Sophia R., 39F, presents with fatigue, bloating, irregular bowel habits, and a 3-year history of 'leaky gut' diagnosed by a functional medicine practitioner. She has been on an elimination diet for 2 years, avoiding gluten, dairy, soy, corn, eggs, and nightshades. Her current diet is primarily rice, chicken, and a small number of vegetables. She takes 12 different supplements. Her metabolic labs: fasting insulin 12.4 μIU/mL, HOMA-IR 2.8, TG 142, HDL 46, hsCRP 2.2 mg/L.