At the Intersection of Health, Health Care and Policy Cite this article as: Joseph E. Scherger You Are What You Feed Your Gut Microbiome Health Affairs, 35, no.2 (2016):380 doi: 10.1377/hlthaff.2016.0008

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doi:

10.1377/hlthaff.2016.0008

You Are What You Feed Your Gut Microbiome The November 2015 issue of Health Affairs on food and health is outstanding. Global public health issues and the role of both healthy and unhealthy foods are covered well. However, the gut microbiome was not addressed. There are 100 trillion microorganisms on and in the human body—ten times more than the number of cells. 1 Most of these microorganisms are in our gut, and they play a major role in health and the digestion of food. With the recent discovery of the gut-brain axis, it is clear that the health of our gut plays a major role in our mental health.2 The nature of the gut microbiome is wholly determined by the food we eat. Also recently discovered is the role of inflammatory proteins in certain grains and other food, which causes proteins to enter our circulatory system and trigger inflammation. Autoimmune diseases; many allergic reactions; and gastrointestinal dis-

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orders such as acid reflux, irritable bowel syndrome, and inflammatory bowel disease may be related to ingesting these proteins. 3 Daniel Lieberman states that many diseases and public health problems are due to a “mismatch” between the human body and the food people eat. 4 If emerging data bear the test of time and scientific scrutiny, the burden of disease caused by a new type of malnutrition may be staggering. Joseph E. Scherger Eisenhower Medical Center RANCHO MIRAGE , CALIFORNIA NOTES 1 NIH Human Microbiome Project [home page on the Internet]. Bethesda (MD): The Project; [cited 2015 Nov 30]. Available from: http://hmpdacc .org/ 2 Mayer EA, Tillisch K, Gupta A. Gut/brain axis and the microbiota. J Clin Invest. 2015;125(3): 926–38. 3 Perlmutter D with Loberg K. Brain maker: the power of gut microbes to heal and protect your brain—for life. New York (NY): Little, Brown and Company; 2015. 4 Lieberman DE. The story of the human body: evolution, health, and disease. New York (NY): Pantheon Books; 2013. p. 157.

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You Are What You Feed Your Gut Microbiome.

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