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What are Proteobacteria?

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Optimal Abundance (for metabolic and cognitive health)

  • Healthy ratio range: 2-5% of total gut microbiome composition
  • Warning threshold: >10% may indicate dysbiosis
  • Cognitive optimization: Maintaining low but stable Proteobacteria levels, especially limiting LPS-producing species
  • Energy optimization: Supporting balanced levels that contribute to nutrient cycling without promoting inflammation

Five best ways to support healthy Proteobacteria balance:

  • Diverse fiber intake: 25-30g daily from varied plant sources to feed competing beneficial bacteria
  • Polyphenol-rich foods: Berries, green tea, extra virgin olive oil to regulate bacterial populations
  • Omega-3 fatty acids: Wild-caught fatty fish 2-3 times weekly to reduce inflammation
  • Fermented foods: Daily consumption of traditionally fermented foods to enhance microbial diversity
  • Adequate zinc and vitamin D: Support intestinal barrier integrity and immune regulation

Five factors that increase Proteobacteria (often undesirably):

  • High-sugar, processed food diets: Disrupts microbial balance
  • Frequent antibiotic use: Particularly broad-spectrum antibiotics
  • Chronic stress: Weakens gut barrier allowing Proteobacteria expansion
  • Inflammatory dietary patterns: High refined oils, low fiber
  • Intestinal permeability issues: Allows bacterial translocation and immune activation

Consistent microbiome support required? Yes, the gut microbiome requires consistent dietary and lifestyle support. Proteobacteria populations can expand rapidly (within 24-48 hours) during dysbiosis, requiring ongoing maintenance of the gut environment through diet, stress management, and sleep hygiene.

Are extreme interventions dangerous? Aggressive interventions targeting Proteobacteria (such as prolonged herbal antimicrobials or extreme restriction diets) can disrupt the entire microbiome ecosystem. Gradual, holistic approaches that restore overall microbial balance are safer and more effective long-term.

Optimal approaches for support:

  • Dietary diversity: Consuming 30+ different plant foods weekly provides substrates for beneficial competitive bacteria
  • Immune balance: Supporting appropriate immune function without excessive inflammation
  • Intestinal barrier support: Maintaining gut barrier integrity through nutrition and stress management
  • Microbiome resilience: Building diverse, stable bacterial communities that prevent Proteobacteria overgrowth
  • Judicious probiotic use: Targeted probiotics that compete with and crowd out problematic Proteobacteria

Proteobacteria is a major phylum of gram-negative bacteria in the human gut microbiome, typically comprising approximately 2-5% of the bacterial population in healthy adults. This phylum contains several genera of significant relevance to human health, including Escherichia (e.g., E. coli), Salmonella, Campylobacter, Helicobacter, Klebsiella, and Pseudomonas.

Proteobacteria are metabolically diverse bacteria that play dual roles in human health:

  • Production of certain vitamins (especially vitamin K2 and B vitamins)
  • Contribution to immune system development and education
  • Involvement in nitrogen metabolism and recycling
  • Production of metabolites that influence host health
  • Competition with pathogenic bacteria for resources

However, unlike other gut bacterial phyla, Proteobacteria warrant careful monitoring as they include numerous potentially pathogenic species and often increase during dysbiosis and inflammation. The outer membrane of these gram-negative bacteria contains lipopolysaccharide (LPS), also known as endotoxin, which can trigger inflammatory responses when it crosses the intestinal barrier.

According to Dr. Justin Sonnenburg (Stanford University), a healthy gut microbiome maintains Proteobacteria at relatively low levels through competitive exclusion by beneficial bacteria. Dr. Andrew Huberman highlights the connection between Proteobacteria levels and neuroimmune responses, while Dr. Emeran Mayer emphasizes the link between stress, gut permeability, and Proteobacteria expansion. Dr. Paul Saladino notes that certain ancestral dietary patterns may help maintain appropriate Proteobacteria balance.

Effects at Different Proteobacteria Levels

Section titled Effects at Different Proteobacteria Levels
  • Limited LPS translocation across intestinal barrier
  • Appropriate immune system development
  • Vitamin K2 and B-vitamin contribution
  • Proper nitrogen cycling in the gut
  • Balanced gut ecosystem through cross-feeding relationships
  • Beneficial metabolite production from certain species
  • Appropriate bile acid processing
  • Limited inflammatory signaling
  • Normal intestinal permeability
  • Balanced tryptophan metabolism
  • Healthy mucus layer maintenance
  • Proper antimicrobial peptide production
  • Healthy gut motility
  • Mild increase in inflammatory markers
  • Minor shifts in immune cell populations
  • Slightly decreased microbial diversity
  • Occasional digestive discomfort
  • Mild nutrient competition with beneficial bacteria
  • Subtle changes in metabolite production
  • Increased gas production
  • Temporary bloating or bowel changes
  • Mild food reactivity
  • Subtle energy fluctuations
  • Increased intestinal permeability
  • Heightened immune vigilance

Significant Elevation (Dysbiosis)

Section titled Significant Elevation (Dysbiosis)
  • Chronic intestinal inflammation
  • Systemic inflammatory markers
  • Significant reduction in beneficial bacteria
  • Disrupted intestinal barrier function (leaky gut)
  • Bacterial translocation into circulation
  • Immune system hyperactivation
  • Metabolic endotoxemia
  • Chronic fatigue and brain fog
  • Persistent digestive symptoms
  • Nutrient malabsorption
  • Altered bile metabolism
  • Neuroinflammation
  • Mitochondrial dysfunction
  • Significant energy depletion
  • Specific pathogenic species dominance
  • Acute inflammatory response
  • Potential enterotoxin production
  • Severe digestive symptoms
  • Potential systemic infection risk
  • Significant immune dysregulation
  • Extreme metabolic disruption
  • Severe energy crisis at cellular level
  • Tissue damage risk
  • Organ system dysfunction
  • Extreme disruption in cognitive function
  • Activation of stress response systems
  • Severe disruption of other microbial communities

Proteobacteria abundance is measured as a percentage of total gut microbiome composition or through quantitative PCR (qPCR) measurement of bacterial DNA.

General Composition in Healthy Adults

Section titled General Composition in Healthy Adults
Population/DietTypical Proteobacteria %Notable Characteristics
Western diet5-10%Higher E. coli, more inflammatory potential
Mediterranean diet2-5%Diverse species, balanced populations
High-fiber/Plant-based3-6%Beneficial species predominate
Traditional hunter-gatherer4-8%Diverse, well-regulated populations
Low-carb/Ketogenic2-7%Variable based on fiber intake
Carnivore/Animal-based4-10%Higher bile-tolerant species
Age GroupTypical Proteobacteria %Notable Characteristics
Infants (0-6 months)10-20%Developing microbiome, less stability
Infants (7-12 months)8-15%Decreasing with solid food introduction
Children (1-3 years)5-10%Developing stability
Children (4-10 years)3-8%Approaching adult patterns
Adolescents/Adults2-5%Stable adult pattern
Elderly (65+ years)5-12%Often increasing with age and inflammation

Metabolically Healthy Individual

  • Typical range: 2-4% Proteobacteria
  • Key species: Limited pathobionts, stable E. coli populations
  • Notable characteristics: Low inflammatory tone, healthy intestinal barrier

Metabolic Syndrome/Inflammatory Conditions

  • Typical range: Often elevated to 8-15% Proteobacteria
  • Species shifts: Increases in Enterobacteriaceae family
  • Metabolite changes: Increased LPS production, altered SCFA patterns

According to research from the American Gut Project led by Dr. Rob Knight, Proteobacteria levels show significant variation between populations but consistently associate with health status, dietary patterns, and medication use. Dr. Emeran Mayer’s research demonstrates that stress and gut-brain interactions significantly influence Proteobacteria abundance.

General Guidelines for Balance

Section titled General Guidelines for Balance
Microbiome ComponentHealthy RangeAssociated Factors
Proteobacteria2-5% of totalDietary diversity, barrier integrity
Firmicutes40-60% of totalBalanced diet, fermented foods
Bacteroidetes30-40% of totalFiber diversity, plant foods
Alpha DiversityHighDietary diversity, minimal processing
SCFA ProductionAbundantFiber intake, resistant starch

For Specific Body Types and Health States

Section titled For Specific Body Types and Health States

Metabolically Healthy, Active Individual

  • Proteobacteria range: 2-4% is typically optimal
  • Key species: Stable, non-pathogenic E. coli populations
  • Beneficial markers: Strong intestinal barrier, low inflammatory markers

Individual with Inflammatory Concerns

  • Target shifts: Important to decrease elevated Proteobacteria percentage
  • Intervention focus: Intestinal barrier support, anti-inflammatory diet
  • Monitoring: Inflammatory markers, digestive symptoms

Note: While individual variation exists, Proteobacteria consistently show stronger association with inflammatory conditions when elevated compared to other phyla. Dr. Patrice Cani’s research on metabolic endotoxemia emphasizes the importance of maintaining low Proteobacteria levels for metabolic health.

Symptoms of Proteobacteria-related imbalances include:

  • Digestive discomfort (bloating, gas, irregular bowel movements)
  • Unexplained fatigue and energy fluctuations
  • Brain fog and cognitive difficulties
  • Food intolerances and sensitivities
  • Inflammatory skin conditions
  • Joint pain and inflammation
  • Mood disturbances
  • Sleep disruptions
  • Recurrent infections
  • Unexplained weight changes
  • Autoimmune flare-ups
  • Post-meal fatigue or discomfort
  • Blood sugar regulation issues
  • Elevated inflammatory markers
  • Histamine intolerance symptoms
  • Provides controlled immune stimulation for proper development
  • Trains immune tolerance mechanisms
  • Contributes to mucosa-associated lymphoid tissue development
  • Influences dendritic cell maturation
  • Affects T-cell differentiation patterns
  • Contributes to appropriate pathogen recognition
  • Influences IgA production
  • Helps establish barrier defenses
  • Contributes to immune memory formation
  • May influence allergy susceptibility
  • Participates in nitrogen recycling and metabolism
  • Contributes to vitamin synthesis (K2, some B vitamins)
  • Involved in bile acid transformations
  • Influences iron metabolism and availability
  • Contributes to xenobiotic metabolism
  • Participates in hydrogen sulfide production
  • Influences tryptophan metabolism
  • Affects host amino acid availability
  • Contributes to short-chain fatty acid production (in smaller amounts)
  • Involved in choline metabolism
  • Creates ecological niches for microbial diversity
  • Participates in cross-feeding relationships with other bacteria
  • Contributes to metabolic network complexity
  • Helps maintain anaerobic environment in colon
  • Participates in competitive exclusion of pathogens
  • Influences microbial succession patterns
  • Contributes to microbiome adaptation to dietary changes
  • Participates in biofilm formation
  • Affects mucus layer composition
  • Interacts with bacteriophages in the gut
  • Influences neuroimmune signaling
  • Affects tryptophan availability for serotonin
  • LPS can impact blood-brain barrier permeability
  • Interacts with enteric nervous system
  • May influence microglial activation
  • Contributes to gut-brain axis communication
  • Affects vagal afferent signaling
  • Influences hippocampal function when imbalanced
  • Can trigger neuroinflammatory cascades when elevated
  • Affects neurotransmitter precursor availability

Proteobacteria imbalance (typically overgrowth) can manifest as:

  • Digestive discomfort (bloating, gas, irregular bowel movements)
  • Post-meal inflammatory responses
  • Fatigue and energy depletion
  • Brain fog and cognitive difficulties
  • Mood disturbances and irritability
  • Sleep disruptions
  • Increased intestinal permeability
  • Food sensitivities and intolerances
  • Nutrient absorption issues
  • Inflammatory skin conditions
  • Joint pain and stiffness
  • Autoimmune symptom triggers
  • Histamine intolerance symptoms
  • Blood sugar dysregulation
  • Weight management difficulties
  • Increased susceptibility to infections
  • Elevated inflammatory markers
  • Chronic headaches
  • Unexplained body aches
  • Decreased stress resilience

Factors Influencing Proteobacteria

Section titled Factors Influencing Proteobacteria

Factors that Support Healthy Proteobacteria Balance

Section titled Factors that Support Healthy Proteobacteria Balance
Food CategoryExamplesMechanisms of Action
Fiber-rich foodsVegetables, fruits, legumes, whole grainsFeed competing beneficial bacteria
Polyphenol-rich foodsBerries, olive oil, green tea, dark chocolateSelective antimicrobial and prebiotic effects
Omega-3 sourcesWild fatty fish, flaxseeds, walnutsReduce inflammation and improve barrier function
Fermented foodsSauerkraut, kimchi, kefir, yogurtIntroduce competing beneficial bacteria
Prebiotic foodsGarlic, onions, leeks, asparagusSelectively feed beneficial competitors
Zinc-rich foodsOysters, beef, pumpkin seedsSupport gut barrier integrity
Anti-inflammatory herbs/spicesTurmeric, ginger, oreganoModulate inflammatory response
  • Mediterranean diet: Rich in polyphenols, fiber, and omega-3s
  • Traditional dietary patterns: Often rich in fermented foods and diverse plants
  • Moderate protein intake: Balanced amino acid availability without excess
  • Adequate but not excessive fat intake: Balanced fat profile
  • Time-restricted eating: Supports gut barrier rhythm and repair
  • Adequate hydration: Supports mucus layer and barrier function
  • Regular meal timing: Supports gut circadian rhythms

Factors that Increase Proteobacteria (Often Undesirably)

Section titled Factors that Increase Proteobacteria (Often Undesirably)
FactorEffect on Proteobacteria
High-sugar dietsPromote inflammation and Proteobacteria expansion
Ultra-processed foodsDisrupt microbial balance and barrier function
Excessive alcoholDamages intestinal barrier allowing expansion
High-fat Western dietIncreases bile and disrupts microbial balance
Artificial sweetenersMay select for certain Proteobacteria species
Low-fiber dietReduces competition from beneficial bacteria
Emulsifiers and additivesDisrupt mucus layer allowing Proteobacteria access
  • Antibiotics: Particularly disruptive to microbial balance
  • Chronic stress: Weakens intestinal barrier and immune regulation
  • Sleep disruption: Disturbs gut barrier maintenance and immune function
  • Environmental toxins: Particularly heavy metals and pesticides
  • Sedentary lifestyle: Reduces gut motility and microbial diversity
  • Certain medications: PPIs, NSAIDs, metformin alter gut environment
  • Chronic inflammation: Creates environment favoring Proteobacteria
  • Intestinal infections: Can trigger long-term shifts in composition
  • Probiotics: Particularly Lactobacillus and Bifidobacterium strains
  • Prebiotics: Specifically FOS, GOS, resistant starch
  • Barrier support: L-glutamine, zinc carnosine
  • Antimicrobial herbs: Oregano, berberine, garlic (use judiciously)
  • Anti-inflammatory compounds: Curcumin, omega-3s, boswellia
  • Polyphenol supplements: Green tea extract, quercetin
  • Immunomodulators: Vitamin D, vitamin A
  • Butyrate or tributyrin: SCFA support

Dr. Michael Ruscio emphasizes the importance of a stepwise approach to addressing dysbiosis, while Dr. Lucy Mailing highlights the resilience and adaptability of the microbiome when provided with appropriate environmental conditions rather than focusing solely on antimicrobial approaches.

Proteobacteria Optimization Strategies

Section titled Proteobacteria Optimization Strategies
  • Fiber Diversity Strategy: Consume 30+ different plant foods weekly
  • Selective Prebiotic Protocol: Focus on prebiotics that support Bifidobacteria and Akkermansia
  • Polyphenol Integration: Include berries, olive oil, green tea, and dark chocolate regularly
  • Zinc Optimization: Include oysters, beef, or pumpkin seeds 2-3x weekly
  • Strategic Fermented Foods: Daily small servings of traditionally fermented foods
  • Temporal Feeding Pattern: 12+ hour overnight fasting period for gut rest
  • Anti-inflammatory Foods: Regular inclusion of fatty fish, turmeric, ginger
  • Barrier Support Foods: Bone broth, collagen-rich foods, zinc-rich foods
  • Sleep Prioritization: 7-9 hours of quality sleep for gut barrier maintenance
  • Stress Management: Daily meditation, breathwork or mindfulness
  • Appropriate Exercise: Regular moderate exercise, avoid excessive intensity
  • Nature Exposure: Weekly outdoor time for environmental microbe exposure
  • Judicious Antibiotic Use: Use only when necessary, followed by restoration protocol
  • Circadian Rhythm Support: Morning sunlight and evening darkness
  • Toxin Reduction: Filter water, choose organic when possible
  • Heat Exposure: Sauna use to support stress resilience and detoxification
  • Probiotic Cycling: Rotate different beneficial strains quarterly
  • Digestive Enzyme Support: If needed to reduce undigested proteins
  • Immunomodulators: Vitamin D maintenance at 40-60 ng/ml
  • Barrier Support: L-glutamine, zinc carnosine as needed
  • Butyrate Support: Postbiotic butyrate for colonocyte health
  • Selective Antimicrobials: Only if indicated by testing, used briefly and followed by restoration
  • Binders: Consider for short-term use if endotoxin suspected
  • Polyphenol Supplements: Quercetin, resveratrol, EGCG as needed
  • Proteobacteria naturally shift during pregnancy
  • Third trimester often shows increased Proteobacteria levels
  • Maintaining appropriate balance important for gestational health
  • Excessive levels associated with gestational diabetes risk
  • Breastfeeding provides oligosaccharides that favor beneficial competitors
  • Infant microbiome development influenced by maternal status
  • Proteobacteria often higher in C-section delivered infants
  • May contribute to early immune programming
  • Gradually decreases with appropriate feeding and development

Medical Conditions Affecting Proteobacteria

Section titled Medical Conditions Affecting Proteobacteria
  • Inflammatory Bowel Disease: Often shows elevated Proteobacteria
  • Irritable Bowel Syndrome: Frequently exhibits elevated Proteobacteria
  • Obesity: Association with increased Proteobacteria percentage
  • Type 2 Diabetes: Often shows elevated Proteobacteria levels
  • Autoimmune conditions: May have disrupted balance
  • Small Intestinal Bacterial Overgrowth: May include Proteobacteria species
  • Liver disease: Often associated with increased Proteobacteria
  • Neurological disorders: Emerging connections to Proteobacteria levels
  • Chronic fatigue syndrome: Association with altered Proteobacteria levels
  • Antibiotics: Dramatically alter Proteobacteria populations, often increasing them
  • Proton Pump Inhibitors: Reduce stomach acid allowing upstream colonization
  • NSAIDs: Increase intestinal permeability affecting microbial balance
  • Metformin: Complex effects on gut microbiome
  • Psychotropic medications: Many affect gut bacterial composition
  • Opioids: Alter gut motility and microbial environment
  • Oral contraceptives: May influence Proteobacteria levels
  • Chemotherapy: Significantly disrupts microbiome balance

For General Health Maintenance

Section titled For General Health Maintenance
  • Maintain Proteobacteria at 2-5% of total gut microbiome
  • Consume 25-35g fiber daily from diverse sources
  • Include 2-3 servings of fermented foods weekly
  • Maintain omega-3:omega-6 balance through fatty fish and limited seed oils
  • Practice time-restricted eating (12-14 hour overnight fast)
  • Ensure adequate zinc and vitamin D status
  • Regular moderate exercise
  • Adequate sleep (7-9 hours) and stress management
  • Minimal exposure to unnecessary antibiotics

For Reducing Elevated Proteobacteria

Section titled For Reducing Elevated Proteobacteria
  • Increase fiber intake gradually to 30-50g daily
  • Focus on prebiotics that support Bifidobacteria and Akkermansia
  • Consider temporary reduction in fermentable foods if symptoms present
  • Implement comprehensive gut barrier support protocol
  • Consider short-term use of specific antimicrobial herbs if indicated
  • Implement post-antibiotic restoration protocol if relevant
  • Regular testing to monitor progress
  • Address upstream factors (stress, sleep, etc.)
  • Consider specific probiotics with anti-Proteobacteria evidence

For Cognitive Performance Enhancement

Section titled For Cognitive Performance Enhancement
  • Maintain low Proteobacteria levels to reduce LPS-related neuroinflammation
  • Focus on gut-brain axis support through polyphenols
  • Implement stress management practices to reduce cortisol
  • Consider specific psychobiotic strains (L. helveticus R0052, B. longum R0175)
  • Support sleep quality for gut barrier maintenance
  • Maintain stable blood sugar to reduce intestinal permeability
  • Include omega-3 fatty acids for neuroinflammation protection
  • Consider targeted supplements (omega-3s, curcumin, probiotics)

For Energy Production Optimization

Section titled For Energy Production Optimization
  • Reduce LPS translocation that triggers energy-depleting inflammation
  • Support mitochondrial health through polyphenols and micronutrients
  • Maintain stable blood sugar patterns
  • Support gut barrier to prevent energy-depleting immune activation
  • Address stress that contributes to gut permeability
  • Optimize iron metabolism and absorption
  • Support bile flow and metabolism
  • Consider CoQ10 and other mitochondrial supports

Proteobacteria for Cognitive Performance

Section titled Proteobacteria for Cognitive Performance
  • Elevated Proteobacteria and LPS correlate with cognitive impairment
  • LPS can trigger microglial activation and neuroinflammation
  • Barrier dysfunction allows bacterial products to affect neural function
  • Influences tryptophan metabolism affecting neurotransmitter production
  • Can affect hypothalamic-pituitary-adrenal axis regulation
  • Alters vagal nerve signaling affecting brain function
  • Influences neuroimmune communication
  • May affect BDNF production and neuroplasticity
  • Chronic elevation associated with neurodegenerative risk
  • Mediterranean dietary pattern supports optimal Proteobacteria balance
  • Regular polyphenol consumption to support neuroprotection
  • Strategic probiotic use focusing on psychobiotic strains
  • Barrier support nutrients to prevent LPS translocation
  • Stress management to prevent stress-induced permeability
  • Adequate omega-3 fatty acids to modulate inflammation
  • Sleep optimization for gut barrier maintenance
  • Regular exercise to support microbial diversity and reduce inflammation
  • Cognitive training alongside microbiome optimization

Proteobacteria for Energy Production

Section titled Proteobacteria for Energy Production
  • LPS triggers energy-depleting inflammatory responses
  • Increased intestinal permeability activates immune system energy demands
  • Influences mitochondrial function and efficiency
  • Affects nutrient absorption and availability
  • Influences insulin sensitivity and glucose metabolism
  • Impacts thyroid hormone conversion and function
  • Alters cortisol patterns affecting energy distribution
  • May trigger mast cell activation depleting energy reserves
  • Influences neurotransmitter production affecting motivation
  • Focus on barrier integrity to prevent energy-depleting LPS translocation
  • Support beneficial bacteria that compete with and control Proteobacteria
  • Implement time-restricted eating for gut rest and repair
  • Address stress that contributes to permeability and dysbiosis
  • Support mitochondrial function through nutrition and lifestyle
  • Optimize micronutrient status, particularly zinc, magnesium, B vitamins
  • Consider targeted supplementation based on testing
  • Gradual, sustainable approach rather than aggressive protocols
  • Regular monitoring and adjustment based on energy response
  • Dr. Emeran Mayer highlights the gut-brain-microbiome connection for energy regulation
  • Dr. Robert Naviaux’s research on the cell danger response relates to Proteobacteria and LPS
  • Dr. Sarah Ballantyne emphasizes barrier function for reducing inflammatory burden
  • Dr. Michael Ruscio advocates for targeted, individualized approaches rather than generalized protocols
  • Dr. Lucy Mailing emphasizes the importance of ecosystem restoration rather than simply eliminating Proteobacteria
  • Dr. Dale Bredesen includes microbiome optimization in cognitive health protocols
  • Dr. Terry Wahls incorporates gut health in her energy-focused therapeutic approaches

Proteobacteria represent a complex bacterial phylum that plays dual roles in human health. When maintained at appropriate levels (2-5% of the total gut microbiome), certain species contribute to metabolic functions and immune development. However, unlike other bacterial phyla, elevated Proteobacteria levels (>10%) are more consistently associated with dysbiosis, inflammation, and health challenges.

  • Optimal Balance: Aim for approximately 2-5% Proteobacteria in total gut composition, with diversity among non-pathogenic species
  • Dietary Support: Focus on diverse fiber sources, polyphenol-rich foods, omega-3 fatty acids, and fermented foods
  • Lifestyle Factors: Prioritize sleep quality, stress management, appropriate exercise, and intestinal barrier support
  • Personalization: Individual variation exists, but elevated Proteobacteria consistently correlate with inflammatory conditions
  • Cognitive Connection: Maintaining low Proteobacteria levels may significantly improve cognitive function by reducing LPS-related neuroinflammation
  • Energy Enhancement: Controlling Proteobacteria can prevent energy-depleting inflammatory responses and support mitochondrial function

The most effective approach to managing Proteobacteria involves creating an intestinal environment that naturally limits their expansion while promoting beneficial bacterial communities. Rather than focusing exclusively on eliminating these bacteria, emphasize supporting overall microbiome diversity and gut barrier integrity through sustainable dietary and lifestyle practices.