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    #263 How to heal your gut, support your microbes and what gut supplements to steer clear of with Colorectal Surgeon Dr James Kinross

    enSeptember 04, 2024
    What was the main topic of the podcast episode?
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    Podcast Summary

    • Gut Health Signs and StrategiesRecognizing signs of unhealthy poop and interviewing experts like Dr. James Kimross on Doctors' Kitchen podcast can provide insights and practical strategies for improving gut health, including considering the impact of environment and stress.

      Understanding and improving gut health requires expertise and interpretation, as the topic is complex and multifaceted. Dr. Rupi's podcast, Doctors' Kitchen, features interviews with experts like Dr. James Kimross, a microbiome scientist and surgeon, to discuss various aspects of gut health, including signs of unhealthy poop, favorite foods, and strategies to improve gut health. Dr. Kimross emphasizes the importance of recognizing the impact of our environment on our guts, beyond just food choices. He also discusses functional gut disorders, the role of trauma and stress, the estribalome, and the relationship between our gut and brain. Overall, the podcast offers valuable insights and practical advice for those seeking to improve their gut health. Additionally, the Doctors' Kitchen app provides recipe suggestions based on food ingredients and health goals.

    • Microbiome crisisModern lifestyles and diets lead to a loss of microbial diversity in the body, causing an 'internal climate crisis' linked to various diseases. Adopt a plant-based, high-fiber diet, reduce animal fats, ultra-processed foods, and refined sugars to help mitigate this issue.

      The microbiome, a collection of microorganisms and their requirements within our bodies, plays a fundamental role in our health. It has an evolutionary partnership with us and changes throughout our lives. However, due to modern lifestyles and diets, there's a loss of microbial diversity, leading to an "internal climate crisis." This crisis can result in various diseases, including cancer and immune-mediated conditions. To mitigate this, consider adopting a plant-based, high-fiber diet, reducing animal fats, ultra-processed foods, and refined sugars. However, addressing this issue requires both individual actions and societal changes. If you notice significant changes in your bowel function for more than six weeks, consult a healthcare professional.

    • Bowel changes and health issuesChanges in bowel movements and stool consistency can indicate underlying health issues. Bright red blood may be benign, but dark blood could indicate bleeding higher up. Irregularity and childhood health, antibiotic history, and nutritional habits can help identify causes. Microbiome testing can provide insights but use reliable tests for accurate results.

      Changes in bowel movements and stool consistency can be signs of underlying health issues, and it's essential to consult a doctor if concerned. Bright red blood in stool may be from benign causes, but dark blood could indicate bleeding higher up in the digestive system. Irregularity over a longer period may require a more detailed assessment, including consideration of symptoms, family history, mental health, and lifestyle factors. A thorough understanding of an individual's childhood health, antibiotic history, and nutritional habits can help identify potential causes and guide treatment, which often involves lifestyle modifications, psychotherapy, and nutritional interventions. Microbiome testing can provide valuable insights, but it's crucial to use reliable and accurate tests for accurate results.

    • Microbiome tests interpretationMicrobiome tests results require professional interpretation due to variability caused by techniques, processing methods, sequencing technology, and analysis, and they only provide information about bacteria, not the microbiome's function.

      Microbiome tests, while they can provide valuable information, are not a one-size-fits-all solution due to variable results caused by differences in sampling techniques, processing methods, sequencing technology, and analysis. These tests should ideally be used in a clinical context by professionals with expertise in interpreting the results. The tests only provide information about bacteria and not other important components of the microbiome or its function. Doctors are not typically equipped to interpret these tests, and the lack of standardization and validation in microbiome sequencing technologies adds to the complexity. Focusing on functional gut disorders, it's essential to be cautious of foods that may exacerbate underlying conditions, but it's important to remember that unnecessary dietary restrictions based on misinformation online can also contribute to health issues.

    • Maternal diet impact on infant's gut healthA maternal diet high in animal fat, protein, and low in plant-based fiber during pregnancy and infancy can limit the infant's access to essential metabolites, affecting their long-term health. Antibiotic use during infancy and early childhood can also cause significant damage to the developing gut ecosystem, leading to lifelong health issues.

      The foods we consume, particularly during critical developmental stages, can significantly impact our gut health. A western diet, high in animal fat, protein, and low in plant-based fiber, is known to be harmful to gut development. However, the damage may not be limited to adulthood. The maternal diet during pregnancy and the diet of infants in their first few years of life can also have long-term consequences. The gestating mother's gut produces essential metabolites that influence the infant's organ development and immune system. An unhealthy maternal diet can limit the infant's access to these crucial metabolites, affecting their long-term health. Antibiotic use during infancy and early childhood can also cause significant damage to the developing gut ecosystem, leading to lifelong health issues. It's crucial to consider these factors when addressing gut health problems. Instead of just treating symptoms with antibiotics, it's essential to focus on nurturing a healthy gut ecosystem from the start.

    • Antibiotic overuse impact on healthAntibiotic overuse in agriculture leads to compromised gut health in children, contributing to obesity and other health issues, and affects brain development and cardiovascular health.

      The overuse of antibiotics, particularly in agriculture, is having a significant impact on our health. This issue, which dates back to the 1940s, has led to the destruction of our internal ecology, specifically the gut microbiome. As a result, children are being raised with compromised gut health, leading to obesity and other health issues. The majority of antibiotics are used in farming and food production, making diet and nutrition important as well. The consequences of this issue go beyond obesity, affecting brain development and cardiovascular health. It's important for individuals to identify the root causes of their health issues, which may include childhood antibiotic use, stress, trauma, or a specific phenotype. By listening to patients and grouping them into categories such as gut-brain, post-infective, or nutritional and dietary triggers, healthcare professionals can better understand and address their unique needs. The public school experience, which involves trauma and learned behaviors, is also a significant factor in some individuals' health issues. Overall, it's crucial to consider the impact of antibiotic overuse on our health and take steps to address it, both individually and collectively.

    • Microbiome and HormonesMaintaining a healthy microbiome during puberty is crucial for hormonal function and gut health. A balanced diet emphasizing plant-based foods, reducing meat consumption, and building diverse social networks can support a healthy microbiome. Fasting may also benefit gut health and hormonal balance.

      The health of our microbiomes, particularly during puberty, plays a crucial role in defining hormonal function and overall gut health. The relationship between gut bugs and hormones is important in understanding symptoms like bloating and hormonal imbalances. It's essential to prioritize a balanced diet, with an emphasis on plant-based foods, to support a healthy microbiome. Additionally, reducing our dependence on meat and animal products, which often require excessive antibiotics, is necessary for both personal and planetary health. Building and maintaining diverse social networks through shared meals and cooking methods can also contribute to a healthy microbiome. Fasting has gained popularity due to its potential benefits for gut health and hormonal balance, and various fasting methods, such as alternate day fasting and time-restricted feeding, have shown promising results in studies. Ultimately, a balanced approach to diet, incorporating a diverse range of whole foods and mindful eating habits, is key to supporting a healthy microbiome and overall well-being.

    • Intermittent fasting and gut healthIntermittent fasting can improve immune function and reduce inflammation by altering gut bacteria during fasting, potentially influencing immune programming. It may also have therapeutic applications in cancer treatment.

      Fasting, particularly intermittent fasting, has been shown to have sustained health benefits, including reducing inflammation and improving immune function. This is due in part to the rapid culling of bacteria in the gut during fasting, which can change the ecology of the gut and influence immune programming. Intermittent fasting may also have therapeutic applications, particularly in cancer treatment, by changing the efficacy of certain medicines and influencing the metabolism and immune processes of cancer cells. However, it's important to note that diet and nutrition, including the use of supplements like probiotics, should be approached with professional guidance to ensure a balanced and diverse diet that allows the gut microbiome to heal and recover. The evidence base for probiotics is not very robust, and targeting specific strains to specific health care problems requires more research and high-quality studies.

    • Probiotics regulationRegulators restrict health claims for probiotics, leading to misleading marketing language. Probiotics require proper care and individual consideration for effectiveness. Next-generation probiotics offer more specific functions but require careful evaluation.

      The probiotics market is evolving, but it's important for consumers and healthcare professionals to navigate it with caution. Regulators have restricted health claims for probiotics, leading to marketing language about "good" and "bad" bacteria, which is misleading. Probiotics are living organisms that need proper care and consistency in use to be effective. Consumers should be wary of probiotics that make them feel unwell and should consult a healthcare professional for targeted advice. The industry is shifting towards next-generation probiotics, which are being regulated differently and have more specific functions. However, without proper understanding of strain levels and individual needs, it can be difficult for consumers to make informed decisions. It's crucial to consider the evidence base and individual clinical scenarios when deciding on probiotic use.

    • Psychobiotics and FMTPsychobiotics show promise for mental health, but their translation to human applications is complex. FMT, an extreme solution, offers benefits for certain conditions and provides insights into disease mechanisms.

      The field of probiotics is evolving, with next-generation probiotics, called psychobiotics, focusing on gut-brain interactions. However, the translation of animal data to human applications is not straightforward, and the effectiveness of these probiotics for mental health conditions is not yet definitively proven. Probiotics may still offer benefits, such as regulating or out-competing harmful bacteria, but they may not fully restore the gut ecosystem. Fecal microbiota transplants (FMT), or "poop transplants," are an extreme but effective solution for certain conditions, particularly in acute settings. Researchers are exploring FMT's potential in various chronic diseases, including depression, anxiety, and autism. FMT involves carefully screening donors and processing the fecal matter before transplanting it into the recipient. The field of studying the microbiome through FMT has led to valuable insights into disease mechanisms. While FMT is not a panacea, it represents an important step towards understanding the role of the microbiome in human health and developing more targeted interventions.

    • Sex differences in IBS and gut healthSex-dependent hormones, microbes, and immune system interactions (estrobolome) contribute to women's increased risk and symptoms of IBS. Antibiotics can affect microglial cells, leading to chronic pain. Preventative measures include maintaining a healthy microbiome early in life and seeking professional help.

      Sex differences in gut health, specifically in Irritable Bowel Syndrome (IBS), can be attributed to the complex interaction between hormones, microbes, and the immune system. This interaction, often referred to as the "estrobolome," plays a significant role in determining the risk and symptoms of IBS, with women being more susceptible due to their unique hormonal and microbial makeup. The development and function of microglial cells, which form the immune defense system in the nervous system, are sex-dependent and can be influenced by antibiotics, leading to long-lasting consequences, including an increased risk of chronic pain. Understanding this hormone-microbe-immunology axis could lead to new treatments and preventative measures for conditions like PCOS and endometriosis. Additionally, maintaining a healthy microbiome early in life may be crucial for preventing these conditions. Common sense approaches, such as working with a dietitian and avoiding damaging factors, can help improve gut health and mitigate symptoms. The microbiome's impact on taste and food preferences is another fascinating area of research.

    • Microbiome and Taste PerceptionThe microbiome in the oral cavity plays a role in taste perception and food preferences through releasing taste molecules and competing with other bacteria, potentially with an evolutionary basis. Changing dietary habits can lead to shifts in the microbiome and its functions within two weeks, affecting taste preferences and overall health.

      The oral microbiome plays a significant role in our taste perception and food preferences. It influences taste through various mechanisms, including releasing taste molecules and competing with other bacteria. Our taste preferences may have an evolutionary basis, with microbes helping to protect us from harmful foods. The gut, including the oral cavity, functions as a sensing organ, sending hormones and signaling the need for certain foods. Changing dietary habits can lead to shifts in the microbiome and its functions within two weeks, making it plausible that taste preferences could change over time with sustained dietary changes. Fiber, found in plant-based foods, has numerous benefits, including creating a protective gel in the gut, absorbing toxins, and having a prebiotic effect that benefits microbes and produces health-promoting molecules. Consuming fiber can reduce the risk of various diseases, but requires sustained behavior change. Overall, the microbiome's influence on taste and food preferences adds to its importance in overall health and well-being.

    • Sexual health and microbiomesPreserve beneficial bacteria through careful antibiotic use, fiber-rich diets, and maintaining social connections to promote microbial conservation and overall health.

      Our sexual health and the health of our microbiomes are interconnected. The use of antibiotics, though necessary, should be used carefully to preserve beneficial bacteria. Fiber-rich diets and maintaining social connections are also important for microbial conservation and overall health. Antibiotics, when used unnecessarily, can harm the microbiome and lead to health issues. Fiber intake, on the other hand, supports a diverse microbiome, and social connections contribute to better mental and physical health. By considering these factors, we can promote microbial conservation in our daily lives.

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    🥗 Join the newsletter and 7 day meal plan

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    🥗 Join the newsletter and 7 day meal plan

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    We would love to get your feedback on the subject matter of these episodes - please do let me know on our social media pages (Instagram, Facebook & Twitter) what you think, and give us a 5* rating on your podcast player if you enjoyed today’s episode



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    🎬 Watch the podcast on YouTube here

    📱 Download The Doctor’s Kitchen app for free*

    🌐 View full show notes, including guest details, on our website


    *The Doctor's Kitchen App gives you access to all of our recipes, with specific suggestions tailored to your health needs and new recipes added every month. We’ve had some amazing feedback so far and we have new features being added all the time - check it out with a 14 day free trial too.


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    Mixed Heritage and its Impact on Identity, Happiness and Self Worth. Both Not Half with Jassa Ahluwalia

    Mixed Heritage and its Impact on Identity, Happiness and Self Worth. Both Not Half with Jassa Ahluwalia

    This podcast is a deeply personal one for me. Not just because I resonate so much with Jassa and his experience of not having a true sense of identity, but because I’m expecting a child with my wife late this year who will be of mixed heritage. 


    My wife is Italian and I’m Indian so our child will be both Indian and Italian, rather than half Indian and half Italian. I never really thought of being half something and half something else as ever really something to pay attention to, but recording this podcast with Jassa and reading his story has made a real impact on me.


    In the same way John Agard educated us all with his wildly popular poem “half caste”, about the impact of words on people's sense of worth, I feel Jassa has educated me on the use of my words and thoughts, regardless of whether there is ill intent or malice behind them. Words mean so much and I’d never want anyone, let alone my unborn child, to feel anything other than a whole person.


    Jassa Ahluwalia is a British actor, writer, filmmaker and trade unionist. Born in Coventry to a white English mum and a brown Punjabi dad in 1990, he attended school in Leicester and was raised in an extended family environment. He spoke English in the playground, Punjabi with his grandparents, and spent various summer holidays in India. He came to prominence as Rocky in the hit BBC Three series Some Girls, followed by starring roles in Unforgotten, Ripper Street, and Peaky Blinders. He’s also one of the funniest comedians I’ve ever come across on social media. Please watch some of his sketches online!


    Jassa created the hashtag #BothNotHalf to explore mixed identity in light of his own British-Indian heritage. His TEDx talk on 'How Language Shapes Identity' has clocked up over 170k views and his BBC One documentary Am I English? won an Asian Media Award in 2022.



    🎬 Watch the podcast on YouTube here

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    *The Doctor's Kitchen App gives you access to all of our recipes, with specific suggestions tailored to your health needs and new recipes added every month. We’ve had some amazing feedback so far and we have new features being added all the time - check it out with a 14 day free trial too.


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    #258 Heartburn, Gastritis, Reflux Disease; How food and lifestyle can help manage symptoms and treat the underlying cause with Dr Rupy Aujla

    #258 Heartburn, Gastritis, Reflux Disease; How food and lifestyle can help manage symptoms and treat the underlying cause with Dr Rupy Aujla

    If you’ve suffered heartburn, reflux, bloating, indigestion, stomach pain or nausea, this is the episode for you. Today we’re giving you an integrative approach to help with gastritis – combining pharmaceuticals with lifestyle and alternative tools.


    I’ll be talking though


    • Causes, symptoms and medications for gastritis and when to see a doctor
    • What specific lifestyle factors can influence gastritis
    • Foods to eat and avoid
    • Protective eating habits
    • Herbal/alternative therapies
    • And my gastritis routine i.e. what I would do every day if I had symptoms and wanted to control them


    A special thanks to our research team at Doctor’s Kitchen, our science writer Sakina Okoko and GP and CEO of Culinary Medicine, Dr Sumi Baruah helped out hugely with this episode. My sincere thanks to them both for helping review multiple sources of information including patient information websites, NHS clinical summaries and academic papers reviewing lifestyle and herbal remedies.



    🎬 Watch the podcast on YouTube here

    📱 Download The Doctor’s Kitchen app for free*

    🌐 View full show notes, including guest details, on our website


    *The Doctor's Kitchen App gives you access to all of our recipes, with specific suggestions tailored to your health needs and new recipes added every month. We’ve had some amazing feedback so far and we have new features being added all the time - check it out with a 14 day free trial too.


    Do check out this week’s “Eat, Listen, Read” newsletter, that you can subscribe to on our website - where I send you a recipe to cook as well as some mindfully curated media to help you have a healthier, happier week.


    🥗 Join the newsletter and 7 day meal plan

    📷 Follow on Instagram

    🐦 Tweet me


    We would love to get your feedback on the subject matter of these episodes - please do let me know on our social media pages (Instagram, Facebook & Twitter) what you think, and give us a 5* rating on your podcast player if you enjoyed today’s episode



    Hosted on Acast. See acast.com/privacy for more information.