Your intestinal epithelium is a single layer of cells - just one cell thick in some places - that separates your internal environment from the contents of your digestive tract. Think of it as the bouncer at an exclusive club, checking ID for every molecule before it gets through.
This barrier is held together by tight junction proteins including zonula occludens-1 (ZO-1) and occludin, which form seals between cells. When these tight junctions break down - from chronic inflammation, infections, food sensitivities, stress, or certain medications - the barrier becomes permeable.
Once the barrier breaks, undigested food proteins, bacterial lipopolysaccharides (LPS), and other molecules slip through the intestinal lining directly into the bloodstream. Your immune system sees these as foreign invaders and mounts an attack. This creates chronic, low-grade endotoxemia and systemic inflammation that affects your whole body.
"A permeable gut barrier turns your intestines into a gateway for things that should never reach your bloodstream."
This is where peptide therapy comes in - each one repairs the barrier from different angles, restoring the selective permeability that keeps you healthy.