Lesson 1, Topic 1
In Progress

Dr. Rakowski’s 10-Day 4R Protocol

Dr. Andrew July 18, 2023

Gut dysfunction like we have discussed in this chapter can be improved in a short period of time. Dr. Robert Rakowski, a brilliant clinician, chiropractor, and healer, developed this intense protocol to help his patients restore their gut function in just 10 days. It certainly does heal the gut in a very short period of time! The only caveat I offer is this: For those with SIBO issues, who get severe bloating with probiotics and fermentable sugars, this protocol isn’t your best choice. Go back to the protocol in chapter 6 and work with that one instead.

I have seen this program help individuals with long-term gut problems. Individuals who have had diarrhea for 5 years regain normal bowel movements. Individuals with 40 years of constipation begin to enjoy the relief that comes from regular, daily bowel movements. I have even seen it help those with crippling anxiety, hormone imbalance, and chronic fatigue and pain syndromes! Truly, healing the gut makes life-changing results a reality for many of our patients.

We just can’t get away from the fact that healing the gut allows the body to experience greater health and well-being. And gut repair doesn’t have to take months. This 10-day gut program uses high, therapeutic dosages of safe, powerful ingredients to change the gut environment quickly. The reason the program is called the “4R” program is that it removes bad bugs, repairs the gut lining, replaces digestive enzymes, and re-inoculates the gut flora with high-dose probiotics. And doing all four of these Rs at once is more powerful and effective than doing them separately.


I recommend the Routine Blood Tests and the Organic Acid Test in appendix B for assessing the levels of phenols, aldehydes, and neurotransmitters dopamine and serotonin. Occasionally I recommend Comprehensive Stool Testing in addition, which is also found in appendix B. The stool test is useful when symptoms don’t subside after this intense 10-day 4R program or when individuals are suspected of having parasites and/or inflammatory bowel issues. To make full use of the information in this book, I recommend following the instructions found in appendix A to get your own detailed genetic report.


Eat only lean, organic meat and organic vegetables for 10 days. During this 10-day program, eat mono meals by eating only one food at a time. That means each time you eat, you are eating only one type of food. For example, you eat only eggs for breakfast, green beans for a mid-morning snack, grass-fed steak for lunch, asparagus for an afternoon snack, and grilled salmon for dinner. Do this for the entire 10 days. Don’t be surprised if you experience some healthy weight loss on this program also! You may use MCT (Medium-chain triglyceride) oil, grass-fed cow butter, coconut oil, and avocado oil while on this protocol, since these healthy fats don’t feed bad bugs one bit.

NOTE: Avoid starches, fruit, sugar, breads, cereals, etc. as these foods are fuel for the bacteria/fungi/parasites you are trying to eliminate from your body.


HCl Support – HCl stomach acid that will support the digestion and help break down your food. Take this product at the end of the meal. To find out what dose is best for you, see the HCl stomach acid instructions page.† (Nutridyn)

Pan 5X – Pancreatic enzymes that will help you break down your food. Take 1 or 2 capsules five minutes before meals/shakes/snacks. Will improve digestion and absorption of nutrients.† (Nutridyn)

NOTE: If pain or discomfort occurs when taking HCl Support, it indicates inflammation of the lining
of the stomach and esophagus. To heal the stomach and esophagus, use the Gastritis Repair
Protocol found in chapter 3 for at least 4 weeks before trying to reintroduce the HCl Support.

UltraBiotic Defense– 2 capsules 3 times per day with food (need two 30-capsule bottles). Saccharomyces boulardii is a species of bacteria that helps remove toxic yeast and fungi from sticking to the walls of the GI tract. Once yeasts and fungi are removed from the wall, your body can easily eliminate the pathogen in the stool.† (Nutridyn)

UltraBiotic Daily Extra Strength – 1 capsule 3 times per day away from food (need one 30-capsule bottle). High-dose probiotic 60 billion per serving to re-inoculate the colon and improve digestion.† (Nutridyn)

Spectrum AR – 2 softgels 3 times per day with meals. Aromatic oils that work as well as gold standard antibiotics at killing bad bugs, yet have no negative side effects. Cleanses the bowel of bacteria/viruses/yeast/parasites.† (Nutridyn)

Spectrum BR – 3 tablets 3 times per day with meals. Oils of berberine are very effective for removing more bacteria/viruses/yeast/parasites from the GI tract.† (Nutridyn)

D3 10,000 with K2 – 1 softgel per day with a meal. Provides numerous benefits to the health and function of the GI tract, and patients with gut problems are chronically low in fat-soluble vitamins like D3.† (Nutridyn)

L-Glutamine Powder – 10-20 grams 5 times per day mixed into water. Main fuel source and nutrient source for the cells that line the GI tract. Helps to seal a leaky gut by allowing the epithelial cells to grow faster and healthier, reducing inflammation and increasing glutathione. † (Nutridyn)


I recommend that my patients with gut dysbiosis issues such as those discussed in this chapter use the preceding supplements for 10 days. After the 10 days, I also recommend a follow-through period of at least 4 weeks. There is no need to continue eating in a mono meal fashion, and food may now be combined to your liking. However, it’s important to continue to limit and/or avoid the high starchy foods during this 4-week period.

NOTE: You may follow the Anti-Candida Diet in appendix D for more specific instructions on which foods to avoid during the 30-day follow-through period. If you feel that an extended protocol would be beneficial to your digestive system, you may extend the timeline from 4 weeks to 8 or 12 weeks in total following the Anti-Candida Diet and taking the supplements below. Some people need a longer protocol based on their individual needs.

During the 4-week period, continue to take the exact supplements listed earlier, except reduce them in the following manner:

  • Reduce the Spectrum AR to 1 softgel, 2 times per day with food.
  • Reduce the Spectrum BR to 2 tablets, 2 times per day with food.
  • Reduce the Glutamine Powder to 10 grams, 3 times per day.
  • Reduce the UltraBiotic Defense to 1 capsule, 3 times per day with food.
  • Reduce the UltraBiotic Daily Extra Strength to 1 capsule, 1 time per day away from food.     
  • Continue to take the Pan 5X, HCl Support, and D3 10,000 with K2.

†This statement has not been evaluated by the FDA. This product is not intended to diagnose, treat, cure, or prevent any disease. The information provided in this book is intended for your general knowledge only and is not a substitute for professional medical advice or treatment for specific medical conditions. You should not use this information to diagnose or treat a health problem or disease without consulting with a qualified healthcare provider. Please consult your healthcare provider with any questions or concerns you may have regarding your condition. Never disregard professional medical advice or delay in seeking it because of something you have read in this book.