The Gut Health Wheel © and The Gut, Brain, Heart Connection: 1st March 2023

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Do you suffer from bloating and digestive issues like irritable bowel, diarrhoea, constipation, acid reflux or heartburn? Do you feel tired all the time? Are you lethargic and sluggish, merely existing each day burdened with brain fog, anxious and depressed? Then this Journey is for you!

Join me and KAYLO for ‘The Gut, Brain, Heart Connection’, a Journey to help heal, nourish and transform your gut for optimal physical and emotional health. To contextualise and make the experience even more immersive and relatable, I will be guiding participants around The Gut Health Wheel © – they will get a special preview and be able to place themselves on a ‘holistic roadmap’.

I will be hosting the first session from 18.00-1930 on 1st March 2023. This will be a deep dive to understand how our gut health influences our physical, emotional and mental health.  

These sessions are designed to get to the root of what is happening in your body, so that you can begin to heal yourself. For indeed, when you have a chronic health condition, it can often be difficult to separate the wood from the trees. I developed The Gut Health Wheel © to help my nutrition clients have a deeper holistic understanding. To help them ‘join the dots’ of their journey more, so they become more their own experts.

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The Gut Health Wheel ©

The Gut Health Wheel © is unique, a complete synthesis of all my clinical experience and years of research. It is a visual that integrates signs and symptoms (physical, cognitive, emotional, psychological and behavioural), contextualising these within vitamin and mineral deficiencies and disease pathways. It also incorporates TCM, western medicine and scientific research.

The Gut Health Wheel © has been evolving a very long time to get to this – I’ve also been through a lot of canvas. The wheel also continues to be reviewed by GPs, health practitioners, writers, psychologists, and academics. Their expertise has been valuable. So too the feedback of my nutrition clients who have been on the journey from the beginning. I’m so grateful to everyone for all their encouragement, support and insight. Special thanks as always to my friend and fellow nutritionist Virginia Hills for the tea and sympathy, her positivity and engagement, and to Emily Hewett for capturing my thoughts so intuitively in her wonderful graphic.

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The Gut Health Wheel © Copyright Charlotte Fraser Naturopathic Nutrition 2023

My motivation for developing The Gut Health Wheel © stems in part from a question that once frustrated me when I was managing my Ulcerative Colitis in the early days: ‘How can I know if healing is taking place?’

Indeed! How do you know if you are getting better? How do you know that you are moving in the right direction? That question can often get lost amidst all the medical diagnostics and blood tests don’t tell the whole story.

To answer these fundamental questions, it’s essential to retrace your steps, to understand the journey that you have already taken.

To achieve optimum health and wellbeing, we need to understand and better interpret our body’s own signs and symptoms in order to progress to a more mindful and preventative approach which facilitates healing. This is where The Gut Health Wheel © can be very helpful in providing a holistic and more integrated overview.

In The Gut, Brain, Heart Connection, we will look at how genetics, medical history, lifestyle, diet, food diversity, environment and mindset can impact our health and nutritional ‘bank balance’. Also what we can do about it.

I will be talking about how our gut health so influences that of our brain and heart and vice versa.   We will also look at:

  • The latest science 
  • Talking about some of the most common mistakes people make with their diet
  • Some of the “universal truths”, the simple steps that everyone can take to improve their nutrition and lifestyle
  • My ‘golden rules’ for gut, brain and heart health.  What we can do nutritionally from a regenerative and preventative point of view
  • My 7 Day Gut Sabbatical to help take the pressure off and help do a reset
  • Supplements and whether we need to supplement at all

For more information and to book a place: Visit The Gut, Brain, Heart Connection.

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The Elephant in the Room of the Diet Industry

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As many embark on a new year diet, I want to tackle the proverbial ‘elephant in the room’: the trillions of bacteria, fungi and viruses that we co-exist with. Consider the fact that we at only around 43% human and 57% microbial, how can we possibly ignore them?!

These microbes are also the reason why so many fad diets fail. What worked for the diet book author, your friend, or your family member, won’t necessarily work for you. Not unless you evolved in a clinically-sealed petri dish with the same shared dietary, social and environmental experiences. Realistically, it just isn’t possible and here’s why… let’s look at the science.

The majority of microbes inhabit our large intestine and every gut microbiome is wholly unique. Think of your gut microbiome like a biological fingerprint or signature. It is the embodiment of all our genetic, physical, mental,  emotional,  environmental, social, and cultural experiences. What we eat, our belief systems, movement, environment, nature, social and community engagement have all been found to influence the state of our microbiome in research studies.   

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The human intestinal tract harbours an estimated three trillion bacterial members, up to a 1000 different bacteria species, and the ratio of gut microbiota to human cells is roughly 1:1.   What’s more, the genetic diversity of gut microbiota is 100 times higher than that of human cells. That’s a huge amount of DNA we are carrying in us with an infinite numbers of variables possible between person to person.

In the exciting field of nutrigenomics, the focus is on gene expression, whether we activate a particular gene or not. Professor Vittorio Sebastiano, Epigeneticist at Stanford University says as much as 70% of our health outcomes are down to how we live, and not the ‘deterministic’ genes we inherited. The biggest influencer of gene expression is what we eat. However it doesn’t just stop there, as what we eat and how we live doesn’t just affect our DNA, but also the genes of the trillions of bacteria in our gut. The DNA scale and potential is huge, mind-boggling! The main takeaway I want to share however, is that there is a a HUGE amount we can do by means of what we eat and, as Professor Sebastiano says, “much of our destiny truly is in our hands.”

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There can be no “one size fits all diet

Even identical twins have been found to not process food the same way.  The largest ongoing scientific nutrition study of its kind, explored how more than 1000 participants (around 60 percent were sets of identical twins) process their meals. Surprisingly, the researchers found that even identical twins respond very differently to fats and carbohydrates.  The study was carried out by researchers from King’s College London, Massachusetts General Hospital and nutritional science company ZOE, co-founded by Professor Tim Spector, Professor of Genetic Epidemiology at King’s College London.

The results also suggested that personal differences in metabolism due to factors such as the gut microbiome, meal timing and exercise are just as important as the nutritional composition of foods. What fascinates me is that the study found twins shared only 37% of the same microbes with each other. That’s just a little more than unrelated individuals who share an average of 35% of the same microbes. 

A successful diet therefore requires an entirely personalised and person-centred or holistic approach. We really are all unique and that’s why I am passionate about supporting my clients in becoming their “own expert”. To help them tune into their own body, the many signs and symptoms that present, and to understand their own individual dietary needs. The focus has to be on sustainable wellness and more often than not, I am putting foods back into my clients’ diets.

Every gut microbiome is wholly unique. Think of it like a biological fingerprint or signature. Truly the embodiment of all our individual DNA, our genetic, physical, mental,  emotional,  environmental, social, and cultural experiences.  

Our DNA originally determines our microbiota.  We’re first exposed to microorganisms as an infant, during delivery in the birth canal and through the mother’s breast milk.   Later, environmental exposures, diet and lifestyle can alter our microbiome to be either beneficial to health or to place us at greater risk for disease.

A varied and diverse diet is key to optimum health and weight loss

Counting calories is very 1999 in dietary terms. In 2023, all the science suggests you should be counting plants.

Numerous science studies show that greater numbers and a more diverse range of good gut bacteria are key to successful weight loss and management. And key to having more good bacteria is to have a diverse and varied diet high in plants and whole foods. This is what our good bacteria feed on.

Indeed, the worst thing for health and weight management is to eat the same food every single day.

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Ideally, aim for more than 7 different plants a day and a minimum of 30 different varieties a week. By plants, I mean vegetables, legumes, fruits, shoots, leaves, nuts, seeds, whole grains, herbs and spices, etc.

Sadly, too many diets have a restrictive element and entail cutting out entire food groups which can result in nutritional imbalances and deficiencies. Instead the focus should be on variety and balance. I see a lot of gut health problems stem from people avoiding dairy and carbohydrates especially. In fact, some carbohydrates such as oats provide important sources of resistant starch which can help boost butyrate-producing microbes.

A lot of gut health problems stem from insufficient butyrate. Butyrate is a short chain fatty acid and the main source of fuel for the cells (colonocytes) lining the colon. Butyrate ensures the optimum environment for your gut microbes to flourish. It also helps insulate blood sugar levels and increase insulin sensitivity; helps regulate energy metabolism; has important anti-inflammatory properties; protects against cancer; and prevents obesity. Butyrate increases leptin gene expression. Leptin suppresses food intake, prevents low metabolism, and promotes weight loss. Higher butyrate levels also help increase levels of glutathione, an important antioxidant which helps strengthen the intestinal barrier and increase bioavailability of iron and zinc.

Fermented dairy products like kefir, bio yoghurt and certain probiotic cheeses are important sources of good bacteria (lactobacillus and bifidobacteria).

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In cutting out whole food groups, you can unwittingly exclude certain good bacteria which are very beneficial to health and aid weight loss. This isn’t a good idea. More so, when you consider that science research increasingly studies health conditions in relation to the lower incidence or absence of a certain gut microbe.

As for eliminating fat entirely from your diet, extra virgin olive oil is a valuable source of polyphenols which help promote Akkermansia Municiphilia, a beneficial bacteria that helps strengthen the intestinal lining. That lining, our gut epithelium, is the dividing line between the human and microbial worlds, and it plays a critical mediator role. It really is our front line defence to external threats, a key facet of our immune system.

Essential fatty acids such as omega 3 found in oily fish and flaxseeds also have anti-inflammatory properties and are important for vitamin A,D,E, and K absorption, hormonal health, blood sugar and cholesterol management; also gut, brain, liver and heart health. Good fats are also important for bile flow. Insufficient bile is another contributor to so many gut health problems that I see. Yo-yo fasting and low fat diets also risk later gallbladder removal.

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Our microbiome plays so many key roles in promoting the smooth everyday operation of the human body.  Most of our microbes are symbiotic (where both the human body and microbiota benefit) but some, in smaller numbers, are pathogenic (promoting disease).

In a healthy body, pathogenic and symbiotic microbiota coexist happily. However, if there is a disturbance in that balance—brought on by infectious illnesses, certain diets, or the prolonged use of antibiotics, artificial sweeteners, or other bacteria-destroying medications—gut dysbiosis occurs. This stops the normal interactions and as a result, the body can become more susceptible to disease.

Gut dysbiosis is implicated in various conditions including IBS, allergies, autism, inflammatory bowel disease, rheumatoid arthritis, multiple sclerosis, Alzheimer’s, Parkinson’s disease, type 2 diabetes and obesity.

In particular, a high-fibre diet affects the type and amount of microbiota in the intestines. Dietary fibre can only be broken down and fermented by enzymes from microbiota living in the colon. These bacteria then release short chain fatty acids such as butyrates as a result of the fermentation process. This lowers the pH of the colon, which, in turn, determines the type of microbiota present that would survive in this acidic environment. The lower pH limits the growth of some harmful bacteria like Clostridium difficile.

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Our gut microbes aren’t just gate-crashing, they are integral to our health

Our gut microbiota help us:

  • Digest food
  • Produce metabolites such as short-chain fatty acids and vitamins, which strengthen the gut barrier and regulate/promote a healthy immune system 
  • Protect us against other pathogenic, disease-causing bacteria
  • Break down potentially toxic food compounds
  • Synthesise certain vitamins and amino acids, including B vitamins and Vitamin K
  • Help regulate our hormones, including the amount of oestrogen circulating in our system at any one time
  • Produce neurotransmitters that affect how we feel, including dopamine, serotonin, norepinephrine, and gamma-aminobutyric acid. These are key players in triggering intense feelings of happiness, reward, or anxiety

Indeed, our gut bacteria greatly impact our overall physical, emotional and mental health.  It is why I do scientific cognitive testing, anxiety, depression and perceived stress screening, so that clients can objectively measure their progress, Increasingly, research is looking into how our gut bacteria also influence our behaviour.

In 2023, Promote Food Diversity

The first UK Food Diversity Day will be taking place this Friday, on the 13th January. Professor Tim Spector will be taking part in that along with other leading experts. Dan Saladino, author of ‘Eating to Extinction’ has been really driving awareness of this important issue. Saladino’s article ‘Are we eating ourselves to extinction?’ explains why we really should be thinking more about what we put on our plate. What are the implications of the world’s increasingly homogeneous diet for the diversity of our gut microbiota and our overall health?

Here’s a scary statistic: of the 6,000 plant species humans have eaten over time, the world now mostly eats just nine, of which just three – rice, wheat and maize – provide 50% of all calories. Add potato, barley, palm oil, soy and sugar (beet and cane) and you have 75% of all the calories that fuel our species. As thousands of foods have become endangered and extinct, a small number have risen to dominance. For example soy which plays a starring role in an increasingly homogeneous diet eaten by billions of people.

These dietary shifts are taking place on a global level and are unprecedented. Global markets increasingly infringe on our food choices. They threaten the diversity of natural food sources so essential to our gut microbiome. I encourage everyone to incorporate more plants and whole foods in their diet, and to seek out new varieties! Try a new plant this week or try growing it in your garden. Our very future might depend on it.

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For more information or to book a nutrition consultation, contact Charlotte Fraser at enquiries@naturopathic-nutrition.com.

Introducing The Whole Student Programme ©

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I am pleased to introduce ‘The Whole Student Programme’ ©. This is a health programme I have developed to provide holistic health and wellbeing support to students aged 12-19 to help them prosper in health, life and in their learning.

We integrate an in-depth holistic healthcare approach, scientific assessment and screening, with wise counsel, coaching and pragmatic interventions.

The programme is led by Founder, Charlotte Fraser BA Hons, Dip. NNP, Dip. AIT, an award-winning nutritionist and holistic health practitioner. Charlotte also works in close partnership, with Sarah Morris and Carmen Beyxer at Emerge Be Who You Are. Nutritionist Virginia Hills DipION, mBANT, CNHC is also on the team.

Sarah and Carmen are qualified NLP Master Practitioners, Hypnotherapists, and Life & Resilience Coaches. Sarah and Carmen can further support students in making any sustainable lifestyle changes, to improve their wellbeing, and to facilitate and build personal development, growth and resilience.

 

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In devising this programme, we consulted many parents, teachers, schools and health professionals. It is the culmination of many years working in nutrition, holistic health and teaching, also our own experience as parents. The Whole Student Programme © aims to join the dots and to fill a big gap… a genuine need. Yes, there’s been lots of talk about ‘Holistic Education’ and the need for a ‘Whole Child’ curriculum. However, has there been a service available to students, parents and teachers that offers a truly holistic approach to the health and wellbeing of students?

The Whole Student Programme © works with individual students, parents, schools, SENCOs, and other educational experts to improve the health and wellbeing of the student both in and outside the classroom. With so many health problems often taking root in adolescence, the programme also has a strong emphasis on health prevention.

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We are proud to also be working in collaboration with Think Healthy Me, an organisation committed to delivering personalised, high quality, sustainable health and well-being benefits for everyone.

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What inspired The Whole Student Programme ©?

There has been an increase in emotional and mental health issues in teenagers in recent years. While Covid-19 has been a catalyst, anxiety and depression were on the rise even before the pandemic. And while there’s been a growing tendency to label, diagnose and over medicalise children, we now see teenagers increasingly self-diagnosing and identifying within mental and emotional health groups.

50% of all mental health problems start at the age of 15.

Source: The Children’s Society

According to The Children’s Society, in the past three years, the likelihood of young people having a mental health problem increased by 50% . Now, five children in a classroom of 30 are likely to have a mental health problem. 75% of young people with mental health problems aren’t getting the help they need. 34% of those who do get referred into NHS services aren’t accepted into treatment. More than two thirds of young people would rather access emotional and mental health support without going through their GP.

Where should parents look for help for their children in this situation? What if your student is suffering from anxiety in school? Or what if your child thinks that they have ADHD like their school mate? All too often, the SENCO is working with a four-month backlog on two days a week. A GP referral can take months. Where do you go for support or for that initial assessment? Or, perhaps you have seen a consultant already and they want to prescribe medication. Is medication your only option, or is there a more natural treatment path?

This is where The Whole Student Programme © comes in.

For more information, visit: The Whole Student Programme’ ©.

PHQ-9 Assessment for Depression

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Now, more than ever, mental health forms a major component of my work in nutrition. The COVID-19 pandemic has led to an unprecedented increase in stress among communities and individuals, worsening or triggering mental health conditions such as depression.

I now offer a free online PHQ-9 assessment.  The PHQ-9 is a simple, 9-question instrument for screening, diagnosing, monitoring and measuring the severity of depression.

PHQ-9 is one of the most used depression screens among Primary Care workers, clinicians and researchers. The assessment is endorsed by a number of leading health organizations, including the National Institute for Health and Care Excellence (NICE). The assessment takes 3 minutes to complete.

The PHQ-9 evaluation, together with the Creyos Health cognitive assessment, gives you a far deeper insight of what is going on with both your cognitive and mental health.   These scientifically-validated assessments help further inform your personal nutrition and care programme, providing quantifiable evidence.  

How do we evaluate the PHQ-9 Assessment?

We evaluate your PHQ-9 alongside other clinical considerations including the findings from your initial in-depth nutrition consultation. For instance, were your current symptoms triggered by a psychosocial stressor(s)? What is the duration of the present episode and are you receiving any other treatment or support?  To what degree are your symptoms impairing your usual work and activities?  Is there a history of similar episodes? Is there a family history?   

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How does depression relate to digestive health and nutrition?

There is mounting evidence that the good bacteria in the gut (our microbiota) influence our brain and our mood. And indeed, it is the food that we eat that determines the types of bacteria that inhabit our gut.   Some bacteria are beneficial but others are not and may contribute to inflammation in the body. This is where a targeted and individualised holistic nutrition programme may be beneficial: to help rebalance and strengthen your gut microbiome and help reduce inflammation.

Our gut bacteria produce hundreds of neurochemicals that the brain uses to regulate basic physiological processes as well as mental processes such as learning, memory and mood.. Our gut bacteria manufacture about 95 percent of our serotonin, which influences our mood and sleep patterns.

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People with chronic inflammatory diseases such as diabetes, cardiovascular disease and autoimmune disorders are at greater risk of developing depression. Depression can also be one of the symptoms of many inflammatory neurological conditions, such as multiple sclerosis and Parkinson’s disease. Depression may even be a risk in developing Alzheimer’s disease later in life.

How does inflammation contribute to depression?

Studies support that the brains of patients with depression have higher levels of inflammation. Their microglia – the brain’s immune system cells – are also more active. This increased activity could end up being detrimental, leading to changes in how the brains cells function and communicate.

Another study found that people with depression had more neutrophils, lymphocytes, and monocytes and inflammatory proteins in their blood compared to those without depression. This is another indicator of inflammation in the body in general.

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Additional benefits of a Cognitive Health and PHQ-9 Assessment

Research shows that even if your focus is not mental health, a quick measure of depression can be beneficial. Depression and cognition are associated with a wide variety of mental and physical illnesses. A study published in JAMA Psychiatry (Sullivan et al., 2013) found that depression was associated with accelerated cognitive decline among type 2 diabetes patients. The greatest decline occurred in patients with a PHQ-9 score of 10 or more at baseline and 20 months later. The researchers propose that depression may be causing or worsening the risk of dementia.

Another study (Hawkins et al., 2016) involved patients with heart failure, who have high rates of depression and cognitive impairment. The researchers found that certain PHQ-9 scores predicted performance in multiple cognitive domains. They suggest treatments known to affect depression and cognition, including CBT and physical exercise, may be most impactful on this population.

Is Your Gut Microbiome Driving your Desire for Nature?

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I often allude to the microbiome, the colony of trillions of bacteria, fungi and viruses in our gut, as our internal rainforest.  This analogy resonates more as we recognise the importance of ensuring plant diversity in the natural world to safeguard the future wellbeing of our planet.  

Scientific studies show that we can boost our good gut bacteria by eating as diverse a diet as possible, and in consuming as many different plants especially.  The more diverse the diet, the more diverse the gut microbiome. Conversely, a loss in species diversity is a common finding in several disease states.

Though invisible to the naked eye, our good bacteria play an important role in maintaining our overall physical, emotional and mental wellbeing.  The gut and the brain are in constant communication and dynamic exchange determines metabolism, immune system function and appetite. 

Our thirst for nature and the great outdoors became especially pronounced during lockdown.  It isn’t just humans however who crave a change of scene and fresh air… our gut bacteria also relish diversity and new company!

The journal Science of The Total Environment recently published a new theory called “the Lovebug Effect.” This theory suggests that our gut microbiome may actually be driving our increased desire for nature holidays and woodland walks.

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The Lovebug Effect

The Lovebug Effect theorises that gut-brain communication drives our nature-seeking behaviour. When our gut microbes are starved of contact with their country cousins (environmental microbiota), they hijack the neural pathways between the brain and gut to make us venture outdoors to find them. Microbes intercept the gut-brain ‘switchboard’ by activating the vagus nerve and sympathetic neurons through the release of neurotransmitters including serotonin, dopamine and GABA.    

Certainly, being in nature can have a very tangible feel-good, stress-relieving effect. There have been numerous scientific studies also linking gut microbiome imbalances to increased depression and anxiety. However, what else might be fuelling our need for nature?

Why does our gut microbiome love the great outdoors?

When we immerse in nature, we surround ourselves with environmental microbiota. Nature is teeming with trillions of microbes: this provides our gut microbiome with endless choice when it comes to selecting which microbes to propagate. 

Fresh air offers a microbial diversity that avoids the build-up of harmful microbes. Exposure to soil microbes may boost the immune system.  Just a single teaspoon of rich garden soil can hold up to one billion bacteria.

The role of the environment in the make-up of the gut microbiota has yet to be fully understood. Studies have shown children (ages 1 to 5) from rural communities have a more diverse gut microbiota compared to children from Western populations. Early-life exposure to microbe-rich environments may be beneficial for human health by increasing the gut bacterial species pool. Studies have also shown that individuals who grow up in city environments have a less diverse gut microbiome. And that City-dwellers are more prone to inflammatory disorders and allergies. Urbanisation can lead to increased sanitation and antibiotic use, separation from the outdoors, and land management practices that reduce soil microbial biodiversity.

‘Baths in the Forest’ for full nature-immersion

Preidlhof in South Tyrol, has made Forest Bathing a central component of their Integrated Health and Transformational Wellness programmes. They also offer microbiome testing to assess the state of your gut bacteria, and champion mindful and sensorial eating.

The ancient Shinrin-Yoku (literally “Bath in the Forest”) came to the fore in the 1980s. Japan made Forest Bathing part of a national health programme to tackle stress-related disorders. Studies showed that conscious contact with the forest brought benefits to body and mind. It bolstered the immune system, reducing stress and blood pressure levels.

Preidlhof’s Forest Bathing takes place on Monte Tramontana, a dense area, rich in biodiversity, with woods, streams and small lakes.  Leading the sessions is Irmgard Mossmair, a 73-year-old official mountain guide. She found her source of healing in the wisdom of plants, trees and in the regenerating power of forests.  Irmgard has studied aromatherapy and natural remedies through herbs and Chinese medicine. 

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Forest bathing at Preidlhof in South Tyrol Image © Nicola Cipriani

Forest Bathing facilitates complete immersion in the woods, lights, scents, aromas, textures and pulsations of the earth. Sensory interaction with the forest helps to increase our frequency, and promote mental calm and awareness.

“Slowly, they open up to their surroundings and find themselves immersed in another world, in contact with nature and its secrets. The scents of the trees, the earth, the flight of birds and insects, the sound of the wind, the sunlight on the trees, the different shades of green… All these elements can facilitate a profound transformation.”  

Patrizia Bortolin Spa Director and Transformational Health Coach – Preidlhof

We can so easily take our access to nature for granted. What’s more, we increasingly inhabit a virtual and digital universe which provides a further disruptor. However, what Covid 19 has reminded us is that we are still all very much part of the natural world.  And our microbiome will act as a constant biological prompt to reconnect with us our ancient roots.  

For further recommendations on how to boost your gut bacteria through natural food sources, click here.