š§ How the bacteria in your belly affect everything from baby brain development to dementia riskāand what you can do to stay ahead.
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If youāve recently heard the alarming stat thatĀ 1 in 3 teenagers in the US now has prediabetes, you're probably wondering:
Is the rest of the world headed down the same path?
According to a June 2025 landmark review published in The Journal of Internal Medicine (Schoultz et al.), the answer may lie not in our genesābut in our gut.
𧬠The Microbiota: More Than Just Digestion
Your gut microbiotaāthe trillions of bacteria, fungi, and microbes that live in your digestive tractāis now recognised as a central player in metabolic health, immune function, and even mental well-being.
And here's the kicker: it evolves throughout your life. The choices you make early on (yes, even before you're born) can shape health outcomes decades later.
š¼ Infancy: The First Gut Imprint
The review highlights that how a baby is born (vaginally or by C-section), whether theyāre breastfed, and antibiotic exposure all dramatically affect early microbial colonisation.
This "first imprint" can set the tone for a childās immune system, risk of allergies, metabolic disease, and even neurological development.
š Why it matters: A disrupted microbiota early in life has been linked to rising rates of eczema, asthma, obesity, and autoimmune conditions.
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š§ Adolescence to Adulthood: When Sugar and Stress Hit Hard
As children grow, the microbiota matures too. But lifestyle habitsājunk food, sedentary routines, chronic stress, and antibiotics for every sniffleāstart to erode that delicate microbial balance.
Dr. Robert Lufkinās recent post warning that āprediabetes is diabetesā underscores what many UK practitioners are beginning to acknowledge:
Weāre raising teens on diets that literally ferment disease.
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š“ Aging: A Gut-Brain Crisis?
Even later in life, the gut doesnāt rest. In fact, age-related decline in microbial diversity is now being linked to conditions like:
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Alzheimerās disease
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Parkinsonās
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Chronic inflammation
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Frailty and muscle loss
Researchers are investigating microbiota-targeted interventions as novel therapies for dementia and aging-related diseases.
šæ What You Can Do (Starting Today)
While all this may sound overwhelming, thereās a silver lining:
The microbiota is malleable.
š§ š” Schoultz et al. suggest the following strategies are showing the most promise:
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Prebiotics: Plant fibres that feed the good guys (e.g., leeks, onions, asparagus, oats)
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Probiotics: Live beneficial microbes in fermented foods (e.g., yoghurt with live cultures, kefir, kimchi)
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Diversity in diet: The more plants on your plate, the more diverse your gut bugs
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Reducing antibiotics unless necessary
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Even cutting-edge therapies like faecal microbiota transplants (FMT) are being trialled for everything from IBS to neurological disease.
š It's Never Too Early (or Late) to Start
Whether you're a new parent, a stressed executive, or entering retirement, your gut health matters now more than ever.
Your microbiome could be your most powerful (and underused) health ally.
So before investing in another supplement or superfood trend, consider this:
Start with your microbes. Theyāve been with you since day oneāand theyāre still calling the shots.
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Sources:
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Schoultz I, et al. Gut microbiota development across the lifespan. J Intern Med. June 2025. PMID: 40270478
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Dr. Robert Lufkin via CDC data on teen prediabetes