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Balancing your gut bacteria

A checklist of common risk factors

- From The Microbiome Solution, Robynne Chutkan MD, Scribe Publicatio­ns.

Bacteria are our friends, not our foe, says American gastroente­rologist Robynne Chutkan in her 2016 book The Microbiome Solution.

“In medical school, I was taught how to eradicate people’s germs. A quartercen­tury later, I’m teaching my patients how to restore theirs.”

When gut bacteria get out of balance – a state known as “dysbiosis” – a number of conditions can ensue, she writes, among them acne, allergies, bad breath and gum disease, bloating, yeast infections, fatigue, poor digestion and unexplaine­d diarrhoea.

She says answering yes to even one of the questions from this checklist can indicate you’re at risk of dysbiosis:

Have you taken antibiotic­s more than four times per year or for longer than two weeks at a time?

Have you been on contracept­ive pills or hormone replacemen­t therapy in the past five years?

Have you taken corticoste­roids such as prednisone or cortisone for longer than two weeks at a time?

Have you been on acid-suppressiv­e therapy with proton pump inhibitors or histamine blockers for more than a month at a time?

Do you regularly take ibuprofen, aspirin or other NSAIDS?

When you were growing up, were you a picky eater who rarely ate green vegetables?

Have you consumed large amounts of sugar and starchy foods?

Do you drink more than 10 alcoholic drinks a week? Do you drink one or more soft drinks or diet

soft drinks daily?

 ??  ?? Robynne Chutkan: giving bugs back.
Robynne Chutkan: giving bugs back.

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