
Robynne Chutkan, MD, FASGE
A groundbreaking guide to understanding and healing your microbiome through diet, lifestyle, and mindful medical care.
The human body contains about ten times more microbial cells than human cells.
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Section 1
7 Sections
Imagine a bustling, invisible zoo living inside you, a vibrant ecosystem of trillions of microscopic creatures that influence every facet of your health. This is your microbiome, a universe so vast and complex that microbial cells outnumber your own human cells by about ten to one. From the moment of your birth, this community begins to form, shaping your immune system, digestion, and even your mood.
Long before you take your first breath, your mother's body is preparing you for life by nurturing specific bacteria. During pregnancy, her vaginal flora flourishes with Lactobacillus species, creating an acidic environment that protects you from harmful invaders. When you are born vaginally, you are bathed in these beneficial microbes, seeding your gut with a rich array of bacteria essential for your development. In contrast, babies born by Cesarean section often miss this critical inoculation, leading to a different microbial profile that can predispose them to allergies, asthma, and autoimmune diseases later in life.
Breastfeeding continues this nurturing relationship. Human milk is not just nourishment for the baby but a carefully designed food source for microbes, rich in human milk oligosaccharides that selectively feed beneficial bacteria like Bifidobacterium. These microbes crowd out harmful pathogens and help train the infant's immune system to distinguish friend from foe.
As you grow, your microbial community diversifies, influenced by diet, environment, and lifestyle. By age three, your microbiome resembles that of an adult, but it remains dynamic, shifting with changes in diet, hormone levels, and health status. Aging tends to reduce microbial diversity, which can impact resilience to disease.
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Discover the hidden world inside you and why nurturing your gut microbes is the key to lifelong vitality.
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