The microbiome refers to colonies of symbiotic, commensal, and pathogenic micro-organisms. They exist on the skin’s surface, the mucous membrane of the mouth, the conjunctiva, and the intestine. It is estimated that there are 500-1000 distinct bacterial species living in the intestine. The most common are Bacteroides, Clostridium, Fusobacterium, and Bifidobacterium. Other known strains are Escherichia and Lactobacillus. 50-60% of your body is made up of bacteria, fungi, and micro-organisms. For each human gene there are 100 micro-organism genes.
Their functions include fermenting carbohydrates (fiber) that the body otherwise cannot digest, creating short chain fatty acids. The intestinal bacterial strain also contributes to the absorption of K vitamins, B vitamins, some minerals (Mg, Ca, Fe) and the production of bile acids, as well as improving the health of the immune system.
A single course of antibiotics can affect as much as 30% of the entire bacterial flora of the intestine and can throw off the balance from six months to two years. However, as bad as antibiotics can be, they are necessary when Salmonella, Shigella, Campylobacter, or Yersinia have entered the intestine. The liberal use of antibiotics may cause predisposition to diarrhea, Clostridium difficile infection, and overgrowth of other harmful bacteria.
Antibiotic resistant bacteria may arise due to: antibiotics given to farm animals, mutated forms of bacteria resisting antibiotics and contaminating the meat, humans eating it and becoming infected by mutated bacteria, and some antibiotics having no effect as they are already immune.
Choose whole, raw, organic, non-GMO foods that are friendly to the gut lining, such as bone broth, sprouted seeds, and cultured dairy products, along with fermented and cultured foods, like sauerkraut, kimchi, and kombucha, and fiber-rich prebiotic foods, like jicama, Jerusalem artichokes, garlic, and dandelion greens. Remember that pasteurized fermented foods often no longer contain living bacteria. If you have a histamine intolerance, you should limit your fermented foods and stick to low-histamine probiotics. Also, don’t forget to get a probiotic that is enteric coated so that the bacteria actually make it to the small intestine.
A low-fiber diet can deprive your gut bacteria of prebiotics. Not to mention a lack of foods high in probiotics. Most commercial food is pasteurized, packaged improperly, or have lots of sugar added. The opportunistic fungi, Candida albicans, is notorious for multiplying like crazy during periods of high stress, low microbiome competition, and high simple sugar consumption.
Diversity In the Gut
Some parasites and bacteria may actually improve immune function even though they may be considered “bad” (within reason). There has even been a study suggesting that helminth therapy (parasite supplementation) may help enhance the function of Treg cells and prevent autoimmune disease (MS, IBD, etc.). Rather than using immunosuppressing drugs it is possible to reverse autoimmunity by reducing inflammation and healing the gut instead.
Maternal Bugs
Babies born vaginally have a similar microbiome to their mother’s gut biome. Children born via C-section have a similar gut biome to the mother’s skin biome. Breast milk contains up to 600 different species of bacteria that help promote bacterial diversity in a child’s gut.
During the first few years of a baby’s life, their microbiome adjusts from bacteria that can utilize/digest milk to bacteria that can metabolize energy from solid foods. By age 3, their microbiome is similar to an adult’s. The makeup of their microbiome has a huge impact on how their immune system develops. Some gut bacteria species produce short-chain fatty acids which play a role in the proliferation and differentiation of immune cells, including T and B cells, which produce antibodies. A surplus of bad bacteria and/or lack of diversity between birth and age 3 may result in autoimmunity, allergies, and asthma.
Antibiotics wipe out both dangerous and beneficial bacteria, causing a reduction in diversity. Increasing the child’s lifetime risk of developing asthma, eczema, and type 1 diabetes.
Gut-Brain Axis
Good bacteria in the gut help to control harmful colonies of bad bacteria, fight pathogens by producing antimicrobial substances, and affect the pH of the gut environment to provide a chemical barrier against harmful microbes. Gut flora also regulates inflammation and activates immune function. 60% of the immune system is found in gut-associated lymphoid tissue (GALT), which is located just outside the intestinal lining. The intestines are also lined with mast cells, which coordinate the immune system and nervous system’s response to toxins and infectious agents.
The neurological and biochemical connection between the enteric nervous system of the intestine and the central nervous system (CNS). The microbiome is known to affect the function of the immune system, nervous system, behavior, stress tolerance, mood, and issues such as anxiety and depression.
Researchers in the University of Alabama (2018) found living bacteria in the brain. Most were Firmicutes, Proteobacteria, and Bacteroidetes.
The brain communicates with the intestine via the autonomic branches of the nervous system: the HPA axis (hypothalamus – pituitary gland – adrenal gland) and the sympathetic nervous system (SNS) – adrenal gland axis which regulates the lymphatic system of the intestine. The first signs of brain dysfunction may be detected in digestion – impaired secretion of pancreatic enzymes, weak gallbladder activity, and the general impairment of intestinal balance and function.
Continuous inflammatory conditions or imbalance of the intestine may cause deterioration of the links between the enterocytes on the surface of the intestine, causing gut permeability. Similarly, impaired brain function or stress-related hyperactivity of the SNS undermines the function of the vagus nerve. This impairs the function of the immune system and reduces blood circulation in the intestine, which increases growth of harmful fungi and bacteria. They can damage the surface tissue and aggravate gut permeability. Continuous low-grade inflammation may also aggravate gut permeability, resulting in production of cytokines. Due to gut permeability, the messenger substances are able to enter the circulation and the brain via the blood-brain-barrier (BBB), causing the BBB to be permeable, activating the connective tissue cells of the brain (microglial cells). The result is chronic inflammatory condition of the brain, which may lead to anxiety and depression.
The bacterial strain of the microbiome can change with dietary adjustments. Meaning dietary choices can influence chronic inflammation and gut permeability. Gut permeability relates to the epithelial cells on the surface of the intestine allowing tight junctions to “leak” when nutrients should be absorbed through the epithelial cells. Celiac disease is an example of an autoimmune disease involving gut permeability. Leaky gut is one of the key factors in the development of autoimmunity diseases. Cause or effect is not known though.
To Support the Microbiome:
Avoid These to Protect the Microbiome:
Probiotics Can Make Your Gut Worse
Most probiotics on the market contain histamines. Certain bacteria produce histamine through a fermentation process, e.g., Lactobacillus casei, Lactobacillus reuteri, and Lactobacillus delbrueckii subsp. bulgaricus. We need histamine as a neurotransmitter too, but excess may lead to histamine intolerance (migraines, sinus issues, premature aging, etc.). Too much histamine producing bacteria and not enough diamine oxide (DAO) to break it down. More histamine neutral ones are Streptococcus thermophilus and Lactobacillus rhamnosus.
Avoid the histamine producing bacteria by not eating yogurts and fermented foods like sauerkraut, some kombucha, pickles, fermented soy products, soy sauce, fish sauce, buttermilk, kefir, mature cheese, red wine, breads made with yeast, and processed, smoked, and fermented meat. Eat prebiotic fiber and resistant starch to support healthy bacteria without buying probiotics.
It’s possible to take supplements that contain histamine-degrading bacteria such as Bifidobacterium infantis, Bifidobacterium longum, and Lactobacillus plantarum.
Candida can live on sugar or ketones, so it can’t be starved by going into ketosis. You need an antifungal protocol.
Health Benefits of Beneficial Living Microbes:
Foods That Provide Probiotics:
Postbiotics are the by-products of probiotics after they have fermented and metabolized prebiotics. Key factors in maintaining long-term digestive health.
Prebiotics are water-soluble fiber and include oligosaccharides, arabinogalactans, fructo-oligosaccharides, and inulin, which are found in vegetables, grains, and roots. Insoluble fiber promotes healthy bowel movements but does not selectively fuel growth of beneficial bacteria like soluble fiber, and is found in legumes, oats, rice bran, barley, citrus, and potatoes. Insoluble fiber may have a positive effect on the absorption of trace elements, the immune system, blood pressure, and reduced risk of colon cancer.
Prebiotic Fiber:
Resistant starch, found in potato starch, is beneficial for the microbiome, insulin sensitivity and obesity as well as hunger regulation in rodents and humans. Inulin and oligo-fructose are prebiotics that promote the wellbeing of the intestine as well as health benefits from dietary fiber.
Resistant Starch:
Modbiotics are compounds that influence the growth of gut microbiota through their antibacterial, antifungal, and anti-parasitic properties. They can reduce excessive firmicutes (sugar-eating bacteria that drive inflammation, oxidative stress, and metabolic acidosis) and increase gut Bacteroidetes. Usually found in natural foods that also contain the sugars, such as pomegranate seeds, fruit peels, pulp, and skin.
If You Have Insufficient Levels of Gut Bacteria, You Are Likely to Experience the Following:
Microbiome Analysis:
Chronic stress, particularly from overtraining, can produce inflammation in the gut, which causes stress that promotes the movement of toxic lipopolysaccharides (LPS) from the gut to the bloodstream, as well as the growth of harmful bacteria in the gut. This is why endurance athletes who don’t consume high-carb foods can still experience gut distress, bloating, constipation, and other GI issues.
Several studies have shown that gut microbiota molecules, including short-chain fatty acids such as butyrate, are essential for controlling mitochondrial oxidative stress, inflammatory response, and pathogen growth, and also improve metabolism and energy expenditure during exercise. Furthermore, short-chain fatty acids and their precursors – such as those found in butter, coconut oil, buckwheat, quinoa, millet, amaranth, cultured vegetables, coconut water, kefir, and probiotic beverages – can induce mitochondrial biogenesis, through a variety of mechanisms such as an increase in the activity of PCG-1alpha (a key regulator of energy metabolism), an increase in redox sensitive energy sensor SIRT1 (a cell-protective and anti-aging pathway), and an increase in the enzyme AMPK (crucial for ATP production), all of which suppress inflammatory responses and enhance the beneficial effects of exercise.
Mitochondria affect gut bacteria too. Mitochondrial ROS production influences the integrity of your intestinal barrier and mucosal immune responses, which regulate the balance and quality of your gut microbiota.
To care for your gut microbiome, eat foods rich in short-chain fatty acids, and support your mitochondria by consuming mineral-rich water and electrolytes, get enough sunlight and infrared light exposure, grounding, using PEMF therapy, cold exposure, and heat therapy.
Too Much Gut Bacteria
Small intestinal bacterial overgrowth (SIBO) can be problematic for people who consume a high-carbohydrate diet (bacteria feed on sugars and starches) and in people with any of the following:
SIBO is a chronic bacterial infection of the small intestine. These bacteria usually live in other parts of the gastrointestinal tract, but when they expand into the small intestine, they interfere with healthy digestion and absorption of nutrients and are associated with damage to the lining of the small intestine (leaky gut syndrome). This can lead to deficiencies in iron and B12, reducing RBC levels.
With poor nutrient absorption comes undigested material for the bacteria to feed on, creating a cycle. Bacteria can also reduce fat absorption by de-conjugating bile, leading to fat-soluble vitamin deficiencies. Undigested food particles can also enter the body, and your immune system reacts to them, creating food allergies and sensitivities. Bacteria can also enter the bloodstream and lead to an immune response. This can lead to endotoxemia, characterized by chronic fatigue and stress in the liver. The bacteria secrete acids which can cause neurological and cognitive symptoms, such as depression and autism.
SIBO can cause nutrient deficiencies, flatulence, bloating, abdominal pain, constipation, diarrhea, and food sensitivities. If you have SIBO, you may also have a negative reaction to fermented foods and IBS from probiotics.
You can test for SIBO with an at-home breath test that measures the amount of gas produced by bacteria. These can produce false negatives though. Try lower carbohydrate intake, juicing, and doing herbal cleanses, as well as an elemental diet.
Basic Protocol for Eliminating SIBO:
Bacteria like Lactobacilli and Bifidobacteria have been shown to improve gut health and immunity. You can get them from fermented foods such as sauerkraut, kimchi, kefir and fermented dairy. Lack of fermented foods in the diet has been shown to cause a fall in innate immune response. Akkermansia has also shown to protect against obesity and type-2 diabetes. You can get them from polyphenol-rich foods.
Endotoxins
Endotoxins, in this case lipopolysaccharides (LPS), are large molecules made of lipids and polysaccharides found in the outer membrane of gram-negative bacteria. The harmful effects of endotoxin are mediated by the release of pro-inflammatory substances such as tumor necrosis factor (TNF) and interleukin-1β. This activates innate immunity, causes a fever and is implicated in sepsis, intra-vascular coagulation and multiple organ failure. Elevations in LPS can also lead to the release of reactive oxygen species like superoxide.
Lipoolygosaccharides can mimic some of the carbohydrates in human cells and end up causing an autoimmune flare-up like multiple sclerosis or CNS demyelinating disease. In other words, anything that damages the gut and increases LPS in the blood may increase the risk of certain autoimmune conditions. H. pylori can also exploit this molecular mimicry. In those who are genetically susceptible, H. pylori may lead to autoimmune gastritis. Endotoxemia in the intestines contributes to the development of alcoholic hepatitis, which is inflammation of the liver. It’s thought to originate from a combination of alcohol, bacterial overgrowth and increased intestinal permeability.
LPS activates toll-like receptor 4 on Kupffer cells in the liver, which causes the release inflammatory cytokines damaging the liver. When the level of endotoxin surpasses the phagocytic capacity of Kupffer cells, there is then a spillover of endotoxin into the blood. Importantly, Kupffer cells contain a glycine receptor (known as glycine gated chloride channels), that when stimulated reduces LPS-induced inflammatory cytokine release. Thus, supplementing with glycine may be one strategy to potentially reduce the harms of LPS and intestinal endotoxemia.
Endotoxemia typically occurs as a result of poor dietary habits. In other words, it’s the effect but not the cause of many chronic conditions. However, in germ-free mice, injecting purified endotoxin from E. coli induces obesity and insulin resistance. So, there are direct causal roles of LPS but it’s the inappropriate leaking of LPS out of the intestines and into the liver via the portal vein and the ensuing inflammation that’s the issue.
Several Proposed Causes of Endotoxemia:
Things That Can Help to Combat Endotoxin and Pathogenic Bacteria Harm:
Most herbs and spices have antibacterial and antimicrobial properties. The most common ones are rosemary, thyme, clove, oregano, licorice, turmeric, astragalus, elderberry and algae.
There is a direct connection between systemic inflammation throughout the body and the gut microbiome.
The microbiome is a big contributor to innate and adaptive immunity, helping to recognize pathogens and differentiate them from the host. Early-life nutrition and microbiota maturation have been found to shape life-long immunity and reduce the risk of chronic diseases.
Type-1 diabetes (T1D) is associated with low microbiota diversity.
Dysbiosis, or an imbalance in the micro-fauna, controls inflammatory bowel disease. Low amounts of Faecalibacterium prausnitzii have been linked with diseases like Crohn’s. A lower prevalence of bacteria like Akkermansia, Faecalibacterium, and Bifidobacterium may increase the susceptibility to allergies by modulating T cells.
Children with T1D have higher levels of Globicatella sanguinis, Dialister invisus and Bifidobacterium longum and reduced Bifidobacterium pseudocatenulatum and Bifidobacterium adolescentis, unlike healthy controls.
There is a correlation between rheumatoid arthritis and Prevotella copri.
The Most Known Beneficial Strains Include Enterococcus spp., Lactobacillus spp., Bifidobacterium spp., Bacillus spp. and Streptococcus spp.
Dr. Sonnenburg and Dr. Chris Gardner investigated whether diets high in plant-based fiber or fermented foods would influence the health of the gut microbiome. Their results show that fermented foods increased overall gut microbiota diversity, as well as reduced key markers of inflammation (aka ‘inflammatome’).
Participants ate six servings per day of fermented foods; however, higher total amounts of ingested fermented foods did not lead to further benefits. Instead, consistently incorporate fermented foods into your daily diet to achieve better outcomes for gut microbiome health and inflammation reduction.
Try incorporating low-sugar fermented foods into your diet, such as sauerkraut, plain yogurt, kimchi, kombucha, natto, kefir or even drinking brine. Find these products in the refrigerator section to ensure there are live active cultures. (Shelf-stable fermented foods are pasteurized, therefore, will not offer the same boost to the gut microbiome.)
In this study, a high-fiber diet did not lead to an increase in microbiota diversity. However, high-fiber diets did increase the amount of carbohydrate active enzymes which help digest fiber and could further enhance the microbiome’s ability to degrade other complex carbohydrates. Additionally, some participants in the high-fiber group showed a reduction in markers of inflammation. Plant-based, high-fiber foods (i.e., vegetables, legumes, and whole grains) offer significant benefits for overall health and can help provide key nutrients for established microbiota.
Prebiotics: fermentable dietary fiber or microbiota-accessible carbohydrates; supplements of food for established gut microbiota
Probiotics: live bacteria or yeasts that can colonize in the gut microbiome
Synbiotics: mixtures of prebiotics and probiotics
Augmenting the gut microbiome with low levels of prebiotics and/or probiotics while still focusing on eating whole quality foods leads to improvement in gut microbiome health.
In cases of dysbiosis, such as after taking antibiotics, during high periods of stress, traveling or changing your diet, higher levels of prebiotics and/or probiotics can aid in recovery and replenish your gut microbiome. However, the excessive intake of probiotics has been linked to the induction of brain fog; therefore, if you experience these symptoms, you could try to reduce the level of supplements that you are ingesting.
Since prebiotics and probiotics are considered supplements, they are not FDA-regulated products. When choosing a supplement, look for an independently validated product. Finally, the gut microbiome is uniquely personalized. Therefore, supplementation will impact individuals differently.
As the gut microbiome is highly attuned to the amount of stress you experience (through direct links to cells of the immune system), achieving the proper quality (deep) and duration (generally 6-9 hours) of sleep each night is essential to manage stress and, in turn, to ensure gut microbiome health.
Foods additives are ubiquitous in processed foods. Emulsifiers, detergent-like additives, can disrupt the mucus layer of the GI tract. In animal models, emulsifiers reduce microbial diversity, induce low-grade inflammation, and cause an increase in body fat, higher blood sugar levels and insulin resistance – key markers of metabolic syndrome.
The typical Western Diet (i.e., high fat, low fiber, higher in processed foods) does not provide gut microbiota with many of the key essential nutrients. When you eat complex, plant-based fiber, the gut microbiota produces fermentation by-products, such as short-chain fatty acids (e.g., butyrate). These substances reduce inflammation, help maintain the gut’s mucosal barrier, regulate the immune system, and modulate metabolism along the GI tract. To enhance the health of your gut microbiome, prioritize a diet rich in whole foods, plant-based fiber, and fermented foods.
Clinical studies have yet to fully tease apart the impact (if any) that artificial sweeteners have on the gut microbiome. However, within animal models, there is evidence that artificial sweeteners can disrupt the gut microbiome. A recent study showed that neuropod cells in the gut can discriminate between natural and artificial sweeteners. Further, these cells send a unique pattern of signals to the brain, depending on whether the sugars they sense are nutritive (i.e., contain calories) or are non-caloric sweeteners.
The Human Microbiome Project found a high degree of individualization of the gut microbiome. Potentially, try removing some artificial sweeteners from your diet to see if you notice an effect and also consider that artificial sweeteners might be capable of influencing your gut microbiome.
*Non-caloric plant-based sweeteners like stevia are probably fine, but there have not been many studies of stevia in regards to the microbiome.
Microbiota are present on any and all surfaces which have come into contact with the environment. Dr. Sonnenburg notes, “Exposure to microbes from the environment is likely an important part of educating our immune systems and keeping everything in the proper balance.” The gut microbiome is also populated from social interactions, including skin contact by shaking hands, hugging, kissing etc. and interactions with pets and dirt, and grass. Over-sanitization of our environments or excessive use of antibiotics can eliminate sources of good gut microbiota. While it is still important to eliminate the introduction of disease-causing pathogens and harmful environmental chemicals (e.g., pesticides), consider that many environmental microbes play an integral role in the establishment and maintenance of a healthy gut microbiome.