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    Overweight

    The microbiota, invisible conductor of weight

    Two people eating the same food don't gain the same weight. One of the best-documented explanations of the last decade: their gut microbiota does not produce the same signals.

    Verified sources: Nature 2024, Cell Host & Microbe 2024, Gut 2023.

    Chapter 01

    What the microbiota produces

    Our gut microbiota ferments undigested fibres and produces short-chain fatty acids (SCFAs): butyrate, propionate, acetate. These molecules are not mere waste: they feed the colonic lining, regulate inflammation, and stimulate the intestinal L-cells that secrete GLP-1 and PYY, the two main satiety hormones.

    A diverse, well-fibred microbiota abundantly produces these SCFAs. An impoverished microbiota produces few — hence weak satiety and hunger that returns quickly.

    Chapter 02

    Microbial signatures of overweight

    Metagenomic studies (MetaHIT, MetaCardis) identify microbial signatures associated with overweight: reduced overall diversity, decrease in Akkermansia muciniphila and Faecalibacterium prausnitzii, over-representation of Firmicutes over Bacteroidetes.

    These signatures are not strict causal markers, but come with a coherent metabolic phenotype: leaky gut lining, translocation of bacterial endotoxins (LPS) into blood, low-grade systemic inflammation.

    Chapter 03

    The gut-brain axis via the vagus nerve

    The vagus nerve continuously transmits to the brain information about the state of the digestive tract: distension, content composition, bacterial metabolites. Recent studies (Cell Host & Microbe, 2024) show that 90% of vagal signals go from gut to brain, not the other way.

    Some bacterial metabolites (indole, tryptamine, bacterial GABA) directly modulate neural circuits of hunger, food pleasure and emotional regulation. This is why chronic stress and disturbed microbiota reinforce each other.

    Chapter 04

    Validated dietary levers

    Three food families genuinely support microbial diversity: fermentable fibres (30 g per day minimum, varied), polyphenols (green tea, pure cocoa, berries, extra-virgin olive oil), and fermented foods (kefir, low-sugar kombucha, raw sauerkraut, miso).

    Conversely, intense sweeteners (aspartame, sucralose) alter microbial composition per 2022-2024 data, with measurable impact on glucose tolerance (Nature, 2023).

    Chapter 05

    What antibiotics leave behind

    Each course of antibiotics (especially broad-spectrum) temporarily reduces microbial diversity. A single course does not do lasting damage, but repeated courses, especially in childhood, leave documented imprints on adult overweight risk (JAMA Pediatrics, 2023).

    Rebuilding after antibiotics comes through fibre variety, fermented foods, and sometimes targeted supplementation with documented probiotic strains (Lactobacillus rhamnosus GG, Bifidobacterium longum BB536).

    Scientific sources
    • · Cani et al., Cell Host & Microbe, 2024 — Gut microbiota and metabolic health
    • · Suez et al., Nature, 2023 — Artificial sweeteners and glucose intolerance
    • · Depommier et al., Nature Medicine, 2019 — Akkermansia and metabolic syndrome

    A microbiota work-up is now part of our tools when weight resists classical approaches. It concretely guides the dietary and probiotic protocol.

    Explore my microbiota

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    Frequently asked questions

    Is a microbiota test worth it?
    It provides useful information (diversity, dominant profile, inflammatory signature) but interpretation remains complex. It does not replace a global clinical and dietary assessment.
    How much fibre per day?
    WHO recommends 25 to 30 g per day, varied. Most European adults consume less than 20 g. Increase must be gradual to avoid digestive discomfort.
    Are over-the-counter probiotics useful?
    Some specific strains yes, provided they are documented and present in sufficient quantity (10 billion CFU minimum). Generic mixes without precise strains have little added value.
    Is kefir really useful?
    Yes. Milk or fruit kefir (low sugar) brings live-strain diversity and measurably improves microbial diversity in 4 to 6 weeks of regular use.
    Are sugar-free sweeteners a good idea?
    No. Recent data (Nature 2023) document altered microbiota and degraded glucose tolerance with aspartame and sucralose. Stevia and erythritol are better tolerated, in moderation.

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