[HN Gopher] Some gut bacteria appear to communicate with the brain
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       Some gut bacteria appear to communicate with the brain
        
       Author : gardenfelder
       Score  : 97 points
       Date   : 2023-01-24 17:47 UTC (5 hours ago)
        
 (HTM) web link (www.bbc.com)
 (TXT) w3m dump (www.bbc.com)
        
       | vr46 wrote:
       | I certainly feel like my brain is in charge when I wake up, long
       | enough to get my clothes on and out of the house on the school
       | run and back, at which point my stomach resumes control for the
       | rest of the day.
        
         | alexpotato wrote:
         | So this has a potential evolutionary aspect to it.
         | 
         | In caveman days you had to wake up, triage the current
         | environment for threats(weather, animals etc) and then once
         | that was done you would go out and try to find food.
         | 
         | It makes sense that your stomach would take a back seat till
         | the above had been taken care of. It would then trigger the
         | hunger feeling to motivate you to focus on food.
        
       | keyP wrote:
       | Ayurveda posited a form of gut-brain axis thousands of years ago
       | (and is a core basis for its dietary aspects), interesting to see
       | more scientific research delving into the details.
        
       | stuckinhell wrote:
       | This is a little scary, doesn't that mean they can hack you and
       | cause issues from brain fog to mental illness.
        
         | echelon wrote:
         | If we thought lead in the water was bad, just wait for the news
         | of all the dietary and microbiota damage we've been doing to
         | ourselves.
         | 
         | Obviously this could also become a population-level attack
         | vector.
        
         | GalenErso wrote:
         | I'm getting TLOU vibes....
         | 
         | ....I've enjoyed the first two episodes.
        
         | thinkingemote wrote:
         | and hack the other way around, to clear heads and positive
         | wholesome thinking
        
       | jimwhite42 wrote:
       | Humans need a lot of nutrients for brain operation, so it makes
       | sense that we would have a sophisticated system for working with
       | the gut flora and fauna to support them so that they can help us
       | digest food effectively. If this is the case, in a sense we then
       | we invite the gut inhabitants, and ask them what they want so
       | they can help us. I think it's reaching a bit to describe this as
       | 'gut bacteria control the brain'.
        
       | ohyoutravel wrote:
       | I read a book about all this recently called I Contain
       | Multitudes. The thesis was that the gut biome controlled a lot,
       | and given the evidence presented I thought it was compelling (as
       | a layman) though not actionable. Based on that one piece of
       | information I am not surprised by the OP.
        
         | lumb63 wrote:
         | I started I Contain Multitudes and ended up reading 10% Human
         | instead. It's more human-centric. Fascinating either way. I
         | suspect we are starting to see the first glimmers of a vast
         | space of microbiome interactions.
        
           | ohyoutravel wrote:
           | It's really interesting, and for me personally unfortunate
           | that it seems to be a "crunchy" topic that's regularly the
           | domain of crystal healers and anti vaxxers and people who
           | blame their maladies on "toxins in the body" because the
           | science behind a microbiome growing from the food we eat and
           | how we evolved seems pretty sound.
        
             | lumb63 wrote:
             | I share this sentiment. It seems that anything which has
             | not yet been formally proven by academia is "not real" in
             | the public eye and therefore all believers are cranks. We
             | still have major gaps in our understanding of our bodies
             | and our medicine, so to me it is ironic that the
             | institutional science scoffs at things like the microbiome
             | that we do not yet fully understand.
        
       | goatlover wrote:
       | There's a hundred million neurons in our guts. It makes me think
       | arguments about being brains in a vat, and treating the brain as
       | a biological computer with inputs form the senses misses the fact
       | that the brain is part of the nervous system extending throughout
       | the body, and not some isolated system. An envatted brain
       | isolated from the body is likely not going to function properly.
       | The brain can only properly be understand as being part of a
       | whole organism.
        
         | mcculley wrote:
         | Also, hormones have an enormous effect on the brain. The
         | speculation I have read about immortality through brain vat
         | tech does not address that such brains might not have any
         | reason to want to live.
        
           | kzrdude wrote:
           | Right, one has to assume that a good vat for the brain looks
           | pretty much like the body itself :)
        
             | aliqot wrote:
             | I just want my vat to have a good hairline. Is that so much
             | to ask of the future?
        
         | tines wrote:
         | The "brain in a vat" concept only really makes sense if you are
         | willing to draw a distinction between the conscious part and
         | other parts of the body, i.e. if you are willing to admit that
         | some parts of the world are mechanistic (the external world,
         | the function of our eyes, sense of smell, etc) and some parts
         | (including the brain) are not. If you are willing to admit
         | that, then the brain-in-a-vat scenario says that you can
         | emulate all these mechanical parts and feed the brain fake
         | information, and the brain can't tell the difference. An
         | envatted brain _can_ be isolated from the body because it only
         | knows the information at its own boundaries, i.e. at the
         | boundary of the mechanistic and the non-mechanistic.
         | 
         | If the point of your post is to say that the boundary is larger
         | than that of the brain itself, but extends to the nervous
         | system, gut bacteria, etc. then I think one could counter that
         | all those things are relatively easily replaced by simulations
         | and therefore don't need to be part of the brain in the vat to
         | make the thought experiment work. A person can lose arms and
         | legs and intestines and still be perfectly conscious.
         | 
         | If you say that the brain itself could be replaced by a
         | simulation and not lose any qualities, then the brain-in-a-vat
         | thought experiment doesn't really mean anything for you because
         | there would be nothing special about a brain anyway, and the
         | scenario is vacuous.
        
           | onlyrealcuzzo wrote:
           | > A person can lose arms and legs and intestines and still be
           | perfectly conscious.
           | 
           | You can also lose parts of your brain and be totally fine!
           | 
           | I'm not sure this proves as much as you think, though I do
           | tend to agree.
        
             | tines wrote:
             | > parts
             | 
             | key word :)
        
       | ChildOfChaos wrote:
       | Tim Spector seems like a good source on this stuff, I listened to
       | some podcasts of his and he's doing some work here in the UK with
       | Zoe, where they test you and figure out a nuturion plan for you
       | based on your gut bacteria and what is best for you personally.
        
       | neonate wrote:
       | http://web.archive.org/web/20230124132159/https://www.bbc.co...
       | 
       | https://archive.ph/Z5vh0
        
         | VieEnCode wrote:
         | Why post an archive link? Nothing from the BBC is behind a
         | paywall.
        
       | thinkingemote wrote:
       | I get gut pain sometimes, on a semi regular basis. The day before
       | the pain hits I have mild-euphoria, clear thinking, positive
       | outlook, lots of energy, more social and extravert. It's not
       | normal.
       | 
       | Something is going on with the brain and my gut.
       | 
       | It's possible that it's endorphins being released to stop any
       | pain ... but this is about 24 hours before the crippling cramps
       | start, and it's more a mood shift than pain killing. Before this
       | great 24 hour, I'm normal baseline okay state.
        
         | [deleted]
        
         | sva_ wrote:
         | > The day before the pain hits I have mild-euphoria, clear
         | thinking, positive outlook, lots of energy, more social and
         | extravert. It's not normal.
         | 
         | Some might say that you got it backwards and this would be
         | preferably your "normal".
         | 
         | First thing I'd do would probably be to document in detail what
         | you're eating on those days and if any pattern emerges. Try
         | eliminating things, if there is any pattern. Sounds a lot like
         | lactose intolerance to me. I used to have it, but managed to
         | get rid off it.
        
       | basch wrote:
       | I have to wonder what the prevalence of psychedelics and
       | antidepressants has done at a population level to change us.
       | 
       | A Multidisciplinary Hypothesis about Serotonergic Psychedelics.
       | Is it Possible that a Portion of Brain Serotonin Comes From the
       | Gut? https://pubmed.ncbi.nlm.nih.gov/36137971/
       | 
       | Seeking the Psilocybiome: Psychedelics meet the microbiota-gut-
       | brain axis
       | https://www.sciencedirect.com/science/article/pii/S169726002...
       | 
       | Serotonin Reuptake Inhibitors and the Gut Microbiome:
       | Significance of the Gut Microbiome in Relation to Mechanism of
       | Action, Treatment Response, Side Effects, and Tachyphylaxis
       | https://www.frontiersin.org/articles/10.3389/fpsyt.2021.6828...
        
         | jassyr wrote:
         | Can't speak at the population level, but on a personal,
         | anecdotal level I very reluctantly started taking an SSRI a few
         | years ago and my life is substantially better. YMMV.
        
         | [deleted]
        
       | yosito wrote:
       | In the last three years, something related to my gut-brain
       | connection got fucked. I'm not sure if it was some kind of post-
       | viral inflammation causing stress, or stress of isolation causing
       | inflammation. But it's definitely a two way street and mine got
       | completely stuck in a feedback loop. The mainstream medical
       | system failed to help me. Eventually some functional medicine
       | doctors managed to help me improve via diet, supplements, herbal
       | remedies and probiotics. Through (risky) experimentation and
       | happenstance I found even more relief with some traditional
       | medicines (pure Greek mastiha sap, kambo and Ayahuasca) and anti-
       | malarial pills I had taken for unrelated reasons.
       | 
       | Unfortunately the mainstream medical system has been completely
       | unable to investigate or explain what is going on with my body,
       | but anecdotally, the theory that there is a two way street
       | between gut bacteria and the brain completely aligns with my
       | experience.
       | 
       | I'm feeling better now, though my stomach still feels sensitive
       | and I can no longer tolerate gluten.
        
         | valarauko wrote:
         | What's the issues you've been facing, and why do you think it's
         | a gut-brain issue?
        
           | yosito wrote:
           | Constipation, headaches, stress, bloating, anxiety,
           | depression, fatigue, weight loss, hair loss, rashes.
           | 
           | I don't know what the cause was, but the gut-brain theory
           | fits all of my experience and treatments aimed at improving
           | my gut bacteria helped the most, and there has definitely
           | been a strong connection between how my gut is feeling and
           | how my mind is feeling.
        
             | valarauko wrote:
             | If you're experiencing an improvement, great. It seems
             | reasonable that your gut issues (if nothing else) could be
             | improved by addressing the gut biome.
             | 
             | Since you've had some luck with traditional medicines, I
             | can share my $0.02 about the traditional system I'm
             | somewhat familiar with. In traditional Indian folk
             | medicine, the focus for practically everything seems to
             | revolve around improving gut health. It's a common belief
             | that tongue health is a reflection of gut health, so for
             | example a coated tongue suggests a sluggish digestive
             | system, and the physician will seek to address that before
             | anything else. A lot of treatments also include required
             | dietary changes (like avoiding certain vegetables).
        
               | TedDoesntTalk wrote:
               | > like avoiding certain vegetables
               | 
               | I've never heard of this. Western medicine says "all the
               | vegetables, all the time". What are some of the
               | vegetables people told to avoid? Genuinely curious.
        
               | valarauko wrote:
               | I have to plead ignorance on the specifics, since it's
               | not something I've consulted myself, so unsure if it's a
               | universal suggestion or whether each person gets tailor
               | made recommendations - though I think it's the latter
               | (based on conversations with people who did consult a
               | traditional physician). Collectively, I've heard
               | recommendations against tomatoes, eggplants, certain
               | pulses common in the Indian diet, some leafy vegetables,
               | okra, colocasia (leaves and tubers), and milk. At least
               | in some cases, the dietary restrictions were supposed to
               | last at least while they took the traditional
               | medications.
        
               | kzrdude wrote:
               | Autoimmune Protocol diets commonly favour leafy greens a
               | lot while telling you to avoid too starchy veg and
               | everything in the potato-tomato family ("nightshades").
               | Very abbreviated it would be "eat green veg, fish and
               | meat."
        
               | wxnx wrote:
               | Even in Western medicine (at the research stage, at
               | least), that is not necessarily true in patients
               | suffering from certain conditions.
               | 
               | There is some evidence (in the sense of evidence-based
               | medicine) that a low-FODMAP (fermentable *saccharides)
               | diet reduces symptoms in patients with irritable bowel
               | syndrome. [1]
               | 
               | As far as vegetables go, according to one site high-
               | FODMAP vegetables include alliums and artichokes. [2]
               | 
               | It is worth noting that the authors of the linked review
               | paper caution that it is unknown whether a low-FODMAP
               | diet may have long-term adverse effects.
               | 
               | [1] doi:10.2147/CEG.S86798
               | 
               | [2] https://www.monashfodmap.com/about-fodmap-and-
               | ibs/high-and-l...
        
             | hanniabu wrote:
             | Have you ever done a hydrogen methane breath test? Curious
             | if it could be SIBO-C.
        
               | sgarman wrote:
               | This is a bit of a vent so apologies in advance but as
               | someone who has been though the same thing OP has I have
               | heard this suggestion from literally everyone. Even if
               | you do the test and it's test results are accurate it's
               | not 100% clear what to do with that information - it's
               | mostly the same stuff OP would have or did already try.
        
               | dinosaurdynasty wrote:
               | It's common to take a 2 week course of something like
               | Xifaxan (an antibiotic that works in the small intestine)
               | after a positive SIBO test, which is not something you
               | can do without a doctor/gastroenterologist prescribing it
               | for you.
               | 
               | -- someone who tested positive for a hydrogen/methane
               | breath test and just finished a 2 week course of Xifaxan
        
             | d23 wrote:
             | Can I ask for a recommendation for the professional you
             | worked with?
        
         | popotamonga wrote:
         | I got the opposite experience. I have IBD and recently started
         | on some potent probiotics. Suddenly my energy and focus went up
         | 1000%. So this is how regular people healthy live wow. I used
         | to be lethargic all the time for 30+ years.
        
           | moneywoes wrote:
           | What probiotics?
        
             | popotamonga wrote:
             | vsl3. i tried some others before (all given by doctor) and
             | had massive diarrhea. i guess each person is different.
        
           | Tade0 wrote:
           | Recently, for the first time in my life, I took probiotics
           | after a course of prescribed antibiotics.
           | 
           | I don't need coffee any more to function and I finally feel
           | _full_ after eating - strongly so even.
           | 
           | If it's really the probiotics, then I regret never taking
           | them before - especially after antibiotics.
        
           | user1029384756 wrote:
           | Putting this out there in case it may help others: My mother
           | suffered from GERD for years and years and about two years
           | ago, her condition seemed to have taken a turn for the worse.
           | We're talking waking up in the middle of the night projectile
           | vomiting. Constant heartburn, burping and indigestion after
           | meals and daily constipation. The doctors were completely
           | unable to help except to recommend antacids and possibly PPI
           | medication which can have serious side-effects.
           | 
           | I put her on a prebiotic + probiotic diet (kaffir, yogurt,
           | whole grains, dark leafy greens, etc) along with a basic
           | probiotic supplement every night and now according to her, at
           | least 95% of the symptoms have gone away. She's able to sleep
           | through the night now, better mood, better energy, better
           | everything.
           | 
           | Not saying it will work for everyone, but it worked for her.
           | I feel like so little is understood about the gut microbiome
           | and modern medicine is letting people suffer needlessly.
           | 
           | Edit: just realized this sounds exactly like a paid
           | infomercial lol
        
             | unsupp0rted wrote:
             | What are the side-effects for PPIs? I've been taking them
             | for almost 2 decades for GERD without anything too specific
             | coming up.
             | 
             | I check my B12 levels from time to time and they seem ok.
             | 
             | My hemoglobin is always a bit low and iron supplements
             | don't seem to help.
             | 
             | What other things are common with long-term PPI use?
        
               | lg wrote:
               | Lowering stomach acid can throttle calcium absorption so
               | is linked to osteoporosis but i don't know how common
               | that is in practice.
        
           | [deleted]
        
           | graeme wrote:
           | Which one was it? I've heard about Vsl-3 as being medical
           | grade
        
             | popotamonga wrote:
             | That one exactly. Expensive as crap and hard to find in my
             | country but it's priceless.
        
               | graeme wrote:
               | Edit: Do you take the one I linked, or this prescription
               | grade extra strength? https://www.visbiome.com/collection
               | s/all/products/visbiome-e...
               | 
               | ($6.2/day without insurance coverage)
               | 
               | -----
               | 
               | Thanks! For anyone in Canada wondering, I just searched
               | and apparently you can buy it online now. About $2 a day:
               | https://www.visbiome.com/collections/all/products/visbiom
               | e-c...
               | 
               | I had looked years ago and found it hard to get. Going to
               | check with my doctor, might be something prescribable,
               | which would either make it covered by insurance or at the
               | least a tax deductible health expense.
        
               | d23 wrote:
               | What's up with this? https://vsl3.com/assets/v1/patient/f
               | iles/FactSheetVSL3Jun202...
               | 
               | Just went to their site and it sketched me out a bit to
               | read this.
        
               | jassyr wrote:
               | As far as I can tell it's a business/patent dispute.
               | 
               | https://www.visbiome.com/blogs/visbiome-vs-vsl-3/exegi-
               | wins-...
        
         | bch wrote:
         | > pure Greek mastiha sap
         | 
         | Mmm. The root for the word "masticate" (the resin is used like
         | chewing gum), and the "piney" flavour in Greek halva (among
         | other things). Notably, a collection of trees on one Greek
         | islands (Chios) were under threat from forest fire a few years
         | ago[0].
         | 
         | [0] https://en.wikipedia.org/wiki/2012_Chios_Forest_Fire
        
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