We live in a new age of weird diseases and symptoms -- many traveling under the "auto-immune" banner. People by the droves go to their primary care doctors and complain of stomach and digestive ailments (bloating, food allergies, abdominal pain), light-headedness, fatigue, skin rashes, eczema, rosacea, and worse. Their doctors, in turn, follow the protocols of their training and order up standard tests in search of something physical. The tests come back negative. Now doc is beginning to wonder if he has a hypochondriac on his hands, and the patients either persist or resign themselves to pain and misery, becoming depressed as symptoms continue to plague them. Sometimes more tests are ordered, but seldom is a solution found. It's a bad scene all around. Welcome to the world of microbes, the artful dodgers (at least when it comes to standard medical tests).
If you fit the description above, you should be reading Dr. Chutkan's latest book. She talks about "dysbiosis," a widely prevalent but seldom diagnosed condition where the microbial community in your body is way out of whack -- low on good bacteria and high on pathogens (bad bacteria) due to a host of modern-day causes: the accumulated ravages of antibiotic treatments, alcohol consumption, stress, diet (specifically lack of enough fiber, vegetables, fruits, fermented foods and too much sugar, carbs, processed "food," genetically-modified food), antacid use, NSAID use, birth-control pill regimes, chemotherapy, and artificial sweeteners.
As patients feel sicker, doctors unknowingly feed the flames by prescribing more pain medication, antibiotics, etc., to try to alleviate symptoms and show their patients that they are "doing something." Vicious, meet circle. The misery continues.
Well, if all politics are local, all health is in the gut. That's right. We are the microbial profile we feed on a daily basis. And while "feed" mostly means the mouth, it also includes the skin. Dr. Chutkan sees it as a twin mission: living dirty and eating clean. That means we do ourselves no favors by constantly cleaning our hands with hand sanitizers, applying skin products and soaps with anti-bacterial elements and good-bacteria killing chemicals (go ahead, read the ingredients, see if you have the slightest idea about what you are slathering to your skin and scalp on a daily basis... didn't think so).
The best part: Chutkan offers practical tips on turning it around -- what you should eat and what you should not eat. Watch out for corn, soy products, and sugar especially. They kill the Good Army and arm the Terrorist in your gut flora. They are almost all GMO-made monstrosities by now, thanks to companies like Monsanto, which have their profits (and yes, Big Pharma's, too, because sick people drive profits) to watch after. Certain bacteria (bad) thrive on sugar and artificial sweeteners and will hijack your body's eating preferences. What we call a "sweet tooth" is actually a type of bad bacteria clamoring from your gut for more of what they need to survive (that it makes you sick means little to them, they are out for themselves and haven't a clue that they will die with you).
Chutkan also offers some basic day-to-day living advice, too. A little dirt is a good thing, as is being outside (or opening windows and letting the outside in). Remember when you were a kid? Always outside, barefoot and dirty, exercising through play and interaction with others? Compare to the present, where we spend so much time in our antiseptic, air-conditioned houses, take showers every day, shellack our skin with mysterious products, clean our homes with even more mysterious, bacteria-killing products. Recipe, meet disaster. Patient, meet doctor (yet again): "Doc, I feel miserable and I don't know why." Doc and Conventional Medicine don't know why, either.
As to the book itself, yes, it is somewhat repetitive at times and not a narrative wonder or anything, but I 4-star it for its contents and importance. Chutkan even devotes a chapter to the hardcore cases. Here she discusses fecal transplants, the latest frontier for people who cannot turn around their severe conditions through diet and lifestyle changes alone. Feces from healthy patients with the correct microbial profiles are transplanted into the intestines of the sick patient with miraculous results (just look the other way and get over your aversion, I guess). It's been a life-changer for people with relentless conditions like irritable bowel syndrome (IBS), Crohn's disease, ulcerative colitis, pouchitis, infectious diarrhea, etc. Animals don't eat other animals' feces for nothing. Nature is often instructive (and gross). It's squeamish patients who often choose not to heed such lessons.
Finally, and not least importantly, the book ends with 95 pages of "microbiome solution" recipes, mostly for dishes that will feed the good and suppress the bad bacteria that live within you.
Yep. Brave New World (which looks suspiciously like our grandparents' Brave OLD World, before the corporations and chemicals started to hijack our willingly sheep-like lives). Advice: Buy or check out of the library. Then fight back against bad bacteria and bad businesses that will shed no tears over your slow and protracted demise.