Gut Health and Mass Extinction

November 25, 2015

You probably already know the planet is experiencing an extinction crisis; scientists estimate we'll lose up to 50 percent of current species during the next 20 years. But did you know there's also an extinction crisis of gut bacteria happening among civilized humans?



The modern diet, which is high in processed foods, meats and sugars but pitifully low in plant fiber appears to have killed off a rich diversity of gut bacteria on which our health depends. The result? Inflammation and chronic disease.


Low fiber kills bacteria and increases inflammation

To prove the point, one study changed the diets of African Americans, who have a high risk of colon cancer, and native Africans in South Africa. They put the African Americans on a native diet high in plant fiber and the native Africans on a typical American diet high in processed foods and meats.

The researchers quickly saw a decrease in colon inflammation in the Americans eating increased fiber, and an increase in colon inflammation in the South Africans on a standard American diet.


In fact, studies of the few remaining indigenous cultures on the planet show humans once served as host to significantly more gut bacteria than is found in Westerners today. These cultures eat about 10 times more plant fiber than the average American. Those bacteria organize themselves in colonies to digest plant fiber, support immunity, and curb inflammation.


People around the world even have different strains of the same bacterium that is native to their area and genetics. Human migration over the years has wiped out some strains, increasing the risk of certain diseases as a result, such as gastric cancer.


How a diversity of gut bacteria protect your health

Just how do bacteria protect us from chronic disease?


For one thing, when they work at breaking down plant fibers, they create compounds called short-chain fatty acids (SCFAs) that stimulate the anti-inflammatory arm of the immune system.


Although it's possible to supplement with SCFAs, unfortunately they won't be as beneficial as when your own gut bacteria produce them. This is because the bacteria colonize themselves with similar bacteria in an internal ecosystem that protects the lining of the gut.


Starved bacteria eat the gut lining

One startling revelation researchers found is that gut bacteria starved of the plant fiber they need for fuel instead appear to feed on the protective mucus layer that lines the intestines. Studies of mice fed high-fiber diets showed this mucosal layer was as twice as thick as that of mice on a low-fiber diet.

A too-thin layer of protective mucus allows dangerous bacteria, undigested foods, and other pathogens into the bloodstream, where they trigger system-wide inflammation. This is known as leaky gut.


How to beef up your own gut bacteria

It's quite possible that many of us today lack the diversity of gut bacteria our ancestors had, and our health suffers as a result. Researchers believe those who grow up on farms, with animals, and exposed to other sources of more diverse bacteria may fare better in terms of microbial diversity.


Nevertheless, a diet high in plant fiber can increase the diversity and population of your gut bacteria, thus helping you balance digestion and tame inflammation. If you find it difficult to tolerate a high-fiber diet, you may have a severe imbalance in your gut bacteria that needs attention. Ask my office for more information.

July 24, 2026
Living with chronic pain often means thinking differently about everyday tasks. While medical treatment is an important part of pain management, small changes to your home, daily routine, and the tools you use can also make life more comfortable. These practical lifestyle strategies can help reduce unnecessary strain, conserve energy, and make it easier to stay engaged in the activities that matter most.  At Chronic Care of Richmond, we believe that effective chronic pain management is about creating sustainable habits that support your quality of life—not just managing symptoms. Create a Pain-Friendly Home Environment Your home should work for you, not against you. Simple modifications can reduce repetitive movements, awkward bending, and prolonged standing that may aggravate chronic pain. Consider making adjustments such as: Placing frequently used items at waist or shoulder height to minimize bending and reaching Using lightweight cookware and kitchen utensils Installing lever-style door handles that require less grip strength Adding non-slip rugs or removing tripping hazards Choosing supportive chairs with armrests to make standing easier Keeping commonly used items on each level of your home to reduce unnecessary trips up and down stairs If you spend long hours working at a desk, ergonomic adjustments can also make a significant difference. Position your computer monitor at eye level, keep your feet flat on the floor, and use supportive seating that encourages good posture. Work Smarter, Not Harder One of the most valuable skills for people with chronic pain is learning to pace daily activities. Instead of trying to finish everything at once, divide larger tasks into smaller, more manageable steps. For example: Fold one basket of laundry, then rest before putting clothes away. Clean one room each day instead of the entire house. Prepare ingredients for dinner earlier in the day when your energy is higher. Many people find that alternating physical activities with seated tasks helps reduce discomfort throughout the day. This approach—often called activity pacing—can help prevent the "boom-and-bust" cycle, where overdoing activities on a good day leads to increased pain and fatigue afterward. Self-management strategies like pacing are commonly recommended for people living with chronic pain and arthritis. Plan Around Your Best Hours Pain levels often fluctuate throughout the day. Pay attention to when you typically feel your best and schedule more demanding activities during those times. You might: Grocery shop in the morning if you have more energy. Schedule appointments during your most comfortable hours. Save paperwork or computer work for times when physical activity feels more difficult. Keeping a simple journal of your daily pain patterns can help identify routines that support better days. Use Helpful Gadgets That Reduce Strain Modern assistive devices aren't just for people with significant mobility limitations. Many simple tools can reduce stress on joints and muscles while making everyday tasks easier. Helpful options include: Grabber or reacher tools for picking up objects Electric can openers and jar openers Long-handled shoehorns Rolling laundry baskets Shower chairs or handheld showerheads Supportive seat cushions Heating pads or reusable cold packs for temporary symptom relief when appropriate Voice-controlled smart home devices for lights, thermostats, and reminders These small conveniences can reduce repetitive movements that contribute to discomfort while helping you maintain independence. Organize to Minimize Extra Movement A little organization can save hundreds of unnecessary steps each week. Try creating dedicated stations throughout your home: Keep medications in one organized location. Store cleaning supplies on every floor if you have a multi-level home. Keep chargers, reading glasses, and frequently used items within easy reach. Use baskets or rolling carts to transport multiple items in one trip. The less unnecessary movement required, the more energy you can devote to activities you enjoy. Make Rest Part of Your Routine Rest is an important part of managing chronic pain, but staying inactive for long periods can sometimes increase stiffness and reduce mobility. Finding a balance between activity and rest is key. Instead of waiting until you're exhausted, consider scheduling short recovery breaks throughout the day. Examples include: Sitting down for 10 to 15 minutes after completing household chores Stretching gently between work sessions if recommended by your healthcare provider Taking a brief walk around the house after prolonged sitting Practicing relaxation or breathing exercises during scheduled breaks Regular movement paired with planned rest helps many people maintain better function over time. Health organizations recommend staying as active as your condition allows , even if activity is broken into shorter sessions. Build Sustainable Habits There's no single "hack" that solves chronic pain. Instead, lasting improvements often come from combining small, practical changes that reduce strain and make everyday life more manageable. Whether it's reorganizing your kitchen, pacing household chores, using assistive devices, or planning activities around your energy levels, these strategies can help support greater independence and comfort. Self-management techniques, combined with guidance from your healthcare provider, are widely recognized as valuable tools for improving daily function and quality of life for people living with chronic pain. If chronic pain is interfering with your ability to enjoy daily life, the team at Chronic Care of Richmond can work with you to develop a comprehensive, personalized treatment plan that supports your long-term health, mobility, and overall well-being.
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