Dictionary

All 6,000 microbiome biomarkers from mybody x at a glance

Glas mit blubberndem Sauerteig-Ansatz neben einem runden Sauerteigbrot auf hellem Grund

Search, filter, and discover the bacteria and markers in your gut flora—from protective bacteria and fiber utilizers to yeasts and the key figures in your results.

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Actinobacteria, also called Actinomycetota, is a bacterial phylum and thus a large related group. In the gut, it usually makes up only a small part of the total flora, but it is significant because it includes Bifidobacteria. These break down lactose and certain dietary fibers, produce lactic acid and acetate, and thereby lower the pH in the large intestine. A mildly acidic environment makes it harder for unwanted microbes to spread. Other members of the group, such as Collinsella, behave differently and are assessed differently depending on their abundance. The result value describes the proportion of the entire group in your gut flora.

Entry typeBacterium
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

The proportion gives you an initial indication of how well the lactic acid-producing fraction of your gut flora is doing. Because Bifidobacteria make up the largest part of this group, the value often reflects their abundance. It complements the individual values in your results and helps you interpret them correctly.

When the share is high

A high proportion of the total flora usually results from having many Bifidobacteria and is considered unremarkable to beneficial. It is often observed with a high-fiber diet or after taking corresponding cultures. More rarely, it is due to a substantial increase in other members of the group. The individual species in your results can show you which case applies to you.

When the proportion is low

Low levels are often observed after antibiotic use, with an unbalanced diet, and with increasing age. When lactic acid-producing species are lacking, the pH in the large intestine tends to rise, creating better conditions for unwanted microbes. For many people, diet can influence the level again within a few weeks.

What feeds it

Bifidobacteria thrive on certain fibers: chicory, Jerusalem artichokes, black salsify, onions, leeks, garlic, and bananas provide inulin and related substances. Oatmeal and whole-grain rye are also well utilized. Fermented foods such as plain yogurt, kefir, and sauerkraut also provide live cultures. Start with small portions if you are prone to bloating, and increase them gradually.

Frequently asked questions

Are Actinobacteria the same as Bifidobacteria?
Not quite. Bifidobacteria are a genus within the phylum Actinobacteria, so they are part of it. Because they make up the largest proportion of this group in the gut, the two values usually track each other. Other members, such as Collinsella, also belong to it, but occur in smaller amounts and are assessed separately.

Akkermansia muciniphila is a gut bacterium with an unusual way of life. It does not live in the intestinal contents but in the mucus layer that coats your intestinal wall like a protective film. It uses mucin, the main component of this mucus, as food. What initially sounds like breakdown has a stimulating effect: the mucous membrane then produces new mucus, keeping the layer fresh and well mixed. It also produces short-chain fatty acids such as acetate and propionate, which serve as energy for other gut bacteria and your cells. In many people, the species makes up only a few percent of the gut flora.

Entry typeBacterium
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

The level is considered an indicator of the condition of your mucus layer, an important part of the intestinal barrier. Studies also often observe Akkermansia in connection with sugar and fat metabolism. Because the species responds quickly to diet, its level can be tracked over time.

When the share is high

High levels are considered beneficial in many people and are often observed with a high-fiber diet, weight loss, or longer breaks between meals. Very high levels are a topic of discussion: Since the bacterium feeds on mucus, it could consume more of the mucus layer when fiber intake is very low. Research on this question is still ongoing.

When the proportion is low

Low levels are often reported in studies in people who eat a low-fiber diet, are overweight, have metabolic abnormalities, or have taken antibiotics. They are considered an indication of a less well-maintained mucus layer. However, a low level alone does not say anything about symptoms, and it can often be changed through diet within a few weeks.

What feeds it

Polyphenols play a major role here: blueberries, cranberries, pomegranate, dark grapes, green tea, and high-percentage cocoa. Plus fiber from oats, flaxseed, chicory, onions, and apples. Fish oil from salmon or herring has also been linked to it. Longer breaks between meals and regular exercise can help, while sugar and alcohol tend to have the opposite effect.

Frequently asked questions

Can I simply take Akkermansia as a capsule?
Supplements containing this species are now available, usually in an inactivated form. Early studies look promising, but the evidence is still limited and the products are not available everywhere in Europe. Many people can also influence their levels through diet, and this approach has been well studied.

Does Akkermansia break down my mucus layer?
In a well-nourished gut microbiome, this creates a balance. The constant remodeling stimulates the lining to produce new mucus, preserving the protective layer. The balance is only considered a concern when very little fiber reaches the colon for an extended period. A high-fiber diet therefore helps keep things in balance.

Alistipes belongs to the Bacteroidetes phylum and lives in the colon without oxygen. Unlike classic fiber-degrading bacteria, this genus primarily uses protein residues and tolerates bile acids well, which enter the gut in greater quantities with a high-fat diet. It produces propionate, among other things. Alistipes is often mentioned in studies on the gut-brain axis, but the findings are inconsistent: depending on the study and species, higher or lower levels have been observed in different groups. The genus is therefore considered interesting, but difficult to interpret. The evidence is too contradictory for any firm conclusions.

Entry typeBacterium
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

Alistipes shows how strongly your gut processes protein and fat. As its share increases, metabolism in the colon shifts away from pure fiber fermentation. In your test results, this level helps put your dietary pattern into context, and is best considered alongside the butyrate producers.

When the share is high

Higher levels are often observed with diets high in protein and fat and low in fiber, as well as after prolonged periods of fasting. Studies on the gut-brain axis have found elevated levels in some groups, but the results are inconsistent. A high level is therefore not a diagnosis, but a reason to take a look at the fiber content of your diet.

When the proportion is low

Low levels are considered unremarkable. Many people have only small amounts of Alistipes, and other genera from the same family take over its functions. A low level often simply indicates a plant-based diet with moderate amounts of meat and high-fat foods.

What feeds it

This is more about balancing than boosting. If your level is high, shift the balance on your plate: eat more vegetables, legumes, and whole grains, and less red meat, sausage, and very high-fat foods. Plant-based protein sources like lentils, beans, and tofu provide protein and fiber together.

Frequently asked questions

Is a high Alistipes level a sign of stress?
No, that’s not a valid interpretation. Alistipes is often mentioned in studies of the gut-brain axis, but the findings point in different directions. The link with a high-protein, high-fat diet is best established. For questions about stress and mood, consulting a doctor is the right approach.

Anaerostipes is a butyrate producer with a special feature: it uses not only fiber but, above all, lactate, or lactic acid. Lactate is produced when Bifidobacteria and Lactobacilli ferment sugar. If it were left to accumulate, the intestinal contents would become acidic. Anaerostipes takes it up and turns it into butyrate, the most important energy source for the cells of your large intestinal lining. Experts call this cross-feeding because two groups of bacteria work hand in hand. Well-known species include Anaerostipes caccae and Anaerostipes hadrus. Both live strictly without oxygen and are sensitive to antibiotics.

Entry typeBacterium
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

The level shows whether the handoff between lactic acid producers and butyrate producers is working for you. If Anaerostipes is lacking, lactate can build up and shift the pH in the large intestine. In your test results, this genus adds to the picture of your gut barrier and butyrate supply.

When the share is high

Higher levels are considered normal to favorable, especially when Bifidobacteria are also well represented. This points to effective cross-feeding: lactic acid is quickly processed, and the intestinal lining gets butyrate. A high level on its own is not a goal; what matters is how it works with the other groups in your test results.

When the proportion is low

Low levels are observed after antibiotic use and with a low-fiber diet. Lactic acid from other bacteria is then less effectively processed, and the intestinal lining lacks butyrate. People with many lactic acid bacteria but little Anaerostipes sometimes notice increased bloating. The level can be interpreted alongside the gut pH level.

What feeds it

Combine sources of fiber with fermented foods. Oats, barley, psyllium husks, legumes, apples, and onions provide fiber. Yogurt, kefir, sauerkraut, and kimchi provide lactic acid bacteria, whose lactate Anaerostipes processes further. Studies show that this combination works better than any single ingredient on its own. Antibiotics should only be considered after consulting a doctor.

Frequently asked questions

What does cross-feeding in the gut mean?
This means that one bacterium uses another bacterium’s waste product as food. Bifidobacteria produce lactic acid from sugar, and Anaerostipes turns it into butyrate. This creates a chain in which nothing goes to waste. That’s why combining fiber and fermented foods often works better than focusing on just one group.

Bacteroides is a large bacterial genus, a group of closely related species that lives in the large intestine. These bacteria work without oxygen and are generalists: they break down fiber, plant cell walls, starch, and protein residues that were not digested further up the digestive tract. This produces short-chain fatty acids such as acetate and propionate, which support your intestinal lining and metabolism. Bacteroides is considered highly adaptable and switches food sources depending on your diet. In many people, this genus makes up a substantial part of the gut flora. It also shapes the so-called enterotype, a broad pattern of the microorganisms living in your gut.

Entry typeBacterium
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

Bacteroides shows how well your gut can handle fiber and protein. Because this genus is so common, it has a noticeable impact on the overall picture of your gut flora. In test results, it serves as an indicator of whether your microbiome is more accustomed to a fiber-rich diet or one high in meat and fat.

When the share is high

High levels are often seen with a diet rich in protein and fat and low in fiber. Bacteroides handles this well and spreads, while specialized fiber-degrading bacteria decline. A high level alone is not a cause for alarm. It becomes interesting only in combination with other findings, for example when butyrate-producing bacteria are also low.

When the proportion is low

Low levels mean that an important generalist is missing. Complex plant fibers are then broken down less effectively, and other bacteria have to take over the work. Very low levels are sometimes observed after antibiotics or with a limited diet. Whether this matters to you is best judged in the context of your diversity and symptoms.

What feeds it

Bacteroides thrives on variety on your plate. Legumes, whole grains, barley, oats, cruciferous vegetables, beetroot, and cooled potatoes or pasta provide the fiber and resistant starch that these bacteria break down. Nuts and seeds are a good addition. If you currently eat little fiber, increase the amount gradually over two to three weeks and drink plenty of water.

Frequently asked questions

Is a high Bacteroides level bad?
No, a single value tells you little. Bacteroides is part of the usual makeup of the large intestine in most people. Higher levels are mainly associated with a diet rich in fat and protein. The overall picture is more informative: the diversity of your gut flora and the proportion of bacteria that produce butyrate.

Bacteroidetes, known by the newer name Bacteroidota, is a phylum and therefore a large group of related organisms. It includes many species specialized in breaking down complex carbohydrates. These bacteria have an especially broad range of enzymes and break down fibers that others cannot. This produces mainly acetate and propionate, two short-chain fatty acids that are further used by the liver and in metabolism. Bacteroidetes are found mainly in the large intestine and, together with Firmicutes, make up most of the gut flora in many people. The test result shows the proportion of the whole group, not of a single species.

Entry typeBacterium
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

The proportion shows how strongly represented specialists in plant fibers are in your gut. Together with Firmicutes, it describes the basic distribution of your gut flora. Since the two groups share the available space, one value shifts when the other changes. This proportion is for guidance and is not a standalone diagnosis.

When the share is high

A high proportion of the overall flora is often seen with a fiber-rich, plant-focused diet. On its own, this is not a cause for concern. Very high levels are sometimes associated with increased gas production, because gas is produced when fiber is broken down. Whether a high proportion is favorable or unfavorable depends on which species within the group predominate.

When the proportion is low

A low proportion means that other phyla predominate. This is often seen with a low-fiber diet high in meat, fat, and sugar. Since this group does important preliminary work in breaking down fiber, persistently low levels may also leave other bacteria short of food. A single measurement, however, says little about this.

What feeds it

This group thrives on plant fibers. Whole grains, legumes, root vegetables, cabbage, fruits with their skins, and nuts provide exactly that. Rotate the varieties regularly, as different fibers promote different species. Increase the amount gradually over two to three weeks so your gut can adjust, and drink enough water with them.

Frequently asked questions

Do I need more Bacteroidetes or more Firmicutes?
There’s no one-size-fits-all answer. Both phyla are present in almost everyone, and science has not established an ideal ratio. What matters more is whether fiber-degrading species are well represented within each group. A varied plant-based diet supports both groups at the same time.

Why has my value changed since the last test?
The proportions of the major phyla respond to your diet, sometimes within just a few days. Medications, infections, stress and the timing of sample collection also have an effect. Small shifts between two results are therefore normal. A trend only becomes meaningful if it continues in the same direction across several measurements.

Some of your gut bacteria produce vitamins themselves. These include several B vitamins, such as folate, riboflavin, biotin and vitamin B12, as well as vitamin K2. Bifidobacteria, lactobacilli and Bacteroides species are among the known producers. Some of these vitamins are absorbed in the large intestine, while others serve as building blocks for the bacteria themselves and their neighbors. The amount that actually reaches your body can’t be measured from a stool sample. This metric estimates how strong your gut flora’s vitamin-producing potential is based on the groups detected.

Entry typeMarker
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

This value highlights an often-overlooked function of your gut flora and rounds out the overall picture of its function. It complements diversity and butyrate production, since a diverse flora generally also includes more vitamin-producing bacteria. It is explicitly not a substitute for a blood test to assess your vitamin levels.

When the level is high

A high value suggests that many vitamin-producing groups are present in your sample. This is considered a sign of active, diverse flora. However, how much of it your body absorbs depends on absorption in the gut and can’t be determined from this value. Blood tests show your actual vitamin levels.

When the level is low

A low value means that only a few known vitamin-producing groups were detected. This is often associated with low diversity, for example after antibiotic treatment or with a one-sided diet. It doesn’t necessarily indicate a deficiency, since you get most of your vitamins from food. If you suspect a deficiency, blood tests can help.

What affects the level

A varied plant-based diet supports vitamin-producing bacteria: vegetables, legumes, whole grains, nuts and seeds. Fermented foods such as sauerkraut, kefir, yogurt and aged cheese provide additional cultures that produce vitamins. Fiber is the foundation, because these groups can barely function without food. Repeated courses of antibiotics and a very one-sided diet reduce their potential.

Frequently asked questions

Does my gut flora meet my vitamin B12 needs?
No, you shouldn’t rely on that. Although some gut bacteria produce B12, this happens mostly in the large intestine, where absorption is limited. You get what you need from food, or from a supplement if you eat a strictly plant-based diet. A blood test, not a stool test, shows whether you’re getting enough.

Diversity describes two things: how many different bacterial species are present in your sample and how evenly they are represented. Experts call this diversity. A species-rich gut works more like a mixed forest than a monoculture. If one group disappears, for example after taking antibiotics, other species can partly take over its functions. That is why high diversity is considered a sign of a robust, resilient microbiome in research. The number of species matters, as does ensuring that no single group dominates on its own.

Entry typeMarker
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

Diversity helps put your results in context before you look at individual values. It shows how diverse your gut is and how well it can buffer disruptions. Low diversity is frequently observed in studies in cases of a one-sided diet, after antibiotics, and with various chronic conditions.

When the level is high

A high value indicates a diverse microbiome with many species and no single species dominating. This is considered robust: dietary fiber is used in a variety of ways, and disruptions can be better buffered. Very high values are not a seal of approval in themselves, but are often observed in people who eat a varied, plant-rich diet.

When the level is low

A low value means that only a few species dominate the gut. This is often observed with a one-sided or highly processed diet, as well as after antibiotics, with little exercise, and during prolonged stress. The gut then reacts more sensitively to disruptions. Diversity can usually be rebuilt over weeks to months.

What affects the level

A diverse plate creates diversity in the gut. As a rule of thumb, eat as many different plant-based foods as possible each week, such as vegetables, fruit, legumes, whole grains, nuts, seeds, and herbs. Fermented foods like sauerkraut or kefir are a good addition. Regular exercise, time outdoors, good sleep, and limiting alcohol also have a beneficial effect.

Frequently asked questions

How quickly does my bacterial diversity recover?
Initial shifts can appear after just a few days of dietary changes. However, it usually takes weeks to months for diversity to build up steadily, and sometimes longer after antibiotic treatment. What matters most is not a short-term course but a varied, plant-focused diet over the long term. Small steps taken over a long time have a greater effect than brief, strict phases.

Bifidobacteria are rod-shaped bacteria that colonize the gut in infants and can remain there throughout life. They break down fiber, or plant fibers, that your body cannot digest. This produces lactic acid and acetic acid. These acids slightly lower the pH in the large intestine, making it harder for many unwanted microbes to spread. Bifidobacteria also interact with immune cells in the intestinal lining and are associated with a calm immune state. Studies often find lower levels in older people and after antibiotic use.

Entry typeBacterium
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

Bifidobacteria are considered an indicator of a well-nourished gut microbiome. They are sensitive to diet, medication, and stress, so their levels shift early. Their proportion in your test results gives you an indication of how well your fiber intake is working and whether your gut environment is more acidic and stable.

When the share is high

High levels are considered harmless and are usually seen as a sign of a high-fiber diet. People who regularly eat fermented or probiotic products often have levels toward the upper end of the range. They generally do not cause symptoms. Only if you also have severe bloating is it worth looking at the total amount of fermentable foods in your diet.

When the proportion is low

Low levels are often observed after antibiotics, with a low-fiber diet, during periods of high stress, and with increasing age. The intestinal pH often rises as well. This is not a diagnosis, but a cue to take a closer look at your fiber intake and the regularity of your meals.

What feeds it

Bifidobacteria like soluble fiber. Good choices include oats, chicory, Jerusalem artichokes, salsify, onions, leeks, garlic, green bananas, flaxseeds, and legumes. Chilled cooked potatoes and pasta also provide resistant starch. Fermented foods such as plain yogurt, kefir, and mild sauerkraut contain live cultures. Increase your fiber intake gradually over two to three weeks.

Frequently asked questions

Is simply eating yogurt enough?
Yogurt provides live cultures, but they usually only survive temporarily in the gut. Bifidobacteria multiply long-term mainly when they get food. So the key is the combination: fermented foods plus plenty of plant fiber from vegetables, legumes, and whole grains, spread throughout the day.

Why are my levels so low after antibiotics?
Antibiotics affect beneficial microbes as well as the targeted ones. Bifidobacteria are among the more sensitive groups. After treatment, recovery takes several weeks to months for many people. A fiber-rich diet and fermented foods can support this phase, and a second test after about three months can show how things are developing.

Bilophila wadsworthia lives up to its name, which roughly means “bile-loving.” The bacterium grows especially well where large amounts of bile acids arrive. Your body releases bile acids to digest fat. The fattier the meal, the more bile acids reach the large intestine. Bilophila uses sulfur compounds from these bile acids and produces hydrogen sulfide. In small amounts, it is part of the normal gut flora in many people. If it multiplies significantly, studies have linked this to an irritated intestinal lining and changes in the composition of bile acids.

Entry typeBacterium
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

This value is a sensitive indicator of the fat content of your diet, especially animal fats. Bilophila can respond to dietary changes within just a few days. In a test result, it helps show whether your diet is shifting the environment in your large intestine toward sulfur metabolism. This pattern is often associated with low plant fiber intake.

When the proportion is elevated

Studies often find elevated levels in people who eat a lot of fat and meat, especially animal fat. People also often report strong-smelling gas and sluggish bowel movements. A high value reflects a dietary pattern, not a diagnosis. It’s a good reason to pay closer attention to your sources of fat and fiber for a while.

When the proportion is low

A low level is considered unremarkable and is usually consistent with a moderately low-fat, plant-focused diet. Bilophila then remains a minor player, and most bile acids are reabsorbed in the small intestine. A low value does not need to be changed and is not a sign of a lack of beneficial bacteria.

What you can do

The best way to reduce Bilophila is to focus on the types of fat you eat. Eat less sausage, cream, butter and fried foods, and opt for olive oil, nuts and moderate amounts of sea fish. Legumes, oats, vegetables and fruit provide fiber that supports competing bacteria. Regular meals and exercise support bile flow. A consistently very high-fat diet encourages this bacterium.

Frequently asked questions

Do I need to cut out fat completely now?
No. Fat is an important nutrient, and the body needs bile acids for digestion. It’s about quantity and quality: less highly processed animal fat, more plant oils, nuts, and seeds. Rather than cutting fat out radically, it’s usually more important to increase fiber intake at the same time so that fiber-digesting bacteria have more food.

Blastocystis hominis is neither a bacterium nor a fungus, but a single-celled organism, meaning a living thing made up of a single cell with a nucleus. It is one of the parasites most commonly found in the human gut worldwide and is acquired through contaminated water or food. For a long time, it was broadly regarded as a disease-causing organism. Today, the prevailing view is that it lives harmlessly in many carriers, often for years and without any symptoms. There are genetically distinct subtypes that may differ from one another. Whether it causes symptoms remains a subject of scientific debate.

Entry typeBacterium
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

The result identifies what lives in your gut. Since Blastocystis occurs in many people without causing symptoms, a positive result on its own is not a finding that requires urgent action. Only when considered alongside your symptoms, the diversity of your gut flora, and the other results can it be determined whether it plays any role at all.

When the proportion is elevated

A clear positive result indicates colonization, but nothing more at first. Some people report abdominal pain, bloating, or changes in bowel habits, while many others notice nothing. Studies even find it more often in people with diverse, plant-based gut flora. If you have new or persistent symptoms, weight loss, or blood in your stool, a doctor should investigate.

When the proportion is low

A negative result means the single-celled organism was not found in this sample. This is an unremarkable result and requires no action. Because shedding varies, a single sample may also miss a colonization. If unexplained symptoms persist, a second sample taken on another day is sometimes tested.

What you can do

It is usually acquired through drinking water, unwashed fruit and vegetables, or inadequate hand hygiene, often while traveling. To prevent it, use clean water, wash fruit and vegetables thoroughly, and wash your hands before eating. Treatment is generally not recommended if there are no symptoms and is a decision for a doctor. A varied, fiber-rich diet strengthens competition in the gut.

Frequently asked questions

Is treatment needed if the result is positive?
If you have no symptoms, the widely accepted answer today is no. Blastocystis is found in a large proportion of healthy people, often for years. Treatment attempts are not always successful and can cause their own side effects. If symptoms persist, healthcare professionals first investigate other explanations before considering the organism.

Can I pass on this single-celled organism?
Blastocystis is transmitted through the fecal-oral route and via contaminated water. As a result, multiple people in the same household sometimes carry it. Careful handwashing after using the toilet and before eating reduces transmission. Since many carriers have no symptoms, routine screening of contacts is generally not recommended.

Blautia is a genus in the Lachnospiraceae family and is a regular part of the large intestine in many people. These bacteria ferment sugars and fibers into acetate, which other bacteria can then convert into butyrate. Some species also bind hydrogen produced during fermentation, helping keep gas production in check. Studies often find Blautia in people with favorable metabolic markers, such as a stable body weight. Cause and effect have not been established. The genus is considered relatively resilient to small dietary changes.

Entry typeBacterium
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

Blautia is a good indicator of the overall stability of your microbiome. Because the genus supplies acetate and absorbs fermentation gases, it plays a role behind the scenes in several ways. The result can help assess whether fiber-degrading bacteria and butyrate producers are working well together in your gut.

When the share is high

Higher levels are generally considered unremarkable to favorable and are often observed with a varied, high-fiber diet. Blautia does not displace other beneficial groups; instead, it supports them. A very high individual level says little on its own. What matters is how it compares with the other groups in your test results.

When the proportion is low

Low levels are observed after antibiotics, with a very one-sided diet, and with low fiber intake. This means less acetate is available as an intermediate product, and butyrate producers lose some of their starting materials. Ongoing stress and little exercise have also been linked to lower levels in studies.

What feeds it

Blautia grows with a variety of plant fibers. Oats, whole grains, legumes, apples, berries, onions, leeks, and root vegetables provide suitable sugars and fibers. Fermented foods such as sauerkraut or yogurt also fit the bill. Regular exercise and consistent meal times further support a stable microbiome.

Frequently asked questions

Does Blautia have anything to do with my weight?
Studies more often observe a higher proportion of Blautia in people with lower body weight and more favorable blood sugar levels. It is unclear whether the bacteria cause this or are simply a result of a fiber-rich diet. The value is therefore a guide, not an explanation for your weight.

Butyrate, also known as butyric acid, is a short-chain fatty acid. Bacteria produce it when they ferment fiber and resistant starch in the colon. Butyrate is the main fuel for the cells of the colonic lining: they use it to meet a large part of their energy needs. Well-nourished lining cells keep the barrier intact and produce mucus. Butyrate is also associated with a calm immune state in the intestinal wall. Butyrate production potential estimates how much butyrate your gut flora can produce based on the bacterial groups detected. The most important producers include Faecalibacterium prausnitzii, Roseburia, and Eubacterium rectale.

Entry typeMarker
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

The value shows whether your gut flora is functioning well, not just looking good in terms of numbers. Studies often observe low butyrate production in people with low-fiber diets and inflammatory bowel symptoms. Together with the pH value, it gives you a picture of how active fiber fermentation is in your colon.

When the level is high

A high value suggests that your gut flora contains plenty of butyrate producers. The gut lining is then well supplied with energy, and the environment remains slightly acidic. This is considered a favorable sign and is often seen with a fiber-rich, plant-focused diet. A high value is no free pass, but it provides a solid foundation for your gut environment.

When the level is low

A low value means that only a few butyrate producers were detected. This is often associated with a low-fiber diet, antibiotic treatment, or little variety in plant foods. The gut lining is then missing its preferred fuel. However, butyrate producers respond well to nourishment: eating more fiber often has an effect within just a few weeks.

What affects the level

Butyrate producers like resistant starch and soluble fiber. Good sources include cooked potatoes, rice, and pasta that have been cooled, as well as oats, barley, legumes, green bananas, flaxseed, and alliums. Berries and nuts also provide nourishment. Consistency matters more than occasional weeks of high fiber intake. Increase the amount gradually so your gut can adjust to increased fermentation.

Frequently asked questions

Is it helpful to take butyrate as a capsule?
Capsules deliver butyrate directly, but often not where it is needed, because some of it is absorbed further up the digestive tract. A more sustainable approach is to feed the bacteria that produce it on site. Fiber and resistant starch from regular foods reliably reach the colon. It is best to make decisions about supplements with medical guidance.

Butyrivibrio is a genus of curved, motile bacteria whose name refers to its main product: butyrate, a short-chain fatty acid. The genus is best known from the rumen of ruminants, where it breaks down hard-to-digest plant fibers such as cellulose, hemicellulose, and pectin. It is also found in the human gut, but usually in small amounts. There, it breaks down fibers that other bacteria leave behind and supplies the resulting butyrate to the cells of the intestinal lining. The genus is also involved in the conversion of fatty acids in the gut.

Entry typeBacterium
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

The level shows whether these specialized fiber degraders are present in your gut. They break down plant fibers that many other species cannot, thereby expanding butyrate production. Because this genus is rarely found in large amounts in humans, the level is interpreted mainly in the context of the other butyrate producers.

When the share is high

High levels are unusual in humans and are most often observed with a very high-fiber, plant-based diet. They are considered unremarkable, because the genus produces butyrate and breaks down hard-to-access fibers. No adverse effects of high levels have been described. Symptoms cannot be inferred from this.

When the proportion is low

Low or undetectable levels are normal in humans, because this genus makes up only a small part of the gut flora. An undetectable level is therefore not a warning sign. It is more informative to see how well the more common butyrate producers are represented in your results and how diverse your gut flora is overall.

What feeds it

This genus thrives on tough plant fibers. Vegetables with plenty of structure, such as cabbage, fennel, leeks, celery, and carrots, along with whole grains, legumes, nuts, and flaxseed, provide the right material. Eat fruit and vegetables with their skins whenever possible, and vary the types you eat often. Finely ground, heavily processed products, on the other hand, provide this group with little nourishment.

Frequently asked questions

Why is Butyrivibrio known mainly from livestock farming?
The genus was discovered in the rumen of cattle and sheep and studied extensively there because it plays a major role in breaking down grass. It is also found in the human intestine, but in much smaller quantities. That is why many descriptions come from animal research and cannot be transferred directly.

Candida albicans is a yeast, and therefore not a bacterium but a single-celled fungus. It lives permanently on the mucous membranes of the mouth, intestines, and vagina in a large proportion of the population, without anyone noticing. In the intestines, it feeds mainly on simple sugars. Whether it becomes problematic depends less on its mere presence than on its environment: a dense bacterial flora, an acidic environment, and an intact mucous membrane. In people with severely weakened immune systems, it is considered a significant pathogen in medicine. In people without symptoms, its detection in stool is initially a normal finding.

Entry typeBacterium
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

The value shows whether and to what extent yeasts are detectable in the stool. It becomes interesting in context: a high fungal finding alongside low levels of protective bacteria and a high pH indicates an altered environment. Considered in isolation, however, a positive finding is common in many people without symptoms and is no reason for overreaction.

When the proportion is elevated

Higher counts are more often observed after antibiotics, with a very high-sugar diet, when taking cortisone, and when the immune system is weakened. Some people report bloating, sugar cravings, or recurring mucosal symptoms at the same time; a definite link has not been scientifically established. The number alone does not support a diagnosis. Persistent symptoms should be assessed by a doctor.

When the proportion is low

A low value or no detection means that yeasts play little role in the stool sample tested. This is an unremarkable finding and requires no action. Because fungi are unevenly distributed in stool, a single sample may also miss them. So if symptoms persist, the clinical picture matters more than the number alone.

What you can do

Yeast growth is encouraged by consuming a lot of free sugars, white flour, alcohol, and frequent snacks, as well as by antibiotics, which reduce bacterial competition. The main way to keep it in check is indirectly: less sugar, more vegetables, legumes, and whole grains, fermented foods, and regular intervals between meals. Strict elimination diets that exclude fruit and grains are not necessary.

Frequently asked questions

Do I need to go on a Candida diet now?
The classic Candida diet, which almost completely eliminates sugar, fruit, and grains, is not well supported by scientific evidence; convincing studies are lacking so far. The moderate approach has been studied more: significantly less free sugar and alcohol, and more variety in plant foods. This strengthens the bacteria that keep yeasts in check.

Does finding fungi in stool automatically mean there’s a disease?
No. Candida albicans can be found in the stool of many healthy people without causing symptoms. The idea of a widespread intestinal fungal epidemic is not supported by scientific evidence. Your result is therefore always considered alongside your symptoms and the rest of your flora profile. That doesn’t make it worthless; it just needs context.

This category groups together Candida yeasts other than Candida albicans. These include Candida glabrata, Candida krusei, Candida tropicalis, and Candida parapsilosis. Like their better-known relative, they live on mucous membranes and in the gut, feed on sugars, and are part of the normal fungal flora in many people. They differ mainly in their susceptibility to antifungals, or medicines that treat fungal infections: some species respond less well to commonly used drugs. However, this matters little when evaluating a stool test result in the absence of symptoms.

Entry typeBacterium
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

Reporting this separately shows whether any yeasts are present and which group predominates. Identifying the species is important for medical decisions because species differ in their susceptibility. For you as the reader, the result mainly indicates the state of the environment in which yeasts thrive.

When the proportion is elevated

Higher counts are interpreted similarly to those of Candida albicans: they are more common after antibiotics, with a sugar-rich diet, and when immune defenses are weakened. A high result alone is not a diagnosis. If persistent symptoms occur at the same time or you have an immune deficiency, a doctor should assess the finding, because the exact species matters in that case.

When the proportion is low

No detection or only a small amount is an unremarkable result. Yeasts don’t have to be present in the gut, and their absence is not a deficiency. Since fungi are unevenly distributed in stool, a single sample may miss them. If symptoms persist, repeating the test makes more sense than taking action without a clear reason.

What you can do

As with all yeasts, plenty of free sugar, white flour, alcohol, and frequent snacking promote growth, as do antibiotics and a depleted bacterial flora. A varied selection of vegetables, legumes, whole grains, nuts, and fermented foods, along with clear breaks between meals, can help. The goal is an environment where bacteria compete with yeasts for space and food.

Frequently asked questions

Are these species worse than Candida albicans?
Not necessarily. In the gut of someone without symptoms, they are also considered fellow inhabitants. A difference only becomes apparent in infections that require treatment: some species respond less well to certain antifungal medications, which is why precise identification is then important. This decision is made by a medical professional, not on the basis of a stool test alone.

Why isn't a specific species listed here?
Laboratories often group yeasts other than Candida albicans together because identifying the exact species is more complicated and rarely makes a difference in everyday practice. If treatment is being considered, the species can be identified more precisely. The group designation, together with the other results, is enough to assess your gut environment.

Christensenella minuta is a species from the Christensenellaceae family, first described in 2012. It lives strictly without oxygen in the large intestine, grows slowly, and is usually present in small numbers. It is notable for its strong hereditary influence: in twin studies, its presence matched much more often in identical twins than in fraternal twins. It is therefore considered the known gut bacterium most strongly influenced by heredity. It ferments sugars into acetate and butyric acid and works closely with methane-producing microorganisms. Studies regularly observe it in people with lower body weight.

Entry typeBacterium
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

The result shows whether this rare, slow-growing species can be detected in you at all. Because its presence is strongly influenced by heredity, it is less easy to control through diet than other genera. In the test results, it serves as one piece of the picture of your metabolism-related microbiome.

When the share is high

Higher levels are more often observed in studies among people with lower body weight and favorable blood lipid levels. Whether the species contributes to this or both are inherited together is unclear. A high level is not considered undesirable. There is also no target range you need to aim for for this species.

When the proportion is low

Low or undetectable levels are common and not concerning on their own. Christensenella minuta is present in only very small numbers in many people, and detection also depends on the sensitivity of the method. Because its presence is partly inherited, a low level cannot be changed arbitrarily.

What feeds it

This species is difficult to nourish directly, since its presence is strongly influenced by heredity. Studies suggest it benefits from a fiber-rich, plant-forward diet with whole grains, legumes, nuts, and vegetables, as well as high overall diversity. Do not expect rapid changes, and do not treat the value as a measure of your dietary success.

Frequently asked questions

Can I specifically increase Christensenella?
Only to a limited extent. Its presence is substantially influenced by heredity, as twin studies clearly show. A varied, fiber-rich diet creates favorable conditions, but does not guarantee detection. If the species is absent in your case, that is not a deficiency you need to correct, nor a sign of a problem.

Citrobacter belongs to the Enterobacteriaceae family and is named for its ability to use citric acid as an energy source. The genus occurs in water, soil, and wastewater, and can also be detected in the large intestine of some people, usually in small numbers. Citrobacter tolerates oxygen and grows quickly as soon as nutrients are readily available. That is why the genus becomes particularly prominent when the dense protective flora is rebuilding after antibiotics or an infection. In a stable flora, it remains unobtrusive in the background.

Entry typeBacterium
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

The Citrobacter value is one indicator of how resilient your gut flora is. As long as protective bacteria are firmly established, this genus remains small. If it increases, there has often been room for it recently. That is why the result is never read in isolation, but alongside bacterial diversity and the balance between protective and harmful microbes.

When the proportion is elevated

An elevated value is typically observed after antibiotics, a gastrointestinal infection, or a very one-sided diet. Symptoms are not inevitable; many people notice nothing. It makes sense to deliberately nourish the protective flora for a few weeks and check the value again at a follow-up.

When the proportion is low

A low value or no detection is unremarkable and requires no action. Citrobacter is a minor inhabitant of the gut, not part of its basic makeup. If the genus is absent, that is more likely a sign that protective bacteria are filling the available space well and the environment is stable.

What you can do

Citrobacter gains ground when readily available sugars are abundant and fiber is lacking. Frequent antibiotic use also favors this genus. By contrast, bacteria that produce short-chain fatty acids crowd it out. Feed them chicory, onions, leeks, Jerusalem artichokes, oats, and legumes. A daily spoonful of flaxseed and regular exercise round things out.

Frequently asked questions

Do I need to take anything if my Citrobacter level is elevated?
Generally, no. An elevated value is an indication of the gut environment, not a treatment instruction. The most effective approach is through diet: more plant-based variety, less sugar, and regular meals. Medication is considered only after a doctor’s assessment and when symptoms warrant it, not based on a lab value alone.

Clostridioides difficile, formerly called Clostridium difficile, is a spore-forming bacterium found in the large intestine. In some people, it is present in small numbers without causing any symptoms. It becomes a concern especially when the rest of the gut flora is severely depleted, typically after antibiotic treatment. The bacterium can then multiply and produce substances called toxins. The lab tests for these toxins as well as the bacterium itself, because only detecting the toxins makes the result medically significant.

Entry typeBacterium
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

Unlike the other bacteria in this group, Clostridioides difficile is not interpreted merely as an indicator of the gut environment. A positive result should be evaluated by a doctor, especially if toxins were also detected or if you have taken antibiotics in the past few weeks. That is why this bacterium is always listed separately in the results and assessed on its own.

When the proportion is elevated

A positive result or an elevated value is a clear signal to seek medical advice. This is not an emergency and there is no need to panic: many people who test positive have no symptoms, and results that are toxin-negative are usually considered colonization. The important thing is for a doctor to assess the result together with your symptoms.

When the proportion is low

A negative result is normal and expected. It means the bacterium was absent or present only below the detection limit at the time the sample was taken. It is not a guarantee for the future, since things can change after antibiotic treatment. For now, a negative result is simply unremarkable.

What you can do

This bacterium is more likely to find room to grow when antibiotics thin out the rest of the flora; hospital stays and older age are also often associated with it. A dense, diverse gut flora helps prevent this: plenty of vegetables, legumes, whole grains, and fermented foods. Take antibiotics only when prescribed by a doctor. If the bacterium is confirmed, only your healthcare provider should decide what to do next.

Frequently asked questions

My report shows C. difficile. What should I do now?
Take the report to your primary care doctor and explain whether you have symptoms and whether you’ve taken antibiotics recently. The practice can clarify whether toxins were detected and whether further tests are advisable. Until then, eat normally, drink plenty of fluids, and don’t self-medicate.

I have the germ, but no symptoms at all. Is that possible?
Yes, that can happen. Some people carry Clostridioides difficile in their gut without noticing anything. Findings without toxins are usually considered simple colonization. Still, it’s worth discussing with your doctor so they can assess your result in light of your medical history.

Clostridium species is not a single species, but a collective term for a very large group of bacteria. Many clostridia form spores, hardy dormant forms that help them survive heat and dryness. In the gut, they mainly break down protein and fiber. Some members of this group are beneficial butyrate producers, while others produce substances such as ammonia and amines when breaking down protein, which are considered harmful. Since stool tests usually report the group as a whole, the value tells you about the environment in the large intestine, not about a specific species.

Entry typeBacterium
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

The total clostridia count is a practical indicator of how much undigested protein reaches the large intestine. A higher proportion often points to a diet that is very meat-heavy or low in fiber. Together with the pH value and butyrate producers, it gives an overall picture of whether putrefaction or fermentation predominates in the gut.

When the proportion is elevated

An elevated group value is often seen with a high-protein, low-fiber diet, as well as after antibiotics. Some people then report foul-smelling gas or changes in bowel movements. The value alone is not a diagnosis. Instead, it’s a reason to look at your diet over the past few weeks and add more plant-based fiber.

When the proportion is low

A low value in this group is usually considered unremarkable. However, since beneficial butyrate producers also belong to the clostridia, a very low result may indicate low overall diversity. It’s worth checking the other values in the report, such as Faecalibacterium prausnitzii and bacterial diversity.

What you can do

Large portions of meat, lots of processed meat, few vegetables, and prolonged sitting favor the harmful side of the group. You can reduce it by spreading protein across several smaller portions and including plant sources such as lentils or chickpeas. Cooked and cooled potatoes, oats, and barley provide resistant starch, which gives beneficial clostridia an advantage.

Frequently asked questions

Are clostridia always harmful?
No. The name refers to a group with very different members. Some are among the most important butyrate producers in the large intestine and are considered highly beneficial. Only some members of the group are heavily involved in protein breakdown, producing substances considered harmful. The combined value in the report does not distinguish between these types.

Does this value have anything to do with Clostridioides difficile?
Only indirectly. Clostridioides difficile is tested and reported separately because this bacterium is assessed differently from the rest of the group. An elevated combined value for Clostridium species does not indicate whether C. difficile is present. It’s best to read the two results independently.

Collinsella belongs to the phylum Actinobacteria, which also includes bifidobacteria. This genus lives without oxygen in the large intestine and ferments starch and simple sugars into acetate and lactic acid. It also contributes to the breakdown of bile acids and plant polyphenols. Findings are mixed: some studies have observed higher levels in people with unfavorable blood lipid or blood sugar levels, while others have found no association. Collinsella is sensitive to the amount of fiber in your diet and often declines with a high-fiber diet.

Entry typeBacterium
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

Collinsella responds noticeably to the ratio of starch and sugar to fiber in your diet. This makes its level a useful indicator of your eating pattern. Because studies have assessed this genus inconsistently, it’s best to consider it alongside fiber-degrading bacteria and your bacterial diversity.

When the share is high

Elevated levels are more often observed with a diet low in fiber and high in starch and sugar. In some studies, they occurred alongside unfavorable blood lipid levels; in others, they did not. A high level is therefore not a diagnosis, but a reason to check the amount of whole grains, vegetables, and legumes on your plate.

When the proportion is low

Low levels are considered unremarkable and are often observed with a fiber-rich diet. Collinsella is not a key bacterium whose absence leaves a gap. Only if bifidobacteria and other Actinobacteria are also very low is it worth looking at past antibiotic use and your diet.

What feeds it

Here, the focus is usually on reducing it rather than promoting it. A higher proportion of fiber reliably lowers Collinsella in studies: choose whole grains instead of refined flour, legumes, vegetables with every meal, and fruit instead of sweets. Foods rich in polyphenols, such as berries, olive oil, and green tea, also fit the picture.

Frequently asked questions

My Collinsella level is elevated. What does that mean?
This usually means that a lot of starch and sugar, and comparatively little fiber, are reaching your colon. The genus grows well under these conditions. Whether a high proportion has any further significance is disputed in studies. In practice, the level mainly gives you feedback on your diet.

Coprococcus is a genus of butyrate-producing bacteria in the colon. It ferments fiber from vegetables, fruit, and grains into short-chain fatty acids, especially butyrate, which supplies energy to the cells of your intestinal lining. Coprococcus regularly appears in large observational studies on the gut-brain axis: On average, the genus was found less often in participants with lower quality of life. These are statistical associations from group comparisons, not statements about individuals. Whether Coprococcus plays an active role is still unclear. So far, only its role in processing fiber has been established.

Entry typeBacterium
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

Coprococcus adds to the picture of your butyrate supply alongside better-known genera. Because it depends on plant fibers, its level reflects your fiber intake fairly directly. In the results, the genus also represents those bacteria that are particularly often studied in research on the gut-brain axis.

When the share is high

Higher levels are usually observed with a varied, fiber-rich diet and are considered unremarkable. They suggest that enough substrate is reaching the colon and that butyrate production is underway. There is no target level you need to aim for. It is more meaningful to see whether several butyrate producers are well represented at the same time.

When the proportion is low

Low levels are often observed with low-fiber diets, after antibiotics, and with little physical activity. Studies on the gut-brain axis also found lower levels in groups experiencing emotional distress. Nothing can be concluded from this for you personally. A low level is mainly a prompt to increase the variety of fiber on your plate.

What feeds it

Coprococcus feeds on plant fibers. Oats, barley, whole-grain bread, legumes, apples, berries, carrots, and broccoli provide suitable food, as do flaxseeds and psyllium husks. Variety is key: 30 different plant foods per week is a good guideline. Regular exercise and enough sleep have also been linked to a more stable gut flora.

Frequently asked questions

Does Coprococcus affect my mood?
It is not possible to say that. In large observational studies, Coprococcus was found less often on average in groups with lower quality of life. Such associations apply to groups, not individuals, and the direction is unclear. If your mood is troubling you, consulting a doctor or psychotherapist is the right step.

The gut-brain axis is not a measurement but a description of a connection. The gut and brain constantly exchange signals in both directions. Three pathways are well documented: the vagus nerve as a direct data line, messenger substances and hormones carried through the blood, and signals from the gut immune system. The gut also has its own network of nerves with many millions of nerve cells, often called the enteric brain. Gut bacteria also play a part by producing short-chain fatty acids and precursors to messenger substances. That is why you feel excitement in your stomach, and conversely, the gut affects how alert or sluggish you feel.

Entry typeBody axis
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

The Essential report presents the gut-brain axis as an assessment because several values in your results contribute to this area together: diversity, butyrate producers, mucosa-associated species, and harmful microbes. The assessment summarizes how stable the environment is that supports communication between the gut and nervous system. It is a classification, not a statement about your mental health.

If the pattern is atypical

An unusual assessment means that several of the values involved deviate from a stable pattern, such as few butyrate producers combined with low diversity. Research has observed such patterns more often in people with high stress levels or restless sleep. This is an observation, not a statement about cause and effect. It may be helpful to review your diet, sleep, and recovery, and to talk with a doctor.

If the pattern is unremarkable

An unremarkable assessment means that the values involved are within the expected range: solid diversity, enough butyrate producers, and no notable harmful microbes. This describes a gut environment that does not place any additional strain on communication with the nervous system. This assessment says nothing about your mood, concentration, or emotional well-being.

What keeps this axis stable

A regular routine helps keep the axis stable: set mealtimes, enough sleep, and outdoor exercise. A wide variety of plant fibers from vegetables, fruit, legumes, and whole grains, as well as fermented foods such as yogurt, kefir, and sauerkraut, can help. Ongoing stress, too little sleep, lots of alcohol, and highly processed foods can have an adverse effect.

Frequently asked questions

Can I improve my mood through my gut?
The connection between the gut and the brain is an active area of research. Studies have observed that diet, sleep, and exercise affect both gut flora and well-being. This does not establish a clear cause-and-effect relationship. These findings are not a substitute for medical or psychological advice. If you are experiencing ongoing distress, please contact a specialist.

What does serotonin have to do with the gut?
A large proportion of the body's serotonin is produced in the intestinal lining, where it mainly regulates gut movement. This serotonin does not reach the brain because it cannot cross the blood-brain barrier. So the often-repeated idea of a feel-good hormone from the gut is an oversimplification. Research is looking at other pathways, such as the vagus nerve and short-chain fatty acids.

The gut-immune axis describes how the gut flora, intestinal lining, and immune system work together. A large proportion of the body's immune cells sit in the intestinal wall, just behind a single layer of cells and a protective layer of mucus. These cells learn every day to distinguish between harmless and dangerous things. Gut bacteria provide the practice signals: butyrate from dietary fiber nourishes the intestinal lining cells and dampens excessive reactions, while components of certain bacterial cell walls alert the immune system. When the barrier is intact and the flora is diverse, this system remains calm yet ready to respond.

Entry typeBody axis
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

In the Essential report, the gut-immune axis brings together several individual values: barrier density, your butyrate producers, mucus-degrading species, and the proportion of harmful microbes with pro-inflammatory cell wall components. Instead of interpreting each value individually, the assessment shows you whether the overall pattern seems more calm or more irritated.

If the pattern is atypical

A noticeable assessment means that several values point toward an irritated environment, such as few butyrate producers alongside elevated levels of harmful microbes. Studies observe these patterns more often with a low-fiber diet, after antibiotics, or during prolonged stress. This does not establish inflammation in the medical sense. Persistent symptoms should be checked by a doctor.

If the pattern is unremarkable

A normal assessment points to a stable barrier and a microbiome that tends to calm the immune system rather than irritate it: enough butyrate producers, an intact mucus layer, and few harmful microbes. This is a good starting point. Symptoms may still have other causes and should be checked by a doctor if needed.

What keeps this axis stable

A fiber-rich, varied diet helps keep the axis stable: oats, barley, legumes, vegetables, fruit, and nuts provide the material for butyrate production. Fermented foods such as yogurt, kefir, sauerkraut, and kimchi add variety. Getting enough sleep, exercising regularly, and limiting alcohol support the barrier. Highly processed foods, lots of sugar, and frequent antibiotic use without a recovery phase can have negative effects.

Frequently asked questions

What does an unusual gut-immune axis mean for me?
It is a general indicator, not a diagnosis. Several values in your profile point in the same direction, often in connection with low fiber intake or recent antibiotic use. The usual first step is to eat more fiber for a few weeks. If you have symptoms such as blood in your stool, unintentional weight loss, or severe pain, consult a doctor.

The pH value describes how acidic or alkaline an environment is. In the large intestine, acid is produced mainly when bacteria ferment fiber. In the process, they produce short-chain fatty acids such as butyrate, acetate, and propionate. These acids lower the pH and make the environment slightly acidic. A slightly acidic gut is therefore no coincidence, but the visible result of healthy fermentation. Many undesirable microbes, such as putrefactive bacteria, grow much less well in an acidic environment and are thus kept in check. When plant-based food is lacking, metabolism shifts toward protein breakdown and the pH value rises.

Entry typeMarker
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

The pH value is a simple indicator of how well fiber is being processed in your gut. It complements the bacterial counts with a functional perspective: not just who is there, but what is actually happening. Together with butyrate production potential, it gives a well-rounded picture of your fermentation activity.

When the level is high

A high, or rather more alkaline, value indicates low acid production. This is often seen with a diet low in fiber and high in protein and fat. Putrefactive processes then gain ground, and undesirable microbes find more favorable conditions. The value can also rise after antibiotic treatment or when intestinal transit is very rapid.

When the level is low

A low, or acidic, value generally indicates active fiber fermentation and is considered favorable. However, very low values can also indicate excessive fermentation, for example when sugar or lactose reaches the large intestine undigested. Bloating and loose stools are then more common.

What affects the level

Fiber lowers pH: oats, barley, legumes, vegetables, berries, flaxseed, and cooled potatoes or rice with resistant starch. Fermented foods provide acid-producing bacteria. In the opposite direction, high amounts of meat, sausage, alcohol, and highly processed products can have an effect. Drinking enough and eating regular meals support steady fermentation.

Frequently asked questions

Can I measure my gut pH myself using test strips?
Pharmacy test strips provide only a rough guide. The pH value fluctuates throughout the day and depends greatly on what you have eaten recently. A laboratory analysis uses standardized measurements and can be interpreted alongside the other results in your report. Home measurements therefore say little about your gut environment.

The gut-metabolism axis describes how gut flora affects the body's energy balance. Bacteria ferment fibers that the small intestine cannot digest, producing short-chain fatty acids such as butyrate, propionate, and acetate. These serve as an energy source and also act as signaling molecules: they affect satiety hormones in the gut and sugar metabolism in the liver. Gut bacteria also alter bile acids, which in turn help regulate fat metabolism. Some of these substances reach the liver directly via the portal vein. In this way, the gut connects nutrition, hormones, and energy use.

Entry typeBody axis
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

In the Essential report, this assessment summarizes values that jointly contribute to metabolism: the balance of the main bacterial groups, your butyrate production potential, the fiber-degrading bacteria, and species involved in bile acid metabolism. At a glance, it shows you how well your microbiome converts plant fibers into usable substances.

If the pattern is atypical

An atypical assessment means that several contributing values deviate from a stable pattern, such as having few fiber-degrading bacteria despite many species that thrive on fat and protein. Studies observe these patterns more often with low-fiber, highly processed diets and associate them with less favorable sugar and fat metabolism. This is not a diagnosis.

If the pattern is unremarkable

A normal assessment suggests that your microbiome converts fiber into short-chain fatty acids effectively and that the groups involved are represented in a balanced way. This is a favorable starting point for satiety and energy metabolism. Body weight and blood values are also affected by exercise, sleep, diet, medication, and genetics.

What keeps this axis stable

A high-fiber diet with as many different plants as possible each week helps keep this axis stable: legumes, oats, barley, vegetables, berries, nuts, and seeds. Resistant starch from cooled potatoes, pasta, or rice is especially beneficial. Regular exercise and longer overnight periods without eating also help. Sugary drinks, constant snacking, and highly processed ready-made foods can have a negative effect.

Frequently asked questions

Can I lose weight through my gut microbiome?
It’s not that simple. The gut microbiome affects how much energy is obtained from food and how satiety signals work. But it is only one factor alongside diet, exercise, sleep, medication, and genetics. A high-fiber diet changes the microbiome within weeks and supports satiety. This does not mean it guarantees weight loss.

Researchers have observed that gut microbiomes can be broadly divided into recurring patterns. These patterns are called enterotypes. Three are commonly recognized: The Bacteroides type is often found with a Western-style diet high in protein and fat. The Prevotella type is more common with a plant-based diet high in fiber and carbohydrates. The Ruminococcus type, sometimes also called the Firmicutes type, is less clearly defined and is associated with the breakdown of residual sugars and mucus. These are not rigid categories: many people fall somewhere in between, and the type can shift with diet over the course of weeks.

Entry typeMarker
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

Your enterotype gives a broad picture of your findings and often matches your dietary style. In research, the concept is now considered an oversimplification: the transitions are gradual, and the boundaries between types vary depending on the analysis method. So treat your type as a guide, not a fixed classification.

What affects the level

Enterotype is mainly shaped by diet over the long term. Plenty of fiber from whole grains, legumes, vegetables, and fruit favors Prevotella-dominated patterns. A diet high in fat and meat shifts the balance toward Bacteroides. Short-term changes show initial effects within days, but a stable shift takes weeks to months of consistent habits.

Frequently asked questions

Is one enterotype better than another?
It’s not that simple. No type is considered healthy or unhealthy in itself. The Prevotella type is more often observed with a high-fiber diet, which is generally considered beneficial. But your diversity, the balance of beneficial and harmful microbes, and your butyrate production are more informative than the type.

Desulfovibrio is a group of bacteria that breathe sulfate. Instead of using oxygen, they use sulfur compounds from food to produce energy. This generates hydrogen sulfide, a gas with the characteristic smell of rotten eggs. In small numbers, Desulfovibrio is part of the normal gut flora in almost everyone. In larger numbers, it is mainly noticeable for its smell. At low concentrations, hydrogen sulfide acts as a signaling molecule for the intestinal lining; at high concentrations, however, it has been linked to stress on the lining cells. The bacteria also compete with butyrate producers for hydrogen in the large intestine.

Entry typeBacterium
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

Desulfovibrio is included in the results because its proportion says a lot about the balance of protein and fiber in your diet. Sulfate reducers are found more often when meals include lots of meat, sausage, and additives containing sulfates, and lack plant fiber. The level also helps explain foul-smelling gas, which many people find distressing.

When the proportion is elevated

A higher proportion is often seen with a diet that is high in protein and low in fiber. A stronger odor from intestinal gas is typical. A high level alone does not indicate a disease, but rather suggests that more sulfur metabolism than fiber metabolism is taking place in the large intestine. It’s worth taking a calm look at your diet over the past few weeks.

When the proportion is low

A low proportion is considered normal. Desulfovibrio then remains a minor group, and hydrogen in the large intestine is more available to butyrate producers. A very low level has no significance as a disease marker and does not need to be raised. It usually goes with a plant-based diet rich in fiber.

What you can do

The best way to reduce Desulfovibrio is through your diet. Eat less red meat and sausage, and more legumes, oats, barley, flaxseed, and colorful vegetables, which provide fiber that other bacteria use to produce butyrate. Watch out for sulfite-containing additives in dried fruit, wine, and processed foods. A high-fat, low-fiber diet and lack of exercise encourage this bacterium.

Frequently asked questions

Why do my farts smell so bad?
The smell usually comes from hydrogen sulfide, which sulfate reducers such as Desulfovibrio produce from sulfur-containing protein building blocks. Meat, eggs, cabbage, and additives containing sulfites provide the raw materials. Reducing your protein intake a little and eating more plant-based fiber often leads to a change after a few weeks. If the symptoms persist, it is a good idea to talk to a doctor.

Dorea belongs to the Lachnospiraceae family and lives in the large intestine without oxygen. These bacteria ferment simple sugars and readily accessible fiber into acetate, formic acid, and hydrogen. Unlike some of their relatives, they do not produce butyrate. Hydrogen is important for balance in the gut: other microorganisms take it up and convert it, for example, into methane. Well-known species include Dorea longicatena and Dorea formicigenerans. Dorea is part of the normal microbiota in many people, though studies assess it differently depending on the context.

Entry typeBacterium
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

Dorea helps put gas production in your large intestine into context. Where a lot of hydrogen is produced, other groups need enough capacity to break it down. In your results, the level also indicates how much easily fermentable sugar is present in your diet.

When the share is high

Elevated levels are more commonly observed with diets high in sugar and white flour, and some studies have linked them to bloating. This association is not consistently supported by evidence. A high level on its own is not a problem. Along with low levels of butyrate producers, it may point to an overall low-fiber diet.

When the proportion is low

Low levels are considered unremarkable. Dorea is not a keystone bacterium whose absence leaves a gap, because many other groups perform its functions. Only if other Lachnospiraceae levels are also low is it worth reviewing your fiber intake and any recent antibiotic use. Otherwise, you can take note of this result without concern.

What feeds it

Because Dorea mainly uses simple sugars, the goal here is less about promoting it and more about restoring balance. Choose complex carbohydrates instead of white flour and sweets: whole grains, oats, legumes, and vegetables. If bloating bothers you, it often helps to split large portions, eat slowly, and chew thoroughly.

Frequently asked questions

Do I need to lower an elevated Dorea level?
Not directly. Dorea is part of the normal gut flora, and there is no established target range. Elevated levels are observed mainly with diets high in sugar. Rather than fighting a single genus, it makes more sense to increase your intake of whole grains, vegetables, and legumes, then check again later.

Dysbiosis is the technical term for an imbalance in the gut flora. It does not describe a single microbe, but a pattern: beneficial groups have been pushed back, others have spread, and diversity is often lower too. The dysbiosis index combines several such abnormalities into one number and compares your pattern with what is found in many people without symptoms. There is no fixed, universally accepted definition; the boundaries are fluid. So the value describes a deviation from the typical pattern, not a disease.

Entry typeMarker
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

The index combines many individual values into an overview. It shows you how far your results deviate from the typical pattern, without requiring you to assess each bacterial group individually. Such shifts are often observed in studies of persistent digestive problems, after antibiotics, and with an unbalanced diet.

When the level is high

A high value indicates a marked deviation from the usual pattern. This often involves low diversity, few butyrate producers, and more harmful microbes. This is often observed after antibiotic treatment, with a low-fiber diet, heavy alcohol use, or ongoing stress. Whether this causes symptoms varies from person to person.

When the level is low

A low value means your pattern is close to what is found in many people without symptoms. The groups are evenly distributed, and diversity is good. This does not rule out symptoms, since digestive problems often have other causes, such as stress, enzyme deficiencies, or bowel motility.

What affects the level

The most effective levers are diet and lifestyle. A variety of plant foods throughout the week, along with legumes, whole grains, vegetables, nuts, and fermented foods, help build beneficial groups. Less alcohol and fewer highly processed foods, regular exercise, sleep, and breaks all work in the same direction. Take antibiotics only as prescribed by a doctor. Expect changes to take weeks to months.

Frequently asked questions

Is dysbiosis a recognized diagnosis?
No. Dysbiosis is a descriptive term from microbiome research, not a standalone medical diagnosis. There is no universally accepted definition of exactly where an imbalance begins. The value is useful as a guide and as a starting point for dietary changes. Persistent or severe symptoms should be assessed by a doctor.

Eggerthella lenta is a rod-shaped bacterium that lives in small numbers in the large intestine of many people. It became known for its enzymes, which can chemically alter certain medicines before the body absorbs them. The best-studied example is the conversion of the heart medication digoxin. It also converts lignans from flaxseed into other forms, and related species in the same family process plant compounds from pomegranates and nuts. This makes Eggerthella lenta part of the gut’s metabolic workshop. When present in greater numbers, it is classified in test results as a harmful bacterium.

Entry typeBacterium
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

This level is included in the test result because Eggerthella lenta shows how strongly the gut influences the metabolism of medicines and plant compounds. For people who take medication regularly, this offers an additional perspective. A significant increase is also considered an indication of an environment with little fiber and a lot of animal protein.

When the proportion is elevated

Elevated levels are more often observed with a high-protein, low-fiber diet and occasionally after antibiotic treatment. Eggerthella lenta then grows in a gap left by other bacteria. In people taking digoxin, a high level can affect the absorption of the active ingredient. Please always discuss medication questions with your doctor.

When the proportion is low

A low level is considered unremarkable. The bacterium is not a necessary component of a stable microbiome, and a low-level finding does not need to be corrected. Other species in the gut also convert plant compounds. A low level is usually consistent with a fiber-rich diet and good bacterial diversity.

What you can do

Eggerthella lenta can be reduced by eating more plant-based fiber: oats, barley, legumes, flaxseed, vegetables, and berries. These feed butyrate producers, which compete for the same habitat. Fermented foods such as yogurt, kefir, or sauerkraut are a good addition. The bacterium is encouraged by a high intake of animal protein, low fiber intake, and repeated courses of antibiotics without a recovery phase afterward.

Frequently asked questions

Can this bacterium make my medications ineffective?
Eggerthella lenta can chemically alter certain active ingredients in the gut; this is best documented for digoxin. This does not affect all medications, nor does it affect everyone. Never stop taking anything or change a dose on your own. Bring the test result to your doctor and ask whether it has any bearing on your treatment.

Enterobacter is another genus in the large Enterobacteriaceae family. The name can be misleading, since the genus does not live only in the gut: it is also found in soil, water, and on plants. In the colon, it is one of the bacteria that tolerate oxygen and grow rapidly when nutrients are available. In many people, it is detectable in small amounts and goes completely unnoticed. Larger proportions are generally interpreted as a sign that the protective microbial community is not sufficiently established.

Entry typeBacterium
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

In test results, Enterobacter is a companion finding: it rarely increases on its own, usually rising alongside other Enterobacteriaceae. That is precisely where its value lies. If the whole group is elevated, this suggests a shift in the gut environment. If only Enterobacter is slightly elevated, it is usually just a snapshot with little significance.

When the proportion is elevated

An elevated level often appears after antibiotics, with a sugar-rich diet, or during periods of high stress. Symptoms are not necessarily present. The result becomes meaningful only in context: if Klebsiella, Citrobacter, or Proteus are also elevated and butyrate producers are low, it is worth taking a closer look at the diet.

When the proportion is low

Little or no Enterobacter is a good sign and requires no further action. The genus is an opportunistic colonizer; its absence suggests that protective bacteria are holding their place on the mucous membrane. A low level is not a deficiency and does not need to be made up for.

What you can do

Simple sugars, processed foods, a lack of plant variety, and repeated courses of antibiotics promote its growth. The genus declines when competition increases: eat vegetables of several colors every day, legumes two to three times a week, whole grains instead of white flour, as well as nuts and seeds. Fermented foods such as sauerkraut juice or plain yogurt also introduce additional lactic acid bacteria.

Frequently asked questions

Is Enterobacter the same as enterococci?
No, the names just sound similar. Enterococci are lactic acid bacteria and are listed separately in test results. Enterobacter, on the other hand, belongs to the Enterobacteriaceae family, along with E. coli and Klebsiella. The two values appear in different sections of your test results and are assessed differently.

Enterococci are spherical bacteria that are part of the normal makeup of the large intestine. They are exceptionally hardy: they tolerate heat, bile salts, and dryness better than many other species. In the gut, they participate in sugar breakdown, produce lactic acid, and contribute to microbial density in small numbers. Some strains are even used as probiotics. At the same time, the genus is known in hospital settings because it has been linked to infections when it reaches other parts of the body. Moderate numbers of enterococci are expected in the stool of healthy people.

Entry typeBacterium
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

Enterococci are considered indicators of the gut environment. They increase when the balance shifts, for example after antibiotics or with a very high-sugar diet. The level therefore adds to the picture provided by protective groups, putrefactive flora, and pH. On its own, a single number says little; in context, it becomes much more informative.

When the proportion is elevated

Significantly elevated levels are often observed after antibiotic treatment because enterococci are resistant and quickly occupy the spaces left behind. A lot of sugar, alcohol, and little plant fiber also encourage them. Some people report bloating and changes in stool consistency. The result is an indication of a shifted environment, not a diagnosis.

When the proportion is low

Low levels are unremarkable. Enterococci are not among the groups you want to deliberately increase, and their absence does not leave a gap. The fiber-degrading bacteria, butyrate producers, and overall diversity are more important for assessment. It is not usual to take action solely because of a low enterococcus level.

What you can do

Their growth is encouraged by frequent servings of sugar, alcohol, a low-fiber diet, and repeated courses of antibiotics. You can reduce them by feeding the protective groups: a variety of vegetables, legumes, whole grains, nuts, and resistant starch from cooled potatoes. Fermented foods bring in competing cultures. Regular meals and proper breaks between meals support the shift.

Frequently asked questions

Are enterococci in stool dangerous?
In moderate numbers, they are part of the normal gut flora in many people and are considered harmless. They are mainly described as problematic when they enter wounds, the urinary tract, or the bloodstream in a hospital setting. A stool test does not reflect this situation. If you have a fever or persistent symptoms, a doctor should assess them.

Why are my enterococci so high after antibiotics?
Many enterococcus strains are resistant to commonly used agents. When more sensitive neighbors disappear, more space and food become available, and the hardier species spread. For many people, things settle down over weeks to months as the protective groups get food again. A follow-up test after about three months shows the trend.

Escherichia coli, or E. coli for short, is one of the best-known gut bacteria. It colonizes the large intestine in the first few days of life and is part of the normal flora in almost everyone. In small amounts, it serves useful functions: it consumes oxygen that enters the gut, creating a low-oxygen environment where sensitive protective bacteria can thrive. It also produces vitamin K and keeps the immune system lightly trained. In the report, E. coli appears in the harmful bacteria group because very high levels and certain strains are assessed differently from the harmless standard variety.

Entry typeBacterium
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

E. coli is a good indicator of the balance in the large intestine. Because it multiplies quickly, its levels are sensitive to changes in diet, antibiotics, and travel. The result tells the lab whether the standard flora is stable or whether the balance between protective and harmful bacteria has shifted.

When the proportion is elevated

An elevated result initially means that E. coli has found more room than usual. This is often observed after antibiotics, with a low-fiber diet, or after gastrointestinal infections. A single high result is no cause for concern. It only becomes significant alongside other abnormalities in the report, such as low levels of butyrate producers or an altered pH.

When the proportion is low

Very low or no E. coli at all is also noteworthy. In that case, the gut lacks a bacterium that consumes oxygen and regularly keeps the immune system active. This is often observed after prolonged courses of antibiotics or with a very limited diet. Usually, its levels recover on their own once the diet becomes more varied.

What you can do

Lots of sugar, white flour, and alcohol give E. coli room to grow, as do too little exercise and too little fiber. It is mainly kept in check indirectly: vegetables, legumes, oats, and flaxseed feed butyrate producers and slightly lower the gut pH. Fermented foods like sauerkraut or kefir are a good addition. Regular meals and enough sleep also help keep things stable.

Frequently asked questions

My report lists E. coli under harmful bacteria. Should I be worried?
No. The group label in the report is a catch-all category, not a judgment about your health. E. coli is part of the normal gut flora in almost everyone and serves useful functions there. The amount is always assessed in relation to the other values. Discuss any abnormal results with your doctor at your own pace.

Is this the same E. coli you hear about in the news?
Usually not. The name covers many different strains. The vast majority live harmlessly in the large intestine. Only individual strains are associated with foodborne infections, and tests specifically look for those separately. A normal E. coli value in a microbiome test says nothing about these special forms.

Eubacterium rectale, known as Agathobacter rectalis in the newer classification, is one of the most common bacterial species in the human large intestine. It breaks down starch and plant fibers, producing butyrate, a short-chain fatty acid. Butyrate supplies the cells of your intestinal lining with energy and helps keep oxygen levels low inside the intestine. This, in turn, keeps oxygen-tolerant, undesirable microbes in check. The species tends to live near the intestinal lining and works closely with other bacteria that break down fibers first. It can be reliably detected in many people.

Entry typeBacterium
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

This value is one of the key indicators of butyrate supply in the large intestine. Together with Faecalibacterium prausnitzii and Roseburia, this species accounts for a large share of butyrate production. Because it responds directly to the amount of starch and fiber in your food, the value reflects your diet over the past few weeks.

When the share is high

High levels are considered favorable and are often observed with a diet rich in starch and fiber. They suggest that enough fermentable material is reaching the large intestine. No upper threshold at which a high level is considered harmful is known. Symptoms cannot be inferred from a high level.

When the proportion is low

Low levels are observed after antibiotics, with a low-fiber or highly processed diet, and frequently in studies of chronic inflammatory bowel disease. When this species is absent, some butyrate production is lost, and the cells of the intestinal lining get less of their preferred fuel. A low individual value is not a finding in itself.

What feeds it

This species thrives on starch. Oats, barley, whole-grain bread, legumes, and cooked and cooled potatoes, pasta, or rice provide plenty of it, including in resistant form. Green bananas and flaxseeds are good additions. Increase the amount over two to three weeks and drink enough water. Periods with very little fiber can cause levels to drop relatively quickly.

Frequently asked questions

Why is Eubacterium rectale called Agathobacter in some test results?
The species was reclassified following genetic studies and has since been called Agathobacter rectalis. Many laboratories and studies still use the old name because it is better known. In both cases, the same bacterium is meant. So if you encounter both names, you don’t need to consider them separately.

Faecalibacterium prausnitzii is one of the most common bacterial species in the large intestine for many people. It uses dietary fiber that remains undigested in the small intestine and turns it into butyrate, a short-chain fatty acid. Butyrate is the preferred fuel for the cells lining your intestine and is consumed right there. Well-nourished lining cells keep the barrier between intestinal contents and the body sealed. The bacterium also produces substances that have anti-inflammatory effects in laboratory experiments. It is highly sensitive to oxygen and grows only where conditions in the gut are right.

Entry typeBacterium
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

The level is considered one of the most informative individual findings for the butyrate supply to your intestinal lining. Because the species is sensitive to oxygen and disruption, it is often used as an indicator of the overall state of the gut flora. Studies frequently observe low levels in chronic inflammatory bowel diseases.

When the share is high

High levels are considered favorable and are often observed with a fiber-rich, plant-based diet. No upper limit at which an excess is considered harmful is known. If your level is in the upper range, that suggests enough fermentable material is reaching the large intestine and that oxygen levels there are low.

When the proportion is low

Low levels are observed after antibiotics, with a low-fiber diet, after preparation for a colonoscopy, and during periods of severe stress. Studies also frequently find low levels in chronic inflammatory bowel diseases. A low level is not a diagnosis on its own, but it’s a good reason to take a closer look at your fiber intake.

What feeds it

Resistant starch is especially beneficial: cooked and cooled potatoes, pasta, or rice, along with legumes, green bananas, and oatmeal. It also thrives on pectin from apples, carrots, and citrus fruits. Use several fiber sources at the same time and increase the amount gradually. Regular exercise and enough sleep are also helpful, while alcohol and highly processed foods tend to have the opposite effect.

Frequently asked questions

Why is my level so low after a course of antibiotics?
This species is particularly sensitive. Antibiotics hit it hard, and because it cannot tolerate oxygen, it needs a stable gut environment to regrow afterward. For many people, this takes several weeks to months. A fiber-rich diet with resistant starch supports its return, but cannot guarantee it.

Can you buy Faecalibacterium as a probiotic?
Not much so far. The bacterium dies within minutes when exposed to air, making production and storage very difficult. Research is being done on relevant products, but they are not yet widely available. The practical approach is through diet, because fibers that reach the large intestine support existing populations.

Firmicutes, now also called Bacillota, is not a single bacterium but a phylum, a large group of related organisms. It includes hundreds of species that perform very different functions in the large intestine. Many break down fiber that your small intestine cannot digest, producing short-chain fatty acids such as butyrate. Butyrate is the preferred energy source for the cells lining your intestine. Other members of the group are relatively neutral or can multiply rapidly with a limited diet. So your results show not a single value for one bacterium, but the proportion of this entire group in your gut flora.

Entry typeBacterium
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

Firmicutes make up a large part of the gut flora in many people. Their proportion shows how strongly the group of fiber utilizers and butyrate producers is represented in your gut. Together with Bacteroidetes, this gives a rough picture of the overall distribution. The value is a guide, not a standalone statement about a specific species.

When the share is high

A high proportion of the total flora means Firmicutes outnumber the other groups. This is often observed with a diet low in fiber and high in fat and sugar. A link to greater energy extraction from food has been discussed, but is considered scientifically controversial. Which species dominate within the group is more informative than its overall proportion.

When the proportion is low

A low proportion means that other strains, usually Bacteroidetes, make up a larger share. On its own, this is not a warning sign. It’s worth looking more closely if the group’s known butyrate producers are also underrepresented, as your intestinal lining may then be missing some of its preferred energy source.

What feeds it

Beneficial members of this group feed on plant fibers. Oats, barley, legumes, flaxseeds, and nuts provide plenty, while cooked and cooled potatoes or rice also provide resistant starch. Try to eat as many different plants as possible over the course of the week. Regular meals, enough sleep, and exercise can help, while highly processed products high in sugar may have the opposite effect.

Frequently asked questions

Is a high Firmicutes proportion bad?
Not necessarily. Firmicutes is a very large group containing many different species. What matters is the group’s composition, not just its overall abundance. So look at the individual species in your report, especially the butyrate producers. The overall proportion provides context; it is not a verdict on your gut microbiota.

What does Firmicutes have to do with my weight?
An association between the Firmicutes-to-Bacteroidetes ratio and body weight was described in early studies. Newer research has not consistently found this pattern, and the claim is now considered controversial. So use the value as a rough indication, not as an explanation for your weight.

Firmicutes and Bacteroidetes are the two largest bacterial phyla in the human gut. Together, they make up most of the gut microbiota in many people. Both groups process food components, but in different ways: Firmicutes include many butyrate producers that break down complex carbohydrates particularly thoroughly. Bacteroidetes are versatile and break down proteins and plant fibers, among other things. The ratio between these two phyla has been discussed for years as a rough measure of the gut microbiota’s metabolic profile. It is an overview figure, not a precise measure of individual processes.

Entry typeMarker
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

The ratio shows which of the two major groups predominates in your sample. Studies have linked it to dietary patterns, weight, and energy extraction from food, although findings have been inconsistent. So treat the value as a rough indication and consider it alongside diversity and butyrate production.

When the level is high

A high ratio means that Firmicutes predominate over Bacteroidetes. Older studies observed this more often in people with obesity, but newer research has not consistently found this link. A high value may also simply indicate a diet rich in starch and fiber. On its own, it says little about your body weight.

When the level is low

A low ratio means that Bacteroidetes predominate. This is often observed with a protein- and fat-rich, Western-style diet, and sometimes after antibiotic treatment. A low value is neither good nor bad on its own. Diversity, butyrate-production potential, and the proportion of harmful microbes in the same report are more informative.

What affects the level

The ratio shifts mainly through diet. Fiber from whole grains, legumes, vegetables, and resistant starch promotes many Firmicutes groups. A diet high in protein and fat favors Bacteroidetes. Rather than aiming for a target number, it’s worth focusing on plant-based variety: both groups benefit from a balanced mix.

Frequently asked questions

Can I tell from the F/B ratio whether I’m gaining weight?
No. The relationship between this ratio and body weight has been studied extensively, and findings have been inconsistent. Some studies find a connection, while others do not. Weight depends on many factors, including diet, physical activity, sleep, and genetics. This value is one piece of the overall picture, not a prediction of what the scale will show.

FODMAP is an English acronym for fermentable oligo-, di-, and monosaccharides and polyols. It refers to short-chain carbohydrates and sugar alcohols that the small intestine absorbs only partially. What remains travels to the large intestine, where bacteria ferment it. This produces gas and short-chain fatty acids, and these substances also draw water into the intestine. For most people, this causes no problems and is even beneficial, since many FODMAPs are also valuable food for beneficial bacteria. In people with sensitive intestines, however, these same processes can be accompanied by bloating, abdominal pain, a feeling of pressure, and changes in bowel movements. The FODMAP value uses your bacterial composition to estimate how prone your gut is to this kind of fermentation.

Entry typeMarker
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

If you regularly experience bloating or abdominal pressure after eating, this value can help put it into perspective. It shows whether your gut microbiome is calculated to produce a lot of gas or is relatively quiet. This gives you an indication of whether a time-limited trial of a low-FODMAP diet might be worthwhile. The value does not prove an intolerance; that requires tracking your symptoms and, if necessary, consulting a doctor.

When the level is high

A high value suggests that your gut microbiome breaks down fermentable carbohydrates quickly and extensively. This produces more gas, which can be accompanied by bloating, audible bowel sounds, and a distended abdomen. Typical sources include fructans from wheat, onions, and garlic; galactans from legumes; lactose from dairy products; fructose from apples, pears, and honey; and polyols from stone fruits and sweeteners such as sorbitol. Only your own experience can show whether this bothers you in everyday life.

When the level is low

A low value means that your gut microbiome produces relatively little gas from these carbohydrates. If you experience discomfort after eating, other factors are more likely to be the cause, such as eating too quickly, large portions, high-fat foods, stress, or an enzyme deficiency like lactose intolerance. A low value is no reason to avoid high-FODMAP foods. Onions, legumes, and wheat products provide valuable nourishment for your bacteria, so feel free to eat plenty of them.

What affects the level

Large portions of high-FODMAP foods, eating too quickly, sweeteners such as sorbitol and xylitol, and carbonated drinks can promote fermentation. Smaller portions, chewing thoroughly, exercising after meals, and applying warmth to your abdomen can help calm things down. The key point: a low-FODMAP diet is intended as a trial lasting around four to six weeks, not as a permanent diet. After that, you reintroduce the groups one at a time to find your personal tolerance threshold.

Frequently asked questions

Do I have to eat low-FODMAP permanently now?
No, and in the long term, it would actually be a bad idea. The low-FODMAP diet is intended as a time-limited trial, usually for four to six weeks. After that, you reintroduce the groups one at a time. In the long run, the strict version also starves your beneficial bacteria, since many FODMAPs are fiber. This can reduce diversity. Guidance from a nutrition professional is advisable.

Does a high FODMAP value mean I have irritable bowel syndrome?
No. The value describes your gut microbiome’s tendency to ferment and is not a diagnosis. Irritable bowel syndrome is diagnosed by a doctor after other causes have been ruled out. Many people with a high value have no symptoms at all, and conversely, symptoms can occur despite a low value. What matters is how you actually feel after eating.

Fusobacterium nucleatum is a spindle-shaped bacterium that originally belongs to the normal flora of the oral cavity. There, it lives in dental plaque and gum pockets. It regularly reaches the gastrointestinal tract via saliva. In most people, it remains a minor presence there because stomach acid and a dense colon microbiome make it difficult to establish itself. The bacterium attaches readily to mucosal cells and other bacteria, which is why it is considered a bridge-builder in biofilms. In stool test results, it usually appears in very small amounts. A positive result initially only indicates that oral bacteria have made their way down.

Entry typeBacterium
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

The value is measured because it provides an indication of the connection between the oral and gut microbiomes. High levels of oral bacteria in stool may indicate substantial bacterial migration, for example in the case of gum inflammation or significantly reduced stomach acid. In addition, Fusobacterium nucleatum is an active area of research, which is why many labs test for it.

When the proportion is elevated

A higher level is more often observed in people with gum problems or substantial plaque. Research also reports that the bacterium is found more often in tissue samples from people with certain intestinal diseases. This observation is the subject of ongoing studies. A stool test result alone does not allow conclusions to be drawn about an individual case.

When the proportion is low

A low level or no detection is considered normal and is the usual finding. It suggests that mouth bacteria are largely intercepted in the digestive tract, for example by stomach acid and a stable colon flora. There is no reason to try to raise this level, since the bacterium has no known beneficial role in the gut.

What you can do

Oral hygiene is key to keeping things stable: brush your teeth twice a day, clean between your teeth, and get regular dental checkups. In the gut, fiber from oats, legumes, vegetables, and fruit supports competing flora. Gum inflammation, smoking, a very high-sugar diet, and persistently reduced stomach acid can encourage its spread.

Frequently asked questions

Is a positive test for Fusobacterium nucleatum dangerous?
A finding in stool is not, by itself, a sign of disease. In many people, the bacterium travels from the mouth to the gut. Research is examining whether substantial colonization of the intestinal lining plays a role in certain diseases. This has not been established. It makes sense to check your dental health and talk with your healthcare provider.

Geotrichum candidum is a fungus that falls between yeast and mold, which is why it is often described as yeast-like. It occurs in soil, on plants, and in dairy products. It is even used intentionally in cheesemaking, for example to create the white surface on some soft cheeses. It regularly enters the digestive tract through these foods. There, it is usually just passing through: it can be detected without establishing itself permanently. Only in cases of severely weakened immunity is it described in scientific literature as a significant pathogen.

Entry typeBacterium
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

The finding helps put fungal results into context. Because Geotrichum often comes from food, a positive result often simply reflects your diet. It is only interpreted as a sign of an altered environment if it appears repeatedly and in larger amounts while the protective bacterial flora is also low.

When the proportion is elevated

Higher levels are often found in people who eat a lot of soft and semi-hard cheeses, raw-milk products, or buttermilk. It also tends to persist temporarily more easily after antibiotics. People with normal immune function generally have no symptoms. A follow-up test after a few weeks of eating significantly less cheese often already shows a different picture.

When the proportion is low

No detection or only an occasional finding is unremarkable and more common. Geotrichum is not part of the gut’s usual residents, so its absence is not a deficiency and requires no action. Protective bacterial groups, pH, and overall diversity are more informative about your gut environment.

What you can do

The most common sources are dairy products, especially soft cheeses with white rinds, raw-milk cheese, buttermilk, and quark. If you want to lower the level, reduce these foods for a few weeks and test again. For a stable environment where fungi have little room to grow, the same basics apply: a variety of vegetables, legumes, whole grains, and little added sugar.

Frequently asked questions

Does the fungus really come from cheese?
In many cases, yes. Geotrichum candidum is used in cheesemaking and grows in large quantities on the surface of some soft cheeses. It passes through the gut and can then be detected in stool without settling there. To check whether there is a connection, avoid cheese for two to three weeks and repeat the test.

Do I need to do anything about it?
With normal immune function and no symptoms, a positive result is not a reason for treatment. It is more useful to look at the overall picture: if protective bacteria are well represented and the pH is on the low end, this finding carries little weight. Persistent symptoms or a known immune deficiency should be assessed by a doctor.

Hafnia alvei is a bacterium in the Enterobacteriaceae family. It occurs in soil, water, and especially in food, such as raw-milk cheese, meat, and fish, where it plays a role in ripening. It regularly enters the digestive tract through food, but rarely settles there permanently. That is why Hafnia alvei is a relatively rare finding in stool tests. When it does appear, usually in small amounts, it is considered an unremarkable snapshot in people without symptoms.

Entry typeBacterium
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

Hafnia alvei is included because it belongs to the Enterobacteriaceae family and adds to the overall picture. The individual value carries little weight. It becomes interesting only when several members of this family are elevated at the same time. Then the pattern points to a shift in the intestinal environment, not to this one bacterium.

When the proportion is elevated

An elevated level is often simply related to what you ate in the past few days, such as raw milk cheese or raw fish. The germ is also found more often after travel. A single detection is usually insignificant. If the level remains clearly elevated across several tests, talking to a doctor is the sensible next step.

When the proportion is low

A negative result is the norm for Hafnia alvei. The vast majority of test results are negative, and that is exactly what is expected. A low level says nothing about the quality of your gut flora, because this bacterium is not normally a permanent resident. No action is needed.

What you can do

Raw and long-stored foods are the main sources: raw milk products, raw fish, and opened packages of cold cuts. Maintaining the cold chain and using leftovers promptly can noticeably reduce exposure. As with other Enterobacteriaceae, the same applies in the gut: a dense flora nourished with fiber leaves little room for opportunistic germs. Vegetables, legumes, and whole grains are the easiest ways to help.

Frequently asked questions

Hafnia alvei showed up in my test results. How serious is it?
For most people, this is an incidental finding with no consequences. The bacterium mainly comes from food and often simply passes through the gut. If you have no symptoms, it is enough to check the level again at a later appointment. If you have persistent digestive symptoms, discuss the findings with your primary care provider.

Klebsiella is a genus in the Enterobacteriaceae family, which also includes E. coli. Klebsiella bacteria are found in soil, water, and food, and regularly enter the gut this way. Many people have small amounts in their gut without noticing anything. They preferentially feed on sugars and proteins and tolerate oxygen better than most beneficial bacteria. That is why they tend to thrive when the dense, oxygen-poor layer of the normal flora has thinned.

Entry typeBacterium
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

Klebsiella bacteria are considered a good indicator of gaps in the gut microbiome. Because they multiply quickly as soon as space becomes available, their abundance indirectly shows how stable the protective flora is. Studies also find higher levels of Klebsiella more often in people with inflammatory bowel disease, but this does not allow conclusions to be drawn about an individual case.

When the proportion is elevated

An elevated level usually indicates that the normal flora currently has gaps. Common triggers include antibiotics, a very high-sugar diet, travel, or a recent gastrointestinal infection. Some people notice bloating. The level on its own is not a diagnosis, but a sign that it may be time to nourish the beneficial bacteria again.

When the proportion is low

A low value or no detection at all is considered favorable here. Klebsiella are not part of the gut’s core population; they are more like visitors. If they are absent, the protective flora has occupied the available space well. A low result requires no action or further investigation.

What you can do

Klebsiella are encouraged by sugar, white flour, soft drinks, and alcohol, as well as by anything that depletes protective flora. They can be pushed back through competition: fiber from vegetables, berries, oats, and legumes feeds bacteria that lower the pH and occupy the available space. Fermented foods such as yogurt, kefir, or kimchi complement this. Significantly reducing sugar for a few weeks often has the most noticeable effect.

Frequently asked questions

Klebsiella sounds like a hospital-acquired infection. Is it the same thing?
The name is the same, but the situation is not. In hospitals, the concern is individual strains that are resistant to antibiotics in patients with weakened immune systems. By contrast, stool tests identify the genus as a whole, and finding it in the gut is an everyday result for many people. The amount found in a microbiome test cannot be used to infer the presence of a hospital-acquired pathogen.

Kluyvera is a little-known genus in the enterobacteria family. It lives mainly in water, soil, and on plants, and occasionally enters the digestive tract through food. It is not a permanent resident of the human large intestine, but a rare visitor. Its metabolic functions are similar to those of related genera: it metabolizes sugars and proteins and tolerates oxygen. Because it is detected so rarely, few studies of Kluyvera in the gut have been conducted so far. A small amount is considered unremarkable.

Entry typeBacterium
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

Kluyvera appears in the results because modern methods can reliably identify even rare genera. The individual value carries little weight. Its usefulness lies in completeness: only when several enterobacteria are elevated together does a pattern emerge that suggests depleted protective flora. Kluyvera alone contributes little to this assessment.

When the proportion is elevated

An elevated value is rare and can usually be traced to raw foods, water, or travel. In people without symptoms, such a finding is considered a snapshot. It becomes truly meaningful only if it is confirmed in a follow-up test and other results are also abnormal.

When the proportion is low

No detection is by far the most common result for Kluyvera and is completely unremarkable. The genus is not part of the normal gut flora. A negative result requires no action, nor does it say anything about how stable your gut flora is overall. Diversity and protective bacteria are better indicators.

What you can do

Exposure mainly comes from unwashed raw produce, water from unfamiliar sources, and food left uncovered for a long time. Thorough washing and proper refrigeration reduce further exposure. The same simple rule applies in the gut as for all occasional microbes: when protective bacteria are well nourished and densely packed, there is hardly any room left. Eating vegetables, fruit, legumes, and whole grains throughout the day does just that.

Frequently asked questions

Kluyvera has shown up in my results. Is this a rare exceptional case?
Rarely, yes, but it’s not an exceptional case. The genus is only occasionally found in stool, usually in small amounts and without accompanying symptoms. In this case, the finding is considered incidental. Monitor the value at a later checkup. If you have persistent digestive symptoms, take the result to your primary care clinic.

A densely populated gut flora leaves little room for newcomers. Experts call this effect colonization resistance. The resident bacteria occupy docking sites on the mucus layer, consume the available food, and produce acids and other substances that make the environment inhospitable to foreign microbes. They also keep the gut wall’s immune system in practice. Together, this works like a fully occupied parking lot: anyone who arrives later will find no space. This metric estimates how well this protective mechanism is working for you based on your bacterial composition.

Entry typeMarker
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

The value shows how resistant your flora is to disruptions, such as after antibiotic treatment, while traveling, or after a gastrointestinal infection. Studies often find low colonization resistance when unwanted microbes spread after such events. It adds a protective perspective to diversity and butyrate production.

When the level is high

A high value indicates a densely populated, well-functioning flora. The niches are occupied, the environment is slightly acidic, and foreign microbes struggle to gain a foothold. This is considered beneficial, especially before traveling or after recovering from an infection. There is no complete protection, but the starting point is stable.

When the level is low

A low value means there are gaps in the microbial community. This is often seen after antibiotic treatment, with low diversity, or after prolonged bouts of diarrhea. Unwanted microbes can then establish themselves more easily. It usually takes weeks to rebuild the community with a fiber-rich diet and fermented foods.

What affects the level

Variety and nourishment are key. Eat many different plant-based foods throughout the week, along with legumes, whole grains, and resistant starch. Fermented foods such as sauerkraut, kimchi, kefir, or plain yogurt provide live cultures. Take antibiotics only as directed by a doctor, and then consciously support the rebuilding of your gut flora. Alcohol and highly processed products weaken the microbial community.

Frequently asked questions

Why do I get a stomach bug more easily on vacation than other people?
There are many reasons for this, and gut flora is one of them. A densely populated, diverse flora makes it harder for foreign microbes to take hold. After antibiotic treatment or with a one-sided diet, more niches are left open. Even so, taking care with food and drink remains the most important factor when traveling.

Lactobacilli are lactic acid bacteria, named for their metabolism: they ferment sugars into lactic acid. In the human gut, they form a small but active group, especially in the small intestine; they are also found on the mucous membranes of the mouth and vagina. Lactic acid lowers pH and makes the environment inhospitable to many unwanted microbes. Some species break down milk sugar and are therefore associated with better tolerance of dairy products. Through chemical messengers, lactobacilli communicate with immune and nerve cells in the intestinal wall and often feature in research on the gut-brain axis.

Entry typeBacterium
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

The level shows how strongly the lactic acid-producing fraction of your gut flora is represented. Since lactobacilli also come from food, it also reflects your eating habits. Together with gut pH and bifidobacteria, it gives an idea of how acidic and how stable your colon’s microbial community is at the moment.

When the share is high

Elevated levels are considered harmless and are often seen in people who eat a lot of fermented foods or take probiotics. Very high numbers together with bloating and a feeling of fullness shortly after eating are occasionally associated with small intestinal bacterial overgrowth. This cannot be determined from stool alone and should be evaluated by a doctor.

When the proportion is low

Low levels are often observed after antibiotics, with a very high-sugar or low-fiber diet, and during prolonged stress. If you have no symptoms, this is not a warning sign, since lactobacilli make up only a small part of the total flora. Fermented foods and greater plant-based variety on your plate are good places to start.

What feeds it

Fermented foods are the direct route: plain yogurt without sugar, kefir, buttermilk, mild sauerkraut, kimchi, refrigerated pickled vegetables, and sourdough bread. Make sure the products have not been heated, or the cultures will no longer be alive. Vegetables, fruit, and whole grains provide food for them. Too much sugar and alcohol have the opposite effect.

Frequently asked questions

Are lactobacilli helpful for lactose intolerance?
Some species produce their own lactase enzyme and break down milk sugar in the product itself. That is why many people tolerate yogurt and kefir better than fresh milk. This does not make lactose intolerance go away, but for many people it increases the amount they can consume without symptoms. Try small portions to see what works for you.

Do I need to take probiotics long-term?
Most introduced strains do not settle permanently; they move on again after a few days to a few weeks. As long as you take them, they will show up in your results. Your daily diet is what matters most for maintaining a stable native flora. Taking them in courses, for example around antibiotic treatment, is the most commonly studied approach.

Lipopolysaccharides, or LPS for short, are components of the outer coating of many gram-negative bacteria. These include Escherichia coli, Klebsiella, and other enterobacteria, for example. Such bacteria are part of the normal gut flora in many people. As long as they stay in the gut and the barrier is intact, nothing unusual happens. If larger amounts of LPS pass through a permeable intestinal wall, the immune system reacts sensitively. Experts then refer to metabolic endotoxin burden, a connection that is being intensively investigated in studies. This metric summarizes how strongly LPS-carrying groups are represented in your sample.

Entry typeMarker
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

The value shows how large the reservoir of LPS-carrying bacteria in your gut is. Together with barrier markers such as zonulin and mucin degradation, it helps determine whether this reservoir comes into contact with the immune system at all. Studies frequently observe elevated values with diets high in fat and sugar.

When the level is high

A high value means that gram-negative groups are strongly represented. This is often observed with a high-fat, low-fiber diet, heavy alcohol consumption, and after antibiotic treatment. Whether this puts a strain on the immune system depends primarily on how well your intestinal barrier functions. The value alone is not a warning sign.

When the level is low

A low value means that LPS-carrying bacteria play only a small role in your sample. This is considered unremarkable. No gut can do without these groups entirely, as they also perform important functions and keep the immune system active. So a low value is not a target, but simply a reassuring finding.

What affects the level

Fiber and polyphenols keep gram-negative groups in check: vegetables, legumes, whole grains, berries, olive oil, green tea, and herbs. Foods rich in omega-3, such as flaxseed oil, walnuts, and fatty saltwater fish, are associated with a calmer immune state. Conversely, excessive alcohol, very high-fat meals, and highly processed products can have the opposite effect.

Frequently asked questions

Does a high LPS level mean that I have low-grade inflammation?
Not necessarily. The value only describes how many LPS-carrying bacteria are in your sample. What matters is whether these substances actually cross the intestinal barrier. The connection between gut flora, the barrier, and low-grade inflammation is being studied, but it cannot be determined from a stool value alone. Blood tests and a doctor's assessment are also needed.

Megasphaera is a genus of round, oxygen-sensitive bacteria in the colon. Its best-known species, Megasphaera elsdenii, uses lactic acid as its main food source and converts it into butyrate, propionate, and valeric acid. This makes it one of the lactate utilizers that prevent acid from fermentation from building up. It can also ferment sugars directly. Megasphaera occurs in small numbers in many people and is entirely absent in some. The species is well known in animal nutrition, but its role in humans has been studied less thoroughly.

Entry typeBacterium
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

The value shows whether another lactate utilizer besides Anaerostipes is present in your gut. This group consumes lactic acid from fermentation and turns it into short-chain fatty acids. In your results, Megasphaera therefore adds to the picture of your butyrate supply and the acid balance in your colon.

When the share is high

Higher levels are considered unremarkable and often occur with a high-fiber diet rich in fermented foods. They suggest that lactic acid is being processed quickly. There is no target level, as this genus varies greatly from person to person. Its interaction with the other butyrate producers is more meaningful.

When the proportion is low

Low or undetectable levels are common and are not a problem on their own. Megasphaera cannot be detected in many people; other lactate utilizers then take over its role. Only if Anaerostipes and other butyrate producers are also low is it worth reviewing your fiber intake and any past antibiotic use.

What feeds it

Megasphaera benefits from a combination of fiber and lactic acid bacteria. Oats, barley, legumes, and root vegetables provide fiber. Yogurt, kefir, sauerkraut, and kimchi provide the lactic acid that these bacteria use to produce butyrate. Whether the genus establishes itself depends largely on your existing gut flora, and you can’t force it.

Frequently asked questions

Megasphaera wasn’t found in my test. Am I missing something?
No. This genus is not detectable in many people, and that is considered a normal variation. Other bacteria, such as Anaerostipes, then take over its role of converting lactic acid into short-chain fatty acids. So it’s better to look at the overall picture of your butyrate producers rather than focusing on a single genus.

Methanobrevibacter smithii is the most common methane-producing microorganism in the human gut. Strictly speaking, it is not a bacterium but an archaeon, a member of a separate domain of life alongside bacteria and eukaryotes. However, test results usually still list it among the bacteria. It consumes hydrogen produced during the fermentation of dietary fiber and converts it into methane together with carbon dioxide. This keeps hydrogen pressure low, allowing fiber-degrading microbes to work more efficiently. However, methane slows intestinal movement.

Entry typeBacterium
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

The level helps put bloating, a feeling of fullness, and sluggish bowel movements into context. Where a lot of methane is produced, intestinal contents often move more slowly. At the same time, its presence shows that hydrogen utilization in your large intestine is working. That is why it is included in test results as relevant to both digestion and metabolism.

When the share is high

Higher levels are often observed in people with slow intestinal transit and hard stools, as well as pronounced abdominal bloating. In breath tests, this shows up as an elevated methane level. A connection with body weight is being discussed, but the research is inconclusive. A high level alone is not a diagnosis, but one piece of the puzzle alongside your symptoms.

When the proportion is low

Low or absent levels are completely normal. In many people, this methane producer is barely detectable or not detectable at all because other groups, such as sulfate-reducing bacteria, consume the hydrogen. If your digestion is working well, a low level has no significance. Some people with very low levels are more prone to loose stools.

What feeds it

This microorganism is usually about balance. For sluggish bowel movements, exercise, drinking enough fluids, and soluble fiber from psyllium husks, oats, and cooked vegetables can help. If you experience a lot of bloating, you can temporarily cut back on highly fermentable foods, such as large portions of legumes and cabbage, and spread your portions throughout the day.

Frequently asked questions

Is Methanobrevibacter even a bacterium?
No. Methanobrevibacter smithii is an archaeon, so it belongs to its own domain of life, separate from bacteria. Its cell envelope structure and metabolism differ significantly. Because it is measured in stool alongside bacteria, it usually appears in the same list in test results.

Is a high methane level linked to sluggish bowel movements?
Studies more often observe high methane production in people with slow intestinal transit and hard stools. Methane’s role in slowing intestinal muscle movement has been well studied. Even so, this value does not prove the cause of your symptoms. Physical activity, fluid intake, and soluble fiber are the first sensible steps to consider.

Morganella morganii is a bacterium from the Enterobacteriaceae family and is related to Proteus. It feeds on protein breakdown and is found in soil, water, and the guts of many animals. It can only be detected in some people, usually in small numbers. One feature makes this microorganism interesting: it carries an enzyme that produces histamine from the amino acid histidine. The same principle is behind the histamine that builds up in improperly chilled fish, a phenomenon that has been known for a long time.

Entry typeBacterium
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

This value is of particular interest to people with histamine intolerance. Since Morganella morganii can produce histamine in the gut itself, higher levels are discussed as a possible contributor to the overall burden. The extent of this contribution in any individual case is still an open scientific question. The value also indicates how much protein breakdown is currently taking place in the colon.

When the proportion is elevated

An elevated value is often observed with a high-protein, low-fiber diet. During such periods, people with histamine intolerance sometimes report more symptoms, such as skin flushing, pressure in the head, or bloating. This does not establish a definite connection in any individual case. However, the value is a useful prompt to track diet and symptoms in parallel for a few weeks.

When the proportion is low

A low value or no detection is unremarkable and considered favorable, especially in cases of known histamine intolerance. Morganella morganii is not part of the core microbiota, so its absence is not a deficiency. If symptoms persist, the cause is usually elsewhere, for example in histamine-rich foods or the activity of the enzyme that breaks it down in the small intestine.

What you can do

Morganella morganii gets its food from large portions of meat, sausage, and fish, especially when they are not accompanied by much plant-based food. Long storage and interrupted refrigeration also increase the histamine in the food itself. Smaller portions of protein, freshly purchased fish, using leftovers promptly, and more fiber from vegetables, oats, and flaxseed shift the environment in the other direction.

Frequently asked questions

I don’t tolerate histamine well. Does this value explain my symptoms?
It can be one piece of the puzzle, but no more than that. Histamine intolerance is influenced by many factors: the amount in food, the activity of the enzyme that breaks it down, hormones, stress, and medications. An elevated Morganella morganii value provides an additional lead, but does not replace an assessment. A food and symptom diary usually offers the clearest clues here.

Do I need to eat a low-histamine diet now?
Not necessarily. A strict low-histamine diet is restrictive and should only be tried for a limited time with professional guidance. A more sensible first step is to reduce highly matured foods, leftovers stored for a long time, and large portions of protein for a few weeks, and see whether anything changes. Then you can decide at your own pace.

The inside of your large intestine is covered by a mucus layer. It consists mainly of mucins, which are large, sugar-rich proteins. This layer keeps bacteria at a distance from the mucosal cells and is continually renewed. Some bacteria can use mucins as food, especially Akkermansia muciniphila. In normal amounts, this is not a problem, because breakdown stimulates renewal and keeps the layer supple. If breakdown exceeds renewal, the protective layer becomes thinner. Based on the composition of your flora, this measure estimates how extensive this breakdown is.

Entry typeMarker
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

The mucus layer is the first line of defense for your intestinal wall. The value shows whether breakdown and renewal are in balance. Studies have linked substantial breakdown combined with little dietary fiber to a more permeable barrier. This means the value adds a functional perspective to the species list alone.

When the level is high

A high value means that many mucus-degrading bacteria were detected. This is often observed with a low-fiber diet: when plant-based food is lacking, some bacteria turn to the mucus layer. The protective layer can then become thinner. A high value alone does not prove damage, but should be considered together with your fiber intake.

When the level is low

A low value means that mucus breakdown is limited. This is usually considered normal. However, very low values may also mean that mucus-using species such as Akkermansia muciniphila are scarcely present. These species help stimulate mucus production. Moderate turnover is therefore considered more favorable than none at all.

What affects the level

Fiber steers bacteria’s appetite away from the mucus layer. Vegetables, legumes, whole grains, flaxseed, berries, and resistant starch from cooled potatoes provide alternatives. Polyphenol-rich foods such as berries, green tea, and olive oil are associated with a stable mucus layer. Plenty of alcohol and highly processed foods have the opposite effect.

Frequently asked questions

So is Akkermansia good or bad for my mucus layer?
Both are part of the question. Akkermansia muciniphila feeds on mucins and also stimulates their production. At typical levels, it is considered beneficial for the barrier. Only when fiber is consistently lacking and breakdown exceeds replenishment does the layer become thinner. So what matters is the balance, not the species alone.

Odoribacter splanchnicus is a bacterium related to the Bacteroidetes and is detectable in most stool samples only in small amounts. It produces short-chain fatty acids, including butyrate, which supplies energy to the cells of the intestinal lining. One distinctive feature is its ability to use sulfonates, sulfur-containing compounds from food and intestinal mucus. This means it plays a role in the sulfur cycle in the gut and interacts with sulfate-reducing bacteria. Studies frequently describe this species alongside balanced gut flora and lower levels of inflammation.

Entry typeBacterium
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

This value adds a species from a different group of related organisms to the picture of butyrate producers. It also provides an indication of sulfur metabolism in your gut. Studies frequently detect this species in people with stable, diverse gut flora, and find it less often when inflammation is present.

When the share is high

High values are considered normal to favorable and usually occur with a varied, plant-forward diet. Since this species makes up only a small part of the gut flora even at high levels, no symptoms should be inferred from them. No threshold at which a high value is considered unfavorable has been established so far.

When the proportion is low

Low or undetectable levels are common and are unremarkable on their own, since this species is present in only small amounts in many people anyway. Studies more often find low levels in people with inflammatory bowel disease and low bacterial diversity. To interpret the result, it is worth looking at the other butyrate producers.

What feeds it

A varied diet is helpful here: legumes, whole grains, nuts, seeds, and plenty of vegetables. Sulfur-containing vegetables such as broccoli, Brussels sprouts, kohlrabi, and onions provide compounds that this species can use. Try to eat regular meals and drink enough fluids. A diet very high in fat and meat over a long period tends to have the opposite effect.

Frequently asked questions

My Odoribacter is not detectable. Is that bad?
Usually not. This species is present in only very small amounts in many people, often below the detection limit of the method. The overall picture is more informative: if the other butyrate producers are well represented and diversity is good, not detecting this individual species is of little significance.

Oscillibacter is a genus in the Oscillospiraceae family that lives in the large intestine strictly without oxygen. It is difficult to grow in a laboratory and was only characterized in more detail with modern gene sequencing. Oscillibacter ferments dietary fiber and produces, among other things, valeric acid, a short-chain fatty acid that is less common than butyrate or acetate. Observational studies find this genus more often in people with lower body weight and favorable blood lipid levels. These associations come from group comparisons and have not been shown to be causal. Oscillibacter is sensitive to low-fiber diets.

Entry typeBacterium
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

Oscillibacter is considered an indicator of a well-nourished, diverse gut flora. Because this genus thrives only when enough fiber is available, it reflects your diet over time. In test results, it adds to the picture of groups associated with metabolism, without indicating a specific target level.

When the share is high

Higher levels are usually seen with fiber-rich, plant-focused diets and are considered unremarkable. Studies often find them alongside high bacterial diversity. A high level alone says nothing about your weight or metabolism. It simply fits into an overall favorable picture of your gut flora.

When the proportion is low

Low levels are often seen with low-fiber, highly processed diets and after antibiotics. Oscillibacter is also often low when bacterial diversity is low. On its own, this says nothing about your health. It is more of an indication that little usable fiber is reaching the large intestine.

What feeds it

Oscillibacter needs a wide variety of plant fibers. Legumes, whole grains, nuts, seeds, berries, cruciferous vegetables, and root vegetables provide the variety this genus prefers. Studies have also linked olive oil and a Mediterranean-style diet to higher levels. Regular exercise fits well into the same picture.

Frequently asked questions

Does Oscillibacter make you slim?
It’s not that simple. Studies more often find this genus in people with lower body weight. It’s unclear whether the bacteria contribute to this or simply benefit from a high-fiber diet. This result can help you gauge your fiber intake, but it doesn’t explain your weight.

Parabacteroides is a genus in the phylum Bacteroidetes. It is related to Bacteroides but is now considered distinct. It lives without oxygen in the colon and breaks down complex plant fibers and mucus. This produces acetate, propionate, and succinate—substances that other bacteria can use or that your body absorbs. Parabacteroides also helps transform bile acids, which affects fat metabolism. In animal and observational studies, individual species such as Parabacteroides distasonis have been linked to favorable metabolic measures. Findings that can be applied to humans are not yet available.

Entry typeBacterium
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

Parabacteroides adds to the picture of how you process fiber and metabolize bile acids. Because the genus uses both plant fibers and mucus, it responds fairly clearly to changes in your diet. In your results, it’s useful to consider it alongside Bacteroides and your bacterial diversity.

When the share is high

Higher levels are generally considered unremarkable and are observed with a high-fiber diet. Very high proportions occasionally occur when overall diversity is low and a few genera dominate. That’s why it’s worth checking the bigger picture: if other beneficial groups are also well represented, a high level is nothing to worry about.

When the proportion is low

Low levels are observed after antibiotics, with a low-fiber diet, and when dietary variety is limited. The breakdown of complex fibers is then shared by fewer groups of bacteria. A single low result is no cause for concern; it’s a sign to increase the range of plant fibers on your plate.

What feeds it

Parabacteroides prefers complex, minimally processed fibers. Legumes, whole grains, mushrooms, seaweed, cruciferous vegetables, onions, and leeks provide suitable food, as do flaxseed and psyllium husks. Aim for variety rather than relying on a single fiber source, and rotate the types from week to week. Drinking enough water and eating at a relaxed pace can also support your digestion.

Frequently asked questions

Is Parabacteroides the same as Bacteroides?
No. The two genera are related and were previously grouped together, but are now considered separate. They live in the large intestine and break down plant fibers, but differ in details of their metabolism and how they interact with bile acids. They are therefore listed separately in your results.

In addition to bacteria, fungi also live in the gut, especially yeasts such as Candida species, and more rarely molds. Experts call this part of the gut flora the mycobiome. Fungi can be detected in small amounts in many people without causing symptoms. They are part of the normal diversity in the gut. The fungal colonization metric combines all detected yeasts and fungi into an overall value. It says nothing about the individual species, only about the amount. As long as bacteria occupy space and use up nutrients, and the gut lining remains stable, fungi generally remain unnoticeable.

Entry typeMarker
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

The overall value shows whether fungi play a minor role in your sample or are present at an unusually high level. On its own, it is not very informative. Only when considered together with the bacterial findings, pH value, and your symptoms can it help determine whether your gut environment has shifted.

When the level is high

A high fungal load is often observed after antibiotic treatment, with a very high-sugar diet, or when the immune system is weakened. Symptoms such as bloating, a feeling of fullness, or cravings for sweets are also reported more often, but are nonspecific. A high value alone is not a diagnosis and should always be considered alongside the rest of the results.

When the level is low

A low value or no detection is considered normal. It means that fungi do not play a significant role in your sample. However, since fungi are unevenly distributed in stool, a single sample may miss them. If symptoms persist, a low value does not completely rule out fungal involvement.

What affects the level

Fungi thrive on simple sugars: sweets, soft drinks, white flour, and alcohol encourage their growth. A strong bacterial flora keeps them in check by occupying space and using up nutrients. Vegetables, legumes, whole grains, and fermented foods strengthen this competition. Take antibiotics only as directed by a doctor. A markedly abnormal result should be assessed by a doctor.

Frequently asked questions

Do I need to start an anti-fungal diet right away?
Not on your own. Strict sugar-free diets lasting for months are rarely necessary and make your diet unnecessarily restrictive. It’s more sensible to cut back on obvious sources of sugar while supporting your gut bacteria with vegetables, legumes, and whole grains. If the results are clearly abnormal and you have symptoms, it’s best to discuss them with a doctor.

Prevotella is a bacterial genus adapted to a plant-based diet. It breaks down xylans and other hemicelluloses, meaning fibers from cereal grains, vegetables, and tubers, and produces mainly acetate and propionate from them. Prevotella defines one of the enterotypes, or broad patterns into which gut flora can be classified. The genus is often strongly represented in populations with a traditionally plant-focused diet, and much less common in Western countries. The role of individual species such as Prevotella copri is still being debated, since both beneficial and unfavorable observations have been made.

Entry typeBacterium
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

Prevotella reveals a lot about your dietary pattern. A notable proportion points to a diet rich in fiber and grains, while a very low proportion suggests one rich in fat and protein. In your results, this value helps classify your gut type and correctly interpret the results for the other groups.

When the share is high

High levels are typically observed with a plant-focused diet rich in whole grains, vegetables, and legumes. This often goes hand in hand with good fiber processing. At the same time, some people with very high proportions report increased gas production. Scientific conclusions remain mixed because individual species are assessed differently across studies.

When the proportion is low

Low or undetectable levels are common in Western countries and are not a deficiency in themselves. They usually indicate that other fiber processors, such as Bacteroides, are taking on this role. If the fiber content of your diet increases over time, Prevotella may increase. But this is not certain for everyone, since your starting flora plays a part.

What feeds it

Prevotella thrives on cereal fibers. Whole-grain bread, oats, barley, rye, and millet, as well as legumes, root vegetables, and fruit, provide the xylans and pectins it uses. A predominantly plant-based diet over several weeks has a stronger effect than individual foods. Whether Prevotella establishes itself long term also depends on your existing flora.

Frequently asked questions

No Prevotella was found in my results at all. Is that bad?
No. In many people in Central Europe, Prevotella is barely detectable because our diet contains fewer cereal fibers than in other parts of the world. Other genera then process your fiber. More important than any single genus is ensuring that your plate contains a wide variety of fiber overall.

Proteobacteria, recently renamed Pseudomonadota, is a bacterial phylum and therefore a large group of related organisms. It includes many species you may recognize from your results, including Escherichia coli, Klebsiella, and Proteus. In most people, this group makes up only a small part of the gut flora. Its members tolerate oxygen better than other gut bacteria and therefore multiply preferentially when the low-oxygen balance in the colon is disrupted. Their cell walls contain lipopolysaccharides, or LPS, which your immune system recognizes as a warning signal.

Entry typeBacterium
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

The proportion of this group is often used as an indicator of the balance of the gut flora. Studies often describe a marked increase alongside an altered composition. The value puts individual findings for Escherichia coli, Klebsiella, and related germs into a broader context.

When the proportion is elevated

A high proportion of the overall flora is often observed in studies when the gut flora is out of balance, for example after antibiotics, gastrointestinal infections, or prolonged stress. Because these bacteria carry LPS in their cell walls, an elevated proportion has been linked to increased irritation of the immune system. This does not establish a diagnosis.

When the proportion is low

A low proportion is the norm and is considered unremarkable. This group is part of the normal gut flora in small amounts and also performs functions there, such as consuming oxygen in the gut. A very low or undetectable level is no cause for concern and does not need to be specifically increased.

What you can do

This group tends to thrive when meals contain little fiber and lots of sugar, alcohol, or highly processed foods. It can be reduced indirectly: fiber from vegetables, legumes, and whole grains supports butyrate producers, and their butyrate keeps the intestinal environment low in oxygen. Regular meals, less alcohol, and cautious use of antibiotics can help.

Frequently asked questions

My Proteobacteria level is elevated. What does that mean?
First, this group takes up more space than the others. This is often seen after antibiotics, after an infection, or with a low-fiber diet, and in many cases it returns to normal on its own. Also check which individual species stand out in the results. If symptoms persist, discuss the results with a doctor.

Proteus is a genus in the Enterobacteriaceae family. Its motility is noteworthy: The cells have numerous flagella and spread across nutrient media in waves, a process specialists call swarming. In the gut, Proteus feeds on protein breakdown. This produces ammonia, among other things, which raises the pH in the colon, making it more alkaline. The genus can be detected in small numbers in many people. Larger amounts usually indicate a protein-heavy environment and a depleted protective flora.

Entry typeBacterium
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

The Proteus level supplements the pH value in the results. Because this bacterium releases ammonia during protein breakdown, a high level often corresponds to a more alkaline gut environment. Read together, the two values show whether putrefactive processes are currently predominant in the colon or whether the fiber-fermenting side has the upper hand.

When the proportion is elevated

An elevated level is often observed with diets heavily focused on meat and sausage, as well as with low fiber intake or after antibiotics. People typically report bloating with a pungent odor. As an isolated finding, the level is simply an indication of the gut environment. It warrants adjusting your diet, not worrying.

When the proportion is low

A low level or no detection is the desired result. Proteus is not part of the core flora, but rather a fringe inhabitant. If the genus is barely present, this points to a more acidic environment and a well-populated mucous membrane. There is nothing to do here other than carry on as before.

What you can do

Proteus thrives on large portions of meat, sausage, aged cheese and a diet low in plant foods. Sluggish digestion also promotes protein breakdown in the colon. You can curb this by eating more soluble fiber from oats, apples, carrots and psyllium husks, having moderate portions of protein and drinking enough water. Moving around after meals supports transit, so less undigested protein reaches the lower gut.

Frequently asked questions

Why does my stool smell so pungent when Proteus is elevated?
Protein breakdown produces ammonia, sulfur compounds and amines. These are exactly the substances that the nose perceives as pungent. An association with an elevated Proteus level is often observed, but it is never the only reason. Diet, the pace of digestion and other microbes also play a role.

Providencia is a small genus in the Enterobacteriaceae family and is closely related to Proteus. Like Proteus, it primarily feeds on protein breakdown and produces ammonia, which raises the pH in the colon. Providencia is found in water, soil and wastewater. It rarely appears in the stool of healthy people, and when it does, it is usually present in small numbers. A single detection is generally considered an incidental finding with no further significance.

Entry typeBacterium
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

Providencia rounds out the Enterobacteriaceae overview in the results. On its own, the level tells us little because detections are so rare. It becomes meaningful only as part of a pattern with Proteus, Klebsiella, and Morganella: if several of these protein-metabolizing genera rise together, this points to a putrefactive environment in the large intestine.

When the proportion is elevated

An elevated level is unusual and is often associated with a high-protein diet, travel, or the period after antibiotic use. Symptoms are not necessarily present. It is worth taking an objective look at the other results: if the pH and other protein metabolizers are also abnormal, adjusting your diet may help. Persistent symptoms should be discussed with a doctor.

When the proportion is low

No detection is the norm for Providencia. The vast majority of results are negative because this genus does not play a permanent role in the human large intestine. A low result requires no action and, conversely, tells you nothing about how diverse the rest of your gut flora is.

What you can do

Providencia can thrive with a high-protein diet that is also low in fiber, and with sluggish digestion that leaves food residues in the large intestine for a long time. You can counter this with moderate portions of meat, more legumes, vegetables with every meal, and plenty of water. Soluble fiber from oats or psyllium husks lowers the pH and makes the environment less appealing to protein metabolizers.

Frequently asked questions

I have Providencia in my results and can hardly find any information about it. Why?
Because the genus is rarely found in the gut of healthy people and has therefore been studied little. It is included in the results for completeness, so the Enterobacteriaceae group is fully represented. Based on current knowledge, a single finding in a small amount has no consequences. Only repeatedly high levels accompanied by symptoms warrant a discussion with a doctor.

Pseudomonas is a genus of bacteria found mainly in moist environments: tap water, soil, sinks, and on plants. It is undemanding and can survive on very few nutrients. It enters the gut through water and food, but conditions there are not ideal because it prefers oxygen. That is why Pseudomonas is either undetectable or present only in small numbers in most people. It is considered a transient visitor, not a permanent member of the gut flora.

Entry typeBacterium
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

Since Pseudomonas is normally hardly present in the gut, its level is primarily an indication of environmental exposure. A positive result is often associated with travel, tap water from unfamiliar sources, or raw foods. The genus is also considered an indicator of a more oxygen-rich gut, which may point to a thin protective layer.

When the proportion is elevated

An elevated level usually means that many microbes are currently coming in from outside or that the protective flora has gaps after antibiotics. In healthy people, the finding often disappears on its own within a few weeks. If the level remains high across several checkups or symptoms develop, it is advisable to talk to a doctor.

When the proportion is low

No detection or hardly any detection is the norm and exactly what you would expect. Pseudomonas is not part of the usual population of the large intestine. A low level also says nothing about the quality of your gut flora, since this genus is a rare visitor anyway.

What you can do

Pseudomonas gets replenished through water: water left standing in bottles, water filters that aren't cleaned, ice cubes from an unknown source, and unwashed raw vegetables. Reducing these sources is the simplest step: replace water filters regularly, rinse drinking bottles daily, and wash salad thoroughly. In the gut itself, a dense, fiber-fed flora helps because it keeps the environment low in oxygen and leaves little room for this genus.

Frequently asked questions

I have Pseudomonas in my test results, but I feel fine. Is that a problem?
In people without symptoms, a single finding is usually not significant. The genus comes from the environment and often simply passes through. Keep an eye on the result at a later checkup, and pay attention to water hygiene in your daily routine. If symptoms develop or you have a weakened immune system, discuss the finding with a doctor.

Rhodotorula is a genus of yeast notable for its reddish to salmon-colored colonies. The color comes from carotenoids, the same pigments that make carrots orange. Its natural habitat is the environment: damp surfaces, showers, sinks, soil, water, and food. It enters the digestive tract through food and contact, and is occasionally detected there. It is not part of the resident gut flora. In clinical settings, it is monitored closely in people with severely weakened immune defenses and indwelling catheters; in the stool of healthy people, it is considered an incidental finding.

Entry typeBacterium
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

This finding adds to the picture of fungi and shows which yeasts are present at all. Since Rhodotorula usually comes from the environment, a single positive result is rarely significant. It becomes interesting only when it occurs repeatedly and in larger quantities, while the protective bacterial flora is also weak.

When the proportion is elevated

Higher levels are occasionally seen after antibiotics or with a very high-sugar diet, when yeasts generally have more room to grow. More frequent contact with damp environments also plays a role. In people with normal immune defenses, this is usually not associated with any symptoms. If symptoms persist nonetheless, a doctor should assess them.

When the proportion is low

No detection is the usual, unremarkable result. Rhodotorula has no known beneficial role in the gut, so its absence is not a deficiency and requires no action. Protective groups, fiber-degrading bacteria, and overall diversity are much more important when assessing your gut than this finding.

What you can do

Yeast growth in general is encouraged by high intake of free sugars and alcohol, as well as by a gut bacterial flora depleted after antibiotics. Exposure from external sources can be reduced by keeping wet areas clean and dry, changing sponges and towels regularly, and washing fruit and vegetables thoroughly. A varied intake of vegetables, legumes, whole grains, and fermented foods remains the basis for a stable gut environment.

Frequently asked questions

Where does this yeast come from?
Rhodotorula prefers damp places: showers, sinks, potting soil, water, and food. The pink residue in shower grout often comes from this yeast or related microbes. It can enter the digestive tract via hands or food. A positive stool test therefore usually indicates exposure from an external source.

Does this result require treatment?
If your immune system is functioning normally and you have no symptoms, a positive result is not considered to require treatment. The usual approach is to look at the overall picture and, if there is any uncertainty, repeat the test after a few weeks. If you have a known immune deficiency, are undergoing chemotherapy, or have an indwelling catheter, any fungal finding should be assessed by a doctor.

Roseburia is a genus of gut bacteria belonging to the Firmicutes. Its species use dietary fiber, especially starch and plant fibers such as xylan, to produce butyrate. This short-chain fatty acid nourishes the cells lining your gut and helps maintain low oxygen levels inside the intestine. Roseburia is motile and has fine flagella that help it move toward the mucus layer, where it works where butyrate is needed. In many people, the genus makes up a small but consistently detectable proportion of the large-intestine flora.

Entry typeBacterium
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

The level indicates how well your gut is equipped to produce butyrate. Together with Faecalibacterium prausnitzii and Eubacterium rectale, Roseburia forms the core group responsible for this. Because it responds strongly to dietary fiber, the level is a good indicator of whether enough fermentable material is reaching the large intestine.

When the share is high

High levels are considered favorable and often occur with a fiber-rich diet containing plenty of whole grains and legumes. They suggest that sufficient amounts of starch and plant fiber are reaching the large intestine. An excess of this genus has not been described. A high level alone does not indicate that you have any symptoms.

When the proportion is low

Low levels are often seen with a low-fiber diet, after antibiotics, and with a highly processed diet. Studies also find them in chronic inflammatory bowel diseases and metabolic abnormalities. Since this genus produces butyrate, low levels may mean a more limited energy supply for your mucosal cells. This is not a diagnosis.

What feeds it

Roseburia prefers starch and cereal fibers. Oats, barley, whole-grain rye, legumes, and cooked and cooled potatoes or rice provide just that. Flaxseed and psyllium husks are also well utilized. Eat a wide variety of plants throughout the week and increase your fiber intake gradually. Alcohol, lots of sugar, and long periods without plant-based foods have the opposite effect.

Frequently asked questions

What is the difference between Roseburia and Faecalibacterium?
Both produce butyrate, but work with different raw materials. Roseburia prefers starch and cereal fibers such as xylan, while Faecalibacterium is better suited to resistant starch and pectin. The two genera therefore complement each other well. A varied plant-based diet with grains, legumes, and fruit supports both at the same time.

Ruminococcus is a genus of bacteria in the colon that specializes in hard-to-access carbohydrates. The best-known species is Ruminococcus bromii. It attaches directly to starch granules and breaks down resistant starch, which is starch that passes through digestion in the small intestine intact. Other bacteria also benefit from this initial work: they take up the exposed fragments and turn them into short-chain fatty acids, especially butyrate. Experts therefore call it a keystone species that sets an entire food chain in motion. Ruminococcus lives strictly without oxygen and is sensitive to a low-fiber diet.

Entry typeBacterium
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

The level shows how well your gut breaks down resistant starch. If this specialist is missing, some of the starch goes unused, and other bacteria get less to feed on. In a test result, Ruminococcus is therefore an indicator of whether the first stage of your fiber digestion is working reliably.

When the share is high

High levels are usually seen with a diet rich in starch and fiber, such as one with plenty of whole grains, legumes, and cooled potatoes. This is generally considered beneficial. Some people notice temporarily more gas when levels rise very quickly, because fermentation in the colon increases and the gut flora needs time to adjust.

When the proportion is low

Low values are often observed with a low-fiber diet, after antibiotics, or with a diet high in processed foods. Resistant starch then remains partly undigested, leaving butyrate producers short of food. A low value is not a finding in itself, but a reason to take a closer look at the sources of starch on your plate.

What feeds it

Resistant starch is the main food source. You can find it in cooled potatoes, pasta, and rice; legumes; green bananas; oats; and whole-grain bread made with a long fermentation. Some of it remains when reheated. Start with small portions and gradually increase them over a few weeks, so your gut flora has time to adjust.

Frequently asked questions

Why are cooled potatoes better than freshly cooked ones?
When cooked potatoes, rice, or pasta cool, some of the starch changes structure and becomes resistant to your own enzymes. This resistant starch travels to the large intestine, where it serves as food for bacteria such as Ruminococcus. So yesterday’s potato salad contains more of it than a freshly cooked side dish.

Saccharomyces boulardii is a yeast closely related to baker’s yeast and originally comes from the skin of tropical fruits. It is used as a probiotic, meaning a live microorganism with beneficial effects. Unlike bacteria, it does not respond to antibiotics and withstands stomach acid well. It does not colonize the gut permanently, but passes through again after a few days. As long as you take it, it can be detected in your stool. A positive result therefore generally reflects your intake and is not a problem.

Entry typeBacterium
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

Reporting it separately prevents confusion. Without this, this beneficial yeast would show up in the general fungal findings and cause unnecessary concern. The value also shows whether a supplement you are taking is actually reaching the gut. Together with the other results, it helps determine which part of a fungal finding is intentional.

When the proportion is elevated

A high value suggests that you are taking a corresponding supplement and that it is reaching the gut well. This is considered desirable, not abnormal. After stopping, the finding falls in many people within a few days. If your immune system is severely weakened or you have a catheter in place, discuss taking it with your doctor.

When the proportion is low

No finding is unremarkable if you are not taking a supplement, because this yeast is not part of the natural gut flora. If you are taking one and still nothing is found, it’s worth checking the dose, storage, and expiry date; heat can damage live cultures. A deficiency does not result from a lack of this yeast.

What you can do

It is taken in the form of products from a pharmacy or store, usually as a powder or capsule; it is practically never found in foods. Because it does not establish itself permanently, it is no longer detected shortly after the last dose. Cool, dry storage preserves the number of live microorganisms. For your own flora, a variety of vegetables, legumes, and whole grains remain essential.

Frequently asked questions

Isn't this also a fungus I should get rid of?
It is a fungus, but one used deliberately. Saccharomyces boulardii has been used as a probiotic for decades and has been studied particularly in connection with taking antibiotics. A finding in the stool while taking it is expected and intended. It is not assessed in the same way as a finding of Candida species.

Can I take it together with antibiotics?
As a yeast, it does not respond to antibacterial agents, which is why it is often studied alongside antibiotics. It is best to check with a doctor or pharmacist whether and when taking it is right for you, especially if you have a weakened immune system or an indwelling catheter in hospital.

Molds are filamentous fungi, meaning they grow as a fine network rather than as individual cells. They include genera such as Aspergillus, Penicillium, Mucor, and Cladosporium. They are found everywhere in the environment: in soil, on fruit and vegetables, in nuts and grains, and in the air indoors. Their spores enter the digestive tract every day through food and are excreted in the stool. Persistent colonization of the gut is not typical in people with normal immune defenses. A finding is therefore usually considered transient and not a problem in itself.

Entry typeBacterium
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

This value rounds out the picture of fungi and shows whether filamentous fungi are present in the stool in addition to yeasts. Because they mostly come from food and the environment, a single finding is not very meaningful. Repeatedly high results may be a reason to look at food storage, living conditions, and tolerance of certain foods.

When the proportion is elevated

More frequent findings are observed in people who eat a lot of nuts, dried fruit, blue cheese, or fruit that has been stored for a long time, as well as in damp homes with visible mold. In people with normal immune defenses, this generally does not cause symptoms. In people with severely weakened immune systems, however, doctors monitor filamentous fungi closely, so this should be managed by a medical professional.

When the proportion is low

Absence is the norm and an unremarkable result. Molds are not part of the normal gut flora, so their absence does not mean there is a gap. At this point, protective bacterial groups, diversity, and pH are much more important for assessing your gut health than a negative fungal finding.

What you can do

Everyday sources of spores include moldy or long-stored fruit, nuts and dried fruit, mold-ripened cheese, damp bread, potting soil, and damp rooms. Fresh products, cool and dry storage, sealed food containers, and regular airing reduce exposure. A varied diet rich in vegetables, legumes, and whole grains, with little added sugar, remains the foundation for a resilient gut environment.

Frequently asked questions

Do I have mold in my gut?
A positive stool test does not prove colonization. Mold spores are ubiquitous in the air and in food, and pass through the digestive tract without growing there. In people with a normal immune system, this is considered a transient finding. Repeatedly high values are more reason to check how food is stored and the humidity in your home than to treat a fungal infection.

Should I avoid nuts and dried fruit?
You don't need to eliminate them completely, as they provide valuable fiber and fats. Instead, pay attention to quality and storage: buy fresh products in small quantities, store them in a cool, dry, dark place, and discard nuts that taste bitter or musty. Fruit that is visibly spoiled should be thrown away entirely, not just the affected part.

Serratia is a genus of Enterobacteriaceae that lives mainly in damp environments: in soil, water, showerheads, and sinks. It is known for a red pigment produced by some strains, which was once interpreted as a miracle of blood. Serratia enters the gut through water and food, but rarely remains there for long. It is therefore rarely found in stool tests. When it does appear, it usually indicates brief contact with the environment rather than permanent colonization.

Entry typeBacterium
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

Serratia appears in the report as one of several Enterobacteriaceae values. On its own, the value carries little weight because a positive result usually comes from outside the body. It is useful as part of the overall pattern: if several members of this family are elevated, that suggests gaps in the protective flora that opportunistic germs can move into.

When the proportion is elevated

A positive result or elevated value can often be traced to water and the environment, for example after traveling or when a water filter has not been cleaned for a while. In people without symptoms, an isolated finding is usually insignificant. If the value remains elevated at a follow-up test or symptoms develop, it should be assessed by a doctor.

When the proportion is low

No detection is the norm for Serratia and requires no further attention. The genus is not part of the gut flora but comes from the environment. Accordingly, a negative result says nothing about how well or poorly the rest of your gut microbiome is balanced. Other values in the report are relevant for that.

What you can do

Detection is encouraged by damp sources in everyday life: old water filters, drinking bottles that are rarely cleaned, showerheads with buildup, and unwashed raw produce. Regularly cleaning these sources is the most effective way to reduce exposure. In the gut, as with all opportunistic microbes, competition matters: a fiber-rich diet with vegetables, legumes, and whole grains keeps the protective flora strong and leaves little room.

Frequently asked questions

Serratia sounds alarming. Is a single detection dangerous?
For healthy people, an isolated detection in stool is generally meaningless. The genus comes from the environment and usually leaves the gut on its own. It is mainly relevant for people with severely weakened immune systems or in clinical settings. If symptoms persist, talk to your doctor.

Streptococci are spherical bacteria that line up like pearl necklaces under a microscope. The genus is large and diverse: many species live harmlessly in the mouth, throat, and in small numbers in the gut, while others are known to cause infections. Stool test results usually report the total number for the genus, not the individual species. In the upper digestive tract, streptococci rapidly break down sugar, producing acids and gases. If their numbers remain moderate, they are considered a normal part of the community. A marked increase is considered a sign of a shifted gut environment.

Entry typeBacterium
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

The level serves as an indicator of the gut environment. Streptococci multiply preferentially where plenty of readily available sugar arrives and transit is sluggish. An abnormal finding is therefore less a statement about a single bacterium than a clue to how your gut is currently functioning and what regularly ends up on your plate.

When the proportion is elevated

Elevated levels are often observed with diets high in sugar and white flour, as well as in people who experience bloating and fullness shortly after eating. Slow transit and reduced stomach acid are also discussed in this context. The finding alone is not a diagnosis; it invites you to look at diet and symptom patterns together.

When the proportion is low

Low or undetectable levels are unremarkable and require no action. Streptococci are not among the bacteria you want to deliberately encourage. If they are completely absent, that tells you little about the quality of your gut flora. The protective groups, butyrate producers, and overall diversity are more informative.

What you can do

Their growth is encouraged by frequent servings of sugar, soft drinks, white flour, alcohol, and constant snacking. You can help reduce them by leaving four to five hours between meals, eating less free sugar, and including more vegetables, legumes, and whole grains, as well as foods rich in bitter compounds such as arugula, chicory, and artichoke. Chewing thoroughly and eating slowly also support transit.

Frequently asked questions

Do I have a streptococcal infection if the value is elevated?
No. The stool test shows bacteria that are part of the normal gut flora, not a throat infection. The species known to cause symptoms in the throat are detected with a swab. An elevated gut value is interpreted as a sign of an altered gut environment. If you have a fever, pain, or persistent symptoms, a medical professional should assess them.

Do I need to take antibiotics now?
Elevated streptococci in a stool sample are not, by themselves, a reason for antibiotic treatment, and that decision can only be made by a medical professional anyway. In practice, the first step is to address the gut environment: less free sugar, regular meals, and a greater variety of plant foods. A follow-up test after about three months can show whether the value has changed.

Sutterella is a genus of oxygen-sensitive bacteria that occurs in small numbers in the large intestine of many people. Its habitat is notable: it tends to settle directly on the mucous membrane rather than floating freely in the intestinal contents. There, it is in close contact with the immune cells in the intestinal wall. Researchers have discussed whether Sutterella can break down the immune molecule immunoglobulin A, which normally coats the mucous membrane like a protective film. The scientific evidence is disputed: some studies consider Sutterella a harmless resident, while others see it as a possible disruptor of the barrier.

Entry typeBacterium
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

The value is included in the report because Sutterella can tell us something about the mucosa-associated flora. This layer is the point of contact between intestinal contents and the immune system. Studies sometimes observe a markedly elevated proportion in people with irritable bowel symptoms or chronic inflammatory bowel disease, but it is not suitable as a diagnostic criterion for these conditions.

When the proportion is elevated

An elevated proportion is considered a sign of a shift in the mucosa-associated flora. Some studies find it more often in people with persistent digestive symptoms, while other studies show no difference. A high value alone therefore tells us little. Always interpret it alongside the other values in your report.

When the proportion is low

A low proportion or no detectable amount is considered unremarkable. Sutterella has no known function that the body would otherwise lack. Mucosal protection depends more on a stable mucus layer and enough butyrate producers. A low value therefore requires no targeted measures.

What you can do

A varied diet helps keep the mucosa-associated flora stable: different vegetables, legumes, whole grains, berries, and nuts throughout the week. Foods rich in polyphenols, such as olive oil, green tea, and dark berries, support the mucus layer. A shift is encouraged by low-fiber processed foods, frequent alcohol consumption, and repeated antibiotic use without a subsequent rebuilding phase.

Frequently asked questions

Is Sutterella a bad bacterium?
It’s not that simple. Sutterella is found in many people without symptoms and is considered a normal resident there. Only when it increases significantly is it classified as a problematic microbe, because it lives so close to the mucous membrane. Research is mixed on this point. The overall picture of your results is more informative than the individual value.

Veillonella is a genus of small, spherical bacteria that cannot use sugar at all. Instead, they feed on lactate, or lactic acid. This is produced in the gut when lactic acid bacteria ferment carbohydrates, and in muscles during intense exertion. Veillonella converts lactate into propionate and acetate, among other things; these are two short-chain fatty acids that the body uses for energy. This makes it a link in the gut’s metabolism. Veillonella is also found in the oral cavity. In stool test results, it is listed among the associated microbes because larger amounts may indicate an imbalance.

Entry typeBacterium
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

The value shows how much lactic acid is produced and processed further in the gut. A high proportion may indicate abundant lactate production, for example due to a diet high in sugar or after intense training. The value also helps assess the interplay between lactic acid bacteria and the downstream consumers in the colon.

When the proportion is elevated

Elevated levels are observed more often in studies among endurance athletes after intense exertion. Veillonella is considered a beneficiary of the resulting lactate. Regardless of sports activity, a high proportion may also indicate a diet high in sugar and refined carbohydrates. It describes a pattern, not a diagnosis.

When the proportion is low

A low proportion is considered unremarkable. Lactate is also used in the gut by other bacteria, such as Anaerostipes, which produce butyrate from it. So a low Veillonella finding does not indicate a gap in metabolism and does not require any specific action. The overall picture of bacterial diversity and adequate fiber-degrading bacteria is more important.

What you can do

The balance is best maintained when lactic acid is quickly processed further. Fiber from oats, barley, and legumes, as well as cooled potatoes or rice, helps by feeding butyrate producers. Less sugar and fewer soft drinks reduce the lactate load. During intensive training, adequate recovery time and a vegetable-rich, carbohydrate-conscious diet can help.

Frequently asked questions

I do a lot of sports. Is a high value a good sign?
Veillonella is found more often in endurance athletes because it uses the lactate produced during exercise. Whether this improves performance is currently being studied, and no definitive conclusions have been reached. A high value is therefore neither a badge of honor nor a warning sign. The bacterial diversity and butyrate production potential shown in your results are more informative for your day-to-day health.

Your gut is home to bacteria with very different roles. One group is considered protective: it breaks down fiber, produces short-chain fatty acids, and keeps the intestinal lining nourished and stable. This group includes Bifidobacteria, Lactobacilli, and butyrate producers, for example. The other group includes microbes considered harmful in larger quantities, such as certain putrefactive bacteria or Enterobacteria. Both groups are present in many people. What matters is their relative abundance. This measure combines both groups into a single number and shows you at a glance which side predominates in your sample.

Entry typeMarker
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

Individual bacterial values tell you little unless you know how to interpret them. The ratio brings together many individual findings in a single overview. It shows whether your gut flora as a whole is working more toward fermentation and maintaining the intestinal lining, or whether putrefaction and fermentation processes are gaining ground. This gives you a simple starting point for the other values in your results.

When the level is high

A high value means that the protective groups clearly predominate. This is considered a favorable sign: fiber is being used effectively, the intestinal lining is supplied with energy, and unwanted microbes have less room and food. A high value does not guarantee freedom from symptoms, but it does point to a resilient baseline in your gut.

When the level is low

A low value shows that harmful germs take up a lot of space in proportion. This is often associated with a low-fiber diet, lots of meat and sugar, antibiotic treatment, or ongoing stress. Symptoms such as bloating or irregular bowel movements are reported more often in these cases. The value is an indication of your gut environment, not a judgment about your health.

What affects the level

Plant diversity has the greatest effect on the ratio: vegetables, legumes, oats, flaxseed, nuts, and fruit provide food for the protective side. Fermented foods such as sauerkraut, kefir, or plain yogurt provide live cultures. Less alcohol, fewer highly processed products, regular exercise, and enough sleep work in the same direction. Changes usually take a few weeks.

Frequently asked questions

Does an unfavorable ratio mean that I’m sick?
No. This metric describes a snapshot of your stool sample, not a diagnosis. Even people without symptoms sometimes have an unfavorable ratio, and conversely, symptoms can occur despite good values. It makes sense to consider the number alongside your symptoms and the other values in your report. If symptoms persist, medical evaluation is the right course.

Verrucomicrobia, also known as Verrucomicrobiota, is a bacterial phylum and therefore a large related group. It is small in number in the human gut and is made up almost entirely of a single species, Akkermansia muciniphila. These bacteria live directly in the mucus layer covering your intestinal wall and feed on its sugar building blocks, mucin. In doing so, they stimulate the mucous membrane to produce new mucus. The mucus layer is part of your gut barrier, the separation between the contents of your intestine and your body. The finding describes the share of the entire group in your gut flora.

Entry typeBacterium
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

Because this group in the gut consists almost entirely of Akkermansia, its share is an indicator of the mucus-layer-dwelling fraction of your gut flora. Studies often describe it in connection with an intact gut barrier. This value therefore complements the other barrier metrics in your report.

When the share is high

A high share of the total flora is considered favorable for most people and is often observed with a high-fiber diet or after longer periods without food. However, very high levels are a matter of debate because these bacteria break down mucus, and a thin mucus layer with insufficient fiber intake could theoretically be harmful. The evidence is mixed.

When the proportion is low

A low proportion is frequently observed in studies in connection with a low-fiber diet, obesity, and metabolic abnormalities. Levels often fall after antibiotics, too. Since this group is closely associated with the mucus layer, a low level is interpreted as an indication of a less well-nourished intestinal barrier. A single test result is not proof of this.

What feeds it

Polyphenol-rich foods play a major role here: blueberries, cranberries, pomegranate, dark grapes, green tea, and chocolate with a high cocoa content. There are also fibers from oats, flaxseed, chicory, and onions. Longer breaks between meals and regular exercise are also associated with higher levels. Sugar and highly processed foods have the opposite effect.

Frequently asked questions

Why does Verrucomicrobia consist almost entirely of Akkermansia?
This genus is widespread in soil and water, but essentially only one species has become established in the human gut. Akkermansia muciniphila specializes in the mucus layer and occupies a niche there that other relatives cannot. That is why the genus-level and individual values in your results are usually very close.

The cells lining your intestinal wall sit close together. Between them are protein connections that act like a zipper, holding the cells together. Experts call them tight junctions. They help determine what passes from inside the gut into the body. Zonulin is a protein produced by the body that can temporarily loosen these connections. When zonulin levels rise, the barrier is considered more permeable. In everyday language, this is referred to as leaky gut. The level is measured from your stool sample and interpreted as an indication of the barrier’s condition.

Entry typeMarker
Sample materialStool sample
Test requirementsNo special requirements
Repeat testingrecommended every 6 to 12 months

Why this value appears in your results

The intestinal barrier separates the contents of the gut from the body. Zonulin is one of the few markers that can indirectly provide insight into its condition. Elevated levels are frequently observed in studies of celiac disease, inflammatory bowel disease, and after alcohol exposure. The result describes a state but does not identify a cause or provide a diagnosis.

When the level is high

A high level is interpreted as an indication of a more permeable barrier. This is often observed with a low-fiber diet, high alcohol consumption, intense endurance exercise, acute infections, and ongoing stress. Symptoms may not be present. A single elevated level does not justify self-diagnosis; instead, consider repeating the test after a few weeks.

When the level is low

A low or unremarkable level suggests that the connections between intestinal cells are currently functioning stably. The body needs some zonulin, as this protein is part of normal regulation. A low level does not rule out symptoms, since digestive problems often have causes other than barrier function.

What affects the level

Fiber and butyrate producers support the barrier: oats, barley, legumes, vegetables, flaxseed, and resistant starch from cooled potatoes. Polyphenols from berries, olive oil, and green tea are also associated with a stable barrier. High alcohol consumption, very high-fat meals, lack of sleep, and ongoing stress can have a negative effect. Taking breaks to rest matters too.

Frequently asked questions

Is leaky gut a recognized diagnosis?
Increased intestinal permeability has been described scientifically and is observed in several diseases. However, leaky gut is not recognized as a condition in its own right and is a subject of controversy in the scientific community. Your zonulin level provides an indication of the current state of your barrier. If symptoms persist, consult a doctor.

How reliable is zonulin measurement?
Commercially available testing methods are debated in the scientific community. There is evidence that the antibodies used detect proteins related to zonulin as well. The level also fluctuates with diet, exercise, and infections. So read the result as a guide in the context of your other values, not as a definitive measurement.

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The microbiome analysis is intended to provide dietary and lifestyle guidance. It is not a diagnostic procedure, does not predict disease, and does not replace a medical examination or consultation. The composition of the gut flora naturally fluctuates; reference ranges depend on the laboratory and methods used.

Frequently asked questions

What should you know about microbiome analyses?

What exactly is examined in a microbiome analysis?

It examines which bacteria live in your gut and in what proportions. The MICROBIOME tests detect over 1,500 bacterial species, and the laboratory analyzes over 6,000 microbiome biomarkers based on them. They also include metrics such as the diversity of your gut flora, the gut environment, and possible fungal colonization. The glossary on this page explains 55 bacteria, 14 metrics, and 3 axes.

What is the difference between DNA analysis, blood tests, and microbiome analysis?

The three tests differ in how quickly what they measure changes: your DNA never changes, your blood values change over months, and your gut microbiome changes within weeks. DNA shows your predisposition, blood shows your current status, and your gut microbiome shows how your internal ecosystem is currently composed. That makes it the part you can influence yourself the fastest.

How often should I repeat the microbiome test?

Repeating the test every six to twelve months makes sense. The gut microbiome changes over the course of weeks, and comparing results shows whether dietary changes have affected its composition. Unlike DNA analysis, which you only do once, comparing two results is worthwhile here.

Does the microbiome analysis tell me whether I’m sick?

No. The microbiome analysis is intended to provide nutritional and lifestyle guidance; it is not a diagnostic procedure and does not replace a medical examination. It shows you how your gut microbiome is composed and where values fall outside the usual range. You can discuss what this means medically with your doctor.

How does a microbiome analysis work at mybody x?

Analysis usually takes 8 to 10 business days from the time your sample arrives at the lab. Activate the kit at mylab.mybody-x.com, collect the stool sample at home, and take it to the post office the same day. Depending on the test, you fill one or two tubes. The sample is analyzed at a specialist laboratory in Germany, and you can download your report as a PDF from the customer portal.

What happens to my sample and my data?

At mybody x, saliva, blood, and stool samples are destroyed two months after the analysis is completed, including your stool sample. Your data is processed in accordance with ISO 27001 and the GDPR and transmitted using SSL encryption. You can view your results in your customer portal at mylab.mybody-x.com and download the report there as a PDF.

Can I change my gut flora myself?

Yes, the composition of your gut flora depends, among other things, on what you eat. Fiber is food for many bacteria that are considered beneficial. A comparison of two results shows whether the composition has changed. That’s why it makes sense to repeat a microbiome analysis every six to twelve months, unlike DNA, which does not change.

The DNA analysis is intended for nutrition and lifestyle advice. It is not a diagnostic procedure, does not predict disease, and does not replace a medical examination or consultation. Genetic variants describe probabilities in population groups, not certainties for individuals. The content is for general information and does not replace medical advice, diagnosis, or treatment.

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