Gut barrier / inflammation
Larazotide
An orally administered octapeptide that acts as a tight-junction regulator (zonulin antagonist) to reduce intestinal permeability. The most clinically advanced of the 'leaky gut' peptides, studied in controlled celiac-disease trials, though it has not gained approval.
Common doses
| Indication | Route | Dose | Duration | Evidence |
|---|---|---|---|---|
| Celiac disease (persistent symptoms despite gluten-free diet) — clinical trials | Oral | Studied around 0.5 mg three times daily in trials | Trial-defined | Tier 3 |
| Intestinal permeability / 'leaky gut' (off-label, experimental) | Oral | No established consumer dose | Experimental | Tier 5 |
Limitations · Who should NOT use this
Despite being the most studied gut-barrier peptide, larazotide is not approved: a phase 2b trial showed promise for celiac symptoms, but a later pivotal phase 3 trial did not meet its primary endpoint, and development has been uncertain. 'Leaky gut' as a standalone consumer indication is not well-defined clinically. Trial dosing does not translate directly to self-directed gray-market use. Best understood as an investigational adjunct studied in a specific disease, not a validated general gut-health supplement.
Regulatory notes
Not FDA-approved. The most clinically advanced gut-barrier peptide — studied in randomized controlled trials for celiac disease (including a phase 2b trial), though a pivotal phase 3 did not meet its primary endpoint. Investigational; not available as an approved product.
Sources
- Leffler DA, et al. Larazotide acetate for persistent symptoms of celiac disease despite a gluten-free diet: a randomized controlled trial. Gastroenterology 2015;148(7):1311-1319.
- Khaleghi S, et al. The potential utility of tight junction regulation in celiac disease: focus on larazotide acetate. Therap Adv Gastroenterol 2016;9(1):37-49.
- Paterson BM, et al. The safety, tolerance, pharmacokinetic and pharmacodynamic effects of AT-1001 in celiac disease. Aliment Pharmacol Ther 2007.
Community signal — Larazotide
Recent posts and videos mentioning Larazotide from the cron-ingested Reddit + Bluesky pipelines and the curated /experts directory. Not endorsement — directional context only.
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No Bluesky posts mentioning Larazotide in our index yet — the Bluesky cron pulls every four hours.
No curated experts have Larazotide tagged in their peptideAreas yet.
No YouTube videos mentioning Larazotide in our index yet. The YouTube RSS cron pulls every 6 hours.
Community Notes
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