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Evidence: B+Gut Health

Larazotide: Benefits, Dosage & FDA Status

Larazotide Acetate (AT-1001)

An 8-amino-acid oral peptide that tightens intestinal tight junctions by antagonizing zonulin signaling. The most-studied 'leaky gut' peptide with celiac trial data.

FDA Status

Not FDA-approved — Phase 3 completed for celiac disease (results mixed)

Typical Dose

0.5 mg three times daily before meals (oral)

Evidence Grade

B+Multiple clinical studies + widespread clinical use

Half-Life

Acts locally in the GI lumen

Routes of Administration

oral

First Synthesized

2007

Clinics Indexed

33 providers have offered Larazotide in our tracked directory.

Mechanism of Action

Zonulin antagonist that maintains intestinal tight-junction integrity, reducing paracellular passage of antigens.

Key Reported Benefits

Benefits listed reflect commonly reported effects from clinical trials and practitioner use. Individual response varies. Evidence-grade B+ indicates multiple clinical studies + widespread clinical use.

Reported Side Effects

  • Mild GI upset
  • Headache

Contraindications

  • Pregnancy

Commonly Stacked With

Regulatory & Safety Context

FDA status: Not FDA-approved — Phase 3 completed for celiac disease (results mixed)

This page is for educational purposes only and does not constitute medical advice. Peptide use outside of an FDA-approved indication should be discussed with a licensed medical professional. Source quality, cold-chain storage, and injection hygiene all materially affect safety outcomes.

See state-by-state legality: US peptide legality by state →

References

Selected primary literature on Larazotide. Full PubMed records linked. Additional citations are available on request.

  1. PubMed PMID 31280775

Last reviewed: 2026-04-30

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