Gut Restoration Programme for Persistent Digestive Symptoms
Persistent gut symptoms can become exhausting when you have already tried eating healthier, cutting foods, taking probiotics, using peppermint, changing supplements or following online gut advice but bloating, reflux, constipation, diarrhoea, food reactions or unpredictable digestion keep returning.
The Gut Restoration Programme is a structured 6-month 1:1 gut health programme for adults with long-standing digestive symptoms who need more than a generic food list or quick gut reset. The aim is to understand what may be driving your symptoms, what has already been missed, and what order of support makes sense for your body.
This programme uses the 5-step gut restoration framework (Remove, Replace, Reinoculate, Repair and Rebalance) alongside a detailed Full Spectrum Health Mapping Session and six follow-up consultations, so your support can be personalised, reviewed and clinically sequenced over time.
This call helps clarify whether the Gut Restoration Programme is the right level of support for your symptoms and goals.
A Structured 6-Month Gut Health Programme
The Gut Restoration Programme is a longer-term functional nutrition programme for people with ongoing or recurring digestive symptoms.
It is built around the recognised 5-step gut framework:
Remove → Replace → Reinoculate → Repair → Rebalance
These steps are not applied as a rigid protocol. They are used as a clinical framework to decide what needs attention first, what should wait, and how support should change as your symptoms and tolerance change.
This matters because persistent digestive symptoms are rarely caused by one food, one missing supplement or one simple trigger. Digestion, motility, microbiome patterns, gut sensitivity, stress physiology, medication history, previous infections, sleep and daily routine may all need to be considered together.
The core programme runs for 6 months and includes a Full Spectrum Health Mapping Session followed by six structured follow-up consultations.
My Clinical Approach to Gut Restoration
In my clinic, gut restoration does not mean following a fixed gut reset, taking a long list of supplements, or removing more and more foods.
It starts with understanding why your digestive symptoms keep returning.
Many people come to this programme after trying to eat healthier, cutting out gluten or dairy, taking probiotics, using digestive supplements, following low FODMAP advice, or searching online for answers about IBS type symptoms, bloating, constipation, diarrhoea, reflux, food reactions, SIBO-type symptoms or gut microbiome imbalance.
The problem is that persistent digestive symptoms rarely come from one isolated trigger. Your bloating may involve constipation, fermentation, food tolerance, stress physiology, microbiome patterns or upper digestive function. Reflux may involve meal timing, eating speed, stress, medication history, H. pylori considerations or gastritis that needs medical review. Food reactions may be linked with gut sensitivity, inflammation patterns, previous infections, antibiotic use, over-restriction or poor tolerance after years of symptoms.
This is why I begin by mapping your full case: when symptoms started, what changed around that time, what you have already tried, how your bowel habits behave, how you respond to food, your stress load, sleep, medication history, previous infections, travel or food poisoning history, and any test results you already have.
From there, I use the 5-step gut restoration framework to decide what needs attention first. The order matters. Some people need irritation and inflammation patterns considered before adding more fibre. Some need constipation, motility or bowel rhythm addressed before microbiome support makes sense. Some need upper digestive symptoms assessed before focusing on the lower gut. Some need to stop over-restricting and rebuild food tolerance carefully.
This is why the Gut Restoration Programme is delivered over six months. Persistent digestive symptoms usually need assessment, sequencing, review and adjustment, not another generic plan that leaves you guessing.
Who This Programme Is For
This programme is designed for adults who want structured gut health support rather than another short-term experiment.
It may be suitable if you:
- Have persistent bloating, reflux, constipation, diarrhoea or IBS-type symptoms
- Feel your digestion has become unpredictable
- React to more foods than you used to
- Have tried removing foods but still do not understand what is driving symptoms
- Have used probiotics, supplements or gut products without consistent progress
- Have symptoms that worsen after stress, illness, antibiotics or travel
- Have been told tests are normal but still experience digestive discomfort
- Want a personalised plan rather than generic gut health advice
- Need support that considers digestion, lifestyle, stress, sleep and food tolerance together
- Have ongoing digestive discomfort that has not been clearly explained
This programme does not diagnose digestive disease or replace medical care. It is designed to help assess patterns that may be contributing to ongoing symptoms and to support a structured nutrition and lifestyle approach.
Symptoms and Patterns This Programme May Support
The Gut Restoration Programme may be relevant if you experience patterns such as:
- Persistent or daily bloating
- Post-meal bloating or visible abdominal distension
- Gas, fermentation or noisy digestion
- Constipation, incomplete emptying or sluggish bowel movements
- Diarrhoea, urgency or loose stools
- Alternating constipation and diarrhoea
- Reflux, heartburn, nausea or upper abdominal pressure
- Food reactions or reduced food tolerance
- Abdominal discomfort linked with meals or bowel habits
- Gut symptoms after infection, antibiotics, stress or travel
- Digestive symptoms alongside fatigue, brain fog, skin changes or low resilience
- Ongoing indigestion, upper abdominal discomfort, early fullness or nausea
- Upper digestive symptoms where reflux, gastritis or H. pylori may need medical consideration
These symptoms do not automatically point to one cause. They need to be assessed in context.
What the Programme Includes
The Gut Restoration Programme is a structured 6-month 1:1 personalised functional nutrition programme.
It includes:
- One Full Spectrum Health Mapping Session
- Six structured follow-up consultations
- Review of your digestive symptoms, health history and timeline
- Review of relevant previous test results where available
- Personalised nutrition and lifestyle recommendations
- Guidance around testing where clinically appropriate
- Ongoing review and adjustment as your symptoms and tolerance change
- Secure communication between sessions
- Practical support to help you apply recommendations consistently
The six-month structure allows time to assess your case properly, introduce changes in the right order, review your response, adapt recommendations and support you through each stage of the gut restoration framework.
For more complex or long-standing symptoms, additional follow-up consultations can be added after the initial six-month programme if further support is needed.
This is not a quick gut reset, detox or generic protocol. The structure is designed to provide assessment, sequencing, review and adaptation over time.
Why Persistent Gut Symptoms Often Keep Returning
Gut symptoms often return because the underlying pattern has not been properly mapped.
Common reasons include:
- The focus has been only on food triggers
- Digestive capacity has not been assessed
- Constipation, motility or bowel rhythm has been missed
- Stress and nervous system patterns are affecting gut function
- Microbiome patterns are being treated in isolation
- Supplements are being added without clear clinical reasoning
- Testing has been done but not interpreted alongside symptoms
- Food restriction has continued for too long without rebuilding tolerance
- Changes have been made in the wrong order
- Progress has not been reviewed and adjusted over time
This is why sequencing matters. Doing the right thing at the wrong time can be unhelpful, especially when symptoms are complex, reactive or long-standing.
Inflammation, Infections and Microbial Imbalance
Persistent gut symptoms are not always caused by food intolerance alone.
For some people, symptoms may be associated with previous infections, food poisoning, travel-related illness, antibiotic use, H. pylori, SIBO-type patterns, yeast imbalance, parasites, low-grade inflammation or wider microbiome disruption.
These possibilities should not be assumed from symptoms alone. They need to be considered alongside your health history, bowel pattern, food reactions, travel history, medication use, upper digestive symptoms, red flags and testing where appropriate.
Inflammation is also not a single explanation. It may be influenced by diet quality, alcohol, stress, sleep disruption, immune activity, infections, medication history, gut barrier function and wider health patterns.
Within the Gut Restoration Programme, these factors are reviewed carefully. If testing is appropriate, it is considered because it may change decision-making, not because everyone needs the same test.
H. pylori, Gastritis and Upper Digestive Symptoms
Some people with persistent reflux, indigestion, nausea, upper abdominal pressure, early fullness or bloating may need medical assessment for upper digestive causes such as gastritis or H. pylori infection.
H. pylori is a type of bacteria that can live in the stomach. In some people, it may be associated with gastritis, ulcers, indigestion, nausea or bloating. In others, it may cause no symptoms at all. This is why it should not be assumed from symptoms alone.
Within the Gut Restoration Programme, upper digestive symptoms are reviewed as part of your wider case history. If H. pylori testing, reflux management, ulcer assessment or further medical review may be appropriate, this should be discussed with your GP or an appropriate medical professional.
Nutrition support may still be useful after medical assessment or treatment, especially where digestion, food tolerance, inflammation, meal rhythm, microbiome patterns or gut resilience need to be supported. However, H. pylori itself requires proper medical testing and treatment where indicated.
The 5-Step Gut Restoration Framework
The Gut Restoration Programme is guided by the 5R functional nutrition framework:
Remove → Replace → Reinoculate → Repair → Rebalance
This framework is useful because it gives structure to a process that can otherwise feel overwhelming. But it should not be used as a rigid protocol.
Not everyone needs the same first step. Someone with constipation, bloating and poor motility may need a different starting point from someone with diarrhoea, reflux, food reactions or symptoms that began after antibiotics or travel. The order matters.
That is why the programme begins with a Full Spectrum Health Mapping Session before recommendations are made.
Remove
Identify what may be irritating, overloading or disrupting your digestive system, including food triggers, alcohol, medication-related effects, previous infections, microbial imbalance, SIBO-type patterns, parasites, yeast, H. pylori or inflammation patterns where relevant.
Replace
Assess whether digestion itself needs support, including meal timing, chewing, eating speed, appetite, reflux, fat tolerance, upper digestive function, bile flow, pancreatic enzyme output or symptoms such as heaviness after meals.
Reinoculate
Consider the gut microbiome, fibre tolerance, plant variety, prebiotic foods, fermented foods where appropriate, probiotic suitability and how gradually your gut can tolerate microbiome support.
Repair
Support the conditions that may influence gut lining resilience, immune balance and digestive comfort, including nutrient status, food quality, inflammation patterns, sleep, stress load and ongoing irritation.
Rebalance
Build longer-term stability by considering sleep, stress physiology, nervous system load, hormones, movement, meal rhythm, eating behaviours and daily routines that influence digestion.
How Each Stage Is Applied
The Remove stage looks at what may be irritating, overloading or disrupting your digestive system.
This may include food triggers, alcohol, ultra-processed foods, poor meal timing, high stress load, previous infections, antibiotic history, medication-related digestive effects, or patterns that may be associated with bloating, reflux, fermentation, constipation, diarrhoea or food reactions.
In some cases, it may also be important to consider whether symptoms could be linked with microbial imbalance, yeast patterns, SIBO-type patterns, parasites or previous gut infections. These are not assumed. They are considered carefully alongside your symptoms, history, travel, food poisoning history, bowel patterns and any relevant testing.
In upper digestive cases, the Remove stage may also involve recognising when medical testing is needed for issues such as H. pylori, gastritis or ulcer-related symptoms, rather than trying to manage these through nutrition alone.
The aim is not to “kill everything” or remove foods endlessly. The aim is to identify what appears relevant in your case, reduce unnecessary irritation where appropriate, and create a clearer foundation for the next stage of support.
The Replace stage considers whether your digestive system has the support it needs to break down and tolerate food comfortably.
For some people, symptoms are not only about what they are eating, but how well food is being processed. This may include patterns linked with upper digestive function, stomach acid, bile flow, pancreatic enzyme output, fat tolerance, protein digestion, meal size, eating speed, chewing, appetite, nausea, reflux or heaviness after meals.
This stage is especially relevant when someone feels full quickly, gets upper abdominal pressure, reacts to fatty meals, feels bloated soon after eating, sees undigested food in stools, or feels that meals “sit” heavily.
Replace does not mean automatically adding digestive enzymes or acids. That would be careless. It means assessing whether digestive capacity may be part of the pattern and deciding what support is appropriate, safe and properly timed.
The Reinoculate stage considers the gut microbiome and how your gut environment responds to fibre, plant foods, fermented foods and probiotic support.
This stage is not as simple as “take probiotics”. Some people tolerate probiotics well. Others feel more bloated, gassy or uncomfortable, especially if constipation, slow motility, SIBO-type patterns, high fermentation, histamine sensitivity or gut sensitivity are present.
Reinoculation may involve looking at fibre tolerance, plant variety, bowel regularity, prebiotic foods, fermented foods where appropriate, probiotic suitability and how gradually your gut can adapt.
The aim is to support microbial balance in a way your body can tolerate. More is not always better, and introducing microbiome support too early can make symptoms worse for some people.
The Repair stage looks at the conditions that may support gut lining resilience, immune balance and digestive comfort over time.
This may include nutrient status, protein intake, omega-3 intake, zinc status, vitamin D, iron status, food quality, inflammation patterns, alcohol intake, sleep, stress load, blood sugar balance, immune activation, medication history and ongoing irritation from foods or lifestyle patterns.
This stage is often relevant when someone has long-standing food reactions, post-infectious symptoms, frequent flare-ups, fatigue, skin changes, loose stools, sensitivity to many foods, or symptoms that worsen when the body is under stress.
Repair does not mean promising to “heal the gut” with a supplement. That is overused and misleading. In this programme, repair means identifying what may be compromising gut resilience and supporting the foundations your gut needs to function more comfortably.
The Rebalance stage focuses on the longer-term patterns that determine whether progress is sustainable.
Gut symptoms often return when the plan only focuses on food and ignores the person’s real life. Sleep, stress physiology, nervous system load, hormones, movement, meal timing, eating behaviours, blood sugar balance, work patterns, family responsibilities and emotional load can all influence digestion.
This stage may be especially relevant when symptoms flare during stress, worsen around the menstrual cycle or perimenopause, change with poor sleep, become worse when meals are rushed, or return when routines collapse.
Rebalance is not about creating a perfect lifestyle. It is about building a realistic rhythm that supports digestion consistently enough to maintain progress. The goal is a plan that fits your life, not a plan that only works when everything else is perfect.
How the Gut Microbiome May Relate to Your Symptoms
The gut microbiome may be relevant if you experience IBS-type symptoms, bloating, constipation, diarrhoea, food reactions, excessive gas, fermentation, brain fog or symptoms that changed after antibiotics, infection, travel or a stressful period.
But the microbiome should not be treated as the whole explanation.
Microbiome patterns may influence how much gas you produce, how well you tolerate fibre, how regular your bowel movements are, how sensitive your gut feels, and how your immune system responds inside the digestive tract.
This is why some people feel worse with probiotics, fermented foods or high-fibre diets. The issue is not always that those foods are “bad”. It may be that your gut is not ready for that level of fermentation, or that constipation, motility, SIBO-type patterns or gut sensitivity need to be considered first.
Gut microbiome testing may be useful in some cases, but it is not always needed. It does not diagnose IBS, SIBO, reflux or inflammatory bowel disease on its own. Testing is only useful when it helps guide decisions and is interpreted alongside your symptoms, history, diet, medication use, bowel patterns and red flags.
The Gut-Brain Axis, Stress and Digestive Symptoms
Digestive symptoms are not only about food.
The gut and nervous system communicate closely through the gut-brain axis. This means stress, poor sleep, anxiety, rushing meals, ongoing emotional stress, irregular routines and constant pressure can influence digestion.
This does not mean your symptoms are “all in your head”. It means your nervous system can affect gut motility, reflux patterns, bowel urgency, constipation, appetite, gut sensitivity and how strongly your body reacts to certain foods.
This is why some people feel worse during stressful periods, around major life events, after poor sleep, during hormonal changes or when eating quickly between responsibilities.
For some clients, gut support needs to include meal rhythm, nervous system regulation, sleep support and realistic lifestyle changes alongside nutrition. Ignoring this part of the picture is one reason gut plans often fail.
Why Generic Gut Advice Often Fails
Generic gut advice often fails because it starts with the solution before understanding the pattern.
You may have been told to eat more fibre, take probiotics, cut gluten, avoid dairy, try low FODMAP, drink peppermint tea, take digestive enzymes or remove trigger foods. Some of these may help the right person at the right time. But none of them are automatically right for everyone.
One person with bloating may need constipation and motility addressed first. Another may react badly to fibre because fermentation is already high. Someone with diarrhoea and urgency may need a very different approach from someone with reflux, early fullness and upper abdominal pressure. A person with food reactions after antibiotics or infection may need a different sequence again.
This is why the Gut Restoration Programme does not start with a generic list of foods or supplements. It starts by asking what pattern is driving the symptoms and what needs to be addressed first.
How Functional Nutrition Assesses Your Digestive Symptoms
Functional nutrition looks at the full pattern behind your digestive symptoms rather than treating bloating, reflux, constipation, diarrhoea or food reactions as separate problems.
In the Gut Restoration Programme, assessment begins with your story: when symptoms started, what was happening around that time, what you have already tried, and how your digestion behaves now.
This includes looking at your main digestive symptoms and how often they occur.
- Bowel habits, stool patterns, urgency, constipation or diarrhoea
- Reflux, nausea, early fullness or upper abdominal discomfort
- Bloating patterns, gas, fermentation and visible distension
- Food reactions, current restrictions and fear around eating
- Medication history, including antibiotics, acid-suppressing medication, painkillers or long-term prescriptions
- Previous infections, travel illness, food poisoning or H. pylori history
- Stress load, sleep, nervous system patterns and daily rhythm
- Hormonal patterns, including cycle changes or perimenopause where relevant
- Existing diagnoses, GP investigations and previous test results
- Relevant blood, stool, breath or microbiome testing where available
- Red flags that require GP or medical review
- Practical factors such as work, family life, cooking time, budget and routine
The purpose is not to collect information for the sake of it. The purpose is to understand what may be driving your symptoms, what needs medical review, what has already been missed, and what needs to be prioritised first.
A useful plan should fit your body, your symptoms and your real life.
Testing That May Be Relevant
Testing is not always required before starting support, but it can be useful when symptoms are persistent, complex or unclear.
In some cases, existing GP results may provide important context. These may include blood tests, coeliac screening, inflammatory markers, iron studies, thyroid markers, B12, folate, vitamin D, liver markers or stool-related investigations.
For upper digestive symptoms such as ongoing indigestion, nausea, upper abdominal discomfort, early fullness or persistent reflux, GP assessment may include consideration of H. pylori testing or other investigations where appropriate.
Where relevant, functional testing may also be discussed. This could include stool analysis, gut microbiome testing or breath testing where patterns such as SIBO-type symptoms, microbial imbalance, parasites, yeast or digestive insufficiency need further context.
Testing should never be used as a shortcut. A test result does not replace your symptom history, medical history, diet pattern, bowel habits, medication use or red-flag assessment.
If symptoms are severe, changing, persistent or concerning, medical assessment should come first.
How Support Is Personalised Over 6 Months
Your support is personalised according to your symptom pattern, history, tolerance and priorities.
In practice, this means your plan is not decided from a single symptom or a generic gut protocol. It is shaped by what is most relevant in your case.
This includes considering:
- Whether medical review is needed before nutrition support continues
- Which symptoms are most disruptive day to day
- Whether bloating, constipation, diarrhoea, reflux, food reactions or upper digestive symptoms dominate
- Whether your triggers are consistent, delayed or unpredictable
- How restricted your diet has become
- Whether stress, sleep, hormones or nervous system load are affecting symptoms
- Whether previous infections, antibiotics, H. pylori, SIBO-type patterns, yeast, parasites or inflammation need to be considered
- Whether testing would change the plan
- What is realistic for your routine, cooking time, family life and work
- How quickly your body tolerates change
The six-month structure allows time for assessment, implementation, review and adjustment. This matters because gut restoration is rarely linear. Symptoms may shift, tolerance may change, and recommendations often need to be adapted rather than left static.
The aim is to build a plan that your body can respond to and that you can actually follow.
Who This Programme Is Not For
This programme may not be suitable if you are looking for:
- A quick gut reset
- A detox or cleanse
- A generic meal plan
- A supplement list without assessment
- A one-off answer without follow-up
- Passive support without making changes
- Nutrition support instead of medical review where red flags are present
Clear fit matters. If your symptoms suggest that medical assessment is needed first, that should be prioritised.
When to Seek Medical Advice
Nutrition support does not replace medical assessment.
You should speak to your GP or an appropriate medical professional if you have:
- Unexplained weight loss
- Blood in your stool or bleeding from the bottom
- Persistent vomiting
- Severe or worsening abdominal pain
- Persistent diarrhoea
- Iron deficiency anaemia
- New or unexplained bowel changes
- Symptoms waking you at night
- Difficulty swallowing
- A family history of bowel disease or bowel cancer
- Persistent reflux that is not improving
- Symptoms during pregnancy
- Symptoms in children, older adults or medically complex situations
- New or worsening symptoms after the age of 50
If any of these apply, medical review should happen before, or alongside, nutrition support.
Working with Beenish Tariq
The Gut Restoration Programme is delivered by Beenish Tariq, RNTP, mBANT, rCNHC, a UK Registered Nutritional Therapy Practitioner specialising in gut and digestive health.
This is a structured 6-month programme for people who need more than a one-off consultation or general gut advice. It is designed for adults with persistent digestive symptoms who want personalised support, clinical reasoning and review over time.
The programme begins with a Full Spectrum Health Mapping Session, followed by six structured follow-up consultations. This allows time to understand your case, apply the 5-step gut restoration framework, review your response and adjust recommendations as your symptoms, tolerance and priorities change.
The first step is a Free Roadmap Session. This helps clarify whether the Gut Restoration Programme is the right level of support for you, whether a one-off mapping session may be more appropriate, or whether medical review should be prioritised first.
This call helps clarify whether you need a one-off mapping session, longer-term gut support or medical review before nutrition work begins.
Learn more about the Full Spectrum Health Mapping Session.
Frequently Asked Questions
Gut symptoms often return because the obvious trigger is not always the full reason. You may notice bloating after certain foods, reflux after meals, constipation during stress, or diarrhoea when your routine changes but those patterns may be linked to several underlying factors.
In the Gut Restoration Programme, I look at digestion, bowel habits, food reactions, microbiome patterns, stress load, sleep, medication history, previous infections and inflammation markers where relevant. This helps us understand what may be keeping symptoms active and what needs to be prioritised first.
This is very common. “Healthy” foods can still cause bloating if your gut is not currently tolerating them well. High-fibre foods, raw vegetables, beans, lentils, fermented foods or large meals may be too much at certain stages, especially if constipation, slow motility, fermentation, gut sensitivity or microbiome imbalance are involved.
The programme may help by identifying whether your bloating is more linked with food tolerance, bowel rhythm, fermentation, stress, upper digestion or another pattern, so changes can be made more carefully instead of simply cutting out more foods.
Yes, they can for some people. Probiotics, fermented foods and prebiotic fibres may be helpful in the right context, but they can also increase bloating, gas or discomfort if introduced too early or if constipation, SIBO-type patterns, slow motility or gut sensitivity are present.
This is why I do not recommend adding gut supplements blindly. In the programme, microbiome support is considered in the context of your symptoms, bowel habits, tolerance and timing.
They could be part of the picture for some people, especially if symptoms began after food poisoning, travel, antibiotics, a stomach bug or a period of significant stress. SIBO-type patterns, yeast imbalance, parasites or wider microbiome disruption may be worth considering in the right context.
However, these should not be assumed from symptoms alone. In the programme, I review your history, symptom pattern and any relevant testing before deciding whether this area needs further investigation or support.
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It may still be suitable, but your medication history needs to be reviewed carefully. Many people with digestive symptoms are taking antacids, acid-suppressing medication, laxatives, iron, magnesium, antibiotics, painkillers or other prescribed medicines.
In the Gut Restoration Programme, I look at your medication history as part of the wider assessment because some medicines may affect digestion, nutrient status, bowel habits or symptom patterns.
Yes, anxiety and stress can affect digestion through the gut-brain axis. It means your nervous system can influence gut motility, reflux patterns, bowel urgency, constipation, appetite, gut sensitivity and how strongly your body reacts to certain foods.
In the Gut Restoration Programme, I consider stress, sleep, meal rhythm, nervous system patterns and lifestyle pressures alongside food, digestion, microbiome patterns and testing where relevant. For some people, improving gut symptoms also means supporting the conditions that help the nervous system and digestion work more calmly together.
Not always. Some clients already have useful test results; others do not need testing straight away. Testing is only helpful when it changes the plan.
I usually start by looking at your symptoms, history, bowel habits, diet, medication use, previous infections and red flags. If gut microbiome testing, stool testing or breath testing may add useful information, we can discuss whether it is appropriate for your case.
It may be suitable if you have IBS-type symptoms such as bloating, constipation, diarrhoea, abdominal discomfort, urgency or alternating bowel habits. These symptoms often involve more than one mechanism, which is why generic IBS advice does not work for everyone.
The programme may help by looking at your specific bowel pattern, food reactions, stress load, microbiome factors, motility, digestive capacity and previous test results, so support can be personalised rather than based on a standard IBS plan.
Not necessarily. Many people come to me already eating a restricted diet and feeling anxious about food. Removing more foods is not always the answer.
Sometimes short-term changes are useful, but the aim is to understand what your gut can tolerate, what may be driving reactions, and how to protect nutritional adequacy and food confidence. Where possible, the longer-term goal is to support more stability and variety, not create unnecessary restriction.