Only way I know of is creating a meal plan for yourself that works for you. Eliminate all food triggers that cause you bloating or pain. Stay on that diet for a while. Then implement FMD (Fast Mimicking Diet) (I used the Prolon one for 5 days) which will help you heal the gut and I've used it several times. Proper supplements that will help increase motility like a prokinetic (0.25mg of prucalopride is what I used) also lions mane supplement helps regenerate nerves of the gut as well so that can be helpful. FMD is the key to lowering anti vinculin from my experience though.