Gut Crisis: How Diet, Probiotics, and Friendly Bacteria Help You Lose Weight and Heal Your Body and Mind
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Gut Crisis is the ultimate guide to gut health. Poor food quality, the overuse of antibiotics, and other factors are creating an imbalanced state in your gut bacteria and damaging your gut lining. This eventually leads to inflammation that underlies chronic health conditions such as obesity, diabetes, autoimmune disease, heart
Robert Keith Wallace
Dr. Robert Keith Wallace did pioneering research on the Transcendental Meditation technique. His seminal papers-published in Science, American Journal of Physiology, and Scientific American-on a fourth major state of consciousness support a new paradigm of mind-body medicine and total brain development. Dr. Wallace is the founding President of Maharishi International University and has traveled around the world giving lectures at major universities and institutes, and has written and co-authored several books. He is presently a Trustee of Maharishi International University, and Chairman of the Department of Physiology and Health.
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Book preview
Gut Crisis - Robert Keith Wallace
Gut
Crisis
HOW DIET, PROBIOTICS, AND FRIENDLY BACTERIA HELP YOU
LOSE WEIGHT AND HEAL YOUR BODY AND MIND
Robert Keith Wallace, PhD and Samantha Wallace
Dharma Publications
Also by
Dr. Robert Keith Wallace and Samantha Wallace
An Introduction to Transcendental Meditation
Improve Your Brain Functioning, Create Ideal Health, and Gain Enlightenment Naturally, Easily, Effortlessly
Transcendental Meditation
A Scientist’s Journey to Happiness, Health, and Peace
The Neurophysiology of Enlightenment
How the Transcendental Meditation and TM-Sidhi Program Transform the Functioning of the Human Body
Maharishi Ayurveda and Vedic Technology
Creating Ideal Health for the Individual and World
Dharma Parenting
Understand your Child’s Brilliant Brain for Greater Happiness, Health, Success, and Fulfillment
(co-authored with Fred Travis)
Quantum Golf
The Path to Golf Mastery
(co-authored with Kjell Enhager)
To our children Eden, Ted, Gareth, and Lila,
and their dear families
© Copyright 2017 by Robert Keith Wallace, PhD and Samantha Wallace.
All rights reserved. Printed in the United States of America.
No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without prior written permission of the publisher.
Transcendental Meditation®, TM®, Maharishi®, Maharishi University of Management®, and MUM® are protected trademarks and are used in the U.S. under license or with permission.
The advice and information in this book relates to health care. It should be used to supplement rather than replace the advice of your doctor or trained health professional. If you have any serious, acute, or chronic health concern, please consult a trained health professional who can fully assess your needs and address them effectively. The publisher and authors disclaim liability for any medical outcomes as a result of applying any of the methods discussed in this book.
ISBN 978-0-9990558-1-6
Library of Congress Control Number: 2017908401
DharmaPublications.com
Dharma Publications, Fairfield, IA
All disease begins in the gut.
— Hippocrates
Table of Contents
Authors’ Note
Introduction
PART 1: Our Hidden Organ
Table Talk
Gut Feelings
Right From the Beginning
Antibiotics
Diet and Lifestyle
The Cloud Around You
The Business of Gut Bacteria
The Good, the Bad, and the Vile: PART 1
The Good, the Bad, and the Vile: PART 2
PART 2: Diseases
Irritable Bowel Syndrome or IBS
Inflammatory Bowel Disease or IBD
Brain Wiring
Heart Matters
Gut Imbalance Equals Dis-ease
PART 3: How Does Our Gut Work?
The Gut Barrier
The Gut-Brain Axis
Leaky Gut Sy
Appetite
Epigenetics
Prebiotics
PART 4: Doc Gut’s Favorite Books
The Brain Maker
The Microbiome Solution
The Plant Paradox
Gut and Psychology Syndrome
The Prime
Gut
I Contain Multitudes
Eat Dirt
Fat for Fuel
PART 5: Past and Future
Traditional Medicine
The Future of Medicine
PART 6: What You Can Do
Dr. Maggie
The Ayurvedic Approach
Know Your Gut
DHARMA Protocol – Your Roadmap to Health
Authors’ Note
A major health crisis is taking place around the world in the form of epidemics of such conditions as obesity, diabetes, and autoimmune disease. The root cause of these and many other diseases can all be traced back to the gut. Medical science is beginning to understand what the ancients have known for centuries: an imbalanced gut leads to disease. It begins with a break in the gut wall, followed by a local inflammatory response. This leads to a chronic state of inflammation, which is the source of disorders ranging from heart disease to Alzheimer’s.
A personal journey to gut health began with an interest in gut bacteria and culminated with a startling revelation about our own health. Gut Crisis includes practical issues that affect everyone’s health:
What disorders are caused by an imbalanced state of gut bacteria?
How do gut bacteria affect your cravings and emotions?
What are the effects of probiotics?
What is your personal Gut/Brain Nature?
What can you do to heal your gut?
Each chapter of the book is organized in the form of a blog with a Q&A comment section that introduces three characters with different points of view: Doc Gut, Ms. Natural, and H Bomb.
Gut Crisis cuts through the volume of conflicting gut information on the Internet to help you make the best possible choices for your health and the health of your loved ones.
Introduction
I have spent much of my life lecturing at universities and scientific institutes around the world, and my typical talk is about enlightenment and its scientific verification. Last night, however, I spoke to several hundred people about the human gut and my subject went from the sublime to the revolting.
I began by pointing out that everyone seems to have some instinctive understanding that there is something powerful and fundamental about the gut. Perhaps that’s why we use expressions like trust your gut,
from the gut,
gut instincts,
and gut feelings.
A brave person has a lot of guts,
while a weak person might be disparaged as gutless.
I decided to ease into specifics of the gut by beginning with a subject of popular interest, probiotics. Probiotics are living bacteria that enter our gut and merge with other microorganisms living there, and every health store stocks them, either in the form of a pill or a drink. The microbiome
is a name scientists use to describe all of the microorganisms in or on us, including their vast amount of genetic material. In our gut alone, we have 30 to 40 trillion bacteria cells—about the same number as all of the other cells in our body.
Why are these tiny organisms important? Bacteria can communicate with every part of our body, especially with our brain. Gut bacteria are essential to our physical and mental well-being, to the point of determining how happy or sad we are.
Gut research is not a passing health fad. The National Institutes of Health lists almost 1000 human clinical trials presently exploring the effectiveness of probiotics to treat a wide variety of diseases.
The zinger in last night’s lecture was that one of the most powerful discoveries in gut research is the success of fecal transplant, a procedure in which a doctor inserts stool or poop
from a healthy donor into the lower gut of a sick person. Before I finished this sentence, I could see looks of disgust and discomfort pass over the faces of my audience.
I tried to soften their shock by pointing out that top medical researchers around the world have found that fecal transplant is the very best treatment for an often fatal infection caused by the bacteria Clostridium difficile. Affecting half a million people in the United States, this disease results in severe bouts of reoccurring diarrhea and accounts for 15,000 deaths each year.
Fecal transplant is 90% effective in curing C. difficile. There are currently over 100 human clinical trials on the use of fecal transplant for this and other diseases. And these trials are conducted to the gold standard of modern research, often costing millions of dollars.
In the past, our focus was primarily on bad
bacteria, which happen to be small in number compared to good
bacteria. Historically, most gut bacteria have been difficult to study because they don’t consume oxygen and can’t be easily grown in cultures. It is the development of new technologies, particularly gene sequencing, which has recently made it possible to study over 1000 different bacterial organisms. This enormous variety of bacteria live in the lower portion of our digestive tract and affect everything from anxiety to weight gain to aging.
In 1907, Nobel Prize Laureate Ilya Ilyich Mechnikov promoted probiotics in the form of Bulgarian yogurt as a means of maintaining better health and slowing the aging process. No one took him seriously at the time. Today, however, new articles are constantly being published, revealing how the state of our gut bacteria affects heart disease, diabetes, Alzheimer’s, Parkinson’s, multiple sclerosis, Crohn’s, autism, and many other conditions.
I concluded my talk, stating that we are at the beginning of the next great revolution in modern medicine—a revolution, which will connect advanced technologies with ancient health practices and lay bare mysteries that surround the diseases that plague humankind.
Editorial note: We have chosen to use the term bacteria
to mean both a single bacterium and a group of bacteria. The Latin names of bacteria are in italics, and the first word is often abbreviated. Clostridium difficile, for example, may be referred to as C. difficile.
PART I
OUR HIDDEN ORGAN
CHAPTER 1
Table Talk
At a dinner party, the woman sitting beside me asked what I considered to be the most exciting new area of medical research.
Now, it’s one thing to lecture about the inner workings of the body; it’s another to discuss it at the dinner table. But she had told me earlier that she was unhappy about being overweight and I wanted to help her.
Fecal transplant and gut bacteria!
I exclaimed, probably the last thing she was expecting me to say.
I could have politely avoided the topic, but this would suggest that I possess a degree of self-control over my scientific enthusiasm. I don’t. Could I have switched to a more polite topic? Easily. The answer I gave was based on an amazing experiment in which fecal transplant dramatically reduced obesity.
This weight reduction study had been unique for two reasons: First, it involved both humans and animals. Second, it was a success. Fecal samples were taken from two adult human twins, identical in all respects except that one of them was obese, while the other was lean. One twin had become fat and the other thin.
When the fecal sample from the fat twin was transplanted into a normal size mouse, the mouse became fat. And when a sample was taken from the thin twin and transplanted into another normal size mouse, that mouse became thin. The question that naturally arose from this research is: Can human obesity be remedied by transplanting stool from thin people into fat people?
At this point, the answer is: Nobody knows. But as unpleasant as the procedure may at first seem, if these experiments work consistently well on humans, it will be an epic breakthrough in the field of weight management. Much of the developed world is in the midst of an obesity epidemic. Obesity is a major health risk factor in the development of heart disease and diabetes. No one knows whether the epidemic is due to sugar and processed food, or to the increase in stress in our lives, but it’s happening everywhere, and our children are getting fatter and fatter. One fact is clear when we watch 600-pound individuals on reality TV: Obesity is all around us and it’s not going away easily.
Before I could tell my dinner partner about the experiment with the twins, I had to explain the basics of fecal transplant. I began by telling her about the astounding success of fecal transplant in a study reported in the New England Journal of Medicine. The fecal transplant proved so much more effective and less expensive than a treatment using a strong antibiotic that the hospital deemed it unethical to continue giving the antibiotic to the patients, and stopped the study.
I want you to know that I did show some social restraint by keeping my mouth shut and not sharing an even more shocking procedure in which researchers took fecal transplant to the next level, Poop in a Pill.
Yes, you read it right. Children infected with C. difficile were given an oral-fecal transplant with great success. However, the technique has recently come into question. A commercial company, Seres Therapeutics, received $120 million in funding from Nestlé to create a cocktail of select highly purified gut microbes from the poop of healthy donors and put it into an oral pill form to treat C. difficile patients. Though initial findings were promising, later trials were unsuccessful and news of this failed trial caused Seres stock to plummet 78%. Nevertheless, the research continues.
Numerous fecal transplant clinical trials are being conducted on other conditions, including ulcerative colitis and obesity. These studies are in a preliminary stage, and there are many questions that must still be answered. How, for example, do researchers know who is the best fecal donor candidate? Should it be a relative, a best friend, or a healthy stranger? What is the best way to obtain a sample and store it? What was it that went wrong when researchers tried to purify the stool sample and put it into pill form? Can fecal transplant cure other diseases?
I spared my dinner guest this part of the discussion, and I hope that she will forgive me for ruining her appetite by bringing up this extremely promising, yet conversationally awkward, subject.
Gut Rap Q & A:
H Bomb: I like your blog, but whatta load of crap! Are you trying to tell us that squirting someone’s poop into a fat guy will make him skinny?
Doc Gut: Right now, the main clinical use of fecal transplant is to cure the dangerous C. difficile infection. It is usually only given after the most powerful antibiotic drugs have failed. As I pointed out, fecal transplant is over 90% effective and has been a lifesaver for many people. C. difficile infection is a very serious problem. In some areas of the US, it is considered to be the number one hospital infection, even more prevalent and dangerous than MRSA (methicillin-resistant Staphylococcus aureus).
H Bomb: I have another question. Why do dogs eat poop?
Doc Gut: The easiest answer is that it allows them to consume undigested nutrients in the poop. The technical name for animals eating poop is coprophagia. And about 30% of both human and dog poop consists of gut bacteria, so it is also kind of an oral fecal transplant that allows animals to reseed their gut bacteria. I googled the words animals eat poop
and the first thing that came up was a