Her Discussions by Dr Faye - Gut-Brain Expert: Best Proven Anti-inflammatory Foods
Episode Date: January 19, 2026Dr Caitlin is a leading voice in neuroscience and nutrition and a PhD-trained expert in the gut microbiome–brain axis.In this episode, we’ll look at how the gut affects the brain, how to take care... of it, and ways to handle stress, anxiety, and IBS.What you’ll learn:🍌 best proven anti-inflammatory foods💩 eat 2 of this fruit if you can’t poo💗 what you need to know about gut health if you have PCOS, endo or IBS💧 the 5 “Fs” of gut health you must know🥦 a 4-ingredient smoothie for an on-the-go breakfast⭐ 4 tips to take care of your gut during overnight shifts🐶 why you should have a furry petBut first, please don’t forget to subscribe, it really helps us to grow this podcast.Resources & links mentioned:@drcaitlinhallLinks to subscribe / follow:Apple Podcasts: https://podcasts.apple.com/gb/podcast/her-discussions-by-dr-faye/id1835829612Spotify: https://open.spotify.com/show/5viLYizHD4Zy6J42iqtPRoCan I ask you a BIG favour? 💙Please leave a review or rating. It helps us grow the podcast and bring you more amazing guests.Share with someone who needs this; it might help them live a happier, healthier life.Follow us on social media or join the broadcast channel to send us your questions for our guests. I'll leave the link here: https://www.instagram.com/channel/AbY4liwxlLnewx4H/?igsh=MWhuaXFweGtucTB3cA==https://www.instagram.com/channel/AbY4liwxlLnewx4H/?igsh=MWhuaXFweGtucTB3cA==🛑 Disclaimers & legal:This podcast is for educational / informational purposes only and does not constitute medical, legal, or financial advice. All opinions are those of the speaker(s).
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In the UK, we're living in a stress epidemic.
81% of women have been stressed to the point where they can't cope.
Your gut is having a huge effect on how you experience stress, on your mood, on your anxiety.
Dr. Caitlin is a leading voice in the gut brain axis.
We'll look at how the gut affects the brain and the brain affects the gut as well as easy ways that you can improve your gut health
so that in turn you can potentially improve your mental health.
About 1.5 kilos worth of bacteria you have in your gut.
They're not just hanging around, living within your gut.
They're contributing in a really meaningful way to your health.
The people that really embraced, they would come back to me and say,
I actually feel calmer and I can deal with the stress of life and my mood's improved.
How does eating certain foods affect your brain?
Oh gosh.
But first, please do not forget to subscribe or leave a five-star review on whatever platform you're using to listen to this podcast.
It really, really helps us grow so that we can continue to help you live a happier, healthier life.
Thank you.
Hi, I'm Dr. Caitlin Hall and you're listening to her discussions podcast.
Dr. Caitlin, our community has sent in so many incredible questions about the gut-brain access.
But first, you completed a P.A.
in neurosciences and gut microbiology at the University of Queensland before becoming a visiting
researcher at King's College London. What made you so interested in the gut brain axis?
I think it's a long story actually. I was diagnosed with celiac disease when I was 18 years old
and to go like one day to eating all your favourite foods, you know like a staple diet of an 18 year
being, you know, pasta, pizza, like, all delicious things.
And then the next day, having to, like, reconsider my whole diet and, like, what I'm
eating, that was like a, like, what the hell moment for me.
And that ultimately led me to start studying nutrition science and then a master's in
dietetics to become a registered dietitian.
And then I think I immediately went from studying into private practice.
So I was mainly working with, with a registered dietitian.
women and in weight management.
And at the time, there was this really early emerging research to show that the types of
bacteria that you have in your gut can actually influence things like your glucose and insulin
levels, your metabolic health, your cholesterol, and your ability to put on weight or lose weight
depending on your goal.
So I started recommending this, you know, this gut health element to everyone's weight management
plan, so focusing on fiber and fermented foods and polyphenols and very successful in terms of
like weight management. But the thing that was like really interesting and fascinating was that
the people that really embraced that, you know, gut diversity diet, they would come back to me
and say, like, I actually feel calmer and I can deal with the stress of life and my mood's
improved. And we weren't necessarily seeing the same effects or to the same degree in those that
weren't looking after their gut as much while losing weight, which was fascinating to me. So that
then ultimately led me to be like, actually, I want to dive a little bit deeper into this.
So then I joined a lab back in Australia with 20 neuroscientists. I was the only person that has come
from a nutrition or a dietitian background.
And I sort of stood up at one of the lab meetings.
I was like, okay, I'm going to scan people's brains.
I'm going to take still samples from them to look at their gut bacteria.
I'm going to then make them do all these fear and anxiety tasks.
And yeah, everyone looked at me like I was crazy, like I'd lost it.
The idea that your gut bacteria could, you know, show up on an MRI screen or
influence different brain regions was crazy to them. And that kind of reflects, you know, that was
not even that long ago. That was about seven years ago. But even since then, I think we've gone a
little bit further in the research. But yeah, even today, I'm still obsessed with gut bacteria and
the brain. And that's kind of how it started. What you were saying about that meeting really speaks to
how I find just science and medicine in general divided. You know, people like their area of
expertise and they kind of stick to that and there's very few people who branch across different
arenas and I'm yeah it's it's so so so so needed because the more we learn about our body and our
brain we realize that everything is so interconnected and even now whether there's such a stigma
around mental health in comparison to physical health it it perpetrates this idea that everything
is all in your head and I hate that term because it doesn't make it any less real if it exists in
your brain. But yeah, it really doesn't acknowledge these brain body connections. I'm really,
really excited to come on to some of the ways that we can look after our brain gut access,
really easy ways, which I'm sure you'll have a lot to share with those. But first, I want to come
on to our buy or bye bye section. So I'm going to tell you some products. I would love it if you
could tell me whether you would buy these products or say bye bye to them.
Got it. So the first thing that we have is juice cleanses.
That's a quick bye-bye. I mean, with juice cleanses, you're taking out one of the most important ingredients of fruit, which is the fiber.
And I'll probably talk about this a million times today, but fiber is like the most important thing for your gut health and your brain health.
So yeah, that's a quick bye-bye for that one.
Nice. Nice and straightforward.
The next one, detox teas.
Yeah, that's another bye-bye.
For sure.
That's a quick bye-bye.
There is very, very little evidence, if any, linking detox teas to any beneficial
health effects in the body, particularly, you know, people generally take this for gut health
but also for weight management as well.
And both of those things has been shown, you know, there's no detox required.
Your liver does all of that work.
So that is a quick, save your money, bye-bye to any detox tea trend that I see.
Nice. I love the clear, clear answers.
I also was going to ask you about what you think about a lot of these detox teas that have very laxative component to them.
Can that do any damage to your gut health?
Yeah, anything that does have like a really strong laxative effect or as advertisers having a laxative effect,
I'm always wary of.
and it definitely is a big red flag to me.
When it comes to regularity and constipation,
there are like 20 things that we should be doing
before we get to the point where we're looking at laxatives,
which is kind of counterintuitive because you go to your GP
and you might report constipation.
The first thing they'll give you is potentially a laxative.
But what I want everyone to know is that there are so many things
that we can try before we get to that point
because we don't want to have people on laxatives long term
or having to rely on, let's say that this tea does work for you.
Yeah, it's not beneficial long term.
It's disrupting like the natural processes that your body should be operating with.
So big red flag for me.
What are those top things that you recommend for people who are constipated
before maybe being, before maybe going to a laxative?
The really low-hanging fruit, excuse the pun, is fibre.
So fiber, fluids, movement, those are the top three things that we look at as a dietitian
to help someone establish more of a regular bowel pattern.
So fiber obviously being, you know, the reason why everyone takes fiber is, you know,
it's the thing your grandma took to help her go to the toilet.
But there is so much research behind fiber being, you know, the broom that sweeps through
your gut, helping to move everything along and to keep everything regular.
good consistency, good transit time and help with the normal muscle contractions of your gut.
However, hand in hand with that is water intake.
So whenever you're increasing fiber intake, you have to increase your water intake.
That's because fiber draws in a whole lot of water when you consume it.
So you need to make sure that everything is flowing nicely.
It's actually quite topical.
There was a recent report that came out with some new guidelines around
constipation as well. One of the most effective things is looking at something like a prune. So I think it was
like five to ten prunes a day is super effective and obscene amount of rye bread. But I do want people to
know that it is much easier than that. Even simple switches like having two kiwi fruits a day or
having whole grain varieties rather than white breads and white pastas, all of those small
switches should be the first line treatment before spending, God knows how much on your detox tea.
That's so interesting you said about the two Kiwis because there was a study on athletes as well
relatively recently about having two Kiwis and your sleep quality. So two Kiwis seems like one of the
best things that you can do. The magic. I love that. Kofia. Love. Yeah, that's a buy, a quick buy.
Kaffir is when you compare it to things like yogh.
or other fermented foods.
Kaffir has the most diversity of different naturally occurring life bacterial strains
and is a great like switch for things like sour cream or, you know, something to give your meal
a bit of like tang and flavor to it.
So absolutely yes for gut health, great for regularity.
It's a quick buy for me.
By or make.
How do you make kaffir?
Sorry, excuse my ignorance.
Do you know, I don't even know how to make it myself.
I've made plenty of kombucha in my day, but kaffia I'm yet to delve into.
But I've heard that it's relatively straightforward if you have the time and the patience for it.
Next, we have sauerkraut.
That's another buy, but a buy depending on the type that you're getting.
It's also another thing that you can make yourself as well if you again have the time and the patience for it.
Do you have any brands that you personally love for the sauerkraut or anything that listening?
could look on the label, like any red flags on a sauerkraut label to look out for?
The things that I look for is just the basics. Minimal ingredient list is preferred.
So you just want to look for things like the actual vegetables, you know, herbs and spices,
all fine. They're great to add to it as well. So just kind of looking for the basic
minimal ingredient list. Next.
Convutcher. Another buy for me. But again, it actually depends. So a lot of the
commercially available kombuches now they are adding a few extra things in there that you don't
need to like artificial sweeteners. I'm seeing a lot of ingredients now being added to commercial
kombuchas that don't need to be there. Combucha is actually quite naturally sweet. Once you've
fermented it properly, most of the sugar has been absorbed in that process, but it still retains
a little bit of that sweetness. So I don't think you need to add any additional stuff to it. We
also know that artificial sweeteners can have a negative effect on our gut bacteria and the
composition of the bacteria there. So it's kind of like you're doing good, but then you're also
adding something that that's not quite quite good for your gut microbiome. So yes to kombucha,
watch out for the artificial sweeteners on the label. And yeah, I would make it yourself as well.
It's super easy to make. And that's something that I've done a lot before in the past as well.
It's good fun.
Nice. How do you make it? Again, excuse my ignorance.
So you need to get yourself a vessel. That's the one thing you need. But the most important thing you need is something called a scobie, which if you Google images of it, it looks absolutely disgusting. But that's essentially the starter ingredient for kombucha. It's the mass of bacteria that starts your kombucha. Then you add in some tea, you add in some sugar, some water, and you cover it with a lot of bacteria that starts your kombucha. Then you add in some tea, you add in some sugar, some water, and you cover it with a,
bit of cloth so it can breathe still. You're not stifling it. And then you leave it for,
depending on where you live, in Brisbane, you did not need to leave it for very long because it was
so hot. Over here in winter, you would need to leave it for a good couple of weeks. And then you
can do something called the second fermentation where you take the brew that you have and then you
can put them into smaller glass bottles. And that's the fun part. You can add in some frozen raspberries,
some ginger, some turmeric, that's where you can add your flavors to it.
That's also the part where it becomes bubbly and sort of like carbonated.
So that will take another week to do.
But yeah, I mean, look up the recipe.
There is like plenty online, but it is good fun.
That seems like a hobby I can really get behind, actually.
Yeah, it's therapeutic.
Yeah.
Nice.
Ginger.
Ginger, yes, absolutely by.
Great in terms of.
of, you know, adding diversity to your meals. I have seen a lot online about it being used,
you know, take ginger before your meals for digestion. There is a very, very small amount of
evidence to suggest that it can be beneficial for things like indigestion or dyspepsia.
I would say if you enjoy it, just have any time of the day you don't need to time it just
before your meals. It's a great addition to have. It's also great in pregnancy. So there is some
evidence that it can reduce nausea and vomiting in pregnancy as well. So absolutely buy for all
use cases and flavour. The whole timing thing is if we need to make our health and wellness
routines any more complex. You know, like if you want to have the ginger, have the ginger.
Like you don't need to be timing it super, super, super strict. Exactly. And if you hate it,
don't eat it. Yeah. It's not worth it. Love. Probiotics and prebiotics.
buy and buy buy, no, buy and buy, definitely.
However, when we look at the probiotic side, the evidence we're seeing is still constrained to very specific use cases.
So I think people look at a probiotic these days and they see it as a one size fits all solution, whereas we know, and the WHO have also come out with the same set of guidelines for, I think, four very specific use cases in women's health,
in for infants, for antibiotic use and for immune health, they are the four evidence-based
use cases for when we should be taking a probiotic. Everything outside of that and particularly
the ones that you see, you know, reduces anxiety, helps you feel calmer, you know, a gut brain
acts as probiotic. The evidence is just not there yet and people are taking these things,
spending so much money on them as well. And there's really very, very little evidence to show that
it's that's working in that way. There will be a time potentially where that is expanded. But for now,
I would say buy when you need it and buy-bye for everything else. And then on the prebiotic side,
buy all the time. And I'm slightly biased because I do a lot of research in the prebiotic fibre space.
but it is the food for your gut bacteria.
It is the only thing that they can break down and provide these really important substances from
without prebiotic fiber in your diet, then your gut bacteria essentially starve and they die off.
And we know that the gut microbiome is key to everything that's happening into our body.
So without giving your body the right types of fiber, the right types of prebiotic fiber,
then we're essentially killing off all of our native gut bacteria.
I think people do get confused,
but prebiotics can be found in natural foods as well,
like onion and garlic, leeks, green bananas and oats.
So it is found in everyday foods,
but people do struggle to get enough prebiotics in their diet,
and that's where a supplement can definitely help.
So buy for sure.
The whole reason we introduced this section was because,
you know, your financial health is so important to your wellness as well. And if you're just
buying all these products that ultimately just make you stressed out and don't work, then that can
have such a big impact on your stress. So thank you very much for clearing a lot of those. What actually
is the gut brain axis and how is gut health and the brain linked? Yeah, it's a great question. And
obviously my favorite area of research to talk about. Essentially the gut and the brain are
connected bi-directionally. So there's constant signals coming from the gut that are communicated
to the brain within seconds. And similarly, there's also many, many different signals coming from
the brain that are communicating to the gut. And the way I like to think about it is, you know,
when I used to call up my friends at school, we'd kind of just like shout.
over the top of each other.
Like we just wanted to get the last word in.
That's kind of what these two organs are doing.
They're just sort of like screaming messages at each other constantly.
So this bidirectional relationship.
And the way we like to talk about it is sort of the top down communication,
which comes from, you know, if you're feeling stressed or anxious or low in mood,
they're the signals coming from the brain emerging in the gut.
But there's also the bottom up signals as well.
things like inflammation in the gut, your bacteria sending signals, appetite and hormone signals,
they're constantly being communicated to the brain to update the body and to change things
if we need to. There's a really nice example that I like to use from, you know, that that
top down interaction, which is stress. And I think it's particularly relevant because in the UK
we're living in a stress epidemic.
I think last year they took a survey of people in the UK
and 81% of women have been stressed
to the point where they can't cope at some point in the year.
We look at that in men and it's around 67%.
So that's still really high,
but there's still this massive gap between the two.
And there's clearly something happening here,
you know, social pressure, work pressure, family pressure.
all of these things contribute to this to this really big issue which is stress and we know that
when you are stressed then those signals will be communicated to the rest of your body and in particular
it comes back to your gut and I think the metaphor that really resonates with a lot of people
is the you know the vital flight response in a really stressful acute stressful situation
your body is trying to find safety and to avoid that threat.
And, you know, the adaptive property of stress is that if you see a snake or you see a tiger,
then you need blood diverted to your muscles and to your brain to run away from that
and to escape the threat.
In the same breath, all that blood is being diverted away from your gut.
Because you don't need to digest, you know, your pistachio croissant from a couple of hours ago.
you just need to get the hell out of there.
So a lot of the motility that we see happening in the gut,
a lot of those natural contractions,
a lot of the secretions of hormones and different substances,
all of that is slowed down dramatically in acute, stressful situations,
which then results in constipation, in a lot of pain, in a lot of bloating.
We also know that stress influences the way that we perceive pain.
So cramping and a lot of like abdominal pain happens to occur.
And again, it's happening more often in women.
So that's the, I guess, the top down relationship in a stress example.
But there's also the inverse relationship as well in that your gut is having a huge effect on how you experience stress, on your mood, on your anxiety, even on things like memory and cognitive function as we age.
and a lot of that we now know is coming down to the types of bacteria that you have in your gut.
So I think for people that aren't familiar with the gut microbiome, there are trillions of bacteria,
viruses, archaea, nematodes, all of these microorganisms living throughout your whole
gastrointestinal tract.
And the largest population of those occur in your colon, which is towards the end.
of your gut.
About 1.5 kilos worth of bacteria, which actually is about the same size as your brain,
which was a nice statistic that I'd give to the neuroscientists that I'd work with in the lab,
just to humble them slightly.
But these bacteria, they're not just freeloaders.
They're not just hanging around living within your gut.
They're contributing in a really meaningful way to your health.
there's never been a time where humans have existed without our microbes.
They have evolved with us.
And to the point where we've sort of like delegated specific roles to them,
for example, we can't even break down fiber from the foods that we're eating.
We've sort of delegated that role to our gut bacteria to be like, yeah, you've got a handle
on that, you take care of it, which is why they're hugely important.
But also they produce neurotransmitters and they produce different chemicals and
substances and one of those which is particularly important is a substance called butyrate,
which is a type of short chain fatty acid. So buterate is only produced when your gut bacteria
break down fibre from food and as a byproduct of that digestion, that breaking down process,
they produce butyrate in different amounts. We do know that butyrate is a really strong anti-inflammatory
substance, but it also can act on various nerves.
And we know that the gut is deeply innovated by vagal afference, which is that vagal nerve
projection which connects the brain to many different organs in the body.
So we know that butyrate can actually synapse onto those nerve endings, and they can make
communication with the brain within seconds.
So they can emerge within this brain stem region called the nucleus tractors solitaire.
and then those signals emerge through subcortical regions to higher cortical regions
to areas like the insular cortex and also the prefrontal cortex,
which are involved in things like emotion, stress, threat and safety,
and also then your decision-making processes and what you do with that information.
So we have established quite a strong direct and indirect relationship with butyrate
and how we perceive stress, mood and anxiety.
So there's really good evidence to show that that's the strongest and fastest way
that our gut bacteria can communicate with the brain.
We also know that these substances can leave the gut and travel throughout the bloodstream.
So things like butyrate and tryptophan, which is a precursor to serotonin,
that can actually travel in the blood to different organs in the body,
including interacting with the blood-brain barrier interface, which is that gatekeeper to the brain.
So it allows things like oxygen and glucose and amino acids into the brain but stops pathogens in.
It also allows things like tryptophanin, which is the precursor to serotonin.
I've just kind of like thrown a whole lot all at once, but that's kind of the where we're at
at in terms of the research around how your gut bacteria can influence the brain
and how the brain can so influence the gut as well.
That statistic really stuck with me about how many,
how a higher percentage of women, was it 80?
Yeah, 81% of women have experienced stress to the point
where they can't cope, which was more than 70-something percent of men.
And it does less.
I think it was like 60-something percent.
60 percent, gosh.
And because I think that obviously the reason I started this podcast
is because I'm so, so, so passionate.
about women's health and actually the women's health does not just mean vaginas and vulvers
and breasts, women's health incorporates all these other stresses that are on women, the cultural
stresses that exist on women, you know, the way that women are twice as likely to experience
anxiety than men, the unique experiences women may particularly have with their gut. When you mentioned
Triptophan, we just did an episode about PMS and PMDD, making sure that you're eating some
good sources of triptophan or good foods that can potentially help with PMS and PMD symptoms.
Are there any particular issues you see commonly amongst females when it comes to the gut brain axis?
Oh, hugely.
There are, I think across many different conditions, gut health conditions, there is consistently a higher population of women affected than men.
So celiac disease, for example, is a good example of that.
IBS is another huge one. So we know that IBS disproportionately affects women more than men.
And while that relationship is still a little bit murky, we do know that stress is such a
huge factor towards your IBS symptoms and given the fact that there's more stressed.
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About women, that kind of
makes a lot of sense to us.
So yes, IBS is definitely
one. But there's also specific
female conditions that coincide quite closely with gut health conditions as well. So two specific
ones are endometriosis and PCOS. So both of those conditions we often see significant GI disruption
as well. So they're often accompanied by, you know, bloating, pain, cramping, constipation,
diarrhea. That is not an uncommon relationship that we see.
And we do know that, particularly in things like PCOS, if you look at their gut bacteria,
there's very different types of bacteria we see.
And especially we see a lower prevalence of the buterate producing bacteria in the gut.
And given that we know, buterate is a strong anti-inflammatory substance,
then that could be exacerbating some of the symptoms that we see as part of the PCOS profile.
and also for endometriosis, which also has a really strong inflammatory component as well.
So I'd say it's working in both ways.
We see female-related conditions where they're also suffering with gut health conditions,
but some of the classic gut health conditions and diseases like celiac disease,
even inflammatory bowel disease and IBS, we do see higher prevalences in females.
It makes it so much harder for a lot of women who have PCOS or endometriosis,
and they go to see their doctor,
a common thing those women will hear is
it's just IBS or it's just anxiety.
And number one,
I don't think anything should ever be just IBS.
IBS is a really irritating condition
to live with and so is anxiety.
But number two, where those things often coexist,
it can be difficult to separate those two things for those women
and possibly for the doctors as well.
Yeah.
and frustrating, right, to be told, oh, it's just IBS, and here's a pamphlet for you on what foods to avoid,
which is usually the low Fodmap diet, which then people go down this rabbit hole of restricting food groups,
taking away all of the high Fodmap foods.
So, you know, again, it's the onions, the garlics, the artichokes, great fruits and vegetables,
which is just going to make the issue worse, right?
because you're taking away the food source for your beneficial gut bacteria,
that's going to create a cascade of different problems long term as well.
So, yeah, a lot of the time you do go to the GP and you leave frustrated,
more anxious and more stressed than you were before, which is, yeah, it's awful.
Yeah.
Something I wish I'd included in the buy-or-bye section is butycerate supplements.
What do you think of bucerate supplements?
Bye-bye, for sure.
Really?
So if you've ever like smelt a buterate supplement, because it's essentially an acid,
but it smells almost like vomit.
So it's really hard to consume.
But also a lot of the research using butyrate supplements, they're giving doses of around 20 capsules a day.
Or they're delivering it directly to the colon.
So we do see really good benefits when butyrate is provided directly to the colon,
and so not take an orally.
But in the cases where you do take it orally,
the doses are so high
that no one can realistically be taking
that amount of buterate in your day.
And of course, it's awful to take as well.
And there's this whole discussion around like,
exogenous buterate,
which is external buterate taken in a supplement
versus endogenous buterate,
which is the butterate produced by your gut bacteria
naturally and within their normal ecosystem.
We do know that,
that buterate, it's better to have endogenously produced because we know that the gut bacteria
also do more than produce buterate, right? They're always chatting to each other. They're sharing
resources, you know, oh, do you need a bit of extra buterate for whatever you're doing over there?
So they're sharing things. They're communicating. It's like this lovely network. So just giving
butyrate as a supplement without the bacteria doing all their lovely activities together is kind of,
is not the point really.
We want to support the whole ecosystem to work symbiotically,
like really nicely together.
It feels like a lot of modern day wellness
is just trying to bypass the effects of a stressful fast-paced life.
Obviously, it takes more time to do a home-cooked meal with lots of fibre.
And if you're in a job that's very demanding
or live in a very fast-paced lifestyle,
it's quicker to take a supplement.
But it feels as though our body is more intelligent than that
and trying to take a shortcut
just ultimately never ends up
giving us the same results as actually
focusing on the boring, boring, boring basics,
you know?
Yeah, it is. And it's also people,
myself included, like when I've gone through really stressful periods,
I try and like take control of the situation.
So I almost do more and like add on different things.
And it really just overcomplicates the routine
and often makes things even work.
it's really dull and boring advice, but often when you're feeling out of control, you're feeling
stressed or potentially you've received with diagnosis and it's really overwhelming, it's often
easier to, for a second, to take a step back to kind of strip those extra things from your routine
and your diet and just work out, you know, what's going to work.
Like you said, like let your body assist with the process naturally, not try and, you know,
buy a 50-pound butrate supplement and add in this.
this and this and all start them all at once and then feel worse a week later.
I'm very excited to show you a TikTok that I would love your opinions on in our section
real or real like Instagram real. But first, you are a very successful researcher. I'd imagine
that comes with a lot of time demands yourself. What are your top tips for other high
achiever women who want to look after their gut health but also have a lot going on in their life
and maybe a quite time poor.
Yeah, the advice that I usually give to people is the five Fs of gut health.
The first one, which again, I sound like a broken record, but fibre, fiber is one of those things
that is fundamental to anyone starting out on their gut health journey.
However, you do have to start cautiously with fibre.
So if you're new to gut health, start incorporating different types of,
fruits, nuts, seeds, vegetables in small amounts over your, over your day. So that could be, you know,
buying a mixed nut variety and sprinkling that onto your yogurt in the morning or trying out to
kiwi fruits, for example, whatever it might be, slowly build up so that you've got that
plant-based diversity is the foundation to your diet. That is the first thing that I would do.
The second one, which I've already spoken about as well, is fluid. So plenty of water to help your
gut operate the way that it should and to help fibre do its amazing benefits of sweeping
through the gut like your broom. So that's fibre and fluid. The third one is fitness. So I don't
mean like being really fit, but just generally any movement that you enjoy doing. So whether that's
you know, walking your dog or Pilates or endurance running, whatever floats your boat,
we do know that your gut bacteria are very much influenced by the exercise.
size that you do, which can have then secondary benefits on things like your metabolic health,
your energy, your mood, your cognitive function. So fitness is the third F. The fourth one is
feeling calm. So stress we know, as we've talked about, is a huge disruptor of your gut function
and your gut bacteria. So finding any way that you can relax and unwind, have a good romantic
book, take a bath, listen to some music, whatever helps. That is going to be another
foundational level for your gut health. The fifth one, I can't even remember what the fifth one was.
I think I have used this one in the past, which is kind of like a fun one, which is like a
thurry friend. So we know that having a pet, like a dog or a cat, particularly if you have
a young child, is amazing for their immune system and their risk of developing allergies.
in the first few years of life.
So that's kind of like a fun F to add to finish.
I'm going to let my boyfriend know about that one tonight
because I've been campaigning for a puppy for a very long time.
And I needed you to tell me that.
Now I have like, I can add that to my PowerPoint presentation of why we need a dog.
There are so many benefits.
Blood pressure, stress.
Yeah.
Nice.
Before we come on to Real or Real, I am going to go through a couple of community questions.
This one is for shift workers.
How can we adjust meals for night shifts?
I mean, shift workers is really tough because if you're working particularly overnight shifts,
your gut is not set up for that.
And we do know that there's a strong relationship between gut health and your natural circadian rhythm.
But there are things that we can do.
Like obviously people have jobs where it's mandatory.
Like you have to be working your overnight shifts.
You as a doctor probably have gone through that.
yourself. But there are things that we can do to help manage our gut health while while doing
those long overnight shifts. The first one is before your night shift, that is the key window
to have a really balanced wholesome meal. So something with good quality of protein,
plenty of fiber, so vegetables, your whole grains, something with healthy fats in there as well.
also really having a good foundation before you start your shift.
Then throughout the shift, having lighter snacks.
So we want to avoid a lot of sugar, a lot of processed foods,
because that will create that glucose roller coaster up and down your shift,
which we don't necessarily want to rely on.
Instead, offer things like fruit and yogh, mixed nuts,
all of those lighter foods that will help sustain your energy across the shift.
The other thing that is so important is hydration.
So drinking water, I know it's so difficult during overnight shifts,
but the more water you can drink is the better you'll feel the next day and, you know, the week after.
Caffeine's another one.
So if we can try and limit caffeine as well.
I know it's like the one thing that people turn to when they've got an overnight shift
is the caffeine and the energy drinks to keep them going.
But long term, it can have more damage than benefits.
is more like a band-aid solution than anything else.
And then the final one is trying to avoid a really heavy meal
just before you go back to sleep after your shift
because we know that that's going to impact things like sleep quality
and also digestive function.
So it is really hard to manage.
I fully appreciate that.
But there are some things that you can do to try and help your gut while working.
That just reminds me, takes me right back to it being 3am,
looking at the clock thinking, God, I'm really lagging.
right now I've got another what five hours left of my shift reaching for I oh there was this is it
a time out chocolate bar they yeah yeah a time out chocolate bar and a coffee was to get me through and
then I'd come back home for my shift and I'd probably have like quite a big breakfast but yeah so I was
doing everything everything wrong because I think when I feel myself getting tired I would be like I need
some sugar I need some sugar whereas actually having maybe those nuts or you know that that might
I've been a bit more sensible thing.
Yeah, but it's also the harder decision to make at the time, right?
Because she's like, I need the energy like now, like yesterday.
Which is, yeah, it's really hard to do.
Another community question that we've got is how does eating certain foods affect your brain
and how to deal maybe with cravings?
With cravings.
There's actually really cool research to show that your gut microbiome influences what types of food you crave,
like higher sugar food, higher fat food.
We're just beginning to understand how that relationship works.
But we also know that a really key determinant of cravings is your blood sugar control.
So again, going back to the shift work example, if you've had your time out and your coffee,
you're probably going to have a massive peak in your blood sugar and you'll feel great.
You'll feel like energized.
But then an hour later you're going to have that massive crash because you're not having that consistent blood sugar response.
that generally is quite strongly linked to subsequent cravings the rest of the day.
So we often hear people say, oh, I've got the 3pm slump.
Yes.
That's when they grab the things like the biscuits, the chocolate,
all that quick releasing glucose to help get you back to the point where you're feeling good again.
That kind of puts you into that cycle of blood sugar high, blood sugar crash,
the roller coaster, so the cravings are very strongly tied to that.
There is a couple of things that you can do.
I'm going to say it again, but fiber.
Fiber reduces your blood sugar response.
Instead of having that massive peak, you'll have that really consistent effect over time.
Also having, you know, a bit of protein in your meals as well will help blunt that blood sugar
response.
So that's a really easy and really boring way to sort of curb the cravings is to make sure
you're not jumping on that sugar roller coaster as frequently. There's a whole lot of research around
like specific food nutrients that are impacting the brain. So some do more than others. Another one,
aside from fiber, which I love is omega-3s, which we know can have fantastic benefits on
things like cognitive function and memory and even, I think, mood to a certain degree as well.
So I always say, get your oily fish in at least a couple of times a week, your walnut,
all of those healthy omega-3 fatty acids are going to be fantastic for your brain.
So instead of, I mean, we always see the headlines, you know, 10 walnuts reduces, you know,
fatigue and whatever it might be.
But instead of focusing more on the foods, it's more on the nutrient profile that those foods provide.
And we can generally get that from many different types of nuts.
seeds and grains and all the boring stuff really, but the great stuff.
I would like to hear your opinion on my morning smoothie because obviously I think smoothies
get a bit of a bad rep in terms of the sugar spikes and whatnot. So I started my morning
smoothie, a bit rogue, probably have a little bit of berries in there. I will then put in,
this is the rogue part, a bit of corsette. Love it. Makes it a bit creamy, but then also you get that
fiber in and it's kind of, I think, balances out the sugar.
Load of Greek yogurt, maybe I'll change that to some kofia since this podcast.
A couple of chia seeds and then maybe like a little bit of honey or whatever.
And in my head, I think that that, if I'm in a rush, I think, okay, the Greek yoghurt's
got a little bit of protein.
The corsettes got some fiber of veggies and makes it really nice and creamy.
And then the berries, we've got the polyphenols.
What do you think of smoothies and do you think?
the sometimes the narrative around smoothies being quite sugar-filled is is warranted or yeah what's
your thoughts i mean that is fay that is like a 10 out of 10 that is perfect you've got yeah you've got
your berries in there love that you've got chia seeds in there too greek yogurt great i mean you can get
greek yogurt with live cultures included in it so as long as it's got that on the label then
you've got both protein and and some natural probiotics in there courgettes love can't even notice
that you're getting a sneaky veg in there.
I love that approach.
I've heard people also add things like cauliflower.
Yes.
And even broccoli and frozen kale and frozen spinach if you're short on time,
also great to get your sneaky veg in.
You could also add some additional plant-based diversity as well.
So flax seeds are a really good addition.
Or if you do have a nut and seed jar filled with many different types,
you can have a scoop of that and add in, you know,
five different plants all at once.
So a really low effort way to get some more plant-based diversity.
But yeah, that is perfect.
Could switch up for kifia, but your yogh, but your yogh, it's also a good choice.
I think a lot of the bad rap comes from the commercially available smoothies on the market.
So the ready-to-drink ones where very low fiber, very low vegetables, ironically, and very
low protein, they're the ones that can cause that blood sugar spike and then the crash a couple
of hours later. But if you're making it at home and you're including, you know, some healthy
fats, some proteins and fibre, it's perfect. It's such a good option for busy, hardworking women.
Yeah, that's it. When sometimes I don't have a chance to sit down, which I'd prefer to sit down and
really take a moment for my breakfast. But, you know, as a busy girl, it doesn't always happen.
And that's my go-to. You mentioned the seed and diversity mix. So I made an Instagram real,
maybe like two years ago where I showed people how I make my diversity jar.
And basically, all I do is I go to the nearest supermarket.
I grab however many I can afford or whatever's on offer
because I know that these costs can add up if you're getting a high diversity of things.
Put them, maybe blitz them a little bit,
so maybe they're a little bit broken down so they can go into a smoothie a little bit easier
or be sprinkled on my porridge.
And what's really interesting is I get messages almost on a weekly basis.
of people messaging me saying, oh, I know you made this real, but I can't find it from two years ago.
And every, well, I try to reply to as many as I can and just say, it's really like it's,
it doesn't need to be overcomplicated, you know, buy whatever you can, stick it in a jar,
maybe blitz it up a little bit, but do you have a personal like diversity genre or diversity
routine that is maybe a bit more complicated than mine?
No, I don't.
I do have the diversity jar, but it's really a.
simple as you describe it, right? Like there's no recipe or quantities that you have to follow.
And nuts are expensive, right? Like you do have to look for the ones that are on sale sometimes.
Or even like I've forgotten about a packet of nuts in the back of my cupboard, they're then added to it.
You know, the seeds on special, any sort of other, you know, fun thing I find on special, it really
ends up being different every time I do it. But that's the beauty of it is that if you don't have a set recipe and you're getting
10 different selections of nuts every time, then that's more diversity that you're adding to your
gut and to your microbiome ecosystem. So I would say it's even better not to have a recipe.
Just go by what's going on special that week, what you have in the cupboard, what you have a
craving for, seasonal, like pecans for December, whatever you want. There's really no rules are better,
I think. Perfect. We're going to come on to a little bit about inflammation, but first I have,
is it real or real? Are we ready? Weird holistic things I do in a day as a holistic chef, part one.
I start every day with an olive oil lemon shot on an empty stomach. I've been doing this for years now
ever since I moved to Italy. Olive oil is packed with polyphenols and healthy fads that are amazing
for your overall gut health and for lowering information in the body. This one day ritual has
significantly changed my health for the better. Plus, it's just fun and delicious to take every morning.
The next thing that I swear by is rebounding.
You probably heard of it for lymphatic drainage, but let me tell you, the hype is real.
Draining your lymph is a key to reducing swelling and puffiness, but it's also incredibly important
for overall health.
As a lymphatic system is essential for maintaining fluid balance, immune function, nutrient
transport, waste removal, and tissue repair.
Plus it's literally a mini trampoline.
It's great for letting your inner child play.
Now onto my daily homemade bone broth, Bebby that I can't go a day without.
It's helped me repair my gut lining, balance my hormones, and make my skin glow from the
Out. A few years ago I struggled with chronic acne and full body hives and this collagen-rich
nutrient-dense drink helped me come back to myself in every way possible. The key is to let
bones with some meat simmer in a pot for a few hours with herbs and leftover veggies from the
week and you'll have the best daily skin healing elixir. Lastly, I give all my fruits and veggies a
bath before storing them in the fridge. The veggie bath is filled with plant-based ingredients that
clean off any pesticide residue and keep the produce super fresh. My food feels so high
vibrational after this process because I know I'm not consuming anything unwanted in my meals.
Anyway, that's it for now. Check back for part two.
Three things. So we have the olive oil lemon shop. We have the bone broth and then we have the washing
your veggies. Dr. Caitlin, opinions, please. Okay, first one is the lemon olive oil shot.
It's one of those things. It's like it's overcomplicating your routine. You do not need to be
adding all of these time-specific, recipe-specific things to your diet, why not just have a salad
and put some lemon juice and olive oil on it? We know that lemon has great benefits. It's got,
you know, wonderful nutrients in it, as does olive oil. You know, I absolutely advocate for having
olive oil every day. But having it like as a shot in the morning, there's, yeah, when she says
it was delicious, I was like, really? There's no need. There's no need.
have that for sure just have it as part of your day if she loves it fantastic go for it but in terms of
like a digestive benefit there's very little evidence to show that that will do a whole lot on an
empty stomach have it with a meal i am i obviously i think a lot of gut health i mean correct me if
i'm wrong a lot of gut health or a lot of wellness trends i feel like a very contradictory
in terms of you know how many decades did we spend telling women to i'll have the salad but hold the
oil, you know? And the eating disorder culture and their diet culture of, you know, hold the oil,
hold the oil, keep the oil away from me. And then now we're telling people to have a shot of olive
oil. Like what, yeah, just add it to your food, you know. It is confusing. And all of these ways,
it almost separates us from just enjoying our food. Like we're allowed to enjoy a meal and not just
have like a specific ingredient shot it, get it down as quick as possible just for this,
you know, function. Yeah, food should be joyful, not structured and regime. And I think that it also
going back to that area of like control and I think people will see this and be like,
she looks so happy and healthy. What's wrong with me? I'm doing exactly what she's doing and I'm seeing
no benefits, then it's just really awful for these people to think that they're doing something
wrong or, you know, they're not following the perfect routine. And that's also what gets me
really going about her homemade bone broth, which I'm like, well, no, actually there's very little
evidence that that is going to heal your gut lining. Also the term heal your gut lining I have a real
issue with, but that's a separate conversation. The bone broth and the collagen to have your perfect
skin. It's a really awful message to be telling women because we do know that, particularly for women,
there are so many things that contribute to skin issues and acne that are not related to food.
They're related to hormones and medications and medical conditions. So to really be telling people
that you need to make this two-hour-long process for your bone broth is really disheartening for
people, I think, and it makes them feel, I don't know, not good enough or that they don't have that,
you know, that perfect lifestyle.
Because honestly, who has that amount of time to be making your bone broth or to be pre-washing
your vegetables to, I don't even know what the words she used.
But yeah, very little evidence.
She looked like she was having a great time jumping up and down.
And that's a lovely form of movement.
So like, if she enjoys that, then great.
not the person to be telling her not to jump on a trampoline.
But in terms of lymphatic processes, I think that that, again, is very little evidence to
support that rigorous routine.
What about washing the veggies for pesticides?
Do we have much evidence on pesticides and gut health?
In the EU and the UK, we are relatively strict around how we use pesticides and what we're
using. So I think we need to kind of remove the fearmongering a little bit. Yes, you can wash your
vegetables, get the dirt of them, clean them before you start using them, but do you need to soak them
for hours before storing them away? I would say no. And if anything, that probably reduces the shelf
life of your vegetables a little bit as well, having that additional moisture introduced to them and then
leaving them in the fridge, potentially that could make them go to waste a little bit earlier.
So I would say, no, wash them before you cook them,
but I wouldn't be too scared or worried about doing that.
That's a really interesting point on the intersection
between the practicalities of life and wellness trends,
because most of us are working a full-time job.
We don't have time for a lot of these things.
We have to think about what is practical for our busy lives as well.
Yeah.
You mentioned the whole phrase,
healing your gut lining as problematic and that's a whole other conversation.
Let's get into it and then we'll come on to inflammation.
What are your thoughts on that phrase?
So we often hear the words healing your gut lining or leaky gut is the really common one.
And there is a condition which is called intestinal permeability,
which generally people refer to as leaky gut.
So inside of your gut you have these cells and they have,
tight junctions between them to make sure that nothing leaves the gut that shouldn't.
So things like toxins, pathogens, infections, they're all kept within the gut, which technically
is external to the body, but it also allows things to be absorbed that should be like nutrients
and other things that we need.
Sometimes, and for many, many different reasons, the tight junctions between the tight junctions between
your gut cells become a little bit loose or a little bit leaky, that is not a condition in
itself. That is a symptom of something else that's happening in your body. So it's really important
to be checked out by a healthcare professional to work out exactly what's going on with you
and your specific needs. The idea that we can have a gut healing protocol or we can heal
the lining of your gut, it's really based on a lot of these nonsense trends like,
bone broth healing. In reality, the way to keep those gut healths really full and healthy,
again, buterate is the food for your colonocytes. It's the exclusive food source for your
colonocytes. So the more of these beneficial substances...
Start your day with Quaker protein instant oatmeal. The instant oatmeal ready to help you
tackle whatever your day brings, like wrangling your toddler into their car seat.
That was fun.
Coaching your sixth graders soccer team.
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And carrying all the groceries in one trip.
Try Quaker protein, instant oatmeal, granola and bars.
Great taste and a good source of protein.
Quaker, bring out the good.
The your gut bacteria are producing, the healthier your gut lining will be.
We also know that there is a layer of mucus that surrounds your colonocytes as well.
and mucus is really important for many different gut health benefits.
But if you're not feeding your gut bacteria with the food that it needs,
so for example, a diversity of different plants,
your gut bacteria can actually eat the mucus around your gut lining.
It feeds off that mucus, which can then have really bad effects on, you know,
the gut permeability and other downstream effects.
So it's a really scary message in some ways,
but if you're not feeding your gut bacteria, then they'll start eating you and your mucous lining.
So there's a really simple way of doing that again, and it's to increase your fibre and to increase your plants in your diet
and not necessarily going down the root of creating your own bone broth for hours and hours.
Coming onto inflammation, that is a word that I think is thrown around on social media and is probably not always explained in the proper way.
What are your thoughts on inflammation, specifically, what are the impacts of gut inflammation?
Yeah, it is a term that we see a lot.
And it is something that we measure in all of our clinical trials is we look at a biomarker called CRP, which is C-reactive protein.
And we can measure that in anyone, healthy people, people with specific conditions.
generally we see the range is very, very low for healthy people.
So when you hear about these trends online about, you know, reduce your inflammation,
for a healthy person without any other health condition,
their CRP levels or their general inflammatory profile will be relatively low.
So it's often a non-issue for those people.
However, we are seeing a type of inflammation which is called low-grade systemic inflammation.
So that's very different to the acute inflammation that we might see if you have a cut on your finger
or if you have an injury where that acute inflammation is a really adaptive response to,
to, you know, repair the wound site.
The issue comes with something like low-grade chronic inflammation,
which is where you've got that raised inflammatory markers over a long period of time.
We know that is strongly connected to things like blood sugar control.
So pre-diabetes and type 2 diabetes often have higher inflammation.
We see it in metabolic syndrome, which is those cluster of high cholesterol,
increased waist circumference, increase hypertension or hypertension.
We also see it in really severe conditions as well, like inflammatory bowel disease.
And that's a really good example where there is heightened level of
inflammation in the gut. And in inflammatory bowel disease, which includes things like Crohn's
disease and ulcerative colitis, they go through periods of really heightened inflammation and then
periods of remission where they're fine. But in those periods of inflammation, it's really
interesting because the effects aren't just isolated to the gut. Obviously, they're feeling a lot of
pain and the gut-related symptoms. But what a lot of people don't realize is that inflammation can
actually leave the lumen of the gut and travel throughout your body and can impact many different
organs in the body. So bones, for example, we see joint pain in people who have IBD, skin inflammatory
conditions in IBD as well. And also most importantly for our research is that we see inflammation
that can manifest as stress, anxiety and reductions in cognitive phlegalysis.
function. We know that inflammatory cytokines can interact with the blood-brain barrier and influence
something called neuroinflammation. And that is what we think is, is a key driver of things like
low mood when you see someone going through a flare-up. And it's really interesting because
that phenomenon actually has a word attached to it, and it's called a sickness behavior.
So sickness behavior refers to, you know,
withdrawal, lack of, you know, wanting to socialize, flat emotions, so not getting enjoyment
from day-to-day things. It's this collection of symptoms that people experience when they have
that really high level of inflammation in the body. They've even done studies where they give
people typhoid vaccinations, which involves giving them a little bit of the disease itself,
and they find that those people go through periods of low mood and wanting to sort of like remove
themselves from situations, which is the body being like, we need to protect and, like,
remove ourselves from the community. And during COVID, we also saw people who had COVID also had
those same sickness behaviors, that profile of withdrawal behaviors as well. So that, I guess,
is the one thing that that is potentially key to highlight is that inflammation is not just
isolated to the gut. It can affect everywhere in the body, including the brain.
Do we need to be fearmongering about inflammation though on social media is a different question.
I think that for the majority of people, inflammation is probably not an issue.
If you are moving your body, if you're managing your stress, if you're sleeping well, if you're eating well, then that maybe is less of an issue for you.
But something to keep in mind, for sure.
The area that I find really, really most interesting in women's health, and hopefully what I would love to do,
my PhD on is like PMS and PMDD.
And there's really interesting emergent evidence about the role of neuroinflammation in PMS and
PMDD. Interesting in the way that you've explained it. It's really useful.
What are your thoughts on a lot of social media posts that talk about anti-inflammatory foods?
What's the evidence behind that? And would you recommend any of these anti-inflammatory foods?
So there is definitely some evidence for specific foods having anti-inflammatory effects.
We know omega-3s are a really good example of that.
Again, your oily fish, your walnuts, your chia seeds, all of those are fantastic protective
effects on the body and the brain.
Again, fibre and the production of butrate will have really strong anti-inflammatory effects
as well, which is fantastic.
So there is definitely scientific merit in the idea that some foods have anti-inflammatory
properties. What I often find on social media is that it's put into a wildly different context.
So I've had a friend recently messaged me. She has endometriosis and she found this anti-inflammatory
protocol on TikTok and she asked, should I be following this? And I was like, one of those examples
where you're like, should I know this? Like, what is this diet? Like, I was never taught this.
And when I looked into it, it's almost like another exclusion diet form where people,
are restricting potatoes and starchy foods and whole grains and specific fruits and vegetables
that for some reason have been picked out as inflammatory or pro-inflammatory.
And I think that's where I have the issue is that people are then unnecessarily restricting
foods from their diet and restricting the food source for your gut bacteria, which then
will have more of a long-term pro-inflammatory effect than just having a normal, healthy,
diverse diet and not worrying about it. So I think the
the concern I have is those anti-inflammatory
protocols and detoxes that I see on
TikTok. Yeah. Yeah. No, I completely agree. We've got another
community question. This is about IBS and IBD, which I know
you've done a really good job of explaining already. For those suffering
from IBS, IBD or related conditions, is stress, low mood, anxiety
a trigger for their symptoms and if so, why?
Absolutely. Yeah, we definitely see, actually for both of them quite commonly,
stress is often a trigger for a IBD flare-up. And also for IBS,
while there's no inflammatory component to the disease, stress is definitely that,
that fight or flight response. And that is creating that cascade of, you know,
cortisol release, which is then influencing, you know, appetite,
hormones, but also from a gut motility perspective and some of the really common symptoms we see,
particularly with IBS, which is the pain, the bloating, the changes in bowel movements,
that all comes from that response of we need to be safe and we need to remove ourselves from that
threat. So often all those natural processes, the contractions,
of the gut, the motility of the gut, all of those things slow down with stress. So it's very,
very common that people who are going through a period of stress often find that they're either
going more frequently to the toilet or things stop completely. And it's just that natural body
response. But it's, yeah, it's pretty, pretty irritating for people. Yeah, as if it's not bad
enough to be stressed anyway, then all these other symptoms come along. Another community question.
If serotonin is produced in the gut, what does that mean and how can we act accordingly?
It's a great question.
I see this statistic thrown out everywhere, which is, you know, 95% of your serotonin is made in your gut.
And that's actually accurate.
The largest pool of serotonin that we have in the body is in the gut.
But that is very separate from the pool of serotonin that we have in the brain.
and those two pools don't interact with each other.
So they're very separate.
We know that serotonin is too large of a neurotransmitter to actually leave the lumen of the gut.
It can't leave those colonocytes that we were talking about earlier.
Instead, they have a really important role in the gut.
They help with things like motility and an appetite.
So they have their own function within the gut.
However, that does not necessarily mean that serotonin in the gut is not influence in their brain.
We know that serotonin can actually synapse onto those vagal afference,
and then they can travel to the brain to have effects indirectly,
but within really short periods of time.
We also know, and I know that we talked about this a little bit earlier,
is that the precursor to serotonin is actually tryptophan.
And tryptophan, unlike serotonin, can actually
leave the gut, travel to the brain, and then can be built up into serotonin once it's in the right
spot. So there is definitely ways that, you know, we can optimize for this. I wouldn't say that
we're at the point where we have, you know, like serotonin protocols where we can like enhance that
ability. And also serotonin, by the way, has so many functions in the brain. It's not necessarily
exclusively related to mood. It has several different functions. So to to purely want to increase
your serotonin levels may not be directly related to how happy you feel the next day. But again,
the way that we can support those interactions that the gut is having with the brain via
serotonin, again, is to make sure that you have a happy, a healthy and diverse gut microbiome.
So feeding your gut bacteria with the plant-based foods that it needs, having some fomisholm.
foods, having polyphenols, you know, watching your stress levels, sleeping well, movement,
all those really boring things is actually the way to make sure that your guts taking care
of everything else. Oh, this is a good community question. Best food for the gut if you can't
have dairy. So are there non-dairy yoghurts and milks that you would recommend?
For gut health specifically, I do get frustrated sometimes where, because online I see a lot
of fearmongering around like oat milks or this one, that's going to spike your blood sugar.
I'm all around, you know, have what you enjoy. But when you're choosing your plant-based milk,
for example, make sure that it is not got a whole list of ingredients on the back. I would also look
for something that has got calcium, so fortified with calcium is really important if all of your
dairy is being replaced by plant-based sources. So I would say, I mean, I drink almond milk because
I love the taste, but I make sure that I get one with calcium and that there's not a list of
extra stuff added to it. So I say that's my first piece of advice. On the yoghirt side,
you can actually find plant-based yogets that do have live cultures added to them. So even
though they're not coming from that original process, they can still add in those live
probiotics. So I would look at the back of your plant-based yogurt, make sure that there's no added
sugars or artificial sweeteners and also make sure that they do have that that statement on there
to say live cultures or live bacteria. And in some cases, they actually list the types of
bacteria that they've added back to it. So that's my top tip with that is find one way they've added
the things back into it because it won't naturally occur. Sweeteners, we mentioned sweeteners
a lot in this episode. Before we finish, let's get into sweeteners. Do you have a list of sweeteners in your
head that you avoid and a list of sweeteners that you think maybe are a little bit better for
the gut. Do you try and just have a bit of a blanket ban on sweetness in your own, in your own
diet? I think that I take a relatively practical approach when it comes to sweetness as well.
I think little amounts here and there are not going to be hugely negatively affecting your gut
health. But for example, if you're having a couple of Diet Coke every day or there are different
sources of particular like, you know, protein bars and yogurts with added artificial sweetness to it,
I think it's the, when it accumulates on a daily basis, that's where you probably need to
take a step back and think, yikes, how can I start to remove these? Because we do know that they
do have quite a dramatic effect in our gut bacteria. But they also disrupt things like,
your hunger and your satiety levels as well, if your body is expecting, you know, a burst of
calories to come from your protein bar and then nothing comes, then you've got a bit of insulin
working its way around the body saying like, where's my glucose? And then you might be wanting
that chocolate bar a couple of hours later anyway. So instead, I would say, yeah, take a practical
approach, try and identify the sources of artificial sweetness that you're having in your day. And how can
we take them back a step. Generally, I find that there's a new artificial sweetener that comes out
every other week, so I find it hard to keep track of the new ones. Generally, I have a blanket.
I reduce them as much as I can to the point where I actually would prefer to have sugar over
artificial sweeteners, I would rather have something that is, you know, if I'm indulging in a
dessert, just give me the full sugar, the full fat variety, and I'm going to enjoy it mindfully
and absolutely love it. It's not all the time, but I think when you are indulging,
just enjoy it and have the full diversion. It's not going to have long-term effects. I think,
again, it's your daily habits that you need to look out for. These shortcuts that we've tried to
find for our body and we're slowly realizing it's not as straightforward as that, I think. Yeah, for sure.
This is another really, really good one.
And then I'm going to come on to the final question that I've been asking all the guests.
Any book she'd recommend better understand the impact of the guts and the brain.
I have one book that comes to mind, and it's actually a really old book, but it was the one that really got me into when I was doing my PhD.
It had come out at the very same time.
And it was just, it was so nice to hear like what I was trying to kind of show in the lab, be echoed.
to the general public. It's a book by John Cryan, and it's called The Psychobiotic Revolution.
And in there, they go into really nice detail, but also really user-friendly and explains it in
really nice metaphors as well, exactly the different pathways via which your gut connects
to the brain, but also highlight some really cool research around, you know, the vagus nerve,
and if you give someone a fermented drink for four weeks, this is what happened.
So if there is anyone interested in going deeper into the mechanisms and the science, I think
that's a really nice place to start.
Beautiful.
And then the final question that we've been asking all our guests, Dr. Caitlin, what do you
wish every woman knew by the time she was 25?
Oh, gosh, by the time she was 25, that we don't actually need to optimise everything about
our diet.
and oftentimes, I think we were discussing this earlier, when it comes to your gut and it comes to
the effect that it can have on the brain, often less is more.
And if we look after ourselves and we don't get too stressed out by things that won't matter
in a week or two weeks' time, then often we can just take a step back in and do foundational things.
and I know that it's not sexy or particularly interesting,
but often the best advice we have for gut health is the really boring advice.
So not to get swept up in the latest trends,
but just to take the really boring advice on.
I don't know if that was very good.
No, that's absolutely perfect and something.
I feel like a broken record saying it really is the boring basics, you know,
really is.
I wish I could come on here and say,
there's this incredible supplements that's going to cure all your, all your worries and, you know, whatever.
And it'll make up for the fact that you're not exercising, you're not being mindful, you're not reducing your stress, you know.
But that's just, it's not the case.
It's, there isn't this shortcut.
It is the boring basics.
Exactly.
Which doesn't sell.
No.
It's just like middle of the road advice that you don't have that.
You probably know, but yeah.
That's not on a diary of a CEO podcast trailer, is it?
It's not the exercise, sleep well in reduce your stress.
stress like that does not that's not going to do well no exactly dr caitland you've been absolutely
incredible i think this is a conversation the listeners will really really really value because i know
so many of us are living in a world where we're stressed and struggling with our mental health
and understanding that there may be our changes that we could possibly make that may have a
positive impact so thank you so so so much for coming on it's been absolutely wonderful oh it's been a
pleasure thank you
