Feb. 22, 2024 — Injectable weight reduction medicine like Wegovy, Saxenda, and Zepbound have been getting all of the glory currently, however they’re not for everybody. If the inconvenience or value of weight-loss medicine is not for you, one other strategy could also be boosting your intestine microbiome.
So how does one do this, and the way does it work?
“There are lots of various factors naturally in weight achieve and weight reduction, so the intestine microbiome is definitely not the one factor,” mentioned Chris Damman, MD, a gastroenterologist on the College of Washington. He research how meals and the microbiome have an effect on your well being. “With that caveat, it in all probability is taking part in an vital function.”
Trillions of Microbes
The concept that your intestine is dwelling to an infinite vary of tiny organisms — microbes — has existed for greater than 100 years, however solely within the twenty first century have scientists had the flexibility to delve into specifics.
We now know you desire a sturdy assortment of microbes in your intestine, particularly within the decrease intestine, your colon. They feast on fiber from the meals you eat and switch it into substances your physique wants. These substances ship alerts throughout your physique.
For those who don’t have sufficient microbes or have too lots of the unsuitable sorts, it influences these alerts, which may result in well being issues. During the last 20 years, analysis has linked issues within the intestine microbiome to all kinds of circumstances, together with inflammatory bowel illness, autoimmune ailments like rheumatoid arthritis, metabolic ones like diabetes, and heart problems, bronchial asthma, and even autism.
Thanks to those efforts, we all know so much in regards to the interactions between your intestine and the remainder of your physique, however we don’t know precisely how many issues occur — whether or not some teeny critters inside your microbiome trigger the problems or vice versa.
“That is the issue with a lot of the microbiome stuff,” mentioned Elizabeth Hohmann, MD, a doctor investigator on the Massachusetts Basic Analysis Institute. “Olympic athletes have a greater intestine microbiome than most individuals. Nicely, certain they do — as a result of they’re being attentive to their food plan, they’re getting sufficient relaxation. Correlation doesn’t causation make.”
The American Food plan Messes With Your Intestine
For those who’re a typical American, you eat lots of ultra-processed meals — manufactured with a protracted substances record that features components or preservatives. In accordance with one research, these meals make up 73% of our meals provide. That may have a critical impression on intestine well being.
“While you course of a meals and mill it, it turns an entire meals into tiny particles,” Damman mentioned. “That makes the meals extremely digestible. However for those who eat a stalk of broccoli, a considerable amount of that broccoli within the type of fiber and different issues will make its option to your decrease intestine, the place it’ll feed microbes.”
With closely processed meals, then again, most of it will get digested earlier than it may well attain your decrease intestine, which leaves your microbes with out the vitality they should survive.
Rosa Krajmalnik-Brown, PhD, is director of the Biodesign Heart for Well being By means of Microbiomes at Arizona State College. Her lab has achieved analysis into how microbes use the undigested meals that reaches your intestine. She describes the issue with processed meals this fashion:
“Take into consideration a Coke. While you drink it, all of the sugar goes to your bloodstream, and the microbes in your intestine don’t even know you’ve had it. As an alternative of consuming a Coke, for those who eat an apple or one thing with fiber, some will go to you and a few to the microbes. You’re feeding them, giving them vitality.”
Weight and Your Intestine Microbiome
The hyperlink between intestine well being and physique weight has obtained lots of consideration. Analysis has proven, for instance, that individuals with weight problems have much less range of their intestine microbiome, and sure particular micro organism have been linked to weight problems. In animal research, transplanting intestine microbes from overweight mice to “germ-free” mice led these GF mice to achieve weight. This means extra weight is, the truth is, attributable to sure microbes, however so far there’s scant proof that the identical is true with people.
Krajmalnik-Brown’s group did an experiment during which that they had individuals observe two completely different diets for 23 days every, with a break in between. Each supplied comparable quantities of energy and macronutrients every day, however by way of completely different meals. The research’s typical Western menu featured processed meals — suppose grape juice, sandwiches made with deli turkey and white bread, and spaghetti with jarred sauce and floor beef. The opposite menu, what researchers known as a “microbiome enhancer food plan,” included meals like complete fruit, veggie sandwiches on multigrain buns, and steak with a facet of complete wheat spaghetti.
Whereas the research wasn’t designed for weight reduction, an attention-grabbing factor occurred when researchers analyzed members’ bowel actions.
“We discovered that while you feed topics a food plan designed to supply extra vitality to the microbes and to not the [body], our topics misplaced a little bit weight,” Krajmalnik-Brown mentioned. “It seems to be like by feeding your microbes, it appears to make individuals more healthy and doubtlessly even lose a little bit.”
One other attainable mechanism entails the identical hormone that powers these injectable weight reduction medicine. The decrease a part of your intestine makes hormones that inform the whole intestine to decelerate and likewise assist orchestrate metabolism and urge for food. Amongst them is GLP-1. The medicine use an artificial model, semaglutide or tirzepatide, to set off the identical impact.
In accordance with Damman, you may stimulate your intestine to make these useful hormones with the meals you eat — by giving your microbes the best gas.
Eat to Feed Your Microbes
The meals you eat can have an effect on your intestine microbiome, and so your weight. However don’t go in search of that one good ingredient, specialists warn.
“Oftentimes we get this micro-focus, is that this an excellent meals or a foul meals?” warned Katie Chapmon, a registered dietitian whose observe focuses on intestine well being. “You simply wish to ensure your microbiome is powerful and wholesome, so it communicates that your physique is working, you’ve acquired it.”
As an alternative, attempt to give your physique extra of the sorts of meals analysis has proven can feed your microbiome, lots of that are plant-based. “These are the issues which can be largely taken out throughout processing,” Damman mentioned. He calls them the “4 Fs”:
- Fiber: While you eat fiber-rich meals like fruits, greens, complete grains, nuts, and beans, your physique can’t digest the fiber whereas it’s within the higher elements of your GI tract. It passes by means of to your decrease intestine, the place wholesome micro organism ferment it. That produces short-chain fatty acids, which ship alerts all through your physique, together with ones associated to urge for food and feeling full.
- Phenols: Phenolic compounds are antioxidants that give plant-based meals their coloration — while you discuss consuming the rainbow, you’re speaking about phenols. The microbes in your intestine feed on them, too. “My purpose for a meal is 5 distinct colours on the plate,” Chapmon mentioned. “That rounds out the bases for the completely different polyphenols.”
- Fermented meals: You may get a distinct type of well being profit by consuming meals that’s already fermented — like sauerkraut, kimchi, kefir, yogurt, miso, tempeh, and kombucha. Fermentation could make the phenols in meals extra accessible to your physique. Plus, every mouthful introduces good micro organism into your physique, a few of which make it all the way down to your intestine. The micro organism which can be already there feed on these new strains, which helps to extend the range of your microbiome.
- Wholesome fat: Right here, it’s not a lot about feeding the nice micro organism in your microbiome. Damman says that omega-3 fatty acids, present in fatty fish, canola oil, some nuts, and different meals, lower irritation within the lining of your intestine. Plus, wholesome fats sources like extra-virgin olive oil and avocados are filled with phenols.
Consuming for intestine well being isn’t a magic bullet by way of weight reduction. However the advantages of a wholesome intestine go far past shedding a couple of kilos.
“I feel we have to attempt for well being, not weight reduction.” Krajmalnik-Brown mentioned. “Maintain your intestine wholesome and your microbes wholesome, and that ought to finally result in a wholesome weight. You’ll make your microbes glad, and your microbes do so much in your well being.”
