The presence of circulating IgG antibodies to foods may be suggestive of increased intestinal permeability, also referred to as "leaky gut syndrome." When the tight junctions forming the barrier in the gut don't work properly, larger substances can "leak" through, causing an immune response. This immune response may result in the production of IgG antibodies to foods.[4] There are multiple dietary and lifestyle factors that contribute to increased intestinal permeability. These factors include alcohol,[13] stress,[14,15] chronic NSAID use,[16] Western-type diet (high consumption of red meat, animal fat, high sugar and low fiber food),[17] and prolonged and strenuous exercise.[18,19,20]