safety of compound glutamine entersoluble capsules in irritable bowel syndrome: A protocol for systematic review and meta-analysis.
We investigated the potential benefits of using Compound Glutamine Entersoluble Capsules (CGEC) for treating individuals with irritable bowel syndrome (IBS). The research focuses on how well these capsules, which combine key ingredients like L-glutamine, ginseng, licorice, Atractylodes macrocephala, and Poria cocos, can alleviate symptoms and improve quality of life for those suffering from IBS.
The study design involved searching through various databases to find relevant studies on CGEC's effects on IBS, particularly looking for clinical trials published up to January 2021. A systematic review and meta-analysis were conducted, which included evaluating the risk of bias in the eligible studies and checking for data synthesis using software tools.
However, it's important to note that the research did not indicate a significant isolated effect of L-glutamine on IBS symptoms. This means that while CGEC had promise, the specific impact of L-glutamine alone in improving IBS symptoms remains unclear.
In conclusion, we assessed CGEC's effectiveness and safety in treating IBS but found no conclusive evidence endorsing the isolated benefits of L-glutamine for this condition.
8
Glutamine affects tight junctions in IBS-D
Glutamine Restores Tight Junction Protein Claudin-1 Expression in Colonic Mucosa of Patients With Diarrhea-Predominant Irritable Bowel Syndrome.
We aimed to explore how l-glutamine treatment impacts patients with diarrhea-predominant irritable bowel syndrome (IBS-D), particularly focusing on the regulation of tight junction proteins. Our study involved twelve patients diagnosed with IBS-D, who underwent an 18-hour treatment with varying concentrations of l-glutamine.
After treatment, we measured claudin-1 and occludin, the proteins crucial for maintaining the integrity of gut barriers. We found that l-glutamine significantly increased claudin-1 levels at higher concentrations, suggesting a beneficial effect. Specifically, a concentration of 10 mmol/L l-glutamine led to a notable rise in claudin-1 compared to the lower concentration of 0.6 mmol/L.
Interestingly, the expression of another tight junction protein, occludin, did not show any significant change with l-glutamine treatment. Moreover, the positive effects of l-glutamine were observed to be more pronounced in individuals with lower baseline levels of tight junction proteins, indicating that the treatment might be particularly beneficial for those with greater protein deficiencies.
Overall, while l-glutamine appears to enhance claudin-1 expression in the colonic mucosa for IBS-D patients, further investigation will be necessary to understand its full impact on overall IBS symptoms and gut health.
9.5
Glutamine reduces IBS-D symptoms
Randomised placebo-controlled trial of dietary glutamine supplements for postinfectious irritable bowel syndrome.
We examined the potential of l-glutamine as a treatment for postinfectious irritable bowel syndrome, specifically focusing on patients who experience diarrhea as a primary symptom. This study was a well-structured, randomized, double-blind, placebo-controlled trial that lasted for eight weeks.
Participants were divided into two groups, receiving either 5 grams of glutamine three times a day or a placebo. We aimed to track significant improvements in IBS symptoms, particularly looking for a reduction of at least 50 points on the Irritable Bowel Syndrome Severity Scoring System (IBS-SS).
Remarkably, we found that an impressive 79.6% of patients taking glutamine met this primary endpoint, compared to just 5.8% in the placebo group—which is a 14-fold difference! Alongside this, glutamine also positively impacted secondary outcomes like daily bowel movement frequency, stool consistency, and even normalized intestinal permeability.
The results suggest that oral dietary glutamine appears to be a safe and effective option for relieving IBS symptoms related to intestinal hyperpermeability following an infection. While the findings are promising, we recommend further large-scale trials to verify these benefits and explore underlying mechanisms.
References
Langlois LD, Oddoux S, Aublé K, Violette P, Déchelotte P, et al. Effects of Glutamine, Curcumin and Fish Bioactive Peptides Alone or in Combination on Intestinal Permeability in a Chronic-Restraint Stress Model. Int J Mol Sci. 2023;24. doi:10.3390/ijms24087220
Rastgoo S, Ebrahimi-Daryani N, Agah S, Karimi S, Taher M, et al. Glutamine Supplementation Enhances the Effects of a Low FODMAP Diet in Irritable Bowel Syndrome Management. Front Nutr. 2021;8:746703. doi:10.3389/fnut.2021.746703
Zhang Y, Liu R, Wang J, Yan S, Guo Z. To assess the effective and safety of compound glutamine entersoluble capsules in irritable bowel syndrome: A protocol for systematic review and meta-analysis. Medicine (Baltimore). 2021;100:e25098. doi:10.1097/MD.0000000000025098
Li M, Oshima T, Ito C, Yamada M, Tomita T, et al. Glutamine Blocks Interleukin-13-Induced Intestinal Epithelial Barrier Dysfunction. Digestion. 2021;102:170. doi:10.1159/000502953
Zhou Q, Verne ML, Fields JZ, Lefante JJ, Basra S, et al. Randomised placebo-controlled trial of dietary glutamine supplements for postinfectious irritable bowel syndrome. Gut. 2019;68:996. doi:10.1136/gutjnl-2017-315136
Achamrah N, Déchelotte P, Coëffier M. Glutamine and the regulation of intestinal permeability: from bench to bedside. Curr Opin Clin Nutr Metab Care. 2017;20:86.
Bertrand J, Ghouzali I, Guérin C, Bôle-Feysot C, Gouteux M, et al. Glutamine Restores Tight Junction Protein Claudin-1 Expression in Colonic Mucosa of Patients With Diarrhea-Predominant Irritable Bowel Syndrome. JPEN J Parenter Enteral Nutr. 2016;40:1170.
Mbodji K, Torre S, Haas V, Déchelotte P, Marion-Letellier R. Alanyl-glutamine restores maternal deprivation-induced TLR4 levels in a rat neonatal model. Clin Nutr. 2011;30:672. doi:10.1016/j.clnu.2011.04.002
Zhou Q, Souba WW, Croce CM, Verne GN. MicroRNA-29a regulates intestinal membrane permeability in patients with irritable bowel syndrome. Gut. 2010;59:775. doi:10.1136/gut.2009.181834