I think part of this can be attributed to prolonged gut inflammation caused by toxins and parasites. There’s something like 60% of the population has some form of parasite and have no idea, which causes a lot of inflammation and problems. Problems that don’t necessarily point to the gut being the culprit on the surface. So it’s misdiagnosed a lot.

I recommend everyone do a gut cleanse once a year.

CDC estimates about 60 million are effected by parasites in USA. which is about 17 or 18%.

Gut cleanse, colon cleanse, detoxing. None of this is supported by science. Nor would any of these things cure, prevent or in anyway help a parasitic infection.

Here are some common parasitic infections and how they're treated. None of these treatments recommend gut cleanse. https://en.wikipedia.org/wiki/Giardia#Infection https://en.wikipedia.org/wiki/Toxoplasma_gondii#Treatment https://en.wikipedia.org/wiki/Ascariasis#Treatment https://en.wikipedia.org/wiki/Hookworm_infection#Treatment https://en.wikipedia.org/wiki/Pinworm_infection#Treatment

Gut inflammation can be a problem, but I would not recommend treating it or even diagnosing it without evidence.

Gut cleanses are just marketing. Occasionally eating healthy and then going back to regular unhealthy diet skews the middle point of gut health.

If parasites was the concern then countries like Bangladesh would have incredibly higher rates given that people there tend to have orders of magnitudes more parasites than anywhere in the developed world.

And I’m not sure what toxins is supposed to mean and how Americans are more exposed to toxins than developing world children scouring through our electronic garbage on a daily basis

What is a gut cleanse? That sounds destructive.

Doing an ambiguous preventive activity on 1 out of 365 days doesn't sound effective.

What do you mean when you say “do a gut cleanse”?