Coming in 2026: Get on the Waitlist
BECOME A GUT HEALTH EXPERT, ONE ORGAN AT A TIME
An in-depth, functional medicine certification program
Learn how gut dysfunction starts, presents, and impacts the entire body
Enroll NowJUMP TO:
Your Complete GI Tract Fellowship
Building expertise through organ-specific study
The digestive system drives human health. Yet most medical programs only scratch the surface of its ten interconnected organs, leaving large knowledge gaps that limit your ability to help patients achieve true healing.
Bottom-Up Institute changes that approach entirely. Instead of learning a little about everything, we’re diving deep into each digestive organ—understanding its unique role, how dysfunction develops, and most importantly, how to address root causes rather than just symptoms. This isn't just another certification program—it's your opportunity to develop true expertise in gut health, one organ at a time.
Did Your Functional Or Conventional Program Teach You Enough?
Let's test your knowledge 
1. Beyond basic digestion, what role does your stomach's parietal cells play in nutrient absorption?
2. How does gallbladder dysfunction affect thyroid function?
3. What’s the connection between pancreatic enzyme function and intestinal barrier function?
4. Beyond bile production, how does the liver influence gut motility?
5. What role do intestinal brush border enzymes play in systemic inflammation?
Surprised By WhatÂ
You Don't Know?
Those quiz results are more common than you think
Even the most experienced practitioners discover they have blind spots when it comes to gut health. That's not a reflection of you—it's a result of how medical education typically approaches the digestive system.
The good news? Understanding these complex connections isn't out of reach.
Through Bottom-Up Institute's systematic training, you'll build the comprehensive understanding needed for effective, root-cause treatment protocols—finally helping clients and patients experience lasting healing they didn’t find elsewhere.
AÂ Top-Down Look
At Bottom-Up Diseases
Over eight months, you'll develop a complete understanding of each digestive organ.
Rather than rushing through complex systems, we dedicate an entire month to each one—exploring its function, dysfunction, and role in overall health.
Here's how each month unfolds:
Week 1: Anatomy And Physiology
Week 2: Diagnoses Related To The Organ And Root Causes
Week 3: Management Strategies
Week 4: Study/Review Week
Your CompleteÂ
Curriculum:
MONTH 1:
Mouth & Esophagus
MONTH 2:
Stomach
MONTH 3:
Liver
MONTH 4:
Pancreas
MONTH 5:
Gallbladder
MONTH 6:
Small Intestine
MONTH 7:
Large Intestine
MONTH 8:
Final Integration & Certification Preparation
All training sessions are recorded and uploaded for flexility, supported by our active learning platform where you can ask questions, get clarity, and attend live office hours for direct support.
Enroll TodayA Glimpse AtÂ
What’s Inside
Take a small peek at what you’re learning:
You know a lot about the body, but I promise, there’s more to uncover. Take the esophagus—a digestive organ you studied in anatomy.
Do you know:
- How specific mineral deficiencies impact lower esophageal sphincter function
- Where systemic conditions first present as subtle esophageal changes
- Why conventional treatments may obscure underlying dysfunction
Stumped? That's just one organ. Imagine how your work will change when you learn:
- Complete organ function and dysfunction patterns
- Root causes of common diagnoses
- Nutrient requirements for optimal function
- Natural alternatives to conventional treatments
- Key lifestyle factors affecting organ health
- Connections to systemic health conditions
This depth of understanding transforms how you approach each case—moving beyond symptom management to true healing protocols—empowering you to become the educated practitioner today’s patients so desperately need.
Get Started Now
Get BU Certified
Validate your expertise with our optional certification exam
Want a way to demonstrate your expert understanding of gut health?
Bottom-Up Institute's certification program helps you do that. After completing the eight-month curriculum, you'll have the opportunity to sit for our certification exam—earning credentials that showcase your specialized knowledge.
Successful completion grants you the BU-C credential, which you can use to:
Â
Certification details:
Â
Pricing & Tuition
During this time, you’ll develop:
Seven months of in-depth organ-system training One month for final integration & credential prep Recorded sessions for flexible, self-paced learning Active learning platform for questions and discussion Monthly competency checks to ensure understanding Dedicated community portal for peer support 12 months of access post-completion And more!Ready To Expand Your Impact —
Advance your expertise, and transform patient outcomes?
Your patients deserve a practitioner who truly understands gut health—not just symptoms and standard protocols, but the deep, interconnected workings of each organ. And you deserve the confidence that comes from comprehensive understanding.
Bottom-Up Institute gives you both: the detailed knowledge to provide real, lasting solutions and the professional advancement that comes from true expertise.
FAQs
Do I need prior functional medicine training?
What credentials do I need to enroll?
How long do I have access to the materials?
What does certification include?
When can I take the certification exam?
Have additional questions? Visit our contact page to connect with our team.
Coming in 2026
Join the waitlist to be the first to know when enrollment opens and gain access to exclusive updates and tuition discounts.
