The Basics
Super Bacteria!
Dysbiosis
Microbe Management
What's the H*LL is wrong with my biome?!
100
The Majority of Your Gut Microbiome is located in the..
What is Large intestine/Colon?
100
Colonization of this super bacteria primarily occurs in the first 3-4 months after birth.
What is Bifidobacterium?
100
Define Dysbiosis
A negative shift of change in the composition of the gut microbiome that allows for pathogenic bacteria to proliferate.
100
Good bacteria that we ingest
What is a probiotic?
100
Emily was experiencing a stomach ache one dreary Wednesday & decided to ingest a Mega-Prebiotic as well as soluble fiber to treat said stomach ache. Instead of her stomach ache residing, she soon found herself locked to the toilet seat all day. What did she do wrong?
What is Emily did not consult with a professional/receive any screening. Furthermore, a singular incidence of a stomach ache does not necessarily mean she has any sort of dysbiosis.
200
Identify the Large Intestine:
200
This super bacteria plays an essential role in maintaining the gut barrier, controlling blood glucose, and maintaining the health of other super bacteria through cross-feeding.
What is Akkermansia. Muciniphilla
200
low carb diet, low fiber diet, high stress environment, and frequent antibiotic use
What are risk factors for developing a dysbiosis?
200
This factor plays the largest role in influencing the composition of our microbiome.
What is our Diet
200
After her whole toilet incident, Emily went to a lecture regarding what kind of diet fosters a healthy microbiome. Emboldened, Emily decided to completely change her entire diet, substantially increasing the amount of whole grains, fermented foods, and fruits and vegetables she eats per day. Unfortunately, this tenacity did not last long, as she found her self stuck to the toilet once again. What did she do wrong?
What is she did not gradually increase the fiber in her diet to give her body time to adapt.
300
Research has Shown that the Gut Microbiome has impact on everything listed EXCEPT for:
1. The Immune System
2. Food preferences
3. The Development of Chronic Disease
4. Digestion
5. Mental Health
What is Food preferences
300
These two super bacteria have been shown to help treat lactose intolerance
What is Bifidobacterium & Lactobacillus
300
Name three signs/symptoms of a dysbiosis
What is frequent abdominal pain/bloating, diarrhea, constipation, mood changes, weakened immune system, development of food allergies/intolerances
300
Whole grains, fruits/vegetables, and seeds are all
What are Prebiotics
300
Jason comes to you reporting nausea, abdominal pain, and diarrhea. He reported his last 24 hours of eating being:
1. Breakfast- French Toast Sticks & 1 donut
2. Lunch- Skipped
3. Dinner- burger, French fries, and a large milkshake
4. Midnight Snack- Pringles
Jason also has reported being diagnosed with lactose intolerance...
Assuming that Jason's reported diet is relatively normal for him, give me two things Jason could do to help mitigate his symptoms. (EXCEPT FOR DONT HAVE MILKSHAKE)
What is Take a probiotic with lactobacillus/akkermansia, incorporate more fiber into his diet, consume more fermented foods, avoid going all day without eating, etc.
400
Name Five Uncontrollable Factors that influence the composition of the gut microbiome
What are Genetics, Mode of Delivery, Age, Host Immune System, Maternal Health During Pregnancy, etc.
400
This super bacteria is actually very harmful in the mouth and is the main cause of cavities
What is Lactobacillus
400
Susie is experiencing symptoms consistent with a dysbiosis of her gut flora, what should her next steps be?
What is consult with a health professional & get tested
400
A probiotic not found in the gut, but has proven to be a very helpful therapy in treating dysbiosis/establishing a healthy gut flora
What is S. Boulardii?
400
As an infant, Emily Cohen was born 5 weeks early (pre-term) via a C-section and was not breast fed for the recommended amount of time (true story). After 5 months, her bifidobacterium was measured to be very low for her age. Name at least 3 diseases/consequences of Emily having low bifidobacterium in infancy.
HINT: be careful not to mention symptoms of low bifidobacterium later in life
What is Emily has a lowered immune system, is more likely to develop allergies/atopic conditions (e.g. asthma), is more likely to be depressed/stressed/anxious, have necrotizing enterocolitis (where the lining of the intestine dies), have a dysbiosis due to lack of cross feeding, etc.
500
Name Four Controllable Factors that influence the composition of your gut microbiome:
What are Geographic Location, Smoking/Drug Use, Diet, Exercise, Stress
500
Name three diseases associate with LOW Akkermansia
What is Diabetes, Autism, Asthma, Crohn's disease, and Ulcerative Colitis
500
Turns out, like many Americans, Susie doesn't have insurance/the funds to consult with a healthcare professional! oh no! What is her next best step?
what is Gradually change to her diet include more fiber/polyphenols?
Also accepted: What is move to a country with universal healthcare?
500
Name three acute OR chronic diseases that S. Boulardii has been shown to help treat
What are IBD (Crohn's/UC), C.Diff, Diarrhea, H. Pylori, HIV, parasitic infections, and IBS?
500
Emily, after having chronic spouts of bloating, diarrhea, and abdominal pain takes a stool test to analyze her microbiome. The results come back to find that she has HIGH Akkermansia Municiphilla as well as an overgrowth of some opportunistic bacteria (true story). What is likely to be the reason for this profile?
What is Emily's intestinal lining is likely degraded and, as a result, has a low digestive capacity (true story).