13 Comments
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David W's avatar

Any chance you could compile all of your studies into a single recommendation that includes:

Prebiotics

Probiotics

Postbiotics

I realize all the information is there, but would be a really good "starter" for everyone. Add these 5 foods from all 3 groups into your diet - the easy button.....

The Bird Soup Diaries's avatar

Always so helpful! Thanks 🙏

Dr Arif Hussenbux MBBS's avatar

You’re welcome!!!

Nikki Speers's avatar

When you include “milk”, don’t you think it should be lactose free milk when at least “65% or more of the population have some form of lactose sensitivity which contributes to inflammation?

https://medlineplus.gov/genetics/condition/lactose-intolerance/

Dr Arif Hussenbux MBBS's avatar

Interesting point. I treat lactose intolerance on an individualised basis. I don’t generally advise people go lactose free because it’s common. I have talked about this a lot in previous posts

Jennie Gibson's avatar

Or for some people using A2 milk solves the problem. It's the specific protein they are reacting to.

Nikki Speers's avatar

I used to drink the original A2 milk, but once a gastroscopy and colonoscopy confirmed I was lactose intolerant, changing to lactose free completely stopped the inflammation and bloating. I think it also slowed the growth of my residual brain tumours 🤔

My hypothesis, I don’t believe is so far fetched as the PI3K/AKT/mTOR pathway is dysregulated and causes my brain tumour cell proliferation.

I think doing anything that regulates this pathway can control this metabolic dysfunction?

https://link.springer.com/article/10.1186/s12943-023-01827-6

Kian's avatar

Is there any suggestions for people with histamine intolerance? I was told we can't have fermented foods 😔

Dr Arif Hussenbux MBBS's avatar

Difficult to answer this (without knowing an individuals personal response to histamine)

Dr Mike Hunter's avatar

The popularity of kombucha far exceeds the quality and quantity of human clinical evidence supporting its health claims.

James Halle-Smith's avatar

Thank you for the interesting article. When you speak to clinicians about using PRObiotics in their patients you often hear similar concerns about bacterial translocation risk. One study that is often quoted is the severe pancreatitis probiotics trial where they reported increased mortality in patients with severe acute pancreatitis who were given probiotics (https://www.thelancet.com/journals/lancet/article/PIIS014067360860207X/abstract)

Do you think that clinicians may be happier to try POSTbiotics in higher risk patient groups as there should be a much lower risk of harm from bacterial translocation but patients should still get some benefits from SCFAs and other metabolites?

Joan Holt's avatar

What is the evidence on miso? Thank you.