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The gut health upgrade that isn’t more fiber

You have probably heard that eating more fiber is good for your gut. And it is. Fiber feeds the beneficial bacteria in your digestive tract and supports regular digestion, blood sugar balance and long-term health. But when it comes to improving the diversity of your gut bacteria, fiber may not be the only place to focus.

Fran Sutherlin

A Stanford University study published in Cell in 2021 found something worth paying attention to: fermented foods appeared to increase gut bacteria diversity more directly than fiber alone during the 10-week study period.

Researchers followed two groups of adults. One group significantly increased daily fiber intake. The other group added fermented foods such as yogurt, kefir, kimchi, fermented cottage cheese and kombucha. By the end of the study, the fermented-food group showed a measurable increase in the number and diversity of healthy gut bacteria. Even more interesting, 19 different inflammatory proteins decreased in this group. The high-fiber group did not show the same significant change.

This matters because a diverse microbiome is one of the clearest signs of a healthy gut. Like a well-planted garden, greater variety helps the whole system become more resilient, supporting digestion, inflammation balance, immunity, energy and mood. The goal is not to replace fiber. Fiber still feeds beneficial bacteria, but fermented foods may be one of the most effective daily habits for helping build a more diverse microbiome.

So how much fermented food does it take? In the Stanford study, participants worked up to about six servings per day. That may sound like a lot, but a serving is often smaller than people expect. Examples include a cup of yogurt, a glass of kefir, a few tablespoons of sauerkraut or kimchi, or a small serving of fermented cottage cheese.

You do not need to start with six servings overnight. In fact, I would not recommend that for most people. If fermented foods are new to you, begin with one small serving per day and allow your gut time to adjust. Some people notice temporary intestinal cramping, gas, or bloating at first, which usually settles as the digestive system adapts. Adding fermented foods slowly avoids these negative symptoms.

A few practical tips can help you choose well:

Look for yogurt and kefir that say “live and active cultures” on the label. If yogurt has been heat-treated after fermentation, it loses much of the benefit.

Eat kimchi and sauerkraut cold or add them after cooking. Heat can destroy the live cultures you are trying to bring into the gut.

Choose kombucha carefully. It can be a helpful fermented option, but some brands are high in added sugar. Look for lower-sugar varieties when possible.

Fermented foods are simple, traditional foods that support one of the most important systems in your body. Your gut bacteria influence far more than digestion. They help regulate inflammation, immune function, metabolism and the way you feel from day to day. This week, choose one fermented food and add it to one meal each day.

Fran Sutherlin, RD, MS is a local registered dietitian, specializing in using digestive wellness to prevent or manage chronic disease. She has a master’s degree in nutrition, is a personal health coach, speaker, and owner of Sustainable Nutrition. She can be reached at 444-2122 or fran@fransutherlin.com.