A comprehensive, non-invasive clinical evaluation that moves beyond structural pathology to analyze the actual physiological processes of digestion, absorption, and gut-microbiome interaction. This assessment quantifies markers of pancreatic enzyme output, intestinal permeability, inflammatory status, and the metabolic activity of the resident microbiota. The resulting data informs highly individualized, targeted interventions to restore optimal gastrointestinal function.
Origin
The term originates from the paradigm of Functional Medicine, which focuses on the root causes of disease and the optimal function of body systems. ‘Digestive’ specifies the system under review, and ‘assessment’ emphasizes the data-driven diagnostic approach. This methodology contrasts with standard medical testing primarily focused on disease identification.
Mechanism
The assessment typically utilizes advanced laboratory tests, such as stool analysis, breath tests, and organic acid testing, to measure functional end-points. Key mechanisms examined include the efficiency of protein and fat breakdown, the integrity of the mucosal barrier (e.g., zonulin levels), and the balance of beneficial versus pathogenic microbial populations. Interpreting these results allows for the precise targeting of deficiencies in digestive enzymes, stomach acid, or microbial diversity.
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