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Factors that may influence gastrointestinal health include: Highly processed diets Low fiber intake Poor protein intake Alcohol Certain medications Food intolerance Chronic stress Sleep problems Metabolic dysfunction Infection Autoimmune disease Nutrient deficiencies Chronic inflammatory conditions Changes in intestinal bacteria For this reason, integrative care may include nutrition, exercise, medical evaluation, laboratory testing when appropriate, stress management, sleep improvement, rehabilitation, and treatment of diagnosed medical conditions