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A practical 4-week starter plan Remove gluten completely and eliminate obvious ultra-processed triggers Prioritize gut basics : daily bowel movements, adequate hydration, and anti-inflammatory meals Add selenium 200 mcg daily (Brazil nuts or a measured supplement dose) Improve sleep consistency with a fixed wake time and reduced evening light exposure Schedule a clinician review to evaluate LDN appropriateness and lab completeness If gut symptoms are significant, or if antibody levels remain high despite these changes, a deeper gut evaluation and targeted protocol can be the next step