Sender, Fuchs & Milo
Reference body estimate
An average adult carries about 38 trillion bacteria, roughly equal to the number of human cells, overturning the old '10 to 1' claim.
Find on PubMed ↗About 38 trillion bacteria live in your body, most in your large intestine. They digest fibre, train your immune system and send signals to your brain. What you eat changes them within days.
Good evidenceUpdated Oct 2026 · 4 new studiesYour gut microbiome is the community of bacteria, fungi and viruses in your intestines. A diverse community is generally a healthier one, and diet is the main thing that shapes it.
Microbes ferment the fibre you can't digest into short-chain fatty acids like butyrate. These feed the cells lining your gut, keep the barrier tight, calm inflammation and help regulate blood sugar and appetite.
The gut and brain talk constantly through the vagus nerve, hormones and immune signals; this is the gut-brain axis. Some gut bacteria make or influence brain chemicals such as serotonin and GABA. People with depression tend to have fewer of certain helpful species.
Gut microbes turn fibre into short-chain fatty acids and chemical messengers that reach the brain through the vagus nerve, hormones and the immune system.
Vegetables, beans, whole grains, nuts and seeds feed your microbes.
Bacteria in the large intestine break down the fibre.
Short-chain fatty acids like butyrate are released.
Calmer immune system, steadier blood sugar, messages to the brain.
Bristol Stool Form Scale (Lewis & Heaton 1997).
Reference body estimate
An average adult carries about 38 trillion bacteria, roughly equal to the number of human cells, overturning the old '10 to 1' claim.
Find on PubMed ↗1,098 adults
Identified 15 gut species linked to healthy diets and better blood sugar, fat and inflammation markers, and 15 linked to worse.
Find on PubMed ↗36 adults, 10 weeks
Eating 6 servings of fermented foods a day raised microbe diversity and lowered 19 inflammation markers.
Find on PubMed ↗1,054 + 1,070 adults
Two types of bacteria (Coprococcus and Dialister) were consistently lower in people with depression.
Find on PubMed ↗12 healthy men
After a 4-day antibiotic course, most gut bacteria recovered within 6 months, but some species stayed missing.
Find on PubMed ↗9,715 samples, 20 countries
Gut and mouth microbes are shared between people who live together, so your microbiome is partly social.
Find on PubMed ↗A huge 2025 study ranked gut bugs linked to good and poor health and showed diet shifts them. A 2026 trial found a varied plant mix changed far more gut species than a probiotic. But home gut tests gave wildly different results from the same sample.
Every study added to this page since January 2025. Green rings are the strongest evidence: large trials or meta-analyses.
BIOME trial, 2026, 399 low-fibre adults for 6 weeks. Number of gut species that changed. Funded by ZOE.
Over 34,000 adults in the UK and US
Researchers ranked 50 gut species linked to better health and 50 linked to worse. Healthy people carried on average 3.6 more of the 'good' species than people with a diagnosed condition, and many of these species had never been studied before.
399 adults eating under 20 g fibre a day, 6 weeks
A daily 30 g blend of more than 30 plant foods changed 57 gut species, against 14 with a control food and just 4 with a probiotic. People also reported less bloating, constipation and indigestion and more energy. The trial was funded by ZOE.
981 bowel cancer genomes from 11 countries
DNA damage from colibactin, a toxin made by some gut E. coli, was 3.3 times more common in bowel cancers diagnosed under 40 than over 70. The damage seems to happen in the first 10 years of life, which may help explain rising bowel cancer in young adults.
21 home test kits from 7 companies, one identical stool sample
Results from the same sample varied as much between companies as stool from different people does. One company rated identical samples as both 'healthy' and 'unhealthy', so home gut tests are not yet reliable enough to act on.
Variety beats pills: aim for 30 different plant foods a week (vegetables, fruit, beans, nuts, seeds, grains, herbs). Skip home gut test kits for now; the same sample gives different answers from different companies.
Variety and fibre first. Supplements are rarely needed.
Mix your veg, use mixed beans, seeds and herbs. A spice blend counts several times.
Increase slowly over a few weeks and drink water to avoid bloating.
Yoghurt, kefir, kimchi, sauerkraut, miso or kombucha.
Some emulsifiers and sweeteners disturb gut microbes in early studies.
They save lives, but don't push for them for colds or flu.
Regular exercise is linked to more butyrate-making bacteria.
✕ MythProbiotic pills fix everything.
✓ FactThey help in a few situations, like diarrhoea from antibiotics. For healthy people evidence is weak, and one study found they slowed gut recovery after antibiotics.
✕ MythHome tests tell you exactly what to eat.
✓ FactThe science isn't there yet. Eating more plants and fibre is still the best advice.
✕ MythYou need a cleanse or detox.
✓ FactYour liver, kidneys and gut already do this. Cleanses can upset your microbes.
✕ MythBloating means a bad gut.
✓ FactSome gas is normal when you eat more fibre. Persistent pain or change in habit should be checked.
Probiotics are live microbes (yoghurt, kefir). Prebiotics are the fibres that feed them (onions, garlic, oats, bananas, beans).
Studies show shifts within 1–3 days of a big diet change, but lasting change takes weeks of new habits.
Only for diagnosed IBS and ideally with a dietitian. It's meant to be short-term, then foods are added back.
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Your gut holds trillions of microbes, with roughly as many bacterial cells as human cells in your body.
Your gut holds trillions of microbes, with roughly as many bacterial cells as human cells in your body.
Estimates put the ratio near 1:1, not the older '10 to 1' claim.
Eating 30 different plants a week is linked to a more diverse gut microbiome.
Eating 30 different plants a week is linked to a more diverse gut microbiome.
The American Gut Project found this pattern; plants include vegetables, fruit, grains, nuts, seeds, beans and herbs.
Fermented foods like yoghurt and kefir increased microbiome diversity in a Stanford trial.
Fermented foods like yoghurt and kefir increased microbiome diversity in a Stanford trial.
Wastyk 2021: 10 weeks of more fermented foods raised diversity and lowered inflammation markers.
Everyone should take a probiotic every day.
Everyone should take a probiotic every day.
Benefits are specific to strains and conditions, like some antibiotic-related diarrhoea. Healthy people show little clear benefit.
Antibiotics wipe out your gut bacteria forever.
Antibiotics wipe out your gut bacteria forever.
They can sharply reduce diversity; most microbes return within weeks to months, but some species may not.
Colon cleanses and detox teas improve gut health.
Colon cleanses and detox teas improve gut health.
They have no proven benefit and can cause dehydration and salt imbalances.
Gut bacteria turn fibre into short-chain fatty acids that feed your gut lining.
Gut bacteria turn fibre into short-chain fatty acids that feed your gut lining.
Butyrate, one of these, is the main fuel for colon cells and helps control inflammation.
Home gut microbiome tests tell you what to eat.
Home gut microbiome tests tell you what to eat.
They show which microbes are present, but there's not enough evidence to turn that into reliable advice.
The gut and brain talk to each other through nerves and chemical signals.
The gut and brain talk to each other through nerves and chemical signals.
The vagus nerve and microbial chemicals link the two, though most mood findings come from animals.
Bloating always means a food intolerance.
Bloating always means a food intolerance.
It's often due to fibre changes, eating fast, constipation or stress; true intolerance is less common.
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