Earlier quoted context omitted.
So-called " leaky gut" is hogwash pushed by quacks. It's what influencers push on TikTok or at least their interpretation of it. https://www.mcgill.ca/oss/article/medical-critical-thinking/...
Sure, leaky gut as a diagnosis is a misapplication for the science. What is real is varying permeability of the intestinal lining in all humans.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10059777/
"Key controversies in blood microbiome research are the susceptibility of low-biomass samples to exogenous contamination and undetermined microbial viability from NGS-based microbial profiling"
Just because you can amplify some sporadic bacteria DNA from the blood does not mean that bacteria are hanging out in the blood in a physiologically meaningful way.
A lot of it is frankly junk science in disreputable journals.
On the otherhand: https://www.nature.com/articles/s41564-023-01350-w
"Despite this, we found no evidence for microbial co-occurrence relationships, core species or associations with host phenotypes."