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On World Obesity day, let us demystify myths around obesity! Five decades ago/ Pre 1980’s era, Obesity, type 2 diabetes & other metabolic diseases were a rare phenomenon. Our grandparents never had obesity- & they never had these fad recommendations of high protein, low carb & more but they had one aspect of our biology which we miss out now- balanced & diverse gut microbiome. No brainer- the foods they ate were rich in fibre & polyphenols which were food for their microbiome. Their gut microbes synthesised these food substrates & converted them into short chain fatty acids which secreted GLP-1- the hormone required to regulate our metabolism, satiety & appetite. GLP-1 communicates with Pancreas to regulate blood sugar response & communicates with the brain to modulate our hunger responses. Besides, our gut microbiome can make it hard to lose weight by 1.Low Grade Chronic Inflammation : Synthesising foods, not compatible with our biology, into pro-inflammatory metabolites such as LPS, TMAO & more which when released into the blood stream triggers inflammatory responses. In other words, this leads to high fat storage & low fat export. 2.Gut-Brain Axis: Gut communicates with the brain via Vagus nerve & impact hunger responses by impacting production of ghrelin, leptin & other hunger hormones. 3.If gut microbiome is less diverse, not producing enough enzymes or have now butyrate producing bacteria, it could stimulate hunger However, corporatization of foods & fad diets such as high protein & quantified nutrition has changed the entire microbial ecosystem inside our body triggering a wave of chronic inflammation. One of the most important reasons for obesity is degradation of GLP-1 which is caused by multiple metabolic pathways including those impacted by gut & oral microbiome. However, GLP-1 drugs being marketed as the solution for metabolic issues, leaves a lot of questions unanswered as it does not address the root cause- gut microbial dysbiosis. Besides, it brings its share of side effects & collateral damage including gastrointestinal issues- diarrhoea, bloating, constipation & more, loss of healthy muscle mass loss, inflammation of pancreas & even high risk of pancreatic cancer. Today's video discusses the role of gut & oral microbiome in obesity & each of the pathways associated with degradation of GLP-1 as well as what could make GLP-1 drugs ineffective & harmful Citations below https://diabetesjournals.org/care/article/33/2/453/27096/GLP-1-Based-Therapy-for-Diabetes-What-You-Do-Not https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10391832/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4112002/ https://dom-pubs.pericles-prod.literatumonline.com/doi/10.1111/dom.14725 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5082693/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5187364/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3266401/ https://pubmed.ncbi.nlm.nih.gov/23892476/ https://pubmed.ncbi.nlm.nih.gov/22506074/ https://www.nature.com/articles/s41598-018-20549-0
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