[HN Gopher] Gut microbes could drive brain disorders
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       Gut microbes could drive brain disorders
        
       Author : pella
       Score  : 92 points
       Date   : 2023-02-25 18:09 UTC (4 hours ago)
        
 (HTM) web link (www.nature.com)
 (TXT) w3m dump (www.nature.com)
        
       | 11235813213455 wrote:
       | I had schizophrenia and still have, but it's now not as prevalent
       | after years of eating mostly vegetable, raw, and very ripe,
       | fermented sometimes (like when peppers, onions, garlic for
       | example are getting soft, people usually call them "rotten", but
       | I prefer them like this actually, there can even be some bacteria
       | formation on it, it doesn't matter). That with regular
       | walking/running outdoor helped me so much. A typical daily meal:
       | Red/orange peppers, onions of all kind, spinach, mushrooms,
       | tomatoes in a bucket, rince, add lemoon juice on top, and eat
       | slowly, masticating properly, doing nothing else, fruits as well
       | before or after clementines, grapes, figs, persimmons, dates,
       | walnuts, amonds (depending on the season). (I'm not vegan but I
       | rarely eat other things as I'm full with this, I started this
       | because it was a cheap way to eat)
        
         | oblib wrote:
         | I read not long ago about a connection between gut bugs and
         | schizophrenia and how probiotics may help with that too. Looks
         | to me like your diet may be doing the same thing.
         | 
         | https://www.sciencedirect.com/science/article/pii/S014976342...
        
         | jaquer_1 wrote:
         | [dead]
        
         | samstave wrote:
         | Forgive the following joke, however, I feel you may like it:
         | 
         | Spoken dead-pan style in Steven Wright's voice:
         | 
         | -
         | 
         |  _" I used to have schizophrenia, but they still have it"_
        
           | 11235813213455 wrote:
           | Well I'm still crazy, but at least I'm more aware of it, and
           | can control and accept it (no more OCDs though)
        
           | Animatronio wrote:
           | Steven Wright the stand-up comedian or Steven Wright the
           | serial killer?
        
         | heyoni wrote:
         | Do you know how many calories you're getting with this?
        
           | 11235813213455 wrote:
           | I don't measure anyhing to be honest, I stop eating when I'm
           | full, and only 1 or 2 meal a day
           | 
           | It gives me enough energy to go get this food with my bike,
           | 15km away at markets, also helping merchants, I do this twice
           | per week. The rest of the time I work remotely for me real
           | employer
           | 
           | The amount of calories is not only relevant, the way to
           | digest it efficiently as well
        
         | poisonarena wrote:
         | how do you know it is from eating vegetables and not just
         | dialed down with time or other factors?
        
           | 11235813213455 wrote:
           | The psychiatrists I saw years ago said it will only get worse
           | with time, and he gave me an antipsychotics treatment, I
           | tried 4 months then stopped because my brain was so
           | disconnected, I felt like a vegetable, I couldn't even write
           | or talk properly. Antidepressant or lighter drugs didn't have
           | much effect. So I tried to cure myself with other ways (a bit
           | coincidentally with food)
        
             | tudorw wrote:
             | or pharmanutrition as it's been rebranded :)
        
         | samstave wrote:
         | I have a suggestion for a test for you ;
         | 
         | A Yogi master I once knew said to not eat onions (nightshades)
         | as they interfere with your psychic aura or something.
         | 
         | Since you seem to have a handle on your diet, may I request you
         | do an cleanse of sorts and not eat onions for ~1 month and
         | report if you feel any differences?
        
           | [deleted]
        
           | qbrass wrote:
           | Onions and garlic are allium. Nightshades are tomatoes,
           | potatoes, eggplant, and peppers.
        
           | DoktorDelta wrote:
           | I wonder if "interfering with your aura" is just one
           | interpretation of the inflammation and digestive issues that
           | nightshades can cause.
           | 
           | If I was living before medicine was a common practice I'd
           | probably attribute diarrhea and cramps to "psychic auras" as
           | well.
        
             | hombre_fatal wrote:
             | Quackery around "nightshades" should sound the same to you
             | as quackery around "psychic auras" - they are in the same
             | ballpark.
        
       | diogenescynic wrote:
       | Artificial food coloring definitely messes kids up. I haven't
       | seen it explained precisely but it definitely seems to mess up
       | something physiologically.
        
         | oifjsidjf wrote:
         | Why is this downvoted? One can find cases where this was cleary
         | the case on the internet. I remember one case where just the
         | artificial coloring in some medicine pill was the issue.
        
       | bolangi wrote:
       | So maybe all those natural healers with their potions and powders
       | and diet recommendations, ridiculed in unconditional advocacy of
       | western medicine, could help in ways unrecognized till now.
        
       | throwaway482940 wrote:
       | About five years ago, after experimenting with some diet changes,
       | I started having some pretty terrible digestive issues, like
       | extremely bloating and indigestion. The issues would fluctuate,
       | sometimes being much worse than others. Along with it came
       | personality changes, like apathy, and they would also fluctuate
       | along with the digestive issues. It's actually pretty scary how
       | much it affected my brain. There are times when the apathy is so
       | extreme I feel like a psychopath, and that comes from someone
       | that once upon a time was vegan due to ethical reasons, so I am
       | (or was) an empathic person. It really is mindblowing. The
       | thoughts I have had and sometimes have would put me in a
       | psychiatric hospital, thoughts I would have never imagined I
       | would have.
        
         | kanyethegreat wrote:
         | did you track causation? like what diet changes led to the
         | behavioral changes?
        
           | throwaway482940 wrote:
           | It's hard to say. The diet was vegan, but it was a poorly
           | implemented vegan diet. I was basically eating a lot of fruit
           | and legumes, far too much fruit I should say. Once I started
           | having the digestive issues, I started reading about it on
           | the Internet, and I came across some sites talking about
           | copper overload, how vegan diets inevitably suffer from an
           | inbalance between zinc and copper, but I'm not sure if it's
           | pseudoscience or not. I do have low ceruloplasmin, which is
           | the molecule that carries copper around the blood, so that is
           | at least interesting, but yeah, could be coincidence. In any
           | case, I haven't managed to fix it unfortunately, even after
           | switching to an ordinary diet.
        
             | zargon wrote:
             | Your microbiome takes time to adapt to what you're eating
             | and if you drastically increased fiber suddenly, it was
             | likely not prepared for it. It could also have had a weak
             | ability to deal with certain types of fiber. Often it's
             | oligosaccharides (beans). The FODMAP process helps you
             | figure out which fiber your gut may be sensitive to and
             | then you can start low and gradually increase it over time.
        
         | Fauntleroy wrote:
         | Sorry if I'm reading into this too much, but did the symptoms
         | you described above ultimately lead to you abandoning veganism?
         | Also, what were the dietary changes that caused those symptoms?
        
           | throwaway482940 wrote:
           | Yeah, I ended up abandoning veganism, because I no longer
           | felt (and feel) the empathy that I did back in the day (if
           | there's much left). Being able to experience the world
           | through the lenses of someone with low empathy makes you a
           | little sympathetic (heh) to those that are born like that.
           | Basically my decisions are purely rational as of today. I'm
           | lucky to not be impulsive at all; if I were, I would have
           | fewer friends than I do.
           | 
           | I briefly answered the dietary changes in another comment.
        
         | happylion0801 wrote:
         | Exactly have the same experience as you. After I got diagnosed
         | with IBS, I started having pretty huge personality changes
         | lasting to this day.
         | 
         | No idea the path to recovery is
        
           | throwaway482940 wrote:
           | Yeah, it's pretty complicated. I have gotten blood, stool,
           | and urine tests and all have come out fine. Food that
           | previously would never cause any issues cause massive
           | problems nowadays. Did your issues come from any dietary
           | changes? How did they appear?
        
       | shagie wrote:
       | Serotonergic Mechanisms Regulating the GI Tract: Experimental
       | Evidence and Therapeutic Relevance (2017) -
       | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5526216/
       | 
       | > Serotonin (5-hydroxytryptamine; 5-HT) is best known as a
       | neurotransmitter critical for central nervous system (CNS)
       | development and function. 95% of the body's serotonin, however,
       | is produced in the intestine where it has been increasingly
       | recognized for its hormonal, autocrine, paracrine, and endocrine
       | actions.
       | 
       | --
       | 
       | Here's this chemical that we use to run our brain... where is it
       | produced? Not in the brain, but rather in the gut.
        
         | hanniabu wrote:
         | > 5-hydroxytryptamine; 5-HT
         | 
         | 5-HTP*
        
           | PragmaticPulp wrote:
           | 5-HT is 5-hydroxytryptamine aka serotonin.
           | 
           | 5-HTP is 5-Hydroxytryptophan, a precursor to 5-HT.
        
             | hanniabu wrote:
             | You're right, tried to delete after I realized I misread
             | but HN wouldn't let me
        
         | Ezku wrote:
         | Peripheral and central serotonergic systems are both relevant:
         | 
         | > Because 5-HT cannot cross the blood-brain barrier, the
         | peripheral 5-HT system is functionally separate from the
         | central 5-HT system. -- Diabetes Metab J. 2016
         | https://pubmed.ncbi.nlm.nih.gov/27126880/
        
         | PragmaticPulp wrote:
         | > Here's this chemical that we use to run our brain... where is
         | it produced? Not in the brain, but rather in the gut.
         | 
         | No, it's produced in the brain, too.
         | 
         | Serotonin plays multiple functions in the body. It is also
         | produced locally in the brain. It plays a significant role in
         | the circulatory system as well.
         | 
         | Serotonin in your stomach does not migrate to the brain. You
         | cannot eat serotonin and have it end up in your brain. You can
         | consume serotonin precursors, which are transported to the
         | brain and used to produce serotonin locally.
         | 
         | The body is very segmented, especially the central nervous
         | system. The body can't be interpreted as a chemical soup where
         | all the chemicals are mingling with all the organs at the same
         | levels.
        
           | hanniabu wrote:
           | That said, lack of serotonin in the gut also created thiamine
           | deficiencies which leads to decreased serotonin uptake.
        
         | hanniabu wrote:
         | From what I read, the reasons why it's beneficial is that it
         | improved gut motility and the intestinal mucosal lining, which
         | subsequently improves hormonal, autocrine, paracrine, and
         | endocrine actions.
        
       | rajup wrote:
       | How does one know one has a healthy gut? Is it possible to have
       | the wrong gut micro biome but not have any gastrointestinal
       | symptoms?
        
         | superpope99 wrote:
         | There are companies who will sequence your gut microbiome and
         | give you actionable insights - full disclosure I work for one
         | https://joinzoe.com/
        
           | kanyethegreat wrote:
           | How valid are the actionable insights? Is there one set ideal
           | each person should match, or is it individualistic?
        
             | mliker wrote:
             | Dr. Sara Gottfried talks about a slate of tests in her
             | recent podcast episode with Andrew Huberman:
             | https://hubermanlab.com/dr-sara-gottfried-how-to-optimize-
             | fe...
             | 
             | While the podcast is focused on female health, the advice
             | applies to men as well.
        
           | Madmallard wrote:
           | Yeah there isn't randomized controlled trials or systematic
           | review on any of this stuff so your company is glorified
           | snake oil and you really should be ashamed. Get the evidence
           | first before trying to take people's money (AND data!).
        
             | ChildOfChaos wrote:
             | What? Zoe is co-founded by Tim Spector, who is very well
             | respected epidemiologist, Zoe did a lot of work in the UK
             | on Covid tracking and Tim was awarded an OBE for his work,
             | are you aware of that or just painting it with the same
             | brush as all these snake oil startups?
        
               | edgyquant wrote:
               | What does Covid tracking have to epidemiology have to do
               | with the gut biome?
        
               | DanHulton wrote:
               | Legit question: What does that have to do with anything?
               | 
               | More specifically: Why does being an epidemiologist
               | qualify you to have an opinion on gut microbiomes?
               | 
               | Even more specifically: DO you have randomized,
               | controlled trials to point to? Otherwise, this is just an
               | argument from authority, and one who's experience is not
               | clear is relevant.
        
         | hanniabu wrote:
         | You have regular bowel movements, nicely formed stool, don't
         | have any bloating/burping/gas, don't feel sluggish after you
         | eat, and you have enough energy and feel healthy
        
       | hanniabu wrote:
       | Anybody that's dealt with chronic intestinal issues like sibo
       | could have told you this. It's nice to see the research starting
       | to catch up. Hopefully less patients will be gaslighted by
       | doctors in the coming years.
        
       | jstx1 wrote:
       | All of this is super interesting but it's been discussed for a
       | while and I'm still waiting for a "do $x, it will improve
       | condition $y through mechanism $z" kind of prescription and I
       | don't think that's coming any time soon.
        
       | precompute wrote:
       | * * *
        
       | Wonnk13 wrote:
       | I've dealt with colon cancer in 2016 and again now in the
       | present. I don't what the hell is driving it, but the gut biome
       | is fascinating. It's definitely made me look at my diet and food
       | variety much more seriously. I've started taking probiotics,
       | drinking kombucha from time to time and adopting a more whole
       | food / plant based diet. Does it have an affect? who the heck
       | knows.
        
         | sosilkj wrote:
         | (Disclaimer upfront: I am not a doctor or medical
         | professional.)
         | 
         | Kombucha often contains some alcohol. I'd suggest being
         | cautious about alcohol consumption - frankly, eliminating it
         | altogether from your diet would be my personal suggestion;
         | there is evidence of increased risk of colon cancer from
         | alcohol.
         | 
         | Just grabbing the first thing I found: "Moderate to heavy
         | alcohol consumption is associated with 1.2- to 1.5-fold
         | increased risks of cancers of the colon and rectum compared
         | with no alcohol consumption". From here:
         | https://www.cancer.gov/about-cancer/causes-prevention/risk/a...
         | 
         | They give several references there to back up that statement,
         | those could be worth reading.
         | 
         | Best wishes for your recovery and health and longterm success.
         | 
         | Edit: wow, i'm getting downvoted? if i'm saying something
         | inaccurate or inappropriate here, i'd be grateful for some
         | specific feedback. thanks.
        
           | prepend wrote:
           | Kombucha has about 0.5% alcohol by volume [0] (a ripe banana
           | has 0.4%) so it's not really a reasonable risk per the
           | studies you link to. I think this is a foolish interpretation
           | and even as a non medical doctor it's easy to look at the
           | alcohol content and think critically.
           | 
           | Kombucha has 1/10 the alcohol of a beer. So you would need to
           | drink 40 12oz kombuchas in an hour to be intoxicated
           | (moderate alcohol use). That's almost 4 gallons and really
           | not practical a single time, much less daily like what
           | contributes to colon cancer risk.
           | 
           | I suspect you're being downvoted because your comment is low
           | value, wrong, and doesn't need to be seen. For specific
           | feedback, I think you can think critically about whether the
           | level of alcohol applies to the advice you give.
           | 
           | It's the dose that makes toxicity. Working to eliminate
           | completely things that don't matter reflect a wrong
           | understanding of nature.
           | 
           | [0] https://www.no1living.com/blogs/blog/is-kombucha-
           | alcoholic
        
             | echelon wrote:
             | Alcohol is a high energy, reactive species. Both it and its
             | downstream metabolic products cause a host of DNA
             | degradation: cross-linking, etc. Accumulation of this class
             | of damage causes aging, cancer, dysfunction, and other
             | cellular disease states.
             | 
             | Every nutritive food we intake, including the gaseous and
             | reactive molecular oxygen, is reactive and damaging. Some
             | are worse than others, but we can control what we consume.
             | 
             | In time, our view of many of the things we do - breathing
             | dirty air, consuming too much alcohol, maintaining an
             | unhealthy gut microbiomes, etc., will inform new habits.
             | 
             | We don't know what the lower bound of safe alcohol
             | consumption is. Modest consumption probably increases
             | risks, but it may be negligible against the background
             | noise of everything else we bump into. The effects will
             | also sum with any other bad habits an individual may have.
             | Population studies are messy, but we do know the
             | biochemistry.
             | 
             | I only had an undergraduate biochem + general chemistry
             | degree, so I'm not "credentialed" in this space. I continue
             | to read the literature regularly, though, because it
             | interests me deeply. I do worry about alcohol consumption's
             | effects on my health, even though I continue to drink
             | kombucha and have a cocktail every now and again. It still
             | wears on me.
             | 
             | We're all killing ourselves slowly through eating,
             | breathing, and metabolizing. You can worry about it, you
             | can disregard it, you can make small changes, etc. We're
             | all dying, though.
        
           | porphyra wrote:
           | Isn't kombucha way less than "moderate to heavy alcohol
           | consumption"? Besides, small amounts of alcohol form
           | naturally from stuff fermenting in your gut. To be honest, I
           | would be more concerned about my tooth enamel degrading from
           | heavy kombucha consumption (as it is very acidic) rather than
           | the alcohol content.
        
             | sosilkj wrote:
             | It seems like the question you're posing is: in the context
             | of colon cancer risk, if one's alcohol consumption isn't
             | enough to reach the category of "moderate", does that mean
             | the increased risk is zero (or insignificant)? I don't know
             | the answer to that. That's something that could perhaps be
             | determined by reviewing the literature.
             | 
             | Edit: Not that anyone cares, but I guess I'll say a bit
             | more: I don't know what brand of kombucha OP drinks, or how
             | much of it, and how many grams of alcohol that sums up to,
             | and what the current body of research says (or doesn't)
             | regarding the precise amount of risk incurred or not from
             | that amount of alcohol ... but the fact is, there's
             | extensive research on the association between alcohol and
             | cancer and I stand by the suggestions that someone dealing
             | with recurrent colon cancer should be cautious about
             | alcohol consumption, and that it could be worth reviewing
             | existing research on the matter.
        
               | prepend wrote:
               | It's not reasonable to conclude that because moderate
               | alcohol causes an effect that less than that causes a
               | diminished effect.
               | 
               | You need evidence, or at least some logical basis, to
               | make a claim or believe such a thing.
               | 
               | You can review the literature to find something.
               | Typically is a paper is publishing about moderate levels
               | causing an effect they will cite or be cited by other
               | studies showing effects from other levels.
               | 
               | There are many things in nature that are harmless at some
               | level and become harmful at another level. And there's no
               | negative effect whatsoever from the appropriate level.
        
           | slothtrop wrote:
           | Moderate consumption was previously defined as 1-2 drinks per
           | day for men or 7 a week, which does not seem moderate at all.
           | This guideline has recently been changed in some countries to
           | 1-2 a week.
           | 
           | a 1.5 fold increase of risk is not necessarily significant if
           | the baseline risk is low, but notwithstanding, I'm not
           | convinced that _actually_ moderate consumption of alcohol
           | poses much of a risk.
        
         | felixbraun wrote:
         | Doing the exact opposite might help -- probiotics feed harmful
         | bacteria as well and a different strategy would be to simply
         | try to keep your microbiome as basic and unintrusive as
         | possible, allowing the gut to calm and heal.
         | 
         | It's easier said than done; recommend looking into natural
         | antibiotics (eg cooked white button mushrooms), indigestible
         | fibre to ensure regular movements, which more than anything
         | lowers endotoxin load (raw carrot salad), carbs from sugars
         | instead of starch, which get absorbed more quickly and won't be
         | very "prebiotic" (eg ripe oranges, honey) and nutrient dense
         | foods to meet metrics (organ meats and cheeses).
        
           | zargon wrote:
           | Probiotics do not feed bacteria, they _are_ bacteria. SCFAs,
           | butyrate, etc. are critical components for overall health,
           | and especially in colon health and the normal functioning of
           | apoptosis and other mechanisms. Prebiotic plant fiber feeds
           | the healthy bacteria which produce those. Eating WFPB helps
           | the healthy bacteria thrive and starve out the bad ones.
           | Trying to intentionally repress the entire microbiome is a
           | recipe for creating an opening for unhealthy bacteria to take
           | over, while also depriving the body of healthy microbiome
           | byproducts.
        
             | felixbraun wrote:
             | I doubt that it's possible to target "healthy bacteria"
             | with diet prebiotic plant fiber (probiotics are bacteria
             | and won't "feed", you're right) -- it's random,
             | unfortunately.
             | 
             | Low endotoxin load > health effects of butyrate etc, if you
             | have serious issues like IBS or crohns
        
               | slothtrop wrote:
               | Outcomes are generally favorable with high fiber
               | consumption, and unfavorable with low fiber consumption
               | (or high sugar).
        
       | lhfgwv wrote:
       | _Nature_ pushing _Lactobacillus reuteri_ again. We get it, it is
       | big business.
        
       | gavinray wrote:
       | That humans are by and large a host for the bacteria in our gut
       | and elsewhere -- and the degree to which these (happy or unhappy)
       | tenants can impact our behavior -- is something I constantly
       | struggle to find controversial.
       | 
       | Look at the mountain of studies on T. Gondii alone, and then tell
       | me with a straight face the several dozen odd other strains
       | present in our gut microbiome under normal working conditions
       | don't exert any similar sort of effect.
       | 
       | "Happy bacteria, happy host" is my motto, I try to do things
       | within reason to appease our tiny bacterial overloads.
       | 
       | (Unless you get a bad bacteria, then condolences to you)
        
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