THE GUT MICROBIOME:
Trillions of microorganisms (bacteria, fungi, viruses) in the digestive tract
~100 trillion bacteria — more than human body cells
Major phyla: Firmicutes, Bacteroidetes (together ~90% of gut bacteria)
Functions:
Digest food we cannot digest (fibre fermentation)
Produce vitamins (K2, B12, biotin, folate)
Regulate immune system (70% of immune cells in gut)
Produce neurotransmitters (90% of serotonin made in gut)
Protect against pathogens (colonisation resistance)
GUT-BRAIN AXIS:
Bidirectional communication: gut ↔ brain via vagus nerve
Gut produces 90% of body serotonin (mood regulation)
Dysbiosis (imbalanced microbiome) linked to anxiety, depression
Stress affects gut motility and permeability
SIGNS OF POOR GUT HEALTH:
Digestive: bloating, gas, constipation, diarrhoea, IBS, acid reflux
Systemic: fatigue, brain fog, skin issues (eczema, acne), frequent infections
Mental: anxiety, depression, mood changes
IMPROVING GUT HEALTH:
Eat diverse plant foods: aim 30+ different plants per week
Increase dietary fibre: 25–38g/day (prebiotic fuel for good bacteria)
Fermented foods (probiotics):
Curd/yoghurt: Lactobacillus acidophilus
Idli/dosa batter: fermented — Lactobacillus
Kimchi, kefir, kombucha, sauerkraut
Pickles in brine (not vinegar)
Prebiotics (food for good bacteria):
Garlic, onion, leeks, asparagus, oats, bananas, flaxseed
Avoid: excessive antibiotics, processed foods, artificial sweeteners
Manage stress: cortisol disrupts gut microbiome
Sleep: microbiome follows circadian rhythm
IBS MANAGEMENT:
Low FODMAP diet (Fermentable Oligosaccharides, Disaccharides, Monosaccharides, Polyols)
Avoid high-FODMAP: onion, garlic, wheat, apples, milk, legumes (temporarily)
Reintroduce systematically to identify personal triggers
Stress management crucial component
MICROBIOME: ~100 trillion bacteria | Firmicutes + Bacteroidetes = 90%
FUNCTIONS: digest fibre | make vitamins | regulate immunity | produce serotonin
GUT-BRAIN: vagus nerve | 90% serotonin in gut | dysbiosis → mood issues
PROBIOTICS: curd, idli/dosa, kimchi, kefir, kombucha, brine pickles
PREBIOTICS: garlic, onion, oats, banana, flaxseed (feed good bacteria)
IBS: Low FODMAP diet | identify personal triggers | stress management
DIVERSITY: 30+ different plants per week = most important dietary target