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by xgb84j 1239 days ago
In german speaking countries gut microbiome analysis is considered alternative medicine by many medical professionals and is actively discouraged by some interest groups. [1]

There always is a gap between medical research and application which people have different opinions on. For example when it was found out that high cholesterol was bad for you, doctors recommend patients with high cholesterol to eat less cholesterol. Later it turned out that there was little correlation between eating cholesterol and having high cholesterol. The correct opinion supported by scientific evidence was considered alternative medicine for decades.

[1] https://www.dccv.de/aktuelles/nachricht/teuer-und-sinnlos-dg...

1 comments

According to the (4 year old) article there are no clinical studies showing that the gut microbiome analysis might be useful for either explaining or treating a chronic inflammation. That is pretty far from it being considered "alternative medicine"
They actively discourage its use: "Die Deutsche Gesellschaft für Gastroenterologie, Verdauungs- und Stoffwechselkrankheiten (DGVS) rät davon ab, Stuhltests zur Untersuchung des Mikrobioms zu nutzen."

In my opinion there being no evidence in either direction does not mean that you should not try it, especially if there is no downside and you have a chronic condition.

I assumed lack of evidence + non mainstream opinion = alternative medicine. Maybe there is a better word for cases like this where there is some evidence but no clear indication of causality.

I had my gut microbiota sequenced twice. The results were not actionable at all, because there is very little knowledge about what constitutes a healthy microbiome. Those tests are great entertainment if you're curious about the subject. But that's about it.

We know that a diverse microbiome might be healthier than a non-diverse one. Exercise, eat your fibers, legumes, fruit and whole grains. Avoid processed food. Enjoy some fermented condiments. Avoid alcohol.