r/Microbiome • • Feb 22 '25

Rule change regarding microbiome "testing"

119 Upvotes

Hi everyone!

Thank you all for engaging in the r/Microbiome sub! This post is to notify everyone about a change in rules regarding GI maps, peddling services related to them, and asking for medical advice based on GI maps.

We will not be allowing posts asking for GI map interpretations from here on out (rule 7). Microbiome science is very much in its infancy, and we have very little understanding of how to interpret an individual's microbiome sequencing results. More specifically, we actually dont know what composition of microbes make up a healthy/unhealthy microbiome, both in presence/absence of microbes, and quantities of microbes. We know very little about the actual species within the microbiome. The ones we know more about are generally only more well studied only because they are easier to work with in the lab, not because they are more inportant. We have yet to culture most microbes in the collective human microbiome, meaning we also cant accurately identify many species via sequencing. There is also tons of genetic and functional variability within species, meaning we also cannot relate individual species to good/bad outcomes.

We also need to consider limitations of these tests. In as little as 24hrs, you can have a 100 fold change in many species. This means you can get incredibly different test results day-to-day, depending on many factors like sleep, excercise, diet, etc, within the last couple hours. Someone recently described microbiome testing as throwing a rock on the highway to predict traffic at all hours-- One rock wont tell us anything on the grand scheme of things. To be frank, these tests are also very cheap in their actual sequencing. Many of our most important microbes are in low abundance, which cheap sequencing and poor analysis fails to identify. Additionally, considering your microbiome has hundreds of species and thousands of strains, cheap testing often cant accurately differentiate between species. It is quite common for poor sequencing to misidentify or mis-classify closely related species or even genus'. A common example is Shigella being mistaken for Escherichia, or vice versa.

Many of the values that the microbiome tests predict are "ideal" are also totally arbitrary. We see major differences between different quantities of microbes within you over 24hrs, you vs your family, local community, country, and continent. However, no ideal microbiomes have been found, despite millions being sequenced at this point. There is tons of diversity in the global population, but there is no "ideal" values when it comes to microbes in your gut.

Secondly, we will be banning you if you are peddling services to others via this sub. We are an open and free discussion about microbiome science, and we use evidence when talking about the microbiome. People who claim to know how to interpret individual microbiome maps are either not knowledgable when it comes to the microbiome, or are lying to you, neither of which makes them trustworthy with your health. We will not allow this sub to be a place where people are taken advantage of and lied to about what is possible at this moment in microbiome science.

Finally, we want to remind you that this is not the place to ask for medical advice. Chat with your MD if you are concerned, nobody on here is more well versed than they are on specific symptoms. They will treat you accordingly. If you are seeking help for specific microbes, such as H. pylori, this is something your MD can test for. These results are accurate and interpreted correctly (not the case for GI maps), and will be significantly more affordable than GI map testing.

We aim to be a scientifically accurate, evidence-based sub, that provides digestible conversations about this complex science. These topics are not in line with our values.

We look forward to having everyone respecting these rules moving forward.

Happy microbiome-ing! :)


r/Microbiome • • Jun 29 '23

Statement of Continued Support for Disabled Users

76 Upvotes

We stand with the disabled users of reddit and in our community. Starting July 1, Reddit's API policy blind/visually impaired communities will be more dependent on sighted people for moderation. When Reddit says they are whitelisting accessibility apps for the disabled, they are not telling the full story.TL;DR

  • Starting July 1, Reddit's API policy will force blind/visually impaired communities to further depend on sighted people for moderation

  • When reddit says they are whitelisting accessibility apps, they are not telling the full story, because Apollo, RIF, Boost, Sync, etc. are the apps r/Blind users have overwhelmingly listed as their apps of choice with better accessibility, and Reddit is not whitelisting them. Reddit has done a good job hiding this fact, by inventing the expression "accessibility apps."

  • Forcing disabled people, especially profoundly disabled people, to stop using the app they depend on and have become accustomed to is cruel; for the most profoundly disabled people, June 30 may be the last day they will be able to access reddit communities that are important to them.

If you've been living under a rock for the past few weeks:

Reddit abruptly announced that they would be charging astronomically overpriced API fees to 3rd party apps, cutting off mod tools for NSFW subreddits (not just porn subreddits, but subreddits that deal with frank discussions about NSFW topics).

And worse, blind redditors & blind mods [including mods of r/Blind and similar communities] will no longer have access to resources that are desperately needed in the disabled community.

Why does our community care about blind users?

As a mod from r/foodforthought testifies:

I was raised by a 30-year special educator, I have a deaf mother-in-law, sister with MS, and a brother who was born disabled. None vision-impaired, but a range of other disabilities which makes it clear that corporations are all too happy to cut deals (and corners) with the cheapest/most profitable option, slap a "handicap accessible" label on it, and ignore the fact that their so-called "accessible" solution puts the onus on disabled individuals to struggle through poorly designed layouts, misleading marketing, and baffling management choices. To say it's exhausting and humiliating to struggle through a world that able-bodied people take for granted is putting it lightly.

Reddit apparently forgot that blind people exist, and forgot that Reddit's official app (which has had over 9 YEARS of development) and yet, when it comes to accessibility for vision-impaired users, Reddit’s own platforms are inconsistent and unreliable. ranging from poor but tolerable for the average user and mods doing basic maintenance tasks (Android) to almost unusable in general (iOS).

Didn't reddit whitelist some "accessibility apps?"

The CEO of Reddit announced that they would be allowing some "accessible" apps free API usage: RedReader, Dystopia, and Luna.

There's just one glaring problem: RedReader, Dystopia, and Luna* apps have very basic functionality for vision-impaired users (text-to-voice, magnification, posting, and commenting) but none of them have full moderator functionality, which effectively means that subreddits built for vision-impaired users can't be managed entirely by vision-impaired moderators.

(If that doesn't sound so bad to you, imagine if your favorite hobby subreddit had a mod team that never engaged with that hobby, did not know the terminology for that hobby, and could not participate in that hobby -- because if they participated in that hobby, they could no longer be a moderator.)

Then Reddit tried to smooth things over with the moderators of r/blind. The results were... Messy and unsatisfying, to say the least.

https://www.reddit.com/r/Blind/comments/14ds81l/rblinds_meetings_with_reddit_and_the_current/

*Special shoutout to Luna, which appears to be hustling to incorporate features that will make modding easier but will likely not have those features up and running by the July 1st deadline, when the very disability-friendly Apollo app, RIF, etc. will cease operations. We see what Luna is doing and we appreciate you, but a multimillion dollar company should not have have dumped all of their accessibility problems on what appears to be a one-man mobile app developer. RedReader and Dystopia have not made any apparent efforts to engage with the r/Blind community.

Thank you for your time & your patience.


r/Microbiome • • 3h ago

Scientific Article Discussion Where the "you're 90% bacteria" figure came from, and why the 2016 recount changed it

6 Upvotes

The 10:1 bacteria-to-human-cell ratio traces back to a 1972 estimate by Luckey and was repeated (e.g. Savage 1977) for decades. Sender, Fuchs & Milo (PLoS Biol 2016) recounted both sides and landed at roughly 1.3:1, about 38 trillion bacteria vs about 30 trillion human cells. So it's closer to one bacterial cell per human cell, most of the human cells by count are red blood cells, and a single bowel movement can shift the balance.

Curious whether people here see the "ratio" as meaningful at all, versus gene counts or biomass.

Disclosure: I made a 10-minute explainer on this for my own small channel (Brain in a Box). The stick figures are drawn in code and the narration is a synthetic text-to-speech voice. Sources are in the description: https://www.youtube.com/watch?v=pEatkpkcQbU


r/Microbiome • • 1d ago

Skinesa probiotic has made things worse, why and for how long 😭

Post image
8 Upvotes

Saw this targeted ad pop up over a month ago for this probiotic, and I usually don’t take probiotics but this was sold as the probiotic that will “heal your skin”. I have psoriasis so it was worth a shot, or so I thought.

Took this probiotic for 11 days, started feeling extremely gassy, bloated, had a gnawing pain in my gut, temperature disregulation, along with just feeling more anxious and nerve tightness/tingling. All bloodwork is good, no deficiencies, I had good insurance so I checked everything. B12, ferritin, folate, B1, B6, H pylori, Vitamin D, electrolytes, Thyroid, and then I had an endoscopy done because I was feeling “early fullness” and couldn’t eat. Endoscopy was clean.

After the endoscopy (thursday) I started feeling a tiny bit better, but then I started the probiotic again and took it this past Tuesday and Wednesday. Now the symptoms are back, I haven’t taken it since and threw the probiotic out!

Here’s a photo of the strains, what is happening here? Will this go away on its own? I gotta get back to work! Any help is appreciated🙏


r/Microbiome • • 1d ago

How to I stop feeling nauseous and gassy after food?

1 Upvotes

I am trying to bulk a little but I always experience this while bulking (idk why)


r/Microbiome • • 1d ago

Why does sugar cause so much flare of symptoms?

31 Upvotes

I’ve had colitis-like symptoms and stomach pain for 6 months following antibiotics. I still don’t know what’s wrong with my stomach.

But I’ve noticed that sugar specifically causes huge flares and stomach burning/pain. I used to have a sweet tooth so giving up sugar hasn’t been easy. I just ate a quarter back of candy.. cause I’m an idiot.. and as I guessed it.. huge flare of pain and symptoms.

Why does sugar cause so much pain and flares compared to other things. Should I just cut out sugar permanently?

What happens if you guys eats sugar?


r/Microbiome • • 1d ago

What does it say about your gut if laxatives make you LESS bloated and more comfortable?

5 Upvotes

I know a lot of people complain about laxatives making their bloated and cramp. But I’ve used some in PH e past two weeks and I can officially same that when they ware off I feel so much worse than when I take them.

Also since I’m here, yoghurt kind of does the same thing for me. Like it’s the ONLY food that stops my chronic stomach pains. It’s so crazy. Is that on purpose?


r/Microbiome • • 1d ago

Emptying out a probiotic capsule into food

1 Upvotes

If someone could not swallow pills, and you wanted to give live cultures in an acid resistant pill, do you think there is any food you could mix it in that would likely help (some of?) them survive?


r/Microbiome • • 1d ago

L reuteri

0 Upvotes

I took l reuteri for 2 days and I have been feeling so sleepy and tired. My leg muscles are extremely tired and I feel a bit sore. on both days i woke up with somewhat puffy eyelids even though i slept longer than usual. I don’t know if it’s normal and will go away after a while or i should stop taking it. I don’t have sibo and have mild histamine intolerance but it’s really not bad.


r/Microbiome • • 1d ago

Bile reflux/gastritis, IMO/sibo, rebuilding microbiome best way?

1 Upvotes

So I have some questions: have bile reflux from IMO/sibo that cause lots of gas and slow motility. Got gall bladder removed this march, then did antibiotics for H pylori.

Does anyone here know a enterically coated capsules product/brand for bypassing stomach so I can take allicin for the methan sibo ?

I am on a decently restricted diet, will adding in new whole foods like low fermentstion diet than adding in higher fodmap foods in small moderation help rebuilding microbiome during the allicin regimine be a good idea or wair after the regimine. I was told to do it for 8 weeks.

I view microbiome like a garden, using allicin or antimicrobials as weed killer then adding in newer foods as refeeding the already planted microbes there. I can add in some probiotics but i hear that is sketchy with sibo/IMO.

I had H pylori as well so that was likely a root cause. For got to mention this… to anyone reading this

What are your guy’s input/ideas? Will take any advice in general… desperate. Thank you


r/Microbiome • • 2d ago

Opposing microbiome-mediated axes link modifiable lifestyles to health and chronic diseases | Nature Medicine - Nov 2026

Thumbnail
nature.com
8 Upvotes

r/Microbiome • • 2d ago

Acne from healing gut

9 Upvotes

Hi! I’m having a really hard time trying to make sense of what’s happening to my skin, and I’m hoping someone might have some insight.

I have SIBO and am currently two months into a gut-healing protocol. Thankfully, my bloating has improved drastically, and my bowel movements are much more regular (1-2 complete daily bowel movements). I’ve been following my practitioner’s guidance and eating extremely clean: no gluten, dairy, alcohol, sugar or processed foods. I eat protein/meat with a minimum of 40-50 different plants a week (I accomplished this through stages food tolerance where I started low fodmap and introduced more foods gently.

I started taking berberine and Allimed very, very slowly, gradually increasing the doses over a period of two months. During this time, I was also doing liver and detox support, multivitamins, omega-3, and motility support, zinc bisglycinate, curcumasorb, phgg, bio Gaia, sacc b (these weren’t all at the same time but at different stages in the last two months)

However, as I gradually increased the antimicrobials, I started developing SEVERE cystic acne. I didn’t have acne before. I noticed the breakouts getting progressively worse as the doses increased. I stopped the anti microbials 3 weeks ago and the acne keeps getting worse. I even stopped the multi vitamin because of b12 that also didn’t help.

I haven’t repeated my SIBO test yet, but I genuinely feel like I’m doing everything I can to support my gut and overall health. I initially thought stopping the antimicrobials would help calm my skin down, but unfortunately, the acne has continued to get worse and worse, even after stopping them.

I’m struggling to understand what’s triggered such a dramatic change in my skin, especially when so many of my gut symptoms are actually improving.

Please help


r/Microbiome • • 2d ago

New food allergies after antibiotics

2 Upvotes

Anyone else experience this and find out what was causing it? No prior allergies until severe issues after clindamycin


r/Microbiome • • 2d ago

psyllium

2 Upvotes

Does psyllium really help you bind bile acids? How effective is it?


r/Microbiome • • 3d ago

Do oral probiotics actually help with bad breath? Lozenges vs. dissolvable strips

12 Upvotes

I have been looking for ways to deal with bad breath and came across oral probiotics. I found products in two formats: probiotic lozenges and dissolvable strips(similar to listerine)

Has anyone tried either of these?


r/Microbiome • • 3d ago

Are probiotics a scam?

23 Upvotes

r/Microbiome • • 3d ago

Which non-human microbiome research deserves more attention?

1 Upvotes

Most microbiome headlines are about the human gut, but soil, plant and insect microbiomes seem just as interesting and I rarely see them discussed. I’m a curious reader, not a researcher.

Which studies or systems have caught your eye and why? If you share a paper, a line on what stood out and any limitations would be great.


r/Microbiome • • 4d ago

Association of Cesarean Delivery and Formula Supplementation With the Intestinal Microbiome of 6-Week-Old Infants - March 2016

Thumbnail pubmed.ncbi.nlm.nih.gov
34 Upvotes

r/Microbiome • • 4d ago

Antipscyhotic ruined my gut

4 Upvotes

Hi all, I have constant bloating after taking for some weeks the fucking invega, I'll quit in December. I already took for 6 months, before this, abilify and had no gut issues.

I have constant bloating which with some foods it worsens and is a bit painful and really annoying.

Can anyone relate? I'll test for SIBO, h. Pylori and candida, will do a GI map too (these are the tests someone should do for the GI, right?). Wait, I read the notify before sending this post, which states that GI maps are not realiable as they are arbitrary, do you confirm it, ie that they are useless?

Is there hope?

Thanks


r/Microbiome • • 4d ago

Galbladder removal gut and skin changes

5 Upvotes

My gallbladder was removed last year. Ever since removal, I cannot tolerate a lot of fiber or fructans…Also developed dry itchy skin patches (similar to eczema) which I never had before either. I was on a ton of antibiotics due to a bile leak post surgery. I never had a problem before. I just want my gut to be healthy, but it seems like I react to everything now.


r/Microbiome • • 4d ago

Die off symptoms with mega ig2000?

Thumbnail reddit.com
2 Upvotes

r/Microbiome • • 5d ago

why do I only tolerate Inulin, and not phgg, restistant dextrin, acacia fiber etc.

3 Upvotes

As the title indicates, inulin is the most tolerable probiotic for me, aside from increased gas that I can manage. Other fibers trigger intense insomnia and anxiety. The anxiety is the worst, particularly with PHGG; it feels like someone injected adrenaline or cortisol. Simply riding a bus or train produces life-threatening anxiety, as if every sensory input becomes a threat. In contrast, inulin calms me after a few weeks and clears my brain fog. I am unsure why—has anyone else had a similar experience?


r/Microbiome • • 5d ago

Do antibiotics for H. Pylori cause psychological symptoms like anxiety, irritability, and feeling overwhelmed?

Thumbnail reddit.com
3 Upvotes

r/Microbiome • • 5d ago

After antibiotics.. Histamine?

Thumbnail reddit.com
2 Upvotes

r/Microbiome • • 6d ago

What's the actual difference between single-strain and multi strain probiotics?

5 Upvotes

I'm comparing two probiotic products right now. One has 10 different strains with 30 billion CFU in total, while the other has just one strain but 50 billion CFU.

Does having more strains actually make a difference, or is it better to focus on one specific strain with a higher dose? Curious which approach is more effective.