Nourish Your Gut, Nurture Your Mind: Exploring the Gut–Brain Axis in Naturopathic Medicine

Our understanding of health is evolving. Emerging research reveals that the trillions of microbes living in our gut are not just passive passengers - they’re active communicators with our brain. Today, we explore how natural strategies rooted in naturopathic medicine can help optimise this vital connection and, in turn, impact our mood and neurological wellness.

Understanding the Bidirectional Gut–Brain Axis

The concept of the gut–brain axis refers to the dynamic, bidirectional communication network between the gastrointestinal tract and the central nervous system. This communication occurs through an intricate interplay of neural, immunological, endocrine, and metabolic pathways. Studies suggest that bacteria-derived molecules such as short-chain fatty acids (SCFAs) and neurotransmitters (e.g., γ-aminobutyric acid and serotonin) reach the brain via the bloodstream and neural pathways like the vagus nerve. Stress and emotions, meanwhile, can alter the microbial landscape through the release of stress hormones, influencing both gut physiology and bacterial gene expression. These insights illustrate how maintaining a healthy gut ecosystem is central to achieving balanced mental and neurological function.

Microbiota and Its Role in Mood and Neurological Health

A growing body of research indicates that when the gut microbiota is out of balance - what researchers call “dysbiosis” - it may contribute to various neurological conditions. In a 2020 review article by Barbosa and Barbosa, disruptions in the gut–brain axis were implicated in diseases such as Parkinson’s, Alzheimer’s, and multiple sclerosis. Similarly, human studies have linked mood disorders like major depressive disorder with distinct microbial patterns, including higher levels of Bacteroidetes and Proteobacteria, while a robust population of beneficial microbes like Faecalibacterium appears to protect against depressive symptoms. These findings suggest that a healthy microbiota can help regulate inflammatory responses, neurotransmitter production, and even gut barrier integrity, all of which are essential for optimal brain function.

From Culture to Molecular Techniques: Assessing the Microbiome

For decades, our view of the gut ecosystem was limited by the traditional method of culturing—a technique that can recover only a fraction of the microbial community. Today, molecular, culture-independent methods, most notably 16S rRNA gene sequencing, have revolutionised our understanding by providing a comprehensive picture of microbial diversity and composition. This approach is critical for naturopathic practitioners who rely on accurate assessments of gut health to guide dietary and lifestyle interventions. By embracing these modern techniques, we can appreciate the complexity of the gut microbiota and tailor therapies that address each individual’s unique ecosystem.

Naturopathic Approaches to Optimizing the Gut–Brain Connection

Probiotics and Prebiotics: Nature’s Supporting Cast

Probiotics—live microorganisms that can confer health benefits—are frequently recommended in naturopathic practice. However, while many commercial probiotics claim to “restore balance,” only select strains demonstrate the ability to modify the gut environment meaningfully. For example, strains such as Bacillus coagulans GBI-30 6086 and Lactobacillus casei Shirota have been shown to increase beneficial bacterial populations. More promising still are prebiotics: selectively fermented ingredients that fuel beneficial microbes. Prebiotic supplementation, when dosed carefully (starting low and increasing gradually), can enhance microbial diversity and support the production of SCFAs, which help reduce inflammation and promote brain health.

Prebiotic-Like Foods and Resistant Starches

Beyond supplements, everyday foods are a natural source of prebiotics. Resistant starch (RS), found in whole grains, legumes, unripe bananas, and even cooked-and-cooled potatoes, stands out as a powerful prebiotic-like food. RS escapes digestion in the small intestine to be fermented by colonic bacteria, boosting the production of butyrate - a key molecule for colon health and a modulator of the gut–brain axis. Different forms of RS (RS1 through RS4) impact the microbial ecosystem uniquely, so incorporating a variety of these starches can be a simple yet effective strategy to nourish your microbiome.

Integrating Gut–Brain Health into Your Lifestyle

The research is compelling: the gut communicates with the brain in ways that affect mood, cognition, and neurological function. In naturopathic medicine, this means looking beyond traditional treatments to embrace a holistic approach that includes:

  • Dietary Modifications: Emphasise whole, unprocessed foods rich in fibre and resistant starches.

  • Mindful Probiotic Use: Choose strains with demonstrated benefits and integrate them into your regimen when needed.

  • Stress Management: Recognise how stress impacts digestion and microbial balance, and use naturopathic techniques such as mindfulness, meditation, or gentle exercise to reduce stress levels.

  • Personalised Assessments: Consider modern microbiome assessment tools that provide a clearer picture of your unique gut ecosystem, paving the way for individualised treatment plans.

Looking Forward

While the field is still evolving, early research underscores the potential of modulating the gut microbiota to benefit mental health and slow neurodegenerative processes. As more studies shed light on the precise role of the gut–brain axis in conditions like depression and neurodegeneration, naturopathic medicine stands poised to integrate these insights into holistic, evidence-based interventions.

If you’re seeking natural ways to bolster your health from the inside out, consider the health of your gut as a central component. By understanding and nurturing the gut–brain connection, you may not only uplift your mood and mental clarity but also enhance your overall well-being.


Interested in learning more about how natural therapies can transform your health? Stay tuned for more insights on optimal gut health, or get in touch for a personalised consultation.

This blog post draws from the comprehensive review on the gut–brain axis by Barbosa and Barbosa (Study listed in references), as well as the latest advances in microbiome research, underlying the promise of naturopathic interventions to balance our internal ecosystem and support mental and neurological health. Enjoy the journey to a healthier, happier you!

Study summary:

The review article, The Gut Brain-Axis in Neurological Diseases by Pedro Melo Barbosa and Egberto Reis Barbosa, explores the connection between gut microbiota and neurological disorders. It discusses how dysfunction of the gut-brain axis - through mechanisms like increased gut permeability, immune system disruption, and changes in gut microbiota - may contribute to conditions such as Parkinson's disease, Alzheimer's disease, multiple sclerosis, cerebrovascular disease, and various neurodevelopmental and neuropsychiatric disorders.

Key points from the study:

  • The gut-brain axis enables bidirectional communication between the gut and nervous system via neural, hormonal, and immune pathways.

  • Diet plays a major role in shaping the gut microbiota, which in turn influences brain function, neurotransmitter production, and neuroinflammation.

  • Gut dysbiosis (an imbalance in gut bacteria) has been linked to increased inflammation, immune dysfunction, and the progression of several neurological diseases.

  • The study highlights potential therapeutic strategies, such as targeting the gut microbiota with probiotics, dietary modifications, or fecal transplants, but stresses that more research is needed to establish clear causal relationships and clinical applications.

The authors conclude that while the gut-brain axis is a promising area of research, further studies are required to understand its mechanisms and to develop effective treatments for neurological diseases.

References:

  1. Ahmed M, Prasad J, Gill H, et al. Impact of consumption of different levels of Bifidobacterium lactis HN019 on the intestinal microflora of elderly human subjects. J Nutr Health Aging. 2007;11:26–31.

  2. Azpiroz F, Dubray C, Bernalier-Donadille A, et al. Effects of scFOS on the composition of fecal microbiota and anxiety in patients with irritable bowel syndrome: a randomized, double blind, placebo controlled study. Neurogastroenterol Motil. 2017;29(2).

  3. Barbosa PM, Barbosa ER. The Gut Brain-Axis in Neurological Diseases. Int J Cardiovasc Sci. 2020; [online].ahead print, PP.0-0.

  4. Benno Y, He F, Hosoda M, et al. Effects of Lactobacillus GG yoghurt on human intestinal microecology in Japanese subjects. Nutr Today. 1996;31:9S–12S.

  5. Birt DF, Boylston T, Hendrich S, et al. Resistant starch: promise for improving human health. Adv Nutr. 2013;4(6):587–601.

  6. Biesmans S, Meert TF, Bouwknecht JA, et al. Systemic immune activation leads to neuroinflammation and sickness behavior in mice. Mediators Inflamm. 2013;2013:14.

  7. Carabotti M, Scirocco A, Maselli MA, et al. The gut–brain axis: interactions between enteric microbiota, central and enteric nervous systems. Ann Gastroenterol. 2015;28(2):203–209.

  8. Collins SM, Surette M, Bercik P. The interplay between the intestinal microbiota and the brain. Nat Rev Microbiol. 2012;10(11):735–742.

  9. Fuentes-Zaragoza E, Sánchez-Zapata E, Sendra E, et al. Resistant starch as prebiotic: a review. Starch – Stärke. 2011;63(7):406–415.

  10. Gibson GR, Scott KP, Rastall R, et al. Dietary prebiotics: current status and new definition. Food Science and Technology Bulletin: Functional Foods. 2010;7(1):1–19.

  11. Gong J, Yang C. Advances in the methods for studying gut microbiota and their relevance to the research of dietary fiber functions. Food Res Int. 2012;48(2):916–929.

  12. Hawrelak JA, Myers SP. Intestinal dysbiosis: a review of the literature. Altern Med Rev. 2004;9:180–197.

  13. Hawrelak J. Probiotics. In: Braun LA, Cohen M, eds. Herbs & Natural Supplements: An Evidence-Based Guide 2. Elsevier: Sydney; 2015:771–795.

  14. Jiang H, Ling Z, Zhang Y, et al. Altered fecal microbiota composition in patients with major depressive disorder. Brain Behav Immun. 2015;48:186–194.

  15. Kondo J, Xiao JZ, Shirahata A, et al. Modulatory effects of Bifidobacterium longum BB536 on defecation in elderly patients receiving enteral feeding. World J Gastroenterol. 2013;19(14):2162–2170.

  16. Kristensen NB, Bryrup T, Allin KH, et al. Alterations in fecal microbiota composition by probiotic supplementation in healthy adults: a systematic review of randomized controlled trials. Genome Med. 2016;8(1):52.

  17. Martínez I, Kim J, Duffy PR, et al. Resistant starches types 2 and 4 have differential effects on the composition of the fecal microbiota in human subjects. PLoS ONE. 2010;5(11):e15046.

  18. Nyangale EP, Farmer S, Cash HA, et al. Bacillus coagulans GBI-30, 6086 modulates Faecalibacterium prausnitzii in older men and women. J Nutr. 2015;145(7):1446–1452.

  19. Odamaki T, Sugahara H, Yonezawa S, et al. Effect of the oral intake of yogurt containing Bifidobacterium longum BB536 on the cell numbers of enterotoxigenic Bacteroides fragilis in microbiota. Anaerobe. 2012;18(1):14–18.

  20. Ramotar K, Conly JM, Chubb H, et al. Production of menaquinones by intestinal anaerobes. J Infect Dis. 1984;150(2):213–218.

  21. Rajilic-Stojanovic M, de Vos WM. The first 1000 cultured species of the human gastrointestinal microbiota. FEMS Microbiol Rev. 2014;38(5):996–1047.

  22. Robles Alonso V, Guarner F. Linking the gut microbiota to human health. Br J Nutr. 2013;109(S2):S21–6.

  23. Sanders ME. Probiotics: definition, sources, selection, and uses. Clin Infect Dis. 2008;46(Suppl. 2):S58–61.

  24. Schmidt K, Cowen PJ, Harmer CJ, et al. Prebiotic intake reduces the waking cortisol response and alters emotional bias in healthy volunteers. Psychopharmacology (Berl). 2015;232(10):1793–1801.

  25. Spanhaak S, Havenaar R, Schaafsma G. The effect of consumption of milk fermented by Lactobacillus casei strain Shirota on the intestinal microflora and immune parameters in humans. Eur J Clin Nutr. 1998;52:899–907.

  26. Spanogiannopoulos P, Bess EN, Carmody RN, et al. The microbial pharmacists within us: a metagenomic view of xenobiotic metabolism. Nat Rev Microbiol. 2016;14(5):273–287.

  27. Venkataraman A, Sieber JR, Schmidt AW, et al. Variable responses of human microbiomes to dietary supplementation with resistant starch. Microbiome. 2016;4(1):33.

  28. van Zanten GC, Krych L, Roytio H, et al. Synbiotic Lactobacillus acidophilus NCFM and cellobiose does not affect human gut bacterial diversity but increases abundance of lactobacilli, bifidobacteria and branched-chain fatty acids: a randomized, double-blinded cross-over trial. FEMS Microbiol Ecol. 2014;90(1):225–236.

  29. Walker AW, Ince J, Duncan SH, et al. Dominant and diet-responsive groups of bacteria within the human colonic microbiota. ISME J. 2011;5(2):220–230.

  30. Wallace CJ, Milev R. The effects of probiotics on depressive symptoms in humans: a systematic review. Ann Gen Psychiatry. 2017;16:14.

  31. Zaman SA, Sarbini SR. The potential of resistant starch as a prebiotic. Crit Rev Biotechnol. 2016;36(3):578–584.

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