Ajax Harwood Clinic
"Leaky gut" (gut permeability) test
Full name: Intestinal permeability ("leaky gut") test
This test doesn't have a proven medical use for the reasons people usually ask about it.
What this test is
This test checks whether your gut lining lets substances through. Normally these substances would not cross into your blood. The idea is often called 'leaky gut.' It is done as a urine test after you drink a sugar solution. Or it is done as a 'zonulin' blood test. 'Leaky gut syndrome' is not a recognized medical diagnosis. For the zonulin blood test, researchers looked closely at common versions. They found the tests were not measuring the protein they claim to measure. That means a result is hard to trust or act on. If you have symptoms that worry you, it is better to look directly for the cause. This could be celiac disease or a specific food trigger.
Want to see the full clinical reasoning? The reference we use for this test is open to anyone — it is detailed and written for clinicians, and you are welcome to read it.
Open the clinician reference →Looking for other tests, or more on a condition an ND raised? Explore ask.ajaxharwoodclinic.com →
General health information for Ajax Harwood Clinic patients and the public — not medical advice, and not a substitute for seeing your own doctor. Last reviewed 2026-09-23.