What is this and when is it useful?
- FMT (Fecal Microbiota Transplantation) : Introducing the gut microbiota of a healthy donor into the recipient's gut to "reset" the gut ecosystem.
- The strongest evidence : recurrent Clostridium difficile infection.
- Currently under investigation/has potential in : IBD/IBS , autoimmune diseases, metabolic and neurological disorders (Parkinson's disease, depression, etc.). Effectiveness is greatly influenced by individual differences and subsequent diet / lifestyle.
Key question: How long can it last? If we revert to our old diet and lifestyle, the new gut microbiota will most likely be pulled back to its original state. A smarter approach is to learn from the donor's diet and lifestyle.
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Risks and Safety
- Risks of infection, allergic / immune reactions, and the possibility of introducing undesirable strains.
- DIY is strictly prohibited ; donors must be screened by qualified medical institutions.
Things to avoid (List of bacteria that harm gut health)
- The causes include antibiotic abuse, prolonged exposure to pesticides / herbicides (such as glyphosate ) , smoking, and excessive alcohol consumption.
- A diet primarily consisting of ultra-high temperature / high sterilization foods (long-term consumption of only pasteurized beverages, canned goods, and ultra-processed products) results in insufficient exposure to microorganisms and inadequate fermentation substrates.
- Long-term consumption of high-sugar refined starch, trans fats, and ultra-processed foods.
Things to do ( 8 tips for cultivating bacteria)
- Diverse plant intake : Aim for 20–30 different plant sources per week (vegetables, herbs, nuts, seeds, olives / avocados, etc.) → Diverse fiber and polyphenols foster diverse bacteria.
- Fermented foods : Prioritize sauerkraut, kimchi, miso, naturally fermented pickles, kefir, and aged cheese .
- Eat raw food in moderation : Some vegetables can introduce environmental microorganisms when eaten raw (pay attention to washing and sourcing; for meat, prioritize safe cooking times).
- Intermittent fasting and regular exercise can both improve gut microbiota diversity and mucosal health.
- Managing stress and sleep : Stress can alter gut microbiota and intestinal permeability.
- Bile flow and fat-soluble nutrients : Good bile helps with the absorption of fats and fat-soluble vitamins, and microorganisms also produce secondary bile acids , which can regulate metabolism and immunity.
- Key points during pregnancy and childbirth : ** Breast milk (colostrum) ** can transfer maternal antibodies and beneficial bacteria, helping the baby to colonize.
- Probiotics / prebiotics : Can be considered during and after antibiotic treatment (choose multiple strains, combined with fermentable fiber).
"Super Helper" in Plants
- Sulforaphane (broccoli sprouts, cruciferous vegetables): can inhibit Helicobacter pylori and help repair the gastric mucosa.
- Flavonoids (such as quercetin) : have antibacterial / microbial-regulating effects.
- Plant pigments such as lutein , anthocyanins , and astaxanthin : have antioxidant properties and some have antibacterial synergistic effects.
If you are sensitive to "antinutrients"
- Foods high in oxalates : spinach, beetroot, Swiss chard, potatoes, nuts (some), cocoa, quinoa, and some legumes.
- Countermeasures: Choose low-oxalic acid vegetables (lettuce, cauliflower, cabbage, radish, cucumber, asparagus, herbs), blanch and drain to reduce oxalic acid, and gradually reduce the amount of vegetables to avoid "oxalic acid dissociation reaction".
A practical weekly microbiome-friendly menu framework
- Daily : 1 serving of fermented food + at least 5 different kinds of vegetables (the more colors, the better).
- Weekly : Try 2–3 new plant sources; 2–3 HIIT or brisk walking / resistance training sessions ; 12–16 hour intermittent fasting for 3–5 days.
- Sustainable habits : reduce sugar intake, minimize processed foods, consume sufficient protein and healthy fats, and get good sleep.
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Quick Conclusion
- FMT can rapidly rebuild the gut microbiome in certain diseases (especially C. diff ) , but long-term maintenance depends on your diet and lifestyle .
- Think of your gut as a "garden": less herbicide, a variety of seeds, appropriate fertilization (fiber / polyphenols / fermented foods), regular sunlight and rain (exercise / sleep / stress reduction) will allow good bacteria to grow steadily and for a long time.
YouTube source: https://www.youtube.com/watch?v=rOxrNCknTl4
YouTube Column: Dr. Berger in Chinese Health knowledge
